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Anexa nr.

1
(ANEXA nr. 2 la Ordinul 1605/875/2014)

SECŢIUNEA C2 - LISTA denumirilor comerciale și a preturilor de decontare a medicamentelor care se acordă bolnavilor cuprinși in cadrul programele
nationale de sănătate, in tratamentul ambulatoriu si spitalicesc, corespunzătoare denumirilor comune internaţionale cuprinse în secțiunea C2 a sublistei C

din HG nr. 720/2008, republicată, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificarile si competarile ulterioare,
VALABILĂ ÎNCEPÂND CU 01 MARTIE 2022

contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


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

1 W63734001 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFASIGMA S.P.A. ITALIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 12 COMPR. FILM. PRF 12 1.861666 2.516666 0.000000
2 W63734002 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFASIGMA S.P.A. ITALIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL A CATE 12 COMPR. FILM. PRF 36 2.233999 2.891666 0.000000
3 W63735001 A07AA11 RIFAXIMINUM NORMIX 200mg/10ml GRAN. PT. SUSP. ORALA 200mg/10ml ALFASIGMA S.P.A. ITALIA CUTIE CU UN FLACON DIN STICLA BRUNA CONTINÂND GRANULE PENTRU 60 ML SUSPENSIE ORALA, ÎNSOTIT DE O MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML. PRF 1 16.170000 21.860000 0.000000
4 W13742001 D01AC02 MICONAZOLUM MICONAZOL SLAVIA 20 mg/g CREMA 20mg/g SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5.720000 7.730000 0.000000
5 W60557001 D06BB03 ACICLOVIRUM ACICLOVIR-RICHTER 50mg/g CREMA 50mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 TUB AL X 5 G CREMA PRF 1 4.160000 5.620000 0.000000
6 W66137001 D06BB03 ACICLOVIRUM ACICLOVIR FITERMAN 50 mg/g CREMA 50mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G PRF 1 2.840000 3.840000 0.000000
7 W66137002 D06BB03 ACICLOVIRUM ACICLOVIR FITERMAN 50 mg/g CREMA 50mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G PRF 1 5.700000 7.700000 0.000000
8 W55128001 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA P-RF 1 6.828000 9.228000 3.472000
9 W58038001 D06BB03 ACICLOVIRUM ACICLOVIR TERAPIA 50 mg/g CREMA 50mg/g TERAPIA S.A. ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF 1 6.828000 9.228000 1.562000
10 W60557002 D06BB03 ACICLOVIRUM ACICLOVIR-RICHTER 50mg/g CREMA 50mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA PRF 1 6.350000 8.580000 0.000000
11 W58038002 D06BB03 ACICLOVIRUM ACICLOVIR TERAPIA 50 mg/g CREMA 50mg/g TERAPIA S.A. ROMANIA CUTIE CU 1 TUB DIN AL A 5 G CREMA PRF 1 4.992000 6.744000 1.726000
12 W53041001 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 6.828000 9.228000 0.792000
13 W64910001 D06BB03 ACICLOVIRUM ACEVIREX 50 mg/g CREMA 50mg/g GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 TUB DIN AL X 5 G CREMA PRF 1 4.992000 6.744000 8.946000
14 W67305002 D06BB03 ACICLOVIRUM ACICLOVIR ROMPHARM 50 mg/g CREMA 50mg/g ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF 1 5.690000 7.690000 0.000000
15 W51339001 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 0.841666 1.138333 0.000000
16 W51340001 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 1.610000 2.176666 0.000000
17 W04675002 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.326000 0.440500 0.000000
18 W04675003 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF 1000 0.314600 0.381060 0.000000
19 W11729001 J01CF04 OXACILLINUM OXACILINA ATB 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.319500 0.431500 0.000000
20 W07274001 J01CF04 OXACILLINUM OXACILINA ATB 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 0.635000 0.858000 0.000000
21 W13743001 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 0.635000 0.858000 0.000000
22 W12910002 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE CU 50 BLIST. PVC/AL CU 10 CAPSULE (AMBALAJ DE UZ SPITALICESC) P-RF/S 500 0.612700 0.744140 0.000000
23 W12910001 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 0.635000 0.858000 0.000000
24 W12910003 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 0.635000 0.858000 0.000000
25 W60469002 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 50 8.326600 9.839000 0.000000
26 W60469003 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 8.026700 9.130600 0.000000
27 W60469001 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 8.810000 10.956720 0.953280
28 W60469004 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 10 8.654000 10.942000 0.000000
29 W60468001 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 6.130000 7.884360 0.405640
30 W60468004 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 10 6.023000 7.616000 0.000000
31 W60468002 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 50 5.915600 7.221800 0.000000
32 W60468003 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 5.677800 6.570300 0.000000
33 W58901002 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PRF 50 16.053400 18.261200 0.000000
34 W58901003 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PRF 10 16.999000 20.752000 0.000000
35 W58901001 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PRF 1 17.620000 21.913440 1.896560
36 W58901004 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PRF 25 16.653200 19.678000 0.000000
37 W00400003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 0.785000 1.060714 0.000000

Pagina 1 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
38 W54453002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500mg/125mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0.482142 0.651428 0.000000
39 W65088002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0.578570 0.781714 0.576143
40 W64211008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.482142 0.651428 0.000000
41 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.785000 1.060714 0.000000
42 W59497007 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 21 COMPR. FILM. PRF 21 0.784761 1.060952 0.000000
43 W55401002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0.785000 1.060714 0.000000
44 W59497004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 14 COMPR. FILM. PRF 14 0.785000 1.060714 0.000000
45 W65089001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0.941713 1.272857 0.365000
46 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 0.578570 0.781714 0.559714
47 W59739001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 1 15.260000 19.218240 1.411760
48 W59739005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 25 14.592800 17.432000 0.000000
49 W59739002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 50 13.992800 16.015200 0.000000
50 W59739004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 10 14.732000 17.985000 0.000000
51 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 9.170000 12.400000 0.000000
52 W08783002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE P-RF 1 10.940000 14.780000 0.000000
53 W67768004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (DE CAPACITATE 147ML) CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 13.128000 17.736000 2.784000
54 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 13.128000 17.736000 2.784000
55 W65099003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN ES 600mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CONTINÂND PULB. PENTRU 100 ML SUSPENSIE SI O LINGURITA DOZATOARE DIN POLISTIREN, MARCAT CU GRADATII PT. MASURAREA VOLUMELOR 2,5 ML SI 5,0 ML PRF 1 34.040000 44.520000 0.000000
