Notificare privind baza unitara de calcul per SKU/11.06.

2016

Denumire SKU

NrU
T/
cuti
e

CRESTOR 10 mg

28

CRESTOR 20 mg

28

CRESTOR 5 mg

28

SYMBICORT(R)
TURBUHALER(R) 160
mcrg/ 4,5micrograme /
inhalatie
SYMBICORT(R)
TURBUHALER(R) 320
mcrg/ 9 micrograme /
inhalatie

CASODEX 50mg

28

CASODEX 150mg

28

KEPPRA 250mg

30

KEPPRA 500mg

30

KEPPRA 1000mg

30

KEPPRA 100mg/ml
Solutie Orala

BILOBIL FORTE 80mg

60

BILOBIL INTENS
120 mg

60

EYLEA 40mg/ml

ELIQUIS 5mg

60

ELIQUIS 2.5mg

60

CORLENTOR 5 mg

CORLENTOR 7.5 mg

56

56

Mod de ambalare
Cutie x 2 blistere x 14 comprimate
filmate (3 ani)
Cutie x 2 blistere x 14 comprimate
filmate (3 ani)
Cutie x 2 blistere Al/Al x 14
comprimate filmate (3 ani)
Cutie x 1 recipient multidoza x 60
doze prevazut cu dispozitiv de
administrare si dispozitiv indicator al
numarului de doze (2 ani)
Cutie x 1 recipient multidoza x 60
doze prevazut cu dispozitiv de
administrare si dispozitiv indicator al
numarului de doze (2 ani)
Cutie x 2 blist. tip calendar Al/PVC x
14 compr.film.; (5 ani)
Cutie x 2 blistere x 14 comprimate
filmate (4 ani)
Cutie x 30 comprimate filmate
disponibile in blistere Al/PVC (3 ani)
Cutie x 30 comprimate filmate
disponibile in blistere Al/PVC (3 ani)
Cutie x 30 comprimate filmate
disponibile in blistere Al/PVC (3 ani)
Cutie x 1 flacon x 300ml solutie orala
+ seringa pentru administrare orala
(2 ani)
Cutie x 6 blist. Al/pvc x 10 caps.

Cutie x 6 blist. Pvc-pvdc/al x 10 caps.

Cutie x 1 flacon solutie injectabila
4mg/100 microlitri
Cutie x blistere PVC/PVDC/Al x 60
comprimate filmate (3 ani)
Cutie x blistere PVC/PVDC/Al x 60
comprimate filmate (3 ani)
Cutie x 4 blistere din Al/PVC tip
calendar x 14 comprimate filmate (3
ani)
Cutie x 4 blistere din Al/PVC tip
calendar x 14 comprimate filmate (3
ani)

Compensa
re
CNAS
0%, 50%,
90%, 100%
0%, 50%,
90%, 100%
0%, 50%,
90%, 100%
0%, 50%
90%,100%

Cod
SKU

Limita U.T.
pentru 92
zile

W13864001

184

W13865001

184

W43678001

184
4

W56427001

0%, 50%
90%, 100%

W56428001

100%

W10174001

92

100%

W12048001

92

100%

W12144002

100%

W12146003

276

100%

W12147003

276

100%

W42835001

0%
50%,90%,
100%
0%
50%,90%,
100%

276

276
W43052002

184

W54246002

0%

W59598001

0%

W59339004

62 / 1 luna

0%

W57283004

62 / 1 luna

50%
90%
100%
0%
50%
90%
100%
0%

W42777003
240/brand
W42779003

PRESTANCE 10mg/10mg

30

PRESTANCE 10mg/5mg

30

PRESTANCE 5mg/10mg

30

PRESTANCE 5mg/5mg

30

VASAPROSTAN 20

10

EXELON 4,6mg/24h

30

EXELON 9.5mg/24h

30

Brilique 90mg

56

Xarelto 15 mg

98

Xarelto 20 mg

98

VELYN 100mg

30

VELYN 100mg

60

DILVAS 100mg

56

FOSTER 100/6mcg/doza

SEROQUEL XR 50mg

60

SEROQUEL XR 150mg

60

SEROQUEL XR 200mg

60

SEROQUEL XR 300mg

60

SEROQUEL XR 400mg

60

Abilify 10 mg

28

Abilify 15 mg

28

DUAKLIR GENUAIR 340

micrograme/ 12
micrograme

Cutie x 1 flacon din PP x 30

comprimate (2 ani)
Cutie x 1 flacon din PP x 30
comprimate (2 ani)
Cutie x 1 flacon din PP x 30
comprimate (2 ani)
Cutie x 1 flacon din PP x 30
comprimate (2 ani)
Cutie x 10 fiole din sticla incolora cu
punct de rupere, a 5ml, continand
48,2mg liofilizat pentru solutie
perfuzabila (4 ani)
Cutie x 30 plicuri x 1 plasture
trandermic(2 ani)
Cutie x 30 plicuri x 1 plasture
trandermic (2 ani)
Cutie x 4 blistere calendar din PVCPVDC/Al x 14 comprimate filmate.
Cutie x blistere PP/Al x 98
comprimate filmate
Cutie x blistere PP/Al x 98
comprimate filmate
Cutie x blistere PVC-PVDC/Al x 30
comprimate
Cutie x blistere PVC-PVDC/Al x 60
comprimate
Cutie x blistere PVC/Al x 56
comprimate (2 ani)
CUTIE CU 1 FLAC. PRESURIZAT
PLASTIC A 180 DOZE SOL. DE
INHALAT
Cutie x 6 blistere PVC-PCTFE/Al x 10
comprimate cu eliberare prelungita
(3 ani)
Cutie x 6 blistere PVC-PCTFE/Al x 10
comprimate cu eliberare prelungita
(3 ani)
Cutie x 6 blistere opace din Al/PVCPCTFE x 10 comprimate filmate cu
eliberare prelungita (3 ani)
Cutie x 6 blistere opace din Al/PVCPCTFE x 10 comprimate filmate cu
eliberare prelungita (3 ani)
Cutie x 6 blistere PVC-PCTFE/Al x 10
comprimate cu eliberare prelungita
(3 ani)
Cutie x 1blist. Al/al perforat unidoza
x 28 (x1) comprimate
Cutie x 1blist. Al/al perforat unidoza
x 28 (x1) comprimate
Cutie x 1 inhalator x 60 doze (3 ani)

