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ANEXA 6

(ANEXA 2a la Ordinul CNAS nr. 247/2017)

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

DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE
PERSONALA DIN HG NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILA INCEPAND CU 01 IULIE 2017

Co-plata maxima a Val. maxima suportata de Co-plata maxima a


asiguratului / UT sistemul de asigurari asiguratului / UT

Prescriptie
(pt. asiguratii care sociale de sanatate / UT (pt. asiguratii care
cant. beneficiaza de (pt. asiguratii care beneficiaza de
UT/ Pret de compensare 100% beneficiaza de compensare 90%
tara det. amba referinta / UT din pretul de compensare 90% din din pretul de
Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) pretul de referinta) referinta)

SE MODIFICA

110 C02AC01 CLONIDINUM CLONIDINA SINTOFARM 0,15 mg COMPR. 0,15mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 0.216412 0.023588 0.194770 0.045230
111 C02AC01 CLONIDINUM CLONIDINA ARENA 0,15 mg COMPR. 0,15mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L 50 0.216412 0.039388 0.194770 0.061030
172 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.219749 0.076584 0.197774 0.098559
173 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X, 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 0.219749 0.076751 0.197774 0.098726
174 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.219749 0.026251 0.197774 0.048226
175 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.219749 0.076584 0.197774 0.098559
176 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.219749 0.076584 0.197774 0.098559
177 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.219749 0.076751 0.197774 0.098726
178 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.219749 0.022584 0.197774 0.044559
179 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 0.219749 0.070751 0.197774 0.092726
180 C07AB02 METOPROLOLUM METOPROLOL AL 100 COMPR. 100mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 0.219749 0.076584 0.197774 0.098559
181 C07AB02 METOPROLOLUM METOPROLOL ZENTIVA 100 mg COMPR. 100mg ZENTIVA S.A. ROMANIA CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPRIMATE P6L 30 0.219749 0.076584 0.197774 0.098559
182 C07AB02 METOPROLOLUM EGILOK 25 mg COMPR. 25mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 0.054937 0.043563 0.049443 0.049057
183 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 0.054937 0.043563 0.049443 0.049057
184 C07AB02 METOPROLOLUM METOPROLOL 25 mg COMPR. 25mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.054937 0.043729 0.049443 0.049223
185 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.054937 0.043729 0.049443 0.049223
186 C07AB02 METOPROLOLUM METOPROLOL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 20 COMPR. P-6L 60 0.054937 0.043396 0.049443 0.048890
187 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.109874 0.072459 0.098886 0.083447
188 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 0.109874 0.072626 0.098886 0.083614
189 C07AB02 METOPROLOLUM METOPROLOL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.109874 0.054459 0.098886 0.065447
190 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.109874 0.072459 0.098886 0.083447
191 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.109874 0.134126 0.098886 0.145114
192 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.109874 0.062626 0.098886 0.073614
193 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.109874 0.072459 0.098886 0.083447
194 C07AB02 METOPROLOLUM METOPROLOL 50 mg COMPR. 50mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR.
P-6L 20 0.109874 0.072626 0.098886 0.083614
195 C07AB02 METOPROLOLUM METOPROLOL AL 50 COMPR. 50mg ALIUD PHARMA GMBH GERMANIA CUTIE X 3 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 30 0.109874 0.041792 0.098886 0.052780
196 C07AB02 METOPROLOLUM METOPROLOL ZENTIVA 50 mg COMPR. 50mg ZENTIVA S.A. ROMANIA CUTIE CU 3 BLIST. DIN PVC/AL X 10 COMPRIMATE P6L 30 0.109874 0.072459 0.098886 0.083447
197 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR. ELIB. MODIF. 190mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L 30 0.417524 0.086476 0.375771 0.128229
198 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR. ELIB. MODIF. 47,5mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L 30 0.104381 0.111285 0.093942 0.121724
199 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR. ELIB. MODIF. 95mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L 30 0.208762 0.149571 0.187885 0.170448
200 C07AB02 METOPROLOLUM METOPROLOL RETARD 100 mg COMPR. ELIB. PREL. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 10 COMPR. CU ELIB. PREL. P-6L 20 0.219749 0.076751 0.197774 0.098726
201 C07AB02 METOPROLOLUM METOPROLOL TARTRAT AUROBINDO 100 mg COMPR. FILM. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.219749 0.076584 0.197774 0.098559
202 C07AB02 METOPROLOLUM METOPROLOL TARTRAT AUROBINDO 50 mg COMPR. FILM. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.109874 0.071459 0.098886 0.082447
203 C07AB02 METOPROLOLUM BETALOC (R) ZOK 100 mg COMPR. FILM. ELIB. PREL. 100mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 0.219749 0.236251 0.197774 0.258226
204 C07AB02 METOPROLOLUM BETALOC (R) ZOK 50 mg COMPR. FILM. ELIB. PREL. 50mg ASTRAZENECA AB SUEDIA CUTIE X 1 FLAC. X 30 COMPR. FILM. ELIB. PREL. P-6L 30 0.109874 0.270126 0.098886 0.281114
205 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 190 mg COMPR.FILM.ELIB.MOD. 190mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 0.417524 0.086476 0.375771 0.128229
206 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 0.104381 0.111285 0.093942 0.121724
207 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 0.208762 0.149571 0.187885 0.170448
214 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 0.329625 0.026446 0.296662 0.059409
216 C07AB07 BISOPROLOLUM BISOPROLOL LPH 5mg COMPR. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 0.164812 0.087854 0.148330 0.104336
218 C07AB07 BISOPROLOLUM BOREZ 10 mg COMPR. FILM. 10 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L 30 0.329625 0.033375 0.296662 0.066338
219 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 0.329625 0.553375 0.296662 0.586338
220 C07AB07 BISOPROLOLUM BISOGAMMA (R) 10 COMPR. FILM. 10mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-6L/S 100 0.329625 0.171575 0.296662 0.204538