56 W67567002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 600 mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600mg/42,9mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 180 ML SI PREVAZUTA CU PIPETA DOZATOARE CU PISTON DIN POLISTIREN SI CORP DIN PEJD MARCATA DE LA 0,4 ML PANA LA 5 ML CU 33,10 G PULB. PT. SUSP. ORALA PRF 1 40.848000 53.424000 11.106000
57 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 11.130000 15.040000 0.000000
58 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 24.789600 30.262800 19.707200
59 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 13.684000 16.705000 0.000000
60 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 16.420800 20.046000 8.314000
61 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 14.180000 19.170000 0.000000
62 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 20.658000 25.219000 0.000000
63 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 21.410000 28.940000 0.000000
64 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24.789600 30.262800 19.707200
65 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 24.789600 30.262800 6.647200
66 W53779001 J01DD04 CEFTRIAXONUM SEFTRION 1 g PULB. PT. SOL. INJ./PERF. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. PR 1 5.083200 6.649200 14.030800
67 W13949003 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 17 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5.083200 6.649200 11.382800
68 W42064001 J01DD04 CEFTRIAXONUM MEDAXONE 1 g PULB. PT. SOL. INJ./PERF. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. DIN STICLA X 1 G PULB. PT. SOL. INJ./PERF. S/P-RF 10 5.083200 6.649200 0.381800
69 W13949009 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5.083200 6.649200 11.382800
70 W13949012 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5.083200 6.649200 11.382800
71 W13949006 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5.083200 6.649200 11.382800
72 W59397002 J01DD04 CEFTRIAXONUM CEFTRIAXONA-MIP 1 g PULB. PT. SOL. INJ./PERF. 1g MIP PHARMA GMBH GERMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 10 4.236000 5.541000 0.000000
73 W13948008 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ. PERF. PR 10 6.145000 7.770000 0.000000
74 W13948004 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ. PERF. PR 10 6.145000 7.770000 0.000000
75 W59398002 J01DD04 CEFTRIAXONUM CEFTRIAXONA-MIP 2 g PULB. PT. SOL. INJ./PERF. 2g MIP PHARMA GMBH GERMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 10 7.801000 9.863000 0.000000
76 W42544001 J01DD04 CEFTRIAXONUM MEDAXONE 2 g PULB. PT. SOL. INJ./PERF. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF. S/P-RF 10 9.361200 11.835600 1.505400
77 W13891004 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 50 ML, CU PULB. PT. SOL. INJ./PERF. PR 10 9.361200 11.835600 20.100400
78 W13891008 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF. PR 10 9.361200 11.835600 20.100400
79 W53778001 J01DD04 CEFTRIAXONUM SEFTRION 500 mg PULB. PT. SOL. INJ./PERF. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1 7.020000 9.490000 0.000000
80 W56096001 J01DD04 CEFTRIAXONUM SEFTRION 2 g PULB. PT. SOL. PERF. 2g EIPICO MED SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. P-RF 1 9.361200 11.835600 8.014400
81 W57455001 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 1.825000 2.467000 0.000000
82 W13701001 J01DD08 CEFIXIMUM EFICEF 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.044000 3.981000 0.000000
83 W63367003 J01DD08 CEFIXIMUM CEFIXIMA AUROBINDO 200 mg COMPR. FILM. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 3.044000 3.981000 0.000000
84 W60256003 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF 10 7.813714 10.220570 0.281430
85 W60256001 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF 5 7.813714 10.220570 0.837430
86 W63368003 J01DD08 CEFIXIMUM CEFIXIMA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 7 COMPR. FILM. PRF 7 6.511428 8.517142 0.000000
87 W61965002 J01DD08 CEFIXIMUM XIFIA 100 mg/5 ml GRANULE PT. SUSP. ORALA 100mg/5ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU CAPCITATEA DE 150 ML CARE CONTINE 53 G GRAN. PT. SUSP. ORALA+1 MASURA DOZATOARE DIN PP PT. MASURAREA VOLUMULUI DE SOLVENT GRADATA LA 66 ML+1 SERINGA DOZATOARE DIN PLASTIC A 5 ML, GRADATA DE LA 0,5 ML PANA LA 5 ML PRF 1 65.130000 82.350000 0.000000
88 W13676001 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 16.194000 19.770000 0.000000
89 W13677001 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 21.389000 26.112000 0.000000
90 W44045001 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1 3.510000 4.750000 0.000000
91 W52795001 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 22.160000 29.950000 0.000000

Pagina 2 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
92 W44061001 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 16.740000 22.620000 0.000000
93 W53787001 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 1 27.360000 32.234040 3.555960
94 W53787003 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 50 24.601200 27.578400 0.000000
95 W53787002 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 10 28.181000 32.234040 2.168960
96 W53787004 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 100 24.293700 26.861700 0.000000
97 W58974002 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 39.963600 48.138000 40.131000
98 W58974005 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 39.963600 48.138000 40.131000
99 W61143002 J01DH02 MEROPENEMUM ARCHIFAR 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 35.591000 42.609000 0.000000
100 W56827001 J01DH02 MEROPENEMUM LODITER 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 39.963600 48.138000 57.322000
101 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 39.963600 48.138000 34.378000
102 W56125002 J01DH02 MEROPENEMUM MEROPENEM KABI 1 g PULB. PT. SOL. INJ./PERF. 1g FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 10 33.303000 40.115000 0.000000
103 W61142002 J01DH02 MEROPENEMUM ARCHIFAR 500 mg PULB. PT. SOL. INJ./PERF. 500mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 19.904000 24.299000 0.000000
104 W58973002 J01DH02 MEROPENEMUM MEROPENEM ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 23.884800 29.158800 19.270200
105 W56124002 J01DH02 MEROPENEMUM MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. PR 10 23.884800 29.158800 8.009200
106 W56826001 J01DH02 MEROPENEMUM LODITER 500 mg PULB. PT. SOL. INJ./PERF. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 23.884800 29.158800 27.401200
107 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20.509000 25.037000 0.000000
108 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 20.509000 25.037000 0.000000
109 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24.610800 30.044400 7.505600
110 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24.610800 30.044400 10.845600
111 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24.610800 30.044400 10.232600
112 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24.610800 30.044400 7.294600
113 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 20.882000 25.492000 0.000000
114 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.326500 0.441500 0.000000
115 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 400 mg/80 mg COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.326500 0.441500 0.000000
116 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM 200 mg/40 mg/5 ml SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 7.570000 10.230000 0.000000
117 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 25mg/ml+5mg/ml SUSP. ORALA 25mg/ml+5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 7.990000 10.800000 0.000000