0%

W53608007

0%

W53609007

0%

W53610007

0%

W53611007

92/brand

50%, 90%

W58530001

124/ 1 luna

100%

W52347002

92

100%

W52348002

92

0%

W56291004

224

0%

W60380001

113

0%

W60381001

113

0%

W60674005;
W60675008

184

0%

W60675005

184

0%

W60428001

184

100%

100%
50%
90%

W57995002

100%

W52894001

184

100%

W55378001

184

100%

100%

100%

W52499001

W52500001

W54069001

368

184

184

0%, 100%

W41602002

276

0%, 100%

W41603002

184

0%

W61579001

LIPOCOMB 10 mg/10 mg

30

LIPOCOMB 20 mg/10 mg

30

NOCLAUD 100 mg

56

EGIRAMLON 10 mg/10
mg
EGIRAMLON 10 mg/5
mg
EGIRAMLON 5 mg/10
mg
EGIRAMLON 5 mg/5 mg
EGIRAMLON 10 mg/10
mg
EGIRAMLON 10 mg/5
mg
EGIRAMLON 5 mg/10
mg
EGIRAMLON 5 mg/5 mg

30
30
30
30
100
100
100
100

XOLAIR 150 mg

XOLAIR 75 mg

EVITAL
HEPATOHELP*30CPS
EVITAL
IMMUNOPOWER*40TBL
EVITAL
PRORELAX*20CPS
EVITAL
OCULOPROTECT*30CPS
EVITAL
OXIDOSTOP*30CPS
EVITAL
VIVACARDIN*30CPS

30
40
20
30
30
30

TRINOMIA 5mg

28

TRINOMIA 10mg

28

CILOSTAZOL

56

AZILECT 1 mg

30

ZOLADEX LA 10,8 mg

ZOLADEX (R)

Cutie x blistere OPA-Al-PVC/Al x 30

(3 x10) capsule (2 ani)
Cutie x blistere OPA-Al-PVC/Al x 30
(3 x10) capsule (2 ani)
Cutie x blistere din PVC-PVDC/Al x 56
(4 x14) comprimate
Cutie x blistere OPA-Al-PVC/Al x 30
capsule
Cutie x blistere OPA-Al-PVC/Al x 30
capsule
Cutie x blistere OPA-Al-PVC/Al x 30
capsule
Cutie x blistere OPA-Al-PVC/Al x 30
capsule
Cutie x blistere OPA-AI-PVC/AI a 100
(10x10) capsule (3 ani)
Cutie x blistere OPA-AI-PVC/AI a 100
(10x10) capsule (3 ani)
Cutie x blistere OPA-AI-PVC/AI a 100
(10x10) capsule (3 ani)
Cutie x blistere OPA-AI-PVC/AI a 100
(10x10) capsule (3 ani)
CUTIE CU 1 SERINGA PREUMPLUTA X
1ML SOLUTIE INJECTABILA
CUTIE CU 1 SERINGA PREUMPLUTA X
0.5ML SOLUTIE INJECTABILA
Cutie x 2 blist. PVC-PVDC/Al x 15
capsule gelatinoase
Cutie x 2 blist. PVC-PVDC/Al x 20
tablete
Cutie x 2 blist. PVC-PVDC/Al x 10
capsule gelatinoase
Cutie x 2 blist. PVC-PVDC/Al x 15
capsule gelatinoase
Cutie x 2 blist. PVC-PVDC/Al x 15
capsule tari
Cutie x 2 blist. PVC-PVDC/Al x 15
capsule gelatinoase
Cutie x blistere din OPA-AI-PVC/AI x
28 capsule (2 ani)
Cutie x blistere din OPA-AI-PVC/AI x
28 capsule (2 ani)
Cutie x blister PVC/AI x 56
comprimate (2 ani)
Cutie x 3 blistere din Al/Al x 10
comprimate (2 ani)
CUTIE X 1 PLIC DIN PET-AL-PE X 1
SERINGA PREUMPLUTA CU 10,8 MG
IMPLANT+AC DIN INOX CU SIST. DE
PROT
CUTIE X 1 PLIC X 1 SERINGA PREUMPLUTA X 3,6 MG

0%

W61288003

184/6 luni

0%

W61295003

184/6 luni

0%

W60707002

184/6 luni

0%

W58497002

184/6 luni

0%

W58496002

184/6 luni

0%

W58495002

184/6 luni

0%

W58494002

184/6 luni

0%

W58497006

184/6 luni

0%

W58496006

184/6 luni

0%

W58495006

184/6 luni

0%

W58494006

184/6 luni

50%, 90%
100%
50%, 90%
100%

W57245001

W57244001

0%

INF0008

0%

INF0009

0%

INF0010

0%

INF0011

0%

INF0012

0%

INF0013

0%

W60814003

92

0%

W60815003

92

0%

W60944001

184

100%

W42418004

92

100% (C2)

W10731001

100% (C2)

W10173001