Pagina 1 din 9
Co-plata maxima a Val. maxima suportata de Co-plata maxima a
asiguratului / UT sistemul de asigurari asiguratului / UT

Prescriptie
(pt. asiguratii care sociale de sanatate / UT (pt. asiguratii care
cant. beneficiaza de (pt. asiguratii care beneficiaza de
UT/ Pret de compensare 100% beneficiaza de compensare 90%
tara det. amba referinta / UT din pretul de compensare 90% din din pretul de
Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) pretul de referinta) referinta)
221 C07AB07 BISOPROLOLUM BISOTENS 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0.329625 0.017041 0.296662 0.050004
222 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.329625 0.755708 0.296662 0.788671
223 C07AB07 BISOPROLOLUM SOBYC 10 mg COMPR. FILM. 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 0.329625 0.017708 0.296662 0.050671
224 C07AB07 BISOPROLOLUM BOREZ 2,5 mg COMPR. FILM. 2,5 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 3 BLIST. PERFORATE PVC-TE-PVDC/AL X 10 COMPR. FILM. P6L 30 0.082406 0.160927 0.074165 0.169168
225 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.082406 0.291927 0.074165 0.300168
226 C07AB07 BISOPROLOLUM SOBYC 2,5 mg COMPR. FILM. 2,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 0.082406 0.126594 0.074165 0.134835
227 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 0.164812 0.350188 0.148330 0.366670
229 C07AB07 BISOPROLOLUM BISOTENS 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0.164812 0.041521 0.148330 0.058003
230 C07AB07 BISOPROLOLUM BISOPROLOL FUMARAT AUROBINDO 5 mg COMPR. FILM. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM. P6L 30 0.164812 0.040521 0.148330 0.057003
231 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.164812 0.224521 0.148330 0.241003
232 C07AB07 BISOPROLOLUM SOBYC 5 mg COMPR. FILM. 5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 0.164812 0.041521 0.148330 0.058003
441 C09CA01 LOSARTANUM LODIAL 100mg COMPR. FILM. 100 mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU 2 BLIST. DIN PVC/AL X 15 COMPR. FILM. P6L 30 0.694285 0.530381 0.624856 0.599810
442 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 0.694285 0.423715 0.624856 0.493144
443 C09CA01 LOSARTANUM TALOSAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 0.694285 0.423715 0.624856 0.493144
449 C09CA01 LOSARTANUM COZAAR 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 0.347142 0.167500 0.312427 0.202215
660 J01FA01 ERYTHROMYCINUM ERITROMICINA SANDOZ 200 mg COMPRIMATE COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.373435 0.048565 0.336091 0.085909
661 J01FA01 ERYTHROMYCINUM ERITROMICINA ATB 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0.373435 0.124065 0.336091 0.161409
662 J01FA09 CLARITHROMYCINUM CLAXIRIT 500 mg COMPR. CU ELIB. PREL. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL. PRF 7 1.867178 0.567107 1.680460 0.753825
663 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.867178 1.880822 1.680460 2.067540
664 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0.933589 0.238553 0.840230 0.331912
665 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 0.933589 0.153553 0.840230 0.246912
666 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0.933589 0.302125 0.840230 0.395484
669 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0.933589 1.013553 0.840230 1.106912
670 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.867178 0.044250 1.680460 0.230968
671 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 1.867178 0.172107 1.680460 0.358825
672 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.867178 0.054250 1.680460 0.240968
674 J01FA09 CLARITHROMYCINUM CLAR 500 COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM. P-RF
REPUBLICA CEHA 20 1.867178 0.488822 1.680460 0.675540
675 J01FA09 CLARITHROMYCINUM LEKOKLAR 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 1.867178 0.044250 1.680460 0.230968
677 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 1.867178 0.567107 1.680460 0.753825
830 M01AC06 MELOXICAMUM MELOXICAM 15 mg SUPOZ. 15mg MAGISTRA C & C ROMANIA CUTII X 2 FOLII TERMOSUDATE PVC/PE X 3 SUPOZ. P-6L 6 0.958166 0.678500 0.862349 0.774317
1,040 N06AX16 VENLAFAXINUM ** EFECTIN EP 150 mg CAPS. ELIB. PREL. 150 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 0.783714 1.229143 0.705342 1.307515
1,041 N06AX16 VENLAFAXINUM ** ELIFY EP 150 mg CAPS. ELIB. PREL. 150 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST PVC/AL X 30 CAPS.CU ELIB. PREL. PRF 30 0.783714 0.214619 0.705342 0.292991
1,042 N06AX16 VENLAFAXINUM ** IVRYX 150mg CAPS. ELIB. PREL. 150 mg NEOLA PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PCV-ACLAR/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 0.783714 0.077000 0.705342 0.155372
1,043 N06AX16 VENLAFAXINUM ** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 0.783714 0.524857 0.705342 0.603229
1,045 N06AX16 VENLAFAXINUM ** VENLAFAXINA ACTAVIS 150 mg CAPS. ELIB. PREL. 150mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 0.783714 0.072714 0.705342 0.151086
1,046 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL. 150mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 0.783714 0.524952 0.705342 0.603324
1,050 N06AX16 VENLAFAXINUM ** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 0.195928 0.400405 0.176335 0.419998
1,051 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 0.195928 0.635738 0.176335 0.655331
1,052 N06AX16 VENLAFAXINUM ** EFECTIN EP 75 mg CAPS. ELIB. PREL. 75 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 0.391857 0.926357 0.352671 0.965543
1,053 N06AX16 VENLAFAXINUM ** ELIFY EP 75 mg CAPS. ELIB. PREL. 75 mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. PRF 30 0.391857 0.357476 0.352671 0.396662
1,055 N06AX16 VENLAFAXINUM ** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF 28 0.391857 0.493143 0.352671 0.532329
1,057 N06AX16 VENLAFAXINUM ** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 0.391857 0.270809 0.352671 0.309995
1,058 N06AX16 VENLAFAXINUM ** VENLAFAXINA ACTAVIS 75 mg CAPS. ELIB. PREL. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 28 CAPS. CU ELIB. PREL. P-RF 28 0.391857 0.264571 0.352671 0.303757
1,059 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 0.391857 0.487476 0.352671 0.526662
1,062 N06AX16 VENLAFAXINUM ** VENLAFAXINA AUROBINDO 75 mg CAPS. ELIB. PREL. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0.391857 0.000143 0.352671 0.039329
1,063 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA 37,5 mg COMPR. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 0.195928 0.635738 0.176335 0.655331
1,064 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 0.261238 0.586095 0.235114 0.612219
1,065 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA 75 mg COMPR. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 0.391857 0.487476 0.352671 0.526662
1,125 C07AB07 BISOPROLOLUM BISOPROLOL FUMARAT AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-PVC-AL/HARTIE-PE-AL X 30 COMPR. FILM. P6L 30 0.329625 0.030041 0.296662 0.063004

SE ELIMINA

34 A03AD01 PAPAVERINI HYDROCHLORIDUM PAPAVERINE SOPHARMA 20 mg/ml SOL INJ. 20mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 10 FIOLE X 1 ML SOL. INJ. PRF 10 1.772000 0.000000 1.594800 0.177200
131 C03BA11INDAPAMIDUM INDAPAMIDA ACTAVIS 1,5 mg COMPR. FILM. ELIB. PREL. 1,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. CU ELIB. PRELUNGITA P-6L 30 0.268666 0.000000 0.241799 0.026867

Pagina 2 din 9
Co-plata maxima a Val. maxima suportata de Co-plata maxima a
asiguratului / UT sistemul de asigurari asiguratului / UT