118 W63533001 J01FA02 SPIRAMYCINUM ROVAMYCINE® 1,5 Mil. UI COMPR. FILM. 1,5 Mil.U.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 0.831250 1.123125 0.000000
119 W63534002 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF 10 1.925000 2.602000 0.000000
120 W63534001 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 5 COMPR. FILM. PRF 10 1.925000 2.602000 0.000000
121 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.521428 2.056285 0.859715
122 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.521428 2.056285 0.859715
123 W60253004 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 0.772142 1.043571 0.000000
124 W44093001 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 0.926570 1.252285 0.143429
125 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0.926570 1.252285 0.019857
126 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0.926570 1.252285 0.111286
127 W62390002 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 0.926570 1.252285 0.632715
128 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0.926570 1.252285 0.632715
129 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.521428 2.056285 0.053715
130 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.521428 2.056285 0.064429
131 W44087001 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 1.521428 2.056285 0.544429
132 W54044001 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 1.521428 2.040500 0.000000
133 W60254003 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 1.267857 1.713571 0.000000
134 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg 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 1.521428 2.056285 0.629429
135 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 15.900000 21.490000 0.000000
136 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 19.080000 25.788000 0.962000
137 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 10.460000 14.140000 0.000000
138 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 11.870000 16.040000 0.000000
139 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 11.870000 16.040000 0.000000
140 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 19.080000 25.788000 0.962000
141 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 44.720000 58.500000 0.000000
142 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 26.830000 35.100000 0.000000
143 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 33.370000 43.650000 0.000000
144 W64359001 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 2.446000 3.306000 1.129000
145 W00517001 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 2.446000 3.306000 1.129000

Pagina 3 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
146 W00518001 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 3.375000 4.561666 0.000000
147 W64356001 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC/AL X 6 COMPR. FILM. PRF 6 3.375000 4.561666 0.000000
148 W63094004 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 6 COMPR. FILM. PRF 6 2.446000 3.306000 0.325666
149 W42879004 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 2.038333 2.755000 0.000000
150 W43486001 J01FA10 AZITHROMYCINUM AZIBIOT 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 3.172000 4.288000 1.868666
151 W52840002 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 3.172000 4.288000 1.868666
152 W52840001 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 3.172000 4.288000 1.868666
153 W64357001 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC/AL X 3 COMPR. FILM. PRF 3 3.172000 4.288000 4.582000
154 W42878001 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 2.643333 3.573333 0.000000
155 W63095002 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 3 COMPR. FILM. PRF 3 3.172000 4.288000 1.868666
156 W60406001 J01FA10 AZITHROMYCINUM AZITROMICINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM. PRF 3 3.172000 4.288000 1.868666
157 W57032001 J01FA10 AZITHROMYCINUM AZITROX 500 mg COMPR. FILM. 500mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 3.172000 4.288000 0.945333
158 W53281001 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN PE CU PULBERE PENTRU 15ML SUSPENSIE ORALA RECONSTITUITA + FLACON CU SOLVENT X 7.5ML SOLVENT + 1 SERINGA PENTRU ADMINISTRAREA ORALA + O LINGURITA DOZATOARE P-RF 1 11.800000 15.950000 0.000000
159 W66687002 J01FA10 AZITHROMYCINUM AZITROMICINA ROMPHARM 500 mg PULB. PT. SOL. PERF. 500mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA PRF 5 29.392000 35.882000 0.000000
160 W66687001 J01FA10 AZITHROMYCINUM AZITROMICINA ROMPHARM 500 mg PULB. PT. SOL. PERF. 500mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA PRF 1 30.460000 39.840000 0.000000
161 W42901001 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (400 MG) SUSP. ORALA P-RF 1 15.790000 21.340000 0.000000
162 W42877002 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL ROMANIA CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (800 MG) SUSP. ORALA P-RF 1 15.280000 20.650000 0.000000
163 W64358002 J01FA10 AZITHROMYCINUM SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 30 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE PRF 1 28.360000 37.100000 0.000000
164 W00520001 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 28.360000 37.100000 0.000000
165 W00520003 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 35.240000 46.090000 0.000000
166 W64358003 J01FA10 AZITHROMYCINUM SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 37,5 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE PRF 1 35.240000 46.090000 0.000000
167 W62087001 J01GB03 GENTAMICINUM GENTAMICINA EIPICO 40 mg/ml SOL INJ. 40mg/ml E.I.P.I.CO MED S.R.L. ROMANIA CUTIE CU 3 FLAC. DIN STICLA TIP I INCOLORA CU CAPACITATEA DE 2,5 ML, CONTINAND 2 ML SOL. INJ. PRF 3 0.810000 1.093333 0.000000
168 W03308001 J01GB03 GENTAMICINUM GENTAMICIN KRKA 40 mg/1 ml SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 0.604000 0.817000 0.000000
169 W03309001 J01GB03 GENTAMICINUM GENTAMICIN KRKA 80 mg/2 ml SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 0.812000 1.097000 0.000000
170 W53277001 J01GB06 AMIKACINUM AMIKOZIT 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 34.270000 44.820000 0.000000
171 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 1.695000 2.291000 0.000000
172 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 mg COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1.695000 2.291000 0.000000
173 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM. P-RF 10 1.695000 2.291000 0.000000
174 W54037001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.266000 4.272000 0.000000
175 W54038001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.141600
176 W54038002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0.481200 0.650400 0.141600
177 W01288001 J01MA02 CIPROFLOXACINUM CIPROLEN 250 mg COMPR. FILM. 250mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.141600
178 W65056001 J01MA02 CIPROFLOXACINUM CIFRAN 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0.481200 0.650400 0.141600
179 W44077004 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.141600
180 W01271002 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.119600
181 W66438003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0.401000 0.542000 0.000000
182 W01273001 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.129600
183 W66439003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0.588000 0.795000 0.000000
184 W65057001 J01MA02 CIPROFLOXACINUM CIFRAN 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0.705600 0.954000 0.559000
