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PARTEA I

Joi, 1 octombrie 2015

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LEGI, DECRETE, HOTRRI I ALTE ACTE

Pagina

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SUMAR

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Anexele nr. 1 i 2 la Ordinul ministrului sntii i al


preedintelui Casei Naionale de Asigurri de Sntate
nr. 1.213/954/2015 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 ......................

De

Anul 183 (XXVII) Nr. 737 bis

391

MONITORUL OFICIAL AL ROMNIEI, PARTEA I, Nr. 737 bis/1.X.2015

ACTE ALE ORGANELOR DE SPECIALITATE


ALE ADMINISTRAIEI PUBLICE CENTRALE
MINISTERUL SNTII
Nr. 1.213 din 30 septembrie 2015

CASA NAIONAL DE ASIGURRI DE SNTATE


Nr. 954 din 30 septembrie 2015

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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*)

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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

Preedintele Casei Naionale de Asigurri de Sntate,


Vasile Ciurchea

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Art. I. Anexa nr. 2 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
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. 1, care face parte
integrant din prezentul ordin.
Art. II. Anexa nr. 3 la Ordinul ministrului sntii i al
preedintelui Casei Naionale de Asigurri de Sntate

*) 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 ANTIBIOTICE 500 mg

OXACILINA ATB 500 mg

OXACILINA ATB 500 mg

OXACILINA ATB 1000 mg

OXACILINA ATB 1000 mg

OXACILINA FORTE 500 mg

OXACILINA FORTE 500 mg

OXACILINA ARENA 500 mg

OXACILINA SANDOZ 500 mg

OXACILINA 500 mg

OXACILINA 250 mg

OXACILINA ARENA 250 mg

OXACILINA SANDOZ 250 mg

OXACILINA ARENA 250 mg

GYNOZOL 400

GYNOZOL 200

ACICLOVIR TIS 50mg/g

ACICLOVIR SLAVIA 50 mg/g

ACICLOVIR-RICHTER 50mg/g

ACICLOVIR SLAVIA 50 mg/g

ACICLOVIR TERAPIA 50 mg/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

A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE


COMPR.
1 W05444002 A07AA11 RIFAXIMINUM
NORMIX 200 mg
FILM.
200mg
COMPR.
2 W05444001 A07AA11 RIFAXIMINUM
NORMIX 200 mg
FILM.
200mg
GRAN. PT.
SUSP.
200mg/10
3 W05445001 A07AA11 RIFAXIMINUM
NORMIX 200mg/10ml
ORALA
ml

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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

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

ITALIA

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

CUTIE X 1 TUB DIN PEJD X 15 G CREMA

CUTIE CU 1 TUB AL X 15 G CREMA

CUTIE CU 1 TUB AL X 5 G CREMA

CUTIE CU 1 TUB AL X 5 G CREMA

CUTIE CU 1 TUB DIN AL X 15 G CREMA

CUTIE X 1 TUB DIN AL X 15 G CREMA

CUTIE CU 1 TUB AL X 15 G CREMA

CUTIE X 1 TUB X 15 G CREMA

CUTIE X 1 TUB X 5 G CREMA

CUTIE X 1 TUB X 5G CREMA

ne

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

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

CUTIE X 1 BLIST. X 10 CAPS.

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

oa

rs

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

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

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


IA
INJ./PERF. I.M./I.V.

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 CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


IA
INJ./PERF.

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

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

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

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

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

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA


ITALIA DOZATOARE MARCATA LA 5, 10 SI 15 ML
ROMAN
IA
CUTIE X 1 TUB X 20 G

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

Ambalaj

ITALIA

Tara

ar

TIS FARMACEUTIC SA
PHARCO IMPEX 93
S.R.L.
PHARCO IMPEX 93
S.R.L.

rm

SLAVIA PHARM S.R.L.

fo

in

SLAVIA PHARM S.R.L.


GEDEON RICHTER
ROMANIA SA

TERAPIA S.A.

HYPERION S.A.

THE WELLCOME
FOUNDATION LTD.
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA
GEDEON RICHTER
ROMANIA SA

SLAVIA PHARM SRL

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 QUICKTAB 1000 mg

AMOKSIKLAV QUICKTAB 625 mg

AMOXIPLUS 1000 mg/200 mg

AMOKSIKLAV 156,25mg/5ml

AMOKSIKLAV 2x

AMOKSIKLAV 2x

AUGMENTIN BIS 400 mg/57 mg/5 ml

AUGMENTIN BIS 400 mg/57 mg/5 ml

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO COMPR.


875 mg/125 mg
FILM.

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

SLOVE CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML


NIA
SUSP.ORALA + SERINGA DOZATOARE

PRF

PRF

PRF

PRF

PRF

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


NIA
SUSP. ORALA

SLOVE CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 35 ML


NIA
SUSP.ORALA + SERINGA DOZATOARE

PR
F

ROMAN CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB.


IA
PT. SOL. INJ. / PERF.

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

ROMAN CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE


IA
ORALA/ORODISPERSABILE

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

ROMAN CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE


IA
ORALA/ORODISPERSABILE

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.

875mg/12 AUROBINDO PHARMA


5mg
LIMITED

rm

fo

PRF

PRF

PRF

PRF
PRF

PRF

MAREA CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE,


875mg/12
BRITAN FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA
5mg
BEECHAM GROUP PLC IE
PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT

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

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


IA
INJ./PERF. I.M./I.V.
PROMAN CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.
RF
IA
INJ./PERF. I.M./I.V.
/S
PR
,
ROMAN CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. PR
IA
SOL. INJ./PERF.
F

PRF
/S

Ambalaj

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

Tara

Prescriptie

MAREA CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE,


500mg/12
BRITAN FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA
5mg
BEECHAM GROUP PLC IE
PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT
LEK
PHARMACEUTICALS
SLOVE
625mg
D.D.
NIA
CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.
875mg/12
ROMAN
5mg
ANTIBIOTICE S.A.
IA
CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

iv

500mg/12 AUROBINDO PHARMA


5mg
LIMITED

500
mg/125
mg
RANBAXY UK LIMITED
500/125m
g
ANTIBIOTICE S.A.

COMPR.
PT.
DISPERSIE
ORALA/OR
ODISPERS
ABILE
1000mg

COMPR.
FILM.

AUGMENTIN 875 mg/125 mg

COMPR.
FILM.
COMPR.
FILM.

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOKSIKLAV 2 x 625 mg

us

COMPR.
FILM.

cl

AMOXIPLUS 875 mg/125 mg

AUGMENTIN 500 mg/125 mg

AMOXICILLINUM + ACIDUM
CLAVULANICUM
AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILLINUM + ACIDUM
CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO COMPR.


500 mg/125 mg
FILM.

in

AMOXICILLINUM + ACIDUM
CLAVULANICUM

at

COMPR.
FILM.
COMPR.
FILM.

AMOXIPLUS 500/125 mg

ENHANCIN 500 mg/125mg

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

AMPIPLUS 1000 mg/500 mg

AMOXICILLINUM + ACIDUM
CLAVULANICUM

OXACILINA ANTIBIOTICE 1 g

OXACILINA ANTIBIOTICE 1 g

OXACILINA ANTIBIOTICE 500 mg

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

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S
ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48
IA
ML CU PULB. PT. SOL. INJ./PERF.
S
ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE
IA
48 ML CU PULB. PT. SOL. INJ./PERF.

ANTIBIOTICE S.A.
ROMASTRU TRADING
SRL
ROMASTRU TRADING
SRL

250mg

250mg

1g

1g

1g

ANTIBIOTICE SA

ANTIBIOTICE SA

ANTIBIOTICE SA

MIP PHARMA GMBH

ANTIBIOTICE SA

ANTIBIOTICE SA

ANTIBIOTICE SA

1g

1g

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

MEDOCHEMIE LTD.

TERAPIA SA

oa

rs

ne

S
S/
PRF
S/
PRF

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU


IA
PULB. PT. SOL. INJ. PERF.
PR
S/
ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PIA
PULB. PT. SOL. INJ. PERF.
RF

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

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU


IA
PULB. PT. SOL. INJ./PERF.
PR

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU


IA
PULB. PT. SOL. INJ./PERF.
PR

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU


IA
PULB. PT. SOL. INJ./PERF.
PR

fi
zi
ce

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


IA
INJ./PERFZ.

CIPRU CUTIE X 10 FLAC. DIN STICLA X 1 G PULB. PT. SOL. INJ./PERF.

lo
r

ROMAN CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE


IA
15 ML CU PULB. PT. SOL. INJ./PERF.

pe

ROMAN CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT.


IA
SOL. PERF.

S.C. FRESENIUS KABI


S.R.L.

ii

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT.


A
SOL. INJ./PERF.

ar

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT.


IA
SOL. PERF.

rm

12

S.C. FRESENIUS KABI


S.R.L.

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

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ANTIBIOTICE S.A.

12

ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
30 ML CU PULB. PT. SOL. INJ./PERF.

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT.


A
SOL. INJ./PERF.

PRF

cant/a
mbala
j

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

SLOVE CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML


NIA
SUSP. ORALA + LINGURITA DOZATOARE

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

PR
F

PRF

Prescriptie

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

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.

400mg/57 AUROBINDO PHARMA


mg/5ml
(MALTA) LIMITED

CUTIE CU 1 FLAC. PEID CARE CONTINE PULB. PT. SUSP. ORALA


PT. OBTINEREA A 35 ML SUSP. RECONSTITUITA + 1 SERINGA DE
MALTA POLISTIREN CU GRADATII LA INTERVALE DE 0,5 ML

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

AUGMENTIN BIS 400 mg/57 mg/5 ml

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

SULCEF 1000 mg/1000 mg

SULCEF 1000 mg/1000 mg

SULCEF 1000 mg/1000 mg

COMBINATII
(CEFOPERAZONUM+SULBACTAMUM)

COMBINATII
(CEFOPERAZONUM+SULBACTAMUM)

COMBINATII
(CEFOPERAZONUM+SULBACTAMUM)

MEROPENEMUM

MEROPENEMUM

MEROPENEMUM

MEROPENEMUM

MEROPENEMUM

MEROPENEM KABI 1 g

ARCHIFAR 1000 mg

MEROPENEM ATB 1000 mg

LODITER 1000 mg

MEROPENEM ZENTIVA 500 mg

MEROPENEM ZENTIVA 1000 mg

SULCEF 1000 mg/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 (R) 200 mg

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.

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

1g

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

fo

in

MEDOCHEMIE LTD.

MEDOCHEMIE LTD.

INN-FARM D.O.O.

INN-FARM D.O.O.

ANTIBIOTICE SA

ANTIBIOTICE S.A.

EIPICO MED SRL

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

500 mg

Ambalaj

10

10

S/
PRF

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT.


IA
SOL. INJ./PERF. I.M./I.V.

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15


IA
ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

ii

pe

oa

rs

lo
r

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
20 ML CU PULB. PT. SOL. INJ./PERF.

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40


IA
ML CONTINAND PULB. PT. SOL. INJ./PERF.
CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE
ROMAN 20 ML SAU 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN
IA
ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC
CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN
ROMAN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU
IA
PULB.PT.SOL.INJ./PERF.

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

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT.


IA
SOL. INJ./PERF.

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

ROMAN CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB.


IA
PT. SOL. INJ./PERF.

ar

10

10

10

10

10

ROMAN
IA
CUTIE X 1 FLAC. PULB. PT. SOL. INJ.

CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE


CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE
FILMATE

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

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

S/
PRF

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


PERF.

PRF
PR
F
PRF
PR
F
PR
F
S/
PRF
S/
PRF
S/
PRF

ROMAN
IA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
SLOVE
NIA

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


IA
INJ./PERFZ.

10

10

50

GERMA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE


NIA
50 ML CONTINAND PULB. PT. SOL. INJ./PERF.

cant/a
mbala
j

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU


IA
PULB. PT. SOL. INJ./PERF.
PR
S/
PCIPRU CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF.
RF
S/
ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 50 ML,
PIA
CU PULB. PT. SOL. INJ./PERF.
RF

ROMAN CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE


IA
5 ML CU PULB. PT. SOL. INJ./PERF.

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

MIP PHARMA GMBH

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

CLARITROMICINA AUROBINDO 250 mg

KLACID SR

CLARITROMICINA TEVA 500 mg

CLAXIRIT 500 mg

ROVAMYCINE 3 Mil. UI

ROVAMYCINE (R) 3 Mil. UI

ROVAMYCINE (R) 1,5 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

ACTAVIS GROUP PTC


EHF.
TEVA
PHARMACEUTICALS
S.R.L.

LAB. AVENTIS
LABORATOIRES
AVENTIS

LAB. AVENTIS

500mg/50 FRESENIUS KABI


0mg
ROMANIA SRL
400mg/80
mg
BIO EEL SRL
EGIS
400mg/80 PHARMACEUTICALS
mg
P.L.C.
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.

500mg/50 MERCK SHARP &


0mg
DOHME

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

IMIPENEM/CILASTATIN KABI 500mg/500mg

TIENAM I.V.

EPITRIM

SPIRAMYCINUM

at

IMIPENEM/CILASTATIN ATB 500 mg/500 mg

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 500 mg

MEROPENEM KABI 500 mg

MEROPENEM ATB 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

CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM.

MALTA CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

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

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

CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM.

PRF
PRF
PRF
PR
F

fi
zi
ce
CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA +
MASURA DOZATOARE

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


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

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

ne

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

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

ROMAN CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


IA
PERF.
ROMAN
IA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

pe

ROMAN TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU


IA
PULB.PT. SOL. PERF.

ar

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU


IA
CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF.

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

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


IA
ML CONTINAND PULB. PT. SOL. INJ./PERF.
PR
CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN
ROMAN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU
IA
PULB.PT.SOL.INJ./PERF.
PR
S/
ROMAN CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML
PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PPULB. PT. SOL. PERF.
RF
IA
S/
ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML
PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML
PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PIA
PULB. PT. SOL. PERF.
RF

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

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
20 ML CU PULB. PT. SOL. 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

CUTIE X 1 BLIST. X 3 COMPR. FILM.

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

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

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.

CUTIE X 1 BLIST. X 6 COMPR. FILM.

CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.

CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM.

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

CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.

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

ne

CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.


ROMAN
IA
CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.

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

ROMAN CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA PIA


+ LINGURITA DOZATOARE PP
RF

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

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

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

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

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

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

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

ROMAN CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP


IA
CALENDAR)

CIPRU
ROMAN
IA
REPUB
LICA
CEHA
ROMAN
IA
ROMAN
IA
SLOVE
NIA

MALTA CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

ROMAN CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP


IA
CALENDAR)

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

ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM.


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

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.

KRKA D.D. NOVO


MESTO

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.

LEKOKLAR 250 mg/5 ml

KLABAX 250 mg/5 ml

KLABAX 250 mg/5 ml

LEKOKLAR 125 mg/5 ml

KLABAX 125 mg/5 ml

KLACID (R)

KLACID (R)

FROMILID (R) UNO

CLARITROMICINA TEVA 500 mg

FROMILID 500

ROCLARIN 500 mg

LEKOKLAR 500 mg

CLAR 500

De

KLABAX 500 mg

KLERIMED (R) 500

CLARITROMICINA AUROBINDO 500 mg

CLARITROMICINA TEVA 250 mg

KLERIMED (R) 250

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

CIPROFLOXACINA ARENA 500 mg

CUMINOL 500 mg

CIPROFLOXACINA ARENA 500 mg

CIPROLEN (R) 500 mg

CIFRAN

CIPRO QUIN (R)

CIPROCIN 250 mg

CIPRINOL 250 mg

CIPROFLOXACINA ARENA 250 mg

CUMINOL 250 mg

CIPROLEN (R) 250 mg

CIPROFLOXACINA ARENA 250 mg

CIFRAN

CIPROFLOXACINA ARENA 100 mg

CIPROFLOXACINA ARENA 100 mg

OFLOXIN 200

ZANOCIN

AMIKOZIT (R) 500 mg/2 ml

GENTAMICIN KRKA

GENTAMICIN KRKA

at

in

GENTAMICIN KRKA

SUMAMED FORTE

SUMAMED FORTE

SUMAMED FORTE

st

AZITROMICINA SANDOZ 200 mg/5 ml

De

AZITROMICINA SANDOZ 100 mg/5 ml

AZITROX 200 mg/5 ml

AZITROMICINA TERAPIA 600 mg

AZITROMICINA TERAPIA 600 mg

AZITROMICINA ARENA 500 mg

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

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


KRKA D.D. NOVO
MESTO

ARENA GROUP S.A.

ARENA GROUP S.A.


GEDEON RICHTER
ROMANIA SA

AC HELCOR SRL

RANBAXY UK LIMITED

ANTIBIOTICE SA

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

ARENA GROUP S.A.


KRKA D.D. NOVO
MESTO

AC HELCOR SRL
GEDEON RICHTER
ROMANIA SA

ARENA GROUP S.A.

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

CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM.

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

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

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

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

CUTIE X 1 BLIST. X 10 COMPR. FILM.

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

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

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

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

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

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

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

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.

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

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

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

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

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

pe

MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
ROMAN
IA
ROMAN
IA

ii

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


ROMAN
IA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

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.

SLOVE CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA +


SERINGA SI LINGURITA DOZATOARE
NIA

SLOVE CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA +


NIA
SERINGA SI LINGURITA DOZATOARE

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


CUTIE X 1 FLACON DIN PE CU PULBERE PENTRU 15ML
SUSPENSIE ORALA RECONSTITUITA + FLACON CU SOLVENT X
ROMAN 7.5ML SOLVENT + 1 SERINGA PENTRU ADMINISTRAREA ORALA +
IA
O LINGURITA DOZATOARE
CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10
ROMAN ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20
IA
ML (400 MG) SUSP. ORALA
CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10
ROMAN ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20
IA
ML (800 MG) SUSP. ORALA

ISLAND
A
SLOVE
NIA
ROMAN
IA
ROMAN
IA
ROMAN
IA

Tara

ar

RANBAXY UK LIMITED

ARENA GROUP S.A.

ARENA GROUP S.A.

ZENTIVA K.S.

RANBAXY UK LIMITED

fo

KRKA D.D. NOVO


80mg/2ml MESTO
KRKA D.D. NOVO
80mg/2ml MESTO
500mg/2
ml
ZENTIVA S.A.

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

ARENA GROUP S.A.

ACTAVIS GROUP PTC


EHF.
KRKA D.D. NOVO
MESTO

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

AVELOX 400 mg/250 ml

MOXIFLOXACINA KABI 400 mg/250 ml

750mg

750mg

500mg

5mg/ml

SOL.
PERF.

2mg/ml

2mg/ml

2mg/ml

2mg/ml

2mg/ml

2mg/ml

400mg

lo
r

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

ne

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

oa

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

rs

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

pe

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

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

ii

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

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

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

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

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

CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML

CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML

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

CUTIE X 5 FLACOANE DIN STICLA X 250 ML

CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.


CUTIE CU 1 FLAC. PEJD (KABIPACK) A 250 ML SOL. PERF. (400 MG
MOXIFLOXACINA)
PR

CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM.

CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM.

CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM

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


CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINND 5
COMPRIMATE FILMATE

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


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

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

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

INFOMED FLUIDS SRL

INFOMED FLUIDS SRL

INFOMED FLUIDS SRL

INFOMED FLUIDS SRL

INFOMED FLUIDS SRL

INFOMED FLUIDS SRL

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.

ROMAN CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE


IA
RUPERE X 10 ML

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

ARENA GROUP S.A.