Prescriptie
(pt. asiguratii care sociale de sanatate / UT (pt. asiguratii care
cant. beneficiaza de (pt. asiguratii care beneficiaza de
UT/ Pret de compensare 100% beneficiaza de compensare 90%
tara det. amba referinta / UT din pretul de compensare 90% din din pretul de
Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) pretul de referinta) referinta)
228 C07AB07 BISOPROLOLUM BISOGAMMA (R) 5 COMPR. FILM. 5mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. X 25 COMPR. FILM. P-6L 100 0.163518 0.005382 0.147166 0.021734
873 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 0.263832 0.134168 0.237448 0.160552
874 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE PRF 10 0.263832 0.134168 0.237448 0.160552
1,047 N06AX16 VENLAFAXINUM ** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 0.838321 0.470345 0.754488 0.554178
1,048 N06AX16 VENLAFAXINUM ** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0.838321 0.470345 0.754488 0.554178
1,060 N06AX16 VENLAFAXINUM ** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 0.419160 0.466173 0.377244 0.508089
1,061 N06AX16 VENLAFAXINUM ** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0.419160 0.466173 0.377244 0.508089

Pagina 3 din 9
ANEXA 7
(ANEXA 2b la Ordinul CNAS nr. 247/2017)

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 IULIE 2017

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

Prescriptie
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
Tara det. amba referinta / UT din pretul de compensare 50% din compensare 50% din compensare 90% din compensare 90% din
Nr. crt cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) pretul de referinta) pretul de referinta) pretul de referinta) pretul de referinta)

SE ADAUGA

1,103 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA EP 75 mg/650 mg COMPR. ELIB. PREL. 75mg/650mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. ALBE PVC-PVDC-HARTIE/AL X 20 COMPR. ELIB. PREL. PRF 20 0.545332 0.338168 0.272666 0.610834 0.490798 0.392702
1,104 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA EP 75 mg/650 mg COMPR. ELIB. PREL. 75mg/650mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. ALBE PVC-PVDC-HARTIE/AL X 30 COMPR. ELIB. PREL. PRF 30 0.545332 0.338668 0.272666 0.611334 0.490798 0.393202

