Anexa 5 (Anexa 2a la Ordinul CNAS 944/2015)

SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM

Nr crt.

cod ATC

DCI

Denumire Comerciala

forma farm.

concentratie

Detinator APP

tara det.
APP

Ambalaj

MAREA BRITANIE

CUTIE CU 1 BLIST. AL/OPA/PVC X 30 CAPS. GASTROREZ.

MAREA BRITANIE

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

Prescriptie

DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE
PERSONALA DIN HG NR. 720/2008 CU COMPLETARILE SI MODIFICARILE ULTERIOARE
VALABILA INCEPAND CU 01 SEPTEMBRIE 2016

cant.
UT/
Pret de
ambal referinta / UT
aj
(RON)

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

SE ADAUGA
1,143
1,144

A02BC01 OMEPRAZOLUM
A02BC01 OMEPRAZOLUM

OMEPRAZOL MYLAN 20 mg
OMEPRAZOL MYLAN 40 mg

CAPS. GASTROREZ.
CAPS. GASTROREZ.

20mg
40mg

P6L
P6L

30
7

0.263333
0.644285

0.000000
0.000000

0.236999
0.579856

0.026334
0.064429

KRKA D.D.

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

GEDEON RICHTER ROMANIA SA

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

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

P-6L

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

P-6L

CUTIE X 4 BLIST. AL/AL X 7 CAPS. GASTROREZ.

P-6L

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

P-6L

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

P-6L

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

P-6L

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

P-6L

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

P-6L

CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 CAPS. GASTROREZ.

P-6L

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

P-6L

CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR.

P-6L

DAR AL DAWA PHARMA S.R.L.

ROMANIA

CUTIE X 1 FLAC. DE STICLA BRUNA X 28 COMPR. FILM. GASTROREZ.

P-6L

RANBAXY UK LTD.

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ.

P-6L

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ.

P-6L

RANBAXY UK LTD.

P-6L

14
14
20
28
30
30
30
30
30
28
14
20
30
28
7
28
14
14
14
20
30
30
30
30
30
30
28
28
30
28
30
28
30
28
28
30
30

0.531206
0.531206
0.531206
0.531206
0.531206
0.531206
0.531206
0.531206
0.531206
0.531206
0.531206
0.531206
0.531206
0.531206
1.062412
0.531206
0.265603
0.531206
0.531206
0.531206
0.187749
0.466349
0.466349
0.694285
0.694285
0.694285
0.347142
0.121524
0.121524
0.121524
0.121524
0.121524
0.121524
0.121524
0.121524
0.121524
0.121524

0.144508
0.154508
0.132794
0.262365
0.251460
0.247794
0.230460
0.207460
0.209460
0.262365
0.262365
0.316294
0.133460
0.262365
0.129016
0.004151
0.220825
0.441651
0.310936
0.332294
0.038251
0.054984
0.048651
0.530381
0.423715
0.423715
0.167500
0.202761
0.025809
0.082047
0.190142
0.202047
0.202476
0.020618
0.027047
0.026476
0.025809

0.478085
0.478085
0.478085
0.478085
0.478085
0.478085
0.478085
0.478085
0.478085
0.478085
0.478085
0.478085
0.478085
0.478085
0.956170
0.478085
0.239042
0.478085
0.478085
0.478085
0.168974
0.419714
0.419714
0.624856
0.624856
0.624856
0.312427
0.109371
0.109371
0.109371
0.109371
0.109371
0.109371
0.109371
0.109371
0.109371
0.109371

0.197629
0.207629
0.185915
0.315486
0.304581
0.300915
0.283581
0.260581
0.262581
0.315486
0.315486
0.369415
0.186581
0.315486
0.235258
0.057272
0.247386
0.494772
0.364057
0.385415
0.057026
0.101619
0.095286
0.599810
0.493144
0.493144
0.202215
0.214914
0.037962
0.094200
0.202295
0.214200
0.214629
0.032771
0.039200
0.038629
0.037962

GENERICS [UK LTD.

GENERICS [UK LTD.

SE MODIFICA
1
2
3
4
5
6
7
8
10
12
13
14
18
19
20
22
25
26
27
28
62
114
116
446
447
448
454
457
458
459
460
461
462
463
464
465
466

A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC01
A02BC03
A02BC03
A02BC03
A02BC03
B01AA07
C03BA11
C03BA11
C09CA01
C09CA01
C09CA01
C09CA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01

OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
OMEPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
LANSOPRAZOLUM
ACENOCUMAROLUM
INDAPAMIDUM
INDAPAMIDUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
LOSARTANUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM

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

CAPS. GASTROREZ.

OMEPRAZOL TERAPIA 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ARENA 20 mg

CAPS. GASTROREZ.

OMEPRAZOL ROMPHARM 20 mg

CAPS. GASTROREZ.

OMEZ 20mg
OMZATOL 20 mg
OMZATOL 20 mg
OMEPRAZOL ATB 20 mg
OMEPRAZOL LPH 20 mg
OMERAN 20 mg
ORTANOL 40 mg
OMEDAR 20 mg
LEVANT 15 mg
LANZUL
LEVANT 30 mg
LANZAP 30mg
TROMBOSTOP 2 mg
SERDIMID 2,5 mg

CAPS. GASTROREZ.

INDAPAMIDA TERAPIA 2,5mg

LODIAL 100mg
TALOSAN 100 mg
TALOSAN 100 mg
COZAAR 50 mg
SIMVASTATINA ARENA 10 mg

SIMVAHEXAL (R) 10 mg
ZEPLAN (R) 10 mg
SINTENAL 10 mg
VASILIP 10 mg
SIMVASTATIN LPH 10 mg
SIMVASTATINA SUN 10 mg
SIMVACARD 10 mg
SIMVASTATIN AUROBINDO 10 mg

SIMVASTATIN ACTAVIS 10 mg

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

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

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

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

20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
40mg
20mg
15mg
30mg
30mg
30mg
2mg
2,5mg
2,5mg
100 mg
100mg
100mg
50mg
10 mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg

LABORMED PHARMA SA

EUROPHARM SA
SLAVIA PHARM SRL
TERAPIA SA
ARENA GROUP S.A.
ROMPHARM COMPANY SRL
DR. REDDY'S LABORATORIES

NEOLA PHARMA S.R.L.

NEOLA PHARMA S.R.L.

ANTIBIOTICE S.A.
LABORMED PHARMA SA

CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ P-6L

CUTIE CU 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P6L

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

GLAXOSMITHKLINE (GSK) SRL

LEK PHARMACEUTICALS D.D.

MAREA BRITANIE

CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ.

ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L

TERAPIA SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF
SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 15 COMPR. FILM. P6L
TERAPIA SA
ROMANIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 2 BLIST. DIN PVC/AL X 15 COMPR. FILM. P6L
TERAPIA SA
ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L
TERAPIA SA
ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L
MERCK SHARP & DOHME ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L
DR. REDDY'S LABORATORIES

KRKA D.D.

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

LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM.

P-6L

CIPLA (UK) LIMITED MAREA BRITANIE

ZENTIVA K.S.
CEHIA

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

P-6L

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

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

ACTAVIS GROUP PTC EHF.

ISLANDA

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

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

Pagina 1 din 2

P6L
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485
486
487
488
493
494
495
496
497
575
598
918
919
920
921
922
924
925
927
930
932
933
935
938
939
940
941
1,020

cod ATC
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA01
C10AA02
C10AA02
C10AA03
C10AA03
J01CR02
J01CR02
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N03AX12
N06AB05

DCI

SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
SIMVASTATINUM
LOVASTATINUM
LOVASTATINUM
PRAVASTATINUM
PRAVASTATINUM

forma farm.
Denumire Comerciala
SIMVASTATIN TERAPIA 10 mg COMPR. FILM.
SIMVASTATINA ARENA 20 mg COMPR. FILM.
SIMVAHEXAL (R) 20 mg
COMPR. FILM.
ZEPLAN (R) 20 mg
COMPR. FILM.
ZOCOR 20 mg
COMPR. FILM.
SINTENAL 20 mg
COMPR. FILM.
VASILIP 20 mg
COMPR. FILM.
SIMCOR 20 mg
COMPR. FILM.
SIMVASTATIN LPH 20 mg
COMPR. FILM.
SIMVACARD 20 mg
COMPR. FILM.
SIMVASTATIN AUROBINDO 20 mg COMPR. FILM.
SIMVASTATIN TERAPIA 20 mg COMPR. FILM.
SIMVAHEXAL (R) 30 mg
COMPR. FILM.
SIMVASTATINA ARENA 40 mg COMPR. FILM.
VASILIP (R) 40 mg
COMPR. FILM.
ZEPLAN (R) 40 mg
COMPR. FILM.
SINTENAL 40 mg
COMPR. FILM.
SIMVAHEXAL (R) 40 mg
COMPR. FILM.
SIMCOR 40 mg
COMPR. FILM.
SIMVASTATIN LPH 40 mg
COMPR. FILM.
SIMVASTATIN TERAPIA 40 mg COMPR. FILM.

MEDOSTATIN
PRAVATOR 20 mg
PRAVATOR 40 mg

COMPR.
COMPR.

10mg
20 mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
20mg
30mg
40 mg
40mg
40mg
40mg
40mg
40mg
40mg
40mg
20mg
20mg
20mg
40mg

tara det.
APP
Ambalaj
TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.
ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM
MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
KRKA D.D.
SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM.
ANTIBIOTICE SA
ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
Detinator APP

TERAPIA SA
HEXAL AG
ARENA GROUP S.A.
KRKA D.D.