KRKA D.D. NOVO


MESTO

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

MOXIFLOXACINA AUROBINDO 400 mg

MOFIL 400 mg

AVELOX 400 mg

MOFINACIN 400 mg

MOFLAXA 400 mg

EVOLOX 5 mg/ml

LEVOFLOXACIN KABI 5 mg/ml

LEVOFLOXACINA ACTAVIS 5 mg/ml

EVOLOX 5 mg/ml

TAVANIC I.V. 500 mg

LEVOFLOXACINA ACTAVIS 500 mg

LEVOTOR 500 mg

TAVANIC 500 mg

FLERADAY 500 mg

LEVOFLOXACINA ACTAVIS 250 mg

TAVANIC 250 mg

LEVOTOR 250 mg

NORFLOXACIN HELCOR 400 mg

NORFLOXACINA LPH 400 mg

NOLICIN 400 mg

PEFLOXACIN LAROPHARM

CIPROFLOXACINA INFOMED 2 mg/ml

CIPROFLOXACINA INFOMED 2 mg/ml

CIPRO INF 2 mg/ml

CIPRO INF 2 mg/ml

CIPRO INF 2 mg/ml

CIPRO INF 2 mg/ml

st

CIPRINOL (R)

De

CIPROFLOXACINA ZENTIVA 10 mg/ml

CIPRINOL (R)

CIPROBAY XR 500 mg

CIPROBAY XR 1000 mg

CIPROFLOXACINA ARENA 750 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

LINEZOLID TEVA 2 mg/ml

ZYVOXID (R)

LINEZOLID SANDOZ 2 mg/ml

PNEUMOLID 2 mg/ml

ZYVOXID (R)

ZYVOXID (R)

METRONIDAZOL BRAUN 5mg/ml

METRONIDAZOL BRAUN 5mg/ml

METRONIDAZOL BRAUN 5mg/ml

METRONIDAZOL B 5 g/l

METRONIDAZOL B 5 g/l

METRONIDAZOL A 5 g/l

METRONIDAZOL A 5 g/l

FLAGYL ( vezi J01XD01)

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

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10


IA
ML CARE CONTINE PULB. PT. CONC. PT. SOL. P
PR
S/
SLOVE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PNIA
PERF./INJ.
RF

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

CUTIE CU O PUNGA DIN PP TRANSPARENTA PNA LA GALBUIE


LUXEM CU 1 SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
ALVOGEN IPCO S.AR.L BURG LAMINATA TRANSPARENTA CONTINND 300 ML SOL. PERF.
CUTIE CU 1 PUNGA DIN PP INCOLORA PNA LA GALBUIE, CU 1
ROMAN SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
SANDOZ S.R.L.
IA
LAMINATA CARE CONTINE SOL. PERF.

PFIZER EUROPE MA
EEIG

PFIZER EUROPE MA
EEIG

MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.

B. BRAUN MELSUNGEN GERMA


AG
NIA
CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

B. BRAUN MELSUNGEN GERMA


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

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

B. BRAUN MELSUNGEN GERMA


AG
NIA
CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

INFOMED FLUIDS SRL

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

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

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


INJ./PERF.

ROMAN
IA
CUTIE X 1 FLACON X 200 ML

ar

INFOMED FLUIDS SRL

rm

INFOMED FLUIDS SRL

INFOMED FLUIDS SRL

in

ARENA GROUP SA
LABORATOIRE
AVENTIS

ROMAN
IA
ROMAN
IA
FRANT
A

MAREA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE


BRITAN PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE
PIE
CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML)
RF

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20


IA
ML CARE CONTINE PULB. PT. CONC. PT. SOL. P
PR

PR

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


PERF.

FRESENIUS KABI
ROMANIA SRL

PR

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


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

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

TEVA PHARM. WORKS


PRIVATE LTD.
COMPANY
TEVA PHARM. WORKS
PRIVATE LTD.
COMPANY

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

METRONIDAZOL ARENA 250 mg (J01XD01)

COLISTINA ANTIBIOTICE 1000000 UI

at

in

TARGOCID (R) 400 mg

EDICIN

VANCOMICINA KABI 500 mg

De

VANCOMICINA KABI 1000 mg

VANCOMICINA PHARMASWISS 500 mg

VANCOMICINA PHARMASWISS 1000 mg

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

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL INFOMED 2 mg/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

FLUCONAZOL SANDOZ (R) 50

FLUCORIC 50 mg

FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOLE TEVA 200 mg

FLUCONAZOL SANDOZ (R) 150

FLUCOVIM 150

FLUCONAZOL 150 mg

FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOL ACTAVIS 150 mg

FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL ZENTIVA 150 mg

at

FLUCONAZOLE TEVA 150 mg

in

FLUCONAZOL AUROBINDO 150 mg

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

FLUCONAZOL BIOGALENICA 150 mg

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

Forma
Concentr
farmaceuti
atie / U.T.
ca

FLUCORIC 150 mg

DIFLUCAN 150 mg

FLUCONAZOL ARENA 150 MG

FLUCONAZOL AUROBINDO 100 mg

FLUCONAZOLE TEVA 100 mg

FUNGOLON 100 mg

FLUCOVIM 100

Denumire comerciala

PRF
PRF

MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.


ROMAN
IA
CUTIE X 1 BLIST. AL/PVC 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.

ne

lo
r

KRKA D.D. NOVO


MESTO

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

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

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

CUTIE X 1 BLIST. X 7 CAPS.

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

oa

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

rs

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

pe

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

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

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

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

CUTIE X 1 FLAC. X 1 CAPS.

MAREA CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU


PFIZER EUROPE MA
BRITAN SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA
EEIG
IE
DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA
CUTIE CU 10 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 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

ARENA GROUP SA

SLAVIA PHARM SRL

PFIZER EUROPE MA
EEIG

rm

fo

in

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

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

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

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

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

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

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

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

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

VIM SPECTRUM SRL


BALKANPHARMA
RAZGRAD AD
TEVA
PHARMACEUTICALS
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED

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

ETAMBUTOL ARENA 400 mg

ETAMBUTOL ARENA 400 mg

ETAMBUTOL ARENA 250 mg

PIRAZINAMIDA ATB 500 mg

BITUB

ISONIAZID

IZONIAZIDA ATB 300 mg

IZONIAZIDA ATB 100 mg

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

ITRACONAZOL ARENA 100 mg

MICOGAL 100 mg

st

OMICRAL 100 mg

De

ITRACONAZOL 100 mg

ORUNGAL

FLUCONAZOL ARENA 2mg/ml

FLUCONAZOL ZENTIVA 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

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

MERCK SHARP &


DOHME

MERCK SHARP &


DOHME

MERCK SHARP &


DOHME

MERCK SHARP &


DOHME LTD.

PFIZER LIMITED

rm

fo

in

PFIZER LIMITED

PFIZER LIMITED

PFIZER LIMITED

ANTIBIOTICE SA

ARENA GROUP S.A.

ARENA GROUP S.A.

ARENA GROUP SA

ANTIBIOTICE S.A.

15

PRF

PRF

PRF

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

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

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

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

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

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

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

CUTIE CU 10 FIOLE A 5ML

CUTIE X 1 FLAC. X 200 ML SIROP

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

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

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

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

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

CUTIE CU BLISTERE PVC/AL X 15 CAPSULE

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

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

100mg/ml CN UNIFARM S.A.

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

VALCYTE (R) 450 mg

VALGANCICLOVIR TEVA 450 mg

VALGANCICLOVIR SANDOZ 450 mg

VALACICLOVIR ARENA 500 mg

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 LAROPHARM 200 mg

ACICLOVIR 200 mg

ACICLOVIR 200 mg

st

ACICLOVIR-RICHTER 200 mg

De

ACICLOVIR TERAPIA 200 mg

ACICLOVIR ARENA 400 mg

ACICLOVIR ARENA 200 mg

ACICLOVIR FARMEX 200 mg

ACICLOVIR 200 mg

ACICLOVIR ARENA 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

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

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

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

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

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

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

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

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

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

FLAC. X 10 ML SOL. INJ

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

Ambalaj

MERCK SHARP &


DOHME

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.

ROCHE ROMANIA SRL


BERLIN CHEMIE AG
MENARINI GROUP

SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.

ARENA GROUP S.A.

THE WELLCOME
FOUNDATION LTD.

lo
r

PR
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA

ROMAN CUTIE CU 1 FLAC. MULTIDOZA DIN STICLA INCOLORA


ROCHE ROMANIA S.R.L. IA
CONTINAND 10 ML PULB. PT. SOL. PERF.

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

ROCHE ROMANIA SRL

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.

KRKA D.D. NOVO


MESTO

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 S.A.

ARENA GROUP SA

SLAVIA PHARM SRL


FARMEX COMPANY
S.R.L.

ARENA GROUP SA

100mg/ml CN UNIFARM S.A.


300mg+1
50mg
ANTIBIOTICE 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

TEVA PHARMA B.V.

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

LAMIVUDINE TEVA PHARMA B.V. 300 mg

LAMIVUDINA AUROBINDO 150 mg

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 100 mg/ml

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%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

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

MERCK SHARP &


DOHME

30

MAREA FLACOANE PEID X 30 COMPRIMATE FILMATE, INCHISE CU CAPAC


BRITAN CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE
CU O FATA DIN POLIETILENA
PR
IE
MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

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.

600mg/30 VIIV HEALTHCARE UK


0mg
LIMITED

ABACAVIRUM+LAMIVUDINUM+ZIDOVUDI
NUM**
TRIZIVIR 300mg/150mg/300mg

FUZEON 90mg/ml

rm

PR

in

VIIV HEALTHCARE UK
LIMITED
AUROBINDO PHARMA
(MALTA) LIMITED

MALTA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

PRF
/R

MAREA
BRITAN
IE
CUTIE X 6 BLIST. X 10 COMPR. FILM.

TEVA PHARMA B.V.

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

MERCK SHARP &


DOHME

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

GERMA CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN


NIA
DISPOZITIV DE ADAPTARE A SERINGII LA FLACON

PR

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


NIA
PRELUNGITA

150mg/30
0mg
GLAXO GROUP LTD.

COMPR.
FILM.

ENFUVIRTIDUM**

TEVA PHARMA B.V.

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

NEVIRAPINA SANDOZ 200 mg

NEVIRAPINA TEVA 200mg

EMTRIVA 200mg

ETRAVIRINUM

ETRAVIRINUM

ETRAVIRINUM

EFAVIRENZUM

NEVIRAPINUM

NEVIRAPINUM

NEVIRAPINUM

NEVIRAPINUM

EMTRICITABINUM

TENOFOVIRUM DISOPROXIL FUMARATE TENOFOVIR DISOPROXIL TEVA 245 mg

TENOFOVIRUM DISOPROXIL FUMARATE VIREAD 245mg

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

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

MEFLOQUINUM 4)

FILGRASTIMUM (G-CSF)**

FILGRASTIMUM (G-CSF)**

FILGRASTIMUM (G-CSF)**

FILGRASTIMUM (G-CSF)**

FILGRASTIMUM (G-CSF)**

FILGRASTIMUM (G-CSF)**

PALIVIZUMABUM**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

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%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

OCTAGAM 10%

Denumire comerciala

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

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

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

CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF.

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

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

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

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

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

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

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

2,5g/50ml KEDRION SPA


BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH

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

KLERIMED (R) 500

CLARITROMICINA AUROBINDO 500 mg

CLARITROMICINA TEVA 250 mg

KLERIMED (R) 250

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

CIPLA (UK) LIMITED

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

ACTAVIS GROUP PTC


EHF.
TEVA
PHARMACEUTICALS
S.R.L.

ARENA GROUP SA

ARENA GROUP SA

in

SINTOFARM SA

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

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

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

CUTIE X 1 FLAC. DIN PE X 20 COMPR.


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

CUTIE X 1 FLACON DIN PE X 20 COMPR.

PRF

ne

lo
r

CIPRU
ROMAN
IA
REPUB
LICA
CEHA
ROMAN
IA
ROMAN
IA
SLOVE
NIA

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

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

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

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

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

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

MALTA CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

ROMAN CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP


IA
CALENDAR)

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

PRF
PR
F
PRF
PR
F
PRF
PRF
PRF

PRF
PR
F
PRF
PRF

PR
F
PR
F
PRF
PRF

fi
zi
ce

ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM.


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

MALTA CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.


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.

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

MAGISTRA C&C S.R.L.

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

ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML

ITALIA

Tara

CUTIE X 1 FLACON X 5ML


CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN
S.I.F.I. SPA
ITALIA POLIETILENA X 0,3 ML
CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU
S.I.F.I. SPA
ITALIA APLICATOR
ALLERGAN
CUTIE X 1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE
PHARMACEUTICALS
IRLAND PRELUNGITA X 700MCG DEXAMETAZONA DISPUS IN ACUL (OTEL
IRELAND
A
INOXIDABIL) UNUI APLICATOR DE UNICA FOLOSINTA
ROMPHARM COMPANY ROMAN
SRL
IA
CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE
ROMPHARM COMPANY ROMAN
SRL
IA
CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE

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%

UNG. OFT. 3mg/g


700
microgra
IMPLANT me
PIC. OFT.
SUSP.
1mg/ml
PIC. OFT.
SUSP.
1mg/ml
PICATURI
OFT.SUSP.
0,1%

PIC. OFT.,
SOL
0,3%
PICATURI
OFT.-SOL. 0,3%

Forma
Concentr
farmaceuti
atie / U.T.
ca

cl

ex

CLARITROMICINA AUROBINDO 250 mg

KLACID SR

CLARITROMICINA TEVA 500 mg

CLAXIRIT 500 mg

PREDNISON ARENA 5 mg

PREDNISON ARENA 5 mg

PREDNISON 5 mg

PREDNISON MCC 5 mg

PREDNISON - RICHTER 5 mg

VITAMINA B6 ZENTIVA 50 mg/2ml

VITAMINA B6 ZENTIVA 250 mg/5 ml

VITAMINA B6 ZENTIVA 250 mg

at

in

VITAMINA B6 250 mg

st

De

MAXIDEX (R)

DEXAMETAZONA ROMPHARM 1mg/ml

DEXAMETAZONA ROMPHARM 1mg/ml

OZURDEX

NETTAVISC 3mg/g

NETTACIN (R)

NETTACIN (R)

B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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

CIPROFLOXACINA ARENA 500 mg

CUMINOL 500 mg

CIPROFLOXACINA ARENA 500 mg

CIPROLEN (R) 500 mg

CIFRAN

CIPRO QUIN (R)

CIPROCIN 250 mg

CIPRINOL 250 mg

CIPROFLOXACINA ARENA 250 mg

CUMINOL 250 mg

CIPROLEN (R) 250 mg

CIPROFLOXACINA ARENA 250 mg

CIFRAN

CIPROFLOXACINA ARENA 100 mg

CIPROFLOXACINA ARENA 100 mg

OFLOXIN 200

ZANOCIN

AMIKOZIT (R) 500 mg/2 ml

STREVITAL 1 g

STREPTOMICINA SULFAT BP

STREVITAL 1 g

KLACID I.V.

LEKOKLAR 250 mg/5 ml

KLABAX 250 mg/5 ml

in

KLABAX 250 mg/5 ml

De

LEKOKLAR 125 mg/5 ml

KLABAX 125 mg/5 ml

KLACID (R)

KLACID (R)

FROMILID (R) UNO

CLARITROMICINA TEVA 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.

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

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

ARENA GROUP S.A.

ARENA GROUP S.A.


GEDEON RICHTER
ROMANIA SA

AC HELCOR SRL

RANBAXY UK LIMITED

ANTIBIOTICE SA

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

ARENA GROUP S.A.


KRKA D.D. NOVO
MESTO

AC HELCOR SRL
GEDEON RICHTER
ROMANIA SA

ARENA GROUP S.A.

RANBAXY UK LIMITED

ARENA GROUP S.A.

ARENA GROUP S.A.

ZENTIVA K.S.

Ambalaj

CUTIE X 1 FLACON DIN STICLA X 2 ML

CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.

CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G

CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.

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

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

CUTIE X 1 BLIST. X 10 COMPR. FILM.

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

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

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

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

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

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

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

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.

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

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

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

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

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

pe

MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
SLOVE
NIA
ROMAN
IA
ROMAN
IA

ii

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


ROMAN
IA
CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.
ROMAN
IA
CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

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

ROMAN CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA PIA


+ LINGURITA DOZATOARE PP
RF

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.

ROMAN CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP


IA
CALENDAR)

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

ETAMBUTOL ARENA 400 mg

ETAMBUTOL ARENA 400 mg

ETAMBUTOL ARENA 250 mg

PIRAZINAMIDA ATB 500 mg

PETEHA 250 mg

BITUB

ISONIAZID

IZONIAZIDA ATB 300 mg

IZONIAZIDA ATB 100 mg

SINERDOL 300 mg

SINERDOL 150 mg

CICLOSERINA ANTIBIOTICE 250 mg

AVELOX 400 mg/250 ml

MOXIFLOXACINA KABI 400 mg/250 ml

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 S.A.

ARENA GROUP S.A.

ARENA GROUP SA

ANTIBIOTICE S.A.

100mg/ml CN UNIFARM S.A.


300mg+1
50mg
ANTIBIOTICE SA

400mg

250mg

400mg

400mg

250mg

500mg

250 mg

100mg/ml CN UNIFARM S.A.

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

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

FLAC. X 10 ML SOL. INJ

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

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

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

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

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

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

CUTIE X 10 BLISTERE X 10 COMPRIMATE FILMATE

CUTIE CU 10 FIOLE A 5ML

CUTIE X 1 FLAC. X 200 ML SIROP

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

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

lo
r

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

ne

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

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

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

rs

CUTIE X 5 FLACOANE DIN STICLA X 250 ML

pe

CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.


CUTIE CU 1 FLAC. PEJD (KABIPACK) A 250 ML SOL. PERF. (400 MG
MOXIFLOXACINA)
PR

CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM.

CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM.

CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM

CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML


CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINND 5
COMPRIMATE FILMATE

CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML

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.

ROMAN CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE


IA
RUPERE X 10 ML

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

ARENA GROUP S.A.

KRKA D.D. NOVO


MESTO
KRKA D.D. NOVO
MESTO

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

MOXIFLOXACINA AUROBINDO 400 mg

MOFIL 400 mg

AVELOX 400 mg

MOFINACIN 400 mg

MOFLAXA 400 mg

CIPROFLOXACINA INFOMED 2 mg/ml

CIPROFLOXACINA INFOMED 2 mg/ml

CIPRO INF 2 mg/ml

CIPRO INF 2 mg/ml

CIPRO INF 2 mg/ml

CIPRO INF 2 mg/ml

CIPRINOL (R)

st

CIPROFLOXACINA ZENTIVA 10 mg/ml

De

CIPRINOL (R)

CIPROBAY XR 500 mg

CIPROBAY XR 1000 mg

CIPROFLOXACINA ARENA 750 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

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

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

TEMOZOLOMIDA GLENMARK 100 mg

BRASTORYN 100 mg

BRASTORYN 100 mg

TEMOZOLOMIDE TEVA 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

C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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.

MERCK SHARP &


DOHME
ROMASTRU TRADING
SRL

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.

TEVA PHARMA B.V.

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

GLAXO GROUP LTD.

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

METOTREXAT EBEWE 10 mg/ml

METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 1000 mg

METHOTREXATE PCH 2,5mg

METHOTREXATE PCH 10mg

DACARBAZIN MEDAC 200mg

DACARBAZINA LIPOMED 200 mg

DACARBAZINE MEDAC 500 mg

TEMODAL 2,5mg/ml

TEMOZOLOMIDE TEVA 250 mg

BRASTORYN 250 mg

BRASTORYN 250 mg

TEMOZOLOMIDA GLENMARK 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.

TEVA PHARMA B.V.

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 CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0


A
ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

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

MERCK SHARP &


DOHME
GLENMARK
PHARMACEUTICALS
S.R.O.

Firma

MERCK SHARP &


2,5mg/ml DOHME

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

5 - FLUOROURACIL EBEWE 50mg/ml

DEPOCYTE 50mg

CITARABINA KABI 100 mg/ml

CITARABINA KABI 100 mg/ml

ALEXAN 50mg/ml

ALEXAN 20mg/ml

ATRIANCE

ATRIANCE

EVOLTRA 1mg/ml

FLUDARABINA ACTAVIS 25 mg/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

METOTREXAT EBEWE 10 mg/ml

METOTREXAT EBEWE 10 mg/ml

METOTREXAT EBEWE 10 mg/ml

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

CUTIE X 1 FLAC. X 25 COMPR.

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU 25 COMPR.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR.

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

oa

ne

SOL. INJ.
FRESENIUS KABI
SAU PERF. 100mg/ml ONCOLOGY PLC

SUSP. INJ. 50mg


CONC. PT.
SOL.
INJ./PERF. 50mg/ml

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.

GLAXO GROUP LTD.


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

PR

50mg/ml

20mg/ml

SOL. INJ.
FRESENIUS KABI
SAU PERF. 100mg/ml ONCOLOGY PLC

SOL. INJ.

SOL. INJ.

lo
r

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC


BRITAN BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE
IE
ROSIE X 10 ML SOL. INJ. SAU PERF.

NOVARTIS
EUROPHARM LTD.