SE MODIFICA

124 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 mg COMPR. FILM. 0,2mg ABBOTT LABORATORIES GMBH GERMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.865649 0.213993 0.432824 0.646818 0.779084 0.300558
125 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 mg COMPR. FILM. 0,2mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.865649 0.213993 0.432824 0.646818 0.779084 0.300558
231 C09CA03 VALSARTANUM DIOVAN 160 mg COMPR. FILM. 160mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 1.388570 0.205358 0.694285 0.899643 1.249713 0.344215
237 C09CA03 VALSARTANUM DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28COMPR. FILM. P6L 28 0.347142 2.221072 0.173571 2.394643 0.312427 2.255787
238 C09CA03 VALSARTANUM AVASSAN 40 mg COMPR. FILM. 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.347142 1.232500 0.173571 1.406071 0.312427 1.267215
239 C09CA03 VALSARTANUM VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 0.347142 0.066072 0.173571 0.239643 0.312427 0.100787
240 C09CA03 VALSARTANUM VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 0.347142 0.066072 0.173571 0.239643 0.312427 0.100787
241 C09CA03 VALSARTANUM DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X28COMPR. FILM. P6L 28 0.694285 0.500715 0.347142 0.847858 0.624856 0.570144
246 C09CA03 VALSARTANUM DIOVAN 3 mg/ml SOL. ORALA 3mg/ml NOVARTIS PHARMA GMBH GERMANIA 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 1 4.165711 37.254289 2.082855 39.337145 3.749139 37.670861
250 C09CA04 IRBESARTANUM IRBESARTAN TERAPIA 150 mg COMPR. FILM. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL, X 28 COMPR. FILM. P-6L 28 0.694285 0.089286 0.347142 0.436429 0.624856 0.158715
256 C09CA04 IRBESARTANUM IRBESARTAN HF 150 mg COMPR. FILM. 150mg STADA HEMOFARM S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.694285 0.065715 0.347142 0.412858 0.624856 0.135144
257 C09CA04 IRBESARTANUM APROVEL 150mg COMPR. FILM. 150mg SANOFI CLIR SNC FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 0.694285 0.511429 0.347142 0.858572 0.624856 0.580858
258 C09CA04 IRBESARTANUM ATOKKEN 150 mg COMPR. FILM. 150mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 0.694285 0.089286 0.347142 0.436429 0.624856 0.158715
268 C09CA04 IRBESARTANUM APROVEL 300mg COMPR. FILM. 300mg SANOFI CLIR SNC FRANTA CUTIE X BLIST PVC/PVDC/AL X 28 COMPR. FILM. P-6L 28 1.388570 0.212144 0.694285 0.906429 1.249713 0.351001
270 C09CA04 IRBESARTANUM ATOKKEN 75 mg COMPR. FILM. 75mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 0.347142 0.509286 0.173571 0.682857 0.312427 0.544001
275 C09CA06 CANDESARTANUM CILEXETIL ATACAND 16mg COMPR. 16mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR. P-6L 28 1.388570 0.193215 0.694285 0.887500 1.249713 0.332072
292 C09CA06 CANDESARTANUM CILEXETIL ATACAND 8mg COMPR. 8mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. PVC/PVDC/AL CE CONTINE 28 COMPR. P-6L 28 0.694285 0.122857 0.347142 0.470000 0.624856 0.192286
303 C09CA07 TELMISARTANUM TELMISARTAN RANBAXY 40 mg COMPR. 40mg RANBAXY (U.K.) LIMITED MAREA BRITANIE CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. P6L 28 0.694285 0.767500 0.347142 1.114643 0.624856 0.836929
304 C09CA07 TELMISARTANUM TELMISARTAN TORRENT 40 mg COMPR. 40mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL/AL (OPA-AL-PVC/AL) X 56 COMPR. P6L 56 0.694285 0.115893 0.347142 0.463036 0.624856 0.185322
306 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 1.388570 0.065358 0.694285 0.759643 1.249713 0.204215
313 C09CA07 TELMISARTANUM TANYDON 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 0.694285 0.398048 0.347142 0.745191 0.624856 0.467477
315 C09CA07 TELMISARTANUM TELMOTENS 40mg COMPR. FILM. 40mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 3 BLIST. NYLON-AL-PVC/AL X 10 COMPR. FILM. P6L 30 0.694285 0.714715 0.347142 1.061858 0.624856 0.784144
493 D01BA02 TERBINAFINUM LAMISIL (R) COMPR. 250mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 BLIST. X 14 COMPR. P-RF 14 1.185357 1.252500 0.592678 1.845179 1.066821 1.371036
497 D01BA02 TERBINAFINUM TERBINAFINA SLAVIA 250mg COMPR. 250mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 COMPR. P-RF 14 1.185357 0.163928 0.592678 0.756607 1.066821 0.282464