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

P-6L

ROMANIA

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

SLOVENIA CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM

ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM.
AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
HEXAL AG
GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.
LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

GEDEON RICHTER ROMANIA SA

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

TERAPIA SA
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L
MEDOCHEMIE LTD. CIPRU
CUTIE X 1 BLIST. X 10 COMPR.
P-6L
ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L
CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. P-6L
CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR. P-6L

GERMANIA

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

GABAPENTIN ARENA 400 mg

GABARAN 600 mg
GRIMODIN 600 mg
GABARAN 800 mg
SEROXAT 20 mg

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

100mg
100mg
100mg
100mg
100mg
300mg
300mg
300mg
300mg
400mg
400mg
400mg
400mg
600mg
600mg
800mg
20mg

GABAGAMMA 400 mg
GABARAN 400 mg
GRIMODIN 400 mg

P-6L

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

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

GABAPENTIN ARENA 300 mg

P-6L

P6L
P6L

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CONTINND PULB. PENTRU 100 ML SUSPENSIE SI O LINGURITA DOZATOARE DIN POLISTIREN, MARCAT CU GRADATII PT. MASURAREA VOLUMELOR 2,5 ML SI 5,0 ML

GABAGAMMA 300 mg
GABARAN 300 mg
GRIMODIN 300 mg

P-6L

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

MAREA BRITANIE

GABAPENTIN ARENA 100 mg

P-6L

MAREA BRITANIE

600 mg/42,9mg/5ml SMITHKLINE BEECHAM LTD.

GABAPENTINA PFIZER 100 mg

GABAPENTINA PFIZER 100 mg

P-6L

AUROBINDO PHARMA LIMITED

COMPR. ELIB. PREL.

AUGMENTIN (R) ES
GABAGAMMA 100 mg
GRIMODIN 100 mg

P-6L

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

PULB. PT. SUSP. ORALA

AUGMENTIN SR 1000 mg/62,5 mg

P-6L

CEHIA

MAREA BRITANIE

AMOXICILLINUM + ACIDUM CLAVULANICUM

P6L
P-6L

ZENTIVA K.S.

RANBAXY U.K. LIMITED

RANBAXY U.K. LIMITED
1000mg/62,5mg BEECHAM GROUP PLC

AMOXICILLINUM + ACIDUM CLAVULANICUM

GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
GABAPENTINUM
PAROXETINUM*

COMPR.

LOVASTATINA ARENA 20 mg COMPR.

concentratie

Prescriptie

Nr crt.

WORWAG PHARMA GMBH & CO. KG

MAREA BRITANIE
MAREA BRITANIE

CUTIE CU BLIST. AL/PVC-AL-PP X 28 COMPR. ELIB. PREL. P-RF

P-RF

P-6L

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 50 CAPS. P6L
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/AL X 100 CAPS. P6L
ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L

EGIS PHARMACEUTICALS P.L.C.

WORWAG PHARMA GMBH & CO. KG

GERMANIA

RANBAXY UK LTD.

MAREA BRITANIE

WORWAG PHARMA GMBH & CO. KG

GERMANIA

RANBAXY UK LTD.

MAREA BRITANIE

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

P-6L

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L
ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L

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

P-6L

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 CAPS. P-6L

UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L
ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L

EGIS PHARMACEUTICALS P.L.C.

RANBAXY UK LTD.

MAREA BRITANIE

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

P-6L

EGIS PHARMACEUTICALS P.L.C.

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

P-6L

RANBAXY UK LTD.

MAREA BRITANIE

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

P-6L

SMITHKLINE BEECHAM

MAREA BRITANIE

CUTIE CU 3 BLIST. PVC/AL-HARTIE X 10 COMPR. FILM. P-RF

cant.
UT/
Pret de
ambal referinta / UT
aj
(RON)

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 100%
din pretul de
referinta)

Val. maxima suportata de

sistemul de asigurari
sociale de sanatate / UT
(pt. asiguratii care
beneficiaza de
compensare 90% din
pretul de referinta)

Co-plata maxima a
asiguratului / UT
(pt. asiguratii care
beneficiaza de
compensare 90%
din pretul de
referinta)

30
28
30
28
28
30
28
30
30
28
30
30
30
28
28
28
30
30
30
30
30
10
30
28
28
28
1
100
60
50
100
60
100
50
60
60
100
50
60
60
30
60
30
30

0.121524
0.243049
0.243049
0.243049
0.243049
0.243049
0.243049
0.243049
0.243049
0.243049
0.243049
0.243049
0.364574
0.486099
0.486099
0.486099
0.486099
0.486099
0.486099
0.486099
0.486099
0.162033
0.162033
0.243049
0.486099
1.160968
32.157857
0.176964
0.176964
0.176964
0.176964
0.176964
0.530897
0.530897
0.530897
0.530897
0.707865
0.707865
0.707865
0.707865
1.061798
1.061798
1.415731
0.577125

0.183142
0.190165
0.097617
0.190165
0.423379
0.189951
0.190165
0.189951
0.189951
0.002308
0.002951
0.189951
0.118759
0.621043
0.465329
0.064258
0.580234
0.140567
0.620234
0.620234
0.405901
0.362967
0.732633
0.589093
0.829972
0.481889
3.422143
0.017136
0.399536
0.290836
0.275736
0.230369
0.225203
0.815703
0.044603
0.366436
0.485235
0.801135
0.321468
0.413801
1.118202
0.806035
2.189269
0.371541

0.109371
0.218744
0.218744
0.218744
0.218744
0.218744
0.218744
0.218744
0.218744
0.218744
0.218744
0.218744
0.328116
0.437489
0.437489
0.437489
0.437489
0.437489
0.437489
0.437489
0.437489
0.145829
0.145829
0.218744
0.437489
1.044871
28.942071
0.159267
0.159267
0.159267
0.159267
0.159267
0.477807
0.477807
0.477807
0.477807
0.637078
0.637078
0.637078
0.637078
0.955618
0.955618
1.274157
0.519412

0.195295
0.214470
0.121922
0.214470
0.447684
0.214256
0.214470
0.214256
0.214256
0.026613
0.027256
0.214256
0.155217
0.669653
0.513939
0.112868
0.628844
0.189177
0.668844
0.668844
0.454511
0.379171
0.748837
0.613398
0.878582
0.597986
6.637929
0.034833
0.417233
0.308533
0.293433
0.248066
0.278293
0.868793
0.097693
0.419526
0.556022
0.871922
0.392255
0.484588
1.224382
0.912215
2.330843
0.429254

20
30

0.350000
0.066074

0.000000
0.434259

0.315000
0.059466

0.035000
0.440867

SE ELIMINA
63 B01AA07 ACENOCUMAROLUM
C08CA02 FELODIPINUM

306

SINTROM 4 mg
SISTAR 2,5 mg

COMPR.
COMPR. FILM. ELIB. MODIF.

4mg
2,5mg

NOVARTIS PHARMA GMBH GERMANIA

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

P-RF

ROMANIA

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

P-6L

GEDEON RICHTER ROMANIA SA

Pagina 2 din 2

Anexa 6 (Anexa 2b la Ordinul CNAS 944/2015)

SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM

Nr. crt

cod ATC

DCI

Denumire Comerciala

forma farm.

concentratie

Detinator APP

Tara det.
APP

Ambalaj

Prescriptie

DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE PERSONALA
DIN HG NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE, VALABILA INCEPAND CU 01 SEPTEMBRIE 2016

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
ambal referinta / UT
din pretul de
compensare 50% din
compensare 50% din
compensare 90% din
compensare 90% din
aj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

SE ADAUGA
1,104

B01AB05

1,105

B01AB05

1,106

B01AB05

1,107

B01AB05

1,108

C09CA06

1,109

C10AA05

1,110

G04BD08

1,111

G04BD08

1,112

M01AH01

1,113

M01AH01

1,114

M01AH01

1,115

N07CA01

ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
ENOXAPARINUM**#
CANDESARTANUM CILEXETIL
ATORVASTATINUM
SOLIFENACINUM SUCCINATE**#
SOLIFENACINUM SUCCINATE**#
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
BETAHISTINUM

CLEXANE 2000ui anti-Xa/0,2ml

CLEXANE 4000ui anti-Xa/0,4ml
CLEXANE 6000ui anti-Xa/0,6ml
CLEXANE 8000ui anti-Xa/0,8ml
CANDESARTAN ATB 16 mg
ATORVASTATINA MYLAN 10 mg
SOLIFENACIN AUROBINDO 10 mg
SOLIFENACIN AUROBINDO 5 mg
CELEBREX 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
BETASERC 24 mg

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

FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ. PR/PRF

FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ. PR/PRF
6000ui anti-Xa/0,6ml
FRANTA CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. PR/PRF
8000UI anti-Xa/0,8ml LABORATOIRE AVENTIS FRANTA
PR/PRF
16mg
ANTIBIOTICE SA
ROMANIA CUTIE CU 3 BLIST. PVC-PVDC TRANSPARENTA/AL X 10 COMPR. P6L
COMPR. FILM. 10mg
GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 10mg
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P6L
COMPR. FILM. 5mg
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P6L
CAPS.
100mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PVC/AL X 10 CAPS. P-RF
CAPS.
200mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. PVC/AL X 10 CAPS. P-RF
CAPS.
200mg
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PVC/AL X 10 CAPS. P-RF
COMPR. ORODISPERSABILE 24mg
MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. ORODISPERSABILE P6L
2000ui anti-Xa/0,2ml
4000ui anti-Xa/0,4ml

LAB. AVENTIS
LAB. AVENTIS
LAB. AVENTIS

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.

