Documente Academic
Documente Profesional
Documente Cultură
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PARTEA I
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Pagina
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SUMAR
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De
391
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ORDIN
privind modificarea anexei nr. 2 i anexei nr. 3 la Ordinul ministrului sntii i al preedintelui
Casei Naionale de Asigurri de Sntate nr. 1.605/875/2014 privind aprobarea modului de calcul,
a listei denumirilor comerciale i a preurilor de decontare ale medicamentelor care se acord
bolnavilor n cadrul programelor naionale de sntate i a metodologiei de calcul al acestora*)
in
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Vznd Referatul de aprobare nr. N.B. 9.889 din 30 septembrie 2015 al Ministerului Sntii i nr. D.G. 1.649 din
30 septembrie 2015 al Casei Naionale de Asigurri de Sntate,
avnd n vedere:
art. 58 alin. (4) i (5) i art. 221 alin. (1) lit. k) din titlul VIII Asigurri sociale de sntate din Legea nr. 95/2006 privind
reforma n domeniul sntii, republicat;
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 de asigurri sociale de sntate, precum i denumirile comune internaionale corespunztoare medicamentelor care
se acord n cadrul programelor naionale de sntate, cu modificrile i completrile ulterioare,
n temeiul dispoziiilor art. 291 alin. (2) din Legea nr. 95/2006 privind reforma n domeniul sntii, republicat, ale art. 7
alin. (4) din Hotrrea Guvernului nr. 144/2010 privind organizarea i funcionarea Ministerului Sntii, cu modificrile i
completrile ulterioare, i ale art. 17 alin. (5) din Statutul Casei Naionale de Asigurri de Sntate, aprobat prin Hotrrea
Guvernului nr. 972/2006, cu modificrile i completrile ulterioare,
iv
ministrul sntii i preedintele Casei Naionale de Asigurri de Sntate emit urmtorul ordin:
nr. 1.605/875/2014 privind aprobarea modului de calcul, a listei
denumirilor comerciale i a preurilor de decontare ale
medicamentelor care se acord bolnavilor n cadrul programelor
naionale de sntate i a metodologiei de calcul al acestora,
publicat n Monitorul Oficial al Romniei, Partea I, nr. 951 i
951 bis din 29 decembrie 2014, cu modificrile i completrile
ulterioare, se modific i se nlocuiete cu anexa nr. 2, care face
parte integrant din prezentul ordin.
Art. III. Prezentul ordin se public n Monitorul Oficial al
Romniei, Partea I, i intr n vigoare ncepnd cu data de
1 octombrie 2015.
p. Ministrul sntii,
Dorel Sndesc,
secretar de stat
De
st
in
at
ex
cl
us
*) Ordinul nr. 1.213/954/2015 a fost publicat n Monitorul Oficial al Romniei, Partea I, nr. 737 din 1 octombrie 2015 i este reprodus i n acest numr bis.
Cod CIM
Grupa
terapeutica
Denumire generica
Denumire comerciala
Forma
Concentr
farmaceuti
atie / U.T.
ca
J01CF04
J01CF04
J01CF04
21 W07274001
22 W43092001
23 W13743001
J01CF04
J01CF04
20 W11729001
30 W04684004
J01CF04
19 W04675003
J01CF04
J01CF04
18 W43090001
29 W60468003
J01CF04
17 W04675002
J01CF04
G01AF04
16 W51340001
28 W60468001
G01AF04
15 W51339001
J01CF04
D06BB03
14 W53041001
27 W60469003
D06BB03
13 W55128001
J01CF04
D06BB03
12 W60557001
26 W60469001
D06BB03
11 W55128002
J01CF04
D06BB03
J01CF04
D06BB03
9 W52146002
10 W58038001
24 W12910002
ACICLOVIRUM
D06BB03
D06BB03
7 W55641002
8 W60557002
25 W12910001
ACICLOVIRUM
D06BB03
6 W55641001
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
OXACILLINUM
MICONAZOLUM
MICONAZOLUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
D06BB03
5 W00040001
MICONAZOLUM
D01AC02
4 W13742001
De
st
at
in
OXACILINA 500 mg
OXACILINA 250 mg
GYNOZOL 400
GYNOZOL 200
ACICLOVIR-RICHTER 50mg/g
ACICLOVIR HYPERION
ACICLOVIR-RICHTER 50mg/g
ACICLOVIR 50mg/g
ACICLOVIR 50mg/g
ZOVIRAX
MICONAZOL NITRAT 2%
CREMA
CAPS.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
I.M./I.V.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CREMA
CAPS.
VAG.
CAPS.
VAG.
CREMA
CREMA
CREMA
500mg
500mg
500mg
1000mg
1000mg
500mg
500mg
500mg
500mg
500mg
250mg
250mg
250mg
250mg
400mg
200mg
50mg/g
50mg/g
50mg/g
50mg/g
50mg/g
50mg/g
50mg/g
5%
5%
5%
2%
iv
us
CREMA
CREMA
CREMA
cl
ex
CREMA
CREMA
CREMA
Nr.crt
ANTIBIOTICE SA
ANTIBIOTICE S.A.
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
FARMEX COMPANY
SRL
FARMEX COMPANY
SRL
ARENA GROUP SA
SANDOZ SRL
ANTIBIOTICE SA
ANTIBIOTICE SA
ARENA GROUP SA
SANDOZ SRL
ARENA GROUP SA
ITALIA
ne
lo
r
CUTIE X 1 BLIST. AL/PVC X 10 CAPS.
oa
rs
PR
F
PR
F
PR
F
PR
F
PRF
ROMAN CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.
IA
INJ./PERF.
ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.
IA
INJ./PERF.
ROMAN CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.
INJ./PERF.
IA
fi
zi
ce
12
36
cant/a
mbala
j
100
100
PRF
1
PRF
1
PRF
1
PR
F
1
PRF
1
PR
F
1
PRF
1
PR
F
1
PRF
1
PRF
1
PRF
6
PRF
3
PRF
20
PRF
20
PRF
/S 1000
PRF
20
PRF
10
PRF
10
PRF
10
PRF
/S
500
PRF
20
PRF
PRF
PRF
PRF
ROMAN
IA
CUTIE X 50 BLIST. AL/PVC X 10 CAPS.
ROMAN
IA
CUTIE X 2 BLIST. AL/PVC X 10 CAPS.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
pe
ii
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
Ambalaj
ITALIA
Tara
ar
TIS FARMACEUTIC SA
PHARCO IMPEX 93
S.R.L.
PHARCO IMPEX 93
S.R.L.
rm
fo
in
TERAPIA S.A.
HYPERION S.A.
THE WELLCOME
FOUNDATION LTD.
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
ALFA WASSERMANN
SPA
ALFA WASSERMANN
SPA
ALFA WASSERMANN
SPA
Firma
din HG nr. 720/2008, cu modificrile i completrile ulterioare, elaborat n temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificarile si competarile ulterioare,
VALABIL NCEPND CU 01 OCTOMBRIE 2015
Prescriptie
SECIUNEA C2 - LISTA denumirilor comerciale i a preturilor de decontare a medicamentelor care se acord bolnavilor cuprini in cadrul programele nationale de sntate, in tratamentul
ambulatoriu si spitalicesc, corespunztoare denumirilor comune internaionale cuprinse n seciunea C2 a sublistei C
3,770000
3,612900
3,770000
3,890600
4,090000
0,413000
0,390180
0,468216
0,468216
0,468216
0,289500
0,251650
0,296000
0,272500
1,463333
0,763333
3,480000
4,176000
3,820000
4,140000
4,176000
4,176000
4,176000
4,176000
3,820000
4,584000
5,190000
14,660000
1,942500
1,908611
Pret cu ridicata
maximal de
decontare / U.T.
5,100000
4,319600
5,100000
4,622300
5,530000
0,558500
0,476340
0,571608
0,571608
0,571608
0,368664
0,307220
0,368664
0,368500
1,976666
1,031666
4,700000
5,640000
5,160000
5,590000
5,640000
5,640000
5,640000
5,640000
5,160000
6,192000
7,010000
19,810000
2,625833
2,413333
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,071392
0,158392
0,206392
0,022836
0,000000
0,031336
0,000000
0,000000
0,000000
0,000000
1,320000
0,000000
0,000000
1,320000
1,690000
2,250000
2,250000
0,000000
15,658000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
ANEXA
J01CF04
J01CF04
J01CR01
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
J01CR02
32 W04682003
33 W04682002
34 W58901002
35 W00400003
36 W57628002
37 W54453002
38 W54971008
39 W55163002
40 W00401004
41 W55401002
42 W55164001
43 W54972008
44 W51992004
45 W51991002
46 W59739002
47 W00399001
48 W08783001
49 W08783002
50 W55355004
51 W55355001
Grupa
terapeutica
J01CF04
Cod CIM
31 W04684002
Nr.crt
ex
AMOKSIKLAV 156,25mg/5ml
AMOKSIKLAV 2x
AMOKSIKLAV 2x
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
oa
rs
MAREA
400mg/57 SMITHKLINE BEECHAM BRITAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML
mg/5ml
LTD.
IE
SUSP. ORALA + 1 SERINGA PT. ADM. ORALA
PRF
PRF
PRF
PRF
PRF
PR
F
PRF
PRF
PRF
50
14
14
14
14
14
14
14
14
14
28
14
50
100
100
cant/a
mbala
j
fi
zi
ce
PULB. PT.
SUSP.
ORALA
lo
r
MAREA
400mg/57 SMITHKLINE BEECHAM BRITAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML
mg/5ml
LTD.
IE
SUSP. ORALA + MASURA DOZATOARE
ne
pe
PULB. PT.
SUSP.
ORALA
BIOMEDIAL PHARMA
S.R.L.
ii
1000mg/2
00mg
ANTIBIOTICE SA
LEK
156,25mg PHARMACEUTICALS
/5ml
D.D.
LEK
400mg+5 PHARMACEUTICALS
7mg/5ml D.D.
LEK
400mg+5 PHARMACEUTICALS
7mg/5ml D.D.
625mg
ar
MAREA
BRITAN
IE
CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM.
COMPR.
PT.
DISPERSIE
ORALA/OR
ODISPERS
ABILE
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SUSP.
ORALA
PULB. PT.
SUSP.
ORALA
PULB. PT.
SUSP.
ORALA
BIOMEDIAL PHARMA
S.R.L.
rm
fo
PRF
PRF
PRF
PRF
PRF
PRF
MAREA
BRITAN
IE
CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM.
MAREA
BRITAN
IE
CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.
ROMAN
IA
CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.
SLOVE
NIA
CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.
PRF
PRF
in
PRF
PRF
/S
Ambalaj
ROMAN CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.
IA
INJ./PERF. I.M./I.V.
Tara
Prescriptie
iv
500
mg/125
mg
RANBAXY UK LIMITED
500/125m
g
ANTIBIOTICE S.A.
COMPR.
PT.
DISPERSIE
ORALA/OR
ODISPERS
ABILE
1000mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOKSIKLAV 2 x 625 mg
us
COMPR.
FILM.
cl
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
in
AMOXICILLINUM + ACIDUM
CLAVULANICUM
at
COMPR.
FILM.
COMPR.
FILM.
AMOXIPLUS 500/125 mg
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
Firma
PULB. PT.
SOL.
1000mg/5
INJ./PERF. 00mg
ANTIBIOTICE S.A.
LEK
COMPR.
PHARMACEUTICALS
FILM.
1000mg D.D.
PULB. PT.
SOL.
INJ./PERF.
I.M./I.V.
500mg
PULB. PT.
SOL.
INJ./PERF.I
.M./I.V.
1g
PULB. PT.
SOL.
INJ./PERF.I
.M./I.V.
1g
Forma
Concentr
farmaceuti
atie / U.T.
ca
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
st
AMOKSIKLAV 2 x 1000 mg
De
AMOXICILLINUM + ACIDUM
CLAVULANICUM
OXACILINA ANTIBIOTICE 1 g
OXACILINA ANTIBIOTICE 1 g
Denumire comerciala
AMPICILLINUM + SULBACTAM
OXACILLINUM
OXACILLINUM
OXACILLINUM
Denumire generica
5,952000
5,952000
9,920000
4,960000
8,010000
7,344200
0,524570
0,854570
0,712142
0,854570
0,712142
0,437142
0,524570
0,437142
0,437142
0,437142
0,712142
13,129000
3,890600
4,090000
3,612900
Pret cu ridicata
maximal de
decontare / U.T.
8,040000
8,040000
13,410000
6,700000
10,820000
8,768200
0,708857
1,154570
0,962142
1,154570
0,962142
0,590714
0,708857
0,590714
0,590714
0,591071
0,962142
15,073600
4,622300
5,530000
4,319600
2,280000
2,280000
0,000000
0,000000
0,000000
0,000000
0,516143
0,703287
0,000000
0,324715
0,000000
0,000000
0,200428
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J01CR02
J01CR02
J01CR02
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
53 W59180001
54 W55342003
55 W00402001
56 W55629001
57 W54763001
58 W55629002
59 W55423001
60 W55369001
61 W55424001
62 W55630001
63 W55630002
64 W55370001
65 W54765001
66 W53595006
67 W53596003
68 W55618001
69 W42064001
70 W53779001
71 W13949006
72 W13949009
73 W13949012
74 W59397002
75 W13949003
76 W13948008
77 W13948004
Grupa
terapeutica
J01CR02
Cod CIM
52 W55355002
Nr.crt
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM
st
De
at
in
Firma
Tara
Ambalaj
4g/0,5g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
ANTIBIOTICE S.A.
ROMASTRU TRADING
SRL
ROMASTRU TRADING
SRL
250mg
250mg
1g
1g
1g
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
1g
1g
MEDOCHEMIE LTD.
TERAPIA SA
oa
rs
ne
S
S/
PRF
S/
PRF
10
10
10
10
PR
S/
ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 17 ML CU PIA
PULB. PT. SOL. INJ./PERF.
RF
10
GERMA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE
NIA
50 ML CONTINAND PULB. PT. SOL. INJ./PERF.
10
10
10
50
10
10
fi
zi
ce
lo
r
pe
ii
ar
rm
12
MYLAN S.A.S.
TERAPIA SA
fo
in
TERAPIA SA
1g
1g
1000mg
4g/0,5g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
ANTIBIOTICE S.A.
12
PRF
cant/a
mbala
j
MAREA
BRITAN CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA PIE
+ 1 MASURA DOZATOARE
RF
PR
F
PRF
Prescriptie
ROMASTRU TRADING
SRL
MYLAN S.A.S.
ROMASTRU TRADING
SRL
600
mg/42,9m SMITHKLINE BEECHAM
g/5ml
LTD.
LEK
312,5mg/ PHARMACEUTICALS
5ml
D.D.
MAREA
400mg/57 SMITHKLINE BEECHAM BRITAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML
mg/5ml
LTD.
IE
SUSP. ORALA + MASURA DOZATOARE
iv
us
cl
ex
PULB. PT.
SUSP.
AUGMENTIN (R) ES
ORALA
PULB.
PT.SUSP.
AMOKSIKLAV 312,5mg/5ml
ORALA
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PERASIN 2g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
BACTACIN 2 g/0,25 g
PULB. PT.
SOL.
PERASIN 4g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
BACTACIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g INJ./PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g
PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g
PERF.
PULB. PT.
SOL.
OFRAMAX 1000 mg
INJ./PERF.
PULB. PT.
SOL.
MEDAXONE 1 g
INJ./PERF.
PULB. PT.
SOL.
SEFTRION 1 g
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
CEFORT 1 g
PULB. PT.
SOL.
CEFORT 1 g
INJ./PERF.
PULB. PT.
SOL.
CEFORT 1 g
INJ./PERF.
PULB. PT.
SOL.
CEFTRIAXONA-MIP 1 g
INJ./PERF.
PULB. PT.
SOL.
CEFORT 1 g
INJ./PERF.
PULB. PT.
SOL.
CEFORT 250 mg
INJ./PERF.
PULB. PT.
SOL.
CEFORT 250 mg
INJ./PERF.
PULB. PT.
AMOXICILINA/ACID CLAVULANIC AUROBINDO SUSP.
400 mg/57 mg/5 ml
ORALA
PULB. PT.
SUSP.
ORALA
Forma
Concentr
farmaceuti
atie / U.T.
ca
Denumire comerciala
AMOXICILLINUM + ACIDUM
CLAVULANICUM
Denumire generica
5,668000
5,668000
4,826400
4,022000
4,826400
4,826400
4,826400
4,826400
4,826400
4,826400
17,789000
4,044000
21,346800
21,346800
21,346800
21,346800
21,346800
4,044000
4,044000
4,044000
3,370000
4,044000
14,060000
27,200000
4,960000
11,904000
Pret cu ridicata
maximal de
decontare / U.T.
7,167000
7,167000
6,313200
5,261000
6,313200
6,313200
6,313200
6,313200
6,313200
6,313200
21,717000
5,472000
26,060400
26,060400
26,060400
26,060400
26,060400
5,472000
5,472000
5,472000
4,560000
5,472000
19,000000
35,580000
6,700000
16,092000
0,000000
0,000000
10,025800
0,000000
10,025800
10,025800
10,025800
7,416800
6,205800
4,739400
0,000000
10,127000
10,049600
29,479600
20,445433
29,479600
29,479600
26,688000
26,688000
22,543000
0,000000
26,688000
0,000000
0,000000
0,000000
4,538000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD04
J01DD08
J01DD08
J01DD08
J01DD08
J01DD12
J01DD12
J01DD12
J01DD12
J01DD12
J01DD62
J01DD62
J01DD62
J01DD62
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
79 W13891008
80 W42544001
81 W13891004
82 W59398002
83 W53778001
84 W51335001
85 W56096001
86 W57455001
87 W13701001
88 W60256001
89 W60256003
90 W13676001
91 W13677001
92 W44045001
93 W52795001
94 W44061001
95 W53787004
96 W53787001
97 W53787002
98 W53787003
99 W60705002
100 W60703002
101 W56827001
102 W58974002
103 W61143002
104 W56125002
Grupa
terapeutica
J01DD04
Cod CIM
78 W55619001
Nr.crt
COMBINATII
(CEFOPERAZONUM+SULBACTAMUM)
COMBINATII
(CEFOPERAZONUM+SULBACTAMUM)
COMBINATII
(CEFOPERAZONUM+SULBACTAMUM)
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEM KABI 1 g
ARCHIFAR 1000 mg
LODITER 1000 mg
COMBINATII
(CEFOPERAZONUM+SULBACTAMUM)
MEROPENEMUM
at
in
CEFOZON 1 g
CEFOZON 2 g
CEFOZON 500 mg
MEDOCEF 2 g
MEDOCEF 1 g
XIFIA 400mg
XIFIA 400mg
EFICEF 100 mg
SEFTRION 2 g
st
ROCEPHIN (R)
De
SEFTRION 500 mg
CEFTRIAXONA-MIP 2 g
CEFORT 2 g
MEDAXONE 2 g
CEFORT 2 g
OFRAMAX 250 mg
Denumire comerciala
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM
CEFIXIMUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
CEFTRIAXONUM
Denumire generica
PULB. PT.
SOL. INJ.
SAU PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
rm
1g
1000mg
1000mg
1000mg
FRESENIUS KABI
ROMANIA SRL
MEDOCHEMIE
ROMANIA SRL
ANTIBIOTICE S.A.
TERAPIA S.A.
ZENTIVA, K.S.
ZENTIVA, K.S.
1000mg/1
000mg
MEDOCHEMIE S.R.L.
1000mg/1
000mg
MEDOCHEMIE S.R.L.
1000mg/1
000mg
MEDOCHEMIE S.R.L.
1000mg/1
000mg
MEDOCHEMIE S.R.L.
1g
fo
in
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
INN-FARM D.O.O.
INN-FARM D.O.O.
ANTIBIOTICE SA
ANTIBIOTICE S.A.
500 mg
Ambalaj
10
10
S/
PRF
ii
pe
oa
rs
lo
r
REPUB
LICA
CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU
CEHA CAPACITATEA DE 20 ML
10
10
10
PR
PR
10
10
50
10
100
PR
F
PR
PR
fi
zi
ce
REPUB
LICA
CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU
CEHA CAPACITATEA DE 20 ML
ne
S
S/
PRF
S/
ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. PIA
SOL. INJ./PERF.
RF
S/
ROMAN CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. PIA
SOL. INJ./PERF.
RF
ar
10
10
10
10
10
ROMAN
IA
CUTIE X 1 FLAC. PULB. PT. SOL. INJ.
S/
PRF
PRF
PR
F
PRF
PR
F
PR
F
S/
PRF
S/
PRF
S/
PRF
ROMAN
IA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
SLOVE
NIA
10
10
50
cant/a
mbala
j
Tara
Prescriptie
PR
S/
PE.I.P.I.CO. MED S.R.L.
RF
S/
ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML PROCHE ROMANIA S.R.L. IA
CONTINAND PULB. PT. SOL. PERFUZ.
RF
ANTIBIOTICE SA
MEDOCHEMIE LTD.
ANTIBIOTICE SA
TERAPIA SA
Firma
2g
500mg
2g
1g
PULB. PT.
SOL. INJ.
SAU PERF. 1000 mg
PULB. PT.
SOL. INJ.
PULB. PT.
SOL.
INJ./PERF.
I.M./I.V.
PULB. PT.
SOL.
INJ./PERF.I
.M./I.V.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL. INJ.
400mg
400mg
200mg
100mg
2g
2g
500mg
2g
2g
2g
2g
250mg
iv
us
PULB. PT.
SOL. INJ.
cl
ex
CAPS.
COMPR.
FILM.
COMPR.
FILM.
CAPS.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
27,211200
27,211200
27,211200
27,211200
16,826400
27,211200
17,592800
18,691000
19,370000
17,292800
7,010000
10,480000
3,190000
12,576000
8,412000
7,526000
7,660000
2,759000
1,655000
8,888400
8,888400
6,370000
7,407000
8,888400
8,888400
8,888400
5,105400
Pret cu ridicata
maximal de
decontare / U.T.
33,219600
33,219600
33,219600
33,219600
20,541600
33,219600
19,939200
22,818000
23,076840
19,230700
9,480000
14,160000
4,310000
16,992000
11,376000
9,516000
10,020000
3,609000
2,237000
11,238000
11,238000
8,610000
9,365000
11,238000
11,238000
11,238000
6,232600
16,867400
29,959400
47,425400
62,340400
22,648400
44,763400
0,000000
0,000000
3,103160
0,000000
0,000000
0,000000
0,000000
6,670000
6,538000
0,000000
0,000000
0,000000
0,000000
6,252000
42,222000
0,000000
0,000000
17,698000
15,471000
17,698000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
J01DH51
J01EE01
J01EE01
J01EE01
J01EE01
J01EE01
J01EE01
120 W54532001
121 W12479001
122 W05738001
123 W53671001
124 W05741001
125 W44046001
126 W05739001
J01FA09
J01DH51
119 W51274002
133 W61223003
J01DH51
118 W61198003
J01FA09
J01DH51
117 W54471006
132 W13607002
J01DH51
116 W54471008
J01FA09
J01DH51
115 W54471007
131 W59000002
J01DH51
114 W54471009
J01FA09
J01DH51
113 W54471005
130 W58242002
J01DH51
112 W54471003
J01FA02
J01DH51
111 W54471002
129 W13604003
J01DH02
110 W61142002
J01FA02
J01DH02
109 W56826001
J01FA02
J01DH02
108 W56330002
127 W05561001
J01DH02
107 W56124002
128 W13604002
J01DH02
106 W58973002
Grupa
terapeutica
J01DH02
Cod CIM
105 W56331002
Nr.crt
SPIRAMYCINUM
SUMETROLIM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
SPIRAMYCINUM
KLACID SR
CLAXIRIT 500 mg
ROVAMYCINE 3 Mil. UI
TAGREMIN
BITRIM 400mg/80mg
SUMETROLIM
CO - TRIM ELL
COMPR.
ELIB.
PREL.
COMPR.
FILM.
SUSP.
ORALA
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
CU ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
SUSP.
ORALA
COMPR.
COMPR.
COMPR.
MEDOCHEMIE
ROMANIA SRL
TERAPIA S.A.
500mg/50
0mg
TERAPIA SA
500mg/50
0mg
TERAPIA SA
500mg/50
0mg
TERAPIA SA
500mg/50
0mg
TERAPIA SA
250mg
500mg
500mg
500mg
3MilU.I.
3M ui
1,5 M ui
ABBOTT
LABORATORIES LTD.
AUROBINDO PHARMA
(MALTA) LIMITED
LAB. AVENTIS
LABORATOIRES
AVENTIS
LAB. AVENTIS
500mg/50
0mg
ANTIBIOTICE S.A.
500mg/50
0mg
TERAPIA SA
fo
in
500mg/50
0mg
TERAPIA SA
rm
HOSPIRA UK LIMITED
FRESENIUS KABI
ROMANIA SRL
ANTIBIOTICE S.A.
HOSPIRA UK LIMITED
Firma
500mg/50
0mg
TERAPIA SA
500mg
500mg
500mg
iv
us
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
INJ./PERF. 1g
PULB. PT.
SOL.
INJ./PERF. 500mg
PULB. PT.
SOL.
INJ./PERF. 500mg
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
TIENAM I.V.
EPITRIM
SPIRAMYCINUM
at
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
in
CILOPEN 500mg/500mg
st
ARCHIFAR 500 mg
De
LODITER 500 mg
MEROPENEM HOSPIRA 1 g
Denumire comerciala
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
IMIPENEMUM + CILASTATINUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
Denumire generica
Ambalaj
PR
ii
oa
rs
lo
r
PRF
PR
F
PR
F
ROMAN
IA
CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.
MAREA
BRITAN
IE
CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. ELIB. PREL.
PR
F
PRF
PRF
PRF
PR
F
fi
zi
ce
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA +
MASURA DOZATOARE
ne
PRF
PRF
PRF
PRF
PR
S/
PRF
S/
PRF
PRF
ISLAND
A
CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.
UNGAR
IA
FRANT
A
FRANT
A
FRANT
A
UNGAR
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
pe
ar
14
10
10
16
20
20
20
20
10
10
10
10
10
10
10
10
10
10
PR
10
PR
cant/a
mbala
j
PR
F
Prescriptie
MAREA
BRITAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.
IE
INJ./PERF.
MAREA
BRITAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.
IE
INJ./PERF.
CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE
ROMAN 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU
IA
PREVAZUTA CU DISC DIN MATERIAL PLASTIC
Tara
0,560000
1,458000
1,458000
1,458000
1,933000
1,933000
0,472500
7,300000
3,480000
0,296500
0,296500
0,257500
0,270000
18,581000
22,297200
18,582000
22,297200
22,297200
22,297200
22,297200
22,297200
18,582000
18,922000
16,826400
16,826400
14,022000
16,826400
16,826400
22,676000
Pret cu ridicata
maximal de
decontare / U.T.
0,756428
1,970570
1,970570
1,970570
2,613000
2,613000
0,638750
9,860000
4,710000
0,400500
0,400500
0,348000
0,365000
22,684000
27,220800
22,685000
27,220800
27,220800
27,220800
27,220800
27,220800
22,685000
23,924000
20,541600
20,541600
17,118000
20,541600
20,541600
27,683000
0,000000
1,777430
0,464430
0,463715
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
7,679200
0,000000
9,677200
6,803200
10,559200
6,801200
9,829200
0,000000
0,000000
24,002400
30,708400
0,000000
6,620400
24,004400
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
146 W08491001
147 W58999014
148 W41838002
149 W01327001
150 W01327002
151 W44092001
152 W42258001
153 W44091001
154 W44091002
155 W58393002
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
165 W42878001
166 W57032001
167 W52840002
J01FA10
162 W52838001
163 W00519001
J01FA10
161 W42879004
164 W52840001
J01FA10
J01FA10
159 W00518001
160 W52838002
J01FA10
J01FA09
145 W54044001
158 W42271001
J01FA09
144 W60254003
J01FA09
J01FA09
143 W56269001
J01FA10
J01FA09
142 W44087001
156 W01329001
J01FA09
141 W14044001
157 W00517001
J01FA09
J01FA09
138 W14043001
J01FA09
J01FA09
137 W44093001
139 W58998015
J01FA09
136 W01326002
140 W61224003
J01FA09
135 W60253004
Grupa
terapeutica
J01FA09
Cod CIM
134 W08490001
Nr.crt
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
Denumire generica
st
at
in
SANDOZ SRL
TERAPIA SA
TERAPIA SA
250mg/5
ml
250mg/5
ml
CAPS.
500mg
500mg
500mg
500mg
500mg
250mg
250mg
250mg
125mg
250mg
250mg
TERAPIA SA
ZENTIVA K.S.
SANDOZ S.R.L.
TERAPIA SA
TERAPIA SA
PLIVA LJUBLJANA
D.O.O.
SANDOZ S.R.L.
TERAPIA SA
ABBOTT
LABORATORIES LTD.
PLIVA LJUBLIJANA
D.O.O.
BALKANPHARMA
RAZGRAD AD
PLIVA LJUBLJANA
D.O.O.
SANDOZ S.R.L.
TERAPIA SA
125mg/5
ml
ii
pe
rs
lo
r
PR
F
S/
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
14
14
20
14
20
14
14
14
14
14
14
14
14
14
cant/a
mbala
j
fi
zi
ce
CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.
ne
FRANT
A
SLOVE
NIA
BULGA
RIA
SLOVE
NIA
ROMAN
IA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
ROMAN
IA
ROMAN
IA
oa
ROMAN
IA
CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
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
ROMAN DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0
IA
GRANULE PT 60 ML SUSP. ORALA
ROMAN
IA
CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
PRF
ar
PRF
CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 PLINGURITA DOZATOARE X 2,5 ML/5 ML
RF
ROMAN
IA
CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
ITALIA
rm
PRF
PR
F
PRF
PR
F
PRF
PRF
PR
F
PR
F
PRF
PRF
PRF
PR
F
PRF
PRF
PRF
Prescriptie
CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + P1 LINGURITA DOZATOARE X 2,5 ML/5 ML
RF
SLOVE
NIA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.
fo
125mg/5
ml
CIPRU
ROMAN
IA
REPUB
LICA
CEHA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
ITALIA
ABBOTT S.R.L.
Ambalaj
SLOVE
NIA
CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.
ROMAN
IA
CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.
Tara
ABBOTT S.R.L.
in
KRKA D.D.
ANTIBIOTICE S.A.
KRKA D.D. NOVO
MESTO
TEVA
PHARMACEUTICALS
S.R.L.
SANDOZ S.R.L.
TERAPIA SA
GLENMARK
PHARMACEUTICALS
S.R.O.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TEVA
PHARMACEUTICALS
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED
TERAPIA SA
ABBOTT S.R.L.
SANDOZ S.R.L.
Firma
125mg/5
ml
125mg/5
ml
500mg
iv
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
GRAN. PT.
SUSP.
250mg/5
ORALA
ml
PULB. PT.
SOL.
PERF.
500mg
COMPR.
FILM. ELIB.
PREL.
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
us
COMPR.
FILM.
cl
ex
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
CAPS.
COMPR.
SUMAMED 125 mg
FILM.
COMPR.
AZITROMICINA TERAPIA 250 mg
FILM.
AZITROMICINA SANDOZ 250 mg COMPRIMATE COMPR.
FILMATE
FILM.
COMPR.
AZITROMICINA TERAPIA 250 mg
FILM.
COMPR.
SUMAMED 500 mg
FILM.
COMPR.
AZITROMICINA TERAPIA 500 mg
FILM.
AZITROMICINA SANDOZ 500 mg COMPRIMATE COMPR.
FILMATE
FILM.
COMPR.
AZITROX (R) 500
FILM.
COMPR.
AZITROMICINA TERAPIA 500 mg
FILM.
AZATRIL 250 mg
SUMAMED 250 mg
KLACID I.V.
KLACID (R)
KLACID (R)
FROMILID 500
ROCLARIN 500 mg
LEKOKLAR 500 mg
CLAR 500
De
KLABAX 500 mg
KLABAX 250 mg
KLACID (R)
LEKOKLAR 250 mg
FROMILID 250
Denumire comerciala
3,607999
3,607999
3,006666
3,607999
3,607999
2,435000
2,435000
2,435000
3,068333
2,435000
2,922000
30,230000
22,090000
40,530000
24,320000
9,490000
9,490000
11,388000
22,180000
1,458000
1,350000
1,421428
1,458000
1,414285
1,458000
1,458000
1,414285
1,215000
0,622142
0,672000
0,672000
0,672000
0,622857
0,672000
Pret cu ridicata
maximal de
decontare / U.T.
4,876000
4,876000
4,063333
4,876000
4,876000
3,291666
3,291666
3,291666
4,146666
3,291666
3,949999
39,540000
29,860000
53,010000
32,870000
12,820000
12,820000
15,384000
29,980000
1,970570
1,825000
1,921428
1,970570
1,911428
1,970570
1,970570
1,911428
1,642142
0,840714
0,907714
0,907714
0,907714
0,842142
0,907714
0,700666
0,700666
0,000000
0,700666
3,707333
0,000000
0,000000
0,000000
0,000000
0,000000
1,116667
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
4,336000
0,000000
0,463715
0,000000
0,000000
0,277930
0,000000
0,385430
0,068715
0,000000
0,000000
0,000000
0,264428
0,179428
1,039428
0,000000
0,328000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01FA10
J01GB03
J01GB03
J01GB03
J01GB06
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
169 W43486001
170 W60406001
171 W52841002
172 W52841001
173 W53281001
174 W42901001
175 W42877002
176 W00520002
177 W00520001
178 W00520003
179 W03308001
180 W03309002
181 W03309001
182 W53277001
183 W07914001
184 W56957001
185 W54037002
186 W54037001
187 W07862001
188 W54038002
189 W01288001
190 W01271002
191 W54038001
192 W01273001
193 W44077004
194 W12545001
195 W07863001
196 W01289001
197 W54039002
198 W01272001
199 W54039001
200 W44076001
201 W01274001
Grupa
terapeutica
J01FA10
Cod CIM
168 W60019004
Nr.crt
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
OFLOXACINUM
OFLOXACINUM
AMIKACINUM
GENTAMICINUM
GENTAMICINUM
GENTAMICINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
AZITHROMYCINUM
Denumire generica
CIPRINOL 500 mg
CIPROCIN 500 mg
CUMINOL 500 mg
CIFRAN
CIPROCIN 250 mg
CIPRINOL 250 mg
CUMINOL 250 mg
CIFRAN
OFLOXIN 200
ZANOCIN
GENTAMICIN KRKA
GENTAMICIN KRKA
at
in
GENTAMICIN KRKA
SUMAMED FORTE
SUMAMED FORTE
SUMAMED FORTE
st
De
AZIBIOT 500 mg
AZATRIL 500 mg
Denumire comerciala
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
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. INJ.
SOL. INJ.
SOL. INJ.
ZENTIVA S.A.
SANDOZ SRL
200mg/5
ml
100mg/5
ml
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
100mg
100mg
200mg
200mg
rm
AC HELCOR SRL
RANBAXY UK LIMITED
ANTIBIOTICE SA
AC HELCOR SRL
GEDEON RICHTER
ROMANIA SA
Ambalaj
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
oa
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
rs
ne
lo
r
PRF
PRF
PRF
PRF
PRF
PRF
PRF
10
10
10
10
20
10
10
10
10
10
10
10
10
20
10
10
20
10
10
10
50
10
cant/a
mbala
j
fi
zi
ce
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
pe
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
ROMAN
IA
ROMAN
IA
ii
PRF
PRF
PRF
/S
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PR
F
PRF
PR
F
PRF
PRF
Prescriptie
PRF
PRF
PRF
PRF
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
SLOVE
NIA
CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.
SLOVE
NIA
CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.
ROMAN
IA
CUTIE X 1 FLACON DIN STICLA X 2 ML
SLOVE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA +
NIA
SERINGA SI LINGURITA DOZATOARE
SLOVE
NIA
CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.
ISLAND
A
SLOVE
NIA
ROMAN
IA
ROMAN
IA
ROMAN
IA
Tara
ar
RANBAXY UK LIMITED
ZENTIVA K.S.
RANBAXY UK LIMITED
fo
in
PLIVA LJUBLIJANA
D.O.O.
KRKA D.D. NOVO
MESTO
200mg/5
ml
40mg/ml
PLIVA LJUBLIJANA
D.O.O.
PLIVA LJUBLIJANA
D.O.O.
200mg/5
ml
200mg/5
ml
200 mg/5
ml
SANDOZ SRL
TERAPIA SA
TERAPIA SA
Firma
600mg
600mg
500mg
500mg
500mg
iv
us
SOL. INJ.
cl
ex
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
PULB. +
SOLV.
SUSP.
ORALA
PULB. PT.
SUSP.
ORALA
PULB. PT.
SUSP.
ORALA
PULB. PT.
SUSP.
ORALA
PULB. PT.
SUSP.
ORALA
PULB. PT.
SUSP.
ORALA
Forma
Concentr
farmaceuti
atie / U.T.
ca
0,756600
0,681000
0,708000
0,756600
0,630500
0,756600
0,674000
0,756600
0,505000
0,523000
0,504000
0,525000
0,505000
0,472000
0,533000
2,959000
2,692000
1,046400
0,872000
5,350000
0,735000
0,658000
0,547000
46,150000
30,340000
12,852000
14,270000
14,310000
10,710000
11,793333
11,793333
3,607999
3,607999
3,607999
Pret cu ridicata
maximal de
decontare / U.T.
1,022400
0,920000
0,957000
1,022400
0,852000
1,022400
0,911000
1,022400
0,683000
0,707000
0,681000
0,709000
0,683000
0,638000
0,720000
3,871000
3,404000
1,414800
1,179000
7,230000
0,994000
0,860600
0,740000
60,360000
39,680000
17,364000
19,290000
19,340000
14,470000
15,426666
15,426666
4,876000
4,876000
4,876000
0,160600
0,000000
0,000000
0,348600
0,000000
0,299600
0,000000
0,348600
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,662200
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
4,896000
0,000000
0,000000
0,000000
0,000000
0,000000
0,700666
0,440666
0,254000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
#
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA03
J01MA06
J01MA06
J01MA06
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
J01MA12
209 W61489001
210 W61489002
211 W61489003
212 W61489004
213 W53353002
214 W53353003
215 W52445001
216 W07984001
217 W41800001
218 W58303001
219 W56992002
220 W55699003
221 W52786004
222 W56939002
223 W55700002
224 W56993002
225 W52787004
226 W55702001
J01MA14
J01MA14
J01MA14
J01MA14
236 W60727001
237 W57938004
J01MA14
233 W57939001
234 W60545001
J01MA14
232 W60311001
235 W59332001
J01MA12
J01MA14
230 W55456003
231 W60943001
J01MA12
J01MA02
208 W01275002
229 W54108003
J01MA02
207 W60268001
J01MA12
J01MA02
206 W01275001
J01MA12
J01MA02
205 W57949001
227 W55456001
J01MA02
204 W57948001
228 W55815004
J01MA02
203 W54040001
Grupa
terapeutica
J01MA02
Cod CIM
202 W42772001
Nr.crt
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
LEVOFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
NORFLOXACINUM
PEFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
Denumire generica
at
in
750mg
750mg
500mg
5mg/ml
SOL.
PERF.
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
400mg
lo
r
ne
oa
rs
pe
ii
5mg/ml
ROMAN
5mg/ml
IA
SLOVE
400mg
NIA
LUXEM
400mg
ALVOGEN IPCO S.A.R.L BURG
GERMA
400mg
BAYER PHARMA AG
NIA
ACTAVIS GROUP PTC ISLAND
EHF.
A
400mg
AUROBINDO PHARMA
400mg
(MALTA) LIMITED
MALTA
400mg/25 FRESENIUS KABI
ROMAN
0ml
ROMANIA SRL
IA
400mg/25
GERMA
0ml
BAYER PHARMA AG
NIA
ROMAN
IA
ISLAND
A
ROMAN
IA
S
PR
F
PR
F
PRF
PR
F
PR
F
S
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PR
F
PRF
PRF
PRF
PRF
/S
PR
PR
PR
PR
PRF
S/
PRF
S/
PRF
PRF
PRF
PRF
Prescriptie
20
20
20
10
10
10
30
10
50
10
50
10
10
cant/a
mbala
j
fi
zi
ce
ROMAN
IA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.
ar
SOL.
PERF.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
SOL.
PERF.
SOL.
PERF.
5mg/ml
5mg/ml
TERAPIA S.A.
TEVA
PHARMACEUTICALS
S.R.L.
ACTAVIS GROUP PTC
EHF.
FRESENIUS KABI
ROMANIA SRL
TEVA
PHARMACEUTICALS
S.R.L.
KRKA, D.D., NOVO
MESTO
TERAPIA S.A.
TORRENT PHARMA
S.R.L.
ACTAVIS GROUP PTC
EHF.
TERAPIA S.A.
ACTAVIS GROUP PTC
EHF.
DR. REDDY'S
LABORATORIES
rm
fo
in
LAROPHARM S.R.L.
KRKA D.D. NOVO
MESTO
LABORMED PHARMA
SA
A.C. HELCOR PHARMA
S.R.L.
TORRENT PHARMA
S.R.L.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
500mg
500mg
500 mg
250mg
250mg
250mg
400mg
400mg
400mg
SLOVE
NIA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ISLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
ISLAND
A
100mg/10
ml
KRKA D.D.
CUTIE X 50 FIOLE X 10 ML
CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CTE 100 ML SOL.
PERF.
CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CTE 100 ML SOL.
PERF.
CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CTE 200 ML SOL.
PERF.
CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CTE 200 ML SOL.
PERF.
GERMA
NIA
CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.
GERMA
NIA
CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.
100mg/10
ml
ZENTIVA S.A.
iv
us
Ambalaj
SLOVE
NIA
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
Tara
SLOVE
NIA
CUTIE X 5 FIOLE X 10 ML
BAYER PHARMA AG
BAYER PHARMA AG
Firma
100mg/10
ml
KRKA D.D.
500 mg
COMPR.
FILM. ELIB.
PREL.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM. ELIB.
PREL.
1000 mg
COMPR.
FILM.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
MOFIL 400 mg
AVELOX 400 mg
MOFINACIN 400 mg
MOFLAXA 400 mg
EVOLOX 5 mg/ml
EVOLOX 5 mg/ml
LEVOTOR 500 mg
TAVANIC 500 mg
FLERADAY 500 mg
TAVANIC 250 mg
LEVOTOR 250 mg
NOLICIN 400 mg
PEFLOXACIN LAROPHARM
st
CIPRINOL (R)
De
CIPRINOL (R)
CIPROBAY XR 500 mg
CIPROBAY XR 1000 mg
CIPRINOL 750 mg
Denumire comerciala
69,648000
58,040000
5,510000
5,510000
6,612000
5,510000
5,510000
27,620000
33,144000
33,144000
20,890000
33,144000
2,427142
2,388571
2,866285
2,866285
1,151428
1,381714
1,151428
0,651000
0,603500
0,586000
2,139000
13,125000
6,972000
12,828000
13,125000
6,617800
6,972000
2,321200
2,580000
2,570000
0,756600
9,928571
0,915600
0,763000
Pret cu ridicata
maximal de
decontare / U.T.
88,056000
73,380000
7,206000
7,206000
8,647200
7,206000
7,206000
36,130000
43,356000
43,356000
28,240000
43,356000
3,280000
3,228571
3,874285
3,874285
1,555714
1,866857
1,555714
0,880000
0,816000
0,792000
2,891000
16,023000
8,815000
15,254333
16,023000
7,976400
8,815000
2,833800
3,400560
3,400560
1,022400
12,554285
1,237200
1,031000
13,026000
0,000000
0,000000
0,000000
2,436800
0,000000
0,000000
0,000000
11,304000
11,304000
0,000000
36,514000
0,000000
0,000000
2,717143
0,552857
0,000000
1,984571
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,085440
0,073440
8,530933
0,000000
2,633800
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XD01
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
249 W42139001
250 W42139002
251 W42138002
252 W42138001
253 W08927002
254 W08927001
255 W08927003
256 W52799001
257 W52800001
258 W60604001
259 W60734001
260 W52801001
261 W57578002
J01XA02
245 W13105001
J01XD01
J01XA01
244 W06051001
248 W08257001
J01XA01
243 W57041001
J01XB01
J01XA01
242 W57042001
J01XD01
J01XA01
241 W56448002
246 W52501003
J01XA01
240 W56449002
247 W53689002
J01XA01
239 W43347001
Grupa
terapeutica
J01XA01
Cod CIM
238 W43348001
Nr.crt
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
METRONIDAZOLUM
COLISTINUM
TEICOPLANINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
Denumire generica
st
ZYVOXID (R)
PNEUMOLID 2 mg/ml
ZYVOXID (R)
ZYVOXID (R)
METRONIDAZOL B 5 g/l
METRONIDAZOL B 5 g/l
METRONIDAZOL A 5 g/l
METRONIDAZOL A 5 g/l
5g/l
5g/l
5g/l
5g/l
5mg/ml
5mg/ml
5mg/ml
600mg
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
COMPR.
FILM.
2mg/ml
2mg/ml
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
GRAN. PT.
SUSP.
100mg/5
ORALA
ml
250mg
iv
250mg
COMPR.
COMPR.
FILM.
us
1g
500mg
1000mg
500mg
1000mg
500mg
1g
FRESENIUS KABI
ROMANIA SRL
LEK
PHARMACEUTICALS
D.D.
fo
pe
ne
PR
F
MAREA
BRITAN
IE
CUTIE X 10 PUNGI X 300 ML
10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1
PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU
ROMAN UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O
IA
SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)
PFIZER EUROPE MA
EEIG
TEVA
PHARMACEUTICALS
S.R.L.
PR
PR
PRF
PRF
S
PRF
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
10
10
10
20
10
10
12
12
105,263000
126,315600
116,450000
112,480000
911,260000
163,000000
3,761000
3,828000
3,828000
6,840000
6,721666
6,855000
6,990000
0,211999
0,176666
20
18,000000
10
106,430000
25,308000
19,630000
21,090000
17,639000
25,308000
20,930000
25,308000
Pret cu ridicata
maximal de
decontare / U.T.
30
10
10
cant/a
mbala
j
fi
zi
ce
MAREA
BRITAN CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1
IE
LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML
lo
r
PFIZER EUROPE MA
EEIG
PFIZER EUROPE MA
EEIG
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.
oa
rs
ROMAN
IA
CUTIE X 1 FLACON X 200 ML
ROMAN
IA
CUTIE X 12 FLACOANE X 200 ML
ii
ROMAN
IA
CUTIE X 12 FLACOANE X 200 ML
ROMAN
IA
CUTIE X 1 FLACON X 200 ML
ar
rm
in
ARENA GROUP SA
LABORATOIRE
AVENTIS
ROMAN
IA
ROMAN
IA
FRANT
A
PR
FRESENIUS KABI
ROMANIA SRL
PR
Prescriptie
S/
PRF
S/
PRF
Ambalaj
UNGAR
IA
CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.
Tara
UNGAR
IA
REPUB
PHARMASWISS CESKA LICA
CEHA
REPUBLIKA S.R.O.
REPUB
PHARMASWISS CESKA LICA
REPUBLIKA S.R.O.
CEHA
Firma
PULB+SOL
V. PT. SOL.
INJ./PERF.
SAU SOL.
ORALA
400mg
AVENTIS PHARMA LTD.
PULB. PT.
SOL.
1000000u
INJ./PERF. i
ANTIBIOTICE SA
LIOF. PT.
SOL.
PERF.
LIOF. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB.
PT.CONC.
PT.SOL.
PERF.
PULB.
PT.CONC.
PT.SOL.
PERF.
PULB.LIOF.
PT.SOL.PE
RF./INJ
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
at
in
EDICIN
De
VANCOMYCIN TEVA
VANCOMYCIN TEVA
Denumire comerciala
118,552000
142,262400
142,160000
137,320000
1.031,420000
181,485000
4,755500
5,007000
5,007000
9,240000
8,499166
8,667500
9,450000
0,286399
0,238666
21,974000
129,930000
34,212000
25,840800
28,510000
21,534000
34,212000
25,840800
34,212000
0,000000
42,337600
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,081101
0,000000
0,000000
0,000000
16,888000
0,689200
0,000000
0,000000
10,904000
2,449200
20,538000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
263 W42371002
264 W43597002
265 W58225007
266 W53943002
267 W03156001
268 W44089001
269 W52224001
270 W58226001
271 W43598001
272 W60221001
273 W57430001
274 W57239001
275 W56446001
276 W51994001
277 W42693001
278 W08373001
279 W43288001
280 W43599002
281 W51993001
282 W44098001
283 W43287001
284 W43596001
285 W08374001
286 W57238001
287 W58224007
288 W03157001
289 W42321001
290 W53942002
291 W58322001
292 W58456003
293 W55502017
294 W55502001
295 W12072001
Grupa
terapeutica
J02AC01
Cod CIM
262 W08372001
Nr.crt
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire generica
st
DIFLAZON 2mg/ml
DIFLUCAN 10 mg/ml
FLUCONAZOL ARENA 50 MG
FLUCONAZOL 50 mg
DIFLUCAN 50 mg
FLUCONAZOL AUROBINDO 50 mg
FLUCONAZOL LPH 50 mg
FLUCOVIM 50
FLUCONAZOLE TEVA 50 mg
FLUCORIC 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg
FLUCOVIM 150
FLUCONAZOL 150 mg
at
in
ex
2mg/ml
2mg/ml
SOL.
PERF.
2mg/ml
2mg/ml
10mg/ml
PULB. PT.
SUSP.
ORALA
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
200mg
150mg
150mg
150mg
150mg
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
100mg
100mg
100mg
100mg
iv
us
CAPS.
CAPS.
cl
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
De
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
FLUCORIC 150 mg
DIFLUCAN 150 mg
FUNGOLON 100 mg
FLUCOVIM 100
Denumire comerciala
PRF
PRF
ne
lo
r
SLOVE
NIA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
S
S/
PRF
PR
PR
F
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
PR
F
PRF
PRF
PRF
PRF
PRF
10
16
cant/a
mbala
j
fi
zi
ce
oa
rs
pe
ii
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ar
ARENA GROUP SA
PFIZER EUROPE MA
EEIG
rm
fo
in
PRF
PR
F
PRF
PR
F
PRF
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
PRF
PRF
Ambalaj
Prescriptie
ROMAN
IA
CUTIE X 1 BLIST. X 4 CAPS.
BULGA
RIA
CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
Tara
ROMAN
IA
REPUB
LICA
ZENTIVA K.S.
CEHA
ROMPHARM COMPANY ROMAN
S.R.L.
IA
LABORMED PHARMA
ROMAN
S.A.
IA
ACTAVIS GROUP PTC ISLAND
EHF.
A
MEDOCHEMIE
ROMAN
ROMANIA SRL
IA
ROMAN
SLAVIA PHARM SRL
IA
ROMAN
VIM SPECTRUM SRL
IA
GERMA
SANDOZ SRL
NIA
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
MEDOCHEMIE
ROMAN
ROMANIA SRL
IA
ROMAN
TERAPIA SA
IA
ROMAN
SANDOZ SRL
IA
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
ROMAN
VIM SPECTRUM SRL
IA
LABORMED PHARMA
ROMAN
S.A.
IA
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
TERAPIA SA
LABORATOARELE
PROF.DR.MORAIT
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
ARENA GROUP SA
Firma
21,516000
9,060000
36,250000
43,500000
21,880000
1,356000
1,356000
1,356000
1,265714
1,356000
1,356000
1,356000
1,130000
1,356000
1,356000
4,460000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
4,680000
4,620000
4,870000
5,300000
5,544000
5,300000
1,998750
1,998750
1,665625
1,998750
Pret cu ridicata
maximal de
decontare / U.T.
26,266800
12,250000
47,420000
56,904000
29,570000
1,832570
1,832570
1,832570
1,710000
1,832570
1,832570
1,832570
1,527142
1,832570
1,832570
5,834285
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
6,320000
6,240000
6,580000
7,160000
7,488000
7,160000
2,614500
2,614500
2,178750
2,614500
21,183200
0,000000
0,000000
32,740000
0,000000
0,947430
0,946001
2,444572
0,000000
0,947430
0,947430
0,133144
0,000000
0,947430
0,560287
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
3,542000
0,000000
0,805500
2,056928
0,000000
3,788000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J02AC01
J02AC01
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04
J02AX04
J02AX04
J02AX06
J04AC01
J04AC01
J04AC01
J04AC01
J04AK01
J04AK02
J04AK02
J04AK02
J04AK02
299 W60056005
301 W03837002
302 W43051001
303 W52343006
304 W53958001
305 W59235001
306 W61929006
307 W08947008
308 W08946008
309 W10489001
310 W41889001
311 W60913001
312 W58194001
313 W06665001
314 W06670001
315 W55841001
316 W58576002
317 W58577002
318 W60582001
319 W60594001
320 W60213002
321 W53682002
322 W59648001
323 W59648003
324 W42943002
J02AC01
298 W58456001
300 W57368003
J02AC01
297 W58456002
Grupa
terapeutica
J02AC01
Cod CIM
296 W55502009
Nr.crt
ETHAMBUTOLUM
ETHAMBUTOLUM
ETHAMBUTOLUM
ETHAMBUTOLUM
PYRAZINAMIDUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
ANIDULAFUNGINUM
CASPOFUNGINUM**
CASPOFUNGINUM**
POSACONAZOLUM**
POSACONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire generica
in
at
ETAMBUTOL 250 mg
BITUB
ISONIAZID
ECALTA 100mg
CANCIDAS 70 mg
CANCIDAS 50 mg
NOXAFIL 40mg/ml
NOXAFIL 100mg
VFEND 40 mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
OMICRAL 100 mg
MICOGAL 100 mg
st
OMICRAL 100 mg
De
ITRACONAZOL 100 mg
ORUNGAL
Denumire comerciala
CAPS.
40mg/ml
PULB. PT.
SUSP.
ORALA
CAPS.
COMPR.
FILM.
CAPS.
CAPS.
COMPR.
SOL INJ.
SIROP
COMPR.
COMPR.
SUSP.
ORALA
PULB. PT.
CONC. PT.
SOL.
PERF.
PULB. PT.
CONC. PT.
SOL.
PERF.
PULB. PT.
CONC. PT.
SOL.
PERF.
250mg
400mg
400mg
250mg
500mg
Tara
Ambalaj
CN UNIFARM S.A.
ANTIBIOTICE SA
ANTIBIOTICE S.A.
PFIZER LIMITED
PFIZER LIMITED
rm
fo
in
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
ANTIBIOTICE SA
ARENA GROUP SA
ANTIBIOTICE S.A.
15
PRF
PRF
PRF
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
MAREA
BRITAN
IE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
MAREA
BRITAN
IE
CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB.
ROMAN
IA
CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.
24
10
PR 1500
PRF
20
PR
F
20
PR
F
50
PR
F 1500
PR
PR
PR 1500
S/
PRF 1500
fi
zi
ce
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
lo
r
oa
ne
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
rs
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 105ML SUSP. ORALA
pe
PR
PRF
/R
MAREA
BRITAN CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE
IE
GASTROREZISTENTE
ii
ar
28
PRF
MAREA
BRITAN
IE
CUTIE X 1 FLAC. UNIDOZA X 30ML
28
15
15
15
15
10
20
20
cant/a
mbala
j
15
S
PRF
PRF
PR
PR
Prescriptie
PRF
PRF
PRF
ROMAN
IA
ROMAN
IA
ROMAN
ARENA GROUP S.A.
IA
REPUB
PHARMASWISS CESKA LICA
REPUBLIKA S.R.O.
CEHA
MEDICO UNO
PHARMACEUTICAL SRL
ROMPHARM COMPANY
SRL
ROMAN
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 50 ML SOL. PERF.
REPUB
LICA
CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML
ZENTIVA K.S.
CEHA SOL. PERF. X 200 MG FLUCONAZOL
ROMAN
ARENA GROUP S.A.
IA
CUTIE X 1 FLAC. X 100 ML SOL. PERF.
JANSSEN
PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.
ROMAN
SLAVIA PHARM SRL
IA
CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
FRESENIUS KABI
ROMANIA SRL
Firma
300mg
100mg/5
ml
100mg
100mg
70mg
50mg
40mg/ml
CAPS.