185 W44076001 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.559000
186 W01272001 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.
GEDEON RICHTER ROMANIA SA P-RF 10 0.705600 0.954000 0.539000
187 W54039002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0.705600 0.954000 0.559000
188 W01289001 J01MA02 CIPROFLOXACINUM CIPROLEN 500 mg COMPR. FILM. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.559000
189 W54039001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.559000
190 W01274001 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.252000
191 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.559000
192 W54040001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.266000 4.272000 0.000000
193 W42772001 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 2.893000 3.784000 0.000000
194 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 2.838000 3.836000 0.000000
195 W60268001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ZENTIVA 10 mg/ml CONC. PT. SOL. PERF. 100mg/10ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML PR 5 2.846000 3.846000 0.000000
196 W61489002 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 50 6.938200 8.325600 0.000000
197 W61489001 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 10 8.325840 9.990720 4.307280
198 W61489004 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 30 13.457666 15.940666 0.000000
199 W61489003 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 10 13.824000 16.876000 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
200 W52445001 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 2.350000 3.176000 0.000000
201 W60377004 J01MA06 NORFLOXACINUM NORFLOXACINA ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE CU 5 BLIST DIN PVC/AL X 10 CAPS. PRF 50 0.712200 0.962400 0.179800
202 W60377003 J01MA06 NORFLOXACINUM NORFLOXACINA ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE CU 2 BLIST. DIN PVC/AL X 10 CAPS. PRF 20 0.712200 0.962400 0.218100
203 W60377005 J01MA06 NORFLOXACINUM NORFLOXACINA ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE CU 100 BLIST. DIN PVC/AL X 10 CAPS. PRF 1000 0.712200 0.905790 0.000000
204 W62811001 J01MA06 NORFLOXACINUM NORFLOXACINA ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 20 0.712200 0.962400 0.009100
205 W41800001 J01MA06 NORFLOXACINUM NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0.712200 0.962400 0.218100
206 W58303001 J01MA06 NORFLOXACINUM NORFLOXACIN HELCOR 400 mg COMPR. FILM. 400mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 0.712200 0.962400 0.218100
207 W14009001 J01MA06 NORFLOXACINUM NORFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 0.712200 0.962400 0.217600
208 W07984001 J01MA06 NORFLOXACINUM NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 0.593500 0.802000 0.000000
209 W60574002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 2.028000 2.741000 0.000000
210 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 2.030000 2.744000 0.000000
211 W61631003 J01MA12 LEVOFLOXACINUM LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 2.045714 2.764285 0.000000
212 W55699003 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF 7 2.027142 2.740000 0.000000
213 W60574001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 2.028000 2.740000 0.000000
214 W52786004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 2.045714 2.764285 0.000000
215 W56939002 J01MA12 LEVOFLOXACINUM FLERADAY 500 mg COMPR. FILM. 500 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF 7 3.611428 4.724285 0.000000
216 W61706003 J01MA12 LEVOFLOXACINUM LEVALOX 500 mg COMPR. FILM. 500mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 3.030000 4.095714 0.000000
217 W55700002 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 3.636000 4.914857 0.766571
218 W52787004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 3.062857 4.140000 0.000000
219 W60575001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 3.612000 4.882000 0.000000
220 W60575002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 3.612000 4.725000 0.000000
221 W66213001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 3.583000 4.687000 0.000000
222 W62972002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 50 ML SOL. PERF. PRF 50 19.710000 22.247000 0.000000
223 W54108008 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. PEJD KABIPAC(TIP BOTTLEPACK) A 100 ML CONTINAND 100 ML SOL. PERF. (500MG LEVOFLOXAC PR 10 32.676000 42.744000 8.442000
224 W56429007 J01MA12 LEVOFLOXACINUM CENOMAR 5 mg/ml SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 PUNGA PEJD X 100 ML SOL. PERF. PR 1 32.676000 42.744000 17.586000
225 W61707001 J01MA12 LEVOFLOXACINUM LEVALOX 5 mg/ml SOL. PERF. 5mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPAC DIN AL A 100 ML SOL. PERF. PR 1 27.230000 35.620000 0.000000
226 W62972004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 100 ML SOL. PERF. PRF 30 32.676000 42.744000 0.527333
227 W55815004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 32.676000 42.744000 17.586000
228 W63876001 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF 5 6.206000 8.118000 0.000000
229 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 5.562000 7.274000 0.000000
230 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 6.206000 8.118000 0.000000
231 W65324001 J01MA14 MOXIFLOXACINUM KIMOKS 400 mg COMPR. FILM. 400mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM. PRF 5 5.458000 7.140000 0.000000
232 W60943001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF 5 5.282000 6.910000 0.000000
233 W66222001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 5.900000 7.716000 0.000000
234 W67240002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 10 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 10 51.863000 60.346000 0.000000
235 W67240003 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 20 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 20 50.363000 56.803000 0.000000
236 W63849002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 5 60.435600 68.163600 7.354400
237 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 60.435600 68.163600 12.006400
238 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 60.200000 68.163600 1.269400
239 W63877004 J01MA14 MOXIFLOXACINUM AVELOX 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AMBALAJ MULTIPLU (FOLIE DE PLASTIC ETICHETATA) CU 5 CUTII DIN CARTON A CATE 1 FLAC. DIN STICLA X 250 ML SOL. PERF., ÎNCHIS CU DOP DIN CAUCIUC CLOROBUTILIC SAU BROMOBUTILIC PR 5 60.435600 68.163600 10.474400
240 W67482001 J01XA01 VANCOMYCINUM VANCOMICINA ROMPHARM 1000mg PULB. PT. CONC. PT. SOL. PERF. 1000mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE 1000 MG PULBERE PT. CONC. PT. SOL. PERF. PR 1 23.280000 31.460000 0.000000
241 W67245004 J01XA01 VANCOMYCINUM VANCOMICINA MIP 1000 mg PULB. PT. SOL. PERF. 1000mg MIP PHARMA GMBH GERMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 25 ML, INCHISE CU DOP GRI DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA METALICA PREVAZUTA CU DISC DIN PLASTIC TIP FLIP-OFF PR 5 27.936000 37.752000 47.242000
242 W67244002 J01XA01 VANCOMYCINUM VANCOMICINA MIP 500 mg PULB. PT. SOL. PERF. 500mg MIP PHARMA GMBH GERMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML, INCHISE CU DOP GRI DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA METALICA PREVAZUTA CU DISC DIN PLASTIC TIP FLIP-OFF PR 5 27.036000 36.540000 10.260000
243 W57042001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.SOL. PERF. 1000mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 27.936000 37.752000 22.238000
244 W57041001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 500 mg PULB. PT.CONC. PT.SOL. PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 22.530000 30.450000 0.000000
245 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF 1 119.450000 145.820000 0.000000
246 W52501003 J01XB01 COLISTINUM COLISTINA ATB 1.000.000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, ÎNCHISE CU DOP DIN CAUCIUC HALOBUTILIC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC FLIP-OFF DIN POLIPROPILENA, CONTINÂND PULB. PENTRU SOL. INJ./PERF. PR 10 28.331000 34.587000 0.000000
247 W63535001 J01XD01 METRONIDAZOLUM FLAGYL 250 mg (vezi P01AB01) COMPR. FILM. 250mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 20 0.299500 0.404500 0.000000
248 W64585002 J01XD01 METRONIDAZOLUM METRONIDAZOL VIOSER 500 mg/100 ml SOL. PERF. 500mg/100ml GRECIA CUTIE CU 10 FLAC. PEJD X 100 ML SOL. PERF. PRF
VIOSER S.A. PARENTERAL SOLUTION INDUSTRY 10 4.060000 5.310000 0.000000
249 W64585001 J01XD01 METRONIDAZOLUM METRONIDAZOL VIOSER 500 mg/100 ml SOL. PERF. 500mg/100ml GRECIA CUTIE CU 1 FLAC. PEJD X 100 ML SOL. PERF. PRF
VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY 1 4.060000 5.490000 0.000000