10
10
10
6
30
30
30
30
30
10
30
60

4.995999
9.991999
14.988000
19.778333
0.693333
0.334000
2.893500
1.446750
0.589166
1.178333
1.178333
0.476041

1.431001
1.668001
0.000000
0.000000
0.000000
0.000000
0.321500
1.443250
0.309167
0.967667
0.635000
0.307959

2.497999
4.995999
7.494000
9.889166
0.346666
0.167000
1.446750
0.723375
0.294583
0.589166
0.589166
0.238020

3.929001
6.664001
7.494000
9.889167
0.346667
0.167000
1.768250
2.166625
0.603750
1.556834
1.224167
0.545980

4.496399
8.992799
13.489200
17.800499
0.623999
0.300600
2.604150
1.302075
0.530249
1.060499
1.060499
0.428436

1.930601
2.667201
1.498800
1.977834
0.069334
0.033400
0.610850
1.587925
0.368084
1.085501
0.752834
0.355564

14
30
14
14
10
10
10
10
10
10
10
10
10
10
10
10
10
10
2
2
2
28
28
28
28
28
28
28
1
28
30
28
28
28
28
28
30
28

0.708274
0.708274
1.416549
0.708274
4.995999
9.991999
4.995999
4.995999
6.661331
6.661331
9.991999
9.991999
13.322663
13.322663
28.548567
57.097140
4.995999
6.423427
7.137140
19.983999
25.693713
1.388570
0.347142
0.347142
0.347142
0.347142
0.694285
0.694285
4.165711
0.694285
0.694285
0.694285
0.694285
1.388570
0.347142
1.388570
0.670666
0.694285

0.809583
0.011726
0.714165
0.229583
1.203001
1.459001
1.449001
1.449001
1.835669
1.835669
3.193001
3.193001
2.695337
2.695337
24.262433
55.787860
7.332001
9.430573
29.852860
30.436001
34.081287
0.205358
2.221072
1.232500
0.066072
0.066072
0.500715
0.108572
37.254289
0.089286
0.065715
0.511429
0.089286
0.212144
0.509286
0.193215
0.000000
0.122857

0.354137
0.354137
0.708274
0.354137
2.497999
4.995999
2.497999
2.497999
3.330665
3.330665
4.995999
4.995999
6.661331
6.661331
14.274283
28.548570
2.497999
3.211713
3.568570
9.991999
12.846856
0.694285
0.173571
0.173571
0.173571
0.173571
0.347142
0.347142
2.082855
0.347142
0.347142
0.347142
0.347142
0.694285
0.173571
0.694285
0.335333
0.347142

1.163720
0.365863
1.422440
0.583720
3.701001
6.455001
3.947001
3.947001
5.166335
5.166335
8.189001
8.189001
9.356669
9.356669
38.536717
84.336430
9.830001
12.642287
33.421430
40.428001
46.928144
0.899643
2.394643
1.406071
0.239643
0.239643
0.847858
0.455715
39.337145
0.436429
0.412858
0.858572
0.436429
0.906429
0.682857
0.887500
0.335333
0.470000

0.637446
0.637446
1.274894
0.637446
4.496399
8.992799
4.496399
4.496399
5.995197
5.995197
8.992799
8.992799
11.990396
11.990396
25.693710
51.387426
4.496399
5.781084
6.423426
17.985599
23.124341
1.249713
0.312427
0.312427
0.312427
0.312427
0.624856
0.624856
3.749139
0.624856
0.624856
0.624856
0.624856
1.249713
0.312427
1.249713
0.603599
0.624856

0.880411
0.082554
0.855820
0.300411
1.702601
2.458201
1.948601
1.948601
2.501803
2.501803
4.192201
4.192201
4.027604
4.027604
27.117290
61.497574
7.831601
10.072916
30.566574
32.434401
36.650659
0.344215
2.255787
1.267215
0.100787
0.100787
0.570144
0.178001
37.670861
0.158715
0.135144
0.580858
0.158715
0.351001
0.544001
0.332072
0.067067
0.192286

SE MODIFICA
30
35
36
41
69
70
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90

A02BC05
A02BC05
A02BC05
A02BC05
B01AB04
B01AB04
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB06
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10
B01AB10

240 C09CA03
246 C09CA03
247 C09CA03
248 C09CA03
249 C09CA03
250 C09CA03
251 C09CA03
256 C09CA03
260 C09CA04
266 C09CA04
267 C09CA04
268 C09CA04
276 C09CA04
278 C09CA04
284 C09CA06
287 C09CA06
301 C09CA06

ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
ESOMEPRAZOLUM
DALTEPARINUM**#
DALTEPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
NADROPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
TINZAPARINUM**#
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
VALSARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
IRBESARTANUM
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL
CANDESARTANUM CILEXETIL

NEXIUM 20 mg
PRAGASTROL 20 mg
NEXIUM 40 mg
ESOMEPRAZOL TERAPIA 20mg
FRAGMIN 2500 UI/0,2 ml
FRAGMIN 5000 UI/0,2 ml
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml
FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml
FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml
FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml

INNOHEP 10000 UI ANTI-XA/ml

INNOHEP 20000 UI ANTI-Xa/ml
INNOHEP 10000 UI ANTI-XA/ml
INNOHEP 10000 UI ANTI-XA/ml
INNOHEP 20000 UI ANTI-Xa/ml
INNOHEP 20000 UI ANTI-Xa/ml
INNOHEP 20000 UI ANTI-Xa/ml
DIOVAN 160 mg
DIOVAN 40 mg
AVASSAN 40 mg
VAPRESS 40 mg
VAPRESS 40 mg
DIOVAN 80 mg
AVASSAN 80 mg
DIOVAN 3 mg/ml
IRBESARTAN TERAPIA 150 mg
IRBESARTAN HF 150 mg
APROVEL 150mg
ATOKKEN 150 mg
APROVEL 300mg
ATOKKEN 75 mg
ATACAND 16mg
CANDESARTAN AUROBINDO 16 mg
ATACAND 8mg

COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZ.
COMPR. GASTROREZISTENTE

SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.
SOL. INJ.

20mg
20mg
40mg
20mg
2500ui/0,2ml
5000ui/0,2ml

CUTIE CU 2 BLIST. AL/PVC-AL-POLIAMIDA X 7 COMPR. GASTROREZISTENTE

P6L
P-6L

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE

P-6L
S/P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 10 BLISTERE INDIVIDUALE CONTINND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA

S/P-RF

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

2850 ui AFXa/0,3ml ASPEN PHARMA TRADING LIMITED

IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

3800 ui AFXa/0,4ml

MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

3800 ui AFXa/0,4ml ASPEN PHARMA TRADING LIMITED

IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

5700 ui AFXa/0,6ml

MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

5700 ui AFXa/0,6ml ASPEN PHARMA TRADING LIMITED

IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

7600 ui AFXa/0,8ml

MAREA BRITANIE CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

DANEMARCA

PR/PRF

2850 ui AFXa/0,3ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

7600 ui AFXa/0,8ml ASPEN PHARMA TRADING LIMITED

20000 UI anti-Xa/ml

SOL. INJ. IN SERINGI PREUMPLUTE

10000UI anti-XA/ml

SOL. INJ. IN SERINGI PREUMPLUTE

10000UI anti-XA/ml

SOL. INJ. IN SERINGI PREUMPLUTE

20000UI anti-Xa/ml

SOL. INJ. IN SERINGI PREUMPLUTE

20000UI anti-Xa/ml

SOL. INJ. IN SERINGI PREUMPLUTE

20000UI anti-Xa/ml

COMPR.
COMPR.
COMPR.

ASTRAZENECA AB SUEDIA
TERAPIA S.A.
ROMANIA

P-6L

CUTIE CU 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP X 0,2 ML SOLUTIE INJECTABILA

10000UI anti-XA/ml

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

CUTIE CU 2 BLIST. AL/PVC-AL-POLIAMIDA X 7 COMPR. GASTROREZISTENTE

LUXEMBOURG CUTIE CU BLIST. AL-PVC/AL X 30 (3X10) COMPR. GASTROREZ.

MAREA BRITANIE

SOL. INJ. IN FLACOANE

SOL. ORALA

ALVOGEN IPCO S.A.R.L

PFIZER EUROPE MA EEIG

SOL. INJ. IN FLACOANE

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

ASTRAZENECA AB SUEDIA

160mg
40mg
40mg
40mg
40mg
80mg
80mg
3mg/ml
150mg
150mg
150mg
150mg
300mg
75mg
16mg
16mg
8mg

LEO PHARMA A/S

LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S
LEO PHARMA A/S

DANEMARCA
DANEMARCA
DANEMARCA
DANEMARCA
DANEMARCA
DANEMARCA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT IN AURIU SI CAPSA DE SIGURANTA DIN PP DE CULOARE PORTOCALIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT CU LAC DE CULOARE VERDE SI CAPSA DE SIGURANTA DIN PP DE CULOARE VERDE INCHIS

PR/PRF

CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE

PR/PRF

CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU

PR/PRF

CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ROSU

PR/PRF

CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC GALBEN

PR/PRF

CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU

PR/PRF

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM.

P-6L

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM.

P6L
P6L
P6L
P6L
P6L
P6L

TERAPIA S.A.
ROMANIA
MEDOCHEMIE LTD. CIPRU
MEDOCHEMIE LTD. CIPRU

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

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

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

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM.

TERAPIA S.A.

ROMANIA

NOVARTIS PHARMA GMBH GERMANIA

TERAPIA S.A.