GASTROR
EZ.
100mg
200mg
50mg
iv
200mg
100mg
100mg
100mg
100mg
100mg
100mg
2mg/ml
PULB. PT.
SOL.
PERF.
COMPR.
FILM.
us
COMPR.
FILM.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
cl
ex
2mg/ml
SOL.
PERF.
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
2mg/ml
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
0,217573
0,284600
0,287500
0,184000
0,299853
1,469000
30,110000
0,272473
0,110333
1.377,370000
1.617,600000
1.246,420000
2.405,440000
133,855416
2.044,020000
435,570000
32,232500
119,853214
1,586666
1,586666
1,586666
1,586666
1,586666
1,903999
21,516000
17,930000
10,872000
21,516000
18,130000
Pret cu ridicata
maximal de
decontare / U.T.
0,262586
0,384600
0,388500
0,249000
0,352273
1,986000
39,380000
0,322426
0,134693
1.539,480000
1.801,340000
1.396,750000
2.660,080000
147,492083
2.266,130000
512,920000
36,496071
132,002857
2,144666
2,144666
2,144666
2,144666
2,144666
2,573599
26,266800
21,889000
14,700000
26,266800
24,500000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,620401
28,873200
0,000000
6,937500
11,204200
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J05AB01
J05AB01
J05AB01
J05AB01
J05AB04
J05AB04
J05AB04
J05AB04
J05AB04
J05AB06
J05AB06
J05AB11
J05AB11
J05AB14
336 W06667003
337 W53225001
338 W06668003
339 W00058001
340 W60057003
341 W53326004
342 W61968001
343 W61969001
344 W61970001
345 W51337001
346 W61213001
347 W58707001
348 W60087001
349 W61519003
J05AE03
J05AB01
335 W13972001
354 W59955001
J05AB01
334 W60558001
J05AE01
J05AB01
333 W00044001
353 W42514001
J05AB01
332 W53676001
J05AB15
J05AB01
331 W53675003
352 W12651002
J05AB01
330 W56038001
J05AB14
J05AB01
329 W42857001
J05AB14
J05AB01
328 W53675001
350 W60756001
J04AM02
327 W14071002
351 W51832001
J04AK02
326 W60583001
Grupa
terapeutica
J04AK02
Cod CIM
325 W42861002
Nr.crt
RITONAVIRUM**
SAQUINAVIRUM
BRIVUDINUM
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALACYCLOVIRUM
VALACYCLOVIRUM
GANCICLOVIRUM
GANCICLOVIRUM
RIBAVIRINUM
RIBAVIRINUM
RIBAVIRINUM
RIBAVIRINUM
RIBAVIRINUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ETHAMBUTOLUM
COMBINATII
(RIFAMPICINUM+IZONIAZIDUM)
ETHAMBUTOLUM
Denumire generica
at
in
NORVIR 100 mg
INVIRASE 500 mg
BRIVAL 125mg
VALTREX 500 mg
CYMEVENE 500 mg
CYMEVENE
MODERIBA 600 mg
MODERIBA 400 mg
MODERIBA 200 mg
COPEGUS 200mg
REBETOL 200 mg
VIROLEX
ACICLOVIR 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
st
ACICLOVIR-RICHTER 200 mg
De
ACICLOVIR 200 mg
SINERDOL ISO
INBUTOL
ETAMBUTOL 400 mg
Denumire comerciala
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
200mg
400mg
COMPR.
FILM.
COMPR.
FILM.
125mg
500mg
100mg
COMPR.
FILM.
COMPR.
FILM.
450mg
450mg
450mg
500mg
500 mg
COMPR.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
500mg
500mg
600mg
200mg
COMPR.
FILM.
COMPR.
FILM.
LIOF. PT.
SOL. INJ.
PULB. PT.
SOL.
PERF.
200mg
CAPS.
iv
us
ANTIBIOTICE SA
Firma
Ambalaj
fo
ROMAN
IA
CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.
ROMAN
IA
CUTIE X 1 FLAC. X 60 COMPR. FILM.
GERMA
NIA
CUTIE X 1 BLIST. PVC/AL X 7 COMPR.
ABBVIE LTD.
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PEID X 30 COMPR.FILM.
PRF
/R
PRF
/R
PR
F
PRF
PRF
PR
F
PR
CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. F
PR
CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM.
F
fi
zi
ce
CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10
COMPR.FILM.
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1 FLAC. PEID X 120 COMPR. FILM.
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
THE WELLCOME
FOUNDATION LTD.
lo
r
PR
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ne
PR
F
S
oa
rs
PR
F
pe
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. PEID X 56 COMPR.
PRF
/R
PRF
/R
PRF
S/
PRF
PRF
PRF
PR
F
ii
30
120
60
60
60
10
10
56
56
168
168
140
10
20
20
S 1000
PRF
20
PRF
20
PRF
20
PRF
/S 1000
PRF
10
PRF
20
PR
F
20
PRF
20
PR
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. PEID X 168 COMPR.
ar
cant/a
mbala
j
PR
F 1500
Prescriptie
MAREA
BRITAN
ABBVIE LIMITED
IE
CUTIE CU 1 FLAC. PEID X 56 COMPR.
ROMAN
ROCHE ROMANIA S.R.L. IA
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.
ABBVIE LIMITED
ABBVIE LIMITED
rm
MAREA
BRITAN
IE
CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC )
ROMAN
IA
CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.
SLOVE
NIA
CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
in
UNGAR
IA
CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.
UNGAR
IA
CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.
ROMAN
IA
CUTIE X 2 BLIST. X 10 COMPR.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
Tara
LAROPHARM S.R.L.
EGIS
PHARMACEUTICALS
P.L.C.
TERAPIA SA
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
EGIS
PHARMACEUTICALS
P.L.C.
ARENA GROUP SA
ARENA GROUP SA
400mg
COMPR.
400mg
PULB. PT.
SOL.
INJ./PERF. 250mg
cl
ex
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
SOL INJ.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
3,187666
8,449166
39,321428
54,534600
49,306500
45,445500
2,317000
2,780400
90,440000
90,440000
11,813750
9,048750
4,568571
5,482285
5,482285
38,600000
1,794000
0,636000
0,530000
0,636000
0,636000
0,636000
1,495000
0,636000
0,636000
0,636000
0,636000
0,600660
16,130000
0,334726
Pret cu ridicata
maximal de
decontare / U.T.
4,030666
9,527500
48,002857
60,205800
54,380000
50,171500
3,131000
3,757200
114,350000
114,350000
13,558214
10,544464
5,206845
6,248214
6,248214
47,124000
2,424000
0,859800
0,716500
0,859800
0,859800
0,859800
2,020000
0,833260
0,859800
0,859800
0,859800
0,692870
21,800000
0,390286
0,000000
0,000000
0,000000
28,776366
0,000000
0,000000
0,000000
0,903800
0,000000
0,000000
0,000000
0,000000
0,000000
1,549643
1,633857
0,000000
0,334000
0,033700
0,000000
0,033700
0,033700
0,030200
0,000000
0,000000
0,211200
0,188700
0,251200
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J05AE10
362 W53878001
J05AE10
J05AF01
J05AF01
J05AF02
J05AF02
J05AF04
J05AF04
J05AF05
J05AF05
J05AF05
J05AF05
J05AF06
J05AF06
366 W61893001
367 W06151002
368 W60312001
369 W10724001
370 W10725001
371 W12057001
372 W12056001
373 W61523002
374 W59320003
375 W55474002
376 W61531002
377 W61524001
378 W61525001
J05AE10
J05AE10
361 W61895001
365 W61896001
J05AE08
360 W53181001
J05AE10
J05AE08
359 W14087002
J05AE10
J05AE07
358 W61526001
363 W53877001
J05AE07
357 W61527001
364 W61894001
J05AE06
356 W59947002
Grupa
terapeutica
J05AE06
Cod CIM
355 W59948001
Nr.crt
ABACAVIRUM
ABACAVIRUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
STAVUDINUM
STAVUDINUM
DIDANOSINUM
DIDANOSINUM
ZIDOVUDINUM
ZIDOVUDINUM
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
DARUNAVIRUM**
ATAZANAVIRUM
ATAZANAVIRUM
FOSAMPRENAVIRUM**
FOSAMPRENAVIRUM**
LOPINAVIRUM+RITONAVIRUM**
LOPINAVIRUM+RITONAVIRUM**
Denumire generica
ZIAGEN 20 mg/ml
ZIAGEN 300 mg
EPIVIR 10mg/ml
iv
150mg
300 mg
10mg/ml
300mg
20mg/ml
COMPR.
FILM.
SOL.
ORALA
COMPR.
FILM.
SOL.
ORALA
150mg
40mg
30mg
COMPR.
FILM.
COMPR.
FILM.
CAPS.
CAPS.
SOL.
ORALA
10mg/ml
CAPS.
GASTROR
EZ.
250mg
CAPS.
GASTROR
EZ.
400mg
CAPS.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
SUSP.
ORALA
us
400mg
COMPR.
FILM.
PR
rs
VIIV HEALTHCARE UK
LIMITED
VIIV HEALTHCARE UK
LIMITED
VIIV HEALTHCARE UK
LIMITED
VIIV HEALTHCARE UK
LIMITED
AUROBINDO PHARMA
(MALTA) LIMITED
ne
lo
r
PR
PR
PR
MAREA
BRITAN CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA
IE
DOZATOARE + 1 ADAPTOR
MAREA
BRITAN
IE
CUTIE X 60 COMPR. FILM.
MAREA
BRITAN CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA
IE
DOZATOARE PP X 10 ML + ADAPTOR PE
OLAND
A
CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
PR
PRF
/R
PR
60
30
60
60
56
56
30
30
100
30
480
60
60
240
30
60
60
120
cant/a
mbala
j
fi
zi
ce
MALTA CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM.
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
oa
PRF
/R
pe
MAREA
BRISTOL-MYERS
BRITAN
SQUIBB PHARMA EEIG IE
CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.
ii
PRF
/R
ar
MAREA
BRITAN CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 PR
IE
ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 10 ML
F
S/
UNGAR
PIA
CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.
RF
S/
UNGAR
PIA
CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.
RF
UK
BELGIA
BELGIA
BELGIA
BELGIA
BELGIA
MAREA
BRISTOL-MYERS
BRITAN
SQUIBB PHARMA EEIG IE
CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.
BRISTOL MYERS
SQUIBB KFT
BRISTOL MYERS
SQUIBB KFT
VIIV HEALTHCARE UK
LIMITED
rm
fo
in
JANSSEN-CILAG
INTERNATIONAL NV
PRF
/R
PR
F
PRF
CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
/R
PRF
CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
/R
PR
FLAC. CU CAPACITATEA DE 160 ML DIN PEID X 480 COMPR. FILM. F
PR
FLAC. CU CAPACITATEA DE 75 ML DIN PEID X 30 COMPR. FILM.
F
FLAC. DE STICLA MULTIDOZA CU 200 ML SUSP. + 1 PIPETA DE 6
PR
F
ML PT. ADMINISTRARE ORALA CU GRADATII DE 0,2 ML
PCUTIE X 10 BLIST. AL/PVC X 10 CAPS.
RF
MAREA
BRISTOL-MYERS
BRITAN
SQUIBB PHARMA EEIG IE
CUTIE X 1 FLAC. PEID X 30 CAPS.
JANSSEN-CILAG
INTERNATIONAL NV
BELGIA FLAC. CU CAPACITATEA DE 160 ML DIN PEID X 240 COMPR. FILM.
PRF
/R
MAREA
BRITAN CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU
IE
SISTEM DE INCHIDERE SECURIZAT PT. COPII
PR
CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU
MAREA SISTEM DE INCHIDERE SECURIZAT PT. COPII + O SERINGA PT.
BRITAN ADM. ORALA DIN POLIPROPILENA X 10 ML + 1 ADAPTOR DIN
IE
POLIETILENA
PR
PR
MAREA
BRITAN CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI
IE
GRADATE A 5 ML
Ambalaj
Prescriptie
MAREA
BRITAN
IE
CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.
Tara
MAREA
BRISTOL-MYERS
BRITAN
SQUIBB PHARMA EEIG IE
CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)
VIIV HEALTHCARE UK
LIMITED
VIIV HEALTHCARE UK
LIMITED
JANSSEN-CILAG
600mg
INTERNATIONAL NV
JANSSEN-CILAG
75mg
INTERNATIONAL NV
JANSSEN-CILAG
800mg
INTERNATIONAL NV
JANSSEN-CILAG
100mg/ml INTERNATIONAL NV
VIIV HEALTHCARE UK
100mg
LIMITED
150mg
CAPS.
COMPR.
FILM.
300mg
150mg
50mg/ml
SUSP.
ORALA
CAPS.
700mg
80mg/ml+
20mg/ml ABBVIE LTD.
SOL.
ORALA
COMPR.
FILM.
200mg/50
mg
ABBVIE LTD.
Firma
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
EPIVIR 150mg
ZERIT 40 mg
ZERIT 30 mg
VIDEX EC 400 mg
VIDEX EC 250 mg
RETROVIR 10 mg/ml
RETROVIR (R)
at
in
PREZISTA 800 mg
PREZISTA 75 mg
PREZISTA 600mg
PREZISTA 400mg
PREZISTA 150 mg
REYATAZ 300 mg
st
REYATAZ 150 mg
De
TELZIR 50mg/ml
TELZIR 700mg
KALETRA 80mg/ml+20mg/ml
KALETRA 200mg/50mg
Denumire comerciala
217,800000
13,505833
82,820000
8,751666
3,304500
3,965400
9,262142
9,010714
18,512666
11,946000
44,500000
3,663800
1.603,560000
52,070333
5,963270
38,805000
26,035166
11,926541
46,935666
25,246833
371,490000
20,084000
243,736000
11,833666
Pret cu ridicata
maximal de
decontare / U.T.
265,890000
15,357166
104,720000
10,684000
4,034166
4,840999
10,776964
10,502857
21,450333
14,292666
58,200000
4,375000
1.786,030000
58,028333
6,579458
42,933333
29,014166
13,158916
52,431666
28,155000
443,070000
22,527500
273,302000
13,216666
0,000000
0,000000
0,000000
0,000000
0,000000
1,336334
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J05AF07
J05AF09
J05AG01
J05AG01
J05AG01
J05AG01
J05AG03
J05AG04
J05AG04
J05AG04
J05AR01
J05AR01
J05AR01
J05AR01
J05AR02
J05AR04
J05AR04
J05AX07
J05AX08
J05AX09
J05AX09
J05AX12
J06BA02
380 W60828015
381 W51482001
382 W59595001
383 W59667002
384 W57323001
385 W13091001
386 W12025001
387 W53549001
388 W61898001
389 W61897001
390 W56750001
391 W61532001
392 W59832001
393 W02028001
394 W61528001
395 W61529004
396 W08336001
397 W13961001
398 W52764001
399 W61477003
400 W61478003
401 W60635001
402 W54752003
Grupa
terapeutica
J05AF07
Cod CIM
379 W51800001
Nr.crt
Denumire comerciala
st
at
COMBIVIR 150mg/300mg
COMBINATII
(LAMIVUDINUM+ZIDOVUDINUM)**
TIVICAY 50mg
OCTAGAM 10%
CELSENTRI 300mg
CELSENTRI 150mg
ISENTRESS 400mg
DOLUTEGRAVIRUM**
MARAVIROCUM
MARAVIROCUM
RALTEGRAVIRUM
150mg
300mg
50mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
100
mg/ml
400 mg
COMPR.
FILM.
SOL.
PERF.
90mg/ml
PULB. +
SOLV. PT.
SOL. INJ.
COMPR.
FILM.
lo
r
OCTAPHARMA (IP)
LIMITED
VIIV HEALTHCARE UK
LIMITED
VIIV HEALTHCARE UK
LIMITED
VIIV HEALTHCARE UK
LIMITED
30
60
PR
MAREA
BRITAN
IE
CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
60
PR
MAREA
BRITAN
IE
CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
60
PRF
/R
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE
60
60
60
30
60
60
60
60
120
60
120
30
30
60
60
30
30
30
cant/a
mbala
j
fi
zi
ce
PRF
/R
MAREA
PROCHE REGISTRATION BRITAN CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60
RF
LTD.
IE
SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 TAMPOANE CU ALCOOL /R
oa
ne
MAREA
BRITAN
IE
CUTIE X, 1 FLAC. DIN PEID X 60 COMPR. FILM.
300mg/15
0mg/300
mg
GLAXO GROUP LTD.
PR
PR
rs
MAREA
BRITAN
IE
CUTIE X 60 COMPR. FILM. (BLIST. OPACE DIN PVC/ACLAR)
pe
300mg/15
0mg/300 VIIV HEALTHCARE UK
mg
LIMITED
ii
MAREA
BRITAN
IE
CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL )
ar
PRF
/R
MAREA
BRITAN
IE
CUTIE X 6 BLIST. X 10 COMPR. FILM.
ABACAVIRUM+LAMIVUDINUM+ZIDOVUDI
NUM**
TRIZIVIR 300mg/150mg/300mg
FUZEON 90mg/ml
rm
PR
in
VIIV HEALTHCARE UK
LIMITED
AUROBINDO PHARMA
(MALTA) LIMITED
PRF
/R
MAREA
BRITAN
IE
CUTIE X 6 BLIST. X 10 COMPR. FILM.
fo
PRF
OLAND
A
CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE
JANSSEN-CILAG
INTERNATIONAL NV
JANSSEN-CILAG
INTERNATIONAL NV
JANSSEN-CILAG
INTERNATIONAL NV
COMPR.
FILM.
150mg/30
0mg
150mg/30
0mg
iv
25mg
150
mg/300
mg
200mg
100mg
600mg
MAREA
PBRITAN CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. RF
IE
DE INCHIDERE SECURIZAT PT. COPII
/R
PRF
BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR.
/R
PR
BELGIA CUTIE CU 1 FLAC. DIN PEID X 60 COMPR.
F
PR
BELGIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR.
F
PR
PR
PR
150mg/30
0mg
GLAXO GROUP LTD.
COMPR.
FILM.
ENFUVIRTIDUM**
SANDOZ S.R.L.
BOEHRINGER
INGELHEIM
400mg
INTERNATIONAL GMBH
BOEHRINGER
INGELHEIM
50mg/5ml INTERNATIONAL GMBH
200mg
200mg
PRF
/R
PRF
/R
PR
PRF
/R
Prescriptie
OLAND
A
BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP.
ROMAN
IA
CUTIE CU BLIST. PVC/AL X 60 COMPR.
MAREA
BRITAN
IE
CUTIE X 1 FLAC. DIN PEID X 30 CAPS.
GILEAD SCIENCE
INTERNATIONAL
LIMITED
Ambalaj
MAREA
BRITAN
IE
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM
CUTIE CU 1 FLAC. DIN PED CU CAPAC CAPAC PREVAZUT CU
ROMAN SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU
IA
DESICANT, A 30 COMPR. FILM.
Tara
GILEAD SCIENCE
INTERNATIONAL
LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
Firma
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
us
COMPR.
ABACAVIRUM+LAMIVUDINUM+ZIDOVUDI
NUM**
TRIZIVIR 300mg/150mg/300mg
KIVEXA 600mg/300mg
COMBIVIR 150mg/300mg
LAMIVUDINA/ZIDOVUDINA AUROBINDO 150
mg/300 mg
COMBINATII
(LAMIVUDINUM+ZIDOVUDINUM)**
COMBINATII
(LAMIVUDINUM+ZIDOVUDINUM)**
ABACAVIRUM+LAMIVUDINUM**
LAMIVUDINA/ZIDOVUDINA TEVA
COMPR.
COMPR.
FILM.
SUSP.
ORALA
COMPR.
COMPR.
ELIB.
PREL.
COMPR.
200mg
245mg
COMPR.
FILM.
CAPS.
245mg
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
COMBINATII
(LAMIVUDINUM+ZIDOVUDINUM)**
in
INTELENCE 25 mg
INTELENCE 200 mg
INTELENCE
STOCRIN 600 mg
VIRAMUNE 50mg/5ml
De
VIRAMUNE 400mg
EMTRIVA 200mg
ETRAVIRINUM
ETRAVIRINUM
ETRAVIRINUM
EFAVIRENZUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
NEVIRAPINUM
EMTRICITABINUM
Denumire generica
1.710,420000
81,414000
43,135833
43,135833
40,691833
101,513000
27,912833
27,912833
45,918333
6,523399
5,436166
6,523399
5,436166
3,818416
26,633333
12,478333
2,332666
100,440000
16,663000
5,649000
5,649333
20,593333
24,040000
28,848000
Pret cu ridicata
maximal de
decontare / U.T.
1.902,510000
90,013000
47,654000
47,654000
44,990000
111,285166
31,060833
31,060833
51,322666
7,873600
6,561333
7,873600
6,561333
4,480000
29,666166
13,919333
2,949333
122,620000
19,434333
6,793166
6,793666
23,718333
27,475333
32,970400
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
1,594733
0,000000
1,594733
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
8,027266
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BB16
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
P01BC02
404 W54752001
405 W54752002
406 W51530001
407 W51530005
408 W51530003
409 W51530004
410 W51530006
411 W43965001
412 W43962001
413 W43963001
414 W59114003
415 W59114001
416 W59114004
417 W59114002
418 W13462001
419 W13462002
420 W13462003
421 W43964001
422 W59944001
423 W53892001
424 W53893001
425 W53520001
426 W55757002
427 W53523001
428 W55758002
429 W54015001
Grupa
terapeutica
J06BA02
Cod CIM
403 W54752004
Nr.crt
OCTAGAM
OCTAGAM
MEFLOQUINUM 4)
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
PALIVIZUMABUM**
INTRATECT 50 g/l
ELOQUINE 250 mg
NIVESTIM 48 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 30MUI/0,5ml
ZARZIO 48MU/0,5ml
at
in
ZARZIO 30MU/0,5ml
SYNAGIS 50 mg
IG VENA 5g/100ml
OCTAGAM
INTRATECT 50 g/l
INTRATECT 50 g/l
INTRATECT 50 g/l
IG VENA 2,5g/50ml
IG VENA 1g/20ml
IG VENA 10g/200ml
KIOVIG 100mg/ml
st
KIOVIG 100mg/ml
De
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
Denumire comerciala
Denumire generica
KEDRION SPA
ar
ii
pe
rs
PRF
/R
S/
PRF
/R
COMPR.
250mg
CN UNIFARM
SOL.
480g/0,5
HOSPIRA UK LIMITED
INJ./PERF. ml
MAREA
BRITAN CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PIE
PERF.
RF
ROMAN
IA
CUTIE X 10 BLIST. X 10 COMPR.
X
MAREA
SOL.
300g/0,5
BRITAN CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PINJ./PERF. ml
HOSPIRA UK LIMITED
IE
PERF.
RF
S/
PSOL.
480mcg/0
GERMA
RF
INJ./PERF. ,8ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. /R
SOL.
300mcg/0
GERMA
INJ./PERF. ,5ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
fi
zi
ce
100
PRF
/R
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
lo
r
ne
PRF
oa
cant/a
mbala
j
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.
rm
S
PR
F
PR
F
PR
F
PR
F
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 100 ML
fo
in
S
S
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 50 ML
ITALIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
ITALIA
ITALIA
MAREA
BRITAN
IE
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
Ambalaj
Prescriptie
MAREA
BRITAN CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A
IE
200ML SOLUTIE PERFUZABILA
Tara
MAREA
BRITAN
50mg/ml OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1
5g/100ml KEDRION SPA
ITALIA SET ADMINISTRARE
50mg/ml
50mg/ml
1g/20ml
100mg/ml BAXTER AG
10g/200m
l
KEDRION SPA
100mg/ml BAXTER AG
100mg/ml BAXTER AG
100mg/ml BAXTER AG
PULB. +
SOLV. PT.
SOL. INJ. 50mg
ABBVIE LTD.
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
60MU/ml SANDOZ GMBH
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
96MU/ml SANDOZ GMBH
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
Firma
100mg/ml BAXTER AG
100
mg/ml
100
mg/ml
100
mg/ml
iv
us
cl
ex
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
1,458600
142,358000
167,472000
90,430000
105,228000
139,560000
87,690000
1.837,910000
784,820000
1.837,780000
894,000000
481,950000
462,170000
1.758,800000
190,170000
894,400000
407,410000
204,810000
1.539,650000
5.766,650000
1.847,580000
912,190000
3.736,820000
190,360000
870,210000
391,580000
3.390,820000
Pret cu ridicata
maximal de
decontare / U.T.
1,780700
162,800000
195,360000
106,198000
127,437600
170,380000
110,870000
2.041,470000
893,600000
2.041,330000
1.012,610000
563,480000
541,920000
1.955,240000
232,160000
1.013,050000
482,230000
250,030000
1.716,370000
6.323,810000
2.059,644000
1.032,440000
4.111,290000
232,390000
986,680000
464,970000
3.734,150000
0,000000
0,000000
72,090000
0,000000
34,512400
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
78,286000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
S01AA23
S01BA01
S01BA01
S01BA01
S01BA01
S03AAN2
432 W43512001
433 W55950001
434 W55648001
435 W55648002
436 W02427001
437 W51513001
NORFLOXACINUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
DEXAMETHASONUM
NETILMICINUM
NETILMICINUM
NETILMICINUM
Denumire generica
H02AB07
H02AB07
H02AB07
H02AB07
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
7 W13686002
8 W12565003
9 W12565002
10 W58242002
11 W59000002
12 W13607002
13 W61223003
14 W08490001
15 W60253004
16 W01326002
17 W44093001
18 W14043001
19 W58998015
20 W61224003
21 W14044001
22 W44087001
23 W56269001
24 W60254003
25 W54044001
26 W08491001
A11HA02
4 W56757001
H02AB07
A11HA02
3 W56758001
5 W53341001
A11HA02
2 W56760001
6 W05242001
A11HA02
1 W42822001
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
PYRIDOXINUM
Denumire comerciala
NORFLOX
FROMILID 500
ROCLARIN 500 mg
LEKOKLAR 500 mg
CLAR 500
KLABAX 500 mg
KLABAX 250 mg
KLACID (R)
LEKOKLAR 250 mg
FROMILID 250
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
ELIB.
PREL.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
COMPR.
CU ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
COMPR.
500mg
500mg
500mg
500mg
500mg
500mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
500mg
500mg
500mg
5mg
5mg
5mg
5mg
Ambalaj
ZENTIVA SA
ZENTIVA SA
ARENA GROUP SA
fo
rm
ANTIBIOTICE S.A.
KRKA D.D. NOVO
MESTO
SANDOZ S.R.L.
TERAPIA SA
GLENMARK
PHARMACEUTICALS
S.R.O.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TEVA
PHARMACEUTICALS
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED
TERAPIA SA
ABBOTT S.R.L.
SANDOZ S.R.L.
ABBOTT
LABORATORIES LTD.
AUROBINDO PHARMA
(MALTA) LIMITED
KRKA D.D. NOVO
MESTO
ARENA GROUP SA
ARENA GROUP SA
in
SINTOFARM SA
PRF
ne
lo
r
CIPRU
ROMAN
IA
REPUB
LICA
CEHA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
PRF
PR
F
PRF
PR
F
PRF
PRF
PRF
PRF
PR
F
PRF
PRF
PR
F
PR
F
PRF
PRF
fi
zi
ce
oa
MAREA
BRITAN
IE
CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. ELIB. PREL.
rs
PR
F
ROMAN
IA
CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.
pe
PR
F
ii
14
20
14
20
14
14
14
14
14
14
14
14
14
14
P6L
20
P6L
20
PRF
5
PRF
5
PRF
20
PRF
20
PRF
30
PRF
/S 1000
PRF
30
PRF
15
cant/a
mbala
j
PRF
PRF
PRF
PRF
PRF
PRF
Prescriptie
ISLAND
A
CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.
ROMAN
IA
CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
ROMAN
IA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ar
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
MAREA
BRITAN
IE
CUTIE X 1 FLACON PEJD X 5 ML
ITALIA
Tara
S.I.F.I. SPA
Firma
50mg/2ml ZENTIVA SA
GEDEON RICHTER
5mg
ROMANIA SA
250mg
250mg/5
ml
250 mg
iv
us
COMPR.
COMPR.
SOL. INJ.
SOL. INJ.
COMPR.
COMPR.
PICATURI
OFT./AURI
C.-SOL.
0,3%
PIC. OFT.,
SOL
0,3%
PICATURI
OFT.-SOL. 0,3%
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
KLACID SR
CLAXIRIT 500 mg
PREDNISON ARENA 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg
PREDNISON MCC 5 mg
PREDNISON - RICHTER 5 mg
at
in
VITAMINA B6 250 mg
st
De
MAXIDEX (R)
OZURDEX
NETTAVISC 3mg/g
NETTACIN (R)
NETTACIN (R)
S01AA23
431 W41510001
Grupa
terapeutica
S01AA23
Cod CIM
430 W12757001
Nr.crt
1,421428
1,458000
1,414285
1,458000
1,458000
1,414285
1,215000
0,622142
0,672000
0,672000
0,672000
0,622857
0,672000
0,560000
1,458000
1,458000
1,458000
0,055320
0,046100
0,055320
0,055320
0,055320
1,072000
1,586000
0,349500
0,349500
3,660000
4,872000
7,490000
4,060000
4.163,000000
13,056000
1,480666
10,880000
Pret cu ridicata
maximal de
decontare / U.T.
1,921428
1,970570
1,911428
1,970570
1,970570
1,911428
1,642142
0,840714
0,907714
0,907714
0,907714
0,842142
0,907714
0,756428
1,970570
1,970570
1,970570
0,072360
0,060300
0,072360
0,072360
0,072360
1,448000
2,144000
0,472500
0,472500
4,950000
6,588000
10,120000
5,490000
4.575,830000
17,652000
2,001333
14,710000
0,000000
0,277930
0,000000
0,385430
0,068715
0,000000
0,000000
0,000000
0,264428
0,179428
1,039428
0,000000
0,328000
0,000000
1,777430
0,464430
0,463715
0,017973
0,000000
0,051306
0,064640
0,061140
0,000000
0,000000
0,000000
0,000000
0,000000
1,852000
0,000000
0,000000
0,000000
16,058000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
J01GA01
J01GB06
J01MA01
J01MA01
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
J01MA02
40 W53277001
41 W07914001
42 W56957001
43 W54037002
44 W54037001
45 W07862001
46 W54038002
47 W01288001
48 W01271002
49 W54038001
50 W01273001
51 W44077004
52 W12545001
53 W07863001
54 W01289001
55 W54039002
56 W01272001
57 W54039001
58 W44076001
J01FA09
35 W58393002
39 W14119004
J01FA09
34 W44091002
J01GA01
J01FA09
33 W44091001
38 W57336001
J01FA09
32 W42258001
J01FA09
J01FA09
31 W44092001
J01GA01
J01FA09
30 W01327002
36 W01329001
J01FA09
29 W01327001
37 W14119005
J01FA09
28 W41838002
Grupa
terapeutica
J01FA09
Cod CIM
27 W58999014
Nr.crt
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
OFLOXACINUM
OFLOXACINUM
AMIKACINUM
STREPTOMYCINUM
STREPTOMYCINUM
STREPTOMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
Denumire generica
st
at
CIPROCIN 500 mg
CUMINOL 500 mg
CIFRAN
CIPROCIN 250 mg
CIPRINOL 250 mg
CUMINOL 250 mg
CIFRAN
OFLOXIN 200
ZANOCIN
STREVITAL 1 g
STREPTOMICINA SULFAT BP
STREVITAL 1 g
KLACID I.V.
in
De
KLACID (R)
KLACID (R)
Denumire comerciala
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
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. INJ.
ABBOTT S.R.L.
TERAPIA SA
SANDOZ SRL
TERAPIA SA
TERAPIA SA
125mg/5
ml
125mg/5
ml
125mg/5
ml
250mg/5
ml
250mg/5
ml
500mg
500mg
500mg
500mg
500mg
500mg
500mg
500mg
250mg
250mg
250mg
250mg
250mg
250mg
250mg
100mg
100mg
200mg
200mg
1g
500mg/2
ml
1g
1g
rm
AC HELCOR SRL
RANBAXY UK LIMITED
ANTIBIOTICE SA
AC HELCOR SRL
GEDEON RICHTER
ROMANIA SA
RANBAXY UK LIMITED
ZENTIVA K.S.
Ambalaj
CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ne
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
oa
rs
lo
r
PRF
PRF
PRF
PRF
PRF
PRF
10
10
10
20
10
10
10
10
10
10
10
10
20
10
10
20
10
10
50
50
100
14
cant/a
mbala
j
fi
zi
ce
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
pe
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
ROMAN
IA
ROMAN
IA
ii
S
PRF
S
PR
F
PR
F
S/
PRF
PRF
PRF
PRF
PRF
PRF
PRF
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
FRANT
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
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
ROMAN DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0
IA
GRANULE PT 60 ML SUSP. ORALA
ROMAN
IA
CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
PRF
CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 PLINGURITA DOZATOARE X 2,5 ML/5 ML
RF
ROMAN
IA
CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
ITALIA
ITALIA
PRF
PR
F
Prescriptie
CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + P1 LINGURITA DOZATOARE X 2,5 ML/5 ML
RF
SLOVE
NIA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.
Tara
ar
RANBAXY UK LIMITED
ZENTIVA S.A.
fo
ANTIBIOTICE SA
in
ANTIBIOTICE S.A.
ANTIBIOTICE SA
ABBOTT
LABORATORIES LTD.
SANDOZ S.R.L.
ABBOTT S.R.L.
125mg/5
ml
250mg/5
ml
KRKA D.D.
TEVA
PHARMACEUTICALS
S.R.L.
Firma
500mg
500mg
iv
us
cl
ex
GRAN. PT.
SUSP.
ORALA
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL. INJ.
PULB. PT.
SOL. INJ.
PULB. PT.
SOL. INJ.
COMPR.
FILM. ELIB.
PREL.
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
0,681000
0,708000
0,756600
0,630500
0,756600
0,674000
0,756600
0,505000
0,523000
0,504000
0,525000
0,505000
0,472000
0,533000
2,959000
2,692000
1,046400
0,872000
5,350000
2,899400
2,899400
2,883400
30,230000
22,090000
40,530000
24,320000
9,490000
9,490000
11,388000
22,180000
1,458000
1,350000
Pret cu ridicata
maximal de
decontare / U.T.
0,920000
0,957000
1,022400
0,852000
1,022400
0,911000
1,022400
0,683000
0,707000
0,681000
0,709000
0,683000
0,638000
0,720000
3,871000
3,404000
1,414800
1,179000
7,230000
3,539600
3,539600
3,520100
39,540000
29,860000
53,010000
32,870000
12,820000
12,820000
15,384000
29,980000
1,970570
1,825000
0,000000
0,000000
0,348600
0,000000
0,299600
0,000000
0,348600
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,662200
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
4,336000
0,000000
0,463715
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
#
J04AB02
J04AC01
J04AC01
J04AC01
J04AC01
J04AD01
J04AK01
J04AK02
J04AK02
J04AK02
J04AK02
J04AK02
J04AK02
J04AM02
82 W41999002
83 W58576002
84 W58577002
85 W60582001
86 W60594001
87 W55916001
88 W60213002
89 W53682002
90 W59648001
91 W59648003
92 W42943002
93 W42861002
94 W60583001
95 W14071002
J01MA14
74 W60311001
J04AB02
J01MA14
73 W60943001
81 W41998002
J01MA02
72 W53353003
J04AB01
J01MA02
71 W53353002
J01MA14
J01MA02
70 W61489004
80 W52079002
J01MA02
69 W61489003
79 W57938004
J01MA02
68 W61489002
J01MA14
J01MA02
67 W61489001
J01MA14
J01MA02
66 W01275002
78 W60727001
J01MA02
65 W60268001
77 W59332001
J01MA02
64 W01275001
J01MA14
J01MA02
63 W57949001
J01MA14
J01MA02
62 W57948001
75 W57939001
J01MA02
61 W54040001
76 W60545001
J01MA02
60 W42772001
Grupa
terapeutica
J01MA02
Cod CIM
59 W01274001
Nr.crt
ETHAMBUTOLUM
COMBINATII
(RIFAMPICINUM+IZONIAZIDUM)
ETHAMBUTOLUM
ETHAMBUTOLUM
ETHAMBUTOLUM
ETHAMBUTOLUM
ETHAMBUTOLUM
PYRAZINAMIDUM
PROTIONAMIDUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
ISONIAZIDUM
RIFAMPICINUM
RIFAMPICINUM
CICLOSERINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
MOXIFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
CIPROFLOXACINUM
Denumire generica
at
in
SINERDOL ISO
INBUTOL
ETAMBUTOL 400 mg
ETAMBUTOL 250 mg
PETEHA 250 mg
BITUB
ISONIAZID
SINERDOL 300 mg
SINERDOL 150 mg
750mg
750mg
500mg
CAPS.
SOL INJ.
CAPS.
COMPR.
FILM.
COMPR.
FILM.
CAPS.
CAPS.
COMPR.
SOL INJ.
COMPR.
FILM.
SIROP
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CN UNIFARM S.A.
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ANTIBIOTICE SA
ARENA GROUP SA
ANTIBIOTICE S.A.
400mg
250mg
400mg
400mg
250mg
500mg
250 mg
300mg
100mg/5
ml
fo
in
S
PR
F
PR
F
PRF
PR
F
PR
F
PR
PR
PR
PR
PRF
S/
PRF
S/
PRF
PRF
PRF
PRF
PRF
Prescriptie
lo
r
ne
oa
1000
1000
100
100
10
PR
1000
PR 1500
PRF
20
PR
F
20
PR
F
50
PR
F 1500
PR
F 1500
PR
PR
PR
PR 1500
S/
PRF 1500
S
PRF
10
10
30
10
50
10
50
10
10
10
cant/a
mbala
j
fi
zi
ce
rs
pe
CUTIE X 50 FIOLE X 10 ML
CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CTE 100 ML SOL.
PERF.
CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CTE 100 ML SOL.
PERF.
CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CTE 200 ML SOL.
PERF.
CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CTE 200 ML SOL.
PERF.
ii
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ar
SLOVE
NIA
ROMAN
2mg/ml
INFOMED FLUIDS SRL IA
ROMAN
2mg/ml
INFOMED FLUIDS SRL IA
ROMAN
2mg/ml
INFOMED FLUIDS SRL IA
ROMAN
2mg/ml
INFOMED FLUIDS SRL IA
ROMAN
2mg/ml
INFOMED FLUIDS SRL IA
ROMAN
2mg/ml
INFOMED FLUIDS SRL IA
KRKA, D.D., NOVO
SLOVE
400mg
MESTO
NIA
LUXEM
400mg
ALVOGEN IPCO S.A.R.L BURG
GERMA
400mg
BAYER PHARMA AG
NIA
ACTAVIS GROUP PTC ISLAND
400mg
EHF.
A
AUROBINDO PHARMA
400mg
(MALTA) LIMITED
MALTA
400mg/25 FRESENIUS KABI
ROMAN
0ml
ROMANIA SRL
IA
400mg/25
GERMA
0ml
BAYER PHARMA AG
NIA
ROMAN
250mg
ANTIBIOTICE S.A.
IA
ROMAN
150mg
ANTIBIOTICE SA
IA
ROMAN
300mg
ANTIBIOTICE SA
IA
ROMAN
100mg
ANTIBIOTICE S.A.
IA
100mg/10
ml
KRKA D.D.
GERMA
NIA
CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.
GERMA
NIA
CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.
100mg/10
ml
ZENTIVA S.A.
rm
Ambalaj
SLOVE
NIA
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
SLOVE
NIA
CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
Tara
SLOVE
NIA
CUTIE X 5 FIOLE X 10 ML
BAYER PHARMA AG
BAYER PHARMA AG
Firma
100mg/10
ml
KRKA D.D.
500 mg
iv
us
COMPR.
FILM. ELIB.
PREL.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
SOL.
PERF.
SOL.
PERF.
COMPR.
FILM. ELIB.
PREL.
1000 mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
MOFIL 400 mg
AVELOX 400 mg
MOFINACIN 400 mg
MOFLAXA 400 mg
CIPRINOL (R)
st
De
CIPRINOL (R)
CIPROBAY XR 500 mg
CIPROBAY XR 1000 mg
CIPRINOL 750 mg
CIPRINOL 500 mg
Denumire comerciala
0,600660
16,130000
0,334726
0,217573
0,284600
0,287500
0,184000
0,299853
1,022700
1,469000
30,110000
0,272473
0,110333
0,548780
0,169650
4,399000
69,648000
58,040000
5,510000
5,510000
6,612000
5,510000
5,510000
13,125000
6,972000
12,828000
13,125000
6,617800
6,972000
2,321200
2,580000
2,570000
0,756600
9,928571
0,915600
0,763000
0,756600
Pret cu ridicata
maximal de
decontare / U.T.
0,692870
21,800000
0,390286
0,262586
0,384600
0,388500
0,249000
0,352273
1,248500
1,986000
39,380000
0,322426
0,134693
0,636320
0,207110
5,176400
88,056000
73,380000
7,206000
7,206000
8,647200
7,206000
7,206000
16,023000
8,815000
15,254333
16,023000
7,976400
8,815000
2,833800
3,400560
3,400560
1,022400
12,554285
1,237200
1,031000
1,022400
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
13,026000
0,000000
0,000000
0,000000
2,436800
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,085440
0,073440
8,530933
0,000000
2,633800
0,000000
0,160600
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
Cod CIM
Grupa
terapeutica
Denumire generica
Denumire comerciala
J05AH02
J05AH02
2 W52316001
3 W13633001
OSELTAMIVIRUM
OSELTAMIVIRUM
ZANAMIVIRUM
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
11 W61245001
12 W61245002
13 W59699001
14 W59614003
15 W59705002
16 W59451001
17 W59506001
18 W59705001
19 W59507001
20 W59615003
21 W59706001
22 W59706002
23 W59508001
L01AA06
7 W12497001
L01AX03
L01AA03
6 W60631001
10 W55335001
L01AA03
5 W58865001
L01AB01
L01AA02
4 W58866002
L01AD02
L01AA01
3 W52215001
8 W51454001
L01AA01
2 W12490001
9 W59709001
G03HA01
1 W58800001
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
LOMUSTINUM 4)
BUSULFANUM
IFOSFAMIDUM
MELPHALANUM
MELPHALANUM
CHLORAMBUCILUM
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
CYPROTERONUM
J05AH01
1 W08867001
at
in
NOGRON 180 mg
BRASTORYN 140 mg
BRASTORYN 140 mg
TEMODAL 140mg
NOGRON 140 mg
BRASTORYN 100 mg
NOGRON 100 mg
BLASTOMAT 100 mg
BRASTORYN 100 mg
TEMODAL 100 mg
BRASTORYN 100 mg
BRASTORYN 100 mg
CECENU
BUSILVEX 6mg/ml
HOLOXAN 1 g
ALKERAN 50 mg
ALKERAN 2 mg
LEUKERAN
ENDOXAN 200 mg
st
De
ENDOXAN (R) 50 mg
ex
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
180mg
140mg
140mg
140mg
140mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
100mg
40mg
iv
us
cl
2mg
2mg
200mg
50mg
50mg
75mg
30mg
5mg
PULB+SOL
V. PT. SOL.
INJ./PERF. 50mg
PULB. PT.
SOL.
PERF.
1g
CONC. PT.
SOL.
PERF.
6mg/ml
DRAJ.
PULB. PT.
SOL.
PERF./INJ.
I.V.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
CAPS.
TAMIFLU 75 mg
ANDROCUR
CAPS.
PULB.
UNIDOZA
DE
INHALAT
Forma
Concentr
farmaceuti
atie / U.T.
ca
TAMIFLU 30mg
RELENZA 5 mg
Nr.crt
Ambalaj
GERMA
NIA
CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.
FRANT
A
CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL. INJ.
ROMAN
IA
CUTIE X 1 FLACON X 20 CAPSULE
BAXTER ONCOLOGY
GMBH
PIERRE FABRE
MEDICAMENT
ar
ii
pe
oa
rs
ne
lo
r
ROMASTRU TRADING
SRL
EGIS
PHARMACEUTICALS
P.L.C.
PR
PR
F
UNGAR
IA
CUTIE CU 1 FLAC. PEID X 5 CAPS.
PR
PRF
/R
MAREA
BRITAN
IE
CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI
ROMAN
IA
CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE
POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI
ROMAN AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1
CAPS.
IA
PR
F
PR
PR
F
PR
PR
F
PRF
/R
PR
PR
PR
PR
PRF
/R
PR
S
PRF
PRF
PRF
PRF
20
25
25
50
50
10
10
cant/a
mbala
j
fi
zi
ce
MAREA
MERCK SHARP &
BRITAN
DOHME
IE
CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI
CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE
POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI
ROMASTRU TRADING ROMAN AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1
SRL
IA
CAPS.
LUXEM
ALVOGEN IPCO S.AR.L. BURG CUTIE CU 1 FLAC. PEID X 5 CAPS.
EGIS
PHARMACEUTICALS
UNGAR
P.L.C.
IA
CUTIE CU 1 FLAC. PEID X 5 CAPS.
ROMASTRU TRADING ROMAN
SRL
IA
CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
EGIS
PHARMACEUTICALS
UNGAR
P.L.C.
IA
CUTIE CU 1 FLAC. PEID X 5 CAPS.
rm
OLAND
A
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.
ROMAN
NEOLA PHARMA S.R.L. IA
CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE
POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI
ROMAN AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1
CAPS.
NEOLA PHARMA S.R.L. IA
GLENMARK
REPUB
PHARMACEUTICALS
LICA
S.R.O.
CEHA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
fo
CN UNIFARM S.A.
in
ROMAN
IA
CUTIE CU 1 FIOLA PULB.+ 1 FIOLA SOLVENT
ROMAN
IA
CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ
IRLAND
A
CUTIE X 1 FLAC. X 25 COMPR. FILM.
IRLAND
A
CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.
CN UNIFARM S.A.
ACTAVIS S.R.L.
ASPEN PHARMA
TRADING LIMITED
ASPEN PHARMA
TRADING LIMITED
GERMA
NIA
CUTIE X 5 BLIST. AL/PVC X 10 COMPR.
GERMA
NIA
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.
PRF
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE
BAYER PHARMA AG
BAXTER ONCOLOGY
GMBH
PRF
MAREA
BRITAN CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV PIE
DE ADMINISTRARE DISKHALER
RF
Tara
Prescriptie
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE
Firma
97,764000
78,164000
78,164000
93,796800
78,164000
37,248000
37,248000
37,248000
37,248000
44,697600
37,248000
37,248000
37,248000
37,248000
96,375500
1.007,503750
95,760000
630,000000
10,116400
9,680000
11,760000
0,401400
1,780200
6,050000
3,328000
10,228000
Pret cu ridicata
maximal de
decontare / U.T.
114,192000
92,828000
92,828000
111,393600
92,828000
45,472000
45,472000
45,472000
45,472000
54,566400
45,472000
45,472000
45,472000
45,472000
106,957000
1.102,948750
121,080000
724,850000
12,350000
11,817200
15,890000
0,542400
2,250800
7,649000
4,353000
12,932000
0,000000
0,000000
0,000000
23,790400
0,000000
0,000000
0,000000
0,000000
0,000000
15,389600
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX03
L01AX04
L01AX04
L01AX04
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
25 W59698001
26 W55334001
27 W61244001
28 W61244002
29 W59617003
30 W59450001
31 W59505001
32 W59704001
33 W59704002
34 W59454001
35 W61248001
36 W61248002
37 W59702001
38 W60017001
39 W60017002
40 W55336001
41 W59613001
42 W56549001
43 W58779001
44 W59710001
45 W58569001
46 W58568001
47 W12733003
48 W12735001
49 W58316010
Grupa
terapeutica
L01AX03
Cod CIM
24 W59616003
Nr.crt
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
DACARBAZINUM
DACARBAZINUM
DACARBAZINUM
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
TEMOZOLOMIDUM**
Denumire generica
at
in
TEMODAL 2,5mg/ml
BRASTORYN 250 mg
BRASTORYN 250 mg
BRASTORYN 250 mg
BRASTORYN 250 mg
BLASTOMAT 250 mg
BRASTORYN 20 mg
BRASTORYN 20 mg
NOGRON 20 mg
BLASTOMAT 20 mg
st
TEMODAL 20 mg
De
BRASTORYN 20 mg
BRASTORYN 20 mg
TEMOZOLOMIDE TEVA 20 mg
TEMOZOLOMIDA GLENMARK 20 mg
TEMODAL 180 mg
Denumire comerciala
500mg
COMPR.
CONC. PT.
SOL.
INJ./PERF.
CONC. PT.
SOL.
INJ./PERF.
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
COMPR.
rm
fo
in
pe
P6
L
P6
L
ROMAN
IA
CUTIE X 10COMPR.
ROMAN
IA
CUTIE X30 COMPRIMATE
10mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
AUSTRI
A
CUTIE X 1 FLACON X 50 ML
EBEWE PHARMA
100mg/ml GES.M.B.H. NFG KG
PR
fi
zi
ce
PR
PR
lo
r
PR
ne
PRF
/R
ROMAN
IA
CUTIE X 10 FLACOANE
oa
rs
PR
PRF
/R
PR
PR
PR
PR
PR
PR
F
30
10
10
10
PR
F
PR
PR
PRF
/R
PR
F
cant/a
mbala
j
PR
PR
PRF
/R
PRF
/R
Prescriptie
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PULB. PT. SOL. PERF.
ROMAN
IA
CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. INJ.
CUTIE CU 10 FLACOANE MONODOZA DIN STICLA BRUNA CU DOP
DIN CAUCIUC BROMOBUTILIC CU SIGILIU DIN AL TIP FLIP-OFF CU
GERMA CAPAC DIN PLASTIC DE CULOARE ROSIE CARE CONTIN PULB.
NIA
PENTRU SOL. INJ. SAU PERF.
AUSTRI
A
CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
CN UNIFARM S.A.
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
LIPOMED GMBH
CN UNIFARM S.A.
ii
OLAND
A
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.
ar
MAREA
MERCK SHARP &
BRITAN
DOHME
IE
CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI
LUXEM
ALVOGEN IPCO S.AR.L. BURG CUTIE CU 1 FLAC. PEID X 5 CAPS.
EGIS
PHARMACEUTICALS
UNGAR
P.L.C.
IA
CUTIE CU 1 FLAC. PEID X 5 CAPS.
ROMASTRU TRADING ROMAN
SRL
IA
CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE
POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI
ROMASTRU TRADING ROMAN AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1
SRL
IA
CAPS.
LUXEM
ALVOGEN IPCO S.AR.L. BURG CUTIE CU 1 FLAC. PEID X 5 CAPS.
ROMAN
NEOLA PHARMA S.R.L. IA
CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE
POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI
ROMAN AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1
NEOLA PHARMA S.R.L. IA
CAPS.
GLENMARK
REPUB
PHARMACEUTICALS
LICA
S.R.O.
CEHA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
ROMASTRU TRADING ROMAN
SRL
IA
CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE
POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI
ROMASTRU TRADING ROMAN AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1
SRL
IA
CAPS.
EBEWE PHARMA
100mg/ml GES.M.B.H. NFG KG
2,5mg
10mg
Ambalaj
MAREA
BRITAN
IE
CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI
REPUB
LICA
CEHA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
Tara
OLAND
TEVA PHARMA B.V.
A
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.
ROMAN
NEOLA PHARMA S.R.L. IA
CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.
CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE
POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI
ROMAN AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1
CAPS.
NEOLA PHARMA S.R.L. IA
Firma
250mg
250mg
250mg
250mg
250mg
250mg
iv
250mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
180mg
PULB. PT.
SOL.
INJ./PERF. 200 mg
PULB. PT.
SOL.
INJ./PERF. 200mg
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL. INJ.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
us
CAPS.
cl
ex
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
93,336000
308,200000
65,640000
0,553333
2,211000
82,419000
75,731000
69,450000
602,770000
194,814000
233,776800
233,776800
233,776800
233,776800
233,776800
233,776800
7,966000
7,966000
7,966000
7,966000
9,559200
7,966000
7,966000
7,966000
7,966000
117,316800
Pret cu ridicata
maximal de
decontare / U.T.
118,008000
374,090000
82,990000
0,747666
2,989000
93,652000
86,362000
87,810000
695,170000
219,978000
263,973600
263,973600
263,973600
263,973600
263,973600
263,973600
10,420000
10,420000
10,420000
10,420000
12,504000
10,420000
10,420000
10,420000
10,420000
137,030400
9,082000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
95,694400
95,694400
13,432400
95,694400
95,694400
13,432400
0,000000
0,000000
0,000000
0,000000
2,720000
0,000000
0,000000
0,000000
0,000000
31,019600
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA04
L01BB02
L01BB03
L01BB03
L01BB04
L01BB05
L01BB05
L01BB05
L01BB06
L01BB07
L01BB07
L01BC01
L01BC01
L01BC01
L01BC01
L01BC01
L01BC02
51 W58316007
52 W58316001
53 W53758016
54 W53758021
55 W53758006
56 W42003001
57 W58868001
58 W60721001
59 W58869001
60 W44114001
61 W56210002
62 W56211001
63 W53700001
64 W53291005
65 W61693001
66 W52264001
67 W13946007
68 W42933004
69 W59016003
70 W59016004
71 W53814001
72 W43451001
Grupa
terapeutica
L01BA01
Cod CIM
50 W58316004
Nr.crt
FLUOROURACILUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
CYTARABINUM
NELARABINUM****
NELARABINUM****
CLOFARABINUM****
FLUDARABINUM
FLUDARABINUM
FLUDARABINUM****
CLADRIBINUM
TIOGUANINUM
TIOGUANINUM
MERCAPTOPURINUM
PEMETREXEDUM****
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
Denumire generica
METOJECT 50mg/ml
DEPOCYTE 50mg
ALEXAN 50mg/ml
ALEXAN 20mg/ml
ATRIANCE
ATRIANCE
EVOLTRA 1mg/ml
FLUDARA
FLUDARA ORAL 10 mg
LITAK 2 mg/ml
LANVIS
THIOGUANIN ASPEN 40 mg
PURI - NETHOL
ALIMTA 500mg
at
in
METOJECT 50mg/ml
st
METOJECT 50mg/ml
De
Denumire comerciala
MEDAC GESELLSCAFT
FUR KLINISCHE
GERMA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA PSPEZIALPRPARATE NIA
CU AC SI TAMPOANE CU ALCOOL
RF
1mg/ml
5mg/ml
5mg/ml
SOL.
PERF.
SOL.
PERF.
fo
ii
CUTIE X 1 FLACON X 5 ML
oa
ne
SOL. INJ.
FRESENIUS KABI
SAU PERF. 100mg/ml ONCOLOGY PLC
S
AUSTRI CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT.
A
SOL. INJ./PERF.
PACIRA LIMITED
EBEWE PHARMA
GES.M.B.H. NFG KG
PR
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML)
fi
zi
ce
MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC
BRITAN BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE
IE
GALBENA X 20 ML SOL. INJ. SAU PERF.
PR
50mg/ml
20mg/ml
SOL. INJ.
FRESENIUS KABI
SAU PERF. 100mg/ml ONCOLOGY PLC
SOL. INJ.
SOL. INJ.
lo
r
NOVARTIS
EUROPHARM LTD.
MAREA
BRITAN
IE
CUTIE X 6 FLAC. X 50 ML
PR
rs
pe
S
PRF
/S
PR
PRF
S
PRF
OLAND
A
CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.
OLAND
A
CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.
ar
OLAND
A
IRLAND
A
ROMAN
IA
IRLAND
A
GERMA
NIA
OLAND
GENZYME EUROPE BV A
CUTIE X 1 FLAC. CU CONC. PT. SOL. PERF.
ACTAVIS S.R.L.
GENZYME EUROPE
B.V.
GENZYME EUROPE
B.V.
LIPOMED GMBH
rm
CN UNIFARM S.A.