MAREA
BRITAN
IE
CUTIE X 6 FLAC. X 50 ML

PR

rs

pe

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU


IA
PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

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

ELI LILLY NEDERLAND


BV
ASPEN PHARMA
TRADING LIMITED

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

AUSTRI CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75


A
ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ
PR

10

20

25

25

25

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

PR

10mg/ml

AUSTRI CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5


A
ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

cant/a
mbala
j

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

Ambalaj

10mg/ml

Tara

AUSTRI CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0


A
ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

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

GEMCITABINA TEVA 200 mg

GEMCITABINA ATB 200 mg

DAPLAX 200 mg

GEMZAR (R) 200 mg

GEMCITABINA TEVA 2000 mg

DAPLAX 1 g

GEMCITABINA TEVA 1000 mg

GEMCITABINA ATB 1000 mg

GEMZAR 1000 mg

GITRABIN 40 mg/ml

GEMCITABINA TEVA 40 mg/ml

GEMCITABINA TEVA 40 mg/ml

GEMCITABINA KABI 40 mg/ml

in

GEMCITABINA KABI 40 mg/ml

De

GITRABIN 40 mg/ml

GITRABIN 40 mg/ml

GEMCITABINA KABI 40 mg/ml

5 - FLUOROURACIL EBEWE 50mg/ml

5 - FLUOROURACIL EBEWE 50mg/ml

5 - FLUOROURACIL EBEWE 50mg/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

ACTAVIS GROUP PTC


EHF.

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.

ISLAND CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G


A
GEMCITABINA

ACTAVIS GROUP PTC


EHF.

PR

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT. SOL.


IA
PERF.
ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT.
IA
SOL. PERF.

PR

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT.


IA
SOL. PERF. CARE CONTINE 200MG GEMCITABINA

ISLAND CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF.


A
CARE CONTINE 200MG GEMCITABINA
ISLAND CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF.
A
CARE CONTINE 2000MG GEMCITABINA
ISLAND CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF.
A
CARE CONTINE 1000MG GEMCITABINA
ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT.
IA
SOL. PERF. CARE CONTINE 1000MG GEMCITABINA
ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT.
IA
SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

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

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT. SOL.


IA
PERF.

oa

ne

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

LILLY FRANCE SAS


DR. REDDY'S
LABORATORIES

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

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2000 MG PULB. PT.


IA
SOL. PERF.

DR. REDDY'S
LABORATORIES
TEVA
PHARMACEUTICALS
S.R.L.

ANTIBIOTICE S.A.
TEVA
PHARMACEUTICALS
S.R.L.

rm

LILLY FRANCE SAS

pe

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

ii

PR

ISLAND CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G


A
GEMCITABINA

ACTAVIS GROUP PTC


EHF.

ar

PR

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G


IA
GEMCITABINA

fo

PR

in

PR

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G


IA
GEMCITABINA

FRESENIUS KABI
ONCOLOGY PLC
TEVA
PHARMACEUTICALS
S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.

PR

PR

PR

PR

MAREA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU


BRITAN SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VERDE, CU
IE
DISC DIN PP, A 200 MG/5 ML CONC. PT. SOL. PERF.

MAREA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU


BRITAN SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA,
IE
CU DISC DIN PP, A 1000 MG/25 ML CONC. PT. SOL. PERF.

ISLAND CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG


A
GEMCITABINA

FRESENIUS KABI
ONCOLOGY PLC

AUSTRI CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT


A
PT. SOL. INJ./PERF.

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.

AUSTRI CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT.


A
SOL. INJ./PERF.
S

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

Ambalaj

AUSTRI CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT.


A
SOL. INJ./PERF.
S

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

CAPECITABINA DR. REDDY'S 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

CAPECITABINA FRESENIUS KABI 500 mg

COLOXET 500 mg

ARXEDA 500 mg

ECANSYA 500mg

ECANSYA 500mg

CEREX 500 mg

CAPECITABINA ZENTIVA 500 mg

CAPECITABINA ZENTIVA 500 mg

ARXEDA 500 mg

CAPECITABINA GLENMARK 500 mg

XALVOBIN 500 mg

CAPECITABINE TEVA 500 mg

ECANSYA 300mg

ECANSYA 300mg

ECANSYA 150mg

XALVOBIN 150 mg

XALVOBIN 150 mg

CAPECITABINA GLENMARK 150 mg

at

CAPECITABINA ZENTIVA 150 mg

in

CAPECITABINA ZENTIVA 150 mg

De

ARXEDA 150 mg

CAPECITABINA FRESENIUS KABI 150 mg

XELODA 150 mg

ARXEDA 150 mg

ECANSYA 150mg

CAPECITABINA GLENMARK 150 mg

CAPECITABINE TEVA 150 mg

Denumire comerciala

rs

ne

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

CUTIE CU 12 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10


COMPR. FILM.
CUTIE CU BLISTERE PVC-PE-PVDC/AL-PET-HARTIE X 120
COMPRIMATE FILMATE

CUTIE CU 12 BLIST. AL/AL X 10 COMPR. FILM.

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

CUTIE CU BLIST. PVC/PVDC/AL X 120 COMPRIMATE FILMATE

CUTIE CU BLIST. AL/AL X 120 COMPRIMATE FILMATE

lo
r

CUTIE CU BLIST. PVC-PVDC/AL X 120 (12X10) COMPR. FILM.

oa

CUTIE CU 12 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

CUTIE CU 12 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

pe

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

CUTIE CU 12 BLIST. AL-AL X 120 (12X10) COMPR. FILM.

ii

MAREA
BRITAN
IE
ROMAN
IA

ar

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

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

PR
PR

CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE

PR

PR

PR

PR

PR

PR

PR
PR
F

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

CUTIE CU 6 BLIST. AL-AL X 60 (6X10) COMPR. FILM.

CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

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

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

CUTIE CU 6 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10


COMPR. FILM.

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.

CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE

CUTIE CU 6 BLIST. PVC/PVDC-AL X 60 (6X10) COMPR. FILM.

CUTIE CU BLIST. PVC/PE/PVDC/AL X 60 COMPR. FILM.

Ambalaj

PR
PR
F

OLAND
A
REPUB
LICA
CEHA
SLOVE
NIA
ROMAN
IA

Tara

Prescriptie

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

KRKA D.D.
ROMASTRU TRADING
SRL

TEVA PHARMA B.V.


GLENMARK
PHARMACEUTICALS
S.R.O.

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

PACLITAXEL KABI 6mg/ml

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

PACLITAXEL KABI 6mg/ml

PACLITAXEL EBEWE 6mg/ml

PACLITAXEL EBEWE 6mg/ml

PACLITAXEL EBEWE 6mg/ml

SINDAXEL

PACLITAXEL KABI 6mg/ml

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

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

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 150 MG CONC. PT.


SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 300 MG CONC. PT.


SOL. PERF.

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT.


IA
SOL. PERF.

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL.


PERF.

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

AUSTRI CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL.


A
PERF.
S

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

6mg/ml

AUSTRI CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT.


A
SOL. PERF.

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

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


IA
PERF.

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

ROMAN CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL.


IA
PERF.
S

AUSTRI
A
CUTIE X 1 FLACON X 5 ML

S
PRF
PRF

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


IA
PERF.

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

BELGIA CUTIE CU 1 FL. DIN STICLA CE CONTINE 50MG DECITABINA

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.

ACTAVIS GROUP PTC


EHF.

Firma

10mg/ml

10mg/ml

10mg/ml

10mg/ml

30mg

CAPS. MOI 100mg

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

CAPS. MOI 20mg

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

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

ETOPOZIDA KABI 20 mg/ml

ETOPOSIDE - TEVA

ETOPOSIDE - TEVA

SINTOPOZID 100 mg/5 ml

ETOPOSID "EBEWE" 100 mg/5 ml

VEPESID

VEPESID

VINORELBIN ACTAVIS 10 mg/ml

at

VINORELBIN ACTAVIS 10 mg/ml

in

VINORELBIN EBEWE 10 mg/ ml

De

VINORELBIN EBEWE 10 mg/ ml

NAVELBINE 30 mg

NAVELBINE 20 mg

SINDOVIN 1 mg

VINBLASTINA TEVA 1 mg/ml

DACOGEN

CAPECITABINA ACTAVIS 500 mg

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

DOCETAXEL TEVA 20 mg/ml

TOLNEXA 20 mg/ml

TAXOTERE 20 mg/1ml

DOCETAXEL KABI 120 mg/6 ml

TAXOTERE 160 mg/8ml

DOCETAXEL EBEWE 10 mg/ml

DOCETAXEL HOSPIRA 10 mg/ml

DOCETAXEL HOSPIRA 10 mg/ml

DOCETAXEL EBEWE 10 mg/ml

DOCETAXEL PFIZER 10 mg/ml

DOCETAXEL EBEWE 10 mg/ml

DOCETAXEL HOSPIRA 10 mg/ml

DOCETAXEL PFIZER 10 mg/ml

DOCETAXEL PFIZER 10 mg/ml

DOCETAXEL PFIZER 10 mg/ml

DOCETAXEL ACTAVIS 80 mg/2 ml

in

DOCETAXEL ACTAVIS 20 mg/0,5 ml

De

PACLITAXEL EBEWE 6mg/ml

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

KRKA, D.D., NOVO


MESTO
TEVA
PHARMACEUTICAL
S.R.L.

PR

ROMAN
IA
CUTIE CU 1 FLAC. UNIDOZA X 7 ML CONC. PT. SOL. PERF.

PR

CUTIE CU 1 FLAC. DIN STICLA, DE CAPACITATE 5 ML, PREVAZUT


SLOVE CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE ROSIE, A
NIA
4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAXEL
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

FRANT CUTIE X 1 FLACON DIN STICLA CU 8 ML CONC. PT. SOL. PERF.X


A
160MG

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

AUSTRI CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE


A
PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO

pe

MAREA
BRITAN CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 13 ML CONC.
IE
PT. SOL. PERF.

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


A
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

ACTAVIS GROUP PTC


80mg/2ml EHF.

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


A
SOL. PERF.
CUTIE X 1 BLISTER DIN POLIESTER TERMOFORMAT X 1 FLACON
DIN STICLA INCOLORA X 0,5ML CONCENTRAT PT. SOL.
ISLAND PERFUZABILA + 1 FLACON DIN STICLA INCOLORA X 1,5ML
A
SOLVENT PT. CONCENTRAT PT. SOL. PERFUZABILA
CUTIE X 1 BLISTER DIN POLIESTER TERMOFORMAT X 1 FLACON
DIN STICLA INCOLORA X 2ML CONCENTRAT PT. SOLUTIE
ISLAND PERFUZABILA + 1 FLACON DIN STICLA INCOLORA X 6ML
A
SOLVENT PT. CONCENTRAT PT. SOLUTIE PERFUZABILA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG CONC. PT.


SOL. PERF.

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT.


IA
SOL. PERF.
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL.
PERF.

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X, 25 ML CONC. PT. SOL.


IA
PERF.

Ambalaj

Prescriptie

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL.


IA
PERF.

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

20mg/0,5 ACTAVIS GROUP PTC


ml
EHF.

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

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

SINDAXEL

SINDAXEL

SINDAXEL

PACLITAXEL KABI 6mg/ml

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

DOXORUBICINA TEVA 2 mg/ml

DOXORUBICINA TEVA 2 mg/ml

DOXORUBICINA ACTAVIS 2 mg/ml

DHARUXO 2 mg/ml

DHARUXO 2 mg/ml

DHARUXO 2 mg/ml

DOXORUBICINA ACTAVIS 2 mg/ml

DOXORUBICINA ACTAVIS 2 mg/ml

DOXORUBICINA ACTAVIS 2 mg/ml

DOXORUBICIN "EBEWE" 2mg/ml

DOXORUBICINA ACTAVIS 2 mg/ml

DOXORUBICINA ACTAVIS 2 mg/ml

CAELYX 2 mg/ml

DOXORUBICIN "EBEWE" 2mg/ml

COSMEGEN LYOVAC 500 mcg

YONDELIS 1mg

YONDELIS 0,25mg

at

in

TAXOTERE 80 mg/4ml

TOLNEXA 20 mg/ml

st

DOCETAXEL ACTAVIS 20 mg/ml

De

DOCETAXEL ACTAVIS 20 mg/ml

DOCETAXEL KABI 20mg/ml

DOCETAXEL KABI 80 mg/4 ml

TOLNEXA 20 mg/ml

DOCETAXEL ACTAVIS 20 mg/ml

Denumire comerciala

KRKA, D.D., NOVO


MESTO

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

ISLAND CUTIE CU 1 FLAC. A 5 ML CONC. PT. SOL. PERF. CARE CONTINE


10 MG DOXORUBICINA
A
CUTIE X 1 FLACON X 10ML CONCENTRAT PENTRU SOLUTIE
ROMAN PERFUZABILA CONTINAND 20MG CLORHIDRAT DE
IA
DOXORUBICINA
CUTIE X 1 FLACON X 25ML CONCENTRAT PENTRU SOLUTIE
ROMAN PERFUZABILA CONTINAND 50MG CLORHIDRAT DE
IA
DOXORUBICINA

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

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 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

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


NEOLA PHARMA S.R.L. IA
PERF.

ACTAVIS GROUP PTC


EHF.

ISLAND CUTIE CU 1 FLAC. A 75 ML CONC. PT. SOL. PERF. CARE CONTINE


A
150 MG DOXORUBICINA
PR

ACTAVIS GROUP PTC


EHF.

S
ISLAND CUTIE CU 1 FLAC. A 50 ML CONC. PT. SOL. PERF. CARE CONTINE
A
100 MG DOXORUBICINA
PR

ACTAVIS GROUP PTC


EHF.

oa

AUSTRI CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG


A
DOXORUBICINA)

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

rs

ISLAND CUTIE CU 1 FLAC. A 25 ML CONC. PT. SOL. PERF. CARE CONTINE


A
50 MG DOXORUBICINA
PR

pe

ISLAND CUTIE CU 1 FLAC. A 10 ML CONC. PT. SOL. PERF. CARE CONTINE


A
20 MG DOXORUBICINA
PR

ii

BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML

ACTAVIS GROUP PTC


EHF.

ACTAVIS GROUP PTC


EHF.

JANSSEN CILAG
INTERNATIONALL NV

fo
ar

AUSTRI CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG


A
DOXORUBICINA)

2mg/ml

in

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

CN UNIFARM S.A.

S
PR

SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.


ROMAN CUTIE X 1 FLACON PULBERE LIOFILIZATA PENTRU SOLUTIE
IA
PERFUZABILA INJECTABILA

500mcg

1mg

PHARMA MAR S.A.

PR

PR

iv

SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.

FRANT
A
CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF.

PR

PR

PHARMA MAR S.A.

80mg/4ml AVENTIS PHARMA SA

20mg/ml

ISLAND CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML


A
CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX
CUTIE CU 1 FLAC. DIN STICLA, DE CAPACITATE 5 ML, PREVAZUT
CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE
SLOVE PORTOCALIE, A 8 ML CONC. PT. SOL. PERF. CARE CONTINE 160
MG DOCETAXEL
NIA

ACTAVIS GROUP PTC


EHF.

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.

ISLAND CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML


A
CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX

ACTAVIS GROUP PTC


EHF.

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

ISLAND CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML


A
CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA
CUTIE CU 1 FLAC. DIN STICLA, DE CAPACITATE 5 ML, PREVAZUT
CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE
SLOVE PORTOCALIE, A 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20
NIA
MG DOCETAXEL

Tara

MAREA
BRITAN CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU
IE
SOLUTIE PERFUZABILA X 20MG DOCETAXEL

KRKA, D.D., NOVO


MESTO

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

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

ACTAVIS GROUP PTC


EHF.

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

PLATOSIN 0,5 mg/ml

PLATOSIN 0,5 mg/ml

PLATOSIN 0,5 mg/ml

BLEOMYCIN MEDAC 15000 UI

ONKOTRONE

ZAVEDOS 5 mg

ZAVEDOS

EPIRUBICINA TEVA 2 mg/ml

ECCLEPIA 2 mg/ml

EPIRUBICINA TEVA 2 mg/ml

EPIRUBICINA TEVA 2 mg/ml

EPIRUBICINA TEVA 2 mg/ml

ECCLEPIA 2 mg/ml

ECCLEPIA 2 mg/ml

EPIRUBICINA ACTAVIS 2mg/ml

EPIRUBICINA ACTAVIS 2mg/ml

EPIRUBICINA ACTAVIS 2mg/ml

EPIRUBICINA ACTAVIS 2mg/ml

ECCLEPIA 2 mg/ml

EPIRUBICINA ACTAVIS 2mg/ml

ECCLEPIA 2 mg/ml

st

EPIRUBICINA TEVA 2 mg/ml

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

NEOLA PHARMA SRL


TEVA
PHARMACEUTICAL
S.R.L.

rm

fo

in

NEOLA PHARMA SRL


TEVA
PHARMACEUTICAL
S.R.L.
TEVA
PHARMACEUTICAL
S.R.L.
TEVA
PHARMACEUTICAL
S.R.L.

NEOLA PHARMA SRL

ACTAVIS S.R.L.

ACTAVIS S.R.L.

ACTAVIS S.R.L.

ACTAVIS S.R.L.

NEOLA PHARMA SRL

ACTAVIS S.R.L.

NEOLA PHARMA SRL

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 50 ML CONC. PT. SOL.


IA
PERF.
ROMAN CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL.
IA
PERF.

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

GERMA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10


NIA
ML CU PULB. PT. SOL. INJ.
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.

CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML)


S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML SOL.
INJ./PERF. X 200 MG EPIRUBICINA
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF.
X 10 MG EPIRUBICINA
S

CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML)

CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML)

CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML)

CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML)


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL.
INJ./PERF. X 20 MG EPIRUBICINA

CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ.


CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL.
INJ./PERF. X 100 MG EPIRUBICINA

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

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50


IA
ML X 50 MG CLORHIDRAT DE DOXORUBICINA
CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE
ROMAN UMPLERE 8ML CU PULBERE PENTRU SOLUTIE PERFUZABILA
IA
INTRAVENOASA X 10MG CLORHIDRAT DE EPIRUBICINA
CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE
ROMAN UMPLERE 50ML CU PULBERE PENTRU SOLUTIE PERFUZABILA
IA
INTRAVENOASA X 50MG CLORHIDRAT DE EPIRUBICINA

cant/a
mbala
j

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8


IA
ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN

Ambalaj

Prescriptie

OLAND CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB. + 1 FLAC.LIPOZOMI +1


A
FLAC. SOL.TAMP.)
S

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

TEVA PHARMA B.V.

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

OXALIPLATIN KABI 5 mg/ml

OXALIPLATIN KABI 5 mg/ml

OXALIPLATINA TEVA 5 mg/ml

OXALIPLATINA TEVA 5 mg/ml

ELOXATIN 5mg/ml

OXALIPLATIN KABI 5 mg/ml

OXALIPLATIN ACTAVIS 5 mg/ml

ELOXATIN 5mg/ml

ELOXATIN 5mg/ml

OXALIPLATIN ACTAVIS 5 mg/ml

OXALIPLATIN EBEWE 5mg/ml

OXALIPLATIN EBEWE 5mg/ml

OXALIPLATIN EBEWE 5mg/ml

CARBOPLATIN KABI 10 mg/ml

CARBOPLATIN TEVA 10mg/ml

CARBOPLATIN ACTAVIS 10mg/ml

CARBOPLATIN ACTAVIS 10mg/ml

CARBOPLATIN ACTAVIS 10mg/ml

at

CARBOPLATIN TEVA 10mg/ml

st

CARBOPLATIN KABI 10 mg/ml

De

CARBOPLATIN KABI 10 mg/ml

CARBOPLATIN KABI 10 mg/ml

CISPLATIN "EBEWE" 50 mg/100 ml

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

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


IA
PERF.
ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML CONC. PT. SOL.
IA
PERF.

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE


BRITAN PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF.
IE
CONTINAND 100 MG OXALIPLATINA

PR

PR

FRANT
A
CUTIE X 1 FLACON X 200 MG/40 ML CONC. PT. SOL. PERF.

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE


BRITAN PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF.
IE
CONTINAND 50 MG OXALIPLATINA

PR

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE


BRITAN PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF.
IE
CONTINAND 200 MG OXALIPLATINA

fi
zi
ce

ISLAND CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL.


A
PERF. CARE CONTINE 100 MG OXALIPLATINA
PR

oa

rs

ACTAVIS GROUP PTC


EHF.

SANOFI-AVENTIS
FRANCE

SANOFI-AVENTIS
FRANCE

ISLAND CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL.


A
PERF. CARE CONTINE 50 MG OXALIPLATINA
PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA 15
FRANT ML, CU SUPORT DIN PE, CONTINAND OXALIPLATINA 50 MG/10 ML
A
CONC. PT. SOL. PERF.
S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA 20
FRANT ML, CU SUPORT DIN PE, CONTINAND OXALIPLATINA 100 MG/20
A
ML CONC. PT. SOL. PERF.
S

PR

PR

PR

ACTAVIS GROUP PTC


EHF.

pe

AUSTRI CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE


A
PROTECTIE (ONCO-SAFE) X 40 ML CONC. PT. SOL. PERF

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

ii

AUSTRI CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE


A
PROTECTIE (ONCO-SAFE) X 20 ML CONC. PT. SOL. PERF

ar

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

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

PR

in

FRESENIUS KABI
ONCOLOGY PLC

AUSTRI CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE


A
PROTECTIE (ONCO-SAFE) X 10 ML CONC. PT. SOL. PERF

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC


BRITAN FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X
IE
60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA

fo

ROMAN CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.