498 D01BA02 TERBINAFINUM TERBISIL 250 mg COMPR. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. P-RF 28 1.185357 0.399643 0.592678 0.992322 1.066821 0.518179
646 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 1,5 Mil. UI COMPR. FILM. 1,5 M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 0.622390 0.016360 0.311195 0.327555 0.560151 0.078599
647 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 10 1.244784 1.368216 0.622392 1.990608 1.120305 1.492695
648 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. LABORATOIRES AVENTIS FRANTA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF 10 1.244784 1.368216 0.622392 1.990608 1.120305 1.492695
649 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 3.111962 0.179704 1.555981 1.735685 2.800765 0.490901
650 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLIJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 3.111962 1.954704 1.555981 3.510685 2.800765 2.265901
651 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 1.555979 2.590687 0.777989 3.368677 1.400381 2.746285
652 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 3.111962 0.179704 1.555981 1.735685 2.800765 0.490901
653 J01FA10 AZITHROMYCINUM AZIBIOT 250 mg COMPR. FILM. 250mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR.FILM. PRF 6 3.111962 0.179704 1.555981 1.735685 2.800765 0.490901
654 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 6.223925 2.359408 3.111962 5.471371 5.601532 2.981801
750 M05BA04 ACIDUM ALENDRONICUM * FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 6.518250 7.101750 3.259125 10.360875 5.866425 7.753575
752 M05BA04 ACIDUM ALENDRONICUM * ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 6.518250 1.617583 3.259125 4.876708 5.866425 2.269408
753 M05BA04 ACIDUM ALENDRONICUM * ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 6.518250 2.331750 3.259125 5.590875 5.866425 2.983575
754 M05BA04 ACIDUM ALENDRONICUM * ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 6.518250 2.049250 3.259125 5.308375 5.866425 2.701075
755 M05BA07 ACIDUM RISEDRONICUM * LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 6.518250 0.704250 3.259125 3.963375 5.866425 1.356075
756 M05BA07 ACIDUM RISEDRONICUM * OSODENS 35 mg COMPR. FILM. 35mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 6.518250 0.704250 3.259125 3.963375 5.866425 1.356075
759 M05BA07 ACIDUM RISEDRONICUM * ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 6.518250 4.231750 3.259125 7.490875 5.866425 4.883575
760 M05BA07 ACIDUM RISEDRONICUM * ACTONEL 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 13.967678 19.227322 6.983839 26.211161 12.570910 20.624090
761 M05BA07 ACIDUM RISEDRONICUM * RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 13.967678 7.237322 6.983839 14.221161 12.570910 8.634090
762 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.) P-6L 4 6.518250 11.971750 3.259125 15.230875 5.866425 12.623575
763 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.) P-6L 2 6.518250 11.156750 3.259125 14.415875 5.866425 11.808575
764 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR P6L 4 6.518250 0.784250 3.259125 4.043375 5.866425 1.436075
786 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) TRAUMOBOL 37,5mg/325mg CAPS. 37,5mg/325mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 2 BLISTERE PVC/PE/PVDC/AL X 15 CAPSULE PRF 30 0.272666 0.241000 0.136333 0.377333 0.245399 0.268267
787 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) TRAUMOBOL 37,5mg/325mg CAPS. 37,5mg/325mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU 1 BLIST. DIN PVC/PE/PVDC/AL A 15 CAPS. PRF 15 0.272666 0.253334 0.136333 0.389667 0.245399 0.280601
788 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA EP 75 mg/650 mg COMPR. ELIB. PREL. 75mg/650mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. ELIB. PREL. PRF 20 0.545332 0.338168 0.272666 0.610834 0.490798 0.392702
789 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA EP 75 mg/650 mg COMPR. ELIB. PREL. 75mg/650mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. PRF 30 0.545332 0.338668 0.272666 0.611334 0.490798 0.393202