ASPEN PHARMA
TRADING LIMITED
in
MEDAC GESELLSCAFT
FUR KLINISCHE
GERMA CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA PSPEZIALPRPARATE NIA
CU AC SI TAMPOANE CU ALCOOL
RF
MEDAC GESELLSCAFT
FUR KLINISCHE
GERMA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA PSPEZIALPRPARATE NIA
CU AC SI TAMPOANE CU ALCOOL
RF
MAREA
BRITAN
IE
CUTIE X 6 FLAC. X 50 ML
AUSTRI
A
CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ.
AUSTRI
A
CUTIE X 1 FLACON X 20 ML. SOL. INJ.
25mg/ml
50mg
10mg
2mg/ml
40mg
40mg
50mg
iv
500mg
50mg/ml
50mg/ml
50mg/ml
10
20
25
25
25
EBEWE PHARMA
GES.M.B.H. NFG KG
PR
10mg/ml
PR
cant/a
mbala
j
EBEWE PHARMA
GES.M.B.H. NFG KG
Ambalaj
10mg/ml
Tara
Firma
Prescriptie
EBEWE PHARMA
GES.M.B.H. NFG KG
10mg/ml
COMPR.
FILM.
LIOF. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
CONC. PT.
SOL.
PERF.
SOL. INJ.
COMPR.
COMPR.
COMPR.
us
cl
ex
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
PULB. PT.
CONC. PT.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
2,970000
6.172,500000
98,560000
41,220000
49,464000
9,173000
1.193,418333
1.193,418333
6.027,070000
67,870000
81,444000
53,287000
1.309,390000
25,200000
23,650000
10,648800
3.671,030000
42,876000
87,540000
77,780000
47,310000
63,030000
35,730000
Pret cu ridicata
maximal de
decontare / U.T.
4,020000
6.766,180000
124,620000
53,920000
64,704000
11,598000
1.307,186666
1.307,186666
6.607,660000
85,820000
102,984000
59,990500
1.465,390000
28,994000
27,304400
13,000000
4.121,240000
56,076000
110,680000
98,340000
61,880000
79,700000
46,730000
0,000000
0,000000
0,000000
0,000000
31,816000
0,000000
0,000000
0,000000
0,000000
0,000000
12,802000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
13,944000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01BC02
L01BC02
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
L01BC05
74 W43451005
75 W43451006
76 W59510003
77 W56425001
78 W56425002
79 W59510002
80 W59510001
81 W59316002
82 W59316003
83 W56425003
84 W56246001
85 W56371001
86 W55552001
87 W56150001
88 W55553001
89 W03290001
90 W56149001
91 W56370001
92 W55551001
93 W54381001
94 W55531002
95 W55531004
96 W55531003
97 W54381002
98 W54381004
Grupa
terapeutica
L01BC02
Cod CIM
73 W43451003
Nr.crt
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
GEMCITABINUM**
FLUOROURACILUM
FLUOROURACILUM
FLUOROURACILUM
Denumire generica
st
at
GEMCIRENA 38 mg/ml
GEMCIRENA 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GITRABIN 38 mg/ml
GEMCIRENA 38 mg/ml
DAPLAX 200 mg
DAPLAX 1 g
GEMZAR 1000 mg
GITRABIN 40 mg/ml
in
De
GITRABIN 40 mg/ml
GITRABIN 40 mg/ml
Denumire comerciala
40mg/ml
40mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
38mg/ml
200mg
200mg
200mg
200mg
2000mg
1g
1000mg
1000mg
1000 mg
40mg/ml
iv
us
cl
ex
FRESENIUS KABI
ONCOLOGY PLC
CONC. PT.
SOL.
PERF.
40mg/ml
40mg/ml
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PR
PR
FRESENIUS KABI
ROMANIA SRL
ACTAVIS GROUP PTC
EHF.
ACTAVIS GROUP PTC
EHF.
ACTAVIS GROUP PTC
EHF.
FRESENIUS KABI
ROMANIA SRL
FRESENIUS KABI
ROMANIA SRL
fi
zi
ce
ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT.
IA
SOL. PERF.
ANTIBIOTICE S.A.
TEVA
PHARMACEUTICALS
S.R.L.
lo
r
oa
ne
ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
IA
CONTINAND 200MG GEMCITABINA
S
rs
FRANT
A
CUTIE X 1 FLAC. PULB. PT. SOL. PERF.
ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
IA
CONTINAND 1000MG GEMCITABINA
S
cant/a
mbala
j
DR. REDDY'S
LABORATORIES
TEVA
PHARMACEUTICALS
S.R.L.
ANTIBIOTICE S.A.
TEVA
PHARMACEUTICALS
S.R.L.
rm
pe
FRANT
A
CUTIE X 1FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.
ii
PR
ar
PR
fo
PR
in
PR
FRESENIUS KABI
ONCOLOGY PLC
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
PR
PR
PR
PR
FRESENIUS KABI
ONCOLOGY PLC
EBEWE PHARMA
GES.M.B.H. NFG KG
MAREA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU
BRITAN SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VIOLET, CU
IE
DISC DIN PP, A 2000 MG/50 ML CONC. PT. SOL. PERF.
EBEWE PHARMA
GES.M.B.H. NFG KG
Ambalaj
Tara
Prescriptie
EBEWE PHARMA
GES.M.B.H. NFG KG
Firma
CONC. PT.
SOL.
PERF.
40mg/ml
CONC. PT.
SOL.
PERF.
40mg/ml
CONC. PT.
SOL.
PERF.
40mg/ml
CONC. PT.
SOL.
INJ./PERF. 50mg/ml
CONC. PT.
SOL.
INJ./PERF. 50mg/ml
CONC. PT.
SOL.
INJ./PERF. 50mg/ml
Forma
Concentr
farmaceuti
atie / U.T.
ca
155,920000
81,280000
97,536000
187,104000
25,800000
23,270000
25,848000
25,848000
25,848000
25,848000
187,104000
97,536000
97,536000
97,536000
97,536000
187,104000
187,104000
97,536000
25,848000
97,536000
97,536000
21,540000
187,104000
56,540000
12,550000
5,960000
Pret cu ridicata
maximal de
decontare / U.T.
190,350000
102,770000
123,324000
228,420000
33,740000
31,450000
34,944000
34,944000
34,944000
34,944000
228,420000
123,324000
123,324000
123,324000
123,324000
228,420000
228,420000
123,324000
34,944000
123,324000
123,324000
29,120000
228,420000
71,490000
16,960000
8,060000
0,000000
0,000000
43,336000
199,610000
0,000000
0,000000
18,516000
19,396000
19,396000
44,446000
141,810000
103,466000
87,966000
103,466000
225,586000
25,380000
222,080000
103,466000
19,396000
103,466000
5,886000
0,000000
223,340000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
104 W59086001
105 W59654001
106 W59427001
107 W59427002
108 W58925002
109 W59385001
110 W59385002
111 W60217005
112 W60218002
113 W60218005
114 W60279001
115 W59386002
116 W58926003
117 W59655002
118 W59428001
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
L01BC06
121 W60219003
122 W60219006
123 W59655001
124 W59059003
125 W59087001
126 W60255001
127 W08339001
128 W59424002
129 W59386001
130 W59059006
L01BC06
L01BC06
103 W08338001
L01BC06
L01BC06
102 W59654002
119 W59428002
L01BC06
101 W60217002
120 W59424001
L01BC06
100 W58925005
Grupa
terapeutica
L01BC06
Cod CIM
99 W60278001
Nr.crt
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
CAPECITABINUM
Denumire generica
st
COLOXET 500 mg
XALVOBIN 500 mg
CEREX 500 mg
XELODA 500 mg
150mg
150mg
COMPR.
FILM.
500mg
500mg
500mg
COMPR.
FILM.
500mg
500mg
500mg
500mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
500mg
COMPR.
FILM.
500mg
500mg
500mg
500mg
500mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
500mg
500mg
COMPR.
FILM.
COMPR.
FILM.
500mg
500mg
300mg
300mg
150mg
150mg
150mg
iv
us
150mg
COMPR.
FILM.
150mg
150mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
150mg
150mg
COMPR.
FILM.
COMPR.
FILM.
150mg
150mg
150mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
COLOXET 500 mg
ARXEDA 500 mg
ECANSYA 500mg
ECANSYA 500mg
CEREX 500 mg
ARXEDA 500 mg
XALVOBIN 500 mg
ECANSYA 300mg
ECANSYA 300mg
ECANSYA 150mg
XALVOBIN 150 mg
XALVOBIN 150 mg
at
in
De
ARXEDA 150 mg
XELODA 150 mg
ARXEDA 150 mg
ECANSYA 150mg
Denumire comerciala
rs
ne
PR
PR
PR
F
PR
PR
PR
PR
PR
PR
F
PR
PR
PR
120
120
120
120
PRF
/R
PR
120
120
120
PR
PR
PR
120
120
120
120
120
120
120
120
120
120
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
cant/a
mbala
j
fi
zi
ce
lo
r
oa
pe
ii
MAREA
BRITAN
IE
ROMAN
IA
ar
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
F
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.
ROMAN
TERAPIA SA
IA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 (12X10) COMPR. FILM.
LUXEM
ALVOGEN IPCO S.AR.L. BURG CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM.
EGIS
PHARMACEUTICALS
UNGAR
P.L.C.
IA
CUTIE CU 12 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.
FRESENIUS KABI
ONCOLOGY PLC
DR. REDDY'S
LABORATORIES
rm
fo
in
MAREA
FRESENIUS KABI
BRITAN
ONCOLOGY PLC
IE
ROMASTRU TRADING ROMAN
SRL
IA
REPUB
LICA
ZENTIVA, K.S.
CEHA
REPUB
LICA
ZENTIVA, K.S.
CEHA
GLENMARK
REPUB
PHARMACEUTICALS
LICA
S.R.O.
CEHA
LUXEM
ALVOGEN IPCO S.AR.L. BURG
LUXEM
ALVOGEN IPCO S.AR.L. BURG
SLOVE
KRKA D.D.
NIA
SLOVE
KRKA D.D.
NIA
SLOVE
NIA
KRKA D.D.
OLAND
TEVA PHARMA B.V.
A
LUXEM
ALVOGEN IPCO S.AR.L. BURG
GLENMARK
REPUB
PHARMACEUTICALS
LICA
S.R.O.
CEHA
ROMASTRU TRADING ROMAN
SRL
IA
REPUB
LICA
ZENTIVA, K.S.
CEHA
REPUB
LICA
ZENTIVA, K.S.
CEHA
ROMAN
TERAPIA SA
IA
SLOVE
KRKA D.D.
NIA
SLOVE
KRKA D.D.
NIA
ROMASTRU TRADING ROMAN
SRL
IA
EGIS
PHARMACEUTICALS
UNGAR
P.L.C.
IA
PRF
/R
PR
PR
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.
Ambalaj
PR
PR
F
OLAND
A
REPUB
LICA
CEHA
SLOVE
NIA
ROMAN
IA
Tara
Prescriptie
KRKA D.D.
ROMASTRU TRADING
SRL
Firma
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
1,844100
5,327000
5,327000
0,905500
0,905500
0,905500
0,905500
0,905500
0,905500
0,905500
0,905500
1,086600
0,905500
0,905500
0,905500
0,905500
Pret cu ridicata
maximal de
decontare / U.T.
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
2,251300
6,442333
6,442333
1,145000
1,145000
1,145000
1,145000
1,145000
1,145000
1,145000
1,145000
1,374000
1,145000
1,145000
1,145000
1,145000
1,225366
1,225366
1,225366
9,651616
0,000033
1,225366
1,225366
1,225366
0,000033
0,000033
1,225366
0,000033
0,000033
1,225366
1,225366
1,225366
1,225366
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
2,827500
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
142 W08036001
143 W03065001
144 W52210001
145 W52574002
146 W52574001
147 W60599002
148 W54978001
149 W54068001
150 W52212001
151 W43372004
152 W43372002
153 W43372001
154 W54068005
155 W54978004
156 W54978003
157 W54068003
158 W52212005
L01CA04
139 W52194001
L01CA04
L01CA04
138 W43735001
L01CB01
L01CA04
137 W43735002
140 W52194002
L01CA04
136 W42513002
141 W08035001
L01CA02
L01CA04
134 W52220001
L01CA01
133 W59211001
135 W42512002
L01BC08
132 W59587001
Grupa
terapeutica
L01BC06
Cod CIM
131 W59367001
Nr.crt
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINORELBINUM
VINCRISTINUM
VINBLASTINUM 4)
DECITABINUM****
CAPECITABINUM
Denumire generica
st
SINDAXEL
SINDAXEL
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
AUSTRI
A
CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF.
ROMAN
IA
CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF.
EBEWE PHARMA
GES.M.B.H. NFG KG
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
ACTAVIS S.R.L.
FRESENIUS KABI
ROMANIA SRL
ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL.
IA
PERF.
S
ROMAN
IA
REPUB
LICA
ARCHIE SAMUEL S.R.O. CEHA
REPUB
LICA
ARCHIE SAMUEL S.R.O. CEHA
6mg/ml
FRESENIUS KABI
ROMANIA SRL
EBEWE PHARMA
GES.M.B.H. NFG KG
6mg/ml
EBEWE PHARMA
GES.M.B.H. NFG KG
6mg/ml
fi
zi
ce
S
AUSTRI CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML CONC. PT.
A
SOL. PERF.
EBEWE PHARMA
GES.M.B.H. NFG KG
lo
r
ne
ACTAVIS S.R.L.
6mg/ml
6mg/ml
oa
rs
pe
ii
FRESENIUS KABI
ROMANIA SRL
ar
ROMAN
IA
CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.
ROMAN
IA
CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
S
CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU
CAPACITATEA DE 10 ML NCHIS CU DOP DIN CAUCIUC
MAREA BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE
FRESENIUS KABI
BRITAN CULOARE ALBASTRA CONTINND 10 ML CONC. PENTRU SOL.
ONCOLOGY PLC
IE
PERF.
PR
REPUB
LICA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 30 MG CONC. PT. SOL.
ARCHIE SAMUEL S.R.O. CEHA PERF.
S
rm
fo
in
20
10
120
cant/a
mbala
j
AUSTRI
A
CUTIE X 1 FLACON X 5 ML
S
PRF
PRF
6mg/ml
20mg/ml
20mg/ml
20mg/ml
100mg/5
ml
ACTAVIS S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
EBEWE PHARMA
GES.M.B.H. NFG KG
100mg/5
ml
50mg
ROMAN
IA
CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
UNGAR
IA
CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.
UNGAR
IA
CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS.
AUSTRI
A
CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF.
EBEWE PHARMA
GES.M.B.H. NFG KG
ACTAVIS S.R.L.
S
PRF
PRF
ACTAVIS S.R.L.
PIERRE FABRE
MEDICAMENT
PIERRE FABRE
MEDICAMENT
PR
PR
PR
ROMAN
IA
CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V.
FRANT
A
CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE
FRANT
A
CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE
ACTAVIS S.R.L.
BRISTOL MYERS
SQUIBB KFT
BRISTOL MYERS
SQUIBB KFT
iv
us
CAPS. MOI
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
Ambalaj
ISLAND
A
CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM.
Tara
Prescriptie
ROMAN
IA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ.
JANSSEN CILAG
INTERNATIONALL NV
TEVA
PHARMACEUTICALS
S.R.L.
Firma
10mg/ml
10mg/ml
10mg/ml
10mg/ml
30mg
CAPS. MOI
CONC. PT.
SOL.
INJ./PERF.
CONC. PT.
SOL.
INJ./PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
SOL INJ.
1mg/ml
PULB. PT.
SOL.
INJ./PERF. 1mg
COMPR.
FILM.
500mg
PULB. PT.
CONC. PT.
SOL.
PERF.
50mg
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
VEPESID
VEPESID
at
in
De
NAVELBINE 30 mg
NAVELBINE 20 mg
SINDOVIN 1 mg
DACOGEN
Denumire comerciala
850,040000
57,620000
98,784000
194,040000
161,700000
32,550000
69,144000
194,040000
32,550000
32,550000
39,060000
63,290000
21,552000
54,800000
17,960000
21,552000
10,952500
21,796000
124,280000
36,880000
31,740000
136,180000
280,060000
186,710000
26,490000
30,750000
4.936,540000
1,536750
Pret cu ridicata
maximal de
decontare / U.T.
964,700000
72,860000
124,908000
236,880000
197,400000
42,570000
87,432000
236,880000
42,570000
42,570000
51,084000
80,030000
29,124000
69,290000
24,270000
29,124000
13,371000
26,609000
151,720000
48,240000
41,510000
166,250000
341,900000
227,940000
34,650000
40,220000
5.418,990000
1,876083
0,000000
0,000000
544,552000
1.044,810000
0,000000
0,000000
60,418000
221,080000
0,000000
0,000000
94,486000
0,000000
3,846000
0,000000
0,000000
3,236000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
L01CD01
L01CD01
L01CD01
L01CD01
L01CD01
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
160 W52212003
161 W52212002
162 W52212004
163 W54978002
164 W43372003
165 W55670001
166 W55671001
167 W59128001
168 W59128004
169 W59128002
170 W55307003
171 W57028001
172 W59128003
173 W57028016
174 W55307005
175 W55307001
176 W57028007
177 W57271001
178 W59570001
179 W55044001
180 W59877002
181 W61077003
Grupa
terapeutica
L01CD01
Cod CIM
159 W54068007
Nr.crt
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
PACLITAXELUM**
Denumire generica
st
at
TOLNEXA 20 mg/ml
TAXOTERE 20 mg/1ml
in
De
EBEWE PHARMA
GES.M.B.H. NFG KG
fo
CONC. PT.
SOL.
PERF.
20mg/ml
CONC. PT.
SOL.
PERF.
20mg/ml
ii
oa
rs
lo
r
PR
ROMAN
IA
CUTIE CU 1 FLAC. UNIDOZA X 7 ML CONC. PT. SOL. PERF.
PR
PR
FRANT
A
CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF.
PR
MAREA
BRITAN CUTIE CU 1 FL DIN STICLA INCOLORA X 6 ML CONCENTRAT
IE
PENTRU SOL. PERFUZABILA
S/
PRF
PRF
/R
cant/a
mbala
j
fi
zi
ce
AUSTRI CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL.
A
PERF.
ne
PR
PRF
/R
S/
PRF
PRF
/R
MAREA
S/
BRITAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16 ML CONC. PT. SOL. PIE
PERF.
RF
pe
MAREA
BRITAN CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 13 ML CONC.
IE
PT. SOL. PERF.
ar
MAREA
BRITAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL.
IE
PERF.
HOSPIRA UK LTD
CONC. PT.
SOL.
20 mg/1 FRESENIUS KABI
PERF.
ml
ONCOLOGY PLC
CONC. PT.
SOL.
PERF.
20mg/1ml AVENTIS PHARMA SA
PR
MAREA
BRITAN CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 8 ML CONC. PT.
IE
SOL. PERF.
PR
MAREA
BRITAN CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 20 ML CONC.
IE
PT. SOL. PERF.
EBEWE PHARMA
GES.M.B.H. NFG KG
160 mg/8
ml
AVENTIS PHARMA SA
10mg/ml
10mg/ml
MAREA
BRITAN CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 2 ML CONC. PT.
IE
SOL. PERF.
PR
MAREA
BRITAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL.
IE
PERF.
HOSPIRA UK LTD
CONC. PT.
SOL.
PERF.
10mg/ml
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
EBEWE PHARMA
GES.M.B.H. NFG KG
PFIZER EUROPE MA
EEIG
EBEWE PHARMA
GES.M.B.H. NFG KG
HOSPIRA UK LTD
CONC. PT.
SOL.
PERF.
10mg/ml
CONC. PT.
SOL.
PERF.
10mg/ml
CONC. PT.
SOL.
PERF.
10mg/ml
CONC. PT.
SOL.
PERF.
10mg/ml
rm
PFIZER EUROPE MA
EEIG
CONC. PT.
SOL.
PERF.
10mg/ml
us
in
PFIZER EUROPE MA
EEIG
CONC. PT.
SOL.
PERF.
10mg/ml
iv
PFIZER EUROPE MA
EEIG
Ambalaj
Prescriptie
Tara
ROMAN
ACTAVIS S.R.L.
IA
REPUB
LICA
ARCHIE SAMUEL S.R.O. CEHA
ACTAVIS S.R.L.
ACTAVIS S.R.L.
FRESENIUS KABI
ROMANIA SRL
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
6mg/ml
Firma
CONC. PT.
SOL.
PERF.
10mg/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. +
SOLV. PT.
SOL.
PERF.
CONC. +
SOLV. PT.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
SINDAXEL
SINDAXEL
SINDAXEL
Denumire comerciala
914,280000
185,136000
58,116000
892,210000
559,800000
185,136000
48,430000
466,500000
559,800000
1.636,040000
58,116000
154,280000
185,136000
2.500,840000
58,116000
185,136000
58,116000
98,784000
69,144000
194,040000
69,144000
98,784000
82,320000
Pret cu ridicata
maximal de
decontare / U.T.
1.034,720000
226,008000
76,008000
1.010,660000
655,968000
226,008000
63,340000
546,640000
655,968000
1.821,440000
76,008000
188,340000
226,008000
2.764,070000
76,008000
226,008000
76,008000
124,908000
87,432000
236,880000
87,432000
124,908000
104,090000
0,000000
58,602000
146,752000
0,000000
1.109,592000
262,112000
0,000000
0,000000
525,052000
0,000000
46,802000
0,000000
856,342000
0,000000
255,792000
1.359,682000
373,462000
157,092000
353,188000
144,960000
45,228000
544,672000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CD02
L01CX01
L01CX01
L01DA01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
L01DB01
183 W59877001
184 W59573001
185 W59826001
186 W55902002
187 W55902001
188 W59877003
189 W55045001
190 W52365001
191 W52366001
192 W59712001
193 W42736001
194 W58281001
195 W58172003
196 W58172005
197 W42736002
198 W58172006
199 W58172007
200 W58172008
201 W60643001
202 W60643002
203 W60643003
204 W58172001
205 W57533002
206 W57533003
Grupa
terapeutica
L01CD02
Cod CIM
182 W55902003
Nr.crt
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DACTINOMICINUM 4)
TRABECTEDINUM****
TRABECTEDINUM****
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
DOCETAXELUM**
Denumire generica
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml
DHARUXO 2 mg/ml
CAELYX 2 mg/ml
YONDELIS 1mg
YONDELIS 0,25mg
at
in
TAXOTERE 80 mg/4ml
TOLNEXA 20 mg/ml
st
De
TOLNEXA 20 mg/ml
Denumire comerciala
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
rm
ne
lo
r
PR
PR
PR
1
ACTAVIS GROUP PTC
EHF.
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
1
ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL.
NEOLA PHARMA S.R.L. IA
PERF.
PR
PR
PR
cant/a
mbala
j
fi
zi
ce
ISLAND CUTIE CU 1 FLAC. A 100 ML CONC. PT. SOL. PERF. CARE
A
CONTINE 200 MG DOXORUBICINA
S
ISLAND CUTIE CU 1 FLAC. A 50 ML CONC. PT. SOL. PERF. CARE CONTINE
A
100 MG DOXORUBICINA
PR
oa
EBEWE PHARMA
GES.M.B.H. NFG KG
rs
pe
ii
JANSSEN CILAG
INTERNATIONALL NV
fo
ar
2mg/ml
in
EBEWE PHARMA
GES.M.B.H. NFG KG
CN UNIFARM S.A.
S
PR
500mcg
1mg
PR
PR
iv
FRANT
A
CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF.
PR
PR
20mg/ml
PR
PR
PR
PR
Prescriptie
0,25mg
us
cl
ex
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
PULB.
PT.CONC.
PT.SOL.
PERF.
PULB.
PT.CONC.
PT.SOL.
PERF.
PULB. PT.
SOL. INJ.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
MAREA
BRITAN CUTIE CU 1 FL DIN STICLA INCOLORA X 4 ML CONCENTRAT CE
IE
CONTINE 80 MG DOCETAXEL
FRESENIUS KABI
ONCOLOGY PLC
FRESENIUS KABI
ONCOLOGY PLC
CONC. PT.
SOL.
PERF.
20mg/ml
Ambalaj
Tara
MAREA
BRITAN CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU
IE
SOLUTIE PERFUZABILA X 20MG DOCETAXEL
CONC. PT.
SOL.
PERF.
20mg/ml
CONC. PT.
SOL.
PERF.
20mg/ml
CONC. PT.
SOL.
PERF.
20mg/ml
CONC. PT.
SOL.
PERF.
20mg/ml
Firma
CONC. PT.
SOL.
PERF.
20mg/ml
Forma
Concentr
farmaceuti
atie / U.T.
ca
57,456000
36,280000
11,484000
57,456000
43,536000
11,484000
265,470000
271,400000
132,740000
47,880000
57,456000
43,536000
1.424,810000
9,570000
350,000000
7.298,630000
1.893,750000
185,136000
559,800000
58,116000
154,630000
58,116000
185,136000
52,400000
1.084,200000
Pret cu ridicata
maximal de
decontare / U.T.
75,156000
47,450000
15,528000
75,156000
56,940000
15,528000
324,090000
331,320000
162,050000
62,630000
75,156000
56,940000
1.591,200000
12,940000
419,650000
7.993,670000
2.102,340000
226,008000
655,968000
76,008000
188,770000
76,008000
226,008000
66,260000
1.219,930000
41,904000
0,000000
3,052000
52,824000
29,940000
21,672000
0,000000
0,000000
0,000000
0,000000
10,294000
24,830000
0,000000
0,000000
0,000000
0,000000
0,000000
569,692000
2,252000
19,812000
0,000000
48,742000
258,202000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB03
L01DB06
L01DB06
L01DB07
L01DC01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
215 W60072002
216 W53325002
217 W53325003
218 W53325004
219 W53325005
220 W60072005
221 W60072001
222 W53860004
223 W53860005
224 W53860001
225 W60072003
226 W53860002
227 W03575001
228 W03581001
229 W42735002
230 W58249002
231 W56664003
232 W56664001
233 W56664002
234 W56665002
235 W56665003
L01DB03
212 W53860003
L01DB03
L01DB03
211 W52208001
L01DB03
L01DB03
210 W52209001
213 W60072004
L01DB01
209 W52903002
214 W53325001
L01DB01
208 W52903001
Grupa
terapeutica
L01DB01
Cod CIM
207 W60636001
Nr.crt
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
BLEOMYCINUM SULFAS
MITOXANTRONUM**
IDARUBICINUM
IDARUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
EPIRUBICINUM
DOXORUBICINUM
DOXORUBICINUM
DOXORUBICINUM
Denumire generica
in
at
PLATOSIN 1 mg/ml
PLATOSIN 1 mg/ml
ONKOTRONE
ZAVEDOS 5 mg
ZAVEDOS
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
ECCLEPIA 2 mg/ml
st
De
EPISINDAN 50 mg
EPISINDAN 10 mg
SINDROXOCIN 2mg/ml
SINDROXOCIN 2mg/ml
MYOCET 50mg
Denumire comerciala
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg
PULB. PT.
SOL. INJ.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
PFIZER EUROPE MA
EEIG
BAXTER ONCOLOGY
GMBH
PFIZER EUROPE MA
EEIG
rm
fo
in
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
TEVA
PHARMACEUTICAL
S.R.L.
15000UI
ne
lo
r
PRF
PR
PR
PR
ROMAN CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL.
IA
PERF.
PR
1
ROMAN CUTIE CU 1 FLACON DIN STICLA BRUNA X 20 ML CONC. PT. SOL.
IA
PERF.
ROMAN CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL.
IA
PERF.
PR
fi
zi
ce
MAREA
BRITAN
IE
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.
GERMA
NIA
CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 1 CAPS.
oa
rs
ROMAN
IA
CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ.
pe
ROMAN
IA
CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ.
ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL.
IA
INJ./PERF. X 50 MG EPIRUBICINA
ii
ROMAN
IA
CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ.
ROMAN
IA
CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
cant/a
mbala
j
Ambalaj
Prescriptie
Tara
ar
MEDAC GESELLSCAFT
FUR KLINISCHE
SPEZIALPRPARATE
TEVA
PHARMACEUTICALS
0,5 mg/ml S.R.L.
TEVA
PHARMACEUTICALS
0,5 mg/ml S.R.L.
TEVA
PHARMACEUTICALS
0,5 mg/ml S.R.L.
TEVA
PHARMACEUTICALS
1 mg/ml S.R.L.
TEVA
PHARMACEUTICALS
1 mg/ml S.R.L.
PULB. PT.
SOL. INJ. 5mg
CONC. PT.
SOL. INJ. 2mg/ml
CAPS.
SOL.
INJ./PERF. 2mg/ml
SOL.
INJ./PERF. 2mg/ml
SOL.
INJ./PERF. 2mg/ml
SOL.
INJ./PERF. 2mg/ml
SOL.
INJ./PERF. 2mg/ml
2mg/ml
2mg/ml
2mg/ml
iv
us
cl
ex
50mg
2mg/ml
ACTAVIS S.R.L.
10mg
PULB. PT.
SOL. INJ.
SOL.
INJ./PERF.
SOL.
INJ./PERF.
SOL.
INJ./PERF.
SOL.
INJ./PERF.
SOL.
INJ./PERF.
SOL.
INJ./PERF.
SOL.
INJ./PERF.
SOL.
INJ./PERF.
SOL.
INJ./PERF.
SOL.
INJ./PERF.
ACTAVIS S.R.L
PULB. PT.
SOL. INJ.
ACTAVIS S.R.L
Firma
PULB. +
AMESTC.
PT. CONC.
PT.DISP.LI
POZOM.PT
.PERF
50mg
PULB. PT.
SOL.
PERF.
2mg/ml
PULB. PT.
SOL.
PERF.
2mg/ml
Forma
Concentr
farmaceuti
atie / U.T.
ca
70,460000
20,040000
20,490000
10,350000
24,048000
99,230000
474,870000
109,250000
188,210000
45,450000
105,456000
23,940000
441,160000
328,920000
21,320000
468,636000
390,530000
212,980000
87,880000
45,450000
54,540000
19,950000
255,576000
105,456000
105,456000
23,940000
57,456000
11,484000
1.945,425000
Pret cu ridicata
maximal de
decontare / U.T.
89,090000
27,090000
27,700000
13,990000
32,508000
125,470000
555,760000
133,370000
229,770000
59,450000
133,344000
32,352000
519,010000
396,670000
28,810000
556,596000
463,830000
260,010000
111,120000
59,450000
71,340000
26,960000
312,012000
133,344000
133,344000
32,352000
75,156000
15,528000
2.139,590000
0,000000
0,000000
0,000000
0,000000
15,522000
0,000000
0,000000
0,000000
0,000000
0,000000
31,216000
9,358000
0,000000
0,000000
0,000000
353,124000
0,000000
0,000000
0,000000
0,000000
34,700000
0,000000
11,478000
0,156000
3,176000
25,648000
58,674000
21,362000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
#
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
237 W52187001
238 W01317001
239 W58740001
240 W58740002
241 W58740003
242 W52579003
243 W53000001
244 W53000003
245 W53000002
246 W52579002
247 W58740004
248 W57278002
249 W57278008
250 W57278010
251 W57175001
252 W42983001
253 W42983002
254 W57175002
255 W56696005
256 W42983003
257 W54318002
258 W54318003
259 W56696001
260 W56696002
Grupa
terapeutica
L01XA01
Cod CIM
236 W52187002
Nr.crt
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
Denumire generica
in
ELOXATIN 5mg/ml
ELOXATIN 5mg/ml
ELOXATIN 5mg/ml
at
st
De
SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml
Denumire comerciala
PR
rm
ne
lo
r
FRESENIUS KABI
ONCOLOGY PLC
CONC. PT.
SOL.
PERF.
5mg/ml
SANOFI-AVENTIS
FRANCE
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
FRESENIUS KABI
ONCOLOGY PLC
PR
PR
PR
PR
FRANT
A
CUTIE X 1 FLACON X 200 MG/40 ML CONC. PT. SOL. PERF.
PR
fi
zi
ce
oa
rs
SANOFI-AVENTIS
FRANCE
SANOFI-AVENTIS
FRANCE
PR
PR
PR
pe
EBEWE PHARMA
GES.M.B.H. NFG KG
ii
ar
EBEWE PHARMA
GES.M.B.H. NFG KG
EBEWE PHARMA
GES.M.B.H. NFG KG
PR
in
FRESENIUS KABI
ONCOLOGY PLC
fo
PR
cant/a
mbala
j
AUSTRI
A
CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.
ROMAN
IA
CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF.
Ambalaj
ROMAN
IA
CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.
Tara
Prescriptie
ACTAVIS S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
FRESENIUS KABI
ONCOLOGY PLC
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5 mg/ml
5 mg/ml
5 mg/ml
10mg/ml
10mg/ml
iv
10mg/ml
ACTAVIS S.R.L.
ACTAVIS S.R.L.
FRESENIUS KABI
ONCOLOGY PLC
TEVA
PHARMACEUTICALS
S.R.L.
CONC. PT.
SOL.
PERF.
5mg/ml
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
us
10mg/ml
10mg/ml
10mg/ml
10mg/ml
FRESENIUS KABI
ONCOLOGY PLC
CONC. PT.
SOL.
PERF.
10mg/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.
FRESENIUS KABI
ONCOLOGY PLC
cl
ex
ACTAVIS S.R.L.
ACTAVIS S.R.L.
1mg/1ml
1mg/1ml
Firma
CONC. PT.
SOL.
PERF.
10mg/ml
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
61,720000
32,170000
74,064000
38,604000
148,992000
124,160000
74,064000
74,064000
38,604000
38,604000
148,992000
74,064000
38,604000
181,360000
49,230000
45,350000
134,430000
15,480000
137,790000
136,890000
49,170000
18,576000
24,048000
9,940000
23,940000
Pret cu ridicata
maximal de
decontare / U.T.
78,040000
42,080000
93,648000
50,496000
181,896000
151,580000
93,648000
93,648000
50,496000
50,496000
181,896000
93,648000
50,496000
221,410000
64,390000
59,320000
164,110000
20,920000
168,220000
167,110000
64,310000
25,104000
32,508000
13,440000
32,360000
0,000000
0,000000
3,002000
4,304000
584,504000
0,000000
184,862000
325,002000
163,724000
88,744000
341,064000
184,862000
85,684000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,136000
8,792000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XA03
L01XB01
L01XC02
L01XC02
L01XC03
L01XC03
L01XC06
L01XC07
L01XC07
L01XC10
L01XC10
L01XC10
L01XE01
L01XE01
L01XE01
L01XE01
L01XE01
L01XE01
L01XE01
262 W52195001
263 W52195002
264 W52468003
265 W52468001
266 W52977001
267 W52977002
268 W52468002
269 W59766001
270 W07199001
271 W07200001
272 W07881001
273 W60341001
274 W52549002
275 W42165002
276 W42165001
277 W61692001
278 W61691002
279 W57375001
280 W59679004
281 W06844004
282 W59881004
283 W59827004
284 W59852005
285 W59852011
286 W61215006
Grupa
terapeutica
L01XA03
Cod CIM
261 W57175003
Nr.crt
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
OFATUMUMAB****
OFATUMUMAB****
OFATUMUMAB****
BEVACIZUMABUM****
BEVACIZUMABUM****
CETUXIMABUM****
TRASTUZUMABUM****
TRASTUZUMABUM****
RITUXIMABUM****
RITUXIMABUM****
PROCARBAZINUM 4)
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
OXALIPLATINUM
Denumire generica
in
NEOXELL 100 mg
MEAXIN 100 mg
MEAXIN 100 mg
EGITINID 100 mg
GLIVEC 100 mg
NIBIX 100 mg
ARZERRA 1000mg
ARZERRA 100mg
ARZERRA 1000mg
AVASTIN 25mg/ml
AVASTIN 25mg/ml
ERBITUX 5mg/ml
HERCEPTIN 600mg/5ml
HERCEPTIN 150mg
MABTHERA 500 mg
MABTHERA 100 mg
NATULAN
at
st
De
Denumire comerciala
GERMA
NIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA
STADA ARZNEIMITTEL
AG
rm
fo
ar
pe
CAPS.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
CAPS.
CAPS.
100mg
100mg
100mg
100mg
100mg
100mg
NOVARTIS
EUROPHARM LTD.
EGIS
PHARMACEUTICALS
P.L.C.
ACTAVIS GROUP PTC
EHF.
KRKA, D.D., NOVO
MESTO
KRKA, D.D., NOVO
MESTO
TERAPIA S.A.
CONC. PT.
SOL.
PERF.
20mg/ml
100mg
NOVARTIS
EUROPHARM LTD.
CONC. PT.
SOL.
PERF.
20mg/ml
CAPS.
NOVARTIS
EUROPHARM LTD.
CONC. PT.
SOL.
PERF.
20mg/ml
oa
ne
lo
r
PR
PR
PR
PR
PR
PR
UNGAR
IA
ISLAND
A
SLOVE
NIA
SLOVE
NIA
ROMAN
IA
PR
MAREA
BRITAN
IE
CUTIE X 120 CAPS.
MAREA
BRITAN CUTIE CU 1 FLACON DIN STICLA X 50 ML CONCENTRAT PT. SOL.
IE
PERF. (1000MG OFATUMUMAB)+2 SETURI DE EXTEN
ROMAN
IA
CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS.
fi
zi
ce
MAREA
BRITAN CUTIE CU 3 FLACOANE DIN STICLA X 5 ML CONCENTRAT PT. SOL.
IE
PERF. (100MG OFATUMUMAB)
S
MAREA
BRITAN CUTIE CU 1 FLACON DIN STICLA X 50 ML (20 MG/ML)
IE
CONCENTRAT PT. SOL. PERF. +2 SETURI DE EXTENSIE
rs
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.
CONC. PT.
SOL.
PERF.
25mg/ml
ii
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.
5mg/ml
600mg/5
ml
CONC. PT.
SOL.
PERF.
25mg/ml
SOL. INJ.
SOL.
PERF.
MAREA
ROCHE REGISTRATION BRITAN CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU
LTD.
IE
DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB)
GERMA
MERCK KGAA
NIA
CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF.
PR
120
120
120
120
120
120
120
in
50
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.
iv
us
PR
PR
F
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S
CN UNIFARM S.A.
EBEWE PHARMA
GES.M.B.H. NFG KG
PR
PR
PR
CONC. PT.
SOL.
PERF.
10mg/ml
PULB. PT.
CONC. PT.
SOL.
PERF.
150mg
cl
ex
GERMA
NIA
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA
STADA ARZNEIMITTEL
AG
EBEWE PHARMA
GES.M.B.H. NFG KG
PR
ACTAVIS S.R.L.
EBEWE PHARMA
GES.M.B.H. NFG KG
ACTAVIS S.R.L.
ROMAN
IA
CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF.
cant/a
mbala
j
Ambalaj
ROMAN
IA
CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF.
Tara
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 2 FLACOANE X 10 ML
50 mg
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
5mg/ml
Firma
Prescriptie
CONC. PT.
SOL.
PERF.
10mg/ml
CAPS.
CONC. PT.
SOL.
PERF.
LIOF. PT.
SOL.
PERF.
LIOF. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
30,750000
30,750000
30,750000
25,625000
30,750000
30,750000
30,750000
9.006,440000
911,210000
9.006,440000
1.130,890000
4.372,950000
730,430000
6.199,870000
2.138,340000
4.632,930000
929,765000
13,860000
74,064000
74,064000
38,604000
38,604000
1.668,360000
74,064000
38,604000
148,992000
Pret cu ridicata
maximal de
decontare / U.T.
33,898999
33,898999
33,898999
28,249166
33,898999
33,898999
33,898999
9.855,180000
1.005,936666
9.855,180000
1.270,820000
4.804,670000
834,320000
6.796,020000
2.368,940000
5.088,050000
1.032,520000
15,870400
93,648000
93,648000
50,496000
50,496000
1.856,660000
93,648000
50,496000
181,896000
15,933084
0,001001
0,001001
0,000000
15,933084
42,447751
15,933084
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
773,312000
196,712000
86,434000
418,414000
0,000000
192,092000
84,424000
341,064000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01XE08
L01XE08
L01XE08
310 W56489001
311 W56489002
312 W52708002
L01XE04
302 W43556001
L01XE06
L01XE04
301 W43546001
309 W51770001
L01XE03
300 W42502001
L01XE06
L01XE03
299 W42501001
308 W51769001
L01XE01
298 W59936003
L01XE06
L01XE01
297 W61216006
307 W51768001
L01XE01
296 W59542002
L01XE06
L01XE01
295 W59487003
306 W54613001
L01XE01
294 W59853006
L01XE05
L01XE01
293 W59853002
305 W54280001
L01XE01
292 W59590001
L01XE04
L01XE01
291 W59937006
L01XE05
L01XE01
290 W59589001
303 W43557001
L01XE01
289 W59541007
304 W61565001
L01XE01
288 W59486006
Grupa
terapeutica
L01XE01
Cod CIM
287 W59500004
Nr.crt
NILOTINIBUM****
NILOTINIBUM****
NILOTINIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
DASATINIBUM****
SORAFENIBUM****
SORAFENIBUM****
SUNITINIBUM****
SUNITINIBUM****
SUNITINIBUM****
ERLOTINIBUM****
ERLOTINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
IMATINIBUM****
Denumire generica
TASIGNA
TASIGNA
TASIGNA
SPRYCEL 70mg
SPRYCEL 50mg
SPRYCEL 20mg
SPRYCEL 100mg
NEXAVAR 200 mg
NEXAVAR 200 mg
SUTENT 50 mg
SUTENT 25mg
SUTENT 12,5 mg
TARCEVA 150 mg
TARCEVA 100 mg
NEOXELL 400 mg
NEOXELL 400 mg
at
in
st
IMAKREBIN 400 mg
De
MEAXIN 400 mg
MEAXIN 400 mg
NEOXELL 100 mg
IMAKREBIN 100 mg
Denumire comerciala
100 mg
20 mg
50 mg
70 mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
CAPS.
CAPS.
200mg
150mg
150mg
200mg
COMPR.
FILM.
CAPS.
200mg
50mg
25mg
12,5mg
150mg
iv
100mg
400mg
400mg
400mg
400mg
400mg
400mg
400 mg
100mg
100mg
100mg
100mg
100mg
CAPS.
COMPR.
FILM.
CAPS.
CAPS.
COMPR.
FILM.
us
COMPR.
FILM.
cl
ex
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
Tara
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
fo
in
pe
oa
rs
lo
r
PRF
/R
PRF
/R
PRF
/R
PR
MAREA
BRITAN
IE
CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
MAREA
BRITAN
IE
CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL)
MAREA
BRITAN
IE
4 CUTII X 28 CAPS.(BLIST. PVC/PVDC/AL)
MAREA
BRITAN
IE
4 CUTII X 28 CAPS.(BLIST. PVC/PVDC/AL)
BRISTOL-MYERS
SQUIBB
NOVARTIS
EUROPHARM LTD.
NOVARTIS
EUROPHARM LTD.
NOVARTIS
EUROPHARM LTD.
BRISTOL-MYERS
SQUIBB
112
112
28
60
60
60
30
112
112
30
30
30
30
30
30
30
30
30
30
30
30
120
120
120
120
120
cant/a
mbala
j
fi
zi
ce
PRF
/R
PRF
/R
PR
PRF
/R
PRF
/R
MAREA
BRITAN
IE
CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
ne
MAREA
BRITAN
IE
CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM.
GERMA
NIA
CUTIE X 4 BLIST. AL/PP X 28 COMPR.FILM.
ii
PRF
/R
MAREA
BRITAN
IE
CUTIE X 1 FLACON DIN PEID X 30 CAPS.
GERMA
NIA
CUTIE X 4 BLIST. PP/ AL X 28 COMPR.FILM.
ar
PRF
/R
MAREA
BRITAN
IE
CUTIE X 1 FLACON DIN PEID X 30 CAPS.
MAREA
BRITAN
IE
CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.
BRISTOL-MYERS
SQUIBB
BRISTOL-MYERS
SQUIBB
BAYER SCHERING
PHARMA AG
BAYER PHARMA AG
PFIZER LIMITED
PFIZER LIMITED
rm
PFIZER LIMITED
PRF
/R
MAREA
BRITAN
IE
CUTIE X 1 FLACON DIN PEID X 30 CAPS.
PRF
/R
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)
PR
PRF
/R
Ambalaj
Prescriptie
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 30 COMPR. FILM., (BLIST. AL/PVC)
ZENTIVA, K.S.
REPUB
LICA
CEHA
LUXEM
ALVOGEN IPCO S.AR.L. BURG
GLENMARK
REPUB
PHARMACEUTICALS
LICA
S.R.O.
CEHA
OLAND
TEVA PHARMA B.V.
A
ROMASTRU TRADING ROMAN
SRL
IA
OLAND
TEVA PHARMA B.V.
A
KRKA, D.D., NOVO
SLOVE
MESTO
NIA
KRKA, D.D., NOVO
SLOVE
MESTO
NIA
LUXEM
ALVOGEN IPCO S.AR.L. BURG
GLENMARK
REPUB
PHARMACEUTICALS
LICA
S.R.O.
CEHA
ROMAN
NEOLA PHARMA SRL
IA
ROMASTRU TRADING ROMAN
SRL
IA
Firma
113,242142
84,998660
85,802142
211,415666
211,415666
91,303500
448,689333
114,015089
114,015089
602,737666
302,400666
151,764333
240,123000
194,839000
167,100000
167,100000
167,100000
155,119333
139,250000
139,250000
167,100000
30,750000
30,750000
30,750000
30,750000
30,750000
Pret cu ridicata
maximal de
decontare / U.T.
123,774732
92,989285
94,887142
231,079166
231,079166
100,156833
490,343666
124,617232
124,617232
658,256666
330,889000
166,695000
263,006000
213,646333
183,665200
183,665200
183,665200
170,352000
153,054333
153,054333
183,665200
33,898999
33,898999
33,898999
33,898999
33,898999
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
16,239800
16,239800
16,239800
0,000000
0,000000
0,000000
16,239800
15,933084
14,289501
15,933084
8,689001
0,000001
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01XE09
L01XE18
L01XE18
L01XE18
L01XX05
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX17
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX19
L01XX23
314 W61483001
315 W59310001
316 W59311001
317 W59309001
318 W03542001
319 W61694001
320 W53177001
321 W54750001
322 W56261007
323 W54751001
324 W57231001
325 W56744001
326 W57232001
327 W54854002
328 W55816021
329 W52206001
330 W52206002
331 W55816015
332 W58369002
333 W52206003
334 W52206004
335 W51535001
Grupa
terapeutica
L01XE08
Cod CIM
313 W52708003
Nr.crt
MITOTANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
IRINOTECANUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
TOPOTECAMUM
HYDROXYCARBAMIDUM
RUXOLITINIBUM****
RUXOLITINIBUM****
RUXOLITINIBUM****
TEMSIROLIMUSUM
NILOTINIBUM****
Denumire generica
st
at
in
LYSODREN 500mg
IRINOTESIN 20mg/ml
IRINOTESIN 20mg/ml
IRINOTESIN 20mg/ml
IRINOTESIN 20mg/ml
TOPOTECAN ATB 4 mg
POTACTASOL 4mg
TOPOTECAN ATB 1 mg
HYCAMTIN 1 mg
HYCAMTIN 1 mg
HYDREA
JAKAVI
De
JAKAVI
JAKAVI
TORISEL 30mg
TASIGNA
Denumire comerciala
1mg/1ml
1mg
1mg
500mg
5 mg
20 mg
15 mg
30mg
200mg
COMPR.
PR
PRF
NOVARTIS
EUROPHARM LTD.
BRISTOL MYERS
SQUIBB KFT
ANTIBIOTICE S.A.
20mg/ml
4mg
500mg
20mg/ml
20mg/ml
20mg/ml
20mg/ml
lo
r
FRANT
A
CUTIE X 1 FLAC. DIN PEID X 100 COMPR.
ACTAVIS S.R.L.
ROMAN
IA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ.
LABORATOIRE HRA
PHARMA
PR
S
PRF
/R
ROMAN
IA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ.
CUTIE X 1 FLACON DIN STICLA BRUNA, CU DOP DIN CAUCIUC
FARA PLASTIC DE PROTECTIE TIP "ONCO-SAFE", A 5ML
AUSTRI CONCENTRAT PENTRU SOLUTIE PERFUZABILA CARE CONTINE
A
100MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML
ROMAN X 5 ML CONC. PT. SOL. PERF. INCHIS CU DOP DIN CAUCIUC SI
IA
SIGILAT CU CAPSA DIN AL TIP FLIP-OFF
fi
zi
ce
ROMAN
IA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ.
ACTAVIS S.R.L.
ANTIBIOTICE S.A.
EBEWE PHARMA
GES.M.B.H. NFG KG
ACTAVIS S.R.L.
ACTAVIS S.R.L.
EBEWE PHARMA
GES.M.B.H. NFG KG
oa
ne
100
rs
pe
10
PR
PR
PRF
/R
PRF
PRF
/R
10
100
60
60
60
28
cant/a
mbala
j
PR
ii
ar
STADA ARZNEIMITTEL
AG
ANTIBIOTICE S.A.
rm
fo
EBEWE PHARMA
GES.M.B.H. NFG KG
OLAND
A
CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML
OLAND
A
CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML
1mg
4mg
MAREA
BRITAN
IE
CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS.
MAREA
SMITHKLINE BEECHAM BRITAN
PLC
IE
CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS.
NOVARTIS
EUROPHARM LTD.
in
CONC. PT.
SOL.
PERF.
20mg/ml
CONC. PT.
SOL.
PERF.
20mg/ml
CONC. PT.
SOL.
PERF.
20mg/ml
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
PR
MAREA
BRITAN
IE
UNGAR
IA
NOVARTIS
EUROPHARM LTD.
PRF
PR
NOVARTIS
EUROPHARM LTD.
PFIZER LIMITED
NOVARTIS
EUROPHARM LTD.
PR
Ambalaj
MAREA
BRITAN CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8
IE
SOLVENT
Tara
Prescriptie
MAREA
BRITAN
IE
CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL)
Firma
4mg/4ml
1mg/ml
iv
us
CAPS.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
PULB. PT.
CONC. PT.
SOL.
PERF.
PULB. PT.
CONC. PT.
SOL.
PERF.
PULB. PT.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
cl
ex
CAPS.
CAPS.
COMPR.
COMPR.
COMPR.
CAPS.
CONC. +
SOLV. PT.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
21,756200
325,716000
518,170000
105,840000
88,200000
105,840000
43,430000
271,430000
105,840000
177,204000
147,670000
176,650000
177,204000
177,204000
173,250000
112,482000
112,482000
0,681700
138,219666
275,400833
275,400833
3.116,840000
114,046071
Pret cu ridicata
maximal de
decontare / U.T.
24,095800
397,632000
602,960000
133,824000
111,520000
130,250000
56,810000
331,360000
133,824000
216,324000
180,270000
215,650000
216,324000
216,324000
211,500000
126,421000
126,421000
0,861900
151,295500
300,823166
300,823166
3.435,510000
125,672857
0,000000
205,328000
0,000000
84,676000
0,000000
0,000000
0,000000
0,000000
55,626000
98,216000
0,000000
0,000000
98,216000
98,216000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L02AB01
L02AE02
L02AE02
L02AE02
L02AE02
L02AE02
L02AE03
L02AE03
L02AE04
L02AE04
L02AE04
L02AE04
L02BA01
L02BA03
L02BB01
L02BB01
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
L02BB03
337 W52184001
338 W43179004
339 W52321002
340 W43178003
341 W60959002
342 W60960002
343 W10731001
344 W10173001
345 W55725001
346 W55726001
347 W55727001
348 W58059002
349 W53654002
350 W51514001
351 W03217002
352 W52204001
353 W61109001
354 W53572001
355 W12048001
356 W54719007
357 W58040001
358 W55157001
359 W58725009
360 W56707002
Grupa
terapeutica
L01XX32
Cod CIM
336 W42249001
Nr.crt
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
FLUTAMIDUM
FLUTAMIDUM
FULVESTRANTUM**
TAMOXIFENUM
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
TRIPTORELINUM**
GOSERELINUM**
GOSERELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
LEUPRORELINUM**
MEGESTROLUM
BORTEZOMIBUM****
Denumire generica
st
ZOLADEX LA 10,8 mg
BICALUTAMIDA KABI 50 mg
BICALUTAMIDA RANBAXY 50 mg
YONISTIB 150 mg
CASODEX 150 mg
YONISTIB 150 mg
FLUTASIN 250 mg
FLUTAN
FASLODEX 250mg
TAMOXIFEN SANDOZ 10 mg
DIPHERELINE 3,75 mg
DIPHERELINE PR 11,25 mg
DIPHERELINE 0,1 mg
ZOLADEX (R)
at
in
De
ELIGARD 7,5 mg
ELIGARD 45 mg
ELIGARD 22,5 mg
MEGESIN 160 mg
VELCADE 3,5 mg
Denumire comerciala
3,6mg
10,8 mg
rm
COMPR.
150mg
50 mg
50 mg
COMPR.
FILM.
COMPR.
FILM.
150mg
150mg
150mg
150mg
150mg
250mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
COMPR.
FILM.
COMPR.
FILM.
FRESENIUS KABI
ONCOLOGY PLC
RANBAXY (U.K.)
LIMITED
SANDOZ S.R.L.
ALVOGEN ROMANIA
S.R.L.
ROMASTRU TRADING
S.R.L.
ASTRAZENECA UK
LTD.
pe
oa
rs
ne
P6
L
MAREA
BRITAN
IE
CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM.
P6L
P6L
P6
L
P6L
P6
L
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. PEID CU CAPAC PP X 28 COMPR.FILM.
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
PRF
PRF
PRF
P6L
P6L
fi
zi
ce
CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.
lo
r
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC
ii
CIPRU
ROMAN
IA
ROMAN
NEOLA PHARMA S.R.L. IA
ROMAN
TERAPIA SA
IA
ACTAVIS S.R.L.
MEDOCHEMIE LTD.
ASTRAZENECA UK
LTD.
250mg/5
ml
250mg
HEXAL AG
10mg
SOL. INJ.
COMPR.
FILM.
IPSEN PHARMA
ar
in
IPSEN PHARMA
fo
IPSEN PHARMA
S/
PRF
S/
PRF
FRANT
A
CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.
ASTRAZENECA UK
LTD.
MAREA
BRITAN
IE
CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG
ASTRAZENECA UK
LTD.
SOL. INJ.
3,75mg
11,25mg
0,1mg
iv
us
IMPLANT
LIOF. +
SOLV. PT.
SOL. INJ.
PULB. +
SOLV. PT.
SUSP. INJ.
CU ELIB.
PREL.
PULB. +
SOLV. PT.
SUSP. INJ.
CU ELIB.
PREL.
IMPLANT
cl
ex
MAREA
BRITAN CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU
IE
10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT
PR
/P
RF
PR
/P
RF
ABBVIE
FARMACEUTICA S.L.U.
PULB. PT.
SUSP. INJ.
CU ELIB.
PREL.
3,75mg
ASTELLAS PHARMA
EUROPE BV
ASTELLAS PHARMA
EUROPE BV
ACTAVIS S.R.L.
PRF
/R
PRF
28
28
28
28
30
28
28
28
30
100
100
28
30
cant/a
mbala
j
ASTELLAS PHARMA
EUROPE BV
Ambalaj
Tara
Prescriptie
JANSSEN-CILAG
INTERNATIONAL NV
ABBVIE
FARMACEUTICA S.L.U.
7,5mg
45mg
22,5mg
160mg
3,5mg
Firma
PULB. PT.
SUSP. INJ.
CU ELIB.
PREL.
11,25mg
COMPR.
PULB+SOL
V.PT.SOL.I
NJ
PULB+SOL
V.PT.SOL.I
NJ
PULB+SOL
V.PT.SOL.I
NJ
PULB. PT.
SOL. INJ.
Forma
Concentr
farmaceuti
atie / U.T.
ca
2,910714
2,910714
8,576071
8,576071
8,576000
10,291200
8,576071
8,576071
0,927666
1,113199
1.090,780000
0,397800
12,984000
306,070000
778,650000
10,820000
248,330000
782,140000
202,270000
543,600000
267,520000
1.542,370000
762,710000
2,838000
3.942,570000
Pret cu ridicata
maximal de
decontare / U.T.