IA
PERF.

ROMAN CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT.


IA
SOL. PERF.
ROMAN CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT.
IA
SOL. PERF.

PR

cant/a
mbala
j

ROMAN CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL.


IA
PERF.
S

ROMAN CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL.


IA
PERF.

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC


BRITAN FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45
IE
ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC


BRITAN FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X
IE
15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA
PR

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC


BRITAN FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5
IE
ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA

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.

50mg/100 EBEWE PHARMA


ml
GES.M.B.H. NFG KG

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

IMATINIB ACTAVIS 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

OXALIPLATIN EBEWE 5mg/ml

st

OXALIPLATIN STADA 5 mg/ml

De

OXALIPLATIN STADA 5 mg/ml

OXALIPLATIN EBEWE 5mg/ml

OXALIPLATIN EBEWE 5mg/ml

OXALIPLATIN ACTAVIS 5 mg/ml

OXALIPLATIN ACTAVIS 5 mg/ml

OXALIPLATIN ACTAVIS 5 mg/ml

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

NEOLA PHARMA SRL

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.

GLAXO GROUP LTD.

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

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

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

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

CUTIE CU BLISTER DIN AL/PVC/ACLAR X 120 CAPSULE

CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS.

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

AUSTRI CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT


A
TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT
ROMAN
IA
CUTIE X 50CAPSULE

AUSTRI CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT


A
TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI

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

PR

AUSTRI CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT


A
TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT

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

ISLAND CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 40 ML CONC. PT. SOL.


A
PERF. CARE CONTINE 200 MG OXALIPLATINA
PR

Ambalaj

ROMAN
IA
CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF.

ACTAVIS GROUP PTC


EHF.

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

IMATINIB GLENMARK 400 mg

st

IMAKREBIN 400 mg

De

MEAXIN 400 mg

MEAXIN 400 mg

IMATINIB TEVA 400 mg

NEOXELL 100 mg

IMATINIB TEVA 100 mg

IMATINIB GLENMARK 100 mg

IMAKREBIN 100 mg

IMATINIB ZENTIVA 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

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

CUTIE X BLISTERE PVC-PE-PVDC/AL X 30 COMPRIMATE FILMATE PR

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

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

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

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

CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 30 X 1 COMPRIMAT

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

CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 120 X 1 COMPRIMAT

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

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

CUTIE CU 12 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

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

IRINOTECAN ATB 20 mg/ml

IRINOTECAN EBEWE 20 mg/ml

IRINOTESIN 20mg/ml

IRINOTESIN 20mg/ml

IRINOTECAN EBEWE 20 mg/ml

IRINOTECAN STADA 20 mg/ml

TOPOTECAN ATB 4 mg

POTACTASOL 4mg

TOPOTECAN ATB 1 mg

TOPOTECAN TEVA 4 mg/4ml

TOPOTECAN EBEWE 1 mg/ml

TOPOTECAN TEVA 1 mg/1ml

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.

ROMAN CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT.


IA
SOL.PERF.

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

GERMA CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5 ML CONC. PT. SOL.


NIA
PERF. X 100 MG
CUTIE X 1 FLACON DIN STICLA BRUNA, CU DOP CAUCIUC FARA
PLASTIC DE PROTECTIE TIP ONCO-SAFE A 15ML CONCENTRAT
AUSTRI PENTRU SOLUTIE PERFUZABILA CARE CONTINE 300MG
A
CLORHIDRAT DE IRINOTECAN TRIHIDRAT

pe

ROMAN CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 10


IA
ML X 4 MG TOPOTECAN
PR

10

PR

PR
PRF
/R

PRF
PRF
/R

10

100

60

60

60

28

cant/a
mbala
j

PR

ISLAND CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU


A
CONCENTRAT PENTRU SOLU_IE PERFUZABILA

ii

ROMAN CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 5


IA
ML X 1 MG TOPOTECAN

ar

STADA ARZNEIMITTEL
AG

ANTIBIOTICE S.A.

ACTAVIS GROUP PTC


EHF.

rm

TEVA PHARMA B.V.

fo

AUSTRI CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONC. PT. SOL.


A
PERF.

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

TEVA PHARMA B.V.

1mg

4mg

MAREA
BRITAN
IE
CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS.

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 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

MAREA FLACON DIN PED, CU GARNITURA ETANSA SI SISTEM DE


BRITAN NCHIDERE SECURIZAT PENTRU COPII, CONTINND 60
IE
COMPRIMATE

NOVARTIS
EUROPHARM LTD.

FLACON DIN PED, CU GARNITURA ETANSA SI SISTEM DE


NCHIDERE SECURIZAT PENTRU COPII, CONTINND 60
COMPRIMATE

MAREA FLACON DIN PED, CU GARNITURA ETANSA SI SISTEM DE


BRITAN NCHIDERE SECURIZAT PENTRU COPII, CONTINND 60
IE
COMPRIMATE

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

BICALUTAMIDA ALVOGEN 150 mg

BICALUTAMIDA SANDOZ 150 mg

CASODEX 150 mg

BICALUTAMID TERAPIA 150 mg

YONISTIB 150 mg

FLUTASIN 250 mg

FLUTAN

FASLODEX 250mg

TAMOXIFEN SANDOZ 10 mg

GONAPEPTYL ZILNIC 0,1 mg/ml

DIPHERELINE 3,75 mg

DIPHERELINE PR 11,25 mg

DIPHERELINE 0,1 mg

ZOLADEX (R)

at

in

LUCRIN DEPOT 3,75mg

De

LUCRIN DEPOT 11,25mg

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

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

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

CUTIE CU BLISTERE PVC-ACLAR/AL X 30 COMPR. FILM.

CUTIE X 2 BLIST. X 14 COMPR. FILM.

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.

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

CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR.

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

lo
r

MAREA
BRITAN
IE
CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC

ii

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA S/


FRANT DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU O SERINGA X 3 PA
ML + 1 BLIST. CU 2 ACE STERILE
RF
S/
GERMA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML PNIA
SOL. INJ
RF
PGERMA
RF
NIA
CUTIE X 10 BLIST. X 10 COMPR. FILM.
/S

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.

0,1mg/ml FERRING GMBH

COMPR.
FILM.

IPSEN PHARMA

ar

in

IPSEN PHARMA

fo

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA S/


FRANT DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU 1 SERINGA X 3 PA
ML + 1 BLIST. CU 2 ACE STERILE
RF

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.

OLAND O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2


A
SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B)
CUTIE X 1 SET X 2 SERINGI DIN PP/COPOLIMER ACID OLEFINIC
OLAND CICLIC PREUMPLUTE (O SERINGA A SI O SERINGA B) IN TAVI
A
TERMOFORMATE
CUTIE CU1 KIT CU 1 FLAC. DIN STICLA INCOLORA,O FIOLA DIN
STICLA INCOLORA CU PUNCT DE RUPERE A 2 ML SOLV,O
SERINGA STERILA,APIROGENA DE UNICA FOLOSINTA A 2,5 ML,2
ACE(23G 1)STERILE,DE UNICA FOLOSINTA SI 1 TAMPON
SPANIA IMBIBAT CU ALCOOL IZOPROPILIC 70%.
CUTIE CU1 KIT CU 1 FLAC. DIN STICLA INCOLORA,O FIOLA DIN
STICLA INCOLORA CU PUNCT DE RUPERE A 2 ML SOLV,O
SERINGA STERILA,APIROGENA DE UNICA FOLOSINTA A 2,5 ML,2
ACE(22G 1)STERILE,DE UNICA FOLOSINTA SI 1 TAMPON
SPANIA IMBIBAT CU ALCOOL IZOPROPILIC 70%.

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

CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS


BELGIA INTR-UN BLISTER TRANSPARENT
ROMAN
IA
CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.
CUTIE X 1 SET X 2 SERINGI DIN PP/COPOLIMER ACID OLEFINIC
OLAND CICLIC PREUMPLUTE (O SERINGA A SI O SERINGA B) IN TAVI
A
TERMOFORMATE

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

LETROZOL TEVA 2,5 mg

ELOZORA 2,5 mg

LORTANDA 2,5 mg

LETROZOL ATB 2,5 mg

LETROZOL TERAPIA 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

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

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

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

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

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

CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.

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

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

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

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

Ambalaj

rm

CUTIE X BLIST. PVC/AL X 98 COMPR. FILM.

CUTIE X BLIST. PVC/AL X 84 COMPR. FILM.

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

ROMAN
IA
ROMAN
IA
REPUB
LICA
CEHA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA

oa

ne

lo
r

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

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

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

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

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

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

CUTIE X BLIST. PVC/AL X 300 COMPR. FILM.

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

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.

CUTIE X BLIST. PVC/AL X 50 COMPR. FILM.

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

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

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

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

rs

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

pe

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

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

CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM.

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

INTERFERONUM ALFA 2B***

INTERFERONUM ALFA 2A***

INTERFERONUM ALFA 2A***

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

INTRON A 18 milioane U.I.

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 GLENMARK 25mg

EXEMESTAN ALVOGEN 25 mg

XANEPRA 25 mg

XANEPRA 25 mg

at

in

EXEMESTAN TEVA 25 mg

XANEPRA 25 mg

st

XANEPRA 25 mg

De

LETROZOL STADA 2,5 mg

LEZRA 2,5 mg

ETRUZIL 2,5 mg

LETROZOL KABI 2,5 mg

TROZEL 2,5 mg

LETROZOL ALVOGEN 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

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE +


12 TAMPOANE DEZINFECTANTE

PRF
/R

PR

PR

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL PR

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PPERF.


RF
CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. IN BLISTER,
CU PROTECTIE A ACULUI
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

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

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

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


CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30 (30X1) COMPR.
FILM.

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

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

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

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

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

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

CUTIE CU BLIST. PVC/AL X 100 (10X10) COMPR. FILM.

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

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

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**

INTERFERONUM ALFA 2B***

Denumire generica

De

at

in

30mg

ACID IBANDRONIC SANDOZ 50 mg

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.

ACID ZOLEDRONIC PFIZER 4 mg/5 ml

ACID ZOLEDRONIC TERAPIA 4 mg/5 ml

ACID ZOLEDRONIC HOSPIRA 4 mg/5 ml

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

NEOLA PHARMA SRL

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

MAREA CUTIE X 1 FLACON CU CAPACITATE DE 5ML DIN PLASTIC CU DOP


BRITAN BROMOBUTIL, ACOPERIT CU UN STRAT DE FLUOROPOLIMER SI
IE
CAPAC DIN AL CU COMPONENTA "FLIP-OFF"
PR
CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA CU CAPACITATEA
DE 6 ML INCHIS CU DOP DIN CAUCIUC DE CULOARE GRI SI
ROMAN SIGILAT CU CAPAC DIN AL, TIP "FLIP OFF" DE CULOARE GRI
CARE CONTINE CONC. PT. SOL. PERF.
PR
IA

ROMAN CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC.


IA
PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN
ROMAN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU
IA
CAPSA TIP "FLIP-OFF" X 5 ML CONC. PT. SOL. PERF.
CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC,
TRANSPARENT, INCOLOR, INCHIS CU DOP DIN CAUCIUC
ROMAN BROMOBUTILIC, SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIPIA
OFF DIN PP CARE CONTINE 4 MG/5 ML CONC. PT. SOL. PERF.

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.

TEVA PHARMA B.V.

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

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL.


IA
PERF. I.V.

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL.


IA
PERF. I.V.

DR. REDDY'S
LABORATORIES
DR. REDDY'S
LABORATORIES
SANDOZ
PHARMACEUTICALS
GMBH

GERMA CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4


NIA
FIOLE DIN STICLA X 5 ML SOLV.

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

MERCK SHARP &


DOHME

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

ACID IBANDRONIC TEVA 6 mg

HOLMEVIS 50 mg

ACID IBANDRONIC GLENMARK 50 mg

IASIBON 50 mg

BONDRONAT 50mg

ACID IBANDRONIC TEVA 50 mg

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****

INTERFERONUM BETA 1-B****

INTERFERONUM BETA 1-B****

INTERFERONUM BETA 1-B****

INTERFERONUM BETA 1A****

INTERFERONUM BETA 1A****

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

L03AB07

1 W42705001

Subprogramul de tratament al sclerozei multiple

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

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

EXTAVIA 250 mcg/ ml

REBIF 44 micrograme

AVONEX 30 mcg BIO-SET

FOLCASIN (R) 3 mg/ml

CALCIUMFOLINAT "EBEWE" 10 mg/ml

CALCIUMFOLINAT "EBEWE" 10 mg/ml

FOLCASIN (R) 100 mg/10 ml

FOLINAT DE CALCIU TEVA 10 mg/ml

CALCIUM FOLINAT "EBEWE" 15 mg

UROMITEXAN (R) 400 mg

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

ROMAN CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML


IA
PREVAZUTA CU AC FIX

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.

250g/ml BAYER PHARMA AG


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

NOVARTIS
EUROPHARM LTD.

MERCK SERONO
EUROPE LIMITED

250mcg/
ml

44mcg

30mcg (6
mil. UI)
BIOGEN IDEC LIMITED

ACTAVIS S.R.L.

BIOGEN IDEC LTD


INNOVATION HOUSE

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. 10mg/ml


SOL.
INJ./PERF. 10mg/ml
SOL.
INJ./PERF. 10mg/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

ISLAND CUTIE X 1 FLACON PLASTIC TRANSPARENT, INCOLOR CU


A
CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PER
CUTIE X 1 FLACON DIN COPOLIMER COCLOOLEFINIC,
TRANSPARENT, INCOLOR, INCHIS CU DOP DE CAUCIUC
ROMAN BROMOBUTILIC, SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIPOFF DIN PP CARE CONTINE 4MG/5ML CONC. SOL. PERF.
IA

ACTAVIS GROUP PTC


EHF.

Ambalaj

ROMAN CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 5 ML CU


IA
CONC. PT. SOL. PERF.

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

ACID ZOLEDRONIC ZENTIVA 4 mg/5 ml

ZERLINDA 4 mg/100 ml

ACID ZOLEDRONIC DR. REDDY'S 4mg/100 ml

st

ACID ZOLEDRONIC SANDOZ 4 mg/100 ml

De

ACID ZOLEDRONIC HOSPIRA 4 mg/100 ml

ZOMETA 4 mg

ZYOLIX 4 mg/5 ml

ACID ZOLEDRONIC ACTAVIS 4mg/5ml

ACID ZOLEDRONIC DR. REDDY'S 4mg/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

Tratamentul medicamentos al bolnavilor cu diabet zaharat

Nr.crt

at

LANTUS 100UI/ml

LANTUS 100UI/ml

NOVOMIX 30 PENFILL 100 U/ml

HUMALOG MIX25 KWIKPEN 100U/ml

HUMALOG MIX50 KWIKPEN 100U/ml

HUMALOG MIX50

HUMALOG MIX25

INSUMAN COMB 25 100UI/ml SoloStar

INSUMAN COMB 25 100UI/ml

INSUMAN COMB 50 100UI/ml

INSUMAN COMB 25 100UI/ml

MIXTARD 30 PENFILL 100 UI/ml

HUMULIN M3

INSUMAN BASAL 100UI/ml SoloStar

INSUMAN BASAL 100UI/ml

INSUMAN BASAL 100UI/ml

HUMULIN N

APIDRA 100U/ml

APIDRA 100U/ml

in

NOVORAPID PENFILL 100 U/ml

st

HUMALOG 100 U/ml

De

HUMALOG KWIKPEN100U/ml

INSUMAN RAPID 100 UI/ml SoloStar

INSUMAN RAPID 100UI/ml

INSUMAN RAPID 100UI/ml

HUMULIN R

HUMULIN R

Denumire comerciala

NOVO NORDISK A/S

LILLY FRANCE S.A.S

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

NOVO NORDISK A/S

SUSP. INJ.
IN CARTUS 100U/ml

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.


CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3
ML, SUSP. INJ.
CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3
ML, SUSP. INJ.

CUTIE X 5 CARTUSE X 3 ML SUSP.INJ.

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

SUSP. INJ. 100ui/ml

iv

GERMA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA


NIA
INCOLORA X 3 ML SUSP. INJ.
FRANT
A
CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

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.

SUSP. INJ. 100UI/ml LILLY FRANCE SAS

us

SUSP. INJ.
SANOFI - AVENTIS
IN CARTUS 100UI/ml DEUTSCHLAND GMBH

GERMA
NIA
CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

GERMA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE


NIA
(SOLOSTAR) X 3 ML SOL. INJ.
FRANT
A
CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

SANOFI - AVENTIS
DEUTSCHLAND GMBH

CUTIE X 5 CARTUSE X 3 ML SOL.INJ.

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

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA


INCOLORA X 3 ML SOL. INJ.
CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML
SOL. INJ.

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.

100UI/ml LILLY FRANCE SAS

100UI/ml LILLY FRANCE SAS

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

GLIBENCLAMID ARENA 1,75 mg

GLIBENCLAMID ARENA 1,75 mg

MANINIL 1,75 mg

METFORMIN AUROBINDO 850 mg

SERDENIS 850 mg

SIOFOR 850 mg

SERDENIS 850 mg

METFOGAMMA 850 mg

MEGUAN (R) 850 mg

SERDENIS 850 mg

MEGUAN (R) 500 mg

METFORMIN AUROBINDO 500 mg

METFORMIN AUROBINDO 1000 mg

SERDENIS 1000 mg

SERDENIS 1000 mg

SIOFOR 1000

GLUCOPHAGE 1000 mg

METFOGAMMA 1000mg

SERDENIS 1000 mg

GLUCOPHAGE XR

GLUCOPHAGE XR

METFORMIN ARENA 850 MG

METFORMIN ARENA 500 MG

at

METFORMIN ARENA 1000 MG

in

METFORMIN ARENA 1000 MG

st

LEVEMIR PENFILL 100 U/ml

De

LANTUS SoloStar

TOUJEO 300 unitati/ml

TOUJEO 300 unitati/ml

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

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

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

ii

CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM.

CUTIE CU BLIST. PVC/AL, X 60 COMPR. FILM.

CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM

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

oa

ne

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

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

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

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

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

CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM.

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

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

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

lo
r

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

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

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

P6
L

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

CUTIE X 1 FLAC. DIN PE X 60 COMPR.

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

FLACON DIN PE X 200 COMPR.

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

MERCK SANTE S.A.S.


ROMASTRU TRADING
S.R.L.
WORWAG PHARMA
GMBH & CO. KG

MERCK SANTE S.A.S.

ARENA GROUP SA

ARENA GROUP SA

ARENA GROUP S.A.

ARENA GROUP S.A.

NOVO NORDISK A/S

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

300unitati SANOFI - AVENTIS


/ml
DEUTSCHLAND GMBH

Tara

GERMA
NIA
CUTIE CU 3 STILOURI INJECTAOARE

Firma

Prescriptie

300unitati SANOFI - AVENTIS


/ml
DEUTSCHLAND GMBH

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

GLUCOVANCE 500 mg/5 mg

COMPETACT

JANUMET 50 mg/1000 mg

COMBINATII ( PIOGLITAZONUM +
METFORMINUM)***

COMBINATII (
SITAGLIPTINUM+METFORMINUM)***

GLUCOVANCE (R) 500 mg/5 mg

GLUCOVANCE (R) 500 mg/2,5 mg

GLUCOVANCE 500 mg/2,5 mg

GLIBOMET (R)

BIDIAB 400 mg/2,5 mg

BIDIAB 400 mg/2,5 mg

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

GLIBENCLAMID ARENA 3,5 mg

GLIBENCLAMID ARENA 3,5 mg

GLIBENCLAMID ARENA 3,5 mg

MANINIL 3,5 mg

GLIBENCLAMID ARENA 1,75 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

LAB. GUIDOTTI SPA

ARENA GROUP SA

ARENA GROUP SA

ACTAVIS GROUP HF.


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

ACTAVIS GROUP HF.

KRKA D.D. NOVO


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

50mg/100 MERCK SHARP &


0mg
DOHME

CUTIE CU BLIST. AL/PVC X 30 COMPR.

lo
r

CUTIE CU BLIST. AL/PVC X 30 COMPR.

ne

CUTIE CU BLIST. AL/PVC X 30 COMPR.

oa

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

rs

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

pe

CUTIE CU BLIST. AL/PVC X 30 COMPR.

ii

CUTIE CU BLIST. AL/PVC X 30 COMPR.