250 W42138002 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 7.417500 9.379166 0.000000
251 W42139002 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 7.566666 9.567500 0.000000
252 W08927002 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 10 4.087000 5.346000 0.000000
253 W08927003 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 20 4.015500 5.077000 0.000000

Pagina 5 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
254 W08927001 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 10 4.087000 5.346000 0.000000
255 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF
MAREA BRITANIE 10 90.018000 102.698400 21.246600
256 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 90.018000 102.698400 21.246600
257 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 75.015000 85.582000 0.000000
258 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835.380000 948.710000 0.000000
259 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 835.380000 948.710000 0.000000
260 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 118.493000 132.972000 0.000000
261 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 137.318400 154.255200 170.864800
262 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP MULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 10 119.830000 134.430000 0.000000
263 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
264 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 137.318400 153.913000 0.000000
265 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 128.510000 154.255200 2.634800
266 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
267 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137.318400 154.255200 1.161800
268 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114.432000 128.546000 0.000000
269 W68367001 J02AA01 AMPHOTERICINUM B (4) AMBISOME 50mg PULB. PT. CONC. PT. DISPERSIE PERF. 50mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 FLAC. CU PULB. PT. CONC. PT. DISPERSIE PERFUZABILA PR 10 1,401.887000 1,531.874000 0.000000
270 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2.890285 3.906857 3.158143
271 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2.408571 3.255714 0.000000
272 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.890285 3.906857 2.931714
273 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
274 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.008000 9.468000 1.732000
275 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
276 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
277 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
278 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
279 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.840000 7.890000 0.000000
280 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
281 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
282 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMANIA P-RF 1 7.008000 9.468000 21.842000
283 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.008000 9.468000 1.732000
284 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
285 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
286 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4.922857 6.440000 0.000000
287 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 2.329714
288 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
289 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1.242857 1.680000 0.000000
290 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
291 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
292 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
293 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
294 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
295 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1.491428 2.016000 2.329714
296 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
297 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
298 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22.848000 27.193200 33.656800
299 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 19.040000 22.661000 0.000000
300 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 22.848000 27.193200 13.795300
301 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 38.090000 45.333000 0.000000
302 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9.647000 11.777000 0.000000
303 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 45.708000 54.399600 43.801400
304 W67015006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg BAUSCH HEALTH IRELAND LIMITED IRLANDA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1.752000 2.291333 0.000000
305 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1.752000 2.291333 0.000000
306 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF 15 1.752000 2.291333 0.000000
307 W59235001 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1.752000 2.291333 0.000000

Pagina 6 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
308 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1.752000 2.291333 0.000000
309 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL 100 mg CAPS. 100mg BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.
JANSSEN PHARMACEUTICA N.V. P-RF 15 1.880000 2.459333 0.000000
310 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL SLAVIA 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1.752000 2.291333 0.000000
311 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 14.122142 16.755714 0.000000
312 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 44.228372
313 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 14.051333 16.587666 0.000000
314 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 7.311943
315 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 16.861600 19.905199 20.413729
316 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16.861600 19.905199 6.050872
317 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16.861600 19.905199 9.843372
318 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 47.911586
319 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16.861600 19.905199 47.911586
320 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 16.861600 19.905199 20.413729
321 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21.999464 24.660714 0.000000
322 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.517142 25.906071 0.000000
323 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.605714 28.455000 0.000000
324 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320.040000 386.990000 0.000000
325 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg 200mg
PULB. PT. SOL. PERF. PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 354.340000 424.380000 0.000000
326 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316.450000 383.080000 0.000000
327 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379.740000 459.696000 28.084000
328 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 379.740000 459.696000 357.694000
329 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354.340000 424.380000 0.000000
330 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,641.500000 1,827.390000 0.000000
331 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,641.500000 1,827.390000 0.000000
332 W68234009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 40.438666
333 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 106.648666
334 W66364009 J02AC04 POSACONAZOLUM ** POSACONAZOL ZENTIVA 100 mg COMPR. GASTROREZ. 100mg ZENTIVA K.S. REP. CEHA CUTIE CU BLIST. OPAC NEPERFORAT DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 49.952000
335 W66832009 J02AC04 POSACONAZOLUM ** POSACONAZOL STADA 100 mg COMPR. GASTROREZ. 100mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 29.515000 33.760833 0.000000
336 W66225001 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 24 COMPR. GASTROREZ PR 24 29.515000 33.760833 0.000000
337 W66421009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 40.438666
338 W66491011 J02AC04 POSACONAZOLUM ** POSACONAZOL ALVOGEN 100 mg COMPR. GASTROREZ. 100mg ALVOGEN PHARMA TRADING EUROPE EOOD BULGARIA PR
CUTIE CU BLIST. PVC-PE-PVDC/AL PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE X 24 COMPR. GASTROREZ. 24 35.418000 40.513000 59.008250
339 W64694001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 16,7ML CONC. PT SOL. PERF. (18MG POSACONAZOL/ML) PR 1 1,419.030000 1,584.900000 0.000000
340 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA PR
CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA 1 674.280000 773.120000 0.000000
341 W66224001 J02AC04 POSACONAZOLUM ** POSACONAZOLE AHCL 40 mg/ml SUSP. ORALA 40mg/ml ACCORD HEALTHCARE S.L.U. SPANIA PR
CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PP + 1 LINGURITA DOZATOARE X 105 ML SUSP. ORALA 1 674.280000 773.120000 0.000000