Pagina 4 din 9
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

Prescriptie
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
Tara det. amba referinta / UT din pretul de compensare 50% din compensare 50% din compensare 90% din compensare 90% din
Nr. crt cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) pretul de referinta) pretul de referinta) pretul de referinta) pretul de referinta)
790 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) ZALDIAR COMPR. FILM. 37,5mg+325mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST.DIN HÂRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM. P-RF 10 0.272666 0.534334 0.136333 0.670667 0.245399 0.561601
791 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) ZALDIAR COMPR. FILM. 37,5mg+325mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 2 BLIST.DIN HÂRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM. P-RF 20 0.272666 0.533834 0.136333 0.670167 0.245399 0.561101
792 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) ZALDIAR COMPR. FILM. 37,5mg+325mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 3 BLIST.DIN HÂRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM. P-RF 30 0.272666 0.517334 0.136333 0.653667 0.245399 0.544601
793 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) ZALDIAR COMPR. FILM. 37,5mg+325mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 5 BLIST.DIN HÂRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM. P-RF 50 0.272666 0.387534 0.136333 0.523867 0.245399 0.414801
794 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 37,5mg/325mg COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 0.272666 0.000334 0.136333 0.136667 0.245399 0.027601
796 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 37,5mg/325mg COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 0.272666 0.000000 0.136333 0.136333 0.245399 0.027267
800 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 75 mg/650 mg COMPR. FILM. 75 mg/650 mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMP.FILM. PRF 20 0.545332 0.000168 0.272666 0.272834 0.490798 0.054702
801 N02AX52 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 75 mg/650 mg COMPR. FILM. 75 mg/650 mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMP. FILM. PRF 30 0.545332 0.000001 0.272666 0.272667 0.490798 0.054535

SE ELIMINA

123 C02AC05 MOXONIDINUM MOXONIDINA MYLAN 0,2 mg COMPR. FILM. 0,2mg GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.383571 0.000000 0.191785 0.191786 0.345213 0.038358
127 C02AC05 MOXONIDINUM MOXONIDINA MYLAN 0,3 mg COMPR. FILM. 0,3mg GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.575000 0.000000 0.287500 0.287500 0.517500 0.057500
129 C02AC05 MOXONIDINUM MOXONIDINA MYLAN 0,4 mg COMPR. FILM. 0,4mg GENERICS (UK) LTD MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.928928 0.000000 0.464464 0.464464 0.836035 0.092893
251 C09CA04 IRBESARTANUM IRBESARTAN SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 0.616785 0.000000 0.308392 0.308393 0.555106 0.061679
264 C09CA04 IRBESARTANUM IRBESARTAN SANDOZ 300 mg COMPR. FILM. 300mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 0.802500 0.000000 0.401250 0.401250 0.722250 0.080250
494 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 3 BLIST. AL/PVDC-PVC X 10 COMPR. P-RF 30 1.267321 0.317345 0.633660 0.951006 1.140588 0.444078
495 D01BA02 TERBINAFINUM TERBINARAN COMPR. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 BLIST. AL/PVDC-PVC X 7 COMPR. P-RF 28 1.267321 0.317679 0.633660 0.951340 1.140588 0.444412
562 G03CA09 PROMESTRIENUM * COLPOTROPHINE 10 mg CAPS. VAG. 10mg LABORATOIRE THERAMEX MONACO CUTIE CU 1 BLIST. AL/PVC X 10 CAPS. VAG. PRF 10 0.967250 0.023750 0.483625 0.507375 0.870525 0.120475
563 G03CA09 PROMESTRIENUM * COLPOTROPHINE 10mg/g CREMA VAG. 10mg/g LABORATOIRE THERAMEX MONACO CUTIE CU 1 TUB DIN AL X 15 G CREMA VAGINALA PRF 1 14.390000 0.000000 7.195000 7.195000 12.951000 1.439000
662 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 7.532356 7.894310 3.766178 11.660488 6.779120 8.647546