PRF

PRF

MAREA
BRITAN
IE
CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM.

CUTIE X 4 BLIST. X 15 COMPR. FILM.

CUTIE X 4 BLIST. X 15 COMPR. FILM.

CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM.

CUTIE X 3 BLIST. X 20 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

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

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

KRKA, D.D., NOVO


MESTO

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

AMBALAJ X 4 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE CU PR


SUEDIA DOZA UNICA
F

PRF

PRF

SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

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

AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL


X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVENT+2ACE
SUEDIA PT INJECTARE)

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.

MERCK SHARP &


DOHME

MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)

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

CUTIE X 28 COMPR.(BLIST. AL/AL)

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

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

CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

CUTIE X 28 COMPR.(BLIST. AL/AL)

CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

CUTIE X 28 COMPR. (BLIST. AL/AL)

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

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

CUTIE X 8 BLIST. AL/PP X 15 COMPR.

CUTIE X 8 BLIST. AL/PP X 15 COMPR.

CUTIE CU BLIST. AL/AL NEPERFORATE CU 60 COMPR.FILM.

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

FARA ATC FARA DCI

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

P6.1: HEMOFILIE SI TALASEMIE

OCTOCOG ALFA**

MOROCTOCOG ALFA**

MOROCTOCOG ALFA**

MOROCTOCOG ALFA**

MOROCTOCOG ALFA**

FACTOR VIII DE COAGULARE**

FACTOR VIII DE COAGULARE**

FACTOR VIII DE COAGULARE**

FACTOR VIII DE COAGULARE**

FACTOR VIII DE COAGULARE**

FACTOR VIII DE COAGULARE**

FACTOR VIII DE COAGULARE**

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

OCTANATE 100 UI/ml

HAEMOCTIN SDH 250

HAEMOCTIN SDH 500

HAEMOCTIN SDH 1000

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

MAREA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV +


BRITAN 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1
PLASTURE + 1 TIFON
IE
CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT.
AUSTRI RECONST. (BAXJECT II) +1 SERINGA +1 SET MINI-PERF.+ 2 TAMP.
A
ALCOOL+2 PLAST.

PR
S/
PRF

MAREA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV +


BRITAN 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1
IE
PLASTURE + 1 TIFON
PR

MAREA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV +


BRITAN 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1
IE
PLASTURE + 1 TIFON
PR

MAREA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV +


BRITAN 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1
IE
PLASTURE + 1 TIFON
PR

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

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


+ 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1
GERMA SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA
NIA
FILTRE SI 1 CANULA TIP FLUTURE
PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.
+ 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1
GERMA SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA
FILTRE SI 1 CANULA TIP FLUTURE
PR
NIA
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.
+ 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOLV. PT. SOL. INJ. + 1
GERMA SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA
NIA
FILTRE SI 1 CANULA TIP FLUTURE
PR

ii

ROMAN
IA
FARA FORMA AMB

ar

GERMA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE


NIA
RUPERE X 1 ML

WORWAG PHARMA
GMBH & CO. KG

FARA PRODUCATOR

PRF

GERMA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE


NIA
RUPERE X 2 ML

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

SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

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

Teste de automonitorizare a glicemiei pentru


bolnavii cu diabet zaharat

MILGAMMA (R) NA

MILGAMMA (R) N

MILGAMMA (R) (vezi B03BA51)

st

MILGAMMA (R) 100+100mg

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

KOGENATE BAYER 250UI

FEIBA NF 500 U FEIBA

COMPLEX DE ANTIINHIBITORI AI
COAGULARII**

IMMUNINE 1200 UI

BENEFIX 1000UI

BENEFIX 2000UI

BENEFIX 250UI

BENEFIX 500UI

FACTOR IX DE COAGULARE**

NONACOG ALPHA (FACTOR IX DE


COAGULARE)**

NONACOG ALPHA (FACTOR IX DE


COAGULARE)**

NONACOG ALPHA (FACTOR IX DE


COAGULARE)**

NONACOG ALPHA (FACTOR IX DE


COAGULARE)**

OCTANINE F 500 UI

FEIBA NF 1000 U FEIBA

COMPLEX DE ANTIINHIBITORI AI
COAGULARII**

FACTOR IX DE COAGULARE**

ADVATE 3000UI

ADVATE 250UI

ADVATE 2000UI

KOGENATE BAYER 500UI

ADVATE 500UI

at

in

KOGENATE BAYER 2000UI

ADVATE 1500UI

KOGENATE BAYER 1000UI

De

ADVATE 1000UI

RECOMBINATE 500 UI

RECOMBINATE 250 UI/5 ml

RECOMBINATE 250 UI

RECOMBINATE 1000 UI/5 ml

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

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ., 1 FLAC CU


5 ML SOLV., 1 SERINGA DIN PLASTIC DE UNICA FOLOSINTA, 1
DISPOZITIV PT. RECONSTITUIRE (BAXJECT II), UN SET DE MINIPERFUZARE STERIL, 2 TAMPOANE CU ALCOOL MEDICINAL SI 2
PLASTURI
CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT.
RECONST. (BAXJECT II) +1 SERINGA +1 SET MINI-PERF.+ 2 TAMP.
ALCOOL+2 PLAST.
CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ., 1 FLAC CU
5 ML SOLV., 1 SERINGA DIN PLASTIC DE UNICA FOLOSINTA, 1
DISPOZITIV PT. RECONSTITUIRE (BAXJECT II), UN SET DE MINIPERFUZARE STERIL, 2 TAMPOANE CU ALCOOL MEDICINAL SI 2
PLASTURI
CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT.
RECONST. (BAXJECT II) +1 SERINGA +1 SET MINI-PERF.+ 2 TAMP.
ALCOOL+2 PLAST.

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

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

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

cant/a
mbala
j

fi
zi
ce

AUSTRI CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1


A
DISPOZITIV BAXJECT II
CUTIE X 1 FLACON FEIBA NF 1000U FEIBA PULB. PT. SOL. INJ. + 1
FLAC. CU SOLV. +1 DISP. BAXJECT II HI-FLOW1- FARA ACE PT.
TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR-O SER. DE UNICA
AUSTRI FOLOS. +1AC DE UNICA FOLOS+1AC FLUTURE CU OPRITOR (SET.
A
PT. INJ.)
PR
CUTIE X 1 FLACON FEIBA NF 500U FEIBA PULB. PT. SOL. INJ. + 1
FLAC. CU SOLV. +1 DISP. BAXJECT II HI-FLOW1- FARA ACE PT.
TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR-O SER. DE UNICA
AUSTRI FOLOS. +1AC DE UNICA FOLOS+1AC FLUTURE CU OPRITOR (SET.
A
PT. INJ.)
PR

ar

AUSTRI CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1


A
DISPOZITIV BAXJECT II

AUSTRI CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1


A
DISPOZITIV BAXJECT II

AUSTRI CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1


A
DISPOZITIV BAXJECT II
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA
GERMA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O
NIA
TRUSA DE ADM.

AUSTRI CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1


A
DISPOZITIV BAXJECT II
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA
GERMA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTINE O
NIA
TRUSA DE ADM.
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA
GERMA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O
NIA
TRUSA DE ADM.

AUSTRI CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1


A
DISPOZITIV BAXJECT II
CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA
GERMA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O
NIA
TRUSA DE ADM.

AUSTRI
A

AUSTRI
A

AUSTRI
A

AUSTRI
A

Tara

Prescriptie

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


MAREA DIN STICLA CU 5 ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT.
BRITAN RECONSTITUIRE SI ADM. CU 1 AC CU CAP DUBLU+1 FILTRU PT.
OCTAPHARMA (IP) LTD. IE
AC+1 SET DE PERFUZARE+1 SERINGA+2 TAMP. CU ALCOOL
S
CUTIE X 1 FLACON DIN STICLA INCOLORA CU PULBERE PENTRU
SOLUTIE INJECTABILA PERFUZABILA + 1 FLACON UNIDOZA DIN
STICLA INCOLORA X 10ML SOLVENT + 1 AC TRANSFER + 1 AC
AUSTRI AERARE +1 AC FILTRARE +1 AC UNICA FOLOSINTA + 1 SERIGA +1
SET TRANSFER
S
BAXTER AG
A

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)

EPTACOG ALFA ACTIVATUM**

EXJADE 500mg

EXJADE 250mg

EXJADE 125mg

DESFERAL

NOVOSEVEN 1mg (50 KUI)

FACTOR VIII DE COAGULARE SI FACTOR


VON WILLEBRAND**
IMMUNATE 500 UI

FACTOR VIII DE COAGULARE SI FACTOR


VON WILLEBRAND**
IMMUNATE 500 UI FVIII/375 UI FVW

FACTOR VIII DE COAGULARE SI FACTOR


VON WILLEBRAND**
IMMUNATE 250 UI

st

De

FACTOR VIII DE COAGULARE SI FACTOR


VON WILLEBRAND**
IMMUNATE 250 UI FVIII/190 UI FVW

FACTOR VIII DE COAGULARE SI FACTOR


VON WILLEBRAND**
IMMUNATE 1000 UI

FACTOR VIII DE COAGULARE SI FACTOR


VON WILLEBRAND**
IMMUNATE 1000 UI FVIII/750 UI FVW

FACTOR VIII DE COAGULARE SI FACTOR


VON WILLEBRAND**
WILATE 500 500 UI FVIII/500 UI FVW

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

P6.2: EPIDERMOLIZA BULOASA

FUCIDIN H

COMBINATII (ACIDUM
FUSIDICUM+HYDROCORTISONUM)

COMBINATII

COMBINATII

COMBINATII

COMBINATII

DIPROGENTA 0,5 mg/1 mg pe gram

TRIDERM

DIPROGENTA 0,5 mg/1 mg pe gram

TRIDERM

BETAMETHASONUM+GENTAMICINUM+C
LOTRIMAZOLUM
TRESYL

FLAMMAZINE

FUCIDIN 20 mg/g

FUCIDIN 20 mg/g

TETRACICLINA ATB 30 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

MERCK SHARP &


DOHME
MERCK SHARP &
DOHME
MERCK SHARP &
DOHME
MERCK SHARP &
DOHME

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.

LEO PHARMA A/S

CN UNIFARM

LEO PHARMA A/S

LEO PHARMA A/S

ANTIBIOTICE S.A.

ACTAVIS GROUP PTC


EHF.

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)

CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT.


PULB+SOL 1000 UI
MAREA SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA
V. PT. SOL. FVIII/100
BRITAN FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE
INJ
0 UI FVW OCTAPHARMA (IP) LTD. IE
SI 2 TAMPOANE CU ALCOOL MEDICINAL)
CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT.
PULB+SOL 500 UI
MAREA SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA
V. PT. SOL. FVIII/500
BRITAN FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE
INJ
UI FVW OCTAPHARMA (IP) LTD. IE
SI 2 TAMPOANE CU ALCOOL MEDICINAL)
CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC.
MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1
PULB.+SO
LV. PT.
1000 UI
AUSTRI SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA
FOLOSINTA + 1 SET DE PERFUZIE
SOL. INJ. /750 UI
BAXTER AG
A
CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC.
PULB.+SO
MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1
LV. PT.
AUSTRI SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA
SOL. INJ. 1000UI
BAXTER AG
A
FOLOSINTA + 1 SET DE PERFUZIE
CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC.
PULB.+SO
MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1
LV. PT.
250 UI
AUSTRI SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA
SOL. INJ. /190 UI
BAXTER AG
A
FOLOSINTA + 1 SET DE PERFUZIE
CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC.
PULB.+SO
MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1
LV. PT.
AUSTRI SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA
SOL. INJ. 250UI
BAXTER AG
A
FOLOSINTA + 1 SET DE PERFUZIE
CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC.
MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1
PULB.+SO
LV. PT.
500 UI
AUSTRI SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA
FOLOSINTA + 1 SET DE PERFUZIE
SOL. INJ. /375 UI
BAXTER AG
A
CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC.
PULB.+SO
MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1
LV. PT.
AUSTRI SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA
SOL. INJ. 500UI
BAXTER AG
A
FOLOSINTA + 1 SET DE PERFUZIE
PULB. +
SOLV. PT.
DANEM CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT.
SOL. INJ. 50 KIU
NOVO NORDISK A/S
ARCA RECONSTITUIRE
PULB. PT.
SOL.
NOVARTIS PHARMA
GERMA
INJ./PERF. 500mg
GMBH
NIA
CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

Forma
Concentr
farmaceuti
atie / U.T.
ca

cl

ex

FACTOR VIII DE COAGULARE SI FACTOR


VON WILLEBRAND**
WILATE 1000 1000 UI FVIII/1000 UI FVW

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

COMBINATII (ACIDUM FUSIDICUM+


BETAMETHASONUM)

Denumire generica

PHENHYDAN 250 mg/5 ml

FENITOINA RICHTER 100 mg

TETRACICLINA ARENA 250 mg

TETRACICLINA ATB 250 mg

TETRACICLINA ARENA 250 mg

FUCICORT 20 mg/1mg pe gram

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**

CLARITROMICINA TEVA 500 mg

FROMILID 500

ROCLARIN 500 mg

LEKOKLAR 500 mg

CLAR 500

KLABAX 500 mg

KLERIMED (R) 500

CLARITROMICINA AUROBINDO 500 mg

CLARITROMICINA TEVA 250 mg

KLERIMED (R) 250

KLABAX 250 mg

KLACID (R)

LEKOKLAR 250 mg

FROMILID 250

CLARITROMICINA AUROBINDO 250 mg

KLACID SR

CLARITROMICINA TEVA 500 mg

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

ROMAN CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP


IA
CALENDAR)

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

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

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

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

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

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

MALTA CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.


CIPRU
ROMAN
IA
REPUB
LICA
CEHA
ROMAN
IA
ROMAN
IA
SLOVE
NIA

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)

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

ITALIA CUTIE X 1 BLIST. X 14 COMPR. FILM.


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

ne

MALTA CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.


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.

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.

ACTAVIS GROUP PTC


EHF.
TEVA
PHARMACEUTICALS
S.R.L.

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

P6.3: HIPERTENSIUNE PULMONARA

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

PULMOZYME 2500 U/2,5 ml

TOBI (R)

KLACID I.V.

LEKOKLAR 250 mg/5 ml

in

KLABAX 250 mg/5 ml

De

KLABAX 250 mg/5 ml

LEKOKLAR 125 mg/5 ml

KLABAX 125 mg/5 ml

KLACID (R)

KLACID (R)

FROMILID (R) UNO

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%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

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%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

OCTAGAM 10%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE


P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE

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

2,5g/50ml KEDRION SPA


BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH

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

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

CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF.

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

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

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

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

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

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

ROMAN CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN


ROCHE ROMANIA S.R.L. IA
NEBULIZATOR, INTRODUSE IN PUNGA AL

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

ROMAN CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA PIA


+ LINGURITA DOZATOARE PP
RF

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

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

OCTAGAM

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

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**

NORDITROPIN SIMPLEXx 10 mg/1,5ml

OMNITROPE 6,7mg/ml

OMNITROPE 3,3mg/ml

ZOMACTON

GENOTROPIN 16 UI/ml (5,3 mg/ml)

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

P6.9: BOALA POMPE

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

1 W08961001

P6.8: BOALA FABRY

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

H01AC01

1 W05539002

P6.7: SINDROM PRADER WILLI

ar

ne

6,7mg/ml SANDOZ GMBH

3,3mg/ml SANDOZ GMBH

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

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL.


IA
PERF. I.V.

ii

ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL.


IA
PERF. I.V.

16UI/ml
(5,3mg/ml PFIZER EUROPE MA
)
EEIG

SOL. INJ. 10mg/1,5


IN CARTUS ml
NOVO NORDISK A/S

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

GERMA CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4


NIA
FIOLE DIN STICLA X 5 ML SOLV.

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

CAPS. MOI 20mg

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

P6.6: OSTEOGENEZA IMPERFECTA

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

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE


P6.5.3: Tratamentul medicamentos al bolnavilor cu polineuropatie familial amiloid cu transtiretin

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

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE


P6.5.2: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE DEGENERATIVE-SCLEROZA LATERALA AMIOTROFICA
COMPR.
1 W12590001 N07XX02 RILUZOLUM**
RILUTEK 50 mg
FILM.
50mg

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

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

OCTAGAM

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

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%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

OCTAGAM 10%

OCTAGAM 10%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

OCTAGAM 10%

1 W43049001

C02KX01

BOSENTANUM**

P6.16: Scleroza sistemic i ulcere digitale evolutive

TRACLEER 125 mg

5mg

CAPS.

SUEDIA CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF.

SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

SWEDISH ORPHAN
INTERNATIONAL AB

SHIRE HUMAN
GENETIC THERAPIES
AB

SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

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

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

CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF.

lo
r

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

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

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

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

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

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

ii

ITALIA

ar

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

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

MAREA
BRITAN
IE
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 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

2,5g/50ml KEDRION SPA


BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH

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

SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

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

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

P6.15: Sindrom de imunodeficien primar

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

1 W42203001

P6.13: MUCOPOLIZAHARIDOZ TIP I (SINDROM HURLER)

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

1 W51481002

P6.12: MUCOPOLIZAHARIDOZ TIP II (SINDROM HUNTER)

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

LEMOD SOLU 500 mg

LEMOD SOLU 125 mg

SOLU - MEDROL ACT-O-VIAL

MEDROL 32

MEDROL A 16

THYROGEN 0,9 mg

EVISTA 60mg

LIVIAL (R) 2,5 mg

CLIMARA

OESTROGEL 0,6 mg/g

ROCALTROL

ONE-ALPHA 2 micrograme/ml

ONE-ALPHA 2 micrograme/ml

ALFACALCIDOL SANDOZ 0,5 mcg

ALPHA D3 0,50 mcg

ALFACALCIDOL SANDOZ 0,25 mcg

ALPHA D3 0,25 mcg

Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

L01XE10

1 W57284002

P6.19: Scleroz tuberoas

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

MAREA CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT


BRITAN INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML PIE
SOLV
RF

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

CUTIE X 28 COMPR. FILM. (BLIST. ACLAR)

CUTIE X 1 BLIST. X 28 COMPR.

CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.

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

CAPS. MOI 0,25mcg

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

CAPS. MOI 0,5g

CAPS. MOI 0,50mcg

iv

CAPS. MOI 0,25g

us

CAPS. MOI 0,25mcg

COMPR.

COMPR.

MERCK SERONO
EUROPE LIMITED

AMGEN EUROPE B.V.

500mcg

COMPR.
SOLUBILE 100 mg

cl

ex

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

1 W57418002

AMGEN EUROPE B.V.

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

P6.17: Purpura trombocitopenic imun cronic la adulii splenectomizai i nesplenectomizai

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

P9.1: TRANSPLANT MEDULAR

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

ARENA GROUP S.A.


ACTAVIS GROUP PTC
EHF.

fo

in

ARENA GROUP S.A.

ARENA GROUP S.A.

SANDOZ S.R.L.

8mg

4mg

DR. REDDY'S
LABORATORIES
DR. REDDY'S
LABORATORIES

70mg/560 MERCK SHARP &


0UI
DOHME

70mg/560 MERCK SHARP &


0UI
DOHME

70mg/280 MERCK SHARP &


0UI
DOHME

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

CUTIE X 4 BLIST. AL/PVC X 25 COMPR.


CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28
DOZE X 20 :CG/80:CL)

CUTIE X 4 BLIST. AL/PP X 25 COMPR.

CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

CUTIE X 4 BLIST. AL/PVC X 25 COMPR.

CUTIE X 4 BLIST. AL/PP X 25 COMPR.

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

Ambalaj

CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.

lo
r

CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM.

ne

CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.

oa

rs

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

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

MALTA CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM.

CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE

CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM.

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

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

CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM

CUTIE CU 1 BLIST. AL/AL X 2 COMPR.

CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR.

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

RISEDRONAT SODIC ZENTIVA 35mg

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

ACID ALENDRONIC AUROBINDO 70 mg

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

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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

EPTACOG ALFA ACTIVATUM**

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

MEROPENEM ATB 1000 mg

LODITER 1000 mg

MEROPENEM ZENTIVA 500 mg

MEROPENEM ZENTIVA 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.

ROMAN CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT.


IA
SOL. PERF.

PR

PR

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40


IA
ML CONTINAND PULB. PT. SOL. INJ./PERF.
PR
CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE
ROMAN 20 ML SAU 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN
PR
IA
ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC
F

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

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

12

TERAPIA SA

ne

ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING
SRL

oa

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

rs

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

pe

ii

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ar

12

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMASTRU TRADING
SRL

ANTIBIOTICE S.A.