3,680357
3,680357
10,469642
10,469642
10,469666
12,563570
10,469642
10,469642
1,213333
1,443500
1.227,100000
0,520300
16,417714
371,770000
886,880000
13,681428
303,160000
890,680000
246,930000
630,670000
326,590000
1.719,340000
869,510000
3,588333
4.335,560000
0,000000
0,000000
0,000000
0,000000
0,000000
3,040715
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
5,755143
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
L02BG03
371 W53245005
372 W00468001
373 W57886001
374 W53147007
375 W53147005
376 W53147006
377 W53266010
L02BG03
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
L02BG04
387 W53147008
388 W56632005
389 W56911001
390 W59547004
391 W55787007
392 W53124002
393 W51409001
L02BG03
L02BG03
384 W53147004
L02BG03
L02BG03
383 W53147001
385 W53266005
L02BG03
382 W53147003
386 W56262002
L02BG03
L02BG03
380 W58828003
381 W53147002
L02BG03
L02BG03
370 W61107001
L02BG03
L02BG03
369 W56083001
378 W56267005
L02BB03
368 W53339003
379 W55859001
L02BB03
L02BB03
365 W10174001
L02BB03
L02BB03
364 W54851001
366 W58039001
L02BB03
363 W61108001
367 W55156001
L02BB03
362 W56520001
Grupa
terapeutica
L02BB03
Cod CIM
361 W58725001
Nr.crt
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
ANASTROZOLUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
BICALUTAMIDUM
Denumire generica
at
in
FEMARA 2,5 mg
ELOZORA 2,5 mg
LORTANDA 2,5 mg
ANASTROZOL TERAPIA 1 mg
OZOLAN 1 mg
EGISTROZOL 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ELOZA 1 mg
KYARESTA 1 mg
ANASTROZOL TEVA 1 mg
EGISTROZOL 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL TERAPIA 1 mg
ANASTROZOL KABI 1 mg
ARIMIDEX 1 mg
ENZAMIDEX 1mg
KYARESTA 1 mg
ANASTROZOL ATB 1 mg
st
BICALUTAMIDA SANDOZ 50 mg
De
YONISTIB 50 mg
BICALUTAMIDA ALVOGEN 50 mg
CASODEX 50 mg
CALUMID
YONISTIB 50 mg
BICALUTAMIDA ATB 50 mg
BICALUTAMIDA RANBAXY 50 mg
Denumire comerciala
1mg
1mg
2,5mg
COMPR.
FILM.
COMPR.
FILM.
2,5mg
COMPR.
FILM.
2,5mg
2,5mg
2,5mg
2,5 mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
1mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
1mg
1mg
1mg
COMPR.
FILM.
1mg
iv
1mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
us
COMPR.
FILM.
1mg
COMPR.
FILM.
cl
ex
1mg
1mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50 mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
Tara
Ambalaj
rm
ROMAN
IA
ROMAN
IA
REPUB
LICA
CEHA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
oa
ne
lo
r
PR
30
P6L
P6L
30
30
30
30
30
300
28
P6L
30
50
20
30
28
30
28
30
90
PR
P6L
P6
L
P6
L
P6
L
P6
L
P6
L
P6
L
P6
L
P6
L
P6
L
P6L
P6L
98
84
100
14
28
30
28
30
30
28
28
28
30
28
30
28
cant/a
mbala
j
fi
zi
ce
CUTIE CU, BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM.
rs
pe
ii
UNGAR
IA
CUTIE CU, BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM.
ar
P6
L
P6
L
P6
L
P6
L
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
P6L
UNGAR
IA
LUXEM
ALVOGEN IPCO S.A.R.L BURG
ROMAN
TERAPIA SA
IA
ROMAN
TERAPIA S.A.
IA
ROMAN
ANTIBIOTICE S.A.
IA
KRKA, D.D., NOVO
SLOVE
MESTO
NIA
TEVA
ROMAN
PHARMACEUTICALS
S.R.L.
IA
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
NOVARTIS PHARMA
GERMA
GMBH
NIA
TERAPIA SA
EGIS
PHARMACEUTICALS
P.L.C.
TERAPIA SA
TERAPIA SA
TERAPIA SA
TERAPIA SA
EGIS
PHARMACEUTICALS
P.L.C.
TEVA
PHARMACEUTICALS
S.R.L.
ROMASTRU TRADING
SRL
GLENMARK
PHARMACEUTICALS
S.R.O.
fo
in
TERAPIA SA
TERAPIA SA
FRESENIUS KABI
ONCOLOGY PLC
ASTRAZENECA UK
LTD.
PR
P6L
P6
L
P6L
P6L
P6L
P6L
PR
P6L
P6L
P6
L
Prescriptie
MAREA
BRITAN
IE
CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.
LANNACHER
AUSTRI
HEILMITTEL GES.M.B.H. A
CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.
MAREA
ASTRAZENECA UK
BRITAN
LTD.
IE
ALVOGEN ROMANIA
ROMAN
S.R.L.
IA
ROMASTRU TRADING ROMAN
S.R.L.
IA
ROMAN
SANDOZ S.R.L.
IA
ROMAN
ANTIBIOTICE S.A.
IA
ROMAN
NEOLA PHARMA S.R.L. IA
RANBAXY (U.K.)
LIMITED
MAREA
BRITAN
IE
ROMAN
ANTIBIOTICE S.A.
IA
ROMAN
NEOLA PHARMA S.R.L. IA
GEDEON RICHTER
ROMAN
ROMANIA SA
IA
Firma
2,271960
1,928000
1,928000
1,928000
1,928000
1,928000
1,315999
1,315999
1,315999
1,315999
1,315999
1,315999
1,315999
1,096666
1,315999
1,315999
1,315999
1,315999
1,315999
1,315999
1,315999
1,315999
1,315999
1,315999
1,315999
2,911000
2,910714
2,910714
3,492400
2,910333
2,910714
2,911000
2,910714
Pret cu ridicata
maximal de
decontare / U.T.
2,773680
2,437666
2,437666
2,437666
2,437666
2,437666
1,721200
1,721200
1,721200
1,721200
1,721200
1,721200
1,721200
1,434333
1,721200
1,721200
1,721200
1,721200
1,721200
1,721200
1,721200
1,721200
1,721200
1,721200
1,721200
3,680666
3,680357
3,680357
4,416000
3,680000
3,680357
3,680666
3,680357
0,976320
0,000000
0,000000
0,000000
0,000000
0,000000
0,547433
0,919514
0,919466
0,828200
1,058800
0,919466
0,919514
0,000000
0,919514
0,000133
0,782800
0,782677
0,782966
0,782700
1,058800
2,341657
0,919466
0,919514
0,919466
0,000000
0,000000
0,000000
0,953642
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L03AB05
422 W59599002
L03AA13
418 W51563003
L03AB04
L03AA02
417 W55758002
421 W51329001
L03AA02
416 W53523001
L03AA13
L03AA02
415 W55757002
L03AB04
L03AA02
414 W53520001
419 W51563001
L03AA02
413 W53893001
420 W51327001
L03AA02
L02BG06
406 W56479002
412 W53892001
L02BG06
405 W57409002
L02BG06
L02BG06
404 W57409001
411 W08074001
L02BG06
403 W55664004
L02BG06
L02BG06
402 W61219002
410 W59268003
L02BG06
401 W61219001
L02BG06
L02BG04
400 W56502003
409 W57021003
L02BG04
399 W55449003
L02BG06
L02BG04
398 W53743003
L02BG06
L02BG04
397 W57606001
407 W55874002
L02BG04
396 W58106004
408 W57687007
L02BG04
395 W55646003
Grupa
terapeutica
L02BG04
Cod CIM
394 W55367002
Nr.crt
PEGFILGRASTIMUM***
PEGFILGRASTIMUM***
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
EXEMESTANUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
LETROZOLUM
Denumire generica
ROFERON A
ROFERON A
NEULASTA 6mg
NEULASTA 6mg
NIVESTIM 48 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 30MUI/0,5ml
ZARZIO 48MU/0,5ml
ZARZIO 30MU/0,5ml
AROMASIN 25 mg
ESCEPRAN 25 mg
EXEMESTAN TERAPIA 25 mg
INPLAVIA 25 mg
EXEMESTAN ALVOGEN 25 mg
XANEPRA 25 mg
XANEPRA 25 mg
at
in
EXEMESTAN TEVA 25 mg
XANEPRA 25 mg
st
XANEPRA 25 mg
De
LEZRA 2,5 mg
ETRUZIL 2,5 mg
TROZEL 2,5 mg
ZEQUIPRA 2,5 mg
Denumire comerciala
25mg
25mg
25mg
25mg
iv
25mg
25mg
25mg
25mg
25mg
25mg
2,5mg
2,5mg
Tara
Ambalaj
rm
fo
in
oa
ne
PRF
/R
S/
PRF
/R
MAREA
SOL.
480g/0,5
BRITAN
INJ./PERF. ml
HOSPIRA UK LIMITED
IE
OLAND
SOL. INJ. 6 mg
AMGEN EUROPE B.V.
A
OLAND
SOL. INJ. 6mg
AMGEN EUROPE B.V.
A
3Mui/0,5
ROMAN
SOL. INJ. ml
ROCHE ROMANIA S.R.L. IA
9Mui/0,5
ROMAN
SOL. INJ. ml
ROCHE ROMANIA S.R.L. IA
SOL. INJ.
MAREA
PEN
18
MULTIDOZ milioane MERCK SHARP &
BRITAN
IE
A
U.I.
DOHME
PRF
/R
PR
PR
fi
zi
ce
MAREA
SOL.
300g/0,5
BRITAN CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PINJ./PERF. ml
HOSPIRA UK LIMITED
IE
PERF.
RF
S/
PSOL.
480mcg/0
GERMA
RF
INJ./PERF. ,8ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. /R
SOL.
300mcg/0
GERMA
INJ./PERF. ,5ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
lo
r
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
rs
pe
PRF
/R
ii
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
30
30
30
30
30
30
30
30
30
PRF
PR
F
PR
F
PRF
PRF
PR
F
PR
F
PRF
30
30
100
30
30
10
30
30
30
cant/a
mbala
j
PRF
P6L
P6L
P6
L
PR
F
PR
F
P6
L
P6L
P6L
P6L
Prescriptie
MAREA
BRITAN
IE
CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ.
ar
UNGAR
IA
ISLAND
A
GERMA
NIA
ROMAN
NEOLA PHARMA S.R.L. IA
ROMAN
NEOLA PHARMA S.R.L. IA
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
ROMASTRU TRADING ROMAN
S.R.L.
IA
ROMASTRU TRADING ROMAN
S.R.L.
IA
LUXEM
ALVOGEN IPCO S.A.R.L BURG
GLENMARK
REPUB
PHARMACEUTICALS
LICA
S.R.O.
CEHA
DR. REDDY'S
ROMAN
LABORATORIES
IA
ROMAN
TERAPIA S.A.
IA
KRKA D.D. NOVO
SLOVE
MESTO
NIA
FRESENIUS KABI
ONCOLOGY PLC
EGIS
PHARMACEUTICALS
P.L.C.
ACTAVIS GROUP PTC
EHF.
STADA ARZNEIMITTEL
AG
MAREA
BRITAN
IE
CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.
ROMAN
IA
CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM.
LUXEM
ALVOGEN IPCO S.A.R.L BURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
GLENMARK
REPUB
PHARMACEUTICALS
LICA
S.R.O.
CEHA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.
ROMASTRU TRADING
S.R.L.
Firma
PFIZER EUROPE MA
DRAJ.
25mg
EEIG
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
60MU/ml SANDOZ GMBH
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
96MU/ml SANDOZ GMBH
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
us
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
cl
ex
2,5mg
COMPR.
FILM.
2,5mg
2,5mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
2,5mg
2,5mg
COMPR.
FILM.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
323,080000
146,130000
69,150000
3.242,710000
3.112,790000
142,358000
167,472000
90,430000
105,228000
139,560000
87,690000
2,778000
2,315000
2,778000
2,778000
2,778000
2,777666
2,778000
2,778000
2,778000
2,778000
2,778000
1,893300
1,928000
1,928000
1,962000
1,928000
1,928000
1,928000
Pret cu ridicata
maximal de
decontare / U.T.
390,310000
178,400000
87,430000
3.572,710000
3.431,100000
162,800000
195,360000
106,198000
127,437600
170,380000
110,870000
3,512400
2,927000
3,512400
3,512400
3,512400
3,512000
3,512400
3,512400
3,512400
3,512400
3,512400
2,311400
2,437666
2,437666
2,652000
2,437666
2,437666
2,437666
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
72,090000
0,000000
34,512400
0,000000
0,000000
4,805266
0,000000
1,893933
1,893933
0,036266
0,000000
0,036266
0,036266
0,036266
0,036266
0,036266
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA06
M05BA08
M05BA08
M05BA08
M05BA08
M05BA08
M05BA08
M05BA08
436 W59829025
437 W57712001
438 W58937001
439 W56933001
440 W41498001
441 W58886001
442 W59090002
443 W59136001
444 W60989001
445 W59840001
446 W59191004
447 W59914001
M05BA03
431 W57925001
435 W56932004
M05BA03
430 W57926001
M05BA06
M05BA03
429 W07918001
434 W41499001
M05BA03
428 W58123007
M05BA06
M05BA03
427 W58123006
M05BA06
M05BA03
426 W58123005
432 W57730004
M05BA02
425 W52199001
433 W56748001
M05BA02
424 W57665001
Grupa
terapeutica
L03AB05
Cod CIM
423 W59600001
Nr.crt
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM IBANDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM PAMIDRONICUM**
ACIDUM CLODRONICUM**
ACIDUM CLODRONICUM**
Denumire generica
De
at
in
30mg
50mg
COMPR.
FILM.
CONC. PT.
SOL.
PERF.
6mg/6ml
COMPR.
FILM.
50mg
CONC. PT.
SOL.
PERF.
6mg
CONC. PT.
SOL.
PERF.
6mg/6ml
50mg
50mg
iv
us
50 mg
50 mg
COMPR.
FILM.
COMPR.
FILM.
cl
COMPR.
FILM.
COMPR.
FILM.
ZYOLIX 4 mg/5 ml
DESINOBON 4 mg/5 ml
Ambalaj
PR
ii
pe
oa
rs
ne
lo
r
GRECI
A
CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.
ar
PR
PR
PR
PR
PR
HOSPIRA UK LIMITED
TERAPIA SA
PFIZER EUROPE MA
EEIG
CONC. PT.
SOL.
PERF.
4mg/5ml
CONC. PT.
SOL.
PERF.
4mg/5ml
CONC. PT.
SOL.
PERF.
4mg/5ml
SANDOZ S.R.L.
FRESENIUS KABI
ROMANIA SRL
PR
PR
PR
MAREA
BRITAN CUTIE CU 1 FLAC. DIN PP PREVAZUT CU CAPSA FLIP-OFF DIN AL
IE
CU CONC. PT. SOL. PERF.
PR
fi
zi
ce
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR DE 5 ML
DIN COPOLIMER CICLOOLEFINIC CU DOP DE CAUCIUC SI CAPAC
LUXEM DIN AL CU CAPSA TIP "FLIP-OFF" CARE CONTINE CONC. PT. SOL.
ALVOGEN IPCO S.A.R.L BOURG PERF.
PR
PHARMATHEN S.A.
rm
fo
in
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.
GRECI
PHARMATHEN S.A.
A
CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM
GLENMARK
REPUB
PHARMACEUTICALS
LICA
S.R.O.
CEHA CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM.
EGIS
PHARMACEUTICALS
UNGAR
P.L.C.
IA
CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.
TEVA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC SI
PHARMACEUTICALS
ROMAN CAPSA DE CULOARE TURCOAZ (ALBASTRU VERZUI) X 6 ML
S.R.L.
IA
CONC. PT. SOL. PERF.
PR
28
28
28
28
28
28
S/
PRF
60
cant/a
mbala
j
S
S/
PRF
S/
PRF
S/
PRF
PRF
/R
P6L
Prescriptie
GERMA
NIA
CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE PR
OLAND CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 28 COMPRIMATE
A
FILMATE
PR
DR. REDDY'S
LABORATORIES
DR. REDDY'S
LABORATORIES
SANDOZ
PHARMACEUTICALS
GMBH
AUSTRI
A
CUTIE X 1 FIOLA PE X 4 ML
AUSTRI
A
CUTIE X 1 FIOLA PE X 2 ML
AUSTRI
A
CUTIE X 1 FIOLA PE X 1 ML
ROMAN
IA
CUTIE X 1 FLAC. DIN STICLA X 5 ML
MAREA
BRITAN CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12
IE
TAMPOANE DEZINFECTANTE
FINLAN
DA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.
Tara
NOVARTIS PHARMA
GMBH
ACTAVIS S.R.L.
CHIESI
PHARMACEUTICALS
GMBH
CHIESI
PHARMACEUTICALS
GMBH
CHIESI
PHARMACEUTICALS
GMBH
BAYER OY
Firma
CONC. PT.
SOL.
PERF.
4mg/5ml
CONC. PT.
SOL.
PERF.
4mg/5ml
CONC. PT.
SOL.
ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml PERF.
4mg/5ml
CONC. PT.
SOL.
ACID ZOLEDRONIC SANDOZ 4 mg/5 ml
PERF.
4mg/5ml
BONDRONAT 6mg/6ml
IASIBON 6mg/6ml
HOLMEVIS 50 mg
IASIBON 50 mg
BONDRONAT 50mg
ex
PULB. PT.
PAMIRED 60mg pulbere pentru solutie perfuzabila SOL.PERF. 60mg
st
15mg
15mg/ml
15mg/ml
15mg/ml
300mg/5
ml
800mg
30
milioane
U.I.
Forma
Concentr
farmaceuti
atie / U.T.
ca
SOL. INJ.
PEN
MULTIDOZ
INTRON A 30 milioane U.I.
A
COMPR.
BONEFOS 800 mg
FILM.
CONC. PT.
SOL.
SINDRONAT (R) 300 mg/5 ml
PERF.
CONC. PT.
SOL.
PAMIDRONAT TORREX
PERF.
CONC. PT.
SOL.
PAMIDRONAT TORREX
PERF.
CONC. PT.
SOL.
PAMIDRONAT TORREX
PERF.
LIOF.+
SOLV. PT.
SOL.
AREDIA (R) 15 mg
PERF.
PULB. PT.
SOL.
PAMIRED 30mg pulbere pentru solutie perfuzabila PERF.
Denumire comerciala
87,516000
87,516000
87,516000
87,516000
87,516000
72,930000
87,516000
316,572000
263,810000
302,410000
9,973571
9,973571
9,973571
10,435714
9,973571
8,696428
246,750000
158,620000
68,505000
267,560000
139,390000
82,206000
20,750000
6,140000
519,500000
Pret cu ridicata
maximal de
decontare / U.T.
106,839000
106,839000
106,839000
106,839000
106,839000
89,032500
106,839000
386,472000
322,060000
367,780000
12,175714
12,175714
12,175714
12,740142
12,175714
10,616785
301,230000
193,640000
83,630000
326,640000
170,170000
100,356000
28,040000
7,328500
604,410000
266,421000
266,421000
266,421000
266,421000
125,811000
0,000000
74,401000
634,168000
0,000000
0,000000
0,000000
0,000000
0,000000
26,152715
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
25,364000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
M05BA08
M05BA08
V03AF01
V03AF03
V03AF03
V03AF03
455 W60543001
456 W59355001
457 W04133001
458 W00734001
459 W54980002
460 W52217001
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
CALCII FOLINAS
MESNUM
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
ACIDUM ZOLEDRONICUM**
Denumire generica
L03AB07
L03AB08
L03AB08
L03AB08
L03AX13
L04AA23
L04AX01
L04AX01
L04AX01
2 W08473003
3 W53186002
4 W52752007
5 W61580007
6 W44044001
7 W61577001
8 W60846001
9 W56928001
10 W56508002
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
NATALIZUMABUM****
GLATIRAMER ACETAT****
L03AB07
1 W42705001
V03AF03
M05BA08
454 W60980001
463 W52219001
M05BA08
453 W59137001
V03AF03
M05BA08
452 W60382001
V03AF03
M05BA08
451 W08426001
461 W00735001
M05BA08
450 W58621001
462 W00735003
M05BA08
449 W59588001
Grupa
terapeutica
M05BA08
Cod CIM
448 W59520001
Nr.crt
in
at
IMMUNOPRIN 75 mg
IMURAN
IMURAN
TYSABRI 300mg
COPAXONE
BETAFERON 250g/ml
BETAFERON 250mcg/ml
REBIF 44 micrograme
PR
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
10mg/ml
iv
15mg
4mg/5ml
400mg/4
ml
rm
fo
BAYER SCHERING AG
250mcg/
ml
75mg
50mg
50mg
pe
oa
rs
S
P6L
PRF
/S
S/
PRF
PRF
PRF
S/
PRF
PR
PR
PR
PR
PR
lo
r
IRLAND
A
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF
PR
PR
S/
PRF
S/
PRF
PR
S/
PRF
PRF
/R
PRF
/P
PRF
/R
100
100
100
28
15
15
15
12
20
15
cant/a
mbala
j
fi
zi
ce
MAREA
BRITAN CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU
IE
SOLVENT
CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE UN
GERMA FLACON CU PULBERE, O SERINGA PREUMPLUTA CU SOLVENT +
NIA
ADAPTOR CU AC SI 2 TAMPOANE CU ALCOOL
CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1
GERMA FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. + ADAPTOR
NIA
CU AC SI 2 TAMPOANE CU ALCOOL
ne
MAREA
BRITAN
IE
CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
MAREA CUTIE X (1 FLAC. DIN STICLA X 30 :G PULBERE + 1 SERINGA PRE- PBRITAN UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUTE CU DISPOZITIV BIO- RF
SET + 4 SERINGI PRE-UMPLUTE)
/R
IE
ii
ROMAN
IA
CUTIE X 1 FLACON X 10 ML
GERMA
ASPEN EUROPE GMBH NIA
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
EBEWE PHARMA
AUSTRI
GES.M.B.H. NFG KG
A
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.
ASPEN PHARMA
TRADING LIMITED
COMPR.
FILM.
NOVARTIS
EUROPHARM LTD.
MERCK SERONO
EUROPE LIMITED
250mcg/
ml
44mcg
30mcg (6
mil. UI)
BIOGEN IDEC LIMITED
ACTAVIS S.R.L.
COMPR.
FILM.
COMPR.
FILM.
ar
ROMAN
IA
CUTIE CU 1 FLAC. X 10 ML SOL. INJ.
ROMAN
ACTAVIS S.R.L.
IA
CUTIE X 1 FLACON X 10 ML
EBEWE PHARMA GMBH AUSTRI
NFG. KG
A
CUTIE X 5 FIOLE X 3 ML
EBEWE PHARMA GMBH AUSTRI
NFG. KG
A
CUTIE X 5 FIOLE X 10 ML
in
ZENTIVA, K.S.
BAXTER ONCOLOGY
GMBH
EBEWE PHARMA
GES.M.B.H. NFG KG
TEVA
PHARMACEUTICALS
S.R.L.
DR. REDDY'S
LABORATORIES
ACTAVIS GROUP PTC
EHF.
CONC. PT.
SOL.
PERF.
20mg/ml
SOL. INJ.
PULB+SOL
V.PT.SOL.I
NJ
PULB. +
SOLV. PT.
SOL. INJ.
PULB. +
SOLV. PT.
SOL. INJ.
SOL. INJ.
PULB. +
SOLV. PT.
SOL. INJ.
SOL.
INJ./PERF. 3mg/ml
SOL. INJ.
CAPS.
us
SOL. INJ.
4mg/100
ml
4mg/100
ml
4mg/100
ml
SOL.
PERF.
SANDOZ S.R.L.
4 mg/100
ml
HOSPIRA UK LIMITED
NOVARTIS
EUROPHARM LTD.
MAREA CUTIE X 1 PUNGA DIN POLIPROPILENA DE 100ML CU UN PORT
BRITAN "TWIST-OFF" DIN POLIPROPILENA CU CAPAC SI CU UN INVELIS
IE
DIN POLIESTER/POLIPROPILENA
CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN
ROMAN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU
IA
CAPSA TIP "FLIP-OFF" X 100 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN CAUCIUC
ROMAN CLOROBUTILIC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF"A 100
IA
ML SOL. PERF.
ISLAND
A
CUTIE CU 1 PUNGA A 100 ML SOL. PERF.
REPUB
LICA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE CONC.
CEHA PT. SOL. PERF.
GERMA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE
NIA
DE STICLA INCOLORA X 4 ML
AUSTRI
A
CUTIE X1 FLAC. X 20 CAPS.
PR
ROMASTRU TRADING
S.R.L.
PR
MAREA
BRITAN CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML
IE
SOLV.
PR
Ambalaj
Tara
Prescriptie
DR. REDDY'S
LABORATORIES
Firma
SOL.
PERF.
CONC. PT.
SOL.
PERF.
4mg/5ml
PULB. +
SOLV.
SOL.
PERF.
4mg
CONC. PT.
SOL.
PERF.
4mg/5ml
CONC. PT.
SOL.
PERF.
4mg/5ml
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
ZERLINDA 4 mg/100 ml
st
De
ZOMETA 4 mg
ZYOLIX 4 mg/5 ml
Denumire comerciala
0,623900
0,555400
0,555400
5.263,910000
91,865000
140,527200
140,527200
117,106000
287,010833
671,897500
7,240800
17,640000
6,034000
21,168000
21,168000
1,197000
3,104000
87,516000
87,516000
87,516000
87,516000
87,516000
87,516000
87,516000
87,516000
87,516000
Pret cu ridicata
maximal de
decontare / U.T.
0,788900
0,702300
0,702300
5.775,820000
101,495357
156,227200
156,227200
130,189333
316,021666
741,907500
9,470400
22,304000
7,892000
26,764800
26,764800
1,618000
4,060000
106,839000
106,839000
106,839000
106,839000
106,839000
106,839000
106,839000
106,839000
106,839000
0,000000
0,000000
0,000000
0,000000
0,000000
46,425466
46,425466
0,000000
0,000000
0,000000
9,509600
0,000000
0,000000
12,375200
3,975200
0,000000
0,000000
118,761000
266,421000
267,201000
232,201000
232,201000
432,691000
266,421000
62,361000
266,421000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
Cod CIM
Grupa
terapeutica
Denumire generica
A10AB01
A10AB01
A10AB01
A10AB01
A10AB01
A10AB04
A10AB04
A10AB05
A10AB06
A10AB06
A10AC01
A10AC01
A10AC01
A10AC01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD01
A10AD04
A10AD04
A10AD04
A10AD04
A10AD05
A10AE04
A10AE04
1 W52999001
2 W52999002
3 W08452003
4 W08451001
5 W53811003
6 W53873001
7 W52601001
8 W07268001
9 W41740004
10 W52538004
11 W52986002
12 W08444003
13 W08381002
14 W53808003
15 W53106002
16 W03703002
17 W08446003
18 W08449003
19 W08445002
20 W53810003
21 W52602001
22 W03665001
23 W53875001
24 W53874001
25 W08254001
26 W08054002
27 W10010005
INSULINUM GLARGINE**
INSULINUM GLARGINE**
INSULINUM ASPART**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINUM GLULIZINA**
INSULINUM GLULIZINA**
INSULINUM ASPART**
INSULINUM LISPRO**
INSULINUM LISPRO**
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
INSULINE UMANE
Nr.crt
at
LANTUS 100UI/ml
LANTUS 100UI/ml
HUMALOG MIX50
HUMALOG MIX25
HUMULIN M3
HUMULIN N
APIDRA 100U/ml
APIDRA 100U/ml
in
st
De
HUMALOG KWIKPEN100U/ml
HUMULIN R
HUMULIN R
Denumire comerciala
rm
fo
in
oa
DANEM
ARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
GERMA
NIA
CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ.
GERMA
NIA
CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ.
SOL. INJ.
SANOFI - AVENTIS
IN CARTUS 100UI/ml DEUTSCHLAND GMBH
SOL. INJ.
SANOFI - AVENTIS
IN FLACON 100UI/ml DEUTSCHLAND GMBH
SUSP. INJ.
IN CARTUS 100U/ml
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
150,000000
40,890000
25,190000
27,434000
27,434000
5
5
23,908000
24,672000
16,486000
28,536000
16,486000
16,486000
19,530000
16,940000
16,486000
22,094000
16,486000
16,940000
22,138000
22,138000
23,536000
23,530000
27,604000
16,486000
21,138000
16,486000
16,940000
43,320000
Pret cu ridicata
maximal de
decontare / U.T.
cant/a
mbala
j
fi
zi
ce
CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS, DIN STICLA
INCOLORA X 3 ML SUSP. INJ.
GERMA
NIA
OLAND
A
OLAND
A
OLAND
A
OLAND
A
lo
r
GERMA
NIA
CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.
SUSP. INJ.
SANOFI - AVENTIS
IN FLACON 100UI/ml DEUTSCHLAND GMBH
SUSP. INJ.
IN STILOU
INJECTOR
PREUMPL
SANOFI - AVENTIS
UT
100UI/ml DEUTSCHLAND GMBH
ELI LILLY NEDERLAND
SUSP. INJ. 100U/ml BV
ELI LILLY NEDERLAND
SUSP. INJ. 100U/ml BV
ELI LILLY NEDERLAND
SUSP. INJ. 100U/ml BV
ELI LILLY NEDERLAND
SUSP. INJ. 100U/ml BV
ne
GERMA
NIA
CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.
SUSP. INJ.
SANOFI - AVENTIS
IN CARTUS 100UI/ml DEUTSCHLAND GMBH
rs
GERMA
NIA
CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.
pe
DANEM
ARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.
ii
SUSP. INJ.
SANOFI - AVENTIS
IN CARTUS 100UI/ml DEUTSCHLAND GMBH
SUSP. INJ.
IN CARTUS 100UI/ml NOVO NORDISK A/S
iv
GERMA
NIA
CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.
SUSP. INJ.
SANOFI - AVENTIS
IN FLACON 100UI/ml DEUTSCHLAND GMBH
SUSP. INJ.
IN STILOU
INJECTOR
PREUMPL
SANOFI - AVENTIS
UT
100UI/ml DEUTSCHLAND GMBH
ar
GERMA
NIA
CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.
us
SUSP. INJ.
SANOFI - AVENTIS
IN CARTUS 100UI/ml DEUTSCHLAND GMBH
GERMA
NIA
CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
SANOFI - AVENTIS
DEUTSCHLAND GMBH
SANOFI - AVENTIS
DEUTSCHLAND GMBH
SOL. INJ.
IN CARTUS 100U/ml
SOL. INJ.
IN STILOU
INJECTOR
PREUMPL
UT
100U/ml
DANEM
ARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
SOL. INJ.
IN CARTUS 100U/ml
PRF
PRF
PRF
PRF
GERMA
NIA
OLAND
A
OLAND
A
PRF
GERMA
NIA
CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.
PRF
PRF
PRF
SOL. INJ.
SANOFI - AVENTIS
IN FLACON 100UI/ml DEUTSCHLAND GMBH
SOL. INJ.
IN STILOU
INJECTOR
PREUMPL
SANOFI - AVENTIS
UT
100UI/ml DEUTSCHLAND GMBH
ELI LILLY NEDERLAND
SOL. INJ. 100U/ml BV
ELI LILLY NEDERLAND
SOL. INJ. 100U/ml BV
cl
ex
Ambalaj
FRANT
A
CUTIE X 1 FLAC. X 10 ML SOL. INJ.
FRANT
A
CUTIE X 5 CARTUSE X 3 ML SOL. INJ.
Tara
GERMA
NIA
CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ.
Firma
Prescriptie
SOL. INJ.
SANOFI - AVENTIS
IN CARTUS 100UI/ml DEUTSCHLAND GMBH
SOL. INJ.
SOL. INJ.
Forma
Concentr
farmaceuti
atie / U.T.
ca
183,120000
49,918000
30,752000
33,492000
33,492000
29,188000
30,120000
20,846000
34,836000
20,846000
20,846000
24,694000
21,420000
20,846000
26,972000
20,846000
21,420000
27,026000
27,026000
28,732000
28,726000
33,700000
20,846000
25,806000
20,846000
21,420000
56,660000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
#
A10AE04
A10AE04
A10AE05
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BA02
A10BB01
A10BB01
A10BB01
29 W61744003
30 W52628008
31 W41732002
32 W53953002
33 W53953001
34 W53951003
35 W53952001
36 W43318002
37 W43318001
38 W56835002
39 W43828002
40 W13583011
41 W42349002
42 W56835001
43 W56835003
44 W59641002
45 W59639003
46 W13955001
47 W56834003
48 W14102001
49 W08499004
50 W56834002
51 W56197002
52 W56834001
53 W59640003
54 W07202003
55 W41858004
56 W41858002
Grupa
terapeutica
A10AE04
Cod CIM
28 W61744002
Nr.crt
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
METFORMINUM
INSULINUM DETEMIR**
INSULINUM GLARGINE**
INSULINUM GLARGINE**
INSULINUM GLARGINE**
Denumire generica
MANINIL 1,75 mg
SERDENIS 850 mg
SIOFOR 850 mg
SERDENIS 850 mg
METFOGAMMA 850 mg
SERDENIS 850 mg
SERDENIS 1000 mg
SERDENIS 1000 mg
SIOFOR 1000
GLUCOPHAGE 1000 mg
METFOGAMMA 1000mg
SERDENIS 1000 mg
GLUCOPHAGE XR
GLUCOPHAGE XR
at
in
st
De
LANTUS SoloStar
Denumire comerciala
1000mg
COMPR.
FILM.
850mg
COMPR.
FILM.
COMPR.
COMPR.
COMPR.
850mg
1,75mg
1,75mg
1,75mg
850mg
850mg
850mg
850mg
850mg
500mg
500mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
1000mg
1000mg
1000mg
1000mg
1000mg
500mg
iv
500mg
1000mg
us
850mg
500mg
1000mg
1000mg
COMPR.
COMPR.
ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
cl
ex
COMPR.
COMPR.
COMPR.
pe
rs
ii
oa
ne
ARENA GROUP SA
ARENA GROUP SA
ROMAN
IA
CUTIE X 1 FLAC. PEID X 100 COMPR.
ROMAN
IA
CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
GERMA
NIA
CUTIE X 1 FLAC. X 120 COMPR.
BERLIN CHEMIE AG
MENARINI GROUP
P6
L
P6
L
P6
L
P6
L
P6
L
P6
L
P6L
P6
L
P6
L
P6
L
30
PRF
/S
120
PRF
/S 1000
PRF
/S
100
30
60
60
120
20
90
20
30
30
90
30
60
60
120
60
30
30
15
60
50
200
cant/a
mbala
j
fi
zi
ce
lo
r
AUROBINDO PHARMA
LIMITED
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
GERMA
NIA
ROMAN
IA
GERMA
NIA
ROMAN
IA
MAREA
BRITAN
IE
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
ar
P6
L
P6
L
P6
L
P6L
PRF
P6
L
P6
L
FRANT
A
ROMAN
IA
GERMA
NIA
FRANT
A
GERMA
NIA
ROMAN
IA
ROMAN
IA
P6
L
PRF
PRF
/S
PRF
PRF
PRF
FRANT
A
CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
MAREA
BRITAN
IE
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
AUROBINDO PHARMA
LIMITED
GEDEON RICHTER
ROMANIA SA
ROMASTRU TRADING
S.R.L.
GEDEON RICHTER
ROMANIA SA
WORWAG PHARMA
GMBH & CO. KG
ROMASTRU TRADING
S.R.L.
BERLIN-CHEMIE AG
(MENARINI GROUP)
ROMASTRU TRADING
S.R.L.
AUROBINDO PHARMA
LIMITED
rm
fo
MERCK SANTE
BERLIN CHEMIE AG
MENARINI GROUP
ROMASTRU TRADING
S.R.L.
ROMASTRU TRADING
S.R.L.
in
ARENA GROUP SA
ARENA GROUP SA
DANEM
ARCA CUTIE X 5 CARTUSE X 3 ML
GERMA
PNIA
CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML RF
PR
F
SANOFI - AVENTIS
100UI/ml DEUTSCHLAND GMBH
PR
F
GERMA
NIA
CUTIE CU 5 STILOURI INJECTAOARE
Ambalaj
Tara
GERMA
NIA
CUTIE CU 3 STILOURI INJECTAOARE
Firma
Prescriptie
SOL. INJ.
IN CARTUS 100U/ml
SOL. INJ.
IN STILOU
INJECTOR
(PEN)
PREUMPL
UT
SOL. INJ.
IN STILOU
INJECTOR
(PEN)
PREUMPL
UT
SOL. INJ.
IN STILOU
INJECTOR
PREUMPL
UT
Forma
Concentr
farmaceuti
atie / U.T.
ca
0,049100
0,049140
0,058800
0,084333
0,084333
0,101200
0,084666
0,084500
0,084500
0,084555
0,074200
0,074200
0,137000
0,136777
0,137000
0,136833
0,156660
0,136833
0,136833
0,074200
0,074200
0,084666
0,061833
0,130800
0,130550
44,490000
40,292000
60,982000
60,983333
Pret cu ridicata
maximal de
decontare / U.T.
0,066400
0,064280
0,077136
0,114000
0,114000
0,136800
0,114333
0,114166
0,114000
0,114222
0,100399
0,100399
0,185000
0,184888
0,185000
0,184833
0,204900
0,184916
0,184833
0,100399
0,100399
0,114000
0,083666
0,176800
0,170750
54,314000
49,188000
74,100000
74,450000
0,000000
0,000000
0,025030
0,000000
0,000000
0,071533
0,000000
0,000000
0,000000
0,000000
0,127101
0,018601
0,000000
0,000000
0,000000
0,000000
0,079600
0,000000
0,000000
0,356267
0,356267
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
A10BB12
A10BB12
A10BB12
A10BB12
A10BD02
A10BD02
A10BD02
A10BD02
A10BD02
A10BD02
A10BD02
A10BD05
A10BD07
75 W44010003
76 W57492004
77 W57494004
78 W57495004
79 W42117002
80 W42117001
81 W10546002
82 W13594006
83 W13594002
84 W13595002
85 W13595006
86 W52765005
87 W53295002
A10BB09
70 W54001003
A10BB12
A10BB09
69 W55137009
74 W44007003
A10BB09
68 W61093002
A10BB12
A10BB09
67 W59674006
73 W57490004
A10BB09
66 W42334001
A10BB09
A10BB08
65 W03352001
A10BB12
A10BB07
64 W03349001
71 W54001004
A10BB07
63 W03348001
72 W57489005
A10BB01
A10BB01
A10BB01
60 W41859002
61 W41859004
A10BB01
59 W41859003
62 W53679003
A10BB01
58 W07206003
Grupa
terapeutica
A10BB01
Cod CIM
57 W41858003
Nr.crt
st
at
COMPETACT
JANUMET 50 mg/1000 mg
COMBINATII ( PIOGLITAZONUM +
METFORMINUM)***
COMBINATII (
SITAGLIPTINUM+METFORMINUM)***
GLIBOMET (R)
AMARYL 6 mg
AMARYL 4 mg
AMARYL 3 mg
GLIMEPIRIDE 3 mg
GLIMEPIRIDE 2 mg
AMARYL 2 mg
AMARYL 1mg
GLYCLADA 30 mg
GLYCLADA 30 mg
DIAPREL MR 60 mg
GLICLAZIDA ZENTIVA 60 mg
GLYCLADA 60 mg
ESQUEL (R) 80 mg
GLURENORM
in
GLUCOTROL XL 5mg
De
GLUCOTROL XL 10 mg
GLIBENCLAMID ARENA 5 mg
MANINIL 3,5 mg
Denumire comerciala
COMBINATII
(METFORMINUM+GLIBENCLAMIDUM)
COMBINATII
(METFORMINUM+GLIBENCLAMIDUM)
COMBINATII
(METFORMINUM+GLIBENCLAMIDUM)
COMBINATII
(METFORMINUM+GLIBENCLAMIDUM)
COMBINATII
(METFORMINUM+GLIBENCLAMIDUM)
COMBINATII
(METFORMINUM+GLIBENCLAMIDUM)
COMBINATII
(METFORMINUM+GLIBENCLAMIDUM)
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLIMEPIRIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLICLAZIDUM
GLIQUIDONUM
GLIPIZIDUM
GLIPIZIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
GLIBENCLAMIDUM
Denumire generica
COMPR.
FILM.
COMPR.
FILM.
CAPS.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
CAPS.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
Ambalaj
KRKA
rm
fo
MERCK SANTE
MERCK SANTE
MERCK SANTE
ARENA GROUP SA
ARENA GROUP SA
lo
r
ne
oa
rs
pe
ii
PRF
PRF
MAREA
BRITAN
IE
CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.
MAREA
BRITAN
IE
CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL )
ITALIA
FRANT
A
FRANT
A
FRANT
A
FRANT
A
P6L
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
/S
PRF
PRF
P6
L
P6
L
P6
L
P6
L
fi
zi
ce
ROMAN
IA
CUTIE X 100 BLIST. AL/PVC X 5 CAPS.
ROMAN
IA
CUTIE X 4 BLIST. AL/PVC X 5 CAPS.
ar
SLOVE
NIA
ROMAN
IA
ROMAN
IA
ISLAND
A
ISLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
P6L
SLOVE
NIA
CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL.
in
28
56
60
60
60
60
60
20
500
30
30
30
30
30
30
30
60
60
60
90
PRF
FRANT
A
CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.
ZENTIVA, K.S.
LES LABORATOIRES
SERVIER
60
PR
F
30
60
30
30
PR
F
PRF
P6
L
PRF
SLOVE
NIA
CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. CU ELIB. MODIF.
REPUB
LICA
CEHA CUTIE CU BLIST. PVC/AL X 90 COMPR. ELIB. MODIF.
GERMA
NIA
CUTIE X 6 BLIST. AL/PVC X 10 COMPR.
ROMAN
IA
CUTIE X 2 BLIST. X 15 COMPR.
MAREA
BRITAN CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE
IE
SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL
cant/a
mbala
j
PRF
30
PRF
/S
120
PRF
30
PRF
/S
100
PRF
/S 1000
PRF
30
MAREA
BRITAN CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE PIE
SECURIZAT PT. COPII X 30 COMPR. FILM. CU E
RF
ROMAN
IA
CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
ROMAN
IA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMAN
IA
CUTIE X 1 FLAC. PEID X 100 COMPR.
GERMA
NIA
CUTIE X 1 FLAC. X 120 COMPR.
ROMAN
IA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMAN
IA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
Tara
Prescriptie
PFIZER EUROPE MA
EEIG
BOEHRINGER
INGELHEIM
INTERNATIONAL GMBH
GEDEON RICHTER
ROMANIA SA
PFIZER EUROPE MA
EEIG
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
ARENA GROUP SA
BERLIN CHEMIE AG
MENARINI GROUP
ARENA GROUP SA
Firma
MERCK SANTE
TAKEDA GLOBAL
RESEARCH AND
15mg/850 DEVELOPMENT
mg
CENTRE LTD
400mg+2,
5mg
400mg+2,
5mg
400mg/2,
5mg
500mg/2,
5mg
500mg/2,
5mg
500mg/5
mg
500mg/5
mg
6mg
4mg
3mg
3mg
2mg
2mg
1mg
30mg
30mg
60mg
60mg
60mg
80mg
30mg
iv
us
COMPR.
COMPR.
CU ELIB.
MODIF.
COMPR.
ELIB.
MODIF.
COMPR.
ELIB.
MODIF.
COMPR.
ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
COMPR.
FILM. ELIB.
MODIF.
5mg
cl
ex
5mg
3,5mg
3,5mg
3,5mg
3,5mg
1,75mg
COMPR.
FILM. ELIB.
MODIF.
10mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
Forma
Concentr
farmaceuti
atie / U.T.
ca
2,569642
1,593750
0,352000
0,352000
0,352000
0,352000
0,218400
0,185500
0,182000
0,660000
0,396333
0,302800
0,252333
0,137000
0,164400
0,125666
0,187000
0,187000
0,401066
0,334222
0,334500
0,336000
0,306333
0,576000
1,222333
0,146666
0,035440
0,035400
0,035666
0,042480
0,049000
Pret cu ridicata
maximal de
decontare / U.T.
3,248928
2,015178
0,475666
0,475666
0,475666
0,475666
0,276144
0,250500
0,230120
0,892000
0,535666
0,409200
0,341000
0,185333
0,222400
0,170000
0,252666
0,252666
0,524666
0,437222
0,452000
0,454000
0,414000
0,778666
1,599000
0,198333
0,046360
0,047900
0,048333
0,055632
0,066333
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,131356
0,000000
0,000000
0,000000
0,000000
0,115133
0,000000
0,000000
0,062600
0,000000
0,000000
0,000000
0,148000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,018034
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
A10BF01
A10BF01
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BG03
A10BH01
A10BH03
A10BX02
A10BX02
A10BX02
A10BX04
A10BX04
A10BX04
A10BX04
A10BX04
89 W57947002
90 W57946002
91 W58686003
92 W58030002
93 W08069002
94 W58503002
95 W08070003
96 W58504002
97 W58031002
98 W58687003
99 W58505002
100 W58688003
101 W08071002
102 W58032002
103 W51928002
104 W54993009
105 W56718002
106 W56719002
107 W56720002
108 W61705001
109 W60301001
110 W61955001
111 W61682001
112 W60353001
Grupa
terapeutica
A10BD10
Cod CIM
88 W58716003
Nr.crt
EXENATIDUM***
EXENATIDUM***
EXENATIDUM***
EXENATIDUM***
EXENATIDUM***
REPAGLINIDUM
REPAGLINIDUM
REPAGLINIDUM
SAXAGLIPTIN***
SITAGLIPTINUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
PIOGLITAZONUM***
ACARBOSUM
ACARBOSUM
COMBINATII ( SAXAGLIPTINUM +
METFORMINUM)***
Denumire generica
st
at
in
BYETTA 10g/doza
BYETTA 10g/doza
BYDUREON 2 mg
BYDUREON 2 mg
BYDUREON 2 mg
RENEOS 2 mg
RENEOS 1 mg
RENEOS 0,5 mg
ONGLYZA
JANUVIA 100mg
PIOGLITAZONA TORRENT 45 mg
ACTOS 45mg
PIOGLITAZONA AUROBINDO 45 mg
GLIDIPION 45 mg
PIOGLITAZONA AUROBINDO 30 mg
PIOGLITAZONA TORRENT 30 mg
GLIDIPION 30 mg
ACTOS 30mg
De
GLIDIPION 15 mg
ACTOS 15mg
PIOGLITAZONA TORRENT 15 mg
PIOGLITAZONA AUROBINDO 15 mg
GLUCOBAY 50
GLUCOBAY 100
KOMBOGLYZE 2,5/1000mg
Denumire comerciala
iv
5 mg
COMPR.
FILM.
COMPR.
PULB. +
SOLV. PT.
SUSP. INJ.
CU ELIB.
PREL.
PULB. +
SOLV. PT.
SUSP. INJ.
CU ELIB.
PREL.
PULB. +
SOLV. PT.
SUSP. INJ.
CU ELIB.
PREL.
SOL. INJ.
IN STILOU
INJECTOR
PREUMPL
UT
SOL. INJ.
IN STILOU
INJECTOR
PREUMPL
UT
COMPR.
Tara
rm
fo
ar
ii
pe
oa
rs
ne
90
PR
F
PRF
PRF
10g/doz
a
ASTRAZENECA AB
BRISTOL-MYERS
MAREA
10g/doz SQUIBB/ASTRAZENECA BRITAN
a
EEIG
IE
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)
2mg
90
PR
F
PR
F
90
PR
F
fi
zi
ce
lo
r
30
28
30
28
30
28
30
30
28
28
28
28
30
30
120
120
60
cant/a
mbala
j
PRF
PRF
PRF
PR
F
PRF
PR
F
PR
F
PR
F
PR
F
PR
F
PRF
PR
F
PRF
PRF
PRF
PR
F
PR
F
BRISTOL-MYERS
MAREA AMBALAJ X 4X1DISPOZITIV DE ADMINISTRARE UNICA (1 FLACON
SQUIBB/ASTRAZENECA BRITAN X 2ML PULBERE + 1 SERINGA PREUMPLUTA X 0.65ML SOLVENT + PR
EEIG
IE
2 ACE PENTRU INJECTIE)
F
ASTRAZENECA AB
BRISTOL-MYERS
MAREA
SQUIBB/ASTRAZENECA BRITAN
EEIG
IE
CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM.
REPUB
LICA
ZENTIVA K.S.
CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR.
REPUB
LICA
ZENTIVA K.S.
CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR.
REPUB
LICA
ZENTIVA K.S.
CEHA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR.
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)
Ambalaj
Prescriptie
ASTRAZENECA AB
2 mg
2 mg
2 mg
1 mg
0,5 mg
100mg
COMPR.
in
Firma
BRISTOL-MYERS
MAREA
2,5mg+10 SQUIBB/ASTRAZENECA BRITAN
00mg
EEIG
IE
GERMA
100mg
BAYER PHARMA AG
NIA
GERMA
50mg
BAYER PHARMA AG
NIA
AUROBINDO PHARMA
15mg
(MALTA) LIMITED
MALTA
TORRENT PHARMA
ROMAN
15mg
S.R.L.
IA
TAKEDA GLOBAL
RESEARCH AND
MAREA
DEVELOPMENT
BRITAN
15mg
CENTRE LTD
IE
ACTAVIS GROUP PTC ISLAND
15mg
EHF.
A
TAKEDA GLOBAL
RESEARCH AND
MAREA
DEVELOPMENT
BRITAN
CENTRE LTD
IE
30mg
ACTAVIS GROUP PTC ISLAND
30mg
EHF.
A
TORRENT PHARMA
ROMAN
30mg
S.R.L.
IA
AUROBINDO PHARMA
30mg
(MALTA) LIMITED
MALTA
ACTAVIS GROUP PTC ISLAND
45mg
EHF.
A
AUROBINDO PHARMA
45mg
(MALTA) LIMITED
MALTA
TAKEDA GLOBAL
RESEARCH AND
MAREA
DEVELOPMENT
BRITAN
45mg
CENTRE LTD
IE
TORRENT PHARMA
ROMAN
45mg
S.R.L.
IA
COMPR.
FILM.
COMPR.
COMPR.
us
COMPR.
COMPR.
cl
ex
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
321,530000
321,530000
96,427500
96,427500
96,427500
0,233000
0,233000
0,233000
4,989666
4,777142
2,212333
2,478000
2,065000
2,212500
1,344000
1,440000
1,440000
1,612800
1,024642
1,147600
1,024333
0,956333
0,247416
0,438666
2,747166
Pret cu ridicata
maximal de
decontare / U.T.
388,620000
388,620000
114,642500
114,642500
114,642500
0,314888
0,314888
0,314888
6,091333
5,831785
2,797333
3,133200
2,611000
2,797500
1,758000
1,883666
1,883571
2,109600
1,340357
1,501200
1,340000
1,251000
0,323583
0,554666
3,353666
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
1,170371
0,000000
0,000000
0,000000
0,000000
0,000000
0,642185
0,000000
0,560942
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
A10BX09
A11DA03
A11DBN1
A11DBN1
A11DBN1
A11DBN1
A11DBN1
115 W59381003
116 W41932004
117 W01610002
118 W42092002
119 W01731002
120 W01611001
121 W41647001
122 T0001
in
at
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
1 W56025001
2 W56024001
3 W56023001
4 W56663001
5 W56662001
6 W56662002
7 W13336001
8 W61061001
9 W61062001
10 W61059001
11 W61060001
12 W54970001
OCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
MOROCTOCOG ALFA**
RECOMBINATE 1000 UI
REFACTO AF 500UI
REFACTO AF 250UI
REFACTO AF 2000UI
REFACTO AF 1000UI
EMOCLOT 500 UI
OCTANATE 50 UI/ml
OCTANATE 50 UI/ml
Firma
10mg
fo
in
pe
rs
50 UI/ml
PULB. +
SOLV. PT.
SOL. INJ.
2000 UI
250 UI
PULB. +
SOL. PT.
SOL. INJ.
PULB. +
SOL. PT.
SOL. INJ.
PULB. +
SOL. PT.
SOL. INJ. 500 UI
PULB+SOL
V. PT. SOL.
INJ.
1000UI
1000 UI
PULB. +
SOL. PT.
SOL. INJ.
PULB.+SO
LV. SOL.
PERF.
500 UI
50 UI/ml
ne
PR
BAXTER AG
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PR
S/
PRF
50
60
50
50
30
cant/a
mbala
j
fi
zi
ce
MAREA
BRITAN CUTIE X 1 FLAC. CU 500 U.I. PULB. + 1 FL. SOLVENT X 10ML +
OCTAPHARMA (IP) LTD. IE
CUTIE CU SET DE RECONSTITUIRE SI ADM.
PR
CUTIE X 1 FLACON DIN STICLA NEUTRA TIP I DIN ELASTOMER TIP
I CONTINAND PULBERE, 1 FLACON DIN STICLA NEUTRA TIP I CU
DOP DIN ELASTOMER TIP I CONTINAND SOLVENT, 1 SET PENTRU
KEDRION SPA
ITALIA RECONST. SI ADM.
S
lo
r
MAREA
BRITAN CUTIE X 1 FLAC. CU 250 U.I. PULB. + 1 FL.SOLVENT X 5ML+ CUTIE
OCTAPHARMA (IP) LTD. IE
CU SET DE RECONSTITUIRE SI ADM.
PR
oa
MAREA
BRITAN CUTIE X 1 FLAC. X 1000 UI PULB. PT.SOL. INJ. + 1 FL. SOLVENT X
100 UI/ml OCTAPHARMA (IP) LTD. IE
10ML + CUTIE CU SET DE RECONSTITUIRE
PULB. +
SOLV. PT.
SOL. INJ.
PULB. +
SOLV. PT.
SOL. INJ.
BIOTEST PHARMA
GMBH
PULB+SOL
V. PT. SOL.
INJ.
50UI/ml
rm
BIOTEST PHARMA
GMBH
PULB+SOL
V. PT. SOL.
INJ.
50UI/ml
ii
ROMAN
IA
FARA FORMA AMB
ar
WORWAG PHARMA
GMBH & CO. KG
FARA PRODUCATOR
PRF
WORWAG PHARMA
GMBH & CO. KG
PRF
GERMA
NIA
CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.
P6L
P6L
P6L
PR
F
P6L
WORWAG PHARMA
GMBH & CO. KG
GERMA
NIA
CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI
GERMA
NIA
CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ.
WORWAG PHARMA
GMBH & CO. KG
WORWAG PHARMA
GMBH & CO. KG
PULB+SOL
V. PT. SOL.
BIOTEST PHARMA
INJ.
100UI/ml GMBH
iv
us
50mg
FARA
CONCEN
CAPS. MOI TRATIE
100mg+1
DRAJ.
00mg
FARA
CONCEN
DRAJ.
TRATIE
FARA
CONCEN
SOL. INJ. TRATIE
FARA
CONCEN
SOL. INJ. TRATIE
FARA
FARA
CONCEN
FORMA
TRATIE
DRAJ.
COMPR.
FILM.
PRF
MAREA
BRITAN
IE
CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)
MAREA
BRITAN CUTIE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNITATE
IE
DOZATA)
GERMA
NIA
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.
PRF
Ambalaj
Prescriptie
Tara
BRISTOL-MYERS
SQUIBB/ASTRAZENECA
EEIG
WORWAG PHARMA
GMBH & CO. KG
SOL. INJ.
IN STILOU
INJECTOR
PREUMPL
UT
5g/doza ASTRAZENECA AB
SOL. INJ.
IN STILOU
INJECTOR
BRISTOL-MYERS
PREUMPL
SQUIBB/ASTRAZENECA
UT
5g/doza EEIG
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
MILGAMMA (R) NA
MILGAMMA (R) N
st
De
MILGAMMA (R) N
BENFOGAMMA
FORXIGA 10 mg
BYETTA 5g/doza
BYETTA 5g/doza
Denumire comerciala
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
COMBINATII**
BENFOTIAMINUM
DAPAGLIFOZINUM***
EXENATIDUM***
A10BX04
Denumire generica
EXENATIDUM***
114 W60352001
Grupa
terapeutica
A10BX04
Cod CIM
113 W61681001
Nr.crt
2.322,730000
1.179,150000
608,100000
5.034,530000
2.286,860000
472,000000
511,430000
317,280000
1.238,030000
380,736000
566,400000
1.485,636000
1,200000
2,842000
2,842000
0,743600
1,230166
0,743600
0,441000
5,565000
309,560000
309,560000
Pret cu ridicata
maximal de
decontare / U.T.