Pagina 5 din 9
ANEXA 8
(ANEXA 2c la Ordinul CNAS nr. 247/2017)
SECŢIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREŢUL DE REFERINŢĂ CONFORM
DCI-urilor UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI
DIN H.G. NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE;
MEDICAMENTELE DIN ACEASTĂ SUBLISTĂ SE ELIBEREAZĂ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZĂ DE PRESCRIPŢIE MEDICALĂ CU REŢINERE ÎN FARMACIE
VALABILĂ ÎNCEPÂND CU 01 IULIE 2017

Val. maxima suportata de Co-plata maxima a


sistemul de asigurari asiguratului / UT

Prescriptie
sociale de sanatate / UT (pt. asiguratii care
cant. (pt. asiguratii care beneficiaza de
UT/ Pret de beneficiaza de compensare 100%
TARA amba referinta / UT compensare 100% din din pretul de
NR.CRT COD ATC DCI Denumire Comerciala forma farm. concentratie DETINATOR APP DET. APP AMBALAJ laj (RON) pretul de referinta) referinta)

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C şi D - G4

SE MODIFICA

4 J05AB04 RIBAVIRINUM **1 COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 2.359642 2.359642 5.438215
6 J05AB04 RIBAVIRINUM **1 MODERIBA 200 mg COMPR. FILM. 200mg ABBVIE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. PEID X 168 COMPR. PRF 168 2.359642 2.359642 2.847203

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

SE ELIMINA

9 A04AA02 GRANISETRONUM ** GRANORED 1 mg COMPR. FILM. 1mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 14.096400 14.096400 0.001600
173 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE PRF 10 0.341400 0.341400 0.056600
174 N02AX02 TRAMADOLUM TRAMADOL ZENTIVA 50 mg COMPR. ORODISPERSABILE 50mg ZENTIVA, A.S. REPUBLICA SLOVACA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE PRF 10 0.341400 0.341400 0.056600

9. EPILEPSIE - G11

SE ELIMINA

48 N03AX11 TOPIRAMATUM ** TOPRAN 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 0.982666 0.982666 0.000000
55 N03AX11 TOPIRAMATUM ** TOPRAN 25 mg COMPR. FILM. 25mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 0.390333 0.390333 0.000000
62 N03AX11 TOPIRAMATUM ** TOPRAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-6L 60 0.642666 0.642666 0.000000

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURĂRI SCHIZOTIPALE ŞI DELIRANTE, TULBURĂRI AFECTIVE MAJORE, TULBURĂRI PSIHOTICE ACUTE ŞI BOLI PSIHICE COPII, AUTISM, TULBURĂRI CU
DEFICIT DE ATENŢIE/HIPERREACTIVITATE) - G15

SE ELIMINA

276 N06AX16 VENLAFAXINUM ** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 0.665599 0.665599 0.643067
277 N06AX16 VENLAFAXINUM ** VENLAFAXINA TERAPIA 150 mg CAPS. ELIB. PREL. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0.665599 0.665599 0.643067
289 N06AX16 VENLAFAXINUM ** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 30 CAPS. ELIB. PREL. PRF 30 0.391200 0.391200 0.494133
290 N06AX16 VENLAFAXINUM ** VENLAFAXINA TERAPIA 75 mg CAPS. ELIB. PREL. 75mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0.391200 0.391200 0.494133

18. BOLI ENDOCRINE (GUŞĂ ENDEMICĂ, INSUFICIENŢĂ SUPRARENALĂ CRONICĂ, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARĂ, TUMORI NEUROENDOCRINE ŞI
OSTEOPOROZĂ SEVERĂ) - G 22

Pagina 6 din 9
Val. maxima suportata de Co-plata maxima a
sistemul de asigurari asiguratului / UT

Prescriptie
sociale de sanatate / UT (pt. asiguratii care
cant. (pt. asiguratii care beneficiaza de
UT/ Pret de beneficiaza de compensare 100%
TARA amba referinta / UT compensare 100% din din pretul de
NR.CRT COD ATC DCI Denumire Comerciala forma farm. concentratie DETINATOR APP DET. APP AMBALAJ laj (RON) pretul de referinta) referinta)
SE ELIMINA