TERAPIA SA

ANTIBIOTICE S.A.

rm

fo

ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
30 ML CU PULB. PT. SOL. INJ./PERF.

in

MYLAN S.A.S.
ROMASTRU TRADING
SRL

ROMASTRU TRADING
SRL

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT.


A
SOL. INJ./PERF.

NOVO NORDISK A/S

X
PRF
/R

100

50

50

60

100

cant/a
mbala
j

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

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

CIPLA (UK) LIMITED

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 250 mg/5 ml

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

OSETRON 8 mg SOLUTIE INJECTABILA

OSETRON 4 mg SOLUTIE INJECTABILA

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

VANCOMICINA KABI 500 mg

VANCOMICINA KABI 1000 mg

VANCOMICINA PHARMASWISS 500 mg

VANCOMICINA PHARMASWISS 1000 mg

VANCOMYCIN TEVA

VANCOMYCIN TEVA

IMIPENEM/CILASTATIN KABI 500mg/500mg

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

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20


IA
ML CARE CONTINE PULB. PT. CONC. PT. SOL. P
PR

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10


IA
ML CARE CONTINE PULB. PT. CONC. PT. SOL. P
PR
S/
SLOVE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PNIA
PERF./INJ.
RF

FRESENIUS KABI
ROMANIA SRL
LEK
PHARMACEUTICALS
D.D.

PR

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


PERF.

FRESENIUS KABI
ROMANIA SRL

PR

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


PERF.

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

fi
zi
ce

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

ROMAN CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


PERF.
IA

UNGAR
IA
REPUB
PHARMASWISS CESKA LICA
REPUBLIKA S.R.O.
CEHA
REPUB
PHARMASWISS CESKA LICA
REPUBLIKA S.R.O.
CEHA

500mg/50 FRESENIUS KABI


0mg
ROMANIA SRL
TEVA PHARM. WORKS
PRIVATE LTD.
1g
COMPANY
TEVA PHARM. WORKS
PRIVATE LTD.
500mg
COMPANY

ROMAN TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU


IA
PULB.PT. SOL. PERF.

pe

500mg/50 MERCK SHARP &


0mg
DOHME

ii

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU


IA
CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF.

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

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


IA
ML CONTINAND PULB. PT. SOL. INJ./PERF.
PR
CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN
ROMAN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU
IA
PULB.PT.SOL.INJ./PERF.
PR
S/
ROMAN CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML
PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML
PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML
PIA
PULB. PT. SOL. PERF.
RF
S/
ROMAN CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PIA
PULB. PT. SOL. PERF.
RF

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

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
20 ML CU PULB. PT. SOL. 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

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
20 ML CU PULB. PT. SOL. INJ./PERF.

FRESENIUS KABI
ROMANIA SRL

Ambalaj

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN


ROMAN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU
IA
PULB.PT.SOL.INJ./PERF.

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

IMIPENEM/CILASTATIN ATB 500 mg/500 mg

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

MEROPENEM HOSPIRA 500 mg

De

MEROPENEM KABI 500 mg

MEROPENEM ATB 500 mg

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

FLUCONAZOL SANDOZ (R) 50

FLUCORIC 50 mg

FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOLE TEVA 200 mg

FLUCONAZOL SANDOZ (R) 150

FLUCOVIM 150

FLUCONAZOL 150 mg

FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOL ACTAVIS 150 mg

FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL ZENTIVA 150 mg

FLUCONAZOLE TEVA 150 mg

FLUCONAZOL AUROBINDO 150 mg

FLUCONAZOL BIOGALENICA 150 mg

FLUCORIC 150 mg

DIFLUCAN 150 mg

FLUCONAZOL ARENA 150 MG

FLUCONAZOL AUROBINDO 100 mg

FLUCONAZOLE TEVA 100 mg

FUNGOLON 100 mg

FLUCOVIM 100

at

in

LINEZOLID TEVA 2 mg/ml

ZYVOXID (R)

st

LINEZOLID SANDOZ 2 mg/ml

De

PNEUMOLID 2 mg/ml

ZYVOXID (R)

ZYVOXID (R)

TARGOCID (R) 400 mg

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

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

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

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

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

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

CUTIE X 1 FLAC. X 1 CAPS.

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

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

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

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

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

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

ne

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

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

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

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

MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.


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

PR
F
PRF
PRF

PR

PR

PRF

PRF

PRF
PR
F
PRF

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

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
SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)
IA
ROMAN
IA
CUTIE X 1 BLIST. X 4 CAPS.
BULGA
RIA
CUTIE X 2 BLIST. PVC/AL X 8 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

VIM SPECTRUM SRL


BALKANPHARMA
RAZGRAD AD
TEVA
PHARMACEUTICALS
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED

TEVA
PHARMACEUTICALS
S.R.L.

PFIZER EUROPE MA
EEIG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PNA LA GALBUIE


LUXEM CU 1 SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
ALVOGEN IPCO S.AR.L BURG LAMINATA TRANSPARENTA CONTINND 300 ML SOL. PERF.
CUTIE CU 1 PUNGA DIN PP INCOLORA PNA LA GALBUIE, CU 1
ROMAN SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
SANDOZ S.R.L.
IA
LAMINATA CARE CONTINE SOL. PERF.

PFIZER EUROPE MA
EEIG

PFIZER EUROPE MA
EEIG

MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.

MAREA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE


BRITAN PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE
PAVENTIS PHARMA LTD. IE
CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML)
RF

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 FARMEX 200 mg

ACICLOVIR 200 mg

ACICLOVIR ARENA 200 mg

CANCIDAS 70 mg

CANCIDAS 50 mg

NOXAFIL 40mg/ml

NOXAFIL 100mg

VFEND 40 mg/ml

VFEND 200mg

VFEND 50mg

VFEND 200mg

FLUCONAZOL ARENA 2mg/ml

FLUCONAZOL ZENTIVA 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

DIFLAZON 2mg/ml

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

at

FLUCONAZOL INFOMED 2 mg/ml

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

MERCK SHARP &


DOHME

SLAVIA PHARM SRL


FARMEX COMPANY
S.R.L.

ARENA GROUP SA

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

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

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

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

MAREA
BRITAN
IE
CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

MERCK SHARP &


DOHME

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

MERCK SHARP &


DOHME LTD.

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.

KRKA D.D. NOVO


MESTO
FRESENIUS KABI
ROMANIA SRL

S
S/
PRF

PR

PR
F

PRF
PRF
PRF

MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

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

MAREA CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU


PFIZER EUROPE MA
BRITAN SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA
EEIG
IE
DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA
CUTIE CU 10 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 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

ARENA GROUP SA

SLAVIA PHARM SRL

PFIZER EUROPE MA
EEIG

VIM SPECTRUM SRL


LABORMED PHARMA
S.A.
AUROBINDO PHARMA
(MALTA) LIMITED

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

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

OCTAGAM 10%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

INTRATECT 50 g/l

OCTAGAM 10%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

OCTAGAM 10%

OCTAGAM 10%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

VALCYTE (R) 450 mg

VALGANCICLOVIR TEVA 450 mg

VALGANCICLOVIR SANDOZ 450 mg

VALACICLOVIR ARENA 500 mg

VALTREX 500 mg

VIROLEX

De

ACICLOVIR 400 mg

ACICLOVIR LAROPHARM 200 mg

ACICLOVIR 200 mg

ACICLOVIR 200 mg

ACICLOVIR-RICHTER 200 mg

ACICLOVIR TERAPIA 200 mg

ACICLOVIR ARENA 400 mg

ACICLOVIR ARENA 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

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

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

CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF.

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

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

lo
r

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

ne

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

oa

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

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

2,5g/50ml KEDRION SPA


BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH

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

ROCHE ROMANIA SRL

SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.

ARENA GROUP S.A.

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

CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10


COMPR.FILM.

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

KRKA D.D. NOVO


MESTO

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.

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

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

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

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

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

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 S.A.

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

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

Denumire generica

st
at

in

FLUDARA

FLUDARA ORAL 10 mg

METOJECT 50mg/ml

METOJECT 50mg/ml

METOJECT 50mg/ml

METOTREXAT EBEWE 10 mg/ml

METOTREXAT EBEWE 10 mg/ml

METOTREXAT EBEWE 10 mg/ml

METOTREXAT EBEWE 10 mg/ml

METHOTREXAT "EBEWE" 5000 mg

METHOTREXAT "EBEWE" 1000 mg

METHOTREXATE PCH 2,5mg

METHOTREXATE PCH 10mg

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

AUSTRI CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75


A
ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ
PR

lo
r

AUSTRI CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5


A
ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

oa

AUSTRI CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0


A
ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

ii

AUSTRI CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0


A
ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

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

CARBOPLATIN ACTAVIS 10mg/ml

CARBOPLATIN ACTAVIS 10mg/ml

CARBOPLATIN ACTAVIS 10mg/ml

CARBOPLATIN TEVA 10mg/ml

CARBOPLATIN KABI 10 mg/ml

CARBOPLATIN KABI 10 mg/ml

CARBOPLATIN KABI 10 mg/ml

CISPLATIN "EBEWE" 50 mg/100 ml

SINPLATIN 1 mg/1 ml

SINPLATIN 1 mg/1 ml

PLATOSIN 1 mg/ml

PLATOSIN 1 mg/ml

PLATOSIN 0,5 mg/ml

PLATOSIN 0,5 mg/ml

PLATOSIN 0,5 mg/ml

ONKOTRONE

ZAVEDOS 5 mg

ZAVEDOS

at

in

ETOPOZIDA KABI 20 mg/ml

De

ETOPOSIDE - TEVA

ETOPOSIDE - TEVA

SINTOPOZID 100 mg/5 ml

ETOPOSID "EBEWE" 100 mg/5 ml

VEPESID

VEPESID

FLUDARABINA ACTAVIS 25 mg/ml

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

50mg/100 EBEWE PHARMA


ml
GES.M.B.H. NFG KG

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.

CAPS. MOI 100mg

PULB. PT.
SOL.
INJ./PERF. 25mg/ml

Forma
Concentr
farmaceuti
atie / U.T.
ca
Ambalaj

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

CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU


PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

PR

fi
zi
ce

ROMAN CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT.


IA
SOL. PERF.
ROMAN CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT.
IA
SOL. PERF.

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.

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC


BRITAN FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45
IE
ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC


BRITAN FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X
15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA
PR
IE

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC


BRITAN FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5
IE
ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA

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

ROMAN CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL.


IA
PERF.

PR

ROMAN CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL.


IA
PERF.

ar

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

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

ROMAN CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL.


IA
PERF.
S

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.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

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.

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

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


GASTROREZ.

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

GERMA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


NIA
GASTROREZ.

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

MICOFENOLAT MOFETIL STADA 250 mg

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

MAREA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC


BRITAN FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X
IE
60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA

CONC. PT.
SOL.
PERF.
10mg/ml

Ambalaj

ROMAN CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.


IA
PERF.

Tara

TEVA
PHARMACEUTICALS
S.R.L.

Firma

Prescriptie

CONC. PT.
SOL.
PERF.
10mg/ml

Forma
Concentr
farmaceuti
atie / U.T.
ca

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.

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

CARBOPLATIN KABI 10 mg/ml

CARBOPLATIN TEVA 10mg/ml

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)

PROGRAF (R) 5 mg/ml

ADVAGRAF 5mg

ADVAGRAF 1mg

ADVAGRAF 0,5mg

PROGRAF (R) 5 mg

PROGRAF (R) 1 mg

TACROLIMUS SANDOZ 1 mg

TACNI 1 mg

PROGRAF (R) 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 0,5 mg

EQUORAL 50 mg

SANDIMMUN NEORAL (R)

EQUORAL 25 mg

SANDIMMUN NEORAL (R)

at

in

EQUORAL 100 mg

ENBREL 50mg

ENBREL 50mg

De

ENBREL 25mg

ENBREL 25mg

ENBREL 10mg de uz pediatric

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

CAPS. MOI 50mg

CAPS. MOI 50mg

CAPS. MOI 25mg

iv

CAPS. MOI 25mg

us

CAPS. MOI 100mg

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 2 BLIST. AL/PVC X 10 CAPS.

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

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

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

ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU


IA
LAMINAT X 50 CAPS.

50

50

50

50

50

50

50

ROMAN CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10


IA
CAPSULE

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

ROMAN CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10


IA
CAPSULE

ar

CUTIE X 5 BLIST. X 10 CAPS. MOI

CUTIE X 5 BLIST. X 10 CAPS. MOI

ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU


IA
LAMINAT X 50 CAPS.

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

TRAMADOL RETARD 200 mg

TRAMADOL RETARD 150 mg

TRADOLAN 50 mg

TRADOLAN RETARD 200 mg

MABRON RETARD 200 mg

MABRON RETARD 200 mg

MABRON RETARD 200 mg

MABRON RETARD 200 mg

TRADOLAN RETARD 150 mg

TRAMADOL SR ZENTIVA 150 mg

MABRON RETARD 150 mg

MABRON RETARD 150 mg

MABRON RETARD 150 mg

MABRON RETARD 150 mg

TRAMADOL RETARD 100 mg

in

TRAMADOL SR ZENTIVA 100 mg

st

MABRON RETARD 100 mg

De

MABRON RETARD 100 mg

MABRON RETARD 100 mg

MABRON RETARD 100 mg

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

KRKA D.D. NOVO


MESTO

10

30

PR
F
PR
F

30

PRF

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.


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

ii

rs

lo
r

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

ne

CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

oa

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

pe

CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

ar

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

CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR.


ORODISPERSABILE

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


ORODISPERSABILE

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.

CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

30

PR
F

10

10

PR
F

PR
F

30

PR
F

PR
F

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

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

30

10

PR
F

CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

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

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

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.

KRKA D.D. NOVO


MESTO

SOL. INJ.

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

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

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

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

Ambalaj

CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

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.

KRKA, D.D., NOVO


MESTO

ZENTIVA AS

MEDOCHEMIE LTD.

MEDOCHEMIE LTD.

MEDOCHEMIE LTD.

MEDOCHEMIE LTD.

BIO EEL SRL

MAGISTRA C & C

ARENA GROUP S.A.

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

UROMITEXAN (R) 400 mg

EXJADE 500mg

EXJADE 250mg

EXJADE 125mg

De

PULMOZYME

PULMOZYME 2500 U/2,5 ml

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

P9.2: TRANSPLANT DE CORD

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

CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

Tara

rm

TERAPIA SA

4g/0,5g

4g/0,5g

4g/0,5g

2g/0,25g

4g/0,5g

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT.


IA
SOL. PERF.
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.
S.C. FRESENIUS KABI
S.R.L.

10

10

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT.


A
SOL. INJ./PERF.

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

12

ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING
SRL

4g/0,5g

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

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

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
30 ML CU PULB. PT. SOL. INJ./PERF.

oa

rs

ROMASTRU TRADING
SRL

MYLAN S.A.S.

pe

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT.


A
SOL. INJ./PERF.

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMASTRU TRADING
SRL

PR

100

15

28

28

28

GERMA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML


NIA
PENTRU O DOZA UNICA DE 0,3ML

ii

PR

PR

PR

PR

PR
S/
PRF

cant/a
mbala
j

MEDA PHARMA GMBH


& CO KG

ar

GERMA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML


NIA
PENTRU O DOZA UNICA DE 0,3ML

MEDA PHARMA GMBH


& CO KG

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)

ROMAN CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN


ROCHE ROMANIA S.R.L. IA
NEBULIZATOR, INTRODUSE IN PUNGA AL

S/
PRF
S/
PRF
S/
PRF
PRF

Prescriptie

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

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

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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

FLUCONAZOL ARENA 150 MG

FLUCONAZOL AUROBINDO 100 mg

FLUCONAZOLE TEVA 100 mg

FUNGOLON 100 mg

FLUCOVIM 100

LINEZOLID TEVA 2 mg/ml

ZYVOXID (R)

LINEZOLID SANDOZ 2 mg/ml

PNEUMOLID 2 mg/ml

ZYVOXID (R)

ZYVOXID (R)

IMIPENEM/CILASTATIN KABI 500mg/500mg

TIENAM I.V.

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU


IA
CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF.

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

ROMAN CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL.


IA
PERF.

ARENA GROUP SA

VIM SPECTRUM SRL


BALKANPHARMA
RAZGRAD AD
TEVA
PHARMACEUTICALS
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED

TEVA
PHARMACEUTICALS
S.R.L.

PFIZER EUROPE MA
EEIG

PR

PRF

PRF

PR
S/
PRF
S/
PRF

MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.


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

PRF
PR
F
PRF

PR
F
PRF
PRF

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)
ROMAN
IA
CUTIE X 1 BLIST. X 4 CAPS.
BULGA
RIA
CUTIE X 2 BLIST. PVC/AL X 8 CAPS.
ROMAN
IA
CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

MAREA
BRITAN
IE
CUTIE X 10 PUNGI X 300 ML

PR

fi
zi
ce

CUTIE CU O PUNGA DIN PP TRANSPARENTA PNA LA GALBUIE


LUXEM CU 1 SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
ALVOGEN IPCO S.AR.L BURG LAMINATA TRANSPARENTA CONTINND 300 ML SOL. PERF.
CUTIE CU 1 PUNGA DIN PP INCOLORA PNA LA GALBUIE, CU 1
ROMAN SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
SANDOZ S.R.L.
IA
LAMINATA CARE CONTINE SOL. PERF.

PFIZER EUROPE MA
EEIG

PFIZER EUROPE MA
EEIG

500mg/50 FRESENIUS KABI


0mg
ROMANIA SRL

SOL.
PERF.

CAPS.

fo

500mg/50 MERCK SHARP &


0mg
DOHME

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 TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU


IA
PULB.PT. SOL. PERF.

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 CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT.


IA
SOL. INJ./PERF. I.M./I.V.

ROMAN
IA
CUTIE X 1 FLAC. PULB. PT. SOL. INJ.

CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

500mg/50
0mg
TERAPIA SA

iv

us

Ambalaj

CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

Tara

ROMAN
IA

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

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

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

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

IMIPENEM/CILASTATIN ATB 500 mg/500 mg

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

FLUCONAZOL ZENTIVA 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

DIFLAZON 2mg/ml

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL INFOMED 2 mg/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

FLUCONAZOL SANDOZ (R) 50

FLUCORIC 50 mg

FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOLE TEVA 200 mg

FLUCONAZOL SANDOZ (R) 150

FLUCOVIM 150

FLUCONAZOL 150 mg

FLUCONAZOL MEDOCHEMIE 150 mg

in

FLUCONAZOL ACTAVIS 150 mg

st

FLUCONAZOL LPH 150 mg

De

FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL ZENTIVA 150 mg

FLUCONAZOLE TEVA 150 mg

FLUCONAZOL AUROBINDO 150 mg

FLUCONAZOL BIOGALENICA 150 mg

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

KRKA D.D. NOVO


MESTO
FRESENIUS KABI
ROMANIA SRL

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

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

pe

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

ii

CUTIE X 1 BLIST. X 7 CAPS.

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

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

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

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

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

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

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

CUTIE X 1 FLAC. X 1 CAPS.

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

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

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

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

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

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

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

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 CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU


PFIZER EUROPE MA
BRITAN SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA
EEIG
IE
DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA
CUTIE CU 10 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 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

ARENA GROUP SA

SLAVIA PHARM SRL

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

SANDIMMUN NEORAL (R)

EQUORAL 25 mg

SANDIMMUN NEORAL (R)

EQUORAL 100 mg

MYFENAX 500mg

CAPS.

0,5 mg

CAPS. MOI 50mg

CAPS. MOI 50mg

CAPS. MOI 25mg

CAPS. MOI 25mg

CAPS. MOI 100mg

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

MICOFENOLAT MOFETIL STADA 250 mg

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

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.

MYFORTIC 360 mg

MYFORTIC 180 mg

CELLCEPT 500mg

CELLCEPT 250mg

GRAFALON

IMUNOGLOBULINA ANTI-LIMFOCITE
UMANE**

MYCOPHENOLATUM**

VALCYTE (R) 450 mg

in

VALGANCICLOVIR TEVA 450 mg

st

VALGANCICLOVIR SANDOZ 450 mg

De

VFEND 40 mg/ml

VFEND 200mg

VFEND 50mg

VFEND 200mg

FLUCONAZOL ARENA 2mg/ml

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

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA +


1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 PML) + 1 ADAPTOR
RF
PR
CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM.
F

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

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

NOVARTIS PHARMA
GMBH

CUTIE X 5 BLIST. X 10 CAPS. MOI


ROMAN CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10
IA
CAPSULE

CEHIA

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

CUTIE X 5 BLIST. X 10 CAPS. MOI

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

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

lo
r

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

ne

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

oa

rs

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

pe

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

OLAND
A
CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

OLAND
A
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

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.