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

CUTIE X 1 FLACON DIN STICLA BRUNA X 160ML SOLUTIE ORALA + 1 TRUSA DE ADMINISTRARE (ADAPTOR PENTRU FLACON + 1 SERINGA DOZATOARE A 5ML + 1 MASURA DOZATOARE A 30ML )

P-6L

ROMANIA
STADA HEMOFARM S.R.L. ROMANIA

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

P-6L

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

P6L

SANOFI CLIR SNC

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

FRANTA

NEOLA PHARMA S.R.L. ROMANIA

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

SANOFI CLIR SNC

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

FRANTA

P6L

NEOLA PHARMA S.R.L. ROMANIA

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

P6L

ASTRAZENECA AB SUEDIA
AUROBINDO PHARMA (MALTA) LIMITED MALTA
ASTRAZENECA AB SUEDIA

CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR.

P-6L

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

CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR.

Pagina 1 din 3

P-6L

cod ATC

304 C09CA06
311 C09CA07
312 C09CA07
314 C09CA07
321 C09CA07
323 C09CA07
385 C10AA04
386 C10AA04
389 C10AA05
391 C10AA05
392 C10AA05
393 C10AA05
394 C10AA05
396 C10AA05
397 C10AA05
401 C10AA05
405 C10AA05
408 C10AA05
409 C10AA05
414 C10AA05
423 C10AA05
438 C10AA07
439 C10AA07
443 C10AA07
445 C10AA07
446 C10AA07
447 C10AA07
450 C10AA07
451 C10AA07
453 C10AA07
460 C10AA07
461 C10AA07
465 C10AA07
476 C10AA07
478 C10AA07
479 C10AA07
481 C10AA07
482 C10AA07
483 C10AA07
484 C10AA07
485 C10AA07
486 C10AA07
488 C10AA07
489 C10AA07
549 G01AA51
702 L02AE04
705 L02AE04
718 M01AH01
725 M01AH01
726 M01AH01
727 M01AH01
728 M01AH01
729 M01AH01
730 M01AH01
731 M01AH01
732 M01AH01
733 M01AH01
734 M01AH05
735 M01AH05
736 M01AH05
737 M01AH05
738 M01AH05
739 M01AH05
740 M01AH05
795 N03AX16

DCI

CANDESARTANUM CILEXETIL
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
TELMISARTANUM
FLUVASTATINUM
FLUVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
ROSUVASTATINUM
COMBINATII
TRIPTORELINUM***#
TRIPTORELINUM***#
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
CELECOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
ETORICOXIBUM
PREGABALINUM**#

Denumire Comerciala

CANDESARTAN AUROBINDO 8 mg
TELMISARTAN RANBAXY 40 mg
TELMISARTAN TORRENT 40 mg
MICARDIS 80 mg
TANYDON 40 mg
TELMOTENS 40mg
LESCOL 20 mg
LESCOL 40 mg
SORTIS 10 mg
ATORIS 10 mg
GLETOR 10 mg
ASCORD 10 mg
TORVAZIN 10 mg
STAVRA 10 mg
ATORVASTATINA TORRENT 10 mg
SORTIS 20 mg
ASCORD 20 mg
STAVRA 20 mg
ATORVASTATINA TORRENT 20 mg
SORTIS 40 mg
ATORVASTATINA TORRENT 40 mg
CRESTOR 10 mg
ROSUCARD 10 mg
ROSTAT 10 mg
ROSUVASTATINA TERAPIA 10 mg
ROSUVASTATINA TERAPIA 10 mg
ROSUVASTATINA AUROBINDO 10 mg
ROZUCOR 10 mg
ROSUVASTATINA ATB 10 mg
CRESTOR 20 mg
ROSUVASTATINA TERAPIA 20 mg
ROSUVASTATINA TERAPIA 20 mg
ROZUCOR 20 mg
ROZUCOR 40 mg
CRESTOR 5 mg
ROXARDIO 5 mg
ROSTAT 5 mg
TINTAROS 5 mg
ROSUVASTATINA TERAPIA 5 mg
ROSUVASTATINA TERAPIA 5 mg
ROSUVASTATINA AUROBINDO 5 mg
ROVASTAMED 5mg
ROZUCOR 5 mg
ROSUVASTATINA ATB 5 mg
POLYGYNAX
DIPHERELINE 0,1 mg
GONAPEPTYL ZILNIC 0,1 mg/ml
CELEBREX 100 mg
CELEBREX 200 mg
CELEBREX 200 mg
ALGOXIB 200 mg
ACLEXA 200 mg
CELECOXIB ACTAVIS 200 mg
CELETOR 200 mg
CALIDEM 200 mg
CALIDEM 200 mg
CELECOXIB TERAPIA 200 mg
ARCOXIA 120 mg
ARCOXIA 120 mg
ARCOXIA 30 mg
ARCOXIA 60 mg
ARCOXIA 60 mg
ARCOXIA 90 mg
ARCOXIA 90 mg
LYRICA 150 mg

forma farm.

COMPR.
COMPR.
COMPR.
COMPR.

concentratie

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

8mg
40mg
40mg
80mg
40mg
40mg
20mg
40mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
40mg
40mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
20mg
20mg
20mg
20mg
40mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg
5mg

CAPS. MOI VAG.

FARA CONCENTRATIE

COMPR. FILM.
COMPR. FILM.

CAPS.
CAPS.

LIOF. + SOLV. PT. SOL. INJ.

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

CAPS.

0,1mg
0,1mg/ml
100mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
200mg
120mg
120mg
30mg
60mg
60mg
90mg
90mg
150mg

Detinator APP

Tara det.
APP

Ambalaj

Prescriptie

Nr. crt

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

RANBAXY (U.K.) LIMITED

MAREA BRITANIE

CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P6L

TORRENT PHARMA S.R.L.

ROMANIA

CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 56 COMPR.

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L

GEDEON RICHTER ROMANIA SA

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L

P6L

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM.

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS.
NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS.
PFIZER EUROPE MA EEIG

P6L

MAREA BRITANIE

P-6L
P-6L

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

KRKA D.D. NOVO MESTO SLOVENIA

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

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

TERAPIA SA

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

EGIS PHARMACEUTICALS P.L.C.

ROMANIA
UNGARIA

P-6L
P-6L

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

ALKALOID-INT D.O.O. SLOVENIA

ROMANIA

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

PFIZER EUROPE MA EEIG

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

TORRENT PHARMA S.R.L.

MAREA BRITANIE

TERAPIA SA

ROMANIA
ALKALOID-INT D.O.O. SLOVENIA
TORRENT PHARMA S.R.L. ROMANIA

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

P6L
P6L

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

P-6L

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

P6L
P6L

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 2 BLIST. X 7 COMPR. FILM. P-6L

TORRENT PHARMA S.R.L.

ROMANIA

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

ASTRAZENECA UK LTD.

MAREA BRITANIE

P6L
CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L

ZENTIVA K.S.

REPUBLICA CEHA

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

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

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

P6L
P6L

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF

GEDEON RICHTER ROMANIA SA

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

TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ANTIBIOTICE S.A.

ROMANIA

ASTRAZENECA UK LTD.

MAREA BRITANIE

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA
TORRENT PHARMA SRL ROMANIA
TORRENT PHARMA SRL ROMANIA

P6L
CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L
CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM.

ASTRAZENECA UK LTD.

MAREA BRITANIE

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

SANDOZ S.R.L.

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

GEDEON RICHTER ROMANIA SA

ROMANIA
ROMANIA

ACTAVIS GROUP PTC EHF.

ISLANDA

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

TERAPIA SA
TERAPIA SA

ROMANIA
ROMANIA

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

MALTA
MEDOCHEMIE LTD. CIPRU

AUROBINDO PHARMA (MALTA) LIMITED

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

CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM.

P6L
P6L
P6L

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

PRF

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

P6L

TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L

ANTIBIOTICE S.A.
LAB. INNOTECH INT.
IPSEN PHARMA
FERRING GMBH

GERMANIA

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PVC/ACLAR/AL X 10 CAPS. P-RF

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 3 BLIST. PVC/ACLAR/AL X 10 CAPS. P-RF

ZENTIVA K.S.

REPUBLICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. PRF

KRKA, D.D., NOVO MESTO SLOVENIA

CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF

ACTAVIS GROUP PTC EHF.

ROMANIA

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

P6L

FRANTA
FRANTA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 6 CAPS. MOI. VAG.

P-RF

CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF

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

S/P-RF

PRF

TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. PRF

EGIS PHARMACEUTICALS P.L.C.
EGIS PHARMACEUTICALS P.L.C.