342 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 809.136000 927.744000 1,914.756000
343 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178.238571 197.005000 0.000000
344 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178.238571 197.005000 0.000000
345 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
346 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
347 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
348 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
349 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 854.420000 969.470000 0.000000
350 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
351 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
352 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
353 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 893.780000 1,012.370000 0.000000
354 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
355 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,078.810000 1,214.050000 0.000000
356 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
357 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
358 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
359 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,157.360000 1,299.670000 0.000000
360 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
361 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg 50mg
PULB. PT.CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
362 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA PR 1
CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. 1,168.910000 1,312.260000 0.000000
363 W65875001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA ACCORD 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg ACCORD HEALTHCARE POLONIA PR 1
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL CU CAPAC DIN PLASTIC CU PULB. PT. CONC. PT. SOL. PERF. 880.370000 997.750000 0.000000
364 W66592001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA FRESENIUS KABI 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg FRESENIUS KABI ROMANIA SRL ROMANIA PR 1
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL CU CAP DETASABIL CU PULB. PT. CONC. PT. SOL. PERF. 908.316000 1,035.840000 88.570000
365 W64932001 J02AX06 ANIDULAFUNGINUM ECALTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC.DIN STICLA A 30ML X 100 MG PULB. PR 1 880.370000 997.750000 0.000000
366 W55841001 J02AX06 ANIDULAFUNGINUM ECALTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB. S 1 880.370000 997.750000 0.000000
367 W64659001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA TEVA 100 mg PULB. PT. CONC. PT.SOL. PERF. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA PR 1
CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. 756.930000 863.200000 0.000000
368 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0.121773 0.148660 0.000000
369 W61241001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0.126000 0.170500 0.000000
370 W61241002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0.126000 0.170200 0.000000
371 W61241003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0.121773 0.148660 0.000000
372 W61242003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0.298646 0.350960 0.000000
373 W61242002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0.318000 0.421152 0.008648
374 W61242001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0.317500 0.421152 0.007848
375 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0.298646 0.350960 0.000000
376 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0.500000 0.570433 0.000000
377 W53682002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.249000 0.336500 0.000000
378 W59648002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 100 BLIST. PVC/AL X 10 CAPS. PRF 1000 0.377500 0.449630 0.000000
379 W59648001 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0.396000 0.511000 0.024500
380 W42943002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM. PRF 1500 0.238300 0.285180 0.000000
381 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. PRF 1500 0.367340 0.425833 0.000000
382 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO 300 mg+150 mg CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0.990000 1.117250 0.000000
383 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.608400 0.822600 0.115350
384 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
385 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
386 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
387 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1.185600 1.603200 1.439800
388 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.608400 0.822600 0.402900
389 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0.608400 0.822600 0.151400
390 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.608400 0.822600 0.217400
391 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 0.608400 0.822600 0.402900
392 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0.507000 0.685500 0.000000
393 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 0.988000 1.336000 0.000000
394 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1.185600 1.603200 1.039800
395 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.602000 52.008000 0.000000
396 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42.602000 52.008000 0.000000
397 W68191001 J05AB06 GANCICLOVIRUM GANCICLOVIR ROMPHARM 500 mg PULB. PT. CONC. PT.SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA PRF 1
CUTIE CU UN FLACON DIN STICLA INCOLORA, CU DOP GRI DIN CAUCIUC BROMOBUTILIC SI SISTEM DE ÎNCHIDERE DIN AL CU CAPSA ALBA DETASABILA DIN AL, CU PULBERE PENTRU CONCENTRAT PENTRU SOLUTIE PERFUZABILA 98.920000 125.070000 0.000000
398 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 3.033600 3.967200 1.117800
399 W60087001 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 2.528000 3.306000 0.000000
400 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 15.907000 17.974500 0.000000
401 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17.166666 19.347500 0.000000
402 W12651002 J05AB15 BRIVUDINUM BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 38.881428 47.465714 0.000000
403 W68252001 J05AE03 RITONAVIRUM ** RITONAVIR MYLAN 100 mg COMPR. FILM. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 1.917000 2.424000 0.000000
404 W59955001 J05AE03 RITONAVIRUM ** NORVIR 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR.FILM. P-RF/R 30 2.300400 2.908800 0.458866
405 W64691001 J05AE03 RITONAVIRUM ** NORVIR 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR.FILM. PR 30 2.300400 2.908800 0.458866
406 W64015001 J05AE03 RITONAVIRUM ** RITONAVIR MYLAN 100 mg COMPR. FILM. 100mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 1.917000 2.424000 0.000000
407 W65021001 J05AE07 FOSAMPRENAVIRUM ** TELZIR 700mg COMPR. FILM. 700mg VIIV HEALTHCARE BV OLANDA PR 60
CUTIE CU 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII 20.995000 23.520333 0.000000
408 W64332001 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 150 mg CAPS. 150mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 60 CAPS. PR 60 20.845200 23.481500 0.000000
409 W65631001 J05AE08 ATAZANAVIRUM ATAZANAVIR ALVOGEN 150 mg CAPS. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PERFORATE UNIDOZA OPA-AL-PVC/AL CONTINAND 60X1 CAPS. PR 60 20.404166 22.876333 0.000000
410 W65779001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 150 mg CAPS. 150mg KRKA, D.D., NOVO MESTO SLOVENIA PR 60
CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 60 CAPS. 18.064833 20.326500 0.000000
411 W62562002 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60X1 CAPS. PR 60 17.371000 19.570333 0.000000
412 W66622002 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 150 mg CAPS. 150mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 20.845200 23.481500 0.000000
413 W64332002 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 150 mg CAPS. 150mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 20.845200 23.481500 0.000000
414 W62562001 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 17.371000 19.570333 0.000000
415 W62562003 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 CAPS. PR 60 17.371000 19.570333 0.000000

Pagina 8 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
416 W65780001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 200 mg CAPS. 200mg KRKA, D.D., NOVO MESTO SLOVENIA PR
CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 60 CAPS. 60 18.833166 21.164000 0.000000
417 W65632002 J05AE08 ATAZANAVIRUM ATAZANAVIR ALVOGEN 200 mg CAPS. 200mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA PR
CUTIE CU FLAC. PEID CU CAPAC PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 60 CAPS. 60 21.284666 23.836166 0.000000