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


GASTROREZ.

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

GERMA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


NIA
GASTROREZ.

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.

GERMA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL.


NEOVII BIOTECH GMBH NIA
PERF.
S

ROCHE ROMANIA SRL

SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.

PFIZER LIMITED

PFIZER LIMITED

PFIZER LIMITED

PFIZER LIMITED

ARENA GROUP S.A.

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

PROGRAF (R) 5 mg/ml

ADVAGRAF 5mg

ADVAGRAF 1mg

st

ADVAGRAF 0,5mg

De

PROGRAF (R) 5 mg

PROGRAF (R) 1 mg

TACROLIMUS SANDOZ 1 mg

TACNI 1 mg

PROGRAF (R) 0,5 mg

TACROLIMUS SANDOZ 0,5 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

P9.3: TRANSPLANT HEPATIC

EPTACOG ALFA ACTIVATUM**


COMBINATII
(SPIRONOLACTONUM+FUROSEMIDUM)
COMBINATII
(SPIRONOLACTONUM+FUROSEMIDUM)
COMBINATII
(SPIRONOLACTONUM+FUROSEMIDUM)

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

NOVOSEVEN 1mg (50 KUI)

EXACYL

ACTILYSE

VENTAVIS 10g/ml

VENTAVIS 10mcg/ml

ILOMEDIN 20

CLEXANE 8000ui anti-Xa/0,8ml

CLEXANE 6000ui anti-Xa/0,6ml

CLEXANE 4000ui anti-Xa/0,4ml

CLEXANE 2000ui anti-Xa/0,2ml

URSOFALK 250 mg/5 ml

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.

NOVO NORDISK A/S


LABORMED PHARMA
S.A.

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.


CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP.
ORALA+1LINGURITA DOZATOARE DIN PP

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

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

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

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

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

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

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT.


RECONSTITUIRE

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X
PRF
/R
P6
L
P6
L
P6L

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA


DE TRANSFER
S

CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.

GERMA
NIA
CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP PR


FRANT I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP
/P
A
RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.
RF
S/
GERMA
PNIA
CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. RF

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

DR. FALK PHARMA


GMBH
ROMPHARM COMPANY
S.R.L.
PRO. MED. CS PRAHA
AS
DR. FALK PHARMA
GMBH
DR. FALK PHARMA
GMBH
DR. FALK PHARMA
GMBH

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

ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU


IA
LAMINAT X 50 CAPS.

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

ROMAN CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10


IA
CAPSULE

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

ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU


IA
LAMINAT X 50 CAPS.

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

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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

LINEZOLID TEVA 2 mg/ml

ZYVOXID (R)

LINEZOLID SANDOZ 2 mg/ml

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 MELT 120 mcg

DESMOPRESINA TEVA 0,2mg

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

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)
MAREA
BRITAN
IE
CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)
MAREA
BRITAN
IE
CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

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

CUTIE CU O PUNGA DIN PP TRANSPARENTA PNA LA GALBUIE


LUXEM CU 1 SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
ALVOGEN IPCO S.AR.L BURG LAMINATA TRANSPARENTA CONTINND 300 ML SOL. PERF.
CUTIE CU 1 PUNGA DIN PP INCOLORA PNA LA GALBUIE, CU 1
ROMAN SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
SANDOZ S.R.L.
IA
LAMINATA CARE CONTINE SOL. PERF.

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

ROMAN CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT.


IA
SOL. PERF.

S.C. FRESENIUS KABI


S.R.L.

ii

28

28

10

10

10

10

10

ar

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT.


IA
SOL. PERF.

MYLAN S.A.S.

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT.


A
SOL. INJ./PERF.

S.C. FRESENIUS KABI


S.R.L.

rm

fo

TERAPIA SA

12

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING
SRL

in

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ANTIBIOTICE S.A.
ROMASTRU TRADING
SRL

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

12

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 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

TERAPIA SA

ANTIBIOTICE S.A.

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

10

30

30

30

30

30

cant/a
mbala
j

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT.


A
SOL. INJ./PERF.

CUTIE X 1 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL

CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL

CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL

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

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

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

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

VALCYTE (R) 450 mg

st

VALGANCICLOVIR TEVA 450 mg

De

VALGANCICLOVIR SANDOZ 450 mg

CANCIDAS 70 mg

CANCIDAS 50 mg

VFEND 40 mg/ml

VFEND 200mg

Denumire comerciala

fo

in

96MU/ml SANDOZ GMBH

60MU/ml SANDOZ GMBH

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)

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

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

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


GASTROREZ.

GERMA
NIA
ROMAN
IA
ROMAN
IA

NOVARTIS PHARMA
GMBH
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

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

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

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

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

MERCK SHARP &


DOHME

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.

MERCK SHARP &


DOHME

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

MICOFENOLAT MOFETIL STADA 250 mg

Ambalaj

MAREA
BRITAN
IE
CUTIE X 1 FLAC. UNIDOZA X 30ML

Tara

40mg/ml

PFIZER LIMITED

Firma

Prescriptie

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

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

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.

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

IMUNOGLOBULINA ANTI-HEPATITICA B** HEPATECT CP 50 UI/ml

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

PROGRAF (R) 5 mg/ml

ADVAGRAF 5mg

ADVAGRAF 1mg

ADVAGRAF 0,5mg

PROGRAF (R) 5 mg

PROGRAF (R) 1 mg

TACROLIMUS SANDOZ 1 mg

TACNI 1 mg

PROGRAF (R) 0,5 mg

TACROLIMUS SANDOZ 0,5 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

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

ALFACALCIDOL SANDOZ 0,5 mcg

ALPHA D3 0,50 mcg

ALFACALCIDOL SANDOZ 0,25 mcg

ALPHA D3 0,25 mcg

URSOFALK 250 mg/5 ml

URSOFALK 500 mg

URSOFALK (R)

URSOSAN

URSOROM 250 mg

URSOFALK (R)

CUTIE X 5 BLIST. X 10 CAPS. MOI

ii

500mg
250mg/5
ml

250mg

250mg

250mg

250mg

1mg

CAPS. MOI 0,5g

CAPS. MOI 0,50mcg

CAPS. MOI 0,25g

SANDOZ S.R.L.

SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.

DR. FALK PHARMA


GMBH
ROMPHARM COMPANY
S.R.L.
PRO. MED. CS PRAHA
AS
DR. FALK PHARMA
GMBH
DR. FALK PHARMA
GMBH
DR. FALK PHARMA
GMBH
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

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.


CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP.
ORALA+1LINGURITA DOZATOARE DIN PP

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

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

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

ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU


IA
LAMINAT X 50 CAPS.

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

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.

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

ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU


IA
LAMINAT X 50 CAPS.

ROMAN CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10


IA
CAPSULE

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

CUTIE X 5 BLIST. X 10 CAPS. MOI

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. MOI 0,25mcg

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.

CAPS. MOI 50mg

CAPS. MOI 50mg

De

SANDIMMUN NEORAL (R)

CAPS. MOI 25mg

CAPS. MOI 25mg

CAPS. MOI 100mg

1mg

500mg

COMPR.
FILM.

DRAJ.

500mg

COMPR.
FILM.

Forma
Concentr
farmaceuti
atie / U.T.
ca

EQUORAL 25 mg

SANDIMMUN NEORAL (R)

EQUORAL 100 mg

RAPAMUNE 1mg

MYFENAX 500mg

MICOFENOLAT MOFETIL SANDOZ 500 mg

Denumire comerciala

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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

MAREA CUTIE CU 5 BLISTERE INDIVIDUALE CONTINND FIECARE O


BRITAN SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI
IE
NEEDLE-TRAP A 0,6 ML SOLUTIE INJECTABILA
MAREA CUTIE CU 5 BLISTERE INDIVIDUALE CONTINND FIECARE O
BRITAN SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI
IE
NEEDLE-TRAP A 0,72 ML SOLUTIE INJECTABILA
MAREA CUTIE CU 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1
BRITAN SERINGA PREUMPLUTA FARA SISTEM DE BLOCARE A ACULUI
IE
NEEDLE-TRAP X 0,2 ML SOLUTIE INJECTABILA
MAREA CUTIE CU 10 BLISTERE INDIVIDUALE CONTINND FIECARE O
BRITAN SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI
IE
NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA
MAREA CUTIE CU 10 BLISTERE INDIVIDUALE CONTINND FIECARE O
BRITAN SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI
IE
NEEDLE-TRAP A 0,3 ML SOLUTIE INJECTABILA

PFIZER EUROPE MA
EEIG

12500
UI/0,5ml

15000ui/0 PFIZER EUROPE MA


,6ml
EEIG

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

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT.


A
SOL. INJ./PERF.

GERMA CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML


NIA
SOLVENT + 2 ACE
GERMA
NIA
CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

fi
zi
ce

GERMA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML


NIA
SOLVENT + 2 ACE

ne

GERMA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML


NIA
SOLVENT + 2 ACE

ii

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP PR


FRANT I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP
/P
A
RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.
RF

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

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

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

5000ui/0, PFIZER EUROPE MA


2ml
EEIG

2500ui/0, PFIZER EUROPE MA


2ml
EEIG

FRANT
A
CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

S/
PRF

MAREA CUTIE CU 5 BLISTERE INDIVIDUALE CONTINND FIECARE O


BRITAN SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI
IE
NEEDLE-TRAP A 0,5 ML SOLUTIE INJECTABILA

10000UI/0 PFIZER EUROPE MA


,4ml
EEIG

18000
PFIZER EUROPE MA
UI/0,72ml EEIG

S
S/
PRF

MAREA CUTIE CU 5 BLISTERE INDIVIDUALE CONTINND FIECARE O


BRITAN SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI
IE
NEEDLE-TRAP A 0,4 ML SOLUTIE INJECTABILA

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 0,1 mg/ml

SANDOSTATIN LAR 30 mg

SANDOSTATIN LAR 10 mg

SANDOSTATIN LAR 20 mg

CLEXANE 8000ui anti-Xa/0,8ml

CLEXANE 6000ui anti-Xa/0,6ml

CLEXANE 4000ui anti-Xa/0,4ml

CLEXANE 2000ui anti-Xa/0,2ml

FRAGMIN 7500 UI/0,3 ml

FRAGMIN 5000 UI/0,2 ml

FRAGMIN 2500 UI/0,2 ml

in

FRAGMIN 18000 UI/0,72 ml

De

FRAGMIN15000 UI/0,6 ml

FRAGMIN 12500 UI/0,5 ml

FRAGMIN 10000 UI/0,4 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

FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL ZENTIVA 150 mg

FLUCONAZOLE TEVA 150 mg

FLUCONAZOL AUROBINDO 150 mg

FLUCONAZOL BIOGALENICA 150 mg

FLUCORIC 150 mg

DIFLUCAN 150 mg

FLUCONAZOL ARENA 150 MG

FLUCONAZOL AUROBINDO 100 mg

FLUCONAZOLE TEVA 100 mg

FUNGOLON 100 mg

FLUCOVIM 100

LINEZOLID TEVA 2 mg/ml

ZYVOXID (R)

LINEZOLID SANDOZ 2 mg/ml

PNEUMOLID 2 mg/ml

ZYVOXID (R)

ZYVOXID (R)

at

in

TARGOCID (R) 400 mg

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

PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g

De

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

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

ROMAN CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT.


IA
SOL. PERF.

S.C. FRESENIUS KABI


S.R.L.

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

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

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

MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.


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

lo
r

PR
F
PRF
PRF

PR

PR

PRF

PRF

PRF
PR
F
PRF

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

CUTIE X 1 BLIST. X 4 CAPS.

pe

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1


PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU
UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O
SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)

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

VIM SPECTRUM SRL


BALKANPHARMA
RAZGRAD AD
TEVA
PHARMACEUTICALS
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED

TEVA
PHARMACEUTICALS
S.R.L.

PFIZER EUROPE MA
EEIG

rm

fo

in

CUTIE CU O PUNGA DIN PP TRANSPARENTA PNA LA GALBUIE


LUXEM CU 1 SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
ALVOGEN IPCO S.AR.L BURG LAMINATA TRANSPARENTA CONTINND 300 ML SOL. PERF.
CUTIE CU 1 PUNGA DIN PP INCOLORA PNA LA GALBUIE, CU 1
ROMAN SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
SANDOZ S.R.L.
IA
LAMINATA CARE CONTINE SOL. PERF.

PFIZER EUROPE MA
EEIG

PFIZER EUROPE MA
EEIG

MAREA
BRITAN
IE
CUTIE X 1 FLAC. X 10 COMPR. FILM.

MAREA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE


BRITAN PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE
PAVENTIS PHARMA LTD. IE
CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML)
RF

16

10

10

10

10

10

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.

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT.


A
SOL. INJ./PERF.

TERAPIA SA

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

12

ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
48 ML CU PULB. PT. SOL. INJ./PERF.

ROMASTRU TRADING
SRL

cant/a
mbala
j

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMASTRU TRADING
SRL

Ambalaj

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

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

ITRACONAZOL ARENA 100 mg

MICOGAL 100 mg

OMICRAL 100 mg

ITRACONAZOL 100 mg

ORUNGAL

FLUCONAZOL ARENA 2mg/ml

FLUCONAZOL ZENTIVA 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

DIFLAZON 2mg/ml

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL INFOMED 2 mg/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.

FLUCONAZOL SANDOZ (R) 50

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

Forma
Concentr
farmaceuti
atie / U.T.
ca

FLUCORIC 50 mg

FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOLE TEVA 200 mg

FLUCONAZOL SANDOZ (R) 150

FLUCOVIM 150

FLUCONAZOL 150 mg

FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOL ACTAVIS 150 mg

FLUCONAZOL LPH 150 mg

Denumire comerciala

rm

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

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

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

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

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

CUTIE X 1 FLAC. X 1 CAPS.

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

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

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

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

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

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

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

CUTIE CU BLISTERE PVC/AL X 15 CAPSULE

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

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.

KRKA D.D. NOVO


MESTO
FRESENIUS KABI
ROMANIA SRL

S
S/
PRF

PR

PR
F

PRF
PRF
PRF

MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

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

MAREA CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU


PFIZER EUROPE MA
BRITAN SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA
EEIG
IE
DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA
CUTIE CU 10 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 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

fo

ARENA GROUP SA

in

SLAVIA PHARM SRL

PFIZER EUROPE MA
EEIG

VIM SPECTRUM SRL


LABORMED PHARMA
S.A.
AUROBINDO PHARMA
(MALTA) LIMITED

SANDOZ SRL
TEVA
PHARMACEUTICALS
S.R.L.

TERAPIA SA

SANDOZ SRL
TEVA
PHARMACEUTICALS
S.R.L.
MEDOCHEMIE
ROMANIA SRL

VIM SPECTRUM SRL

SLAVIA PHARM 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

VALCYTE (R) 450 mg

OCTAGAM 10%

OCTAGAM 10%

OCTAGAM 10%

OCTAGAM 10%

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

VALGANCICLOVIR TEVA 450 mg

VALGANCICLOVIR SANDOZ 450 mg

VALACICLOVIR ARENA 500 mg

VALTREX 500 mg

VIROLEX

ACICLOVIR 400 mg

ACICLOVIR LAROPHARM 200 mg

ACICLOVIR 200 mg

ACICLOVIR 200 mg

ACICLOVIR-RICHTER 200 mg

ACICLOVIR TERAPIA 200 mg

ACICLOVIR ARENA 400 mg

ACICLOVIR ARENA 200 mg

ACICLOVIR FARMEX 200 mg

ACICLOVIR 200 mg

ACICLOVIR ARENA 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

CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10


COMPR.FILM.

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

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

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

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

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

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

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

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

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

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

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

ROCHE ROMANIA SRL

SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.

ARENA GROUP S.A.

THE WELLCOME
FOUNDATION LTD.

KRKA D.D. NOVO


MESTO

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 S.A.

ARENA GROUP SA

SLAVIA PHARM SRL


FARMEX COMPANY
S.R.L.

ARENA GROUP SA

MERCK SHARP &


DOHME

MERCK SHARP &


DOHME
MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA

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

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

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

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**

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

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

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

IMUNOGLOBULINA NORMALA PT. ADM.


INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**
IMUNOGLOBULINA NORMALA PT. ADM.
INTRAVASCULARA**

Denumire generica

KEDRION SPA

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

CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF.

CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF.

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

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

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

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

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

2,5g/50ml KEDRION SPA


BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH
BIOTEST PHARMA
50g/l
GMBH

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

PROGRAF (R) 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 0,5 mg

EQUORAL 50 mg

SANDIMMUN NEORAL (R)

EQUORAL 25 mg

SANDIMMUN NEORAL (R)

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.

CUTIE X 5 BLIST. X 10 CAPS. MOI

oa

rs

ne

CUTIE X 5 BLIST. X 10 CAPS. MOI

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

ROMAN CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10


IA
CAPSULE

lo
r

ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU


IA
LAMINAT X 50 CAPS.

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

ROMAN CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10


IA
CAPSULE

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

CUTIE X 5 BLIST. X 10 CAPS. MOI

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.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

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

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

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

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

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


GASTROREZ.

GERMA
NIA
ROMAN
IA
ROMAN
IA

NOVARTIS PHARMA
GMBH
DR. REDDY'S
LABORATORIES
STADA HEMOFARM
S.R.L.

Ambalaj

GERMA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


NIA
GASTROREZ.

Tara

NOVARTIS PHARMA
GMBH

Firma

ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU


IA
LAMINAT X 50 CAPS.

1 mg

0,5mg

0,5mg

0,5 mg

CAPS. MOI 50mg

CAPS. MOI 50mg

CAPS. MOI 25mg

CAPS. MOI 25mg

CAPS. MOI 100mg

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

MICOFENOLAT MOFETIL STADA 250 mg

250 mg

COMPR.
FILM.
GASTROR
EZ.
180mg
COMPR.
FILM.
GASTROR
EZ.
360mg

Forma
Concentr
farmaceuti
atie / U.T.
ca

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.

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

MIALGIN (R) 100 mg/2 ml

ADRONIK 70 mg

ADRONIK 70 mg

ADRONIK 70 mg

st

ALENDRONAT SANDOZ 70 mg

De

FOSAMAX 70 mg

ex

ACID ALENDRONIC AUROBINDO 70 mg

TEVANAT 70 mg

IMMUNOPRIN 75 mg

IMURAN

IMURAN

PROGRAF (R) 5 mg/ml

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

VALCYTE (R) 450 mg

VALGANCICLOVIR TEVA 450 mg

VALGANCICLOVIR SANDOZ 450 mg

VFEND 40 mg/ml

VFEND 200mg

VFEND 50mg

VFEND 200mg

LINEZOLID TEVA 2 mg/ml

ZYVOXID (R)

LINEZOLID SANDOZ 2 mg/ml

PNEUMOLID 2 mg/ml

ZYVOXID (R)

ZYVOXID (R)

1 W13613002

B01AB05

P9.6: TRANSPLANT PULMONAR

ENOXAPARINUM

CLEXANE 2000ui anti-Xa/0,2ml

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.

ROCHE ROMANIA SRL

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

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA +


1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 PML) + 1 ADAPTOR
RF
PR
CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM.
F
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

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

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)

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

CUTIE CU O PUNGA DIN PP TRANSPARENTA PNA LA GALBUIE


LUXEM CU 1 SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
ALVOGEN IPCO S.AR.L BURG LAMINATA TRANSPARENTA CONTINND 300 ML SOL. PERF.
CUTIE CU 1 PUNGA DIN PP INCOLORA PNA LA GALBUIE, CU 1
ROMAN SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
SANDOZ S.R.L.
IA
LAMINATA CARE CONTINE SOL. PERF.

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

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

J01XX08

1 W52799001

P9.5: TRANSPLANT CELULE PANCREATICE

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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

LINEZOLID TEVA 2 mg/ml

ZYVOXID (R)

LINEZOLID SANDOZ 2 mg/ml

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.

ROMAN CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT.


IA
SOL. PERF.

CUTIE CU O PUNGA DIN PP TRANSPARENTA PNA LA GALBUIE


LUXEM CU 1 SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
ALVOGEN IPCO S.AR.L BURG LAMINATA TRANSPARENTA CONTINND 300 ML SOL. PERF.
CUTIE CU 1 PUNGA DIN PP INCOLORA PNA LA GALBUIE, CU 1
ROMAN SAU 2 PERFUZOARE SI NVELIS SUPLIMENTAR DIN FOLIE
IA
SANDOZ S.R.L.
LAMINATA CARE CONTINE SOL. PERF.