2.569,930000
1.323,420000
700,980000
5.525,790000
2.530,830000
552,630000
595,610000
383,990000
1.387,600000
460,788000
663,156000
1.665,120000
1,200000
3,842000
3,842000
0,972600
1,555333
0,972600
0,596000
6,793666
375,570000
375,570000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
91,842000
371,254000
332,850000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD02
B02BD03
B02BD03
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
B02BD04
14 W54968001
15 W59902001
16 W54969001
17 W51449001
18 W61172001
19 W51450001
20 W61175001
21 W61168001
22 W51448001
23 W61170001
24 W53183001
25 W51447001
26 W53185001
27 W52173003
28 W52172002
29 W56230001
30 W43970001
31 W60173002
32 W60172002
33 W60175002
34 W60174001
Grupa
terapeutica
B02BD02
Cod CIM
13 W59904001
Nr.crt
st
COMPLEX DE ANTIINHIBITORI AI
COAGULARII**
IMMUNINE 1200 UI
BENEFIX 1000UI
BENEFIX 2000UI
BENEFIX 250UI
BENEFIX 500UI
FACTOR IX DE COAGULARE**
OCTANINE F 500 UI
COMPLEX DE ANTIINHIBITORI AI
COAGULARII**
FACTOR IX DE COAGULARE**
ADVATE 3000UI
ADVATE 250UI
ADVATE 2000UI
ADVATE 500UI
at
in
ADVATE 1500UI
De
ADVATE 1000UI
RECOMBINATE 500 UI
RECOMBINATE 250 UI
Denumire comerciala
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
OCTOCOG ALFA**
Denumire generica
500 UI
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PULB+SOL
V.PT.SOL.I
NJ
1000UI
PULB+SOL
V.PT.SOL.I
NJ
2000UI
PULB+SOL
V.PT.SOL.I
NJ
250UI
PULB+SOL
V.PT.SOL.I
NJ
500UI
PULB.+SO
LV. PT.
SOL.
INJ./PERF. 1200UI
rm
Ambalaj
PR
PRF
/R
PRF
/R
PRF
/R
PRF
/R
PRF
/R
PRF
/R
PRF
/R
PRF
/R
PR
F
S/
PRF
PRF
/R
PR
F
S/
PRF
ii
pe
oa
rs
ne
lo
r
1
MAREA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X
BRITAN 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1
IE
PLASTURE + 1 TAMP. TIFON
PR
1
MAREA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X
BRITAN 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1
PLASTURE + 1 TAMP. TIFON
PR
IE
cant/a
mbala
j
fi
zi
ce
ar
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
Tara
Prescriptie
BAXTER A.G.
PULB.+SO
LV. PT.
SOL. INJ. 500 U
PULB. +
SOLV.
SOL.
PERF.
BAXTER A.G.
BAXTER AG
BAXTER AG
BAXTER AG
fo
in
BAYER PHARMA AG
BAXTER AG
BAYER PHARMA AG
BAYER PHARMA AG
BAXTER AG
BAYER PHARMA AG
BAXTER AG
BAXTER AG
PULB.+SO
LV. PT.
SOL. INJ. 1000 U
3000 UI
250 UI
2000 UI
500UI
500 UI
250UI
2000UI
1500UI
1000UI
1000UI
500UI
250UI/5ml BAXTER AG
iv
us
PULB+SOL
V. PT. SOL.
INJ.
PULB+SOL
V. PT. SOL.
INJ.
PULB+SOL
V.PT.SOL.I
NJ
PULB+SOL
V.PT.SOL.I
NJ
PULB+SOL
V.PT.SOL.I
NJ
PULB+SOL
V.PT.SOL.I
NJ
PULB+SOL
V.PT.SOL.I
NJ
PULB+SOL
V.PT.SOL.I
NJ
PULB+SOL
V.PT.SOL.I
NJ
PULB+SOL
V.PT.SOL.I
NJ.
PULB+SOL
V.PT.SOL.I
NJ.
PULB+SOL
V.PT.SOL.I
NJ.
cl
ex
Firma
PULB+SOL
V. PT. SOL. 1000UI/5
INJ.
ml
BAXTER AG
PULB+SOL
V. PT. SOL.
INJ.
250UI
BAXTER AG
Forma
Concentr
farmaceuti
atie / U.T.
ca
925,884000
686,250000
5.195,480000
2.612,710000
1.719,910000
771,570000
1.459,220000
2.889,810000
8.151,590000
706,800000
5.444,400000
1.315,560000
1.314,110000
677,970000
5.127,750000
4.090,790000
2.578,880000
2.574,460000
1.176,370000
629,410000
629,410000
2.427,620000
Pret cu ridicata
maximal de
decontare / U.T.
1.054,992000
786,160000
5.701,230000
2.886,010000
1.912,850000
879,160000
1.628,700000
3.188,050000
8.923,390000
808,560000
5.972,550000
1.472,110000
1.470,530000
777,140000
5.627,410000
4.497,120000
2.849,130000
2.844,320000
1.320,400000
724,210000
724,210000
2.684,260000
395,638000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
B02BD06
B02BD06
B02BD06
B02BD06
B02BD06
B02BD06
B02BD08
V03AC01
V03AC03
V03AC03
V03AC03
37 W61007001
38 W58406001
39 W61005001
40 W58404001
41 W61006001
42 W58405001
43 W53034001
44 W02408001
45 W51484001
46 W51485001
47 W51486001
Denumire comerciala
at
in
DEFERASIROXUM****
DEFERASIROXUM****
DEFERASIROXUM****
DEFEROXAMINUM**3)
EXJADE 500mg
EXJADE 250mg
EXJADE 125mg
DESFERAL
st
De
D05BB02
D06AA04
D06AX01
D06AX01
D06BA01
D07CA01
D07CC01
D07CC01
D07CC01
D07CC01
D07CC01
1 W53799002
2 W54946001
3 W59985001
4 W59986001
5 W54309001
6 W60525001
7 W59725001
8 W57219001
9 W57648001
10 W57224001
11 W57649001
FUCIDIN H
COMBINATII (ACIDUM
FUSIDICUM+HYDROCORTISONUM)
COMBINATII
COMBINATII
COMBINATII
COMBINATII
TRIDERM
TRIDERM
BETAMETHASONUM+GENTAMICINUM+C
LOTRIMAZOLUM
TRESYL
FLAMMAZINE
FUCIDIN 20 mg/g
FUCIDIN 20 mg/g
NEOTIGASON 10 mg
SULFADIAZINUM
ACIDUM FUSIDICUM
ACIDUM FUSIDICUM
TETRACYCLINUM
ACITRETINUM
in
Firma
Tara
Ambalaj
500mg
COMPR.
DISP.
20mg/g
1%
20mg/g+1
0mg/g
FARA
CONCEN
CREMA
TRATIE
0,5mg+10
mg+1mg/
CREMA
g
0,5mg/1m
CREMA
g/g
0,5mg+10
mg+1mg/
UNGUENT g
0,5mg/1m
UNGUENT g/g
CREMA
CREMA
UNGUENT 20mg/g
CREMA
UNGUENT 30mg/g
10mg
250mg
COMPR.
DISP.
CAPS.
125mg
COMPR.
DISP.
iv
us
rm
fo
ne
lo
r
PRF
PRF
PRF
ROMAN
IA
CUTIE X 1 TUB AL X 15 G
ROMAN
IA
CUTIE X 1 TUB DIN AL X 15 G CREMA
ROMAN
IA
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
ROMAN
IA
CUTIE X 1 TUB DIN AL X 15 G UNGUENT
PRF
PRF
PRF
PRF
P6
L
PRF
PRF
PR
F
30
28
28
28
10
cant/a
mbala
j
fi
zi
ce
ROMAN CUTIE CU 1 TUB DIN AL FILMAT LA INTERIOR CU LAC
IA
EPOXIFENOLIC X 15 G CREMA
DANEM
ARCA CUTIE X 1 TUB DIN AL X 15 G CREMA
DANEM
ARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT
ROMAN
IA
BORCAN X 500 G CREMA
DANEM
ARCA CUTIE X 1 TUB DIN AL X 15 G CREMA
ISLAND
A
CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.
ROMAN
IA
CUTIE CU 1 TUB AL X 12 G UNGUENT
oa
rs
PR
pe
MAREA
BRITAN
IE
CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)
ii
PR
ar
PR
MAREA
BRITAN
IE
CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)
FITERMAN PHARMA
S.R.L.
CN UNIFARM
ANTIBIOTICE S.A.
NOVARTIS
EUROPHARM LTD.
NOVARTIS
EUROPHARM LTD.
NOVARTIS
EUROPHARM LTD.
PR
PRF
/R
S/
PRF
PR
PR
PR
PR
PR
PR
PR
Prescriptie
MAREA
BRITAN
IE
CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
Denumire generica
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
B02BD06
36 W58454001
Grupa
terapeutica
B02BD06
Cod CIM
35 W58455001
Nr.crt
4,030000
11,700000
4,836000
11,700000
7,610000
15,560000
79,410000
8,260000
8,260000
5,920000
1,209333
86,728928
47,000000
24,030000
10,867000
2.406,410000
589,050000
589,060000
310,560000
310,560000
1.263,180000
1.263,180000
835,000000
1.567,000000
Pret cu ridicata
maximal de
decontare / U.T.
5,450000
15,810000
6,540000
15,810000
10,280000
21,030000
100,400000
11,170000
11,170000
8,000000
1,581666
95,897142
52,592500
27,555357
13,266000
2.661,140000
680,210000
680,230000
376,660000
376,660000
1.415,020000
1.415,020000
948,300000
1.746,180000
0,000000
0,000000
0,330000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J01AA07
J01AA07
N03AB02
N03AB02
14 W56910001
15 W12701002
16 W12143001
17 W55235001
PHENYTOINUM
PHENYTOINUM
TETRACYCLINUM
TETRACYCLINUM
TETRACYCLINUM
Denumire generica
Denumire comerciala
C02KX01
G04BE03
G04BE03
2 W43048002
3 W42831001
4 W60083001
SILDENAFILUM**
SILDENAFILUM**
BOSENTANUM**
BOSENTANUM**
at
in
REVATIO 10mg/ml
REVATIO 20 mg
ex
A09AA02
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
1 W56031002
2 W58242002
3 W59000002
4 W13607002
5 W61223003
6 W08490001
7 W60253004
8 W01326002
9 W44093001
10 W14043001
11 W58998015
12 W61224003
13 W14044001
14 W44087001
15 W56269001
16 W60254003
17 W54044001
18 W08491001
19 W58999014
P6.4: MUCOVISCIDOZA
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
PANCREATINUM**
FROMILID 500
ROCLARIN 500 mg
LEKOKLAR 500 mg
CLAR 500
KLABAX 500 mg
KLABAX 250 mg
KLACID (R)
LEKOKLAR 250 mg
FROMILID 250
KLACID SR
CLAXIRIT 500 mg
KREON 40000
10mg/ml
20mg
62,5mg
125mg
100mg
250mg/5
ml
250mg
250mg
250mg
500mg
500mg
COMPR.
FILM.
500mg
500mg
500mg
500mg
500mg
500mg
250mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
250mg
250mg
250mg
250mg
250mg
250mg
500mg
CAPS.
GASTROR
EZ.
400mg
COMPR.
CU ELIB.
PREL.
500mg
COMPR.
ELIB.
PREL.
500mg
COMPR.
ELIB.
PREL.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
Firma
Ambalaj
DANEM
ARCA CUTIE X 1 TUB DIN AL X 15 G CREMA
ROMAN
IA
CUTIE X 2 BLIST., AL/PVC X 10 CAPS.
ROMAN
IA
CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
Tara
ANTIBIOTICE S.A.
KRKA D.D. NOVO
MESTO
TEVA
PHARMACEUTICALS
S.R.L.
SANDOZ S.R.L.
TERAPIA SA
GLENMARK
PHARMACEUTICALS
S.R.O.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
TEVA
PHARMACEUTICALS
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED
TERAPIA SA
ABBOTT S.R.L.
SANDOZ S.R.L.
ABBOTT
LABORATORIES LTD.
AUROBINDO PHARMA
(MALTA) LIMITED
KRKA D.D. NOVO
MESTO
rm
pe
oa
rs
lo
r
PRF
PR
F
PRF
PR
F
PRF
PRF
PRF
PR
F
PRF
PR
F
PRF
PRF
PR
F
PR
F
PRF
PRF
14
14
20
14
20
14
14
14
14
14
14
14
14
14
14
50
90
56
56
20
500
20
20
cant/a
mbala
j
fi
zi
ce
ROMAN CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP
IA
CALENDAR)
ne
ii
MAREA
BRITAN
IE
CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. ELIB. PREL.
ar
PR
F
ROMAN
IA
CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.
fo
PR
F
ISLAND
A
CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.
PR
P6L
PR
MAREA
BRITAN CUTIE CU UN FLACON DIN STICLA BRUNA CE CONTINE 32,27 G
IE
DE PULBERE PENTRU SUSP. ORALA
PRF
/R
MAREA
BRITAN
IE
CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.
MAREA
BRITAN
IE
CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM.
PRF
/R
MAREA
BRITAN
IE
CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.
PRF
PRF
PR
F
PRF
/S
P6L
PRF
Prescriptie
ABBOTT
GERMA
LABORATORIES GMBH NIA
CUTIE X UN FLACON DIN PEID CU 50 CAPS. GASTROREZ.
in
PFIZER LIMITED
PFIZER LIMITED
ACTELION
REGISTRATION LTD.
ACTELION
REGISTRATION LTD.
ROMAN
ARENA GROUP SA
IA
CUTIE X 50 BLIST., AL/PVC X 10 CAPS.
GEDEON RICHTER
ROMAN
ROMANIA SA
IA
CUTIE X 2 BLIST. X 10 COMPR.
DESITIN ARZNEIMITTEL GERMA
GMBH
NIA
CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ.
ANTIBIOTICE S.A.
ARENA GROUP SA
20mg/1m
g pe gram LEO PHARMA A/S
iv
us
SUSP.
ORALA
cl
COMPR.
FILM.
COMPR.
FILM.
TRACLEER 62,5 mg
st
De
COMPR.
FILM.
SOL. INJ.
COMPR.
CAPS.
CAPS.
CAPS.
CREMA
Forma
Concentr
farmaceuti
atie / U.T.
ca
TRACLEER 125 mg
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
C02KX01
1 W43049001
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
J01AA07
13 W12701001
Grupa
terapeutica
D07CC01
Cod CIM
12 W59984001
Nr.crt
1,350000
1,421428
1,458000
1,414285
1,458000
1,458000
1,414285
1,215000
0,622142
0,672000
0,672000
0,672000
0,622857
0,672000
0,560000
1,458000
1,458000
1,458000
1,684200
1.045,450000
20,212555
142,324464
142,585000
11,116000
0,106500
0,108360
0,130032
0,114500
16,470000
Pret cu ridicata
maximal de
decontare / U.T.
1,825000
1,921428
1,970570
1,911428
1,970570
1,970570
1,911428
1,642142
0,840714
0,907714
0,907714
0,907714
0,842142
0,907714
0,756428
1,970570
1,970570
1,970570
2,129600
1.177,690000
22,455555
155,815178
156,099107
14,054000
0,144000
0,137000
0,164400
0,155000
22,260000
0,000000
0,000000
0,277930
0,000000
0,385430
0,068715
0,000000
0,000000
0,000000
0,264428
0,179428
1,039428
0,000000
0,328000
0,000000
1,777430
0,464430
0,463715
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,171600
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01FA09
J01GB01
R05CB13
R05CB13
22 W01327002
23 W44092001
24 W42258001
25 W44091001
26 W44091002
27 W58393002
28 W01329001
29 W52060001
30 W61214001
31 W51323001
DORNAZA ALFA**
DORNAZA ALFA**
TOBRAMYCINUM**
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
CLARITHROMYCINUM
Denumire generica
st
at
PULMOZYME
TOBI (R)
KLACID I.V.
in
De
KLACID (R)
KLACID (R)
Denumire comerciala
J06BA02
J06BA02
J06BA02
J06BA02
15 W59114004
16 W59114002
J06BA02
12 W43963001
13 W59114003
J06BA02
11 W43962001
14 W59114001
J06BA02
J06BA02
J06BA02
8 W51530004
9 W51530006
J06BA02
7 W51530003
10 W43965001
J06BA02
J06BA02
4 W54752002
J06BA02
J06BA02
3 W54752001
5 W51530001
J06BA02
2 W54752004
6 W51530005
J06BA02
1 W54752003
OCTAGAM 10%
INTRATECT 50 g/l
INTRATECT 50 g/l
INTRATECT 50 g/l
INTRATECT 50 g/l
IG VENA 2,5g/50ml
IG VENA 1g/20ml
IG VENA 10g/200ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
INHAL.
TERAPIA SA
TERAPIA SA
250mg/5
ml
250mg/5
ml
ROMAN
IA
CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
fo
in
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
KEDRION SPA
100mg/ml BAXTER AG
10g/200m
l
KEDRION SPA
100mg/ml BAXTER AG
100mg/ml BAXTER AG
100mg/ml BAXTER AG
1g/20ml
rm
ITALIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
ITALIA
ITALIA
lo
r
S
PR
F
PR
F
PR
F
PR
F
56
cant/a
mbala
j
fi
zi
ce
CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1
SET ADMINISTRARE
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1
SET ADMINISTRARE
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1
SET ADMINISTRARE
oa
ne
S
MAREA
BRITAN
IE
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
rs
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
pe
ii
MAREA
BRITAN CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A
IE
200ML SOLUTIE PERFUZABILA
PR
S/
PRF
PR
F
S/
PRF
PRF
PRF
PRF
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
ar
100mg/ml BAXTER AG
100
mg/ml
100
mg/ml
100
mg/ml
100
mg/ml
1mg/ml
2500U/2,5
ROMAN CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL.
ml
ROCHE ROMANIA S.R.L. IA
INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL
500mg
300mg/5
ml
PRF
FRANT
A
CUTIE X 1 FLAC. PULB. PT. SOL. PERF.
GERMA CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE
NIA
GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N
SANDOZ SRL
125mg/5
ml
ROMAN
IA
CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA
ITALIA
CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 PLINGURITA DOZATOARE X 2,5 ML/5 ML
RF
ABBOTT
LABORATORIES LTD.
NOVARTIS PHARMA
GMBH
TERAPIA SA
125mg/5
ml
ITALIA
PRF
Prescriptie
CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + P1 LINGURITA DOZATOARE X 2,5 ML/5 ML
RF
SANDOZ S.R.L.
ABBOTT S.R.L.
125mg/5
ml
250mg/5
ml
ABBOTT S.R.L.
125mg/5
ml
Ambalaj
SLOVE
NIA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.
Tara
ROMAN
IA
CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA
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
ROMAN 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
IA
KRKA D.D.
Firma
500mg
iv
us
GRAN. PT.
SUSP.
ORALA
PULB. PT.
SOL.
PERF.
SOL.
INHAL.
SOL. DE
INHALAT
PRIN
NEBULIZA
TOR
COMPR.
FILM. ELIB.
PREL.
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
GRAN. PT.
SUSP.
ORALA
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
J01FA09
21 W01327001
Grupa
terapeutica
J01FA09
Cod CIM
20 W41838002
Nr.crt
462,170000
1.758,800000
190,170000
894,400000
407,410000
204,810000
1.539,650000
5.766,650000
1.847,580000
912,190000
3.736,820000
190,360000
870,210000
391,580000
3.390,820000
1.710,420000
71,111666
71,111666
89,066785
30,230000
22,090000
40,530000
24,320000
9,490000
9,490000
11,388000
22,180000
1,458000
Pret cu ridicata
maximal de
decontare / U.T.
541,920000
1.955,240000
232,160000
1.013,050000
482,230000
250,030000
1.716,370000
6.323,810000
2.059,644000
1.032,440000
4.111,290000
232,390000
986,680000
464,970000
3.734,150000
1.902,510000
83,870000
83,870000
97,764107
39,540000
29,860000
53,010000
32,870000
12,820000
12,820000
15,384000
29,980000
1,970570
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
78,286000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
4,336000
0,000000
0,463715
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J06BA02
J06BA02
19 W13462003
20 W43964001
Denumire comerciala
IG VENA 5g/100ml
OCTAGAM
OCTAGAM
OCTAGAM
Denumire generica
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
De
N07XX08
TAFAMIDIS**
VYNDAQEL
in
M05BA03
M05BA03
M05BA03
M05BA03
M05BA03
2 W58123006
3 W58123007
4 W07918001
5 W57926001
6 W57925001
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
ACIDUM PAMIDRONICUM
H01AC01
H01AC01
H01AC01
H01AC01
2 W07530001
3 W52345001
4 W52346001
5 W54046001
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
SOMATROPINUM**
OMNITROPE 6,7mg/ml
OMNITROPE 3,3mg/ml
ZOMACTON
A16AB04
AGALSIDASUM BETA**
FABRAZYME 35 mg
A16AB07
ALGLUCOSIDASUM ALPHA**
MYOZYME 50mg
P6.10: TIROZINEMIE
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
1 W51536001
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
1 W08961001
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
H01AC01
1 W05539002
ar
ne
FERRING GMBH
PULB. PT.
CONC. PT.
SOL.
PERF.
50mg
PULB. PT.
CONC. PT.
SOL.
PERF.
35mg
GENZYME EUROPE
B.V.
OLAND
A
CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF.
OLAND
GENZYME EUROPE BV A
CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.
PRF
PR
/P
RF
PRF
/R
PRF
/R
PR
PR
S/
PRF
PR
PR
PRF
742,608000
618,840000
317,610000
376,480000
391,110000
246,750000
158,620000
68,505000
267,560000
139,390000
82,206000
1.635,525333
5,805178
784,820000
1.837,780000
894,000000
481,950000
Pret cu ridicata
maximal de
decontare / U.T.
855,228000
712,690000
384,340000
448,510000
464,460000
301,230000
193,640000
83,630000
326,640000
170,170000
100,356000
1.783,996666
7,008928
893,600000
2.041,330000
1.012,610000
563,480000
1.869,590000
2.076,010000
0,000000
0,000000
304,652000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
25,364000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
1 11.604,190000 12.686,730000
30
56
S/
PRF
S/
PRF
S/
PRF
PR
PR
cant/a
mbala
j
fi
zi
ce
DANEM
ARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.
AUSTRI
A
CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
AUSTRI
A
CUTIE X 1CARTUS X 1,5 ML SOL.INJ.
lo
r
GERMA
NIA
CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.
4mg
(12ui)
oa
rs
MAREA
BRITAN CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV.
IE
PT. SOL. INJ.
pe
ii
16UI/ml
(5,3mg/ml PFIZER EUROPE MA
)
EEIG
SOL. INJ.
SOL. INJ.
PULB. +
SOLV. PT.
SOL. INJ.
PULB. +
SOLV. PT.
SOL. INJ.
DR. REDDY'S
LABORATORIES
30mg
PULB. PT.
PAMIRED 60mg pulbere pentru solutie perfuzabila SOL.PERF. 60mg
rm
fo
NOVARTIS PHARMA
GMBH
AUSTRI
A
CUTIE X 1 FIOLA PE X 2 ML
AUSTRI
A
CUTIE X 1 FIOLA PE X 4 ML
AUSTRI
A
CUTIE X 1 FIOLA PE X 1 ML
MAREA
BRITAN
IE
CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI
FRANT
A
CUTIE X 4 BLIST. X 14 COMPR.
CHIESI
PHARMACEUTICALS
GMBH
CHIESI
PHARMACEUTICALS
GMBH
CHIESI
PHARMACEUTICALS
GMBH
in
PFIZER LIMITED
AVENTIS PHARMA SA
DR. REDDY'S
LABORATORIES
15mg
15mg/ml
15mg/ml
15mg/ml
iv
us
cl
ex
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PAMIDRONAT TORREX
PERF.
CONC. PT.
SOL.
PAMIDRONAT TORREX
PERF.
LIOF.+
SOLV. PT.
SOL.
AREDIA (R) 15 mg
PERF.
PULB. PT.
SOL.
PAMIRED 30mg pulbere pentru solutie perfuzabila PERF.
PAMIDRONAT TORREX
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
M05BA03
1 W58123005
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
1 W59336001
st
at
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
Ambalaj
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 100 ML
Tara
Prescriptie
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 50 ML
Firma
MAREA
BRITAN
50mg/ml OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1
5g/100ml KEDRION SPA
ITALIA SET ADMINISTRARE
50mg/ml
50mg/ml
Forma
Concentr
farmaceuti
atie / U.T.
ca
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
J06BA02
18 W13462002
Grupa
terapeutica
J06BA02
Cod CIM
17 W13462001
Nr.crt
"
A16AX04
3 W51627001
NITISINONUM
NITISINONUM
NITISINONUM
Denumire generica
ORFADIN 5mg
ORFADIN 2mg
ORFADIN 10mg
Denumire comerciala
A16AB09
IDURSULFASUM**
ELAPRASE 2mg/ml
A16AB05
LARONIDAZUM**
De
ALDURAZYME 100UI/ml
J06BA02
J06BA02
J06BA02
J06BA02
17 W13462001
18 W13462002
19 W13462003
20 W43964001
OCTAGAM
OCTAGAM
IG VENA 5g/100ml
OCTAGAM
INTRATECT 50 g/l
INTRATECT 50 g/l
INTRATECT 50 g/l
IG VENA 2,5g/50ml
IG VENA 1g/20ml
at
in
IG VENA 10g/200ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
INTRATECT 50 g/l
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
1 W43049001
C02KX01
BOSENTANUM**
TRACLEER 125 mg
5mg
CAPS.
SWEDISH ORPHAN
INTERNATIONAL AB
SHIRE HUMAN
GENETIC THERAPIES
AB
SWEDISH ORPHAN
INTERNATIONAL AB
COMPR.
FILM.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
100
mg/ml
100
mg/ml
100
mg/ml
KEDRION SPA
ne
125mg
ACTELION
REGISTRATION LTD.
MAREA
BRITAN
IE
CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.
PRF
/R
101,523666
50,905666
214,180833
Pret cu ridicata
maximal de
decontare / U.T.
111,296833
56,123166
234,093333
56
142,585000
784,820000
1.837,780000
894,000000
481,950000
462,170000
1.758,800000
190,170000
894,400000
407,410000
204,810000
1.539,650000
5.766,650000
1.847,580000
912,190000
3.736,820000
190,360000
870,210000
391,580000
3.390,820000
1.710,420000
2.077,500000
156,099107
893,600000
2.041,330000
1.012,610000
563,480000
541,920000
1.955,240000
232,160000
1.013,050000
482,230000
250,030000
1.716,370000
6.323,810000
2.059,644000
1.032,440000
4.111,290000
232,390000
986,680000
464,970000
3.734,150000
1.902,510000
2.302,630000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
78,286000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
4 10.948,927500 11.943,885000
60
60
60
cant/a
mbala
j
fi
zi
ce
S
PR
F
PR
F
PR
F
PR
F
lo
r
oa
rs
S
S
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 100 ML
ITALIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
ITALIA
pe
MAREA
BRITAN
50mg/ml OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1
5g/100ml KEDRION SPA
ITALIA SET ADMINISTRARE
50mg/ml
50mg/ml
ii
ITALIA
ar
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
MAREA
BRITAN CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A
IE
200ML SOLUTIE PERFUZABILA
MAREA
BRITAN
IE
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
PRF
/R
PRF
/R
PRF
/R
Prescriptie
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 50 ML
1g/20ml
100mg/ml BAXTER AG
10g/200m
l
KEDRION SPA
100mg/ml BAXTER AG
100mg/ml BAXTER AG
100mg/ml BAXTER AG
rm
fo
in
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
100mg/ml BAXTER AG
100
mg/ml
iv
us
SOL.
PERF.
SOL.
PERF.
Ambalaj
Tara
SWEDISH ORPHAN
INTERNATIONAL AB
Firma
CONC. PT.
SOL.
OLAND
PERF.
100UI/ml GENZYME EUROPE BV A
CUTIE X 1 FLAC. X 5 ML
CONC. PT.
SOL.
PERF.
2mg/ml
2mg
10mg
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
J06BA02
16 W59114002
J06BA02
12 W43963001
J06BA02
J06BA02
11 W43962001
15 W59114004
J06BA02
10 W43965001
J06BA02
J06BA02
9 W51530006
J06BA02
J06BA02
8 W51530004
13 W59114003
J06BA02
7 W51530003
14 W59114001
J06BA02
J06BA02
4 W54752002
J06BA02
J06BA02
3 W54752001
5 W51530001
J06BA02
2 W54752004
6 W51530005
J06BA02
1 W54752003
st
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
1 W42203001
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
1 W51481002
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
A16AX04
2 W51622001
Grupa
terapeutica
A16AX04
Cod CIM
1 W51629001
Nr.crt
#
Cod CIM
C02KX01
Grupa
terapeutica
BOSENTANUM**
Denumire generica
TRACLEER 62,5 mg
Denumire comerciala
B02BX04
2 W53895001
ROMIPLOSTIMUM****
ROMIPLOSTIMUM****
NPLATE 500mcg
NPLATE 250mcg
PULB. PT.
SOL. INJ.
PULB. PT.
SOL. INJ.
A16AX07
SAPROPTERINUM****
KUVAN
L01XE10
2 W57285001
EVEROLIMUS****
EVEROLIMUS****
VOTUBIA
st
De
VOTUBIA
at
in
A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
G03CA03
G03CA03
G03CX01
G03XC01
H01AB01
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H03AA01
3 W44042001
5 W55847002
6 W55847001
7 W51334002
8 W55402001
9 W58804002
10 W12902001
11 W53455002
12 W42160002
13 W04224001
14 W04222001
15 W04237001
16 W08307001
17 W08310001
18 W57399001
A11CC03
2 W58167002
4 W58168002
A11CC03
1 W00231001
LEVOTHYROXINUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
TIREOTROPINUM ALFA
RALOXIFENUM
TIBOLONUM
ESTRADIOLUM
ESTRADIOLUM
CALCITRIOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
EUTHYROX 100mcg
MEDROL 32
MEDROL A 16
THYROGEN 0,9 mg
EVISTA 60mg
CLIMARA
ROCALTROL
ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne
L01XE10
1 W57284002
5mg
2,5 mg
0,6mg/g
rs
oa
ne
lo
r
MERCK KGAA
STADA HEMOFARM
S.R.L.
PULB+SOL
V. PT. SOL.
INJ./PERF. 500mg
ROMAN
IA
CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML
GERMA
NIA
CUTIE X 4 BLIST. PP/AL X 25 COMPR.
ROMAN
IA
CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML
S/
PRF
P6L
S/
PRF
PRF
PFIZER EUROPE MA
EEIG
fi
zi
ce
P6L
PRF
PRF
MAREA
BRITAN
IE
CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.
CUTIE X 2 FLACOANE
100
20
50
28
28
P6L
PRF
STADA HEMOFARM
S.R.L.
100mcg
pe
100
10
10
30
30
30
50
30
30
120
56
cant/a
mbala
j
S
P6
L
MAREA
BRITAN
IE
CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.
PULB+SOL
V. PT. SOL.
INJ./PERF. 125mg
COMPR.
ii
PRF
PR
F
PFIZER EUROPE MA
EEIG
PFIZER EUROPE MA
EEIG
32mg
16mg
0,9mg
60mg
2,5mg
ar
DANEM
ARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
ROMAN
IA
CUTIE X 1 FLAC. X 30 CAPS. MOI
ROMAN
IA
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI
PRF
PR
F
PR
ROMAN
IA
CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI
ROMAN
IA
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI
PR
MAREA
BRITAN
IE
CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.
PR
PRF
/R
Prescriptie
MAREA
BRITAN
IE
CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.
MAREA
BRITAN
IE
CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE
OLAND
A
CUTIE X 1 FLAC X 250MCG PULB. PT. SOL. INJ.
OLAND
A
CUTIE X 1 FLAC X 500MCG PULB. PT. SOL. INJ.
GERMA
NIA
OLAND
ORGANON NV
A
DAIICHI SANKYO
GERMA
EUROPE GMBH
NIA
OLAND
GENZYME EUROPE BV A
LIOF. SI
SOLV.PT.S 250mg/4
OL.INJ
ml
COMPR.
COMPR.
COMPR.
COMPR.
FILM.
PULB. PT.
SOL. INJ.
Ambalaj
MAREA
BRITAN
IE
CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.
Tara
DANEM
ARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.
ROMAN
ROCHE ROMANIA S.R.L. IA
CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI.
LABORATOIRES
BESINS
FRANT CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN
INTERNATIONAL
A
POLISTIREN
PLASTURE
TRANSDE 50g/24or
RM.
e
BAYER PHARMA AG
GEL
rm
2microgra
me/ml
LEO PHARMA A/S
SOL. INJ.
SOL. INJ.
fo
SANDOZ S.R.L.
in
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
NOVARTIS
EUROPHARM LTD.
NOVARTIS
EUROPHARM LTD.
2microgra
me/ml
LEO PHARMA A/S
iv
us
COMPR.
COMPR.
MERCK SERONO
EUROPE LIMITED
500mcg
COMPR.
SOLUBILE 100 mg
cl
ex
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
1 W57418002
ACTELION
REGISTRATION LTD.
Firma
250mcg
62,5mg
Forma
Concentr
farmaceuti
atie / U.T.
ca
COMPR.
FILM.
P6.18: Pacieni aduli i copii cu hiperfenilalaninemie diagnosticai cu fenilcetonurie sau deficit de tetrahidrobiopterin (BH4)
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
B02BX04
1 W53894001
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
2 W43048002
Nr.crt
0,089800
22,950000
6,520000
15,150000
0,913000
0,401800
1.294,150000
1,855000
1,212500
5,737500
10,220000
0,546500
11,086000
21,144000
0,866666
0,803666
0,522960
0,435800
356,861333
184,291333
91,061083
4.721,020000
2.312,930000
142,324464
Pret cu ridicata
maximal de
decontare / U.T.
0,121400
31,020000
8,810000
20,480000
1,234000
0,543200
1.429,700000
2,345357
1,586071
7,755000
13,820000
0,691000
13,534000
25,813000
1,133666
1,086333
0,706800
0,589000
390,251000
202,149333
99,574666
5.184,070000
2.559,250000
155,815178
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,058866
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
H03AA01
H03AA01
H03AA01
H03AA01
H03AA01
H03BB02
H03BB02
H03BB02
H03CA01
H03CA01
H05AA02
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA04
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA07
M05BA08
M05BB03
M05BB03
M05BB03
V09FX03
V10XA01
21 W57395002
22 W57396001
23 W57396003
24 W57398001
25 W57398002
26 W54546003
27 W54545003
28 W54547004
29 W03843003
30 W03843004
31 W55488001
32 W54297001
33 W58352002
34 W60296004
35 W52948001
36 W56763003
37 W56763002
38 W56763001
39 W61163003
40 W60074002
41 W59460003
42 W53578003
43 W55565003
44 W54377002
45 W61164001
46 W42407001
47 W42702002
48 W52559002
49 W52559001
st
A04AA01
A04AA01
1 W56153001
2 W56154001
5mg/100
ml
ONDANSETRONUM**
ONDANSETRONUM**
OSETRON 8 mg
OSETRON 4 mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
NOVARTIS
EUROPHARM LTD.
ANTIBIOTICE S.A.
ACTAVIS GROUP PTC
EHF.
TERAPIA SA
ZENTIVA KS
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
SRL
rm
fo
in
SANDOZ S.R.L.
8mg
4mg
DR. REDDY'S
LABORATORIES
DR. REDDY'S
LABORATORIES
35mg
35mg
35mg
35mg
35mg
35mg
70mg
70mg
70mg
SOL.
PERF.
COMPR.
COMBINATII (ACIDUM
ALENDRONICUM+COLECALCIFEROLUM)*
*
FOSAVANCE 70mg/5600UI
NATRII IODIDUM (131I)
NATRII IODIDUM (131I)
iv
70mg
75mg
COMBINATII (ACIDUM
ALENDRONICUM+COLECALCIFEROLUM)*
*
FOSAVANCE 70mg/5600UI
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
MERCK KGAA
Firma
Ambalaj
lo
r
ne
oa
rs
pe
PR
P6L
P6L
P6L
P6
L
P6L
P6
L
P6L
P6
L
P6
L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6L
P6
L
PRF
PRF
PRF
Prescriptie
ROMAN
IA
CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.
ROMAN
IA
CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.
MAREA
BRITAN
IE
CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)
MAREA
BRITAN
IE
CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)
MAREA
BRITAN
IE
CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)
PRF
PRF
P6L
P6L
P6L
10
10
12
100
100
100
50
50
100
100
100
100
100
100
100
cant/a
mbala
j
fi
zi
ce
MAREA
BRITAN CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA
IE
FLIP.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ISLAND
A
ii
MALTA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ISLAND
A
REPUB
LICA
CEHA
ROMAN
IA
CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
OLAND
A
Tara
ar
MERCK KGAA
ELI LILLY NEDERLAND
20g/80l BV
TEVA
PHARMACEUTICALS
70 mg
S.R.L.
AUROBINDO PHARMA
70mg
(MALTA) LIMITED
MERCK SHARP &
70mg
DOHME
100mcg
100mcg
5mg
20mg
10mg
50g
50mcg
25g
25mcg
200g
200mcg
100g
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
us
COMPR.
COMPR.
ACLASTA 5mg/100ml
ACTONEL 75 mg
LORINE 35mg
OSODENS 35 mg
RISEDRONAT TEVA 35 mg
RISEDRONAT AUROBINDO 35 mg
ACTONEL SAPTAMANAL 35 mg
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
ALENDRONAT SANDOZ 70 mg
FOSAMAX 70 mg
COMPR.
SOL. INJ.
COMPR.
COMPR.
COMPR.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
TEVANAT 70 mg
at
in
FORSTEO 20g/80l
JODID 100
JODID 100
THYROZOL 5 mg
De
THYROZOL 20mg
THYROZOL 10 mg
EUTHYROX 50g
EUTHYROX 50mcg
EUTHYROX 25g
EUTHYROX 25mcg
EUTHYROX 200g
EUTHYROX 200mcg
EUTHYROX 100g
Denumire comerciala
COMBINATII (ACIDUM
ALENDRONICUM+COLECALCIFEROLUM)*
*
FOSAVANCE 70mg/2800UI
ACIDUM ZOLEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM RISEDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
ACIDUM ALENDRONICUM**
TERIPARATIDUM**
KALII IODIDUM
KALII IODIDUM
THIAMAZOLUM
THIAMAZOLUM
THIAMAZOLUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
LEVOTHYROXINUM
Denumire generica
H03AA01
20 W57395001
Grupa
terapeutica
H03AA01
Cod CIM
19 W57399003
Nr.crt
2,557000
1,461000
13,515000
13,515000
14,622500
780,600000
26,255000
1,971000
1,971000
1,642500
1,971000
1,971000
1,971000
2,208000
2,208000
2,208000
2,208000
2,208000
1,840000
2,002500
1.291,980000
0,094200
0,094200
0,236900
0,391600
0,317400
0,063500
0,063500
0,063500
0,063500
0,185300
0,185300
0,089800
Pret cu ridicata
maximal de
decontare / U.T.
3,345000
1,975000
17,675000
17,087500
18,490000
889,000000
33,195000
2,664000
2,664000
2,220000
2,664000
2,664000
2,664000
2,985000
2,985000
2,985000
2,985000
2,985000
2,487500
2,705000
1.446,410000
0,127300
0,127300
0,320200
0,529400
0,429000
0,085800
0,085800
0,085800
0,085800
0,250500
0,250500
0,121400
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
4,558500
4,558500
0,000000
1,048500
1,048500
8,086000
5,150833
5,865000
5,582500
1,905000
10,635000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
A05AA02
A05AA02
B02AA02
B02BD08
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01DH02
J01DH02
J01DH02
J01DH02
11 W58710002
12 W58363001
13 W54011001
14 W53034001
15 W55629001
16 W54763001
17 W55629002
18 W55423001
19 W55369001
20 W55424001
21 W55630001
22 W55630002
23 W55370001
24 W54765001
25 W53595006
26 W53596003
27 W60705002
28 W60703002
29 W56827001
30 W58974002
A05AA02
8 W59934001
A05AA02
A05AA02
7 W00187002
A05AA02
A04AA01
6 W51505002
9 W00188001
A04AA01
5 W51504002
10 W00187001
A04AA01
4 W57424001
Grupa
terapeutica
A04AA01
Cod CIM
3 W57423001
Nr.crt
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
ACIDUM TRANEXAMICUM 4)
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
ONDANSETRONUM**
Denumire generica
st
at
in
ex
LODITER 1000 mg
MAREA
BRITAN
IE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.
PULB. PT.
SOL. INJ.
SAU PERF. 500 mg
PULB. PT.
SOL.
INJ./PERF. 1000mg
PULB. PT.
SOL.
INJ./PERF. 1000mg
PULB. PT.
SOL. INJ.
SAU PERF. 1000 mg
ANTIBIOTICE S.A.
TERAPIA S.A.
ZENTIVA, K.S.
ZENTIVA, K.S.
PR
PR
REPUB
LICA
CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU
CEHA CAPACITATEA DE 20 ML
REPUB
LICA
CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU
CEHA CAPACITATEA DE 20 ML
fi
zi
ce
10
10
10
10
10
S.C. FRESENIUS KABI
S.R.L.
4g/0,5g
2g/0,25g
1
ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT.
IA
SOL. PERF.
MYLAN S.A.S.
S.C. FRESENIUS KABI
S.R.L.
4g/0,5g
1
FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT.
A
SOL. INJ./PERF.
lo
r
12
TERAPIA SA
ne
ROMASTRU TRADING
SRL
oa
rs
pe
ii
ar
12
ROMASTRU TRADING
SRL
ANTIBIOTICE S.A.
TERAPIA SA
ANTIBIOTICE S.A.
rm
fo
in
MYLAN S.A.S.
ROMASTRU TRADING
SRL
ROMASTRU TRADING
SRL
X
PRF
/R
100
50
50
60
100
cant/a
mbala
j
DANEM CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT.
ARCA RECONSTITUIRE
MAREA
BRITAN
CIPLA (UK) LIMITED
IE
CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.
DR. FALK PHARMA
GERMA
GMBH
NIA
CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
ROMPHARM COMPANY ROMAN
S.R.L.
IA
CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.
PRO. MED. CS PRAHA
AS
CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.
DR. FALK PHARMA
GERMA
GMBH
NIA
CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
DR. FALK PHARMA
GERMA
GMBH
NIA
CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.
DR. FALK PHARMA
GERMA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP.
GMBH
NIA
ORALA+1LINGURITA DOZATOARE DIN PP
ROMAN
CN UNIFARM
IA
CUTIE X 5 FIOLE X 5ML SOL. INJ.
S/
PRF
P6
L
P6
L
P6L
P6L
P6
L
P6
L
S/
PRF
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.
DR. REDDY'S
LABORATORIES
S/
PRF
S/
PRF
Ambalaj
ROMAN
IA
CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.
Tara
DR. REDDY'S
LABORATORIES
Firma
Prescriptie
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
50 KIU
0,5g/5ml
500mg
250mg/5
ml
250mg
250mg
250mg
250mg
iv
us
cl
SOL. INJ.
PULB. +
SOLV. PT.
NOVOSEVEN 1mg (50 KUI)
SOL. INJ.
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PERASIN 2g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
BACTACIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PERASIN 4g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
BACTACIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g INJ./PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g
PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g
PERF.
EXACYL
URSOFALK 500 mg
CAPS.
COMPR.
FILM.
SUSP.
ORALA
CAPS.
URSOSAN
De
CAPS.
SOL.
INJ./PERF. 2mg/ml
CAPS.
URSOFALK (R)
2mg/ml
2mg/ml
SOL.
INJ./PERF. 2mg/ml
SOL. INJ.
SOL. INJ.
Forma
Concentr
farmaceuti
atie / U.T.
ca
URSOROM 250 mg
URSOFALK (R)
EMESET 8 mg/4 ml
EMESET 4 mg/2 ml
Denumire comerciala
27,211200
27,211200
16,826400
27,211200
17,789000
4,044000
21,346800
21,346800
21,346800
21,346800
21,346800
4,044000
4,044000
4,044000
3,370000
4,044000
2.406,410000
1,890000
77,100000
2,196700
0,723400
0,603000
0,602833
0,723400
6,938000
3,652000
6,940000
3,652000
Pret cu ridicata
maximal de
decontare / U.T.
33,219600
33,219600
20,541600
33,219600
21,717000
5,472000
26,060400
26,060400
26,060400
26,060400
26,060400
5,472000
5,472000
5,472000
4,560000
5,472000
2.661,140000
2,554000
97,490000
2,681700
0,946200
0,788600
0,788500
0,946200
9,074000
4,936000
9,078000
4,936000
47,425400
62,340400
22,648400
44,763400
0,000000
10,127000
10,049600
29,479600
20,445433
29,479600
29,479600
26,688000
26,688000
22,543000
0,000000
26,688000
0,000000
0,000000
0,000000
0,000000
0,267200
0,000000
0,000000
0,206200
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH02
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
J01XA01
32 W56125002
33 W56331002
34 W58973002
35 W56124002
36 W56330002
37 W56826001
38 W61142002
39 W54471002
40 W54471003
41 W54471005
42 W54471009
43 W54471007
44 W54471008
45 W54471006
46 W61198003
47 W51274002
48 W54532001
49 W43348001
50 W43347001
51 W56449002
52 W56448002
53 W57042001
54 W57041001
55 W06051001
Grupa
terapeutica
J01DH02
Cod CIM
31 W61143002
Nr.crt
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
VANCOMYCINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
MEROPENEMUM
Denumire generica
EDICIN
VANCOMYCIN TEVA
VANCOMYCIN TEVA
TIENAM I.V.
MEDOCHEMIE
ROMANIA SRL
TERAPIA S.A.
500mg/50
0mg
TERAPIA SA
500mg/50
0mg
TERAPIA SA
rs
1g
500mg
1000mg
500mg
1000mg
oa
ne
lo
r
PR
S/
PRF
S/
PRF
S/
PRF
S/
PRF
FRESENIUS KABI
ROMANIA SRL
LEK
PHARMACEUTICALS
D.D.
PR
FRESENIUS KABI
ROMANIA SRL
PR
fi
zi
ce
UNGAR
IA
CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.
UNGAR
IA
REPUB
PHARMASWISS CESKA LICA
REPUBLIKA S.R.O.
CEHA
REPUB
PHARMASWISS CESKA LICA
REPUBLIKA S.R.O.
CEHA
pe
ii
ar
PR
10
10
10
10
10
10
10
10
10
10
10
10
PR
10
PR
10
10
cant/a
mbala
j
PR
F
PR
Prescriptie
MAREA
BRITAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.
IE
INJ./PERF.
500mg/50
0mg
ANTIBIOTICE S.A.
500mg/50
0mg
TERAPIA SA
500mg/50
0mg
TERAPIA SA
500mg/50
0mg
TERAPIA SA
fo
in
500mg/50
0mg
TERAPIA SA
rm
HOSPIRA UK LIMITED
FRESENIUS KABI
ROMANIA SRL
ANTIBIOTICE S.A.
HOSPIRA UK LIMITED
MAREA
BRITAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.
IE
INJ./PERF.
CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE
ROMAN 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU
IA
PREVAZUTA CU DISC DIN MATERIAL PLASTIC
FRESENIUS KABI
ROMANIA SRL
Ambalaj
Tara
MEDOCHEMIE
ROMANIA SRL
Firma
500mg/50
0mg
TERAPIA SA
500mg
500mg
500mg
iv
us
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
LIOF. PT.
SOL.
PERF.
LIOF. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB.
PT.CONC.
PT.SOL.
PERF.
PULB.
PT.CONC.
PT.SOL.
PERF.
PULB.LIOF.
PT.SOL.PE
RF./INJ
PULB. PT.
SOL.
INJ./PERF. 1g
PULB. PT.
SOL.
INJ./PERF. 500mg
PULB. PT.
SOL.
INJ./PERF. 500mg
PULB. PT.
SOL.
INJ./PERF. 1000mg
PULB. PT.
SOL.
INJ./PERF. 1g
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
at
in
CILOPEN 500mg/500mg
ARCHIFAR 500 mg
LODITER 500 mg
st
De
MEROPENEM HOSPIRA 1 g
MEROPENEM KABI 1 g
ARCHIFAR 1000 mg
Denumire comerciala
25,308000
19,630000
21,090000
17,639000
25,308000
20,930000
25,308000
18,581000
22,297200
18,582000
22,297200
22,297200
22,297200
22,297200
22,297200
18,582000
18,922000
16,826400
16,826400
14,022000
16,826400
16,826400
22,676000
27,211200
27,211200
Pret cu ridicata
maximal de
decontare / U.T.
34,212000
25,840800
28,510000
21,534000
34,212000
25,840800
34,212000
22,684000
27,220800
22,685000
27,220800
27,220800
27,220800
27,220800
27,220800
22,685000
23,924000
20,541600
20,541600
17,118000
20,541600
20,541600
27,683000
33,219600
33,219600
16,888000
0,689200
0,000000
0,000000
10,904000
2,449200
20,538000
0,000000
7,679200
0,000000
9,677200
6,803200
10,559200
6,801200
9,829200
0,000000
0,000000
24,002400
30,708400
0,000000
6,620400
24,004400
0,000000
16,867400
29,959400
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
57 W52799001
58 W52800001
59 W60604001
60 W60734001
61 W52801001
62 W57578002
63 W08372001
64 W42371002
65 W43597002
66 W58225007
67 W53943002
68 W03156001
69 W44089001
70 W52224001
71 W58226001
72 W43598001
73 W60221001
74 W57430001
75 W57239001
76 W56446001
77 W51994001
78 W42693001
79 W08373001
80 W43288001
81 W43599002
82 W51993001
83 W44098001
84 W43287001
Grupa
terapeutica
J01XA02
Cod CIM
56 W13105001
Nr.crt
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
TEICOPLANINUM
Denumire generica
FLUCORIC 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg
FLUCOVIM 150
FLUCONAZOL 150 mg
FLUCORIC 150 mg
DIFLUCAN 150 mg
FUNGOLON 100 mg
FLUCOVIM 100
at
in
ZYVOXID (R)
st
De
PNEUMOLID 2 mg/ml
ZYVOXID (R)
ZYVOXID (R)
Denumire comerciala
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
50mg
50mg
50mg
200mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
100mg
100mg
100mg
100mg
2mg/ml
iv
us
CAPS.
CAPS.
SOL.
PERF.
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
2mg/ml
SOL.
PERF.
cl
ex
600mg
GRAN. PT.
SUSP.
100mg/5
ORALA
ml
COMPR.
FILM.
PULB+SOL
V. PT. SOL.
INJ./PERF.
SAU SOL.
ORALA
400mg
Forma
Concentr
farmaceuti
atie / U.T.
ca
Tara
Ambalaj
Prescriptie
MAREA
BRITAN CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1
IE
LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML
pe
rs
lo
r
ne
oa
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
PR
F
PRF
PRF
PRF
PRF
PRF
PRF
PR
F
16
10
10
10
cant/a
mbala
j
fi
zi
ce
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
ii
PRF
PRF
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
ar
PR
F
PRF
PRF
PR
PR
PRF
PRF
PRF
PR
F
PRF
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
MAREA
BRITAN
IE
CUTIE X 10 PUNGI X 300 ML
ROMAN
IA
REPUB
LICA
ZENTIVA K.S.
CEHA
ROMPHARM COMPANY ROMAN
S.R.L.
IA
LABORMED PHARMA
ROMAN
S.A.
IA
ACTAVIS GROUP PTC ISLAND
EHF.
A
MEDOCHEMIE
ROMAN
ROMANIA SRL
IA
ROMAN
SLAVIA PHARM SRL
IA
ROMAN
VIM SPECTRUM SRL
IA
GERMA
SANDOZ SRL
NIA
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
MEDOCHEMIE
ROMAN
ROMANIA SRL
IA
ROMAN
TERAPIA SA
IA
ROMAN
SANDOZ SRL
IA
TERAPIA SA
LABORATOARELE
PROF.DR.MORAIT
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
rm
fo
ARENA GROUP SA
in
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
PFIZER EUROPE MA
EEIG
PFIZER EUROPE MA
EEIG
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.
Firma
1,130000
1,356000
1,356000
4,460000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
4,680000
4,620000
4,870000
5,300000
5,544000
5,300000
1,998750
1,998750
1,665625
1,998750
105,263000
126,315600
116,450000
112,480000
911,260000
163,000000
106,430000
Pret cu ridicata
maximal de
decontare / U.T.
1,527142
1,832570
1,832570
5,834285
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
6,320000
6,240000
6,580000
7,160000
7,488000
7,160000
2,614500
2,614500
2,178750
2,614500
118,552000
142,262400
142,160000
137,320000
1.031,420000
181,485000
129,930000
0,000000
0,947430
0,560287
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
3,542000
0,000000
0,805500
2,056928
0,000000
3,788000
0,000000
42,337600
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC03
J02AC03
J02AC03
J02AC03
J02AC04
J02AC04
J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
86 W08374001
87 W57238001
88 W58224007
89 W03157001
90 W42321001
91 W53942002
92 W58322001
93 W58456003
94 W55502017
95 W55502001
96 W12072001
97 W55502009
98 W58456002
99 W58456001
100 W60056005
101 W57368003
102 W08947008
103 W08946008
104 W10489001
105 W41889001
106 W60913001
107 W58194001
108 W06665001
109 W06670001
110 W53675001
111 W42857001
112 W56038001
Grupa
terapeutica
J02AC01
Cod CIM
85 W43596001
Nr.crt
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
CASPOFUNGINUM**
CASPOFUNGINUM**
POSACONAZOLUM**
POSACONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire generica
in
ACICLOVIR 200 mg
CANCIDAS 70 mg
CANCIDAS 50 mg
NOXAFIL 40mg/ml
NOXAFIL 100mg
VFEND 40 mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
DIFLAZON 2mg/ml
at
st
DIFLUCAN 10 mg/ml
De
FLUCONAZOL ARENA 50 MG
FLUCONAZOL 50 mg
DIFLUCAN 50 mg
FLUCONAZOL AUROBINDO 50 mg
FLUCONAZOL LPH 50 mg
FLUCOVIM 50
FLUCONAZOLE TEVA 50 mg
Denumire comerciala
50mg
200mg
40mg/ml
COMPR.
FILM.
PULB. PT.
SOL.
PERF.
PULB. PT.
SUSP.
ORALA
CAPS.
CAPS.
CAPS.
200mg
200mg
200mg
SUSP.
ORALA
40mg/ml
PULB. PT.
CONC. PT.
SOL.
PERF.
50mg
PULB. PT.
CONC. PT.
SOL.
PERF.
70mg
CAPS.
GASTROR
EZ.
100mg
200mg
COMPR.
FILM.
2mg/ml
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
2mg/ml
SOL.
PERF.
iv
us
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
cl
ex
2mg/ml
2mg/ml
2mg/ml
10mg/ml
PULB. PT.
SUSP.
ORALA
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
50mg
50mg
50mg
50mg
50mg
50mg
50mg
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
Ambalaj
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
S
PRF
PRF
PRF
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
ARENA GROUP SA
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
PRF
/R
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 105ML SUSP. ORALA
MERCK SHARP &
DOHME
20
20
20
24
28
28
10
20
20
10
cant/a
mbala
j
fi
zi
ce
PR
lo
r
PRF
MAREA CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA +
BRITAN 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 PIE
ML) + 1 ADAPTOR
RF
ne
PR
MAREA
BRITAN CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE
IE
GASTROREZISTENTE
PFIZER LIMITED
PFIZER LIMITED
MAREA
BRITAN
IE
CUTIE X 1 FLAC. UNIDOZA X 30ML
oa
PRF
PFIZER LIMITED
rs
MAREA
BRITAN
IE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
pe
PRF
PFIZER LIMITED
ii
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
ar
rm
fo
in
PR
SLOVE
NIA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
ROMAN
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 50 ML SOL. PERF.