418 W68110001 J05AE08 ATAZANAVIRUM ATAZANAVIR MYLAN 300 mg CAPS. 300mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 27.788000 31.560666 0.000000
419 W66623002 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 300 mg CAPS. 300mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 32.554000 37.009999 7.190001
420 W64334002 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 300 mg CAPS. 300mg ZENTIVA, K.S. CUTIE CU 1 FLAC. DIN PEID X 60 CAPS. PR
REPUBLICA CEHA 60 32.554000 37.009999 6.009001
421 W64138001 J05AE08 ATAZANAVIRUM ATAZANAVIR MYLAN 300 mg CAPS. 300mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 27.788000 31.560666 0.000000
422 W62564002 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30X1 CAPS. PR 30 32.554000 36.838666 0.000000
423 W65781001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 300 mg CAPS. 300mg KRKA, D.D., NOVO MESTO SLOVENIA PR
CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 30 CAPS. 30 27.128333 30.841666 0.000000
424 W65587003 J05AE08 ATAZANAVIRUM ATAZANAVIR SANDOZ 300 mg CAPS. 300mg SANDOZ S.R.L. ROMANIA PR
CUTIE CU FLAC. PEID, CU CAPAC DIN PP PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 CAPS. 30 32.554000 37.009999 7.190001
425 W66623004 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 300 mg CAPS. 300mg STADA M&D SRL ROMANIA PR
AMBALAJ MULTIPLU CONTINÂND 90X1 CAPSULE (3 CUTII CU BLISTERE DIN OPA-AL-PVC/AL CONTINÂND 30X1 CAPSULE) 90 32.554000 37.009999 5.615334
426 W62564005 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 32.554000 36.838666 0.000000
427 W64334001 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 300 mg CAPS. 300mg ZENTIVA, K.S. CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR
REPUBLICA CEHA 30 32.554000 37.009999 7.190001
428 W65633002 J05AE08 ATAZANAVIRUM ATAZANAVIR ALVOGEN 300 mg CAPS. 300mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA PR
CUTIE CU FLAC. PEID CU CAPAC PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 CAPS. 30 32.554000 37.009999 7.190001
429 W62564001 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 32.554000 36.838666 0.000000
430 W61895001 J05AE10 DARUNAVIRUM ** PREZISTA 150 mg COMPR. FILM. 150mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. CU CAPACITATEA DE 160 ML DIN PEID X 240 COMPR. FILM. PRF 240 13.318000 14.675583 0.000000
431 W63664001 J05AE10 DARUNAVIRUM ** DARUNAVIR ALVOGEN 400 mg COMPR. FILM. 400mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 19.952000 22.383500 0.000000
432 W63851007 J05AE10 DARUNAVIRUM ** DARUNAVIR SANDOZ 400 mg COMPR. FILM. 400mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 21.837166 24.438333 0.000000
433 W66600003 J05AE10 DARUNAVIRUM ** DARUNAVIR AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 60 COMPR. FILM. PR 60 18.818333 21.147833 0.000000
434 W64530001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 FLAC. DIN PEID A CATE 30 COMPR. FILM. PR 60 18.818333 21.147833 0.000000
435 W68203001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 600 mg COMPR. FILM. 600mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 60 COMPR. FILM. PR 60 22.235333 24.872333 0.000000
436 W64532001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 FLAC. DIN PEID A CATE 30 COMPR. FILM. PR 60 18.736833 21.059000 0.000000
437 W66601003 J05AE10 DARUNAVIRUM ** DARUNAVIR AUROBINDO 600 mg COMPR. FILM. 600mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 60 COMPR. FILM. PR 60 20.415333 22.888500 0.000000
438 W63331001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 600 mg COMPR. FILM. 600mg MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 60 COMPR. FILM. PR 60 22.235333 24.872333 0.000000
439 W63665001 J05AE10 DARUNAVIRUM ** DARUNAVIR ALVOGEN 600 mg COMPR. FILM. 600mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 22.484200 25.270800 7.980866
440 W63852007 J05AE10 DARUNAVIRUM ** DARUNAVIR SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 22.484200 25.270800 2.663033
441 W63424025 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 600 mg COMPR. FILM. 600mg TEVA PHARMACEUTICALS S.R.L. ROMANIA PR
CUTIE CU UN FLACON DIN PEÎD, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI DESICANT X 60 COMPR. FILM. 60 22.484200 25.270800 1.098366
442 W68204001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 800 mg COMPR. FILM. 800mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 30 COMPR. FILM. PR 30 24.841000 28.348333 0.000000
443 W64531001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 800 mg COMPR. FILM. 800mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 26.154666 29.780333 0.000000
444 W63666001 J05AE10 DARUNAVIRUM ** DARUNAVIR ALVOGEN 800 mg COMPR. FILM. 800mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 29.809200 34.018000 2.214666
445 W64415010 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. PEID, CU DESICANT X 30 COMPR. FILM. PR 30 26.474000 30.128333 0.000000
446 W64415013 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. PEID, FARA DESICANT X 30 COMPR. FILM. PR 30 26.474000 30.128333 0.000000
447 W63332001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 800 mg COMPR. FILM. 800mg MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 30 COMPR. FILM. PR 30 24.841000 28.348333 0.000000
448 W63853007 J05AE10 DARUNAVIRUM ** DARUNAVIR SANDOZ 800 mg COMPR. FILM. 800mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 29.809200 34.018000 0.779000
449 W61893001 J05AE10 DARUNAVIRUM ** PREZISTA 100 mg/ml SUSP. ORALA 100mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA PRF
FLAC. DE STICLA MULTIDOZA CU 200 ML SUSP. + 1 PIPETA DE 6 ML PT. ADMINISTRARE ORALA CU GRADATII DE 0,2 ML 1 1,428.690000 1,595.420000 0.000000
450 W06151002 J05AF01 ZIDOVUDINUM RETROVIR 100mg CAPS. 100mg VIIV HEALTHCARE UK LIMITED UK CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 4.012400 4.755000 0.000000
451 W65176002 J05AF01 ZIDOVUDINUM RETROVIR 100 mg CAPS. 100mg VIIV HEALTHCARE BV OLANDA CUTIE CU 10 BLIST. PVC/AL X 10 CAPS. P-RF 100 4.012400 4.755000 0.000000
452 W65177001 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA PRF
CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 10 ML 1 48.380000 63.280000 0.000000
453 W65177002 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA PRF
CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 1 ML 1 48.380000 63.280000 0.000000
454 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4.376400 5.342800 0.248033
455 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3.647000 4.452333 0.000000
456 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4.376400 5.342800 0.248033
457 W62523002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 10.966666 13.225333 0.000000
458 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9.409666 11.487333 0.000000
459 W65303002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 87.210000 110.270000 0.000000
460 W65271001 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE X 60 COMPR. FILM. PR 60 11.444800 13.237800 4.054866
461 W66672001 J05AF06 ABACAVIRUM ABACAVIR AUROBINDO 300 mg COMPR. FILM. 300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL A 60 COMPR. FILM. PR 60 9.537333 11.031500 0.000000
462 W65272001 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml VIIV HEALTHCARE BV OLANDA CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE PR 1 281.820000 344.050000 0.000000
463 W68200001 J05AF07 TENOFOVIRUM DISOPROXIL **1 VIROFOB 245 mg COMPR. FILM. 245mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP X 30 COMPR. FILM. PR 30 12.835600 15.516799 0.523534
464 W63499004 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL SANDOZ 245 mg COMPR. FILM. 245mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 12.835600 15.516799 9.791534
465 W68144001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL MYLAN COMPR. FILM. 245mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 12.835600 15.516799 0.523867
466 W63256001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL MYLAN COMPR. FILM. 245mg MYLAN S.A.S FRANTA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM PR 30 12.835600 15.516799 0.523867
467 W65812001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ACCORD 245 mg COMPR. FILM. 245mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 12.835600 15.516799 4.719534
468 W65970002 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR STADA 245 mg COMPR. FILM. 245mg STADA M&D SRL ROMANIA PR
AMBALAJ MULTIPLU CU 3 FLAC. PEID CU CAPAC DIN PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 90 (3X30) COMPR. FILM. 90 12.835600 15.516799 7.448089
469 W60828015 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL TEVA 245 mg COMPR. FILM. 245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA PR
CUTIE CU 1 FLAC. DIN PEÎD CU CAPAC CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM. 30 12.835600 15.516799 4.735534