TERAPIA SA
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME
MERCK SHARP & DOHME

PFIZER LIMITED

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

UNGARIA CUTIE CU BLIST. PVC/AL X 30 CAPS. PRF
ROMANIA CUTIE CU BLIST. PVC/ACLAR-AL X 30 CAPS. PRF
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL, X 14 COMPR. FILM. P-RF
ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 14 COMPR. FILM. P-RF
ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF
MAREA BRITANIE CUTIE X 14 CAPS., (BLIST. PVC/AL) P-RF

Pagina 2 din 3

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
ambal referinta / UT
din pretul de
compensare 50% din
compensare 50% din
compensare 90% din
compensare 90% din
aj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

30
28
56
28
30
30
28
28
30
30
30
30
30
30
30
30
30
30
30
14
30
28
30
30
28
28
30
30
30
28
28
28
30
30
28
28
30
28
28
28
30
28
30
30
12
7
28
30
10
30
30
30
30
30
10
30
30
7
14
28
14
14
14
14
14

0.490000
0.694285
0.694285
1.388570
0.694285
0.694285
0.243049
0.486099
0.364574
0.364574
0.364574
0.364574
0.364574
0.364574
0.221000
0.729149
0.729149
0.729149
0.306000
1.458299
0.606000
0.729149
0.729149
0.729149
0.729149
0.729149
0.729149
0.729149
0.729149
1.458299
1.458299
1.458299
1.143333
1.590666
0.364574
0.364574
0.364574
0.364574
0.364574
0.364574
0.364574
0.364574
0.364574
0.364574
1.860416
12.313285
1.649981
0.589166
1.178333
1.178333
1.178333
1.178333
1.178333
1.178333
1.178333
1.178333
1.178333
2.356666
2.356666
0.589166
1.178333
1.178333
1.767499
1.767499
3.185399

0.000000
0.767500
0.115893
0.065358
0.398048
0.714715
0.349093
0.484615
0.722759
0.001092
0.141759
0.342092
0.284759
0.342092
0.000000
0.637184
0.188517
0.188517
0.000000
0.237415
0.000000
2.597279
0.103851
0.024851
0.512636
0.512636
0.092517
0.036184
0.118184
3.406701
0.326343
0.326343
0.000000
0.000000
2.271497
0.838997
0.407759
0.018997
1.439711
1.439711
0.251759
0.661854
0.032426
0.405759
0.705417
1.368143
20.522876
0.309167
0.967667
0.635000
0.000000
0.000000
0.000000
0.000000
0.215667
0.000000
0.000000
2.201905
2.054762
2.231905
2.018095
2.018095
1.749643
1.749643
1.195315

0.245000
0.347142
0.347142
0.694285
0.347142
0.347142
0.121524
0.243049
0.182287
0.182287
0.182287
0.182287
0.182287
0.182287
0.110500
0.364574
0.364574
0.364574
0.153000
0.729149
0.303000
0.364574
0.364574
0.364574
0.364574
0.364574
0.364574
0.364574
0.364574
0.729149
0.729149
0.729149
0.571666
0.795333
0.182287
0.182287
0.182287
0.182287
0.182287
0.182287
0.182287
0.182287
0.182287
0.182287
0.930208
6.156642
0.824990
0.294583
0.589166
0.589166
0.589166
0.589166
0.589166
0.589166
0.589166
0.589166
0.589166
1.178333
1.178333
0.294583
0.589166
0.589166
0.883749
0.883749
1.592699

0.245000
1.114643
0.463036
0.759643
0.745191
1.061858
0.470618
0.727665
0.905046
0.183379
0.324046
0.524379
0.467046
0.524379
0.110500
1.001759
0.553092
0.553092
0.153000
0.966565
0.303000
2.961854
0.468426
0.389426
0.877211
0.877211
0.457092
0.400759
0.482759
4.135851
1.055493
1.055493
0.571667
0.795333
2.453784
1.021284
0.590046
0.201284
1.621998
1.621998
0.434046
0.844141
0.214713
0.588046
1.635625
7.524786
21.347867
0.603750
1.556834
1.224167
0.589167
0.589167
0.589167
0.589167
0.804834
0.589167
0.589167
3.380238
3.233095
2.526488
2.607262
2.607262
2.633393
2.633393
2.788015

0.441000
0.624856
0.624856
1.249713
0.624856
0.624856
0.218744
0.437489
0.328116
0.328116
0.328116
0.328116
0.328116
0.328116
0.198900
0.656234
0.656234
0.656234
0.275400
1.312469
0.545400
0.656234
0.656234
0.656234
0.656234
0.656234
0.656234
0.656234
0.656234
1.312469
1.312469
1.312469
1.028999
1.431599
0.328116
0.328116
0.328116
0.328116
0.328116
0.328116
0.328116
0.328116
0.328116
0.328116
1.674374
11.081956
1.484982
0.530249
1.060499
1.060499
1.060499
1.060499
1.060499
1.060499
1.060499
1.060499
1.060499
2.120999
2.120999
0.530249
1.060499
1.060499
1.590749
1.590749
2.866859

0.049000
0.836929
0.185322
0.204215
0.467477
0.784144
0.373398
0.533225
0.759217
0.037550
0.178217
0.378550
0.321217
0.378550
0.022100
0.710099
0.261432
0.261432
0.030600
0.383245
0.060600
2.670194
0.176766
0.097766
0.585551
0.585551
0.165432
0.109099
0.191099
3.552531
0.472173
0.472173
0.114334
0.159067
2.307955
0.875455
0.444217
0.055455
1.476169
1.476169
0.288217
0.698312
0.068884
0.442217
0.891459
2.599472
20.687875
0.368084
1.085501
0.752834
0.117834
0.117834
0.117834
0.117834
0.333501
0.117834
0.117834
2.437572
2.290429
2.290822
2.135929
2.135929
1.926393
1.926393
1.513855

cod ATC

796 N03AX16
805 N03AX16
806 N03AX16
918 N07CA01
919 N07CA01
922 N07CA01
924 N07CA01
928 N07CA01
930 N07CA01
931 N07CA01
932 N07CA01
933 N07CA01
934 N07CA01
935 N07CA01
936 N07CA01
937 N07CA01
938 N07CA01
939 N07CA01
940 N07CA01
941 N07CA01
1,086

B01AB05

1,087

B01AB05

1,095

N07CA01

DCI

PREGABALINUM**#
PREGABALINUM**#
PREGABALINUM**#
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
BETAHISTINUM
ENOXAPARINUM**#
ENOXAPARINUM**#
BETAHISTINUM

Denumire Comerciala

LYRICA 150 mg
LYRICA 75 mg
LYRICA 75 mg
VERTIMED 16 mg
BETAHISTINA LPH 16 mg
BETAHISTINA LPH 24 mg
BETAHISTIN MCC 24 mg
BETAHISTIN MCC 24 mg
MARBETA 24 mg
BETASERC 24 mg
BETASERC 24 mg
BETAHISTIN MCC 8 mg
BETAHISTINA LPH 8 mg
BETAHISTIN MCC 8 mg
BETAHISTINA LPH 8 mg
BETAHISTINA DICLORHIDRAT AUROBINDO 8 mg

MARBETA 8 mg
BETASERC 8 mg
ACUVER 8 mg/doza
ACUVER 8 mg/doza
CLEXANE 2000 UI anti-Xa/0,2ml
CLEXANE 4000 UI anti-Xa/0,4ml
VERTIMED 8 mg

forma farm.

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

concentratie

150mg
75mg
75mg
16mg
16mg
24 mg
24mg
24mg
24mg
24mg
24mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg
8mg/doza
8mg/doza

Detinator APP

Tara det.
APP

Ambalaj

Prescriptie

Nr. crt

PFIZER LIMITED
MAREA BRITANIE CUTIE X 56 CAPS., (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 14 CAPS., (BLIST. PVC/AL) P-RF
PFIZER LIMITED
MAREA BRITANIE CUTIE X 56 CAPS., (BLIST. PVC/AL) P-RF
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. P6L
LABORMED PHARMA S.A.

ROMANIA

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

LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR.

P-6L

MAGISTRA C&C SRL ROMANIA

MAGISTRA C&C SRL ROMANIA

CUTIE CU 5 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

P-6L

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

P-6L

P6L
P6L
CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P6L

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

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

BGP PRODUCTS B.V. OLANDA

BGP PRODUCTS B.V. OLANDA
MAGISTRA C&C SRL ROMANIA
LABORMED PHARMA S.A. ROMANIA
MAGISTRA C&C SRL ROMANIA
LABORMED PHARMA S.A. ROMANIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 20 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

BGP PRODUCTS B.V. OLANDA

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

AUSTRIA
AUSTRIA

2000UI anti-Xa/0,2ml

SANOFI ROMANIA S.R.L. ROMANIA

4000UI anti-Xa/0,4ml

SANOFI ROMANIA S.R.L. ROMANIA

8mg

MEDOCHEMIE LTD. CIPRU

P-6L

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

CUTIE CU 10 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR.

P-6L

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CYATHUS EXQUIRERE PHARMAFORSCHUNGS GMBH

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

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

P6L
P6L

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L

CUTIE X 1 FLAC. STICLA BRUNA X 60 ML SOL. ORALA
CUTIE X 1 FLAC. STICLA BRUNA X 120 ML SOL. ORALA

P-6L
P-6L

CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ.

PR/PRF

CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ.

PR/PRF

CUTIE CU BLIST. PVC/PE/PVDC-AL X 100 COMPR.