REPUB
LICA
CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML
ZENTIVA K.S.
CEHA SOL. PERF. X 200 MG FLUCONAZOL
ROMAN
ARENA GROUP S.A.
IA
CUTIE X 1 FLAC. X 100 ML SOL. PERF.
S
S/
PRF
PR
PR
F
PRF
PRF
PRF
Prescriptie
PRF
PRF
PR
F
PR
F
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. X 7 CAPS.
ROMAN
IA
CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
Tara
ARENA GROUP SA
PFIZER EUROPE MA
EEIG
TEVA
PHARMACEUTICALS
S.R.L.
Firma
0,636000
0,636000
0,636000
1.617,600000
1.246,420000
2.405,440000
133,855416
2.044,020000
435,570000
32,232500
119,853214
21,516000
17,930000
10,872000
21,516000
18,130000
21,516000
9,060000
36,250000
43,500000
21,880000
1,356000
1,356000
1,356000
1,265714
1,356000
1,356000
1,356000
Pret cu ridicata
maximal de
decontare / U.T.
0,859800
0,859800
0,859800
1.801,340000
1.396,750000
2.660,080000
147,492083
2.266,130000
512,920000
36,496071
132,002857
26,266800
21,889000
14,700000
26,266800
24,500000
26,266800
12,250000
47,420000
56,904000
29,570000
1,832570
1,832570
1,832570
1,710000
1,832570
1,832570
1,832570
0,211200
0,188700
0,251200
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
28,873200
0,000000
6,937500
11,204200
0,000000
21,183200
0,000000
0,000000
32,740000
0,000000
0,947430
0,946001
2,444572
0,000000
0,947430
0,947430
0,133144
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11
J05AB11
J05AB14
J05AB14
J05AB14
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
114 W53676001
115 W00044001
116 W60558001
117 W13972001
118 W06667003
119 W53225001
120 W06668003
121 W00058001
122 W58707001
123 W60087001
124 W61519003
125 W60756001
126 W51832001
127 W54752003
128 W54752004
129 W54752001
130 W54752002
131 W51530001
132 W51530005
133 W51530003
134 W51530004
135 W51530006
136 W43965001
137 W43962001
138 W43963001
139 W59114003
140 W59114001
141 W59114004
142 W59114002
143 W13462001
Grupa
terapeutica
J05AB01
Cod CIM
113 W53675003
Nr.crt
st
at
in
OCTAGAM
INTRATECT 50 g/l
INTRATECT 50 g/l
INTRATECT 50 g/l
IG VENA 2,5g/50ml
IG VENA 1g/20ml
IG VENA 10g/200ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
OCTAGAM 10%
INTRATECT 50 g/l
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
VALTREX 500 mg
VIROLEX
De
ACICLOVIR 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR-RICHTER 200 mg
Denumire comerciala
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALACYCLOVIRUM
VALACYCLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
Denumire generica
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
450mg
450mg
500mg
500 mg
fo
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
50mg/ml
ITALIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
ITALIA
ITALIA
MAREA
BRITAN
IE
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
S
PR
F
PR
F
PR
F
PR
F
fi
zi
ce
CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1
SET ADMINISTRARE
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1
SET ADMINISTRARE
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1
SET ADMINISTRARE
lo
r
ne
oa
rs
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
pe
MAREA
BRITAN CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A
IE
200ML SOLUTIE PERFUZABILA
ii
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
ar
PR
F
PRF
ROMAN
IA
CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.
ROMAN
IA
CUTIE X 1 FLAC. X 60 COMPR. FILM.
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 50 ML
KEDRION SPA
100mg/ml BAXTER AG
10g/200m
l
KEDRION SPA
100mg/ml BAXTER AG
100mg/ml BAXTER AG
100mg/ml BAXTER AG
1g/20ml
rm
OCTAPHARMA (IP)
LIMITED
in
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
PR
F
PR
CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. F
PR
CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM.
F
SLOVE
NIA
CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
THE WELLCOME
FOUNDATION LTD.
PRF
S/
PRF
UNGAR
IA
CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
cant/a
mbala
j
481,950000
462,170000
1.758,800000
190,170000
894,400000
407,410000
204,810000
1.539,650000
5.766,650000
1.847,580000
912,190000
3.736,820000
190,360000
870,210000
391,580000
3.390,820000
1.710,420000
49,306500
54,534600
60
45,445500
2,317000
2,780400
38,600000
1,794000
0,636000
0,530000
0,636000
0,636000
0,636000
1,495000
0,636000
Pret cu ridicata
maximal de
decontare / U.T.
60
60
10
10
10
20
20
PRF
/S 1000
PRF
10
PRF
20
PR
F
20
PRF
20
LAROPHARM S.R.L.
EGIS
PHARMACEUTICALS
P.L.C.
Ambalaj
PRF
PRF
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
Tara
Prescriptie
UNGAR
IA
CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.
ROMAN
IA
CUTIE X 2 BLIST. X 10 COMPR.
TERAPIA SA
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
EGIS
PHARMACEUTICALS
P.L.C.
ARENA GROUP SA
Firma
100mg/ml BAXTER AG
100
mg/ml
100
mg/ml
100
mg/ml
100
mg/ml
450mg
iv
us
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
cl
ex
200mg
200mg
200mg
200mg
200mg
400mg
200mg
COMPR.
400mg
PULB. PT.
SOL.
INJ./PERF. 250mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
563,480000
541,920000
1.955,240000
232,160000
1.013,050000
482,230000
250,030000
1.716,370000
6.323,810000
2.059,644000
1.032,440000
4.111,290000
232,390000
986,680000
464,970000
3.734,150000
1.902,510000
60,205800
54,380000
50,171500
3,131000
3,757200
47,124000
2,424000
0,859800
0,716500
0,859800
0,859800
0,859800
2,020000
0,833260
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
78,286000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
28,776366
0,000000
0,000000
0,000000
0,903800
0,000000
0,334000
0,033700
0,000000
0,033700
0,033700
0,030200
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
J06BA02
J06BA02
L01AA01
L01AA01
L01AA03
L01AA03
L01AA06
L01AB01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BA01
L01BB05
L01BB05
145 W13462003
146 W43964001
147 W12490001
148 W52215001
149 W58865001
150 W60631001
151 W12497001
152 W51454001
153 W58569001
154 W58568001
155 W12733003
156 W12735001
157 W58316010
158 W58316004
159 W58316007
160 W58316001
161 W53758016
162 W53758021
163 W53758006
164 W56210002
165 W56211001
Grupa
terapeutica
J06BA02
Cod CIM
144 W13462002
Nr.crt
FLUDARABINUM
FLUDARABINUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
METHOTREXATUM
BUSULFANUM
IFOSFAMIDUM
MELPHALANUM
MELPHALANUM
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
Denumire generica
st
at
in
FLUDARA
FLUDARA ORAL 10 mg
METOJECT 50mg/ml
METOJECT 50mg/ml
METOJECT 50mg/ml
BUSILVEX 6mg/ml
HOLOXAN 1 g
ALKERAN 50 mg
De
ALKERAN 2 mg
ENDOXAN 200 mg
ENDOXAN (R) 50 mg
IG VENA 5g/100ml
OCTAGAM
OCTAGAM
Denumire comerciala
Ambalaj
50mg/ml
50mg/ml
50mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
pe
rs
ne
GENZYME EUROPE
B.V.
OLAND
A
CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.
MEDAC GESELLSCAFT
FUR KLINISCHE
GERMA CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA PSPEZIALPRPARATE NIA
CU AC SI TAMPOANE CU ALCOOL
RF
PGENZYME EUROPE
OLAND
RF
B.V.
A
CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.
/S
MEDAC GESELLSCAFT
FUR KLINISCHE
GERMA CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA PSPEZIALPRPARATE NIA
CU AC SI TAMPOANE CU ALCOOL
RF
20
30
10
25
50
cant/a
mbala
j
fi
zi
ce
PR
PR
PR
lo
r
oa
ii
MEDAC GESELLSCAFT
FUR KLINISCHE
GERMA CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA PSPEZIALPRPARATE NIA
CU AC SI TAMPOANE CU ALCOOL
RF
EBEWE PHARMA
GES.M.B.H. NFG KG
EBEWE PHARMA
GES.M.B.H. NFG KG
EBEWE PHARMA
GES.M.B.H. NFG KG
EBEWE PHARMA
GES.M.B.H. NFG KG
rm
fo
ar
AUSTRI
A
CUTIE X 1 FLACON X 50 ML
in
EBEWE PHARMA
100mg/ml GES.M.B.H. NFG KG
P6
L
ROMAN
IA
CUTIE X30 COMPRIMATE
AUSTRI
A
CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML
P6
L
PR
S
PRF
S
PRF
Prescriptie
ROMAN
IA
CUTIE X 10COMPR.
FRANT
A
CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL. INJ.
GERMA
NIA
CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.
BAXTER ONCOLOGY
GMBH
PIERRE FABRE
MEDICAMENT
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
ROMAN
IA
CUTIE CU 1 FIOLA PULB.+ 1 FIOLA SOLVENT
ROMAN
IA
CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ
IRLAND
A
CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.
CN UNIFARM S.A.
ACTAVIS S.R.L.
ASPEN PHARMA
TRADING LIMITED
EBEWE PHARMA
100mg/ml GES.M.B.H. NFG KG
2,5mg
iv
10mg
COMPR.
FILM.
10mg
LIOF. PT.
SOL.
INJ./PERF. 50mg
COMPR.
CONC. PT.
SOL.
INJ./PERF.
CONC. PT.
SOL.
INJ./PERF.
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
us
COMPR.
PULB+SOL
V. PT. SOL.
INJ./PERF. 50mg
PULB. PT.
SOL.
PERF.
1g
CONC. PT.
SOL.
PERF.
6mg/ml
cl
ex
Tara
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 100 ML
Firma
MAREA
BRITAN
50mg/ml OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1
5g/100ml KEDRION SPA
ITALIA SET ADMINISTRARE
BAXTER ONCOLOGY
GERMA
50mg
GMBH
NIA
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.
50mg/ml
DRAJ.
PULB. PT.
SOL.
PERF./INJ.
I.V.
200mg
COMPR.
FILM.
2mg
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
81,444000
53,287000
42,876000
87,540000
77,780000
47,310000
63,030000
35,730000
93,336000
308,200000
65,640000
0,553333
2,211000
1.007,503750
95,760000
630,000000
10,116400
11,760000
0,401400
784,820000
1.837,780000
894,000000
Pret cu ridicata
maximal de
decontare / U.T.
102,984000
59,990500
56,076000
110,680000
98,340000
61,880000
79,700000
46,730000
118,008000
374,090000
82,990000
0,747666
2,989000
1.102,948750
121,080000
724,850000
12,350000
15,890000
0,542400
893,600000
2.041,330000
1.012,610000
12,802000
0,000000
13,944000
0,000000
0,000000
0,000000
0,000000
0,000000
9,082000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01CB01
L01DB06
L01DB06
L01DB07
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA01
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
L01XA02
167 W08035001
168 W08036001
169 W03065001
170 W52210001
171 W52574002
172 W52574001
173 W60599002
174 W03575001
175 W03581001
176 W42735002
177 W56664003
178 W56664001
179 W56664002
180 W56665002
181 W56665003
182 W52187002
183 W52187001
184 W01317001
185 W58740001
186 W58740002
187 W58740003
188 W52579003
189 W53000001
190 W53000003
191 W53000002
Grupa
terapeutica
L01BB05
Cod CIM
166 W53700001
Nr.crt
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CARBOPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
CISPLATINUM
MITOXANTRONUM**
IDARUBICINUM
IDARUBICINUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
ETOPOSIDUM
FLUDARABINUM
Denumire generica
st
SINPLATIN 1 mg/1 ml
SINPLATIN 1 mg/1 ml
PLATOSIN 1 mg/ml
PLATOSIN 1 mg/ml
ONKOTRONE
ZAVEDOS 5 mg
ZAVEDOS
at
in
De
ETOPOSIDE - TEVA
ETOPOSIDE - TEVA
VEPESID
VEPESID
Denumire comerciala
ACTAVIS S.R.L.
ACTAVIS S.R.L.
10mg/ml
10mg/ml
10mg/ml
10mg/ml
10mg/ml
ACTAVIS S.R.L.
ACTAVIS S.R.L.
ACTAVIS S.R.L.
FRESENIUS KABI
ONCOLOGY PLC
TEVA
PHARMACEUTICALS
S.R.L.
FRESENIUS KABI
ONCOLOGY PLC
CONC. PT.
SOL.
PERF.
10mg/ml
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
FRESENIUS KABI
ONCOLOGY PLC
CONC. PT.
SOL.
PERF.
10mg/ml
1mg/1ml
1mg/1ml
rm
fo
in
PFIZER EUROPE MA
EEIG
FRESENIUS KABI
ONCOLOGY PLC
ACTAVIS S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
EBEWE PHARMA
GES.M.B.H. NFG KG
ACTAVIS S.R.L.
BRISTOL MYERS
SQUIBB KFT
BRISTOL MYERS
SQUIBB KFT
Firma
PFIZER EUROPE MA
EEIG
BAXTER ONCOLOGY
2mg/ml
GMBH
TEVA
PHARMACEUTICALS
0,5 mg/ml S.R.L.
TEVA
PHARMACEUTICALS
0,5 mg/ml S.R.L.
TEVA
PHARMACEUTICALS
0,5 mg/ml S.R.L.
TEVA
PHARMACEUTICALS
1 mg/ml S.R.L.
TEVA
PHARMACEUTICALS
1 mg/ml S.R.L.
5mg
10mg
iv
us
PULB. PT.
SOL. INJ.
CONC. PT.
SOL. INJ.
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.
CAPS.
cl
ex
20mg/ml
20mg/ml
100mg/5
ml
100mg/5
ml
50mg
CONC. PT.
SOL.
PERF.
20mg/ml
CAPS. MOI
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
CONC. PT.
SOL.
PERF.
PULB. PT.
SOL.
INJ./PERF. 25mg/ml
Forma
Concentr
farmaceuti
atie / U.T.
ca
Ambalaj
PR
fi
zi
ce
S
ROMAN CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL.
IA
PERF.
S
PR
ROMAN CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL.
IA
PERF.
AUSTRI
A
CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.
lo
r
ne
S
ROMAN
IA
CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF.
oa
ROMAN
IA
CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.
rs
ROMAN CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL.
IA
PERF.
PR
pe
PR
ii
PR
PR
ar
ROMAN CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL.
IA
PERF.
PR
PRF
MAREA
BRITAN
IE
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.
GERMA
NIA
CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.
PR
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 1 CAPS.
ROMAN
IA
CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.
CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU
CAPACITATEA DE 10 ML NCHIS CU DOP DIN CAUCIUC
MAREA BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE
BRITAN CULOARE ALBASTRA CONTINND 10 ML CONC. PENTRU SOL.
IE
PERF.
20
10
cant/a
mbala
j
ROMAN
IA
CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.
S
PRF
PRF
Prescriptie
AUSTRI
A
CUTIE X 1 FLACON X 5 ML
ROMAN
IA
UNGAR
IA
UNGAR
IA
Tara
45,350000
134,430000
15,480000
137,790000
136,890000
49,170000
18,576000
24,048000
9,940000
23,940000
70,460000
20,040000
20,490000
10,350000
24,048000
474,870000
109,250000
188,210000
63,290000
21,552000
54,800000
17,960000
21,552000
10,952500
21,796000
67,870000
Pret cu ridicata
maximal de
decontare / U.T.
59,320000
164,110000
20,920000
168,220000
167,110000
64,310000
25,104000
32,508000
13,440000
32,360000
89,090000
27,090000
27,700000
13,990000
32,508000
555,760000
133,370000
229,770000
80,030000
29,124000
69,290000
24,270000
29,124000
13,371000
26,609000
85,820000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,136000
8,792000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
15,522000
0,000000
0,000000
0,000000
0,000000
3,846000
0,000000
0,000000
3,236000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AX16
L04AA04
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
197 W53893001
198 W53520001
199 W55757002
200 W53523001
201 W55758002
202 W54580001
203 W61725001
204 W04406001
205 W04407001
206 W42264003
207 W42265003
208 W56657001
209 W56643001
L04AA06
L04AA06
L04AA06
214 W58523001
215 W56003001
216 W52876001
L04AA06
L04AA06
212 W56644001
213 W55987001
L04AA06
L03AA02
196 W53892001
L04AA06
L01XC02
195 W07200001
210 W52877001
L01XC02
194 W07199001
211 W58520001
L01XA02
193 W58740004
Grupa
terapeutica
L01XA02
Cod CIM
192 W52579002
Nr.crt
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
iv
us
rm
fo
ar
MAREA
BRITAN CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PRF
IE
PERF.
OLAND
A
FLACON CU 1,2 ML SOL. X 20 MG/ML
S
250mg
500mg
500mg
500mg
500 mg
250mg
250mg
250 mg
COMPR.
FILM.
CAPS.
250 mg
COMPR.
FILM.
500mg
COMPR.
FILM.
GASTROR
EZ.
180mg
COMPR.
FILM.
GASTROR
EZ.
360mg
CAPS.
120
TEVA PHARMA BV
SANDOZ S.R.L.
TEVA PHARMA BV
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
NOVARTIS PHARMA
GMBH
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
PR
PR
F
PRF
/R
PR
F
PR
F
PRF
PR
F
PRF
PRF
/R
fi
zi
ce
CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.
OLAND
A
CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.
OLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
GERMA
NIA
ROMAN
IA
ROMAN
IA
50
50
50
50
50
100
100
100
100
120
lo
r
S/
PRF
NOVARTIS PHARMA
GMBH
50
ne
S/
PRF
oa
100
PRF
/R
rs
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 5 BLIST. X 10 COMPR. FILM.
1
PRF
/R
pe
142,358000
167,472000
90,430000
105,228000
139,560000
87,690000
4.632,930000
929,765000
181,360000
49,230000
Pret cu ridicata
maximal de
decontare / U.T.
162,800000
195,360000
106,198000
127,437600
170,380000
110,870000
5.088,050000
1.032,520000
221,410000
64,390000
2,136400
2,136400
2,136400
2,136400
2,136400
1,109300
1,109300
1,109300
1,109300
6,008166
3,078833
3,228200
1,706500
1.028,840000
2,608200
2,608200
2,608200
2,608200
2,608200
1,354200
1,354200
1,354200
1,354200
6,866833
3,673833
3,941000
2,083300
1.159,590000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
72,090000
0,000000
34,512400
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
1 21.644,390000 23.630,570000
cant/a
mbala
j
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 10 BLIST. X 10 CAPS.
ii
SOL.
480g/0,5
INJ./PERF. ml
HOSPIRA UK LIMITED
GENZYME EUROPE
SOL. INJ. 20 mg/ml B.V.
CONC. PT.
SOL.
GERMA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL.
PERF.
20mg/ml NEOVII BIOTECH GMBH NIA
PERF.
S
500mg
MYFENAX 500mg
in
PRF
/R
S/
PRF
/R
PRF
/R
MAREA
SOL.
300g/0,5
BRITAN CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PINJ./PERF. ml
HOSPIRA UK LIMITED
IE
PERF.
RF
S/
PSOL.
480mcg/0
GERMA
RF
INJ./PERF. ,8ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. /R
CAPS.
COMPR.
FILM.
COMPR.
MICOFENOLAT MOFETIL STADA 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg FILM.
COMPR.
SUPREPHEN 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL SANDOZ 500 mg
FILM.
SUPREPHEN 250 mg
MYFENAX 250mg
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
SOL.
300mcg/0
GERMA
INJ./PERF. ,5ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
cl
ex
SANDOZ GMBH
SANDOZ GMBH
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S
CONC. PT.
SOL.
PERF.
10mg/ml
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
60MU/ml
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
96MU/ml
PR
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 2 FLACOANE X 10 ML
CONC. PT.
SOL.
PERF.
10mg/ml
FRESENIUS KABI
ONCOLOGY PLC
CONC. PT.
SOL.
PERF.
10mg/ml
Ambalaj
Tara
TEVA
PHARMACEUTICALS
S.R.L.
Firma
Prescriptie
CONC. PT.
SOL.
PERF.
10mg/ml
Forma
Concentr
farmaceuti
atie / U.T.
ca
MYFORTIC 360 mg
MYFORTIC 180 mg
CELLCEPT 500mg
CELLCEPT 250mg
GRAFALON
IMUNOGLOBULINA ANTI-LIMFOCITE
UMANE**
NIVESTIM 48 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 30MUI/0,5ml
MOZOBIL 20mg/ml
MYCOPHENOLATUM**
at
in
ZARZIO 48MU/0,5ml
st
ZARZIO 30MU/0,5ml
De
MABTHERA 500 mg
MABTHERA 100 mg
Denumire comerciala
PLERIXAFOR**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
FILGRASTIMUM (G-CSF)**
RITUXIMABUM**
RITUXIMABUM**
CARBOPLATINUM
CARBOPLATINUM
Denumire generica
#
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
226 W51398001
227 W58367003
228 W56579003
229 W55262007
230 W53729001
231 W56580003
232 W55263007
233 W53730001
234 W53731001
235 W51974002
236 W57352002
237 W51976002
N02AX02
L04AD01
225 W58149003
241 W60238002
L04AD01
224 W51399001
N02AX02
L04AD01
223 W58368003
240 W60291001
L04AB01
222 W61303002
L04AD02
L04AB01
221 W61300002
N02AX02
L04AB01
220 W61299001
238 W53732001
L04AB01
219 W61297001
239 W41593001
L04AB01
218 W58975001
Grupa
terapeutica
L04AA10
Cod CIM
217 W61479001
Nr.crt
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
ETANERCEPTUM**
SIROLIMUS**
Denumire generica
st
TRAMADOL ZENTIVA 50 mg
TRAMACALM
K-ALMA (R)
ADVAGRAF 5mg
ADVAGRAF 1mg
ADVAGRAF 0,5mg
PROGRAF (R) 5 mg
PROGRAF (R) 1 mg
TACROLIMUS SANDOZ 1 mg
TACNI 1 mg
TACNI 0,5 mg
EQUORAL 50 mg
EQUORAL 25 mg
at
in
EQUORAL 100 mg
ENBREL 50mg
ENBREL 50mg
De
ENBREL 25mg
ENBREL 25mg
RAPAMUNE 1mg
Denumire comerciala
50mg
50mg
25mg
25mg
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
CONC. PT.
SOL.
PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
50mg
50mg
50mg
5mg/ml
5mg
1mg
0,5mg
5mg
1mg
1mg
1 mg
0,5mg
0,5mg
0,5 mg
iv
us
PULB. +
SOLV. PT.
SOL. INJ.
SOL. INJ.
(INSERING
A
PREUMPL
UTA)
SOL. INJ.
(INSERING
A
PREUMPL
UTA)
SOL. INJ.
IN STILOU
INJECTOR
PREUMPL
UT
cl
ex
1mg
PULB+SOL
V. PT. SOL.
INJ.
10mg
DRAJ.
Forma
Concentr
farmaceuti
atie / U.T.
ca
Ambalaj
NOVARTIS PHARMA
GMBH
ii
ne
OLAND
A
OLAND
A
ROMAN
IA
ROMAN
IA
SLOVA
CIA
ASTELLAS PHARMA
EUROPE BV
ASTELLAS PHARMA
EUROPE B.V.
ASTELLAS PHARMA
EUROPE BV
ZENTIVA A.S.
CUTIE X 10 FIOLE X 1 ML
OLAND
A
ASTELLAS PHARMA
EUROPE B.V.
ANTIBIOTICE SA
A.C. HELCOR PHARMA
S.R.L.
OLAND
A
ASTELLAS PHARMA
EUROPE BV
S
PRF
PRF
PRF
fi
zi
ce
OLAND
A
ASTELLAS PHARMA
EUROPE BV
lo
r
OLAND
A
SANDOZ S.R.L.
20
10
20
10
50
50
50
50
50
50
50
50
oa
rs
PR
S/
PRF
S/
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PPLIC CU DESICANT
RF
S/
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PPLIC CU DESICANT
RF
PRF
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PRF
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PRF
CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
pe
50
50
50
50
50
50
50
PRF
/R
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
30
cant/a
mbala
j
PR
S/
PRF
S/
OLAND CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PA
PLIC CU DESICANT
RF
ar
ASTELLAS PHARMA
EUROPE BV
TEVA
PHARMACEUTICALS
S.R.L.
SANDOZ S.R.L.
rm
TEVA CZECH
INDUSTRIES S.R.O.
TEVA
PHARMACEUTICALS
S.R.L.
CEHIA
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
TEVA CZECH
INDUSTRIES S.R.O.
fo
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
NOVARTIS PHARMA
GMBH
in
CEHIA
TEVA CZECH
INDUSTRIES S.R.O.
CUTIE X 5 BLIST. X 10 CAPS. MOI
MAREA
BRITAN CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4
IE
TAMPOANE CU ALCOOL
PRF
/R
PRF
/R
MAREA
BRITAN
IE
CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL
MAREA
BRITAN
IE
CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL
PRF
/R
PR
PR
Prescriptie
MAREA
BRITAN CUTIE X 4 FLACOANE + 4 SERINGI PREUMPLUTE + 4 ACE + 4
IE
ADAPTOARE PENTRU FLACOANE + 8 TAMPOANE CU ALCOOL
MAREA
BRITAN
IE
CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)
CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE
MAREA X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOXIDABIL + 4
BRITAN ADAPTOARE PENTRU FLACON + 8 TAMPOANE CU ALCOOL
IE
MEDICNAL
Tara
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
Firma
0,210500
0,252600
0,252600
148,802000
20,683000
4,662600
2,652600
17,573400
3,734800
2,427400
2,427400
1,900800
1,235600
1,235600
2,075600
3,136200
1,176000
1,865200
5,105200
886,460000
886,460000
446,550000
446,855000
183,222500
15,282333
Pret cu ridicata
maximal de
decontare / U.T.
0,284500
0,341400
0,341400
166,009000
23,307600
5,692200
3,238400
19,918000
4,559400
2,963400
2,963400
2,403400
1,562200
1,562200
2,533800
3,828600
1,487000
2,358400
6,232400
975,780000
975,780000
496,277500
496,610000
209,250000
17,929333
0,000000
0,043600
0,057100
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
243 W52049001
244 W42440001
245 W42957001
246 W61448001
247 W61448003
248 W61448011
249 W61448013
250 W60236002
251 W58072001
252 W61449001
253 W61449003
254 W61449011
255 W61449013
256 W60237002
257 W58893002
258 W61450001
259 W61450003
260 W61450011
261 W61450013
262 W58894002
263 W07784001
264 W43360001
265 W43361001
266 W60239003
267 W60239001
268 W05961002
Grupa
terapeutica
N02AX02
Cod CIM
242 W12691002
Nr.crt
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
Denumire generica
at
MABRON
TRAMADOL ZENTIVA 50 mg
TRAMADOL ZENTIVA 50 mg
TRADOLAN 50 mg
in
st
De
TRAMADOL EEL
TRAMAG 50
TRAMADOL ARENA
TRAMADOL
Denumire comerciala
200mg
50mg
COMPR.
FILM.
150mg
150mg
rm
ZENTIVA, A.S.
COMPR.
ORODISPE
RSABILE
50mg
MEDOCHEMIE LTD.
ZENTIVA, A.S.
COMPR.
ORODISPE
RSABILE
50mg
100mg
10
30
PR
F
PR
F
30
PRF
ii
rs
lo
r
ne
oa
pe
ar
10
30
PR
F
PR
F
PR
F
S/
PRF
PR
F
PRF
PRF
PRF
fi
zi
ce
SLOVE
NIA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
SLOVE
NIA
REPUB
LICA
SLOVA
CA
REPUB
LICA
SLOVA
CA
30
PR
F
0,252600
1,143600
100
0,252600
0,936799
0,702400
0,244333
0,895000
0,780666
0,781000
0,780666
0,781000
0,702400
0,669000
0,585333
0,586000
0,585333
0,586000
0,468000
0,466333
0,390666
0,390000
0,390666
0,390000
0,252600
0,252600
0,252600
0,221500
Pret cu ridicata
maximal de
decontare / U.T.
10
10
30
30
30
30
10
PR
F
PR
F
30
PR
F
30
30
PRF
SLOVA
CIA
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
30
PR
F
10
10
PR
F
PR
F
30
PR
F
PR
F
SLOVE
NIA
CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.
30
10
PR
F
LANNACHER
AUSTRI
HEILMITTEL GES.M.B.H. A
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.
COMPR.
FILM. ELIB.
PREL.
200mg
20
20
20
20
cant/a
mbala
j
PRF
PRF
PRF
PRF
Prescriptie
PR
F
LANNACHER
AUSTRI
HEILMITTEL GES.M.B.H. A
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
SOL. INJ.
Ambalaj
SLOVE
NIA
ROMAN
IA
ROMAN
IA
ROMAN
IA
Tara
LANNACHER
AUSTRI
HEILMITTEL GES.M.B.H. A
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.
ZENTIVA AS
fo
MEDOCHEMIE LTD.
in
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
ZENTIVA AS
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MAGISTRA C & C
KRKA D.D.
Firma
COMPR.
FILM. ELIB.
PREL.
150mg
200mg
200mg
200mg
200mg
150mg
150mg
150mg
150mg
iv
us
cl
ex
100mg
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
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.
COMPR.
ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
1,396100
0,341400
0,341400
1,266000
0,949600
0,330333
1,170666
1,055333
1,055000
1,055333
1,055000
0,949600
0,904333
0,791333
0,792000
0,791333
0,792000
0,632400
0,630333
0,528000
0,527000
0,528000
0,527000
0,341400
0,341400
0,341400
0,299500
0,000000
0,056600
0,056600
0,430000
0,335733
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,168400
0,000000
0,000000
0,000000
0,000000
0,000000
0,021266
0,000000
0,000000
0,000000
0,000000
0,000000
0,042100
0,057100
0,125600
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
N02AX02
N02AX02
R05CB13
R05CB13
V03AC03
V03AC03
V03AC03
V03AF01
271 W05966001
272 W05969001
273 W61214001
274 W51323001
275 W51484001
276 W51485001
277 W51486001
278 W04133001
MESNUM
DEFERASIROXUM**
DEFERASIROXUM**
DEFERASIROXUM**
DORNAZA ALFA**
DORNAZA ALFA**
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
Denumire generica
st
at
in
EXJADE 500mg
EXJADE 250mg
EXJADE 125mg
De
PULMOZYME
TRAMADOL
TRAMADOL
TRAMADOL
MABRON
Denumire comerciala
C01CA24
C01CA24
C01CA24
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
1 W02947001
2 W60389001
3 W60390001
4 W55629001
5 W54763001
6 W55629002
7 W55423001
8 W55369001
9 W55424001
10 W55630001
11 W55630002
12 W55370001
13 W54765001
14 W53595006
15 W53596003
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
EPINEPHRINUM
EPINEPHRINUM
EPINEPHRINUM
SOL. INJ.
KRKA D.D.
KRKA D.D.
MEDOCHEMIE LTD.
Ambalaj
SLOVE
NIA
CUTIE X 5 FIOLE X 1 ML
SLOVE
NIA
CUTIE X 1 BLIST. X, 5 SUPOZ.
SLOVE
NIA
CUTIE X 5 FIOLE X 2 ML
Tara
rm
TERAPIA SA
4g/0,5g
4g/0,5g
4g/0,5g
2g/0,25g
4g/0,5g
MYLAN S.A.S.
S.C. FRESENIUS KABI
S.R.L.
S.C. FRESENIUS KABI
S.R.L.
10
10
12
ROMASTRU TRADING
SRL
4g/0,5g
ANTIBIOTICE S.A.
4g/0,5g
fi
zi
ce
1
ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20
IA
ML CU PULB. PT. SOL. INJ./PERF.
S
lo
r
12
ROMASTRU TRADING
SRL
TERAPIA SA
ANTIBIOTICE S.A.
ne
oa
rs
ROMASTRU TRADING
SRL
MYLAN S.A.S.
pe
ROMASTRU TRADING
SRL
PR
100
15
28
28
28
ii
PR
PR
PR
PR
PR
S/
PRF
cant/a
mbala
j
ar
fo
ROMAN
IA
CUTIE X 100 FIOLE X 1 ML
MAREA
BRITAN
IE
CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)
GERMA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE
NIA
DE STICLA INCOLORA X 4 ML
MAREA
BRITAN
IE
CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)
TERAPIA SA
in
NOVARTIS
EUROPHARM LTD.
BAXTER ONCOLOGY
GMBH
NOVARTIS
EUROPHARM LTD.
NOVARTIS
EUROPHARM LTD.
MAREA
BRITAN
IE
CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)
S/
PRF
S/
PRF
S/
PRF
PRF
Prescriptie
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
300mcg
150mcg
1mg/ml
500mg
400mg/4
ml
250mg
125mg
1mg/ml
iv
us
COMPR.
DISP.
COMPR.
DISP.
COMPR.
DISP.
SOL.
INHAL.
SOL. INJ.
SOL. INJ.
IN STILOU
PREUMPL
EPIPEN 150 micrograme
UT
SOL. INJ.
IN STILOU
PREUMPL
EPIPEN 300 micrograme
UT
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PERASIN 2g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
BACTACIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PERASIN 4g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
BACTACIN 4 g/0,5 g
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g INJ./PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g
PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g
PERF.
ADRENALINA 1 mg
50mg/ml
50mg/ml
100mg
Firma
SUPOZ.
100mg
KRKA D.D.
SOL. DE
INHALAT
PRIN
NEBULIZA 2500U/2,5
ROMAN CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL.
TOR
ml
ROCHE ROMANIA S.R.L. IA
INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL
SOL. INJ.
SOL. INJ.
SOL. INJ.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
N02AX02
270 W05967001
Grupa
terapeutica
N02AX02
Cod CIM
269 W05961001
Nr.crt
17,789000
4,044000
21,346800
21,346800
21,346800
21,346800
21,346800
4,044000
4,044000
4,044000
3,370000
4,044000
146,100000
146,100000
1,569300
3,104000
86,728928
47,000000
24,030000
71,111666
71,111666
0,856000
0,758000
1,372320
1,372320
Pret cu ridicata
maximal de
decontare / U.T.
21,717000
5,472000
26,060400
26,060400
26,060400
26,060400
26,060400
5,472000
5,472000
5,472000
4,560000
5,472000
178,360000
178,360000
1,915800
4,060000
95,897142
52,592500
27,555357
83,870000
83,870000
1,158000
1,024000
1,675320
1,675320
0,000000
10,127000
10,049600
29,479600
20,445433
29,479600
29,479600
26,688000
26,688000
22,543000
0,000000
26,688000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
1,042680
0,200680
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
J01DD12
J01DD12
J01DD12
J01DD12
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01DH51
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
17 W13677001
18 W44045001
19 W52795001
20 W44061001
21 W54471002
22 W54471003
23 W54471005
24 W54471009
25 W54471007
26 W54471008
27 W54471006
28 W61198003
29 W51274002
30 W54532001
31 W52799001
32 W52800001
33 W60604001
34 W60734001
35 W52801001
36 W57578002
37 W08372001
38 W42371002
39 W43597002
40 W58225007
41 W53943002
Grupa
terapeutica
J01DD12
Cod CIM
16 W13676001
Nr.crt
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
IMIPENEMUM + CILASTATINUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
CEFOPERAZONUM
Denumire generica
at
FUNGOLON 100 mg
FLUCOVIM 100
ZYVOXID (R)
PNEUMOLID 2 mg/ml
ZYVOXID (R)
ZYVOXID (R)
TIENAM I.V.
500mg/50
0mg
ANTIBIOTICE S.A.
600mg
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
CAPS.
CAPS.
CAPS.
150mg
100mg
100mg
100mg
100mg
2mg/ml
SOL.
PERF.
CAPS.
2mg/ml
ii
rs
ne
lo
r
MAREA
BRITAN CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1
IE
LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML
oa
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.
pe
ARENA GROUP SA
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
PR
PRF
PRF
PR
S/
PRF
S/
PRF
PRF
PR
F
PRF
PR
F
PRF
PRF
MAREA
BRITAN
IE
CUTIE X 10 PUNGI X 300 ML
PR
fi
zi
ce
PFIZER EUROPE MA
EEIG
PFIZER EUROPE MA
EEIG
SOL.
PERF.
CAPS.
fo
GRAN. PT.
SUSP.
100mg/5
ORALA
ml
COMPR.
FILM.
ROMAN
IA
500mg/50
0mg
TERAPIA SA
ar
ROMAN
IA
500mg/50
0mg
TERAPIA SA
ROMAN
IA
500mg/50
0mg
TERAPIA SA
rm
ROMAN
IA
500mg/50
0mg
TERAPIA SA
in
ROMAN
IA
500mg/50
0mg
TERAPIA SA
ROMAN
IA
ROMAN
IA
S/
PRF
16
10
10
10
10
10
10
10
10
10
10
10
cant/a
mbala
j
S/
PRF
S/
PRF
S/
PRF
Prescriptie
S/
CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 PML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.
RF
S/
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML
PPULB. PT. SOL. PERF.
RF
S/
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PPULB. PT. SOL. PERF.
RF
S/
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PPULB. PT. SOL. PERF.
RF
S/
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PPULB. PT. SOL. PERF.
RF
S/
PCUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML
RF
PULB. PT. SOL. PERF.
S/
CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML
PPULB. PT. SOL. PERF.
RF
S/
CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PPULB. PT. SOL. PERF.
RF
ROMAN
IA
CUTIE X 1 FLAC. PULB. PT. SOL. INJ.
500mg/50
0mg
TERAPIA SA
iv
us
Ambalaj
Tara
ROMAN
IA
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
Firma
500mg/50
0mg
TERAPIA SA
1g
2g
500mg
2g
PULB. PT.
SOL. INJ.
PULB. PT.
SOL. INJ.
PULB. PT.
SOL.
INJ./PERF.
I.M./I.V.
PULB. PT.
SOL.
INJ./PERF.I
.M./I.V.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
1g
PULB. PT.
SOL. INJ.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
CILOPEN 500mg/500mg
in
CILOPEN 500mg/500mg
st
CILOPEN 500mg/500mg
De
CEFOZON 1 g
CEFOZON 2 g
CEFOZON 500 mg
MEDOCEF 2 g
MEDOCEF 1 g
Denumire comerciala
5,300000
1,998750
1,998750
1,665625
1,998750
105,263000
126,315600
116,450000
112,480000
911,260000
163,000000
18,581000
22,297200
18,582000
22,297200
22,297200
22,297200
22,297200
22,297200
18,582000
18,922000
7,010000
10,480000
3,190000
12,576000
8,412000
Pret cu ridicata
maximal de
decontare / U.T.
7,160000
2,614500
2,614500
2,178750
2,614500
118,552000
142,262400
142,160000
137,320000
1.031,420000
181,485000
22,684000
27,220800
22,685000
27,220800
27,220800
27,220800
27,220800
27,220800
22,685000
23,924000
9,480000
14,160000
4,310000
16,992000
11,376000
0,000000
0,805500
2,056928
0,000000
3,788000
0,000000
42,337600
0,000000
0,000000
0,000000
0,000000
0,000000
7,679200
0,000000
9,677200
6,803200
10,559200
6,801200
9,829200
0,000000
0,000000
0,000000
0,000000
0,000000
6,670000
6,538000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
43 W44089001
44 W52224001
45 W58226001
46 W43598001
47 W60221001
48 W57430001
49 W57239001
50 W56446001
51 W51994001
52 W42693001
53 W08373001
54 W43288001
55 W43599002
56 W51993001
57 W44098001
58 W43287001
59 W43596001
60 W08374001
61 W57238001
62 W58224007
63 W03157001
64 W42321001
65 W53942002
66 W58322001
67 W58456003
68 W55502017
69 W55502001
70 W12072001
71 W55502009
72 W58456002
73 W58456001
74 W60056005
Grupa
terapeutica
J02AC01
Cod CIM
42 W03156001
Nr.crt
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire generica
at
DIFLAZON 2mg/ml
DIFLUCAN 10 mg/ml
FLUCONAZOL ARENA 50 MG
FLUCONAZOL 50 mg
DIFLUCAN 50 mg
FLUCONAZOL AUROBINDO 50 mg
FLUCONAZOL LPH 50 mg
FLUCOVIM 50
FLUCONAZOLE TEVA 50 mg
FLUCORIC 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg
FLUCOVIM 150
FLUCONAZOL 150 mg
in
st
De
FLUCORIC 150 mg
DIFLUCAN 150 mg
Denumire comerciala
2mg/ml
2mg/ml
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
2mg/ml
SOL.
PERF.
SOL.
PERF.
2mg/ml
2mg/ml
2mg/ml
10mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
50mg
PULB. PT.
SUSP.
ORALA
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
200mg
iv
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
us
CAPS.
cl
ex
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
oa
rs
ne
lo
r
SLOVE
NIA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
ROMAN
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 50 ML SOL. PERF.
REPUB
LICA
CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML
ZENTIVA K.S.
CEHA SOL. PERF. X 200 MG FLUCONAZOL
PR
PR
S
S/
PRF
PR
PR
F
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
PR
F
PRF
PRF
PRF
PRF
PRF
PRF
PR
F
PRF
PRF
Prescriptie
10
20
20
10
cant/a
mbala
j
fi
zi
ce
pe
ii
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ar
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
ARENA GROUP SA
PFIZER EUROPE MA
EEIG
rm
fo
in
Ambalaj
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
Tara
ROMAN
IA
REPUB
LICA
ZENTIVA K.S.
CEHA
ROMPHARM COMPANY ROMAN
S.R.L.
IA
LABORMED PHARMA
ROMAN
S.A.
IA
ACTAVIS GROUP PTC ISLAND
EHF.
A
MEDOCHEMIE
ROMAN
ROMANIA SRL
IA
ROMAN
SLAVIA PHARM SRL
IA
ROMAN
VIM SPECTRUM SRL
IA
GERMA
SANDOZ SRL
NIA
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
MEDOCHEMIE
ROMAN
ROMANIA SRL
IA
ROMAN
TERAPIA SA
IA
ROMAN
SANDOZ SRL
IA
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
ROMAN
VIM SPECTRUM SRL
IA
LABORMED PHARMA
ROMAN
S.A.
IA
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
TERAPIA SA
LABORATOARELE
PROF.DR.MORAIT
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
Firma
17,930000
10,872000
21,516000
18,130000
21,516000
9,060000
36,250000
43,500000
21,880000
1,356000
1,356000
1,356000
1,265714
1,356000
1,356000
1,356000
1,130000
1,356000
1,356000
4,460000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
4,680000
4,620000
4,870000
5,300000
5,544000
Pret cu ridicata
maximal de
decontare / U.T.
21,889000
14,700000
26,266800
24,500000
26,266800
12,250000
47,420000
56,904000
29,570000
1,832570
1,832570
1,832570
1,710000
1,832570
1,832570
1,832570
1,527142
1,832570
1,832570
5,834285
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
6,320000
6,240000
6,580000
7,160000
7,488000
0,000000
6,937500
11,204200
0,000000
21,183200
0,000000
0,000000
32,740000
0,000000
0,947430
0,946001
2,444572
0,000000
0,947430
0,947430
0,133144
0,000000
0,947430
0,560287
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
3,542000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14
J05AB14
J05AB14
L04AA04
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
76 W08947008
77 W08946008
78 W10489001
79 W41889001
80 W61519003
81 W60756001
82 W51832001
83 W61725001
84 W04406001
85 W04407001
86 W42264003
87 W42265003
88 W56657001
89 W56643001
90 W52877001
91 W58520001
92 W56644001
93 W55987001
94 W58523001
95 W56003001
96 W52876001
97 W58368003
98 W51399001
99 W58149003
100 W51398001
101 W58367003
102 W56579003
Grupa
terapeutica
J02AC01
Cod CIM
75 W57368003
Nr.crt
TACROLIMUSUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
at
200mg
PULB. PT.
SOL.
PERF.
250mg
500mg
COMPR.
FILM.
TACNI 0,5 mg
EQUORAL 50 mg
EQUORAL 25 mg
EQUORAL 100 mg
MYFENAX 500mg
CAPS.
0,5 mg
500mg
500mg
500 mg
250mg
250mg
250 mg
500mg
CAPS.
250 mg
COMPR.
FILM.
500mg
COMPR.
FILM.
GASTROR
EZ.
180mg
COMPR.
FILM.
GASTROR
EZ.
360mg
iv
us
CAPS.
CAPS.
COMPR.
FILM.
COMPR.
MICOFENOLAT MOFETIL STADA 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg FILM.
COMPR.
SUPREPHEN 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL SANDOZ 500 mg
FILM.
SUPREPHEN 250 mg
MYFENAX 250mg
450mg
COMPR.
FILM.
450mg
COMPR.
FILM.
450mg
CONC. PT.
SOL.
PERF.
20mg/ml
cl
ex
50mg
COMPR.
FILM.
40mg/ml
200mg
COMPR.
FILM.
PULB. PT.
SUSP.
ORALA
COMPR.
FILM.
2mg/ml
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
MYFORTIC 360 mg
MYFORTIC 180 mg
CELLCEPT 500mg
CELLCEPT 250mg
GRAFALON
IMUNOGLOBULINA ANTI-LIMFOCITE
UMANE**
MYCOPHENOLATUM**
in
st
De
VFEND 40 mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
Denumire comerciala
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
FLUCONAZOLUM
Denumire generica
PRF
MAREA
BRITAN
IE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
PR
F
PRF
ROMAN
IA
CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.
ROMAN
IA
CUTIE X 1 FLAC. X 60 COMPR. FILM.
MAREA
BRITAN
IE
ROMAN
IA
PRF
PRF
MAREA
BRITAN
IE
CUTIE X 1 FLAC. UNIDOZA X 30ML
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
Ambalaj
ROMAN
IA
CUTIE X 1 FLAC. X 100 ML SOL. PERF.
Tara
Prescriptie
NOVARTIS PHARMA
GMBH
CEHIA
TEVA CZECH
INDUSTRIES S.R.O.
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
NOVARTIS PHARMA
GMBH
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
TEVA CZECH
INDUSTRIES S.R.O.
TEVA CZECH
INDUSTRIES S.R.O.
TEVA
PHARMACEUTICALS
S.R.L.
PR
fi
zi
ce
lo
r
ne
oa
rs
pe
OLAND
A
CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.
OLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
TEVA PHARMA BV
SANDOZ S.R.L.
TEVA PHARMA BV
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
ii
GERMA
NIA
ROMAN
IA
ROMAN
IA
ar
50
50
50
50
50
50
50
50
50
50
50
100
100
100
100
120
rm
NOVARTIS PHARMA
GMBH
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
PR
PR
F
PRF
/R
PR
F
PR
F
PRF
PR
F
PRF
PRF
/R
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
120
S/
PRF
NOVARTIS PHARMA
GMBH
S/
PRF
fo
PRF
/R
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 5 BLIST. X 10 COMPR. FILM.
in
50
PRF
/R
100
60
60
60
28
28
cant/a
mbala
j
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 10 BLIST. X 10 CAPS.
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
Firma
1,235600
2,075600
3,136200
1,176000
1,865200
5,105200
2,136400
2,136400
2,136400
2,136400
2,136400
1,109300
1,109300
1,109300
1,109300
6,008166
3,078833
3,228200
1,706500
1.028,840000
54,534600
49,306500
45,445500
2.044,020000
435,570000
32,232500
119,853214
21,516000
Pret cu ridicata
maximal de
decontare / U.T.
1,562200
2,533800
3,828600
1,487000
2,358400
6,232400
2,608200
2,608200
2,608200
2,608200
2,608200
1,354200
1,354200
1,354200
1,354200
6,866833
3,673833
3,941000
2,083300
1.159,590000
60,205800
54,380000
50,171500
2.266,130000
512,920000
36,496071
132,002857
26,266800
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
28,776366
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
28,873200
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
105 W56580003
106 W55263007
107 W53730001
108 W53731001
109 W51974002
110 W57352002
111 W51976002
112 W53732001
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
Denumire generica
at
in
ADVAGRAF 5mg
ADVAGRAF 1mg
st
ADVAGRAF 0,5mg
De
PROGRAF (R) 5 mg
PROGRAF (R) 1 mg
TACROLIMUS SANDOZ 1 mg
TACNI 1 mg
Denumire comerciala
C03EB01
C03EB01
19 W07005001
B01AC11
13 W61568004
18 W60585001
B01AC11
12 W51786004
C03EB01
B01AC11
11 W58879001
B02BD08
B01AB05
10 W13610002
17 W58726003
B01AB05
9 W13611002
16 W53034001
B01AB05
8 W13612002
B01AD02
B01AB05
7 W13613002
B02AA02
A05AA02
6 W58363001
14 W00257001
A05AA02
5 W58710002
15 W54011001
A05AA02
A05AA02
3 W00188001
A05AA02
2 W59934001
4 W00187001
A05AA02
1 W00187002
ACIDUM TRANEXAMICUM 4)
ALTEPLASUM**
ILOPROSTUM**
ILOPROSTUM**
ILOPROSTUM**
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
DIUREX 50
DIOCOR 50 mg/20 mg
DIUROCARD 50 mg/20 mg
EXACYL
ACTILYSE
VENTAVIS 10g/ml
VENTAVIS 10mcg/ml
ILOMEDIN 20
URSOFALK 500 mg
URSOFALK (R)
URSOSAN
URSOROM 250 mg
URSOFALK (R)
CAPS.
CAPS.
CAPS.
SOL. INJ.
PULB. +
SOLV. PT.
SOL. INJ.
SOL. INJ.
CONC. PT.
SOL.
PERF.
SOL. DE
INHALAT
PRIN
NEBULIZ.
SOL. DE
INHALAT
PRIN
NEBULIZ.
PULB+SOL
V. PT. SOL.
INJ
SOL. INJ.
SOL. INJ.
SOL. INJ.
CAPS.
COMPR.
FILM.
SUSP.
ORALA
CAPS.
CAPS.
CAPS.
BAYER PHARMA AG
50 KIU
50mg/20
mg
50mg/20
mg
50mg/20
mg
0,5g/5ml
50mg
10g/ml
ii
TERAPIA SA
SANIENCE S.R.L.
rs
ne
lo
r
fi
zi
ce
P6
L
P6
L
P6L
P6L
P6
L
P6
L
PR
/P
RF
PR
/P
RF
PR
/P
RF
DANEM
ARCA
ROMAN
IA
ROMAN
IA
ROMAN
IA
PR
X
PRF
/R
P6
L
P6
L
P6L
GERMA
NIA
CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.
oa
FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.
FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
pe
FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
ar
CEHIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
ROMAN
IA
CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.
GERMA
BAYER PHARMA AG
NIA
BOEHRINGER
INGELHEIM
GERMA
INTERNATIONAL GMBH NIA
ROMAN
CN UNIFARM
IA
BAYER SCHERING
10mcg/ml PHARMA AG
20g/ml
8000UI
antiLABORATOIRE
Xa/0,8ml AVENTIS
rm
fo
in
500mg
250mg/5
ml
2000ui
antiXa/0,2ml LAB. AVENTIS
4000ui
antiXa/0,4ml LAB. AVENTIS
6000ui
antiXa/0,6ml LAB. AVENTIS
250mg
250mg
250mg
5mg/ml
250mg
OLAND
A
CUTIE X 10 FIOLE X 1 ML
ASTELLAS PHARMA
EUROPE BV
5mg
ASTELLAS PHARMA
EUROPE B.V.
OLAND
A
OLAND
A
ASTELLAS PHARMA
EUROPE BV
ASTELLAS PHARMA
EUROPE B.V.
OLAND
A
ASTELLAS PHARMA
EUROPE BV
OLAND
A
OLAND
A
SANDOZ S.R.L.
20
20
30
30
30
10
10
10
100
50
50
60
100
10
50
50
50
50
50
50
50
PR
S/
PRF
S/
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PPLIC CU DESICANT
RF
S/
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PPLIC CU DESICANT
RF
PRF
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PRF
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PRF
CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
50
50
ASTELLAS PHARMA
EUROPE BV
TEVA
PHARMACEUTICALS
S.R.L.
cant/a
mbala
j
S/
PRF
S/
OLAND CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PA
PLIC CU DESICANT
RF
Ambalaj
Tara
Prescriptie
SANDOZ S.R.L.
Firma
ASTELLAS PHARMA
EUROPE BV
1mg
0,5mg
5mg
1mg
1mg
1 mg
0,5mg
0,5mg
iv
us
CAPS.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
CONC. PT.
SOL.
PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
L04AD02
104 W53729001
Grupa
terapeutica
L04AD02
Cod CIM
103 W55262007
Nr.crt
0,895000
0,862500
0,805666
2.406,410000
1,890000
1.490,890000
54,208000
54,208000
131,884000
15,641666
12,277000
9,222000
5,083000
77,100000
2,196700
0,723400
0,603000
0,602833
0,723400
148,802000
20,683000
4,662600
2,652600
17,573400
3,734800
2,427400
2,427400
1,900800
1,235600
Pret cu ridicata
maximal de
decontare / U.T.
1,209500
1,165500
1,089000
2.661,140000
2,554000
1.663,220000
60,358333
60,358333
151,384000
19,778333
14,988000
11,660000
6,427000
97,490000
2,681700
0,946200
0,788600
0,788500
0,946200
166,009000
23,307600
5,692200
3,238400
19,918000
4,559400
2,963400
2,963400
2,403400
1,562200
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,267200
0,000000
0,000000
0,206200
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!!
H01BA02
H01BA02
H01BA02
H01BA02
H01BA02
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
21 W53989001
22 W53832002
23 W53992002
24 W53991002
25 W53991001
26 W55629001
27 W54763001
28 W55629002
29 W55423001
30 W55369001
31 W55424001
32 W55630001
33 W55630002
34 W55370001
35 W54765001
36 W53595006
37 W53596003
38 W52799001
39 W52800001
40 W60604001
41 W60734001
42 W52801001
43 W57578002
44 W08947008
45 W08946008
Grupa
terapeutica
C03EB01
Cod CIM
20 W60585002
Nr.crt
VORICONAZOLUM**
VORICONAZOLUM**
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
DESMOPRESSINUM
COMBINATII
(SPIRONOLACTONUM+FUROSEMIDUM)
Denumire generica
at
in
VFEND 50mg
VFEND 200mg
ZYVOXID (R)
PNEUMOLID 2 mg/ml
ZYVOXID (R)
ZYVOXID (R)
st
De
600mg
2mg/ml
2mg/ml
2mg/ml
2mg/ml
200mg
50mg
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
COMPR.
FILM.
COMPR.
FILM.
GRAN. PT.
SUSP.
100mg/5
ORALA
ml
COMPR.
FILM.
4g/0,5g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
60mcg
60mcg
120mcg
0,2mg
0,2mg
50mg/20
mg
iv
us
cl
ex
COMPR.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
COMPR.
LIOF.
ORAL
LIOF.
MINIRIN MELT 60 mcg
ORAL
LIOF.
MINIRIN MELT 60 mcg
ORAL
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PERASIN 2g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
BACTACIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PERASIN 4g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
BACTACIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g INJ./PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g
PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g
PERF.
MINIRIN 0,2 mg
DIOCOR 50 mg/20 mg
Denumire comerciala
PRF
PRF
PRF
PRF
ROMAN
IA
GERMA
NIA
GERMA
NIA
GERMA
NIA
PR
F
PRF
PRF
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER LIMITED
PFIZER LIMITED
MAREA
BRITAN
IE
CUTIE X 10 PUNGI X 300 ML
PFIZER EUROPE MA
EEIG
PR
fi
zi
ce
PR
PRF
lo
r
ne
PFIZER EUROPE MA
EEIG
MAREA
BRITAN CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1
IE
LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML
oa
rs
PRF
PFIZER EUROPE MA
EEIG
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.
pe
ii
28
28
10
10
10
10
10
ar
MYLAN S.A.S.
rm
fo
TERAPIA SA
12
ROMASTRU TRADING
SRL
in
ANTIBIOTICE S.A.