PFIZER EUROPE MA
EEIG

PFIZER EUROPE MA
EEIG

S.C. FRESENIUS KABI


S.R.L.

ne

10

10

10

10

10

oa

rs

ROMAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT.


IA
SOL. PERF.

S.C. FRESENIUS KABI


S.R.L.

pe

MYLAN S.A.S.

TERAPIA SA

12

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT.


A
SOL. INJ./PERF.

ii

ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
48 ML CU PULB. PT. SOL. INJ./PERF.

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ar

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

12

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMAN CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE


IA
30 ML CU PULB. PT. SOL. INJ./PERF.

100

10

10

cant/a
mbala
j

ROMAN CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMASTRU TRADING
SRL

ROMASTRU TRADING
SRL

rm

ANTIBIOTICE S.A.

fo

in

TERAPIA SA

ANTIBIOTICE S.A.

ROMASTRU TRADING
SRL

MYLAN S.A.S.

FRANT CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT.


A
SOL. INJ./PERF.

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


IA
ML CU PULB. PT. SOL. INJ./PERF.
S

ROMASTRU TRADING
SRL

PR

PR

GERMA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML


NIA
PENTRU O DOZA UNICA DE 0,3ML

GERMA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML


NIA
PENTRU O DOZA UNICA DE 0,3ML

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP PR


FRANT I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP
/P
A
RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.
RF
ROMAN
IA
CUTIE X 5 FIOLE X 5ML SOL. INJ.
X
ROMAN
IA
CUTIE X 100 FIOLE X 1 ML
S

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

MEDA PHARMA GMBH


& CO KG

MEDA PHARMA GMBH


& CO KG

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

CLEXANE 8000ui anti-Xa/0,8ml

CLEXANE 6000ui anti-Xa/0,6ml

CLEXANE 4000ui anti-Xa/0,4ml

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

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL INFOMED 2 mg/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

FLUCONAZOL SANDOZ (R) 50

FLUCORIC 50 mg

FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOLE TEVA 200 mg

FLUCONAZOL SANDOZ (R) 150

FLUCOVIM 150

FLUCONAZOL 150 mg

FLUCONAZOL MEDOCHEMIE 150 mg

FLUCONAZOL ACTAVIS 150 mg

FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL ZENTIVA 150 mg

at

FLUCONAZOLE TEVA 150 mg

in

FLUCONAZOL AUROBINDO 150 mg

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

FLUCONAZOL BIOGALENICA 150 mg

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

CAPS.

Forma
Concentr
farmaceuti
atie / U.T.
ca

FLUCORIC 150 mg

DIFLUCAN 150 mg

FLUCONAZOL ARENA 150 MG

FLUCONAZOL AUROBINDO 100 mg

FLUCONAZOLE TEVA 100 mg

FUNGOLON 100 mg

FLUCOVIM 100

Denumire comerciala

PRF
PRF

MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.


ROMAN
IA
CUTIE X 1 BLIST. AL/PVC 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.

ne

lo
r

KRKA D.D. NOVO


MESTO

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

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

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

CUTIE X 1 BLIST. X 7 CAPS.

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

oa

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

rs

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

pe

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

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

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

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

CUTIE X 1 FLAC. X 1 CAPS.

MAREA CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU


PFIZER EUROPE MA
BRITAN SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA
EEIG
IE
DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA
CUTIE CU 10 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 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

ARENA GROUP SA

SLAVIA PHARM SRL

PFIZER EUROPE MA
EEIG

rm

fo

in

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

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

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

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

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

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

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

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

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

VIM SPECTRUM SRL


BALKANPHARMA
RAZGRAD AD
TEVA
PHARMACEUTICALS
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED

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**

VALGANCICLOVIR TEVA 450 mg

VALGANCICLOVIR SANDOZ 450 mg

VIROLEX

ACICLOVIR 400 mg

ACICLOVIR LAROPHARM 200 mg

ACICLOVIR 200 mg

ACICLOVIR 200 mg

ACICLOVIR-RICHTER 200 mg

ACICLOVIR TERAPIA 200 mg

ACICLOVIR ARENA 400 mg

ACICLOVIR ARENA 200 mg

ACICLOVIR FARMEX 200 mg

ACICLOVIR 200 mg

VALCYTE (R) 450 mg

MYCOPHENOLATUM**

at

in

ACICLOVIR ARENA 200 mg

VFEND 40 mg/ml

VFEND 200mg

st

VFEND 50mg

De

VFEND 200mg

FLUCONAZOL ARENA 2mg/ml

FLUCONAZOL ZENTIVA 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

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

GERMA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


NIA
GASTROREZ.

100

PRF
/R

60

60

60

10

20

MAREA
ROCHE REGISTRATION BRITAN
LTD.
IE
CUTIE X 10 BLIST. X 10 CAPS.

GERMA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL.


NEOVII BIOTECH GMBH NIA
PERF.
S

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

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA +


1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 PML) + 1 ADAPTOR
RF
1
PCUTIE X 2 BLIST. AL/PVC X 10 CAPS.
RF
20
PCUTIE X 2 BLIST. AL/PVC X 10 CAPS.
RF
20
PCUTIE CU 2 BLIST. PVC/AL X 10 CAPS.
RF
20
PRF
CUTIE X 100 BLIST. AL/PVC X 10 CAPS.
/S 1000
PCUTIE X 1 BLIST. AL/PVC X 10 CAPS.
RF
10
PCUTIE X 2 BLIST. AL/PVC X 10 COMPR.
RF
20
PR
CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.
F
20
PCUTIE X 2 BLIST. AL./PVC X 10 COMPR.
RF
20

ii

ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA
ROMAN
IA

MAREA
BRITAN
IE
ROMAN
IA
ROMAN
IA
ROMAN
IA

ar

ROCHE ROMANIA SRL

SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.

KRKA D.D. NOVO


MESTO

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

ARENA GROUP S.A.

fo

ARENA GROUP SA

in

SLAVIA PHARM SRL


FARMEX COMPANY
S.R.L.

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 SR ZENTIVA 100 mg

MABRON RETARD 100 mg

MABRON RETARD 100 mg

MABRON RETARD 100 mg

MABRON RETARD 100 mg

TRAMADOL EEL

TRAMAG 50

TRAMADOL ARENA

TRAMADOL

TRAMADOL ZENTIVA 50 mg

TRAMACALM

K-ALMA (R)

IMMUNOPRIN 75 mg

IMURAN

IMURAN

EQUORAL 50 mg

SANDIMMUN NEORAL (R)

EQUORAL 25 mg

SANDIMMUN NEORAL (R)

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.

CUTIE X 5 BLIST. X 10 CAPS. MOI

pe

30
PRF

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.


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

30

10

CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

PR
F

30
PR
F

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

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.

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

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

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

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

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

lo
r

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

ne

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

oa

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

rs

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

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

CUTIE X 5 BLIST. X 10 CAPS. MOI

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

CUTIE X 5 BLIST. X 10 CAPS. MOI

MAREA
BRITAN
IE
CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

NOVARTIS PHARMA
GMBH

CAPS. MOI 50mg

50mg

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

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

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

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


GASTROREZ.

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.

CAPS. MOI 50mg

CAPS. MOI 25mg

CAPS. MOI 25mg

us

CAPS. MOI 100mg

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

MICOFENOLAT MOFETIL STADA 250 mg

250 mg

COMPR.
FILM.
GASTROR
EZ.
360mg

Forma
Concentr
farmaceuti
atie / U.T.
ca

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.

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

TRAMADOL RETARD 200 mg

TRAMADOL RETARD 150 mg

TRADOLAN 50 mg

TRADOLAN RETARD 200 mg

MABRON RETARD 200 mg

MABRON RETARD 200 mg

MABRON RETARD 200 mg

at

in

MABRON RETARD 200 mg

st

TRADOLAN RETARD 150 mg

De

TRAMADOL SR ZENTIVA 150 mg

MABRON RETARD 150 mg

MABRON RETARD 150 mg

MABRON RETARD 150 mg

MABRON RETARD 150 mg

TRAMADOL RETARD 100 mg

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)

P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

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

CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

CEHIA CUTIE X 5 BLIST. AL/PVC X 10 CAPS.


GERMA
NIA
CUTIE X 2 BLIST. AL/PVC X 25 CAPS.
GERMA
NIA
CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

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

CIPRU CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

lo
r

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR.


ORODISPERSABILE

oa

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


ORODISPERSABILE

pe

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

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

DR. FALK PHARMA


GMBH
ROMPHARM COMPANY
S.R.L.
PRO. MED. CS PRAHA
AS
DR. FALK PHARMA
GMBH
DR. FALK PHARMA
GMBH

KRKA D.D.

KRKA D.D.

KRKA D.D.

MEDOCHEMIE LTD.

MEDOCHEMIE LTD.

KRKA D.D. NOVO


MESTO

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

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

PR
F

30

PRF

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

CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

30

10

10

PR
F

PR
F

30

PR
F

cant/a
mbala
j

PR
F

Prescriptie

PR
F

CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL.

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.

KRKA D.D. NOVO


MESTO

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.

KRKA, D.D., NOVO


MESTO

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

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

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

FLUCONAZOL ACTAVIS 150 mg

FLUCONAZOL LPH 150 mg

FLUCONAZOL ROMPHARM 150 mg

FLUCONAZOL ZENTIVA 150 mg

FLUCONAZOLE TEVA 150 mg

FLUCONAZOL AUROBINDO 150 mg

FLUCONAZOL BIOGALENICA 150 mg

FLUCORIC 150 mg

DIFLUCAN 150 mg

FLUCONAZOL ARENA 150 MG

FLUCONAZOL AUROBINDO 100 mg

FLUCONAZOLE TEVA 100 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

LEMOD SOLU 500 mg

De

LEMOD SOLU 125 mg

SOLU - MEDROL ACT-O-VIAL

MEDROL 32

MEDROL A 16

URSOFALK 250 mg/5 ml

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

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

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

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

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

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


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

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

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

ne

lo
r

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

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

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

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

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

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.

MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.


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

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

oa

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

rs

CUTIE X 1 BLIST. X 4 CAPS.

pe

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA +


MASURA DOZATOARE

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

VIM SPECTRUM SRL


BALKANPHARMA
RAZGRAD AD
TEVA
PHARMACEUTICALS
S.R.L.
AUROBINDO PHARMA
(MALTA) LIMITED

rm

fo

in

ARENA GROUP SA

SINTOFARM SA

MAGISTRA C&C S.R.L.

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.

MAREA CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT


BRITAN INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML PIE
SOLV
RF

P6
L

Ambalaj

GERMA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP.


NIA
ORALA+1LINGURITA DOZATOARE DIN PP

Tara

Prescriptie

DR. FALK PHARMA


GMBH

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

FLUCONAZOL ARENA 2mg/ml

FLUCONAZOL ZENTIVA 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL INFOMED 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

DIFLAZON 2mg/ml

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL KABI 2 mg/ml

FLUCONAZOL INFOMED 2 mg/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

FLUCONAZOL SANDOZ (R) 50

FLUCORIC 50 mg

FLUCONAZOL MEDOCHEMIE 50 mg

FLUCONAZOLE TEVA 200 mg

FLUCONAZOL SANDOZ (R) 150

FLUCOVIM 150

FLUCONAZOL 150 mg

FLUCONAZOL MEDOCHEMIE 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

MERCK SHARP &


DOHME LTD.

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 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

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.

KRKA D.D. NOVO


MESTO
FRESENIUS KABI
ROMANIA SRL

rm

fo

in

PRF
PRF
PRF

MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF
PRF
PRF
PRF

PRF
PRF
PRF
PRF

Prescriptie

PRF
PRF
PR
F
PR
F

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

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

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

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

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

CUTIE X 1 FLAC. X 1 CAPS.

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

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

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

MAREA CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU


PFIZER EUROPE MA
BRITAN SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA
EEIG
IE
DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA
CUTIE CU 10 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 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.
FRESENIUS KABI
ROMAN
ROMANIA SRL
IA
CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

ARENA GROUP SA

SLAVIA PHARM SRL

PFIZER EUROPE MA
EEIG

VIM SPECTRUM SRL


LABORMED PHARMA
S.A.
AUROBINDO PHARMA
(MALTA) LIMITED

SANDOZ SRL
TEVA
PHARMACEUTICALS
S.R.L.

TERAPIA SA

SANDOZ SRL
TEVA
PHARMACEUTICALS
S.R.L.
MEDOCHEMIE
ROMANIA SRL

VIM SPECTRUM SRL

SLAVIA PHARM 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

LAMIVUDINE TEVA PHARMA B.V. 300 mg

LAMIVUDINA AUROBINDO 150 mg

EPIVIR 150mg

ZEFFIX 100 mg

LAMIVUDINE TEVA 100 mg

VALCYTE (R) 450 mg

VALGANCICLOVIR TEVA 450 mg

VALGANCICLOVIR SANDOZ 450 mg

VIROLEX

ACICLOVIR 400 mg

ACICLOVIR LAROPHARM 200 mg

ACICLOVIR 200 mg

st

ACICLOVIR 200 mg

De

ACICLOVIR-RICHTER 200 mg

ACICLOVIR TERAPIA 200 mg

ACICLOVIR ARENA 400 mg

ACICLOVIR ARENA 200 mg

ACICLOVIR FARMEX 200 mg

ACICLOVIR 200 mg

ACICLOVIR ARENA 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

GERMA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


NIA
GASTROREZ.

GERMA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


NIA
GASTROREZ.

GERMA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


NIA
GASTROREZ.

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

MALTA CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM.

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

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

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

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

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

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

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

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

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

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

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

TEVA PHARMA B.V.

VIIV HEALTHCARE UK
LIMITED
AUROBINDO PHARMA
(MALTA) LIMITED

GLAXO GROUP LTD.

rm

TEVA PHARMA B.V.

fo

in

ROCHE ROMANIA SRL

SANDOZ S.R.L.
TEVA
PHARMACEUTICALS
S.R.L.

KRKA D.D. NOVO


MESTO

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 S.A.

ARENA GROUP SA

SLAVIA PHARM SRL


FARMEX COMPANY
S.R.L.

ARENA GROUP SA

MERCK SHARP &


DOHME

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

PROGRAF (R) 0,5 mg

TACROLIMUS SANDOZ 0,5 mg

TACNI 0,5 mg

EQUORAL 50 mg

SANDIMMUN NEORAL (R)

EQUORAL 25 mg

SANDIMMUN NEORAL (R)

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

CAPS. MOI 50mg

CAPS. MOI 50mg

CAPS. MOI 25mg

CAPS. MOI 25mg

CAPS. MOI 100mg

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

MICOFENOLAT MOFETIL STADA 250 mg

MICOFENOLAT MOFETIL STADA 250 mg

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.

250 mg

COMPR.
FILM.
GASTROR
EZ.
360mg

Forma
Concentr
farmaceuti
atie / U.T.
ca

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg CAPS.

MYFORTIC 360 mg

Denumire comerciala

rm

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM.


GASTROREZ.

Ambalaj

ii

pe

CUTIE X 5 BLIST. X 10 CAPS. MOI

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

ROMAN CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10


IA
CAPSULE

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

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

ROMAN CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU


IA
LAMINAT X 50 CAPS.

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

CUTIE X 5 BLIST. X 10 CAPS. MOI

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

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

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

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

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

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

FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml

FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml

FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml

FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml

FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml

FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml

CLEXANE 8000ui anti-Xa/0,8ml

CLEXANE 6000ui anti-Xa/0,6ml

CLEXANE 4000ui anti-Xa/0,4ml

CLEXANE 2000ui anti-Xa/0,2ml

HEPARINE SODIQUE PANPHARMA

CAPS. MOI 0,25g

CAPS. MOI 0,25mcg

fo

ar

SOL. INJ.

SOL. INJ.

SOL. INJ.

SOL. INJ.

SOL. INJ.

SOL. INJ.

SOL. INJ.

rs

ne

IRLAND CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL.


A
INJ.

IRLAND CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL.


A
INJ.

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

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP PR


FRANT I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP
/P
A
RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.
RF

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

oa

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

pe

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.

ii

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 5 ML SOL. INJ.

CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI.

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

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.

CAPS. MOI 0,5g

us

CAPS. MOI 0,50mcg

cl

ex

HEPARINA SODICA PANPHARMA 5000 UI/ml

ROCALTROL

ONE-ALPHA 2 micrograme/ml

ONE-ALPHA 2 micrograme/ml

ALFACALCIDOL SANDOZ 0,5 mcg

ALPHA D3 0,50 mcg

ALFACALCIDOL SANDOZ 0,25 mcg

ALPHA D3 0,25 mcg

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 40000 UI/1 ml

EPREX 40000 UI/ml

BINOCRIT 3000UI/0,3ml

BINOCRIT 30000UI/0,75ml

BINOCRIT 2000UI/1,0ml

BINOCRIT 1000UI/0,5ml

VENOFER (R)

EPOETINUM ALFA**

INNOHEP 20000 UI ANTI-Xa/ml

COMPLEX DE HIDROXID DE FER (III)


SUCROZA

INNOHEP 20000 UI ANTI-Xa/ml

INNOHEP 20000 UI ANTI-Xa/ml

INNOHEP 10000 UI ANTI-XA/ml

INNOHEP 10000 UI ANTI-XA/ml

in

INNOHEP 20000 UI ANTI-Xa/ml

De

INNOHEP 10000 UI ANTI-XA/ml

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.

VIFOR FRANCE S.A.

pe

FRANT
A
CUTIE X 5 FIOLE X 5 ML

ii

CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA)


DANEM SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE
ARCA INTR-UN SUPORT DIN PLASTIC CU CAPAC ROSU

1000UI/0,
5ml
SANDOZ GMBH

20mg/ml

SOL. INJ.
IN SERINGI
PREUMPL 20000UI
UTE
anti-Xa/ml LEO PHARMA A/S

ar

CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA)


DANEM SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE
ARCA INTR-UN SUPORT DIN PLASTIC CU CAPAC GALBEN

rm

fo

in

SOL. INJ.
IN SERINGI
PREUMPL 20000UI
UTE
anti-Xa/ml LEO PHARMA A/S

iv

CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA)


DANEM SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE
ARCA INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU

us

SOL. INJ.
IN SERINGI
PREUMPL 20000UI
UTE
anti-Xa/ml LEO PHARMA A/S

CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA)


DANEM SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE
ARCA INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU

CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA)


DANEM SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE
ARCA INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE

LEO PHARMA A/S

IRLAND CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML


A
SOL. INJ.
CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTIXA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE
DANEM DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT IN AURIU SI
ARCA CAPSA DE SIGURANTA DIN PP DE CULOARE PORTOCALIE
CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTIXA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE
DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT CU LAC DE
DANEM CULOARE VERDE SI CAPSA DE SIGURANTA DIN PP DE CULOARE
ARCA VERDE INCHIS

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

LEO PHARMA A/S

SOL. INJ. 10000UI


IN
antiFLACOANE XA/ml

SOL. INJ.

FRAXIPARINE 9500 UI anti-factor Xa/1 ml


multidoza

MAREA
BRITAN CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML
GLAXO GROUP LIMITED IE
SOL. INJ.

IRLAND CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL.


A
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.

FRAXIPARINE 9500 UI anti-factor Xa/1 ml


multidoza

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

FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml

FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml

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

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

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

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

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

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

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

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)

BIO EEL SRL

BIO EEL SRL

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

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

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

P11: PROGRAM NATIONAL DE SANATATE MINTALA

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

VALABIL NCEPND CU 01 OCTOMBRIE 2015

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

EDITOR: GUVERNUL ROMNIEI


Monitorul Oficial R.A., Str. Parcului nr. 65, sectorul 1, Bucureti; C.I.F. RO427282,
IBAN: RO55RNCB0082006711100001 Banca Comercial Romn S.A. Sucursala Unirea Bucureti
i IBAN: RO12TREZ7005069XXX000531 Direcia de Trezorerie i Contabilitate Public a Municipiului Bucureti
(alocat numai persoanelor juridice bugetare)
Tel. 021.318.51.29/150, fax 021.318.51.15, e-mail: marketing@ramo.ro, internet: www.monitoruloficial.ro
Adresa pentru publicitate: Centrul pentru relaii cu publicul, Bucureti, os. Panduri nr. 1,
bloc P33, parter, sectorul 5, tel. 021.401.00.70, fax 021.401.00.71 i 021.401.00.72
Tiparul: Monitorul Oficial R.A.
Monitorul Oficial al Romniei, Partea I, nr. 737 bis/1.X.2015 conine 92 de pagini.

Preul: 46 lei

Acest numr al Monitorului Oficial al Romniei a fost tiprit n afara abonamentului.

&JUYDGY|838055]
ISSN 14534495

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