P6L

Co-plata maxima a
Val. maxima suportata
Val. maxima suportata
asiguratului / UT (pt. de sistemul de asigurari Co-plata maxima a de sistemul de asigurari Co-plata maxima a
asiguratii care
sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
cant.
beneficiaza de
(pt. asiguratii care
asiguratii care
(pt. asiguratii care
asiguratii care
UT/
Pret de
compensare 100%
beneficiaza de
beneficiaza de
beneficiaza de
beneficiaza de
ambal referinta / UT
din pretul de
compensare 50% din
compensare 50% din
compensare 90% din
compensare 90% din
aj
(RON)
referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)
pretul de referinta)

56
14
56
30
30
60
50
60
60
60
20
30
30
100
90
100
100
100
1
1
10
10
100

3.185399
1.592699
1.592699
0.317360
0.317360
0.476041
0.476041
0.476041
0.476041
0.476041
0.476041
0.158680
0.158680
0.158680
0.158680
0.158680
0.158680
0.158680
11.901037
23.802075
4.995999
9.991999
0.158680

0.710851
1.040158
0.821229
0.041640
0.264973
0.000125
0.000159
0.000125
0.000125
0.232959
0.256459
0.031320
0.030986
0.031120
0.031208
0.021020
0.031120
0.115720
17.048963
16.477925
1.431001
1.668001
0.031120

1.592699
0.796349
0.796349
0.158680
0.158680
0.238020
0.238020
0.238020
0.238020
0.238020
0.238020
0.079340
0.079340
0.079340
0.079340
0.079340
0.079340
0.079340
5.950518
11.901037
2.497999
4.995999
0.079340

2.303551
1.836508
1.617579
0.200320
0.423653
0.238146
0.238180
0.238146
0.238146
0.470980
0.494480
0.110660
0.110326
0.110460
0.110548
0.100360
0.110460
0.195060
22.999482
28.378963
3.929001
6.664001
0.110460

2.866859
1.433429
1.433429
0.285624
0.285624
0.428436
0.428436
0.428436
0.428436
0.428436
0.428436
0.142812
0.142812
0.142812
0.142812
0.142812
0.142812
0.142812
10.710933
21.421867
4.496399
8.992799
0.142812

1.029391
1.199428
0.980499
0.073376
0.296709
0.047730
0.047764
0.047730
0.047730
0.280564
0.304064
0.047188
0.046854
0.046988
0.047076
0.036888
0.046988
0.131588
18.239067
18.858133
1.930601
2.667201
0.046988

30
30
30
30

0.277000
0.408666
0.871666
1.090333

0.000000
0.000000
0.000000
0.000000

0.138500
0.204333
0.435833
0.545166

0.138500
0.204333
0.435833
0.545167

0.249300
0.367799
0.784499
0.981299

0.027700
0.040867
0.087167
0.109034

SE ELIMINA
390 C10AA05
402 C10AA05
415 C10AA05
431 C10AA05

ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM
ATORVASTATINUM

TORVACARD 10 mg
TORVACARD 20 mg
TORVACARD 40 mg
TORVACARD 80 mg

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

10mg
20mg
40mg
80mg

ZENTIVA K.S.
ZENTIVA K.S.
ZENTIVA K.S.
ZENTIVA, K.S.

CEHIA
CEHIA
CEHIA

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

REPUBLICA CEHA

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

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

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

Pagina 3 din 3

P6L

Anexa 7
(Anexa 2c la Ordinul CNAS 944/2015)

NR.CRT

DCI

COD ATC

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

SECIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREUL DE REFERIN CONFORM
DCI-urilor UTILIZATE N TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI
DIN H.G. NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE;
MEDICAMENTELE DIN ACEAST SUBLIST SE ELIBEREAZ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZ DE PRESCRIPIE MEDICAL CU REINERE N FARMACIE
VALABIL NCEPND CU 01 SEPTEMBRIE 2016

cant.
UT/
Pret de
ambal referinta / UT
aj
(RON)

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT (pt.
sociale de sanatate / UT
asiguratii care
(pt. asiguratii care
beneficiaza de
beneficiaza de
compensare 100%
compensare 100% din
din pretul de
pretul de referinta)
referinta)

1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1

SE ADAUGA
255 C09CA06

CANDESARTANUM CILEXETIL**

CANDESARTAN ATB 16 mg

COMPR.

16mg

ANTIBIOTICE SA

P6L

30

0.693333

0.693333

0.000000

ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. P-6L

ROMANIA CUTIE CU BLIST. AL/AL X 28 COMPR. P-6L

28
28
30
30
28
30
28
30
30
28
30

0.804799
0.804799
0.804799
0.804799
0.804799
0.804799
0.804799
0.670666
0.804799
0.804799
0.490000

0.804799
0.804799
0.804799
0.804799
0.804799
0.804799
0.804799
0.670666
0.804799
0.804799
0.490000

0.257701
0.194129
0.257201
0.119534
0.776986
0.061201
0.257343
0.000000
0.257201
0.061272
0.000000

20

0.350000

0.350000

0.000000

20

0.350000

0.350000

0.000000

1 424.812000

424.812000

87.778000

ROMANIA

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

SE MODIFICA
224 C09CA06
225 C09CA06
226 C09CA06
228 C09CA06
229 C09CA06
230 C09CA06
231 C09CA06
232 C09CA06
233 C09CA06
234 C09CA06
249 C09CA06

CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**
CANDESARTANUM CILEXETIL**

TANDESAR 16 mg

COMPR.

CANDESARTAN SANDOZ 16 mg COMPR.

KARBIS 16 mg

COMPR.

CANDESARTAN MYLAN 16 mg COMPR.

ATACAND 16mg
CANZENO 16mg

COMPR.
COMPR.
CANDESARTAN LABORMED 16 mg COMPR.
CANDESARTAN AUROBINDO 16 mg COMPR.
CANDESARTAN CILEXETIL MCC 16 mg COMPR.
CANDESARTAN VIM SPECTRUM 16 mg COMPR.
CANDESARTAN AUROBINDO 8 mg COMPR.

16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
16mg
8mg

TERAPIA SA
SANDOZ SRL

KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L

GENERICS (UK) LTD MAREA BRITANIE

ASTRAZENECA AB SUEDIA
ZENTIVA K.S.
REPUBLICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL INTRODUSE INTR-UN PLIC TRIPLU LAMINAT X 30 COMPR.

P6L

CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR.

P-6L

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

ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14COMPR. P6L
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
MAGISTRA C&C S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L
S.C.VIM SPECTRUM S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L
AUROBINDO PHARMA (MALTA) LIMITED MALTA
CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L
LABORMED PHARMA S.A.

SE ELIMINA
2

B01AA07

ACENOCUMAROLUM

SINTROM 4 mg

COMPR.

4mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF

2. BOLNAVI CU PROTEZE VALVULARE SI VASCULARE - G2

SE ELIMINA
2

B01AA07

ACENOCUMAROLUM

SINTROM 4 mg

COMPR.

4mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P-RF

8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10
SE ADAUGA
190 J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. + SOLV. PT. SOL. PERF.

200mg

PFIZER LIMITED

9. EPILEPSIE - G11

Pagina 1 din 4

MAREA BRITANIE

1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON

PRF

COD ATC

DCI

Denumire Comerciala

forma farm.

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

cant.
UT/
Pret de
ambal referinta / UT
aj
(RON)

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT (pt.
sociale de sanatate / UT
asiguratii care
(pt. asiguratii care
beneficiaza de
beneficiaza de
compensare 100%
compensare 100% din
din pretul de
pretul de referinta)
referinta)

SE ADAUGA
176 N03AX16
177 N03AX16
178 N03AX16
179 N03AX16
180 N03AX16
181 N03AX16
182 N03AX16

PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***

PREGAMID 150 mg

CAPS.

PREGABALIN ACCORD 150 mg CAPS.

PREGABALIN ACCORD 150 mg CAPS.
PREGABALIN ACCORD 300 mg CAPS.

PREGAMID 75 mg

CAPS.

PREGABALIN ACCORD 75 mg CAPS.

PREGABALIN ACCORD 75 mg CAPS.

150mg
150mg
150mg
300mg
75mg
75mg
75mg

G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 30 CAPS.

CUTIE CU BLIST. PVC/AL X 56 CPAS.
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 CPAS.
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 CPAS.
G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC/AL X 30 CAPS.
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 CPAS.
ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 56 CPAS.
ACCORD HEALTHCARE LIMITED MAREA BRITANIE

PRF
PRF
PRF
PRF
PRF
PRF
PRF

30
56
14
14
30
14
56

1.598333
1.666964
1.785000
2.669285
0.973666
1.168399
1.001785

1.598333
1.666964
1.785000
2.669285
0.973666
1.168399
1.001785

0.000000
0.000000
0.000000
0.000000
0.000000
0.067315
0.000000

14
56
14
56
56
60
56
14
14
56
60
14
56
14
56
56
60
56
14
56
14
14
56
14
56

1.917999
1.917999
1.917999
1.917999
1.917857
1.917999
3.203142
3.203142
3.203142
3.203142
3.203142
1.168399
1.168399
1.168399
1.168399
1.168392
1.168399
1.917999
1.917999
1.917999
1.917999
1.168399
1.168399
1.168399
1.168399

1.917999
1.917999
1.917999
1.917999
1.917857
1.917999
3.203142
3.203142
3.203142
3.203142
3.203142
1.168399
1.168399
1.168399
1.168399
1.168392
1.168399
1.917999
1.917999
1.917999
1.917999
1.168399
1.168399
1.168399
1.168399

2.462715
1.978251
0.769143
0.501822
0.000000
0.488001
2.528643
2.841858
0.934000
0.522393
0.336191
1.464458
1.245529
0.599458
0.456601
0.000000
0.375434
0.614501
0.929143
0.614501
0.929143
0.600172
0.456779
0.600172
0.456779

100
100
100
100
100
100

1.782500
1.782500
1.782500
1.839500
1.851000
1.839500

1.782500
1.782500
1.782500
1.839500
1.851000
1.839500

0.000000
0.000000
0.000000
0.000000
0.000000
0.000000

SE MODIFICA
147 N03AX16
148 N03AX16
149 N03AX16
150 N03AX16
151 N03AX16
152 N03AX16
153 N03AX16
154 N03AX16
155 N03AX16
156 N03AX16
157 N03AX16
158 N03AX16
159 N03AX16
160 N03AX16
161 N03AX16
162 N03AX16
163 N03AX16
168 N03AX16
169 N03AX16
170 N03AX16
171 N03AX16
172 N03AX16
173 N03AX16
174 N03AX16
175 N03AX16

PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***
PREGABALINUM***

LYRICA 150 mg
LYRICA 150 mg
PREGLENIX 150 mg
PREGLENIX 150 mg
PREGABALIN ZENTIVA 150 mg
PREGABALINA AUROBINDO 150 mg

LYRICA 300 mg
LYRICA 300 mg
PREGLENIX 300 mg
PREGLENIX 300 mg
PREGABALINA AUROBINDO 300 mg

LYRICA 75 mg
LYRICA 75 mg
PREGLENIX 75 mg
PREGLENIX 75 mg
PREGABALIN ZENTIVA 75 mg
PREGABALINA AUROBINDO 75 mg

PREGABALINA TERAPIA 150 mg

PREGABALINA TERAPIA 150 mg
PREGABALINA TERAPIA 150 mg
PREGABALINA TERAPIA 150 mg
PREGABALINA TERAPIA 75 mg
PREGABALINA TERAPIA 75 mg
PREGABALINA TERAPIA 75 mg
PREGABALINA TERAPIA 75 mg

CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.
CAPS.