ROMASTRU TRADING
SRL
12
TERAPIA SA
ANTIBIOTICE S.A.
MYLAN S.A.S.
ROMASTRU TRADING
SRL
10
30
30
30
30
30
cant/a
mbala
j
P6
L
PRF
Ambalaj
ROMAN
IA
CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.
GERMA
NIA
CUTIE X 1 FLAC. DIN PEID X 30 COMPR.
Tara
Prescriptie
ROMASTRU TRADING
SRL
FERRING GMBH
FERRING GMBH
FERRING GMBH
FERRING GMBH
TEVA
PHARMACEUTICAL
S.R.L.
SANIENCE S.R.L.
Firma
32,232500
119,853214
105,263000
126,315600
116,450000
112,480000
911,260000
163,000000
17,789000
4,044000
21,346800
21,346800
21,346800
21,346800
21,346800
4,044000
4,044000
4,044000
3,370000
4,044000
2,551000
2,506666
4,953333
1,976666
2,371999
0,776333
Pret cu ridicata
maximal de
decontare / U.T.
36,496071
132,002857
118,552000
142,262400
142,160000
137,320000
1.031,420000
181,485000
21,717000
5,472000
26,060400
26,060400
26,060400
26,060400
26,060400
5,472000
5,472000
5,472000
4,560000
5,472000
3,337000
3,169333
6,047000
2,499333
2,999200
1,049333
0,000000
0,000000
0,000000
42,337600
0,000000
0,000000
0,000000
0,000000
0,000000
10,127000
10,049600
29,479600
20,445433
29,479600
29,479600
26,688000
26,688000
22,543000
0,000000
26,688000
0,000000
0,000000
0,000000
0,000000
0,846133
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
J02AC03
J02AX04
J02AX04
J05AB14
J05AB14
J05AB14
J06BB04
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
47 W41889001
48 W06665001
49 W06670001
50 W61519003
51 W60756001
52 W51832001
53 W54188003
54 W53892001
55 W53893001
56 W53520001
57 W55757002
58 W53523001
59 W55758002
60 W04406001
61 W04407001
62 W42264003
63 W42265003
64 W56657001
65 W56643001
66 W52877001
67 W58520001
68 W56644001
69 W55987001
70 W58523001
Grupa
terapeutica
J02AC03
Cod CIM
46 W10489001
Nr.crt
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
at
in
st
De
CANCIDAS 70 mg
CANCIDAS 50 mg
VFEND 40 mg/ml
VFEND 200mg
Denumire comerciala
fo
in
450mg
ROCHE ROMANIA SRL
BIOTEST PHARMA
50 UI/ ml GMBH
450mg
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
CUTIE X 1 FLAC. X 60 COMPR. FILM.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF.
(2000UI)
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
ROMAN
IA
ROMAN
IA
GERMA
NIA
250mg
CAPS.
500mg
500mg
500 mg
250mg
250mg
250 mg
250 mg
COMPR.
FILM.
500mg
COMPR.
FILM.
GASTROR
EZ.
180mg
COMPR.
FILM.
GASTROR
EZ.
360mg
CAPS.
oa
rs
ne
lo
r
TEVA PHARMA BV
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
OLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
GERMA
NIA
ROMAN
IA
ROMAN
IA
NOVARTIS PHARMA
GMBH
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
PRF
/R
PR
PR
F
PRF
/R
PR
F
PR
F
PRF
PR
F
S/
PRF
S/
PRF
fi
zi
ce
GERMA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.
NIA
GASTROREZ.
NOVARTIS PHARMA
GMBH
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 5 BLIST. X 10 COMPR. FILM.
PRF
/R
50
50
50
100
100
100
100
120
120
50
100
pe
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 10 BLIST. X 10 CAPS.
SOL.
480g/0,5
INJ./PERF. ml
HOSPIRA UK LIMITED
ii
ar
MAREA
BRITAN CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PIE
PERF.
RF
rm
SOL.
300g/0,5
INJ./PERF. ml
HOSPIRA UK LIMITED
60
60
MAREA
BRITAN CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PIE
PERF.
RF
S/
PSOL.
480mcg/0
GERMA
RF
INJ./PERF. ,8ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. /R
PRF
/R
S/
PRF
/R
PRF
/R
PR
PR
F
PRF
60
S
PR
F
450mg
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
ROMAN
IA
CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM.
50mg
70mg
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
PRF
cant/a
mbala
j
PFIZER LIMITED
SOL.
300mcg/0
GERMA
INJ./PERF. ,5ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
CAPS.
COMPR.
SUPREPHEN 250 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL STADA 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg FILM.
COMPR.
SUPREPHEN 500 mg
FILM.
MYFENAX 250mg
Ambalaj
MAREA
BRITAN
IE
CUTIE X 1 FLAC. UNIDOZA X 30ML
Tara
40mg/ml
PFIZER LIMITED
Firma
Prescriptie
200mg
iv
us
cl
ex
COMPR.
FILM.
COMPR.
FILM.
SOL.
PERF.
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
PULB. PT.
SUSP.
ORALA
PULB. PT.
CONC. PT.
SOL.
PERF.
PULB. PT.
CONC. PT.
SOL.
PERF.
COMPR.
FILM.
PULB. PT.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
MYFORTIC 360 mg
MYFORTIC 180 mg
CELLCEPT 500mg
CELLCEPT 250mg
NIVESTIM 48 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 30MUI/0,5ml
ZARZIO 48MU/0,5ml
ZARZIO 30MU/0,5ml
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
CASPOFUNGINUM**
CASPOFUNGINUM**
VORICONAZOLUM**
VORICONAZOLUM**
Denumire generica
2,136400
2,136400
2,136400
1,109300
1,109300
1,109300
1,109300
6,008166
3,078833
3,228200
1,706500
142,358000
167,472000
90,430000
105,228000
139,560000
87,690000
3.044,440000
54,534600
49,306500
45,445500
1.617,600000
1.246,420000
2.044,020000
435,570000
Pret cu ridicata
maximal de
decontare / U.T.
2,608200
2,608200
2,608200
1,354200
1,354200
1,354200
1,354200
6,866833
3,673833
3,941000
2,083300
162,800000
195,360000
106,198000
127,437600
170,380000
110,870000
3.356,590000
60,205800
54,380000
50,171500
1.801,340000
1.396,750000
2.266,130000
512,920000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
72,090000
0,000000
34,512400
0,000000
0,000000
0,000000
28,776366
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!"
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
73 W61479001
74 W58368003
75 W51399001
76 W58149003
77 W51398001
78 W58367003
79 W56579003
80 W55262007
81 W53729001
82 W56580003
83 W55263007
84 W53730001
85 W53731001
86 W51974002
87 W57352002
88 W51976002
89 W53732001
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
SIROLIMUS**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
Denumire generica
st
at
in
ADVAGRAF 5mg
ADVAGRAF 1mg
ADVAGRAF 0,5mg
PROGRAF (R) 5 mg
PROGRAF (R) 1 mg
TACROLIMUS SANDOZ 1 mg
TACNI 1 mg
TACNI 0,5 mg
EQUORAL 50 mg
ex
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A05AA02
A11CC03
A11CC03
A11CC03
A11CC03
1 W00187002
2 W59934001
3 W00188001
4 W00187001
5 W58710002
6 W58363001
7 W00231001
8 W58167002
9 W44042001
10 W58168002
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
URSOFALK 500 mg
URSOFALK (R)
URSOSAN
URSOROM 250 mg
URSOFALK (R)
ii
500mg
250mg/5
ml
250mg
250mg
250mg
250mg
1mg
SANDOZ S.R.L.
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
ne
lo
r
PRF
PR
F
PRF
PR
F
ROMAN
IA
CUTIE X 1 FLAC. X 30 CAPS. MOI
ROMAN
IA
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI
P6
L
P6
L
P6L
P6L
P6
L
P6
L
fi
zi
ce
ROMAN
IA
CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI
ROMAN
IA
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI
CEHIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
ROMAN
IA
CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.
5mg/ml
oa
OLAND
A
CUTIE X 10 FIOLE X 1 ML
ASTELLAS PHARMA
EUROPE BV
5mg
rs
OLAND
A
ASTELLAS PHARMA
EUROPE B.V.
pe
OLAND
A
OLAND
A
ASTELLAS PHARMA
EUROPE BV
ASTELLAS PHARMA
EUROPE BV
ar
OLAND
A
rm
ASTELLAS PHARMA
EUROPE BV
fo
SANDOZ S.R.L.
in
50
PR
S/
PRF
S/
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PRF
PLIC CU DESICANT
S/
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PPLIC CU DESICANT
RF
PRF
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PRF
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PRF
CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
50
ASTELLAS PHARMA
EUROPE BV
TEVA
PHARMACEUTICALS
S.R.L.
30
30
30
50
100
50
50
60
100
10
50
50
50
50
50
50
50
SANDOZ S.R.L.
50
50
50
50
50
50
30
50
50
cant/a
mbala
j
PR
S/
PRF
S/
OLAND CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PA
PLIC CU DESICANT
RF
PR
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
PRF
PRF
/R
Prescriptie
CEHIA
NOVARTIS PHARMA
GMBH
TEVA CZECH
INDUSTRIES S.R.O.
TEVA
PHARMACEUTICALS
S.R.L.
TEVA CZECH
INDUSTRIES S.R.O.
CUTIE X 5 BLIST. X 10 CAPS. MOI
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
NOVARTIS PHARMA
GMBH
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
TEVA CZECH
INDUSTRIES S.R.O.
MAREA
BRITAN
IE
CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)
OLAND
A
CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.
OLAND
A
0,5mg
Ambalaj
ROMAN
IA
CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.
Tara
PFIZER LIMITED
TEVA PHARMA BV
SANDOZ S.R.L.
Firma
ASTELLAS PHARMA
EUROPE B.V.
5mg
1mg
1mg
1 mg
iv
0,5mg
0,5mg
0,5 mg
CAPS.
COMPR.
FILM.
SUSP.
ORALA
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
CONC. PT.
SOL.
PERF.
CAPS.
CAPS.
CAPS.
CAPS.
us
cl
CAPS.
CAPS.
De
1mg
500mg
COMPR.
FILM.
DRAJ.
500mg
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
EQUORAL 25 mg
EQUORAL 100 mg
RAPAMUNE 1mg
MYFENAX 500mg
Denumire comerciala
L04AA06
72 W52876001
Grupa
terapeutica
L04AA06
Cod CIM
71 W56003001
Nr.crt
0,866666
0,803666
0,522960
0,435800
77,100000
2,196700
0,723400
0,603000
0,602833
0,723400
148,802000
20,683000
4,662600
2,652600
17,573400
3,734800
2,427400
2,427400
1,900800
1,235600
1,235600
2,075600
3,136200
1,176000
1,865200
5,105200
15,282333
2,136400
2,136400
Pret cu ridicata
maximal de
decontare / U.T.
1,133666
1,086333
0,706800
0,589000
97,490000
2,681700
0,946200
0,788600
0,788500
0,946200
166,009000
23,307600
5,692200
3,238400
19,918000
4,559400
2,963400
2,963400
2,403400
1,562200
1,562200
2,533800
3,828600
1,487000
2,358400
6,232400
17,929333
2,608200
2,608200
0,000000
0,000000
0,058866
0,000000
0,000000
0,000000
0,267200
0,000000
0,000000
0,206200
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!#
A11CC03
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB04
B01AB05
B01AB05
B01AB05
B01AB05
H01CB02
H01CB02
H01CB02
H01CB02
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
12 W55847001
13 W43774001
14 W43775001
15 W52805003
16 W43776001
17 W52809004
18 W52808004
19 W52807002
20 W13613002
21 W13612002
22 W13611002
23 W13610002
24 W42955001
25 W42954001
26 W42956001
27 W59079001
28 W55629001
29 W54763001
30 W55629002
31 W55423001
32 W55369001
Grupa
terapeutica
A11CC03
Cod CIM
11 W55847002
Nr.crt
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
OCTREOTIDUM**
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
DALTEPARINUM
ALFACALCIDOLUM
ALFACALCIDOLUM
Denumire generica
st
at
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
PR
/P
RF
PR
/P
RF
PR
/P
RF
PFIZER EUROPE MA
EEIG
12500
UI/0,5ml
LAB. AVENTIS
LAB. AVENTIS
rm
fo
in
LAB. AVENTIS
PFIZER EUROPE MA
EEIG
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
pe
oa
rs
lo
r
S/
PRF
S/
PRF
TERAPIA SA
ANTIBIOTICE S.A.
12
S
ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30
IA
ML CU PULB. PT. SOL. INJ./PERF.
S
ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20
IA
ML CU PULB. PT. SOL. INJ./PERF.
S
S
ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE
IA
30 ML CU PULB. PT. SOL. INJ./PERF.
MYLAN S.A.S.
ROMASTRU TRADING
SRL
PR
S/
PRF
10
10
10
fi
zi
ce
ne
ii
ar
FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.
FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
10
10
10
10
10
cant/a
mbala
j
ROMASTRU TRADING
SRL
NOVARTIS PHARMA
GMBH
NOVARTIS PHARMA
0,1mg/ml GMBH
NOVARTIS PHARMA
GMBH
NOVARTIS PHARMA
GMBH
8000UI
antiLABORATOIRE
Xa/0,8ml AVENTIS
iv
7500ui/0,
3ml
2000ui
antiXa/0,2ml
4000ui
antiXa/0,4ml
6000ui
antiXa/0,6ml
FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
S/
PRF
18000
PFIZER EUROPE MA
UI/0,72ml EEIG
S
S/
PRF
DANEM
ARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.
Ambalaj
2microgra
me/ml
LEO PHARMA A/S
Tara
DANEM
ARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
Firma
Prescriptie
2microgra
me/ml
LEO PHARMA A/S
SOL. INJ.
PULB. +
SOLV. PT.
SUSP. INJ.
(I.M.) CU
ELIB.
PRELU
20mg
PULB.+SO
LV.PT.SUS
P. INJ.
(I.M.) CU
ELIB.
PRELUNG. 10mg
PULB.+SO
LV.PT.SUS
P. INJ.
(I.M.) CU
ELIB.
PRELUNG. 30mg
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
us
SOL. INJ.
cl
ex
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
Forma
Concentr
farmaceuti
atie / U.T.
ca
SOL. INJ.
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PERASIN 2g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
BACTACIN 2 g/0,25 g
INJ./PERF.
SANDOSTATIN LAR 30 mg
SANDOSTATIN LAR 10 mg
SANDOSTATIN LAR 20 mg
in
De
FRAGMIN15000 UI/0,6 ml
ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
Denumire comerciala
4,044000
4,044000
4,044000
3,370000
4,044000
6,750000
3.950,440000
1.358,910000
2.643,630000
15,641666
12,277000
9,222000
5,083000
11,200000
9,056000
4,739000
27,466000
22,400000
18,506000
14,576000
11,086000
21,144000
Pret cu ridicata
maximal de
decontare / U.T.
5,472000
5,472000
5,472000
4,560000
5,472000
8,830000
4.344,140000
1.519,360000
2.919,710000
19,778333
14,988000
11,660000
6,427000
13,673000
11,451000
6,199000
33,530000
27,346000
23,398000
18,430000
13,534000
25,813000
26,688000
26,688000
22,543000
0,000000
26,688000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01XA02
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
34 W55630001
35 W55630002
36 W55370001
37 W54765001
38 W53595006
39 W53596003
40 W13105001
41 W52799001
42 W52800001
43 W60604001
44 W60734001
45 W52801001
46 W57578002
47 W08372001
48 W42371002
49 W43597002
50 W58225007
51 W53943002
52 W03156001
53 W44089001
54 W52224001
55 W58226001
56 W43598001
57 W60221001
58 W57430001
Grupa
terapeutica
J01CR05
Cod CIM
33 W55424001
Nr.crt
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
TEICOPLANINUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
Denumire generica
FLUCORIC 150 mg
DIFLUCAN 150 mg
FUNGOLON 100 mg
FLUCOVIM 100
ZYVOXID (R)
PNEUMOLID 2 mg/ml
ZYVOXID (R)
ZYVOXID (R)
at
in
st
4g/0,5g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
iv
600mg
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
100mg
100mg
100mg
100mg
2mg/ml
SOL.
PERF.
CAPS.
2mg/ml
SOL.
PERF.
GRAN. PT.
SUSP.
100mg/5
ORALA
ml
us
COMPR.
FILM.
PULB+SOL
V. PT. SOL.
INJ./PERF.
SAU SOL.
ORALA
400mg
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PULB. PT.
SOL.
PERF.
PULB. PT.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
De
BACTACIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
ZOPECILIN 4 g/0,5 g
PERASIN 4g/0,5 g
Denumire comerciala
MAREA
BRITAN CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1
IE
LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML
ar
ii
oa
rs
ne
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
PRF
PR
F
PRF
PRF
PR
F
PRF
PRF
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
fi
zi
ce
lo
r
PR
F
PRF
PRF
PR
PR
PRF
PRF
PRF
PR
F
PRF
pe
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMAN
IA
ROMAN
IA
BULGA
RIA
MAREA
BRITAN
IE
CUTIE X 10 PUNGI X 300 ML
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
REPUB
LICA
ZENTIVA K.S.
CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMPHARM COMPANY ROMAN
S.R.L.
IA
CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.
TERAPIA SA
LABORATOARELE
PROF.DR.MORAIT
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
ARENA GROUP SA
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
rm
fo
in
PFIZER EUROPE MA
EEIG
PFIZER EUROPE MA
EEIG
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.
16
10
10
10
10
10
MYLAN S.A.S.
S.C. FRESENIUS KABI
S.R.L.
TERAPIA SA
12
ROMASTRU TRADING
SRL
cant/a
mbala
j
ROMASTRU TRADING
SRL
Ambalaj
Tara
Prescriptie
ANTIBIOTICE S.A.
Firma
5,300000
5,300000
4,680000
4,620000
4,870000
5,300000
5,544000
5,300000
1,998750
1,998750
1,665625
1,998750
105,263000
126,315600
116,450000
112,480000
911,260000
163,000000
106,430000
17,789000
4,044000
21,346800
21,346800
21,346800
21,346800
21,346800
Pret cu ridicata
maximal de
decontare / U.T.
7,160000
7,160000
6,320000
6,240000
6,580000
7,160000
7,488000
7,160000
2,614500
2,614500
2,178750
2,614500
118,552000
142,262400
142,160000
137,320000
1.031,420000
181,485000
129,930000
21,717000
5,472000
26,060400
26,060400
26,060400
26,060400
26,060400
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
3,542000
0,000000
0,805500
2,056928
0,000000
3,788000
0,000000
42,337600
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
10,127000
10,049600
29,479600
20,445433
29,479600
29,479600
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
64 W43288001
65 W43599002
66 W51993001
67 W44098001
68 W43287001
69 W43596001
70 W08374001
71 W57238001
72 W58224007
73 W03157001
74 W42321001
75 W53942002
76 W58322001
77 W58456003
78 W55502017
79 W55502001
80 W12072001
81 W55502009
82 W58456002
83 W58456001
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
J02AC02
86 W03837002
87 W43051001
88 W52343006
89 W53958001
90 W59235001
91 W61929006
J02AC01
J02AC01
63 W08373001
J02AC01
J02AC01
62 W42693001
84 W60056005
J02AC01
61 W51994001
85 W57368003
J02AC01
60 W56446001
Grupa
terapeutica
J02AC01
Cod CIM
59 W57239001
Nr.crt
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
ITRACONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire generica
ex
De
st
in
at
OMICRAL 100 mg
MICOGAL 100 mg
OMICRAL 100 mg
ITRACONAZOL 100 mg
ORUNGAL
DIFLAZON 2mg/ml
DIFLUCAN 10 mg/ml
FLUCONAZOL ARENA 50 MG
FLUCONAZOL 50 mg
DIFLUCAN 50 mg
FLUCONAZOL AUROBINDO 50 mg
FLUCONAZOL LPH 50 mg
FLUCOVIM 50
FLUCONAZOLE TEVA 50 mg
2mg/ml
SOL.
PERF.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
100mg
100mg
100mg
100mg
100mg
100mg
2mg/ml
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
2mg/ml
2mg/ml
2mg/ml
10mg/ml
PULB. PT.
SUSP.
ORALA
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
50mg
50mg
iv
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
200mg
150mg
150mg
150mg
150mg
150mg
150mg
CAPS.
CAPS.
CAPS.
us
cl
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
FLUCORIC 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg
FLUCOVIM 150
FLUCONAZOL 150 mg
Denumire comerciala
rm
Ambalaj
ar
ii
pe
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
oa
rs
ne
lo
r
ROMAN
IA
ROMAN
IA
ROMAN
ARENA GROUP S.A.
IA
REPUB
PHARMASWISS CESKA LICA
REPUBLIKA S.R.O.
CEHA
MEDICO UNO
PHARMACEUTICAL SRL
ROMPHARM COMPANY
SRL
15
15
PRF
15
15
15
15
10
20
20
PRF
PRF
PRF
S
PRF
PRF
PR
PR
10
cant/a
mbala
j
fi
zi
ce
SLOVE
NIA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
ROMAN
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 50 ML SOL. PERF.
REPUB
LICA
CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML
ZENTIVA K.S.
CEHA SOL. PERF. X 200 MG FLUCONAZOL
ROMAN
ARENA GROUP S.A.
IA
CUTIE X 1 FLAC. X 100 ML SOL. PERF.
JANSSEN
PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.
ROMAN
SLAVIA PHARM SRL
IA
CUTIE X 3 BLIST. AL/PVC X 5 CAPS.
S
S/
PRF
PR
PR
F
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
PRF
PRF
PRF
PRF
Prescriptie
PRF
PRF
PR
F
PR
F
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. X 7 CAPS.
ROMAN
IA
CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ISLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
GERMA
NIA
Tara
fo
ARENA GROUP SA
in
PFIZER EUROPE MA
EEIG
SANDOZ SRL
TEVA
PHARMACEUTICALS
S.R.L.
TERAPIA SA
SANDOZ SRL
TEVA
PHARMACEUTICALS
S.R.L.
MEDOCHEMIE
ROMANIA SRL
LABORMED PHARMA
S.A.
ACTAVIS GROUP PTC
EHF.
MEDOCHEMIE
ROMANIA SRL
Firma
1,586666
1,586666
1,586666
1,586666
1,586666
1,903999
21,516000
17,930000
10,872000
21,516000
18,130000
21,516000
9,060000
36,250000
43,500000
21,880000
1,356000
1,356000
1,356000
1,265714
1,356000
1,356000
1,356000
1,130000
1,356000
1,356000
4,460000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
Pret cu ridicata
maximal de
decontare / U.T.
2,144666
2,144666
2,144666
2,144666
2,144666
2,573599
26,266800
21,889000
14,700000
26,266800
24,500000
26,266800
12,250000
47,420000
56,904000
29,570000
1,832570
1,832570
1,832570
1,710000
1,832570
1,832570
1,832570
1,527142
1,832570
1,832570
5,834285
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
0,000000
0,000000
0,000000
0,000000
0,000000
0,620401
28,873200
0,000000
6,937500
11,204200
0,000000
21,183200
0,000000
0,000000
32,740000
0,000000
0,947430
0,946001
2,444572
0,000000
0,947430
0,947430
0,133144
0,000000
0,947430
0,560287
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J02AC03
J02AC03
J02AC03
J02AX04
J02AX04
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB01
J05AB11
J05AB11
J05AB14
J05AB14
J05AB14
J06BA02
J06BA02
J06BA02
J06BA02
93 W08946008
94 W10489001
95 W41889001
96 W06665001
97 W06670001
98 W53675001
99 W42857001
100 W56038001
101 W53675003
102 W53676001
103 W00044001
104 W60558001
105 W13972001
106 W06667003
107 W53225001
108 W06668003
109 W00058001
110 W58707001
111 W60087001
112 W61519003
113 W60756001
114 W51832001
115 W54752003
116 W54752004
117 W54752001
118 W54752002
Grupa
terapeutica
J02AC03
Cod CIM
92 W08947008
Nr.crt
at
in
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
OCTAGAM 10%
VALTREX 500 mg
VIROLEX
ACICLOVIR 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR-RICHTER 200 mg
ACICLOVIR 200 mg
CANCIDAS 70 mg
st
CANCIDAS 50 mg
De
VFEND 40 mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
Denumire comerciala
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALACYCLOVIRUM
VALACYCLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
CASPOFUNGINUM**
CASPOFUNGINUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
Denumire generica
200mg
PULB. PT.
SOL.
PERF.
200mg
200mg
200mg
200mg
200mg
400mg
iv
200mg
200mg
200mg
200mg
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
100
mg/ml
100
mg/ml
100
mg/ml
100
mg/ml
450mg
450mg
450mg
500mg
500 mg
COMPR.
400mg
PULB. PT.
SOL.
INJ./PERF. 250mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
us
CAPS.
CAPS.
CAPS.
cl
ex
50mg
COMPR.
FILM.
PULB. PT.
SUSP.
ORALA
40mg/ml
PULB. PT.
CONC. PT.
SOL.
PERF.
50mg
PULB. PT.
CONC. PT.
SOL.
PERF.
70mg
200mg
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
OCTAPHARMA (IP)
LIMITED
oa
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.
MAREA
BRITAN CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A
200ML SOLUTIE PERFUZABILA
IE
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.
fi
zi
ce
PR
F
PRF
lo
r
PR
F
PR
CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. F
PR
CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM.
F
ne
ROMAN
IA
CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.
ROMAN
IA
CUTIE X 1 FLAC. X 60 COMPR. FILM.
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
SLOVE
NIA
CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
rs
PRF
S/
PRF
pe
UNGAR
IA
CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.
ii
60
60
60
10
10
10
20
20
S
1
PRF
20
PRF
20
PRF
20
PRF
/S 1000
PRF
10
PRF
20
PR
F
20
PRF
20
PRF
PRF
UNGAR
IA
CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.
ROMAN
IA
CUTIE X 2 BLIST. X 10 COMPR.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ar
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
THE WELLCOME
FOUNDATION LTD.
LAROPHARM S.R.L.
EGIS
PHARMACEUTICALS
P.L.C.
rm
fo
in
TERAPIA SA
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
EGIS
PHARMACEUTICALS
P.L.C.
ARENA GROUP SA
ARENA GROUP SA
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.
28
28
cant/a
mbala
j
PFIZER LIMITED
PRF
PRF
MAREA
BRITAN
IE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
MAREA
BRITAN
IE
CUTIE X 1 FLAC. UNIDOZA X 30ML
PRF
Ambalaj
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
Tara
Prescriptie
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
Firma
870,210000
391,580000
3.390,820000
1.710,420000
54,534600
49,306500
45,445500
2,317000
2,780400
38,600000
1,794000
0,636000
986,680000
464,970000
3.734,150000
1.902,510000
60,205800
54,380000
50,171500
3,131000
3,757200
47,124000
2,424000
0,859800
0,716500
0,859800
0,636000
0,530000
0,859800
0,859800
2,020000
0,833260
0,859800
0,859800
0,859800
1.801,340000
1.396,750000
2.266,130000
512,920000
36,496071
132,002857
0,000000
0,000000
0,000000
0,000000
28,776366
0,000000
0,000000
0,000000
0,903800
0,000000
0,334000
0,033700
0,000000
0,033700
0,033700
0,030200
0,000000
0,000000
0,211200
0,188700
0,251200
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
0,636000
0,636000
1,495000
0,636000
0,636000
0,636000
0,636000
1.617,600000
1.246,420000
2.044,020000
435,570000
32,232500
119,853214
Pret cu ridicata
maximal de
decontare / U.T.
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
J06BA02
L01AA01
L01AA01
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L03AA02
L04AA04
L04AA06
L04AA06
120 W51530005
121 W51530003
122 W51530004
123 W51530006
124 W43965001
125 W43962001
126 W43963001
127 W59114003
128 W59114001
129 W59114004
130 W59114002
131 W13462001
132 W13462002
133 W13462003
134 W43964001
135 W12490001
136 W52215001
137 W53892001
138 W53893001
139 W53520001
140 W55757002
141 W53523001
142 W55758002
143 W61725001
144 W04406001
145 W04407001
Grupa
terapeutica
J06BA02
Cod CIM
119 W51530001
Nr.crt
OCTAGAM
OCTAGAM
st
MYCOPHENOLATUM**
CELLCEPT 500mg
CELLCEPT 250mg
GRAFALON
IMUNOGLOBULINA ANTI-LIMFOCITE
UMANE**
MYCOPHENOLATUM**
NIVESTIM 48 MU/0,5 ml
TEVAGRASTIM 48MUI/0,8ml
NIVESTIM 30 MU/0,5 ml
TEVAGRASTIM 30MUI/0,5ml
ZARZIO 48MU/0,5ml
ZARZIO 30MU/0,5ml
ENDOXAN 200 mg
at
in
ENDOXAN (R) 50 mg
IG VENA 5g/100ml
OCTAGAM
INTRATECT 50 g/l
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
FILGRASTIMUM (G-CSF)
CYCLOPHOSPHAMIDUM
CYCLOPHOSPHAMIDUM
INTRATECT 50 g/l
INTRATECT 50 g/l
De
INTRATECT 50 g/l
IG VENA 2,5g/50ml
IG VENA 1g/20ml
IG VENA 10g/200ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
KIOVIG 100mg/ml
Denumire comerciala
Denumire generica
KEDRION SPA
Ambalaj
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 100 ML
iv
fo
in
oa
ne
lo
r
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
rs
250mg
500mg
CAPS.
COMPR.
FILM.
PRF
/R
PRF
/R
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 10 BLIST. X 10 CAPS.
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 5 BLIST. X 10 COMPR. FILM.
SOL.
480g/0,5
INJ./PERF. ml
HOSPIRA UK LIMITED
CONC. PT.
SOL.
GERMA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL.
PERF.
20mg/ml NEOVII BIOTECH GMBH NIA
PERF.
S
MAREA
BRITAN CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PIE
PERF.
RF
fi
zi
ce
MAREA
SOL.
300g/0,5
BRITAN CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PINJ./PERF. ml
HOSPIRA UK LIMITED
IE
PERF.
RF
S/
PRF
SOL.
480mcg/0
GERMA
INJ./PERF. ,8ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF. /R
PRF
/R
S/
PRF
/R
50
100
3,228200
1,706500
1.028,840000
142,358000
167,472000
90,430000
105,228000
139,560000
87,690000
11,760000
0,401400
784,820000
1.837,780000
894,000000
481,950000
462,170000
1.758,800000
190,170000
894,400000
407,410000
204,810000
1.539,650000
5.766,650000
1.847,580000
912,190000
3.736,820000
190,360000
Pret cu ridicata
maximal de
decontare / U.T.
pe
PRF
/R
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL
ii
50
cant/a
mbala
j
S
PRF
S
PR
F
PR
F
PR
F
PR
F
Prescriptie
ROMAN
IA
CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ
SOL.
300mcg/0
GERMA
INJ./PERF. ,5ml
TEVA GENERICS GMBH NIA
CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.
rm
ar
MAREA
BRITAN
50mg/ml OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 200 ML
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1
5g/100ml KEDRION SPA
ITALIA SET ADMINISTRARE
BAXTER ONCOLOGY
GERMA
50mg
GMBH
NIA
CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.
50mg/ml
50mg/ml
ITALIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
GERMA
NIA
ITALIA
ITALIA
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
AUSTRI
A
Tara
MAREA
BRITAN
OCTAPHARMA (IP) LTD. IE
CUTIE X 1 FLACON X 50 ML
1g/20ml
100mg/ml BAXTER AG
10g/200m
l
KEDRION SPA
100mg/ml BAXTER AG
100mg/ml BAXTER AG
100mg/ml BAXTER AG
100mg/ml BAXTER AG
Firma
DRAJ.
PULB. PT.
SOL.
PERF./INJ.
I.V.
200mg
ACTAVIS S.R.L.
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
60MU/ml SANDOZ GMBH
SOL. INJ.
/PERF. IN
SERINGA
PREUMPL
UTA
96MU/ml SANDOZ GMBH
SOL.
PERF.
SOL.
PERF.
us
SOL.
PERF.
cl
ex
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
3,941000
2,083300
1.159,590000
162,800000
195,360000
106,198000
127,437600
170,380000
110,870000
15,890000
0,542400
893,600000
2.041,330000
1.012,610000
563,480000
541,920000
1.955,240000
232,160000
1.013,050000
482,230000
250,030000
1.716,370000
6.323,810000
2.059,644000
1.032,440000
4.111,290000
232,390000
0,000000
0,000000
0,000000
0,000000
72,090000
0,000000
34,512400
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
78,286000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
L04AA06
L04AA06
L04AA06
L04AA10
L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
154 W58523001
155 W56003001
156 W52876001
157 W61479001
158 W13098001
159 W58368003
160 W51399001
161 W58149003
162 W51398001
163 W58367003
164 W56579003
165 W55262007
166 W53729001
167 W56580003
168 W55263007
169 W53730001
170 W53731001
171 W51974002
172 W57352002
173 W51976002
L04AA06
151 W58520001
L04AA06
L04AA06
150 W52877001
L04AA06
L04AA06
149 W56643001
152 W56644001
L04AA06
148 W56657001
153 W55987001
L04AA06
147 W42265003
Grupa
terapeutica
L04AA06
Cod CIM
146 W42264003
Nr.crt
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
BASILIXIMABUM**
SIROLIMUS**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
Denumire generica
CAPS.
ADVAGRAF 5mg
ADVAGRAF 1mg
ADVAGRAF 0,5mg
PROGRAF (R) 5 mg
PROGRAF (R) 1 mg
TACROLIMUS SANDOZ 1 mg
TACNI 1 mg
TACNI 0,5 mg
EQUORAL 50 mg
EQUORAL 25 mg
at
in
EQUORAL 100 mg
SIMULECT 20 mg
RAPAMUNE 1mg
MYFENAX 500mg
st
De
CAPS.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
oa
rs
ne
fi
zi
ce
OLAND
A
OLAND
A
OLAND
A
OLAND
A
OLAND
A
ASTELLAS PHARMA
EUROPE BV
ASTELLAS PHARMA
EUROPE B.V.
ASTELLAS PHARMA
EUROPE BV
ASTELLAS PHARMA
EUROPE B.V.
5mg
0,5mg
PR
S/
PRF
S/
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PPLIC CU DESICANT
RF
S/
CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PPLIC CU DESICANT
RF
PRF
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PRF
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PRF
CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
lo
r
ASTELLAS PHARMA
EUROPE BV
5mg
1mg
1mg
1mg
S
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
PR
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
30
50
50
50
50
50
100
100
100
100
120
PR
PR
F
PRF
/R
PR
F
PR
F
PRF
PR
F
PRF
PRF
/R
120
S/
PRF
cant/a
mbala
j
S/
PRF
Prescriptie
PR
S/
PRF
S/
OLAND CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PA
PLIC CU DESICANT
RF
CEHIA
pe
SANDOZ S.R.L.
ASTELLAS PHARMA
EUROPE BV
TEVA
PHARMACEUTICALS
S.R.L.
SANDOZ S.R.L.
TEVA CZECH
INDUSTRIES S.R.O.
TEVA
PHARMACEUTICALS
S.R.L.
NOVARTIS PHARMA
GMBH
ii
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
TEVA CZECH
INDUSTRIES S.R.O.
rm
ar
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
NOVARTIS PHARMA
GMBH
CEHIA
fo
TEVA CZECH
INDUSTRIES S.R.O.
in
NOVARTIS
EUROPHARM LTD.
MAREA
BRITAN
IE
CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)
OLAND
A
CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.
MAREA
BRITAN
IE
CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.
PFIZER LIMITED
TEVA PHARMA BV
SANDOZ S.R.L.
TEVA PHARMA BV
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
OLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
GERMA
NIA
ROMAN
IA
ROMAN
IA
NOVARTIS PHARMA
GMBH
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
Ambalaj
Tara
NOVARTIS PHARMA
GMBH
Firma
1 mg
0,5mg
0,5mg
0,5 mg
iv
us
500mg
500mg
500mg
500mg
500 mg
250mg
250mg
250 mg
DRAJ.
1mg
LIOF. +
SOLV. PT.
SOL.
INJ./PERF. 20mg
cl
ex
COMPR.
FILM.
CAPS.
COMPR.
FILM.
COMPR.
MICOFENOLAT MOFETIL STADA 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg FILM.
COMPR.
SUPREPHEN 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL SANDOZ 500 mg
FILM.
SUPREPHEN 250 mg
MYFENAX 250mg
250 mg
COMPR.
FILM.
GASTROR
EZ.
180mg
COMPR.
FILM.
GASTROR
EZ.
360mg
Forma
Concentr
farmaceuti
atie / U.T.
ca
MYFORTIC 360 mg
MYFORTIC 180 mg
Denumire comerciala
20,683000
4,662600
2,652600
17,573400
3,734800
2,427400
2,427400
1,900800
1,235600
1,235600
2,075600
3,136200
1,176000
1,865200
5,105200
4.015,330000
15,282333
2,136400
2,136400
2,136400
2,136400
2,136400
1,109300
1,109300
1,109300
1,109300
6,008166
3,078833
Pret cu ridicata
maximal de
decontare / U.T.
23,307600
5,692200
3,238400
19,918000
4,559400
2,963400
2,963400
2,403400
1,562200
1,562200
2,533800
3,828600
1,487000
2,358400
6,232400
4.414,870000
17,929333
2,608200
2,608200
2,608200
2,608200
2,608200
1,354200
1,354200
1,354200
1,354200
6,866833
3,673833
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
M05BA04
M05BA04
M05BA04
M05BA04
N02AB02
181 W52948001
182 W56763003
183 W56763002
184 W56763001
185 W42905002
PETHIDINUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
ACIDUM ALENDRONICUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
TACROLIMUSUM**
Denumire generica
at
in
ADRONIK 70 mg
ADRONIK 70 mg
ADRONIK 70 mg
st
ALENDRONAT SANDOZ 70 mg
De
FOSAMAX 70 mg
ex
TEVANAT 70 mg
IMMUNOPRIN 75 mg
IMURAN
IMURAN
Denumire comerciala
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J02AC03
J02AC03
J02AC03
J02AC03
J05AB14
J05AB14
J05AB14
2 W52800001
3 W60604001
4 W60734001
5 W52801001
6 W57578002
7 W08947008
8 W08946008
9 W10489001
10 W41889001
11 W61519003
12 W60756001
13 W51832001
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
VFEND 40 mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
ZYVOXID (R)
PNEUMOLID 2 mg/ml
ZYVOXID (R)
ZYVOXID (R)
1 W13613002
B01AB05
ENOXAPARINUM
2mg/ml
2mg/ml
200mg
50mg
200mg
SOL.
PERF.
SOL.
PERF.
COMPR.
FILM.
COMPR.
FILM.
PULB. PT.
SOL.
PERF.
SOL. INJ.
COMPR.
FILM.
COMPR.
FILM.
Ambalaj
IRLAND
A
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
OLAND
A
CUTIE X 10 FIOLE X 1 ML
Tara
rm
ar
ii
MAREA
BRITAN CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1
IE
LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
PRF
PRF
FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.
PR
/P
RF
PR
F
PRF
MAREA
BRITAN
IE
ROMAN
IA
MAREA
BRITAN
IE
CUTIE X 1 FLAC. UNIDOZA X 30ML
MAREA
BRITAN
IE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
10
60
60
60
28
28
10
10
10
12
100
100
100
10
cant/a
mbala
j
fi
zi
ce
PRF
lo
r
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
ne
PR
F
oa
rs
pe
PR
PR
PRF
PRF
P6L
P6
L
P6
L
P6L
P6L
P6L
P6L
PTS
PR
S
S/
PRF
S/
PRF
Prescriptie
MAREA
BRITAN
IE
CUTIE X 10 PUNGI X 300 ML
fo
in
PFIZER EUROPE MA
EEIG
PFIZER EUROPE MA
EEIG
GERMA
ASPEN EUROPE GMBH NIA
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
EBEWE PHARMA
AUSTRI
GES.M.B.H. NFG KG
A
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR.
MERCK SHARP &
ROMAN
DOHME
IA
CUTIE CU 1 BLIST. AL/AL X 2 COMPR.
ROMAN
SANDOZ S.R.L.
IA
CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM
ROMAN
ARENA GROUP S.A.
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.
ROMAN
ARENA GROUP S.A.
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.
ROMAN
ARENA GROUP S.A.
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.
ROMAN
ZENTIVA SA
IA
CUTIE X 5 FIOLE DIN STICLA X 2 ML
2000ui
antiXa/0,2ml LAB. AVENTIS
450mg
450mg
450mg
40mg/ml
2mg/ml
SOL.
PERF.
PULB. PT.
SUSP.
ORALA
COMPR.
FILM.
2mg/ml
SOL.
PERF.
GRAN. PT.
SUSP.
100mg/5
ORALA
ml
600mg
50mg/ml
70mg
70mg
70mg
70mg
70mg
70mg
70 mg
iv
us
COMPR.
FILM.
SOL. INJ.
COMPR.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
COMPR.
COMPR.
75mg
50mg
50mg
ASPEN PHARMA
TRADING LIMITED
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
ASTELLAS PHARMA
EUROPE BV
Firma
CONC. PT.
SOL.
PERF.
5mg/ml
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
J01XX08
1 W52799001
M05BA04
M05BA04
179 W58352002
M05BA04
178 W54297001
180 W60296004
L04AX01
L04AX01
176 W56928001
177 W56508002
L04AX01
175 W60846001
Grupa
terapeutica
L04AD02
Cod CIM
174 W53732001
Nr.crt
5,083000
54,534600
49,306500
45,445500
2.044,020000
435,570000
32,232500
119,853214
105,263000
126,315600
116,450000
112,480000
911,260000
163,000000
1,436000
2,208000
2,208000
2,208000
2,208000
2,208000
1,840000
2,002500
0,623900
0,555400
0,555400
148,802000
Pret cu ridicata
maximal de
decontare / U.T.
6,427000
60,205800
54,380000
50,171500
2.266,130000
512,920000
36,496071
132,002857
118,552000
142,262400
142,160000
137,320000
1.031,420000
181,485000
1,942000
2,985000
2,985000
2,985000
2,985000
2,985000
2,487500
2,705000
0,788900
0,702300
0,702300
166,009000
0,000000
28,776366
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
42,337600
0,000000
0,000000
0,000000
0,000000
0,000000
5,150833
5,865000
5,582500
1,905000
10,635000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
!
B01AB05
B01AB05
B02AA02
C01CA24
C01CA24
C01CA24
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01CR05
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
J01XX08
3 W13611002
4 W13610002
5 W54011001
6 W02947001
7 W60389001
8 W60390001
9 W55629001
10 W54763001
11 W55629002
12 W55423001
13 W55369001
14 W55424001
15 W55630001
16 W55630002
17 W55370001
18 W54765001
19 W53595006
20 W53596003
21 W52799001
22 W52800001
23 W60604001
24 W60734001
25 W52801001
26 W57578002
Grupa
terapeutica
B01AB05
Cod CIM
2 W13612002
Nr.crt
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
LINEZOLIDUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
PIPERACILLINUM + TAZOBACTAMUM
EPINEPHRINUM
EPINEPHRINUM
EPINEPHRINUM
ACIDUM TRANEXAMICUM 4)
ENOXAPARINUM
ENOXAPARINUM
ENOXAPARINUM
Denumire generica
at
in
ZYVOXID (R)
PNEUMOLID 2 mg/ml
ZYVOXID (R)
ZYVOXID (R)
st
De
600mg
4g/0,5g
2g/0,25g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
4g/0,5g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2g/0,25g
2mg/ml
2mg/ml
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
Ambalaj
PR
/P
RF
PR
/P
RF
lo
r
PR
F
MAREA
BRITAN
IE
CUTIE X 10 PUNGI X 300 ML
10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1
PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU
ROMAN UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O
IA
SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)
PFIZER EUROPE MA
EEIG
TEVA
PHARMACEUTICALS
S.R.L.
PR
PR
PRF
PRF
fi
zi
ce
MAREA
BRITAN CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1
IE
LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML
MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.
PFIZER EUROPE MA
EEIG
PFIZER EUROPE MA
EEIG
ne
10
10
10
10
10
oa
rs
pe
MYLAN S.A.S.
TERAPIA SA
12
ii
ar
12
100
10
10
cant/a
mbala
j
ROMASTRU TRADING
SRL
ROMASTRU TRADING
SRL
rm
ANTIBIOTICE S.A.
fo
in
TERAPIA SA
ANTIBIOTICE S.A.
ROMASTRU TRADING
SRL
MYLAN S.A.S.
ROMASTRU TRADING
SRL
PR
PR
FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.
FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.
Tara
Prescriptie
150mcg
300mcg
TERAPIA SA
CN UNIFARM
1mg/ml
0,5g/5ml
8000UI
antiLABORATOIRE
Xa/0,8ml AVENTIS
GRAN. PT.
SUSP.
100mg/5
ORALA
ml
COMPR.
FILM.
Firma
4000ui
antiXa/0,4ml LAB. AVENTIS
6000ui
antiXa/0,6ml LAB. AVENTIS
iv
us
cl
ex
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
Forma
Concentr
farmaceuti
atie / U.T.
ca
SOL. INJ.
SOL. INJ.
IN STILOU
PREUMPL
UT
EPIPEN 150 micrograme
SOL. INJ.
IN STILOU
PREUMPL
EPIPEN 300 micrograme
UT
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
PERASIN 2g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
BACTACIN 2 g/0,25 g
INJ./PERF.
PULB. PT.
SOL.
INJ./PERF.
PERASIN 4g/0,5 g
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
ZOPECILIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
BACTACIN 4 g/0,5 g
INJ./PERF.
PULB. PT.
SOL.
PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g INJ./PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g
PERF.
PULB. PT.
SOL.
PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g
PERF.
ADRENALINA 1 mg
EXACYL
Denumire comerciala
105,263000
126,315600
116,450000
112,480000
911,260000
163,000000
17,789000
4,044000
21,346800
21,346800
21,346800
21,346800
21,346800
4,044000
4,044000
4,044000
3,370000
4,044000
146,100000
146,100000
1,569300
1,890000
15,641666
12,277000
9,222000
Pret cu ridicata
maximal de
decontare / U.T.
118,552000
142,262400
142,160000
137,320000
1.031,420000
181,485000
21,717000
5,472000
26,060400
26,060400
26,060400
26,060400
26,060400
5,472000
5,472000
5,472000
4,560000
5,472000
178,360000
178,360000
1,915800
2,554000
19,778333
14,988000
11,660000
0,000000
42,337600
0,000000
0,000000
0,000000
0,000000
0,000000
10,127000
10,049600
29,479600
20,445433
29,479600
29,479600
26,688000
26,688000
22,543000
0,000000
26,688000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
28 W42371002
29 W43597002
30 W58225007
31 W53943002
32 W03156001
33 W44089001
34 W52224001
35 W58226001
36 W43598001
37 W60221001
38 W57430001
39 W57239001
40 W56446001
41 W51994001
42 W42693001
43 W08373001
44 W43288001
45 W43599002
46 W51993001
47 W44098001
48 W43287001
49 W43596001
50 W08374001
51 W57238001
52 W58224007
53 W03157001
54 W42321001
55 W53942002
56 W58322001
57 W58456003
58 W55502017
59 W55502001
60 W12072001
Grupa
terapeutica
J02AC01
Cod CIM
27 W08372001
Nr.crt
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire generica
st
DIFLAZON 2mg/ml
DIFLUCAN 10 mg/ml
FLUCONAZOL ARENA 50 MG
FLUCONAZOL 50 mg
DIFLUCAN 50 mg
FLUCONAZOL AUROBINDO 50 mg
FLUCONAZOL LPH 50 mg
FLUCOVIM 50
FLUCONAZOLE TEVA 50 mg
FLUCORIC 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg
FLUCOVIM 150
FLUCONAZOL 150 mg
at
in
ex
2mg/ml
2mg/ml
SOL.
PERF.
2mg/ml
2mg/ml
10mg/ml
PULB. PT.
SUSP.
ORALA
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
200mg
150mg
150mg
150mg
150mg
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
100mg
100mg
100mg
100mg
iv
us
CAPS.
CAPS.
cl
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
De
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
FLUCORIC 150 mg
DIFLUCAN 150 mg
FUNGOLON 100 mg
FLUCOVIM 100
Denumire comerciala
PRF
PRF
ne
lo
r
SLOVE
NIA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
S
S/
PRF
PR
PR
F
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
PRF
PRF
PRF
PRF
PRF
PR
F
PR
F
PR
F
PRF
PRF
PRF
PRF
PRF
10
16
cant/a
mbala
j
fi
zi
ce
oa
rs
pe
ii
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ar
ARENA GROUP SA
PFIZER EUROPE MA
EEIG
rm
fo
in
PRF
PR
F
PRF
PR
F
PRF
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
PRF
PRF
Ambalaj
Prescriptie
ROMAN
IA
CUTIE X 1 BLIST. X 4 CAPS.
BULGA
RIA
CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
Tara
ROMAN
IA
REPUB
LICA
ZENTIVA K.S.
CEHA
ROMPHARM COMPANY ROMAN
S.R.L.
IA
LABORMED PHARMA
ROMAN
S.A.
IA
ACTAVIS GROUP PTC ISLAND
EHF.
A
MEDOCHEMIE
ROMAN
ROMANIA SRL
IA
ROMAN
SLAVIA PHARM SRL
IA
ROMAN
VIM SPECTRUM SRL
IA
GERMA
SANDOZ SRL
NIA
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
MEDOCHEMIE
ROMAN
ROMANIA SRL
IA
ROMAN
TERAPIA SA
IA
ROMAN
SANDOZ SRL
IA
TEVA
PHARMACEUTICALS
ROMAN
S.R.L.
IA
ROMAN
VIM SPECTRUM SRL
IA
LABORMED PHARMA
ROMAN
S.A.
IA
AUROBINDO PHARMA
(MALTA) LIMITED
MALTA
TERAPIA SA
LABORATOARELE
PROF.DR.MORAIT
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
ARENA GROUP SA
Firma
21,516000
9,060000
36,250000
43,500000
21,880000
1,356000
1,356000
1,356000
1,265714
1,356000
1,356000
1,356000
1,130000
1,356000
1,356000
4,460000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
5,300000
4,680000
4,620000
4,870000
5,300000
5,544000
5,300000
1,998750
1,998750
1,665625
1,998750
Pret cu ridicata
maximal de
decontare / U.T.
26,266800
12,250000
47,420000
56,904000
29,570000
1,832570
1,832570
1,832570
1,710000
1,832570
1,832570
1,832570
1,527142
1,832570
1,832570
5,834285
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
7,160000
6,320000
6,240000
6,580000
7,160000
7,488000
7,160000
2,614500
2,614500
2,178750
2,614500
21,183200
0,000000
0,000000
32,740000
0,000000
0,947430
0,946001
2,444572
0,000000
0,947430
0,947430
0,133144
0,000000
0,947430
0,560287
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
3,542000
0,000000
0,805500
2,056928
0,000000
3,788000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
L04AA06
L04AA06
L04AA06
86 W04406001
87 W04407001
88 W42264003
J05AB01
80 W06668003
L04AA04
J05AB01
79 W53225001
85 W61725001
J05AB01
78 W06667003
J05AB14
J05AB01
77 W13972001
J05AB14
J05AB01
76 W60558001
84 W51832001
J05AB01
75 W00044001
83 W60756001
J05AB01
74 W53676001
J05AB01
J05AB01
73 W53675003
J05AB14
J05AB01
72 W56038001
81 W00058001
J05AB01
71 W42857001
82 W61519003
J02AC03
J02AC03
68 W10489001
J05AB01
J02AC03
67 W08946008
69 W41889001
J02AC03
66 W08947008
70 W53675001
J02AC01
J02AC01
64 W60056005
J02AC01
63 W58456001
65 W57368003
J02AC01
62 W58456002
Grupa
terapeutica
J02AC01
Cod CIM
61 W55502009
Nr.crt
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYFORTIC 180 mg
CELLCEPT 500mg
CELLCEPT 250mg
GRAFALON
IMUNOGLOBULINA ANTI-LIMFOCITE
UMANE**
VIROLEX
ACICLOVIR 400 mg
ACICLOVIR 200 mg
ACICLOVIR 200 mg
ACICLOVIR-RICHTER 200 mg
ACICLOVIR 200 mg
MYCOPHENOLATUM**
at
in
VFEND 40 mg/ml
VFEND 200mg
st
VFEND 50mg
De
VFEND 200mg
Denumire comerciala
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire generica
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
iv
200mg
200mg
40mg/ml
200mg
50mg
250mg
COMPR.
FILM.
500mg
COMPR.
FILM.
GASTROR
EZ.
180mg
CAPS.
COMPR.
FILM.
450mg
COMPR.
FILM.
450mg
CONC. PT.
SOL.
PERF.
20mg/ml
COMPR.
400mg
PULB. PT.
SOL.
INJ./PERF. 250mg
COMPR.
FILM.
450mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
us
CAPS.
cl
ex
PULB. PT.
SUSP.
ORALA
PULB. PT.
SOL.
PERF.
COMPR.
FILM.
200mg
COMPR.
FILM.
2mg/ml
2mg/ml
SOL.
PERF.
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
2mg/ml
SOL.
PERF.
Forma
Concentr
farmaceuti
atie / U.T.
ca
PRF
MAREA
BRITAN
IE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
PRF
28
28
10
20
20
cant/a
mbala
j
50
120
PRF
/R
S/
PRF
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 5 BLIST. X 10 COMPR. FILM.
NOVARTIS PHARMA
GMBH
100
PRF
/R
60
60
60
10
20
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 10 BLIST. X 10 CAPS.
PR
F
PRF
fi
zi
ce
ROMAN
IA
CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.
ROMAN
IA
CUTIE X 1 FLAC. X 60 COMPR. FILM.
lo
r
SLOVE
NIA
CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
ROMAN
IA
CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM.
oa
ne
PRF
S/
PRF
PR
F
UNGAR
IA
CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.
rs
PRF
PRF
pe
UNGAR
IA
CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.
ROMAN
IA
CUTIE X 2 BLIST. X 10 COMPR.
20
ii
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
ar
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
LAROPHARM S.R.L.
EGIS
PHARMACEUTICALS
P.L.C.
TERAPIA SA
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
EGIS
PHARMACEUTICALS
P.L.C.
rm
fo
ARENA GROUP SA
in
ARENA GROUP SA
PFIZER LIMITED
PFIZER LIMITED
PFIZER LIMITED
MAREA
BRITAN
IE
CUTIE X 1 FLAC. UNIDOZA X 30ML
PRF
PFIZER LIMITED
PR
PR
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
Ambalaj
Tara
Prescriptie
ROMAN
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 50 ML SOL. PERF.
REPUB
LICA
CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML
ZENTIVA K.S.
CEHA SOL. PERF. X 200 MG FLUCONAZOL
ROMAN
ARENA GROUP S.A.
IA
CUTIE X 1 FLAC. X 100 ML SOL. PERF.
FRESENIUS KABI
ROMANIA SRL
Firma
3,078833
3,228200
1,706500
1.028,840000
54,534600
49,306500
45,445500
38,600000
1,794000
0,636000
0,530000
0,636000
3,673833
3,941000
2,083300
1.159,590000
60,205800
54,380000
50,171500
47,124000
2,424000
0,859800
0,716500
0,859800
0,859800
0,859800
0,636000
0,636000
2,020000
0,833260
0,859800
0,859800
0,859800
2.266,130000
512,920000
36,496071
132,002857
26,266800
21,889000
14,700000
26,266800
24,500000
0,000000
0,000000
0,000000
0,000000
28,776366
0,000000
0,000000
0,000000
0,334000
0,033700
0,000000
0,033700
0,033700
0,030200
0,000000
0,000000
0,211200
0,188700
0,251200
0,000000
0,000000
0,000000
0,000000
28,873200
0,000000
6,937500
11,204200
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
1,495000
0,636000
0,636000
0,636000
0,636000
2.044,020000
435,570000
32,232500
119,853214
21,516000
17,930000
10,872000
21,516000
18,130000
Pret cu ridicata
maximal de
decontare / U.T.