33 H03AA01 LEVOTHYROXINUM EUTHYROX 200mcg COMPR. 200mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PP X 25 COMPR. P-6L 100 0.250500 0.250500 0.000000
34 H03AA01 LEVOTHYROXINUM EUTHYROX 200µg COMPR. 200µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-6L 100 0.250500 0.250500 0.000000

20. BOALA CRONICA DE RINICHI - faza predializa - G 25

SE ELIMINA

44 C09CA04 IRBESARTANUM ** IRBESARTAN SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 0.359199 0.359199 0.257586
57 C09CA04 IRBESARTANUM ** IRBESARTAN SANDOZ 300 mg COMPR. FILM. 300mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 0.619285 0.619285 0.183215

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30

SE ELIMINA

39 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 600 mg COMPR. FILM. 600mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 15.426666 15.426666 0.000000

Pagina 7 din 9
ANEXA 9
(ANEXA 2d la Ordinul CNAS nr. 247/2017)

SECŢIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% DIN PREȚUL DE REFERINȚĂ - CONFORM DCI-URILOR, ALTELE DECÂT CELE DIN
SUBLISTELE A, B, SUBLISTA C SECŢIUNEA C1 ŞI SUBLISTA D, CORESPUNZĂTOARE MEDICAMENTELOR, DE CARE BENEFICIAZĂ COPIII PÂNĂ LA 18 ANI, TINERII DE LA 18
LA 26 DE ANI DACĂ SUNT ELEVI, UCENICI SAU STUDENŢI, DACĂ NU REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LEHUZE, ÎN TRATAMENTUL AMBULATORIU,
DIN HG NR. 720/2008, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILĂ ÎNCEPÂND CU 01 IULIE 2017

Val. maxima suportata de Co-plata maxima a


sistemul de asigurari asiguratului / UT

Prescriptie
sociale de sanatate / UT (pt. asiguratii care
cant. (pt. asiguratii care beneficiaza de
UT/ Pret de beneficiaza de compensare 100%
cod Tara det. amba referinta / UT compensare 100% din din pretul de
Nr. crt ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) pretul de referinta) referinta)

SE ELIMINA

91 G03DB04 NOMEGESTROLUM LUTENYL (R) COMPR. 5mg LAB. THERAMEX MONACO CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P6L 10 1.943000 1.943000 0.000000
170 N05CD08 MIDAZOLAMUM MIDAZOLAM TORREX 1 mg/ml SOL. INJ. 1mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 10 FIOLE X 5 ML SOL. INJ. S/P-RF 10 1.770000 1.770000 0.000000

Pagina 8 din 9
ANEXA 10
(ANEXA 2e la Ordinul CNAS nr. 247/2017)

SUBLISTA D - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 20% DIN PRETUL DE REFERINTA CONFORM

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 IULIE 2017

Co-plata maxima a Val. maxima suportata de Co-plata maxima a


asiguratului / UT sistemul de asigurari asiguratului / UT

Prescriptie
(pt. asiguratii care sociale de sanatate / UT (pt. asiguratii care
cant. beneficiaza de (pt. asiguratii care beneficiaza de
UT/ Pret de compensare 100% beneficiaza de compensare 20%
tara det. amba referinta / UT din pretul de compensare 20% din din pretul de
Nr crt. cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) pretul de referinta) referinta)

SE MODIFICA

89 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 27.935357 4.624643 5.587071 26.972929
90 M05BA06 ACIDUM IBANDRONICUM * OSSICA 150 mg COMPR. FILM. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L 1 27.935357 7.744643 5.587071 30.092929
91 M05BA06 ACIDUM IBANDRONICUM * QUODIXOR 150 mg COMPR. FILM. 150mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P-6L 1 27.935357 7.734643 5.587071 30.082929
92 M05BA06 ACIDUM IBANDRONICUM * OSAGRAND 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM. P6L 1 27.935357 7.094643 5.587071 29.442929
93 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L 1 27.935357 7.744643 5.587071 30.092929
94 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P6L 1 27.935357 0.574643 5.587071 22.922929
95 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150mg TEVA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 27.935357 4.624643 5.587071 26.972929

SE ELIMINA

38 C01EB15 TRIMETAZIDINUM MODUXIN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 0.229333 0.034000 0.045866 0.217467
78 M01AC01 PIROXICAMUM PIROXICAM ATB 20 mg SUPOZ. 20 mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 FOLII TERMOSUDATE PVC X 3 SUPOZ. P6L 6 0.759249 0.009084 0.151849 0.616484
79 M01AC01 PIROXICAMUM PIROXICAM ATB 20 mg SUPOZ. 20 mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FOLIE TERMOSUDATA PVC X 6 SUPOZ. P6L 6 0.759249 0.009084 0.151849 0.616484

Pagina 9 din 9