150mg
150mg
150mg
150mg
150mg
150mg
300mg
300mg
300mg
300mg
300mg
75mg
75mg
75mg
75mg
75mg
75mg
150mg
150mg
150mg
150mg
75mg
75mg
75mg
75mg

PFIZER LIMITED
PFIZER LIMITED

REPUBLICA CEHA

CUTIE X 14 CAPS., (BLIST. PVC/AL) P-RF

CUTIE X 56 CAPS., (BLIST. PVC/AL) P-RF
CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF
CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF
CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF

MALTA

CUTIE CU BLIST. PVC/AL X 60 CAPSULE PRF

MAREA BRITANIE
MAREA BRITANIE

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

ZENTIVA, K.S.
AUROBINDO PHARMA (MALTA) LIMITED

PFIZER LIMITED
PFIZER LIMITED

MAREA BRITANIE
MAREA BRITANIE

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA
AUROBINDO PHARMA (MALTA) LIMITED

PFIZER LIMITED
PFIZER LIMITED

MALTA
MAREA BRITANIE
MAREA BRITANIE

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE X 56 CAPS. (BLIST. PVC/AL) P-RF

CUTIE X 14 CAPS. (BLIST. PVC/AL) P-RF
CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF
CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF
CUTIE CU BLIST. PVC/AL X 60 CAPSULE PRF

CUTIE X 14 CAPS., (BLIST. PVC/AL) P-RF

CUTIE X 56 CAPS., (BLIST. PVC/AL) P-RF
CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF
CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF
CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF

ZENTIVA, K.S.

REPUBLICA CEHA

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC/AL X 60 CAPSULE PRF

TERAPIA S.A.
TERAPIA S.A.
TERAPIA S.A.
TERAPIA S.A.
TERAPIA S.A.
TERAPIA S.A.
TERAPIA S.A.
TERAPIA S.A.

ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA
ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS. PRF

CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF

CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF
CUTIE CU BLIST. OPA-AL-PVC/AL X 14 CAPS. PRF
CUTIE CU BLIST. OPA-AL-PVC/AL X 14 CAPS. PRF
CUTIE CU BLIST. OPA-AL-PVC/AL X 56 CAPS. PRF

CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF

CUTIE CU BLIST. PVC/AL X 56 CAPS. PRF

10. BOALA PARKINSON - G12

SE ADAUGA
95
96
97
98
99

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

CORBILTA 100 mg/25 mg/200 mg COMPR. FILM.

TRIGELAN 100 mg/25 mg/200 mg COMPR. FILM.

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

CORBILTA 125 mg/31,25 mg/200 mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

100 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

100mg/25mg/200mg

ORION CORPORATION FINLANDA

FLAC. DIN HDPE CU SISTEM DE INCHIDERE DIN PP X 100 COMPR. FILM.

PRF

100mg/25mg/200mg

G.L. PHARMA GMBH AUSTRIA

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

PRF

COMPR. FILM.

125mg/31,25mg/200mg

PRF

150mg/37,5mg/200mg

ORION CORPORATION FINLANDA

ORION CORPORATION FINLANDA

FLAC. DIN HDPE CU SISTEM DE INCHIDERE DIN PP X 100 COMPR. FILM.

CORBILTA 150 mg/37,5 mg/200 mg COMPR. FILM.

FLAC. DIN HDPE CU SISTEM DE INCHIDERE DIN PP X 100 COMPR. FILM.

PRF

TRIGELAN 150 mg/37,5 mg/200 mg COMPR. FILM.

150mg/37,5mg/200mg

G.L. PHARMA GMBH AUSTRIA

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

PRF

CORBILTA 200 mg/50 mg/200 mg COMPR. FILM.

200mg/50mg/200mg

ORION CORPORATION FINLANDA

FLAC. DIN HDPE CU SISTEM DE INCHIDERE DIN PP X 100 COMPR. FILM.

PRF

Pagina 2 din 4

DCI

COD ATC

101 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

102 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

103 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

104 N04BA03

COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

105 N04BD02

RASAGILINUM***
RASAGILINUM***

106 N04BD02

Denumire Comerciala

forma farm.

COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
COMPR. FILM.
RASAGILINA GLENMARK 1 mg COMPR.
SAGILIA 1 mg
COMPR.
TRIGELAN 200 mg/50 mg/200 mg
CORBILTA 50 mg/12,5 mg/200 mg
TRIGELAN 50 mg/12,5 mg/200 mg
CORBILTA 75 mg/18,75 mg/200 mg

concentratie

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

200mg/50mg/200mg

G.L. PHARMA GMBH AUSTRIA

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

PRF

50mg/12,5mg/200mg

ORION CORPORATION FINLANDA

FLAC. DIN HDPE CU SISTEM DE INCHIDERE DIN PP X 100 COMPR. FILM.

PRF

50mg/12,5mg/200mg

G.L. PHARMA GMBH AUSTRIA

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

PRF

75mg/18,75mg/200mg

ORION CORPORATION FINLANDA

FLAC. DIN HDPE CU SISTEM DE INCHIDERE DIN PP X 100 COMPR. FILM.

PRF

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

CUTIE CU BLIST.OPA-AL-PVC/AL X 30 COMPR. PRF

MEDOCHEMIE LTD

CUTIE CU BLIST. AL/AL X 30 COMPR. PRF

1mg
1mg

CIPRU

cant.
UT/
Pret de
ambal referinta / UT
aj
(RON)

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT (pt.
sociale de sanatate / UT
asiguratii care
(pt. asiguratii care
beneficiaza de
beneficiaza de
compensare 100%
compensare 100% din
din pretul de
pretul de referinta)
referinta)

100
100
100
100
30
30

1.995000
1.646200
1.646200
1.515120
6.445999
6.445999

1.995000
1.646200
1.646200
1.515120
6.445999
6.445999

0.000000
0.000000
0.000000
0.006780
2.179667
3.153667

100
100
30
30
30
30
30
30

2.207400
2.207400
6.445999
6.445999
6.445999
6.445999
5.371666
6.445999

2.207400
2.207400
6.445999
6.445999
6.445999
6.445999
5.371666
6.445999

0.640300
0.861800
3.153667
2.415334
3.153667
3.153667
0.000000
0.716001

SE MODIFICA
10
13
82
83
84
85
86
87

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 150 mg/37,5 mg/200 mg COMPR. FILM.

150mg/37,5mg/200mg

N04BA03 COMBINATII (LEVODOPUM+CARBIDOPUM+ENTACAPONUM)***

STALEVO 200 mg/50 mg/200 mg COMPR. FILM.

200mg/50mg/200mg

AZILECT 1mg

1mg
1mg
1mg
1mg
1mg
1mg

N04BD02
N04BD02
N04BD02
N04BD02
N04BD02
N04BD02

RASAGILINUM***
RASAGILINUM***
RASAGILINUM***
RASAGILINUM***
RASAGILINUM***
RASAGILINUM***

COMPR.

RASAGILINA RATIOPHARM 1 mg COMPR.

RALAGO 1 mg
COMPR.
RASAGILINA SANDOZ 1 mg COMPR.
RASAGILINA AUROBINDO 1 mg COMPR.
RASAGILINA TORRENT 1 mg COMPR.

ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM.

ORION CORPORATION FINLANDA CUTIE X 1 FLAC. PEID X 100 COMPR. FILM.
TEVA PHARMA GMBH GERMANIA CUTIE X 30 COMPR.(BLIST. AL/AL)

TEVA B.V.

P-RF
P-RF
P-RF

OLANDA CUTIE CU BLIST AL/AL X 30 COMPR. PRF

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

PRF

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. PRF

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

TORRENT PHARMA S.R.L.

ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. PRF

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

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURRI SCHIZOTIPALE I DELIRANTE, TULBURRI AFECTIVE MAJORE, TULBURRI PSIHOTICE ACUTE I BOLI PSIHICE COPII, AUTISM, TULBURRI CU
DEFICIT DE ATENIE/HIPERREACTIVITATE) - G15
SE ADAUGA
322 N05AX12
323 N05AX12

ARIPIPRAZOLUM**
ARIPIPRAZOLUM**

ARIPIPRAZOLE ACCORD 10 mg COMPR.

ARIPIPRAZOLE ACCORD 15 mg COMPR.

10mg
15mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST DIN AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE CU 28X1 COMPR.

PRF

ACCORD HEALTHCARE LIMITED MAREA BRITANIE

CUTIE CU BLIST DIN AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE CU 28X1 COMPR.