#
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AC02
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AX01
L04AX01
L04AX01
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
92 W52877001
94 W56644001
95 W55987001
96 W58523001
97 W56003001
98 W52876001
99 W13098001
100 W58368003
101 W51399001
102 W58149003
103 W51398001
104 W58367003
105 W60846001
106 W56928001
107 W56508002
108 W41593001
109 W60291001
110 W60238002
111 W12691002
112 W52049001
113 W42440001
114 W42957001
115 W61448001
116 W61448003
117 W61448011
118 W61448013
119 W60236002
L04AA06
91 W56643001
93 W58520001
L04AA06
90 W56657001
Grupa
terapeutica
L04AA06
Cod CIM
89 W42265003
Nr.crt
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
AZATHIOPRINUM
AZATHIOPRINUM
AZATHIOPRINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
BASILIXIMABUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM**
Denumire generica
CAPS.
TRAMADOL EEL
TRAMAG 50
TRAMADOL ARENA
TRAMADOL
TRAMADOL ZENTIVA 50 mg
TRAMACALM
K-ALMA (R)
IMMUNOPRIN 75 mg
IMURAN
IMURAN
EQUORAL 50 mg
EQUORAL 25 mg
at
in
EQUORAL 100 mg
SIMULECT 20 mg
MYFENAX 500mg
st
De
iv
COMPR.
COMPR.
ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
ELIB.
PREL.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
FILM.
COMPR.
FILM.
100mg
100mg
100mg
100mg
100mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
75mg
50mg
ZENTIVA AS
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
pe
30
PRF
30
10
PR
F
30
PR
F
10
PR
F
20
20
20
20
20
10
20
100
100
100
50
50
50
50
50
50
50
50
50
50
100
100
100
100
120
cant/a
mbala
j
PR
F
PR
PRF
PRF
PRF
PRF
PRF
PRF
PRF
S
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
PR
PR
F
PRF
/R
PR
F
PR
F
PRF
PR
F
PRF
PRF
/R
S/
PRF
Prescriptie
fi
zi
ce
CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL.
lo
r
ne
oa
rs
ii
CEHIA
IRLAND
A
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
GERMA
ASPEN EUROPE GMBH NIA
EBEWE PHARMA
AUSTRI
GES.M.B.H. NFG KG
A
ROMAN
ANTIBIOTICE SA
IA
A.C. HELCOR PHARMA ROMAN
S.R.L.
IA
SLOVA
ZENTIVA A.S.
CIA
SLOVE
KRKA D.D.
NIA
ROMAN
ARENA GROUP S.A.
IA
ROMAN
MAGISTRA C & C
IA
ROMAN
BIO EEL SRL
IA
ASPEN PHARMA
TRADING LIMITED
COMPR.
FILM.
rm
fo
ar
NOVARTIS PHARMA
GMBH
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
TEVA CZECH
INDUSTRIES S.R.O.
in
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
MAREA
BRITAN
IE
CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.
NOVARTIS PHARMA
GMBH
50mg
Ambalaj
OLAND
A
CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.
OLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
GERMA
NIA
ROMAN
IA
ROMAN
IA
Tara
TEVA CZECH
INDUSTRIES S.R.O.
NOVARTIS
EUROPHARM LTD.
TEVA PHARMA BV
SANDOZ S.R.L.
TEVA PHARMA BV
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
NOVARTIS PHARMA
GMBH
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
Firma
TEVA CZECH
INDUSTRIES S.R.O.
us
cl
ex
500mg
500mg
500mg
500 mg
250mg
250mg
250 mg
COMPR.
FILM.
500mg
LIOF. +
SOLV. PT.
SOL.
INJ./PERF. 20mg
CAPS.
COMPR.
FILM.
COMPR.
MICOFENOLAT MOFETIL STADA 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg FILM.
COMPR.
SUPREPHEN 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL SANDOZ 500 mg
FILM.
SUPREPHEN 250 mg
MYFENAX 250mg
250 mg
COMPR.
FILM.
GASTROR
EZ.
360mg
Forma
Concentr
farmaceuti
atie / U.T.
ca
MYFORTIC 360 mg
Denumire comerciala
0,466333
0,390666
0,390000
0,390666
0,390000
0,252600
0,252600
0,252600
0,221500
0,210500
0,252600
0,252600
0,623900
0,555400
0,555400
2,075600
3,136200
1,176000
1,865200
5,105200
4.015,330000
2,136400
2,136400
2,136400
2,136400
2,136400
1,109300
1,109300
1,109300
1,109300
6,008166
Pret cu ridicata
maximal de
decontare / U.T.
0,630333
0,528000
0,527000
0,528000
0,527000
0,341400
0,341400
0,341400
0,299500
0,284500
0,341400
0,341400
0,788900
0,702300
0,702300
2,533800
3,828600
1,487000
2,358400
6,232400
4.414,870000
2,608200
2,608200
2,608200
2,608200
2,608200
1,354200
1,354200
1,354200
1,354200
6,866833
0,000000
0,000000
0,000000
0,000000
0,000000
0,042100
0,057100
0,125600
0,000000
0,000000
0,043600
0,057100
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
N02AX02
122 W61449003
123 W61449011
124 W61449013
125 W60237002
126 W58893002
127 W61450001
128 W61450003
129 W61450011
130 W61450013
131 W58894002
132 W07784001
133 W43360001
134 W43361001
135 W60239003
136 W60239001
137 W05961002
138 W05961001
139 W05967001
140 W05966001
141 W05969001
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
TRAMADOLUM
Denumire generica
TRAMADOL
TRAMADOL
TRAMADOL
MABRON
MABRON
TRAMADOL ZENTIVA 50 mg
TRAMADOL ZENTIVA 50 mg
TRADOLAN 50 mg
at
in
st
De
Denumire comerciala
A05AA02
A05AA02
A05AA02
3 W00188001
5 W58710002
A05AA02
2 W59934001
4 W00187001
A05AA02
1 W00187002
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
ACIDUM URSODEOXYCHOLICUM
URSOFALK 500 mg
URSOFALK (R)
URSOSAN
URSOROM 250 mg
URSOFALK (R)
200mg
50mg
COMPR.
FILM.
200mg
fo
in
ZENTIVA, A.S.
ZENTIVA, A.S.
COMPR.
ORODISPE
50mg
RSABILE
COMPR.
ORODISPE
RSABILE
50mg
CAPS.
COMPR.
FILM.
CAPS.
CAPS.
CAPS.
SUPOZ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
500mg
250mg
250mg
250mg
250mg
100mg
50mg/ml
50mg/ml
100mg
rs
ne
GERMA
NIA
CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
ROMAN
IA
CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.
SLOVE
NIA
CUTIE X 5 FIOLE X 1 ML
SLOVE
NIA
CUTIE X 1 BLIST. X, 5 SUPOZ.
SLOVE
NIA
CUTIE X 5 FIOLE X 2 ML
10
30
PR
F
PR
F
S/
PRF
S/
PRF
S/
PRF
S/
PRF
PRF
PR
F
PRF
PRF
PRF
P6
L
P6
L
P6L
P6L
P6
L
100
50
50
60
100
100
10
10
30
30
30
30
30
PR
F
PR
F
10
PR
F
30
30
PR
F
fi
zi
ce
lo
r
oa
pe
ii
SLOVE
NIA
REPUB
LICA
SLOVA
CA
REPUB
LICA
SLOVA
CA
SLOVE
NIA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.
ar
KRKA D.D.
KRKA D.D.
KRKA D.D.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
rm
LANNACHER
AUSTRI
HEILMITTEL GES.M.B.H. A
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.
COMPR.
FILM. ELIB.
PREL.
200mg
100mg
PR
F
30
PRF
SLOVA
CIA
CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.
30
10
10
PR
F
PR
F
30
PR
F
cant/a
mbala
j
PR
F
Prescriptie
PR
F
LANNACHER
AUSTRI
HEILMITTEL GES.M.B.H. A
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
SOL. INJ.
Ambalaj
SLOVE
NIA
CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.
Tara
LANNACHER
AUSTRI
HEILMITTEL GES.M.B.H. A
CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.
ZENTIVA AS
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
MEDOCHEMIE LTD.
Firma
COMPR.
FILM. ELIB.
PREL.
150mg
iv
us
200mg
200mg
200mg
150mg
150mg
150mg
150mg
150mg
150mg
100mg
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.
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
N02AX02
121 W61449001
Grupa
terapeutica
N02AX02
Cod CIM
120 W58072001
Nr.crt
2,196700
0,723400
0,603000
0,602833
0,723400
0,856000
0,758000
1,372320
1,372320
1,143600
0,252600
0,252600
0,936799
0,702400
0,244333
0,895000
0,780666
0,781000
0,780666
0,781000
0,702400
0,669000
0,585333
0,586000
0,585333
0,586000
0,468000
Pret cu ridicata
maximal de
decontare / U.T.
2,681700
0,946200
0,788600
0,788500
0,946200
1,158000
1,024000
1,675320
1,675320
1,396100
0,341400
0,341400
1,266000
0,949600
0,330333
1,170666
1,055333
1,055000
1,055333
1,055000
0,949600
0,904333
0,791333
0,792000
0,791333
0,792000
0,632400
0,000000
0,267200
0,000000
0,000000
0,206200
0,000000
0,000000
1,042680
0,200680
0,000000
0,056600
0,056600
0,430000
0,335733
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,168400
0,000000
0,000000
0,000000
0,000000
0,000000
0,021266
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
H02AB04
H02AB04
H02AB04
H02AB04
H02AB04
H02AB07
H02AB07
H02AB07
H02AB07
H02AB07
J01EE01
J01EE01
J01EE01
J01EE01
J01EE01
J01EE01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
7 W04224001
8 W04222001
9 W04237001
10 W08307001
11 W08310001
12 W53341001
13 W05242001
14 W13686002
15 W12565003
16 W12565002
17 W12479001
18 W05738001
19 W53671001
20 W05741001
21 W44046001
22 W05739001
23 W08372001
24 W42371002
25 W43597002
26 W58225007
27 W53943002
28 W03156001
29 W44089001
30 W52224001
31 W58226001
32 W43598001
33 W60221001
34 W57430001
35 W57239001
36 W56446001
Grupa
terapeutica
A05AA02
Cod CIM
6 W58363001
Nr.crt
st
SUMETROLIM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
EPITRIM
at
FLUCORIC 150 mg
DIFLUCAN 150 mg
FUNGOLON 100 mg
FLUCOVIM 100
TAGREMIN
BITRIM 400mg/80mg
SUMETROLIM
CO - TRIM ELL
PREDNISON ARENA 5 mg
PREDNISON ARENA 5 mg
PREDNISON 5 mg
PREDNISON MCC 5 mg
PREDNISON - RICHTER 5 mg
in
De
MEDROL 32
MEDROL A 16
Denumire comerciala
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
PREDNISONUM
SULFAMETHOXAZOLUM +
TRIMETHOPRIMUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
PREDNISONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
METHYLPREDNISOLONUM
ACIDUM URSODEOXYCHOLICUM
Denumire generica
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
SUSP.
ORALA
COMPR.
SUSP.
ORALA
COMPR.
COMPR.
COMPR.
COMPR.
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
150mg
100mg
100mg
100mg
100mg
ne
lo
r
PRF
PR
F
PR
F
PR
F
PRF
PRF
PR
F
PRF
PRF
PRF
PR
F
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
16
20
20
20
S/
PRF
1
PRF
20
PRF
20
PRF
30
PRF
/S 1000
PRF
30
PRF
20
S/
PRF
20
50
cant/a
mbala
j
fi
zi
ce
MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
oa
rs
pe
ii
UNGAR
IA
ROMAN
IA
BULGA
RIA
ar
UNGAR
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
CUTIE X 100 BLIST. AL/PVC X 10 COMPR.
ROMAN
IA
CUTIE X 3 BLIST. AL/PVC X 10 COMPR.
ROMAN
IA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML
ROMAN
IA
REPUB
LICA
ZENTIVA K.S.
CEHA
ROMPHARM COMPANY ROMAN
S.R.L.
IA
LABORMED PHARMA
ROMAN
S.A.
IA
ACTAVIS GROUP PTC ISLAND
EHF.
A
TERAPIA SA
LABORATOARELE
PROF.DR.MORAIT
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED
TEVA
PHARMACEUTICALS
S.R.L.
PFIZER EUROPE MA
EEIG
ARENA GROUP SA
rm
fo
in
ARENA GROUP SA
SINTOFARM SA
STADA HEMOFARM
S.R.L.
GEDEON RICHTER
ROMANIA SA
5mg
ARENA GROUP SA
400mg/80
mg
BIO EEL SRL
EGIS
400mg/80 PHARMACEUTICALS
P.L.C.
mg
400mg/80
mg
ARENA GROUP S.A.
400mg/80
mg
ZENTIVA S.A.
200mg/40
mg /5ml E.I.P.I.CO. MED S.R.L.
EGIS
25mg/5m PHARMACEUTICALS
g/ml
P.L.C.
5mg
5mg
5mg
5mg
iv
us
COMPR.
COMPR.
COMPR.
COMPR.
PULB+SOL
V. PT. SOL.
INJ./PERF. 500mg
cl
ex
PFIZER EUROPE MA
EEIG
STADA HEMOFARM
S.R.L.
PRF
MAREA
BRITAN
IE
CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.
PFIZER EUROPE MA
EEIG
PULB+SOL
V. PT. SOL.
INJ./PERF. 125mg
PRF
MAREA
BRITAN
IE
CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.
P6
L
Ambalaj
Tara
Prescriptie
PFIZER EUROPE MA
EEIG
32mg
16mg
250mg/5
ml
Firma
LIOF. SI
SOLV.PT.S 250mg/4
OL.INJ
ml
COMPR.
COMPR.
SUSP.
ORALA
Forma
Concentr
farmaceuti
atie / U.T.
ca
5,300000
5,300000
5,300000
5,300000
4,680000
4,620000
4,870000
5,300000
5,544000
5,300000
1,998750
1,998750
1,665625
1,998750
7,300000
3,480000
0,296500
0,296500
0,257500
0,270000
0,055320
0,046100
0,055320
0,055320
0,055320
22,950000
6,520000
15,150000
0,913000
0,401800
77,100000
Pret cu ridicata
maximal de
decontare / U.T.
7,160000
7,160000
7,160000
7,160000
6,320000
6,240000
6,580000
7,160000
7,488000
7,160000
2,614500
2,614500
2,178750
2,614500
9,860000
4,710000
0,400500
0,400500
0,348000
0,365000
0,072360
0,060300
0,072360
0,072360
0,072360
31,020000
8,810000
20,480000
1,234000
0,543200
97,490000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
3,542000
0,000000
0,805500
2,056928
0,000000
3,788000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,017973
0,000000
0,051306
0,064640
0,061140
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
J02AC01
52 W58322001
53 W58456003
54 W55502017
55 W55502001
56 W12072001
57 W55502009
58 W58456002
59 W58456001
J02AC04
J02AC01
51 W53942002
66 W60913001
J02AC01
50 W42321001
J02AC03
J02AC01
49 W03157001
65 W41889001
J02AC01
48 W58224007
J02AC03
J02AC01
47 W57238001
64 W10489001
J02AC01
46 W08374001
J02AC03
J02AC01
45 W43596001
63 W08946008
J02AC01
44 W43287001
J02AC03
J02AC01
43 W44098001
62 W08947008
J02AC01
42 W51993001
J02AC01
J02AC01
41 W43599002
J02AC01
J02AC01
40 W43288001
60 W60056005
J02AC01
39 W08373001
61 W57368003
J02AC01
38 W42693001
Grupa
terapeutica
J02AC01
Cod CIM
37 W51994001
Nr.crt
POSACONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
VORICONAZOLUM**
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
FLUCONAZOLUM
Denumire generica
at
in
NOXAFIL 100mg
VFEND 40 mg/ml
VFEND 200mg
VFEND 50mg
VFEND 200mg
DIFLAZON 2mg/ml
DIFLUCAN 10 mg/ml
FLUCONAZOL ARENA 50 MG
FLUCONAZOL 50 mg
DIFLUCAN 50 mg
FLUCONAZOL AUROBINDO 50 mg
FLUCONAZOL LPH 50 mg
FLUCOVIM 50
st
FLUCONAZOLE TEVA 50 mg
De
FLUCORIC 50 mg
FLUCONAZOL MEDOCHEMIE 50 mg
FLUCOVIM 150
FLUCONAZOL 150 mg
Denumire comerciala
50mg
200mg
40mg/ml
COMPR.
FILM.
PULB. PT.
SOL.
PERF.
PULB. PT.
SUSP.
ORALA
CAPS.
GASTROR
EZ.
100mg
200mg
COMPR.
FILM.
2mg/ml
2mg/ml
SOL.
PERF.
2mg/ml
2mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
2mg/ml
2mg/ml
2mg/ml
2mg/ml
2mg/ml
10mg/ml
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
SOL.
PERF.
PULB. PT.
SUSP.
ORALA
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
50mg
200mg
150mg
150mg
150mg
150mg
iv
us
CAPS.
CAPS.
CAPS.
cl
ex
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
Forma
Concentr
farmaceuti
atie / U.T.
ca
PFIZER LIMITED
PFIZER LIMITED
PRF
MAREA
BRITAN CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE
IE
GASTROREZISTENTE
PR
24
28
28
10
20
20
10
cant/a
mbala
j
fi
zi
ce
PR
PR
MAREA
BRITAN
IE
CUTIE X 1 FLAC. UNIDOZA X 30ML
lo
r
PRF
PFIZER LIMITED
ne
MAREA
BRITAN
IE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)
oa
rs
PRF
PFIZER LIMITED
pe
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
ii
S
S/
PRF
ar
PR
PR
F
MAREA
BRITAN
IE
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 7 CAPS.
SLOVE
NIA
CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML
ROMAN
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 100 ML SOL. PERF.
CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI
ROMAN CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP
INFOMED FLUIDS S.R.L. IA
X 50 ML SOL. PERF.
REPUB
LICA
CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML
ZENTIVA K.S.
CEHA SOL. PERF. X 200 MG FLUCONAZOL
ROMAN
ARENA GROUP S.A.
IA
CUTIE X 1 FLAC. X 100 ML SOL. PERF.
rm
fo
in
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
PRF
Prescriptie
PRF
PRF
PR
F
PR
F
Ambalaj
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. X 7 CAPS.
ROMAN
IA
CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
GERMA
NIA
Tara
ARENA GROUP SA
PFIZER EUROPE MA
EEIG
SANDOZ SRL
TEVA
PHARMACEUTICALS
S.R.L.
TERAPIA SA
SANDOZ SRL
TEVA
PHARMACEUTICALS
S.R.L.
MEDOCHEMIE
ROMANIA SRL
MEDOCHEMIE
ROMANIA SRL
Firma
133,855416
2.044,020000
435,570000
32,232500
119,853214
21,516000
17,930000
10,872000
21,516000
18,130000
21,516000
9,060000
36,250000
43,500000
21,880000
1,356000
1,356000
1,356000
1,265714
1,356000
1,356000
1,356000
1,130000
1,356000
1,356000
4,460000
5,300000
5,300000
5,300000
5,300000
Pret cu ridicata
maximal de
decontare / U.T.
147,492083
2.266,130000
512,920000
36,496071
132,002857
26,266800
21,889000
14,700000
26,266800
24,500000
26,266800
12,250000
47,420000
56,904000
29,570000
1,832570
1,832570
1,832570
1,710000
1,832570
1,832570
1,832570
1,527142
1,832570
1,832570
5,834285
7,160000
7,160000
7,160000
7,160000
0,000000
0,000000
0,000000
0,000000
0,000000
28,873200
0,000000
6,937500
11,204200
0,000000
21,183200
0,000000
0,000000
32,740000
0,000000
0,947430
0,946001
2,444572
0,000000
0,947430
0,947430
0,133144
0,000000
0,947430
0,560287
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
J05AB01
J05AB14
J05AB14
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
J05AF05
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
81 W60756001
82 W51832001
83 W55472002
84 W07518002
85 W61523002
86 W59320003
87 W55474002
88 W61531002
89 W04406001
90 W04407001
91 W42264003
92 W42264003
93 W42265003
J05AB01
78 W06668003
J05AB14
J05AB01
77 W53225001
79 W00058001
J05AB01
76 W06667003
80 W61519003
J05AB01
J05AB01
74 W60558001
J05AB01
73 W00044001
75 W13972001
J05AB01
J05AB01
J05AB01
70 W56038001
71 W53675003
J05AB01
69 W42857001
72 W53676001
J05AB01
68 W53675001
Grupa
terapeutica
J02AC04
Cod CIM
67 W58194001
Nr.crt
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
MYCOPHENOLATUM**
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
LAMIVUDINUM
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
VALGANCICLOVIRUM**
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
ACICLOVIRUM
POSACONAZOLUM**
Denumire generica
at
in
MYFORTIC 360 mg
MYFORTIC 180 mg
MYFORTIC 180 mg
CELLCEPT 500mg
CELLCEPT 250mg
EPIVIR 10mg/ml
10mg/ml
SOL.
ORALA
COMPR.
FILM.
COMPR.
FILM.
GASTROR
EZ.
COMPR.
FILM.
GASTROR
EZ.
COMPR.
FILM.
GASTROR
EZ.
360mg
180mg
180mg
500mg
250mg
300 mg
COMPR.
FILM.
CAPS.
150mg
100mg
COMPR.
FILM.
150mg
100 mg
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
450mg
450mg
iv
COMPR.
FILM.
COMPR.
FILM.
us
200mg
200mg
200mg
200mg
200mg
400mg
200mg
200mg
200mg
200mg
40mg/ml
COMPR.
400mg
PULB. PT.
SOL.
INJ./PERF. 250mg
COMPR.
FILM.
450mg
COMPR.
COMPR.
COMPR.
COMPR.
COMPR.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
SUSP.
ORALA
Forma
Concentr
farmaceuti
atie / U.T.
ca
cl
ex
EPIVIR 150mg
ZEFFIX 100 mg
VIROLEX
ACICLOVIR 400 mg
ACICLOVIR 200 mg
st
ACICLOVIR 200 mg
De
ACICLOVIR-RICHTER 200 mg
ACICLOVIR 200 mg
NOXAFIL 40mg/ml
Denumire comerciala
PRF
S/
PRF
PR
F
UNGAR
IA
CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.
PR
MAREA
BRITAN
IE
CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.
ii
pe
lo
r
PR
20
120
120
120
S/
PRF
S/
PRF
S/
PRF
NOVARTIS PHARMA
GMBH
NOVARTIS PHARMA
GMBH
NOVARTIS PHARMA
GMBH
50
PRF
/R
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 5 BLIST. X 10 COMPR. FILM.
100
30
60
60
28
30
60
60
60
10
20
PRF
/R
fi
zi
ce
MAREA
BRITAN CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA
IE
DOZATOARE + 1 ADAPTOR
ne
OLAND
A
CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
oa
rs
ar
PR
PRF
/R
PRF
/R
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)
OLAND
A
CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.
PR
F
PRF
PRF
/R
ROMAN
IA
CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.
ROMAN
IA
CUTIE X 1 FLAC. X 60 COMPR. FILM.
SLOVE
NIA
CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.
ROMAN
IA
CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM.
cant/a
mbala
j
PRF
/R
1
PRF
20
PRF
20
PRF
20
PRF
/S 1000
PRF
10
PRF
20
PR
F
20
PRF
20
PRF
PRF
Ambalaj
UNGAR
IA
CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.
ROMAN
IA
CUTIE X 2 BLIST. X 10 COMPR.
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
Tara
Prescriptie
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 10 BLIST. X 10 CAPS.
VIIV HEALTHCARE UK
LIMITED
VIIV HEALTHCARE UK
LIMITED
AUROBINDO PHARMA
(MALTA) LIMITED
rm
fo
in
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
LAROPHARM S.R.L.
EGIS
PHARMACEUTICALS
P.L.C.
TERAPIA SA
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
EGIS
PHARMACEUTICALS
P.L.C.
ARENA GROUP SA
ARENA GROUP SA
Firma
6,008166
3,078833
3,078833
3,228200
1,706500
82,820000
8,751666
3,304500
3,965400
2,692000
2,243333
54,534600
49,306500
45,445500
38,600000
1,794000
0,636000
0,530000
0,636000
0,636000
0,636000
1,495000
0,636000
0,636000
0,636000
0,636000
2.405,440000
Pret cu ridicata
maximal de
decontare / U.T.
6,866833
3,673833
3,673833
3,941000
2,083300
104,720000
10,684000
4,034166
4,840999
3,403999
2,836666
60,205800
54,380000
50,171500
47,124000
2,424000
0,859800
0,716500
0,859800
0,859800
0,859800
2,020000
0,833260
0,859800
0,859800
0,859800
2.660,080000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
1,336334
0,959572
0,000000
28,776366
0,000000
0,000000
0,000000
0,334000
0,033700
0,000000
0,033700
0,033700
0,030200
0,000000
0,000000
0,211200
0,188700
0,251200
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA06
L04AA10
L04AD01
L04AD01
L04AD01
L04AD01
L04AD01
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
L04AD02
102 W58520001
103 W56644001
104 W56644001
105 W55987001
106 W55987001
107 W58523001
108 W58523001
109 W56003001
110 W56003001
111 W52876001
112 W52876001
113 W61479001
114 W58368003
115 W51399001
116 W58149003
117 W51398001
118 W58367003
119 W56579003
120 W55262007
121 W53729001
122 W56580003
123 W55263007
124 W53730001
L04AA06
99 W52877001
L04AA06
L04AA06
98 W56643001
L04AA06
L04AA06
97 W56643001
100 W52877001
L04AA06
96 W56657001
101 W58520001
L04AA06
95 W56657001
Grupa
terapeutica
L04AA06
Cod CIM
94 W42265003
Nr.crt
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
TACROLIMUSUM**
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
CICLOSPORINUM
SIROLIMUS**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM MOFETILUM**
MYCOPHENOLATUM**
Denumire generica
PROGRAF (R) 1 mg
TACROLIMUS SANDOZ 1 mg
TACNI 1 mg
TACNI 0,5 mg
EQUORAL 50 mg
EQUORAL 25 mg
EQUORAL 100 mg
RAPAMUNE 1mg
1mg
500mg
500mg
500mg
500mg
500mg
500 mg
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
1mg
1mg
1 mg
0,5mg
0,5mg
0,5 mg
DRAJ.
500mg
MYFENAX 500mg
250mg
500 mg
iv
us
COMPR.
FILM.
in
cl
ex
500mg
MYFENAX 500mg
st
250mg
COMPR.
FILM.
De
SUPREPHEN 250 mg
250mg
250mg
250 mg
250 mg
250 mg
500mg
at
CAPS.
CAPS.
CAPS.
CAPS.
COMPR.
FILM.
COMPR.
SUPREPHEN 250 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL STADA 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL STADA 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg FILM.
COMPR.
MICOFENOLAT MOFETIL DR. REDDY'S 500 mg FILM.
COMPR.
SUPREPHEN 500 mg
FILM.
COMPR.
SUPREPHEN 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL SANDOZ 500 mg
FILM.
COMPR.
MICOFENOLAT MOFETIL SANDOZ 500 mg
FILM.
MYFENAX 250mg
MYFENAX 250mg
250 mg
COMPR.
FILM.
GASTROR
EZ.
360mg
Forma
Concentr
farmaceuti
atie / U.T.
ca
MYFORTIC 360 mg
Denumire comerciala
rm
Ambalaj
ii
pe
lo
r
ASTELLAS PHARMA
EUROPE BV
SANDOZ S.R.L.
50
ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU
IA
LAMINAT X 50 CAPS.
PR
S/
PRF
S/
OLAND CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PA
PLIC CU DESICANT
RF
50
ROMAN CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10
IA
CAPSULE
ASTELLAS PHARMA
EUROPE BV
TEVA
PHARMACEUTICALS
S.R.L.
50
50
50
SANDOZ S.R.L.
50
50
50
50
50
50
30
PR
S/
PRF
S/
OLAND CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PA
PLIC CU DESICANT
RF
CEHIA
PR
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
50
50
50
50
50
50
50
50
50
50
100
100
100
100
100
100
100
100
120
cant/a
mbala
j
TEVA CZECH
INDUSTRIES S.R.O.
TEVA
PHARMACEUTICALS
S.R.L.
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
ne
NOVARTIS PHARMA
GMBH
oa
TEVA CZECH
INDUSTRIES S.R.O.
rs
CEHIA
GERMA
NIA
CUTIE X 10 BLIST. X 5 CAPS. MOI
NOVARTIS PHARMA
GMBH
MAREA
BRITAN
IE
CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)
ar
OLAND
A
CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.
PR
PR
F
PR
F
PRF
/R
PRF
/R
PR
F
PR
F
PR
F
PR
F
PRF
PRF
PR
F
PR
F
PRF
PRF
PRF
/R
PRF
/R
PR
S/
PRF
Prescriptie
fi
zi
ce
OLAND
A
CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.
OLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
OLAND
A
CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.
GERMA
NIA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
Tara
TEVA CZECH
INDUSTRIES S.R.O.
PFIZER LIMITED
TEVA PHARMA BV
TEVA PHARMA BV
fo
SANDOZ S.R.L.
in
SANDOZ S.R.L.
TEVA PHARMA BV
ROMASTRU TRADING
S.R.L.
ROMASTRU TRADING
S.R.L.
STADA HEMOFARM
S.R.L.
STADA HEMOFARM
S.R.L.
DR. REDDY'S
LABORATORIES
DR. REDDY'S
LABORATORIES
ROMASTRU TRADING
S.R.L.
ROMASTRU TRADING
S.R.L.
TEVA PHARMA BV
NOVARTIS PHARMA
GMBH
DR. REDDY'S
LABORATORIES
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.
STADA HEMOFARM
S.R.L.
Firma
3,734800
2,427400
2,427400
1,900800
1,235600
1,235600
2,075600
3,136200
1,176000
1,865200
5,105200
15,282333
2,136400
2,136400
2,136400
2,136400
2,136400
2,136400
2,136400
2,136400
2,136400
2,136400
1,109300
1,109300
1,109300
1,109300
1,109300
1,109300
1,109300
1,109300
6,008166
Pret cu ridicata
maximal de
decontare / U.T.
4,559400
2,963400
2,963400
2,403400
1,562200
1,562200
2,533800
3,828600
1,487000
2,358400
6,232400
17,929333
2,608200
2,608200
2,608200
2,608200
2,608200
2,608200
2,608200
2,608200
2,608200
2,608200
1,354200
1,354200
1,354200
1,354200
1,354200
1,354200
1,354200
1,354200
6,866833
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
Cod CIM
Grupa
terapeutica
Denumire generica
Denumire comerciala
Forma
Concentr
farmaceuti
atie / U.T.
ca
Firma
Tara
Ambalaj
Prescriptie
L04AD02
TACROLIMUSUM**
st
De
PROGRAF (R) 5 mg
in
CAPS.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
CAPS.
ELIB.
PREL.
5mg
A11CC03
A11CC03
A11CC03
A11CC03
A11CC04
B01AB01
B01AB01
B01AB05
B01AB05
B01AB05
B01AB05
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
3 W44042001
5 W55847002
6 W55847001
7 W51334002
8 W61666001
9 W03447001
10 W13613002
11 W13612002
12 W13611002
13 W13610002
14 W55557001
15 W61290001
16 W61293001
17 W55558001
18 W55559001
19 W61291001
A11CC03
2 W58167002
4 W58168002
A11CC03
1 W00231001
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
ENOXAPARINUM**
HEPARINUM**
HEPARINUM**
CALCITRIOLUM**
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
ALFACALCIDOLUM
at
fo
ar
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
rs
ne
ASPEN PHARMA
TRADING LIMITED
ASPEN PHARMA
TRADING LIMITED
MAREA
BRITAN CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL.
IE
INJ.
MAREA
BRITAN CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL.
IE
INJ.
IRLAND CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL.
A
INJ.
3800 ui
GLAXO GROUP
AFXa/0,4 LIMITED/GLAXO
ml
WELLCOME HOUSE
GLAXO GROUP
LIMITED/GLAXO
WELLCOME HOUSE
ASPEN PHARMA
TRADING LIMITED
5700 ui
AFXa/0,6
ml
5700 ui
AFXa/0,6
ml
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
S/
PRF
4,662600
20,683000
0,555400
0,555400
0,623900
50
50
100
100
100
10
10
10
10
10
10
10
10
10
10
10
100
10
10
30
30
30
10,800000
10,800000
6,720000
6,720000
5,097000
5,097000
15,641666
12,277000
9,222000
5,083000
10,891000
10,891000
0,546500
11,086000
21,144000
0,866666
0,803666
0,522960
0,435800
2,652600
50
50
17,573400
Pret cu ridicata
maximal de
decontare / U.T.
50
cant/a
mbala
j
fi
zi
ce
MAREA
BRITAN CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL.
IE
INJ.
GLAXO GROUP
LIMITED/GLAXO
WELLCOME HOUSE
2850 ui
AFXa/0,3
ml
2850 ui
AFXa/0,3
ml
3800 ui
AFXa/0,4
ml
lo
r
S
PR
/P
RF
PR
/P
RF
PR
/P
RF
PR
S
P6
L
oa
pe
ii
PRF
PR
F
ROMAN
IA
CUTIE X 1 FLAC. X 30 CAPS. MOI
ROMAN
IA
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI
DANEM
ARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.
PRF
PR
F
ROMAN
IA
CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI
ROMAN
IA
CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI
8000UI
antiLABORATOIRE
Xa/0,8ml AVENTIS
rm
2microgra
me/ml
LEO PHARMA A/S
in
2microgra
me/ml
LEO PHARMA A/S
iv
SANDOZ S.R.L.
SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.
ASTELLAS PHARMA
EUROPE BV
DANEM
SOL. INJ.
ARCA
ROMAN
CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. IA
FRANT
SOL. INJ. 5000UI/ml PANPHARMA
A
FRANT
SOL. INJ. 5000ui/ml LAB. PANPHARMA
A
2000ui
antiFRANT
SOL. INJ. Xa/0,2ml LAB. AVENTIS
A
4000ui
antiFRANT
SOL. INJ. Xa/0,4ml LAB. AVENTIS
A
6000ui
antiFRANT
SOL. INJ. Xa/0,6ml LAB. AVENTIS
A
SOL. INJ.
us
cl
ex
ROCALTROL
ONE-ALPHA 2 micrograme/ml
ONE-ALPHA 2 micrograme/ml
P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA
125 W53731001
S/
OLAND CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PA
PLIC CU DESICANT
RF
PASTELLAS PHARMA
OLAND
RF
126 W51974002 L04AD02
TACROLIMUSUM**
ADVAGRAF 0,5mg
0,5mg
EUROPE B.V.
A
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PASTELLAS PHARMA
OLAND
RF
127 W57352002 L04AD02
TACROLIMUSUM**
ADVAGRAF 1mg
1mg
EUROPE BV
A
CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
PASTELLAS PHARMA
OLAND
RF
128 W51976002 L04AD02
TACROLIMUSUM**
ADVAGRAF 5mg
5mg
EUROPE B.V.
A
CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)
/R
S/
COMPR.
ASPEN PHARMA
IRLAND
P129 W60846001 L04AX01
AZATHIOPRINUM
IMURAN
FILM.
50mg
TRADING LIMITED
A
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
RF
S/
COMPR.
GERMA
P130 W56928001 L04AX01
AZATHIOPRINUM
IMURAN
FILM.
50mg
ASPEN EUROPE GMBH NIA
CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.
RF
COMPR.
EBEWE PHARMA
AUSTRI
131 W56508002 L04AX01
AZATHIOPRINUM
IMMUNOPRIN 75 mg
FILM.
75mg
GES.M.B.H. NFG KG
A
CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.
PR
Pentru urmtoarele DCI-uri: VORICONAZOLUM si VALGANCICLOVIRUM prescrierea i eliberarea medicamentelor se fac numai cu aprobarea Ageniei Naionale de Transplant
Nr.crt
13,185000
13,185000
8,497000
8,497000
6,445000
6,445000
19,778333
14,988000
11,660000
6,427000
13,296000
13,296000
0,691000
13,534000
25,813000
1,133666
1,086333
0,706800
0,589000
0,788900
0,702300
0,702300
23,307600
5,692200
3,238400
19,918000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,058866
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"!
B01AB06
B01AB06
B01AB06
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B03AC02
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
21 W61292001
22 W55414002
23 W61289002
24 W59473001
25 W59475001
26 W59472004
27 W59472003
28 W59474003
29 W59474002
30 W59474001
31 W51230001
32 W52282002
33 W52283002
34 W55046001
35 W52284002
36 W57497004
37 W55048001
Grupa
terapeutica
B01AB06
Cod CIM
20 W55560001
Nr.crt
st
at
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
EPOETINUM ALFA**
BINOCRIT 3000UI/0,3ml
BINOCRIT 30000UI/0,75ml
BINOCRIT 2000UI/1,0ml
BINOCRIT 1000UI/0,5ml
VENOFER (R)
EPOETINUM ALFA**
in
De
SOL.
INJ./PERF.
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
AUSTRI
A
CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.
3000UI/0,
3ml
SANDOZ GMBH
S/
PRF
/R
PRF
/R
40000
UI/1 ml
AUSTRI
A
CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.
S/
PRF
40
JOHNSON & JOHNSON SLOVE
000UI/ml D.O.O.
NIA
CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.
SANDOZ GMBH
S/
PRF
/R
PRF
/R
5
S/
PRF
/R
10
10
10
10
10
10
10
10
cant/a
mbala
j
PR
/P
RF
S/
PRF
PR
/P
RF
PR
/P
RF
PR
/P
RF
PR
/P
RF
PR
/P
RF
PR
/P
RF
S/
PRF
S/
PRF
Prescriptie
fi
zi
ce
30000UI/0
,75ml
SANDOZ GMBH
lo
r
AUSTRI
A
CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.
ne
2000UI/1,
0ml
SANDOZ GMBH
oa
rs
AUSTRI
A
CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
pe
FRANT
A
CUTIE X 5 FIOLE X 5 ML
ii
1000UI/0,
5ml
SANDOZ GMBH
20mg/ml
SOL. INJ.
IN SERINGI
PREUMPL 20000UI
UTE
anti-Xa/ml LEO PHARMA A/S
ar
rm
fo
in
SOL. INJ.
IN SERINGI
PREUMPL 20000UI
UTE
anti-Xa/ml LEO PHARMA A/S
iv
us
SOL. INJ.
IN SERINGI
PREUMPL 20000UI
UTE
anti-Xa/ml LEO PHARMA A/S
SOL. INJ.
IN SERINGI 10000UI
PREUMPL antiUTE
XA/ml
cl
ex
SOL. INJ.
IN SERINGI 10000UI
PREUMPL antiUTE
XA/ml
SOL. INJ.
IN
20000 UI
FLACOANE anti-Xa/ml LEO PHARMA A/S
SOL. INJ.
MAREA
BRITAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML
GLAXO GROUP LIMITED IE
SOL. INJ.
ASPEN PHARMA
TRADING LIMITED
Ambalaj
MAREA
BRITAN CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL.
IE
INJ.
Tara
GLAXO GROUP
LIMITED/GLAXO
WELLCOME HOUSE
ASPEN PHARMA
TRADING LIMITED
SOL. INJ.
7600 ui
AFXa/0,8
ml
7600 ui
AFXa/0,8
ml
Firma
9500 UI
AFXa/1
ml
9500 UI
AFXa/1
ml
SOL. INJ.
SOL. INJ.
Forma
Concentr
farmaceuti
atie / U.T.
ca
Denumire comerciala
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
TINZAPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
NADROPARINUM**
Denumire generica
662,860000
795,432000
56,818333
413,130000
37,178333
17,845000
25,458000
29,255000
39,875000
47,275000
10,098000
12,987000
100,064000
44,950000
78,696000
78,696000
13,121000
13,121000
Pret cu ridicata
maximal de
decontare / U.T.
760,670000
912,804000
68,290000
488,460000
45,386666
21,785000
31,080000
36,990000
50,420000
59,775000
12,328000
15,854000
112,885000
52,811000
89,594000
89,594000
16,018000
16,018000
0,000000
99,806000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
B03XA01
39 W52286002
40 W07740002
41 W07741002
42 W42097001
43 W07742002
44 W07744002
45 W60969001
46 W60964001
47 W60967001
48 W60965001
49 W60966001
50 W60973001
51 W60972001
52 W60971001
53 W60970001
Grupa
terapeutica
B03XA01
Cod CIM
38 W52285002
Nr.crt
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM ZETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM BETA**
EPOETINUM ALFA**
EPOETINUM ALFA**
Denumire generica
in
RETACRIT 8000UI/0,8ml
RETACRIT 6000UI/0,6ml
RETACRIT 5000UI/0,5ml
RETACRIT 4000UI/0,4ml
RETACRIT 40000UI/1,0ml
RETACRIT 3000UI/0,9ml
RETACRIT 30000UI/0,75ml
RETACRIT 2000UI/0,6ml
RETACRIT 10000UI/1,0ml
NEORECORMON 5000UI/0,3ml
NEORECORMON 4000UI/0,3ml
at
NEORECORMON 30000UI/0,6ml
st
NEORECORMON 2000UI/0,3ml
De
NEORECORMON 10000UI/0,6ml
BINOCRIT 5000UI/0,5ml
BINOCRIT 4000UI/0,4ml
Denumire comerciala
fo
PR
PR
PR
PR
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 0,4ML SOL. INJ.
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ.
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 0,8ML SOL. INJ.
4000UI/0,
4ml
HOSPIRA UK LIMITED
5000UI/0,
5ml
HOSPIRA UK LIMITED
6000UI/0,
6ml
HOSPIRA UK LIMITED
8000UI/0,
8ml
HOSPIRA UK LIMITED
fi
zi
ce
PR
lo
r
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.
40000UI/1
,0ml
HOSPIRA UK LIMITED
ne
PR
oa
rs
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ.
3000UI/0,
9ml
HOSPIRA UK LIMITED
pe
PR
30000UI/0
,75ml
HOSPIRA UK LIMITED
2000UI/0,
6ml
HOSPIRA UK LIMITED
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.
ii
PR
PR
ar
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.
S/
PRF
/R
MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.
rm
10000UI/1
,0ml
HOSPIRA UK LIMITED
in
MAREA
5000UI/0, ROCHE REGISTRATION BRITAN
3ml
LTD.
IE
CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE
MAREA
4000UI/0, ROCHE REGISTRATION BRITAN
3ml
LTD.
IE
CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE
1
S/
PRF
/R
S/
PRF
/R
MAREA
2000UI/0, ROCHE REGISTRATION BRITAN
3ml
LTD.
IE
CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE
MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC
S/
PRF
/R
MAREA
10000UI/0 ROCHE REGISTRATION BRITAN
,6ml
LTD.
IE
CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE
30000
UI/0,6ml
S/
PRF
/R
cant/a
mbala
j
S/
PRF
/R
Prescriptie
S/
PRF
/R
AUSTRI
A
CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.
Ambalaj
5000UI/0,
5ml
SANDOZ GMBH
Tara
AUSTRI
A
CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.
Firma
4000UI/0,
4ml
SANDOZ GMBH
iv
us
cl
ex
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
Forma
Concentr
farmaceuti
atie / U.T.
ca
160,560000
114,940000
97,520000
78,020000
601,590000
58,510000
454,230000
39,710000
186,800000
135,763333
93,466666
882,020000
49,065000
251,083333
92,996666
74,898333
Pret cu ridicata
maximal de
decontare / U.T.
196,010000
140,320000
123,300000
98,650000
693,880000
73,980000
533,260000
51,940000
228,050000
154,340000
108,236666
999,550000
59,898333
280,040000
107,725000
87,998333
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
""
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA02
B03XA03
B03XA03
B03XA03
B03XA03
B03XA03
55 W41522002
56 W41531002
57 W41524002
58 W41532001
59 W41525002
60 W41526002
61 W41533001
62 W41527002
63 W41528002
64 W41529002
65 W52309001
66 W53532001
67 W52310001
68 W52311001
69 W52312001
Grupa
terapeutica
B03XA02
Cod CIM
54 W41530002
Nr.crt
at
in
ARANESP 80mcg/0,4ml
MIRCERA 100mcg/0,3ml
MIRCERA 120mcg/0,3ml
MIRCERA 150mcg/0,3ml
MIRCERA 200mcg/0,3ml
MIRCERA 250mcg/0,3ml
METOXI-POLIETILENGLICOL EPOETINA
BETA**
METOXI-POLIETILENGLICOL EPOETINA
BETA**
METOXI-POLIETILENGLICOL EPOETINA
BETA**
METOXI-POLIETILENGLICOL EPOETINA
BETA**
METOXI-POLIETILENGLICOL EPOETINA
BETA**
ARANESP 60mcg/0,3ml
ARANESP 50mcg/0,5ml
ARANESP 500mcg/ml
ARANESP 40mcg/0,4ml
ARANESP 30mcg/0,3ml
ARANESP 300mcg/0,6ml
st
ARANESP 20mcg/0,5ml
De
ARANESP 150mcg/0,3ml
ARANESP 10mcg/0,4ml
ARANESP 100mcg/0,5ml
Denumire comerciala
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
DARBEPOETINUM ALFA**
Denumire generica
OLAND
A
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML
20mcg/0,
5ml
AMGEN EUROPE BV
fo
in
rm
AMGEN EUROPE BV
pe
rs
S/
PRF
/R
S/
PRF
/R
MAREA
150mcg/0 ROCHE REGISTRATION BRITAN
,3ml
LTD.
IE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.
MAREA
200mcg/0 ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.
,3ml
MAREA
250mcg/0 ROCHE REGISTRATION BRITAN
,3ml
LTD.
IE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.
1
S/
PRF
/R
fi
zi
ce
MAREA
120mcg/0 ROCHE REGISTRATION BRITAN
,3ml
LTD.
IE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.
lo
r
OLAND
A
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML
80mcg/0,
4ml
AMGEN EUROPE BV
S/
PRF
/R
PRF
/R
S/
PRF
/R
PRF
/R
PRF
/R
PRF
/R
PRF
/R
MAREA
100mcg/0 ROCHE REGISTRATION BRITAN
,3ml
LTD.
IE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.
ne
PRF
/R
oa
OLAND
A
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML
ii
OLAND
A
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML
ar
OLAND
A
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML
OLAND
A
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML
OLAND
A
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML
PRF
/R
PRF
/R
PRF
/R
cant/a
mbala
j
PRF
/R
Prescriptie
PRF
/R
60mcg/0,
3ml
AMGEN EUROPE BV
50mcg/0,
5ml
AMGEN EUROPE BV
500mcg/
ml
40mcg/0,
4ml
AMGEN EUROPE BV
30mcg/0,
3ml
AMGEN EUROPE BV
OLAND
A
CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML
OLAND
A
CUTIE X 4 SERINGI PREUMPLUTE, A 1 ML X 0,3 ML
150mcg/0
,3ml
AMGEN EUROPE BV
300mcg/0
,6ml
AMGEN EUROPE BV
OLAND
A
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML
Ambalaj
10mcg/0,
4ml
AMGEN EUROPE BV
Tara
OLAND
A
CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML
Firma
100mcg/0
,5ml
AMGEN EUROPE BV
iv
us
cl
ex
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
Forma
Concentr
farmaceuti
atie / U.T.
ca
1.672,870000
1.328,590000
1.003,950000
818,570000
679,320000
469,742500
354,147500
286,425000
2.919,000000
238,600000
180,842500
1.763,400000
123,037500
874,185000
64,172500
585,282500
Pret cu ridicata
maximal de
decontare / U.T.
1.861,580000
1.486,320000
1.132,460000
930,390000
778,610000
521,557500
395,560000
321,740000
3.219,860000
269,612500
206,655000
1.960,260000
143,647500
962,400000
78,342500
647,495000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
"#
B03XA03
B03XA03
H05BX01
H05BX01
H05BX01
H05BX02
H05BX02
H05BX02
V03AE02
B05DB
72 W52307001
73 W52308001
74 W43185002
75 W43186002
76 W43187002
77 W60920002
78 W60921002
79 W60961001
80 W08985002
SEVELAMER**
COMBINATII
PARICALCITOLUM**
PARICALCITOLUM**
PARICALCITOLUM**
CINACALCETUM****
CINACALCETUM****
CINACALCETUM****
N07BC02
N07BC02
N07BC02
N07BC51
N07BC51
2 W51921003
3 W55532002
4 W55533002
5 W58160001
6 W58161001
METADON BIOEEL 5 mg
SUBOXONE 2mg/0,5mg
SUBOXONE 8mg/2mg
COMBINATII ( BUPRENORPHINUM +
NALAXONE)
COMBINATII ( BUPRENORPHINUM +
NALAXONE)
METADON BIOEEL 20 mg
SINTALGON 2,5 mg
NALTREXONA TORREX 50 mg
METHADONUM
METHADONUM
METHADONUM
NALTREXONUM
at
in
COMPR.
SUBLING.
COMPR.
SUBLING.
COMPR.
COMPR.
COMPR.
COMPR.
FILM.
ii
oa
rs
ne
lo
r
0HGLFDPHQWHOHFRUHVSXQ]DWRDUH'&,XULORUQRWDWHFX VHLPSRUWDFXDYL]XO$10'0
0HGLFDPHQWXOFRUHVSXQ]DWRU'&,XOXLQRWDWFX VHOLYUHD]DLPSUHXQDFXVROYHQW
7UDWDPHQWXOFXPHGLFDPHQWHOHFRUHVSXQ]DWRDUH'&,XULORUQRWDWHFX VHHIHFWXHD]DSHED]DSURWRFRDOHORUWHUDSHXWLFHHODERUDWHGHFRPLVLLOHGHVSHFLDOLWDWHDOH06VLFXDSUREDUHDFRPLVLLORUGHODQLYHOXO&DVHL1DWLRQDOHGH$VLJXUDULGH6DQDWDWH
7UDWDPHQWXOFXPHGLFDPHQWHOHFRUHVSXQ]DWRDUH'&,XULORUQRWDWHFX VHHIHFWXHD]DSHED]DSURWRFRDOHORUWHUDSHXWLFHHODERUDWHGHFRPLVLLOHGHVSHFLDOLWDWHDOH06VLFXDSUREDUHDFRPLVLLORUGHODQLYHOXO&DVHORU-XGHWHQHGH$VLJXUDULGH6DQDWDWH
pe
PTS;
S
PTS;
S
PR
F
PTS
PTS
PTS
S
PRF
fi
zi
ce
MAREA
BRITAN
IE
CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)
ar
RECKITT BENCKISER
HEALTHCARE
8mg/2mg INTERNATIONAL LTD.
rm
AUSTRI
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
MAREA
BRITAN
IE
CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)
ZENTIVA S.A.
fo
in
CHIESI
PHARMACEUTICALS
GMBH
RECKITT BENCKISER
2mg/0,5m HEALTHCARE
g
INTERNATIONAL LTD.
5mg
20mg
2,5mg
50mg
iv
us
cl
ex
50
MAREA
mcg/0,3m ROCHE REGISTRATION BRITAN
l
LTD.
IE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.
50
50
50
28
180
28
28
28
28
28
S/
PRF
/R
S/
PRF
/R
PRF
PRF
PRF
PRF
PRF
S/
PRF
/R
MAREA
360mcg/0 ROCHE REGISTRATION BRITAN
,6ml
LTD.
IE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,6ML SOL. INJ.
cant/a
mbala
j
Ambalaj
S/
PRF
/R
Tara
Prescriptie
MAREA
30mcg/0, ROCHE REGISTRATION BRITAN
3ml
LTD.
IE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.
Firma
MAREA
75mcg/0, ROCHE REGISTRATION BRITAN
3ml
LTD.
IE
CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.
OLAND
30mg
AMGEN EUROPE B.V.
A
CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.
OLAND
60mg
AMGEN EUROPE B.V.
A
CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.
OLAND
90mg
AMGEN EUROPE B.V.
A
CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.
ABBVIE
CAPS. MOI 1g
FARMACEUTICA S.L.U. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI
ABBVIE
CAPS. MOI 2g
FARMACEUTICA S.L.U. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.
ABBVIE
SOL. INJ. 5 g/ml
FARMACEUTICA S.L.U. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ.
COMPR.
OLAND
FILM.
800mg
GENZYME EUROPE BV A
CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM.
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
SOL. INJ.
IN
SERINGA
PREUMPL
UTA
COMPR.
FILM.
COMPR.
FILM.
COMPR.
FILM.
Forma
Concentr
farmaceuti
atie / U.T.
ca
7UDWDPHQWXOFXPHGLFDPHQWHOHFRUHVSXQ]DWRDUH'&,XULORUQRWDWHFX VHHIHFWXHD]DSHED]DSURWRFRDOHORUWHUDSHXWLFHHODERUDWHGHFRPLVLLOHGHVSHFLDOLWDWHDOH06
127$
N07BB04
1 W60453003
RENAGEL 800mg
ZEMPLAR
ZEMPLAR 2g
ZEMPLAR 1g
MIMPARA 90 mg
MIMPARA 60 mg
MIMPARA 30 mg
st
De
MIRCERA 50 mcg/0,3ml
METOXI-POLIETILENGLICOL EPOETINA
BETA**
MIRCERA 75mcg/0,3ml
MIRCERA 360mcg/0,6ml
METOXI-POLIETILENGLICOL EPOETINA
BETA**
METOXI-POLIETILENGLICOL EPOETINA
BETA**
MIRCERA 30mcg/0,3ml
Denumire comerciala
METOXI-POLIETILENGLICOL EPOETINA
BETA**
Denumire generica
B03XA03
71 W53533001
Grupa
terapeutica
B03XA03
Cod CIM
70 W53529001
Nr.crt
8,084285
2,664285
0,241200
0,965800
0,374600
7,700000
3,251333
39,062000
14,621785
8,489285
60,643214
41,556428
22,942857
517,010000
354,670000
2.505,110000
216,840000
Pret cu ridicata
maximal de
decontare / U.T.
10,221428
3,601428
0,326000
1,263200
0,506400
9,400000
3,755888
47,686000
17,300357
10,363571
67,463571
46,658928
26,370357
601,690000
424,740000
2.768,720000
264,720000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
0,000000
contribuie
Pret de decontare / maxim asigurat /
U.T.
U.T. - farmacii
comunitare
#
Cod CIM
Grupa
terapeutic
a
Denumire generica
st
De
Denumire comerciala
Forma
Concentr
farmaceuti
atie / U.T.
ca
PANCREATINUM**
PANCREATINUM**
1 W58656002 A09AA02
2 W59801002 A09AA02
P6.4: MUCOVISCIDOZA
KREON 25000
KREON 10000
at
Firma
iv
us
Ambalaj
ar
ii
pe
oa
rs
ne
lo
r
GERMA
NIA
FLACON DIN PEID CU 20 CAPS. GASTROREZ.
GERMA
NIA
FLACON DIN PEID CU 20 CAPS. GASTROREZ.
Tara
rm
fo
in
ABBOTT LABORATORIES
GMBH
ABBOTT LABORATORIES
GMBH
cl
ex
CAPS.
GASTROR
EZ.
150mg
CAPS.
GASTROR
EZ.
300mg
in
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
Nr.
crt
20
20
cant/a
mbala
j
0,906500
0,446000
Pret cu ridicata
maximal de
decontare / U.T.
fi
zi
ce
OT
C
OT
C
Prescriptie
din HG nr. 720/2008, cu modificrile i completrile ulterioare, elaborat n temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificarile si competarile
ulterioare,
SECIUNEA C2 - LISTA denumirilor comerciale i a preurilor de decontare ale OTC-urilor care se acord bolnavilor inclusi in cadrul programelor nationale de
sntate, n tratamentul ambulatoriu i spitalicesc, conform denumirilor comune internaionale cuprinse n seciunea C2 a sublistei C
1,225500
0,603000
0,000000
0,000000
contribuie
Pret de decontare maxim asigurat /
/ U.T.
U.T. - farmacii
comunitare
ANEXA Nr.
#
fi
zi
ce
lo
r
ne
oa
rs
pe
ii
ar
rm
fo
in
iv
us
cl
ex
at
in
st
De
Preul: 46 lei
&JUYDGY|838055]
ISSN 14534495