PRF

28
28

2.775714
4.163571

2.775714
4.163571

0.000000
0.000000

28
30
28
30
30
28
30
28
28
28
30
28
30
28
30
30
28
30
28
28

3.330856
3.330856
3.330856
3.330856
3.330856
3.330856
3.330856
3.330714
3.330856
3.330856
3.330856
4.996285
4.996285
4.996285
4.996285
4.996285
4.996285
4.996285
4.996071
4.996285

3.330856
3.330856
3.330856
3.330856
3.330856
3.330856
3.330856
3.330714
3.330856
3.330856
3.330856
4.996285
4.996285
4.996285
4.996285
4.996285
4.996285
4.996285
4.996071
4.996285

8.151644
0.492810
4.132715
4.132810
2.180810
4.132715
2.103477
0.000000
1.358072
2.295929
4.132810
6.486215
0.643715
2.467286
2.467381
0.745048
2.467286
2.467381
0.000000
1.910857

SE MODIFICA
181 N05AX12
182 N05AX12
183 N05AX12
184 N05AX12
185 N05AX12
186 N05AX12
187 N05AX12
188 N05AX12
189 N05AX12
190 N05AX12
191 N05AX12
192 N05AX12
193 N05AX12
194 N05AX12
195 N05AX12
196 N05AX12
197 N05AX12
198 N05AX12
199 N05AX12
200 N05AX12

ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**

ABILIFY 10mg
ARYZALERA 10mg
ARIPIPRAZOL GLENMARK 10 mg

ARIPIPRAZOL TEVA 10 mg
ARIPIPRAZOL AUROBINDO 10 mg

ARIPIPRAZOL SANDOZ 10 mg

ARICOGAN 10 mg
ARIPIPRAZOLE ZENTIVA 10 mg

RESTIGULIN 10 mg
EXPLEMED 10 mg
ZYKALOR 10 mg
ABILIFY 15mg
ARYZALERA 15mg
ARIPIPRAZOL GLENMARK 15 mg

ARIPIPRAZOL TEVA 15 mg
ARIPIPRAZOL AUROBINDO 15 mg

ARIPIPRAZOL SANDOZ 15 mg

ZYKALOR 15 mg
ARIPIPRAZOLE ZENTIVA 15 mg

RESTIGULIN 15 mg

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

10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
10mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg
15mg

OTSUKA PHARMACEUTICAL EUROPE LTD.

MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR.

SANDOZ GMBH
AUSTRIA CUTIE CU BLIST. ALU/ALU X 28 COMPR.
G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.
ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR.

EGIS PHARMACEUTICALS PLC

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

MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR.

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA

TEVA PHARMACEUTICALS S.R.L.

GEDEON RICHTER ROMANIA S.A.

Pagina 3 din 4

PRF
PRF
PRF
PRF

ROMANIA

PRF
P-RF

PRF

CUTIE CU 1 BLSIT. OPA-AL-PVC/AL X 28 COMPR. PRF

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

MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR.

SANDOZ GMBH
AUSTRIA CUTIE CU BLIST. ALU/ALU X 28 COMPR.
MEDOCHEMIE LTD. CIPRU
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.
ZENTIVA, K.S.
REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR.

AUROBINDO PHARMA (MALTA) LIMITED

PRF

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. PRF

UNGARIA CUTIE CU 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. PRF

MEDOCHEMIE LTD. CIPRU

OTSUKA PHARMACEUTICAL EUROPE LTD.

PRF

CUTIE CU 1 BLSIT. OPA-AL-PVC/AL X 28 COMPR. PRF

AUROBINDO PHARMA (MALTA) LIMITED

GEDEON RICHTER ROMANIA S.A.

P-RF

PRF
PRF
PRF
PRF
PRF

ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. PRF

DCI

COD ATC

201 N05AX12
204 N05AX12
205 N05AX12
206 N05AX12
207 N05AX12
320 N05AX12
321 N05AX12

ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**
ARIPIPRAZOLUM**

Denumire Comerciala

forma farm.

EXPLEMED 15 mg
ASTORET 10 mg

COMPR. ORODISPERSABILE

ARIPIPRAZOLE ZENTIVA 10 mg

COMPR. ORODISPERSABILE

ASTORET 15 mg

COMPR. ORODISPERSABILE

ARIPIPRAZOLE ZENTIVA 15 mg
ARIPIPRAZOL TORRENT 10 mg
ARIPIPRAZOL TORRENT 15 mg

COMPR.

COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE
COMPR. ORODISPERSABILE

concentratie

15mg
10mg
10mg
15mg
15mg
10mg
15mg

DETINATOR APP

TARA
DET. APP

AMBALAJ

Prescriptie

NR.CRT

cant.
UT/
Pret de
ambal referinta / UT
aj
(RON)

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT (pt.
sociale de sanatate / UT
asiguratii care
(pt. asiguratii care
beneficiaza de
beneficiaza de
compensare 100%
compensare 100% din
din pretul de
pretul de referinta)
referinta)

TORRENT PHARMA SRL ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

PRF

TORRENT PHARMA SRL ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE

PRF

28
28
28
28
28
28
28

GERMANIA CUTIE CU 1 FLAC. PEJD X 2,5 ML PIC. OFT., SOL. P6L

28.980000

28.980000

0.000000

34.776000

34.776000

8.394000

EGIS PHARMACEUTICALS PLC

TERAPIA S.A.
ZENTIVA, K.S.
TERAPIA S.A.
ZENTIVA, K.S.

UNGARIA
ROMANIA

CUTIE CU 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. PRF

CUTIE CU BLIST. DETASABIL (PEEL-OF) DIN PA/AL/PVC-AL X 28 COMPR. ORODISPERSABILE

PRF

REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. ORODISPERSABILE

PRF

ROMANIA

CUTIE CU BLIST. DETASABIL (PEEL-OF) DIN PA/AL/PVC-AL X 28 COMPR. ORODISPERSABILE

PRF

REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. ORODISPERSABILE

PRF

4.996285
3.330856
3.330714
4.996285
4.996071
3.330856
4.996285

4.996285
3.330856
3.330714
4.996285
4.996071
3.330856
4.996285

1.565143
4.132715
0.000000
2.467286
0.000000
3.143786
1.958000

21. GLAUCOM - G 26
SE ADAUGA
31

S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM) ARUCOM 50 micrograme/ml + 5 mg/ml

PIC. OFT., SOL.

50micrograme/ml+5mg/ml

DR. GERHARD MANN CHEM.PHARM.FABRIK GMBH

SE MODIFICA
17

S01ED51 COMBINATII (LATANOPROSTUM+TIMOLOLUM)

XALCOM (R)

SOL. OFT.

50mcg/ml+5mg/ml PFIZER EUROPE MA EEIG

Pagina 4 din 4

MAREA BRITANIE

CUTIE X 1 FLACON X 2,5 ML

P-6L

Anexa 8 (Anexa 2d la Ordinul CNAS 944/2015)

Nr. crt

cod
ATC

DCI

Denumire Comerciala

forma farm.

concentratie

Detinator APP

Tara det.
APP

Ambalaj

Prescriptie

SECIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% DIN PREUL DE REFERIN - CONFORM DCI-URILOR, ALTELE DECT CELE DIN
SUBLISTELE A, B, SUBLISTA C SECIUNEA C1 I SUBLISTA D, CORESPUNZTOARE MEDICAMENTELOR, DE CARE BENEFICIAZ COPIII PN LA 18 ANI, TINERII DE LA 18 LA
26 DE ANI DAC SUNT ELEVI, UCENICI SAU STUDENI, DAC NU REALIZEAZ VENITURI, PRECUM I GRAVIDE I LEHUZE, N TRATAMENTUL AMBULATORIU,
DIN HG NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABIL NCEPND CU 01 SEPTEMBRIE 2016

Val. maxima suportata de Co-plata maxima a

sistemul de asigurari
asiguratului / UT
sociale de sanatate / UT
(pt. asiguratii care
cant.
(pt. asiguratii care
beneficiaza de
UT/
Pret de
beneficiaza de compensare compensare 100%
ambal referinta / UT
100% din pretul de
din pretul de
aj
(RON)
referinta)
referinta)

SE ADAUGA
206 A03DA02
207 A03DA02
208 A11CC05
209 G03AC06

COMBINATII
ALGIFEN SOLUTIE INJECTABILA SOL. INJ.
COMBINATII
ALGIFEN SOLUTIE INJECTABILA SOL. INJ.
COLECALCIFEROLUM
VIGANTOLETTEN 1000
COMPR.
MEDROXYPROGESTERONUM SAYANA 104 mg

SUSP. INJ. IN SERINGA PREUMPLUTA

FARA CONCENTRATIE
FARA CONCENTRATIE

1000UI
104mg

ZENTIVA SA
ZENTIVA SA
MERCK KGAA

GERMANIA

PFIZER EUROPE MA EEIG

MAREA BRITANIE

ROMANIA
ROMANIA

Pagina 1 din 1

CUTIE CU 10 FIOLE DIN STICLA BRUNA, CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI 2 INELE COLORATE PE GTUL FIOLEI (GALBEN SI ALB), A CTE 5 ML SOL. INJ.

CUTIE CU 5 FIOLE DIN STICLA BRUNA, CU INEL DE RUPERE SAU CU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI 2 INELE COLORATE PE GTUL FIOLEI (GALBEN SI ALB), A CTE 5 ML SOL. INJ.

PRF
PRF

CUTIE CU 2 BLIST. AL/PVC X 15 COMPR. P6L

CUTIE CU O SERINGA PREUMPLUTA DE UNICA FOLOSINTA CU AC DE DIMENSIUNEA 26G, 3/8, DIN STICLA INCOLORA, CU CAPAC SI PISTON DIN CAUCIUC BROMOBUTILIC, CARE CONTINE 0,65 ML SUSPENSIE INJECTABILA

PRF

10
5
30
1

2.539000
2.540000
0.286000
81.370000

2.539000
2.540000
0.286000
81.370000

0.000000
0.000000
0.000000
0.000000