Pagina 9 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
470 W64012002 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL AUROBINDO 245 mg 245mg COMPR. FILM.
AUROBINDO PHARMA ROMANIA S.R.L. PR
ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. 30 10.696333 12.930666 0.000000
471 W62771001 J05AF07 TENOFOVIRUM DISOPROXIL **1 VIROFOB 245 mg 245mg ALVOGEN IPCO S.AR.L.
COMPR. FILM. PR
LUXEMBURG CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP X 30 COMPR. FILM. 30 12.835600 15.516799 0.523534
472 W65737001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ACCORDPHARMA 245 mg COMPR. FILM. 245mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 30X1 COMPR. FILM. 30 12.835600 15.516799 4.719534
473 W65970001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR STADA 245 mg COMPR. FILM. 245mg STADA M&D SRL ROMANIA PR
CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 (1X30) COMPR. FILM. 30 12.835600 15.516799 10.770867
474 W64753001 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 21.929000 25.174333 0.000000
475 W63028001 J05AG01 NEVIRAPINUM NEVIRAPINA TEVA 200mg COMPR. 200mg TEVA B.V. OLANDA BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP. PR 60 6.406000 7.618333 0.000000
476 W13091001 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/5ml SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA PR
CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON 1 198.100000 241.840000 0.000000
477 W64652001 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII PRF 30 10.984000 13.244333 0.000000
478 W61898001 J05AG04 ETRAVIRINUM INTELENCE 200 mg COMPR. 200mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 60 COMPR. PR 60 24.934500 27.814500 0.000000
479 W61897001 J05AG04 ETRAVIRINUM INTELENCE 25 mg COMPR. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. PR 120 4.188333 4.883166 0.000000
480 W58157001 J05AG05 RILPIVIRINUM EDURANT COMPR. FILM. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU UN FLACON DIN PEÎD X 30 COMPRIMATE FILMATE PR 30 29.561666 33.494000 0.000000
481 W65374001 J05AG06 DORAVIRINUM PIFELTRO 100 mg COMPR. FILM. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 33.001333 37.243000 0.000000
482 W66449009 J05AP01 RIBAVIRINUM RIBAVIRINA AUROBINDO 200 mg COMPR. FILM. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 168 COMPR. FILM. PRF 168 1.707916 2.085059 0.000000
483 W66476001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg COMPR. FILM. 150mg/300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 5.954166 7.125833 0.000000
484 W59832001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg COMPR. FILM. 150mg/300mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 5.954166 7.125833 0.000000
485 W68224004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN 600 mg/300 mg COMPR. FILM. 600mg/300mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 18.507666 21.445000 0.000000
486 W63224001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA AUROBINDO 600 mg/300mg COMPR. FILM. 600mg/300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 17.312000 20.141666 0.000000
487 W65906003 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA TERAPIA 600 mg/300 mg COMPR. FILM. 600mg/300mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. TRIPLU (TRIPLEX) DIN PVC-PE-PVDC/AL X 30 COMPR. FILM PR 30 20.538333 23.658333 0.000000
488 W64747004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN 600 mg/300 mg COMPR. FILM. 600mg/300mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 18.507666 21.445000 0.000000
489 W65906004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA TERAPIA 600 mg/300 mg COMPR. FILM. 600mg/300mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. FORMAT LA RECE DIN PVC-PA/AL X 30 COMPR. FILM PR 30 17.774000 20.645333 0.000000
490 W65115001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE X 30 COMPR. FILM. ( BLIST.ALB-OPAC PVC/PVDC-AL/HARTIE) PR 30 20.774400 24.169999 5.812667
491 W67488001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN PHARMA 600 mg/300 mg COMPR. FILM. 600mg/300mg MYLAN IRELAND LIMITED IRLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 17.774000 20.645333 0.000000
492 W66762001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA STADA 600 mg/300 mg COMPR. FILM. 600mg/300mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. PR 30 17.667333 20.529000 0.000000
493 W66762003 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA STADA 600 mg/300 mg COMPR. FILM. 600mg/300mg STADA M&D S.R.L. ROMANIACUTIE CU 1 FLAC. PEID X 30 COMPR. PR 30 17.667333 20.529000 0.000000
494 W68235001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN PHARMACEUTICALS LIMITED IRLANDACUTIE CU BLIST. X 30 COMPR. FILM. PR 30 7.804399 9.527599 17.296067
495 W63257001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN S.A.S FRANTA CUTIE CU BLIST. X 30 COMPR. FILM. PR 30 7.804399 9.527599 17.296067
496 W66839001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL STADA 200 mg/245 mg COMPR. FILM. 200mg/245mg STADA M&D S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 7.804399 9.527599 5.043067
497 W62931007 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL TEVA 200 mg/245 mg COMPR. FILM. 200mg/245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEID CU CAPACITATEA DE 100 ML, PREVAZUT CU CAPAC DIN PP CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI RECIPIENT CARE CONTINE 3 G DESICANT X 30 COMPR. FILM. PR 30 6.503666 7.939666 0.000000
498 W62928001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL DUNOTRISIN 200 mg/245 mg COMPR. FILM. 200mg/245mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 7.804399 9.527599 19.386401
499 W65016001 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM ** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. OPACE DIN PCTFE- PVC/ACLAR) PR 60 30.753833 34.157500 0.000000
500 W64590001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL KRKA 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 35.141333 39.575666 0.000000
501 W68108001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PEID ETICHETAT "DO NOT EAT" (A NU FI INGERAT) X 30 COMPR. FILM. PR 30 35.141333 39.575666 0.000000
502 W63863001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg MYLAN S.A.S FRANTA CUTIE CU 1 FLAC. DIN PEID ETICHETAT "DO NOT EAT" (A NU FI INGERAT) X 30 COMPR. FILM. PR 30 35.141333 39.575666 0.000000
503 W64622001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL ZENTIVA 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 35.141333 39.575666 0.000000
504 W68159005 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR MYLAN 200 mg/50 mg COMPR. FILM. 200mg/50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. X 120 COMPR. FILM. PR 120 8.772000 9.879416 0.000000
505 W59948001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. PR 120 9.929416 11.141000 0.000000
506 W64678001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. FILM. PR 120 9.929416 11.141000 0.000000
507 W64170005 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR MYLAN 200 mg/50 mg COMPR. FILM. 200mg/50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. X 120 COMPR. FILM. PR 120 8.772000 9.879416 0.000000
508 W64677001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML PR 5 289.068000 322.714000 0.000000
509 W64677002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA 120 ML (2 FLACOANE X 60 ML) CU 2 SERINGI X 2 ML CU GRADATII DE 0,1 ML PR 2 312.910000 360.145000 0.000000
510 W59947002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE LTD. MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML PR 5 289.068000 322.714000 0.000000
511 W65274001 J05AR13 COMBINATII (DOLUTEGRAVIRUM+ABACAVIRUM+LAMIVUDINUM) TRIUMEQ 50 mg/600 mg/300mg COMPR. FILM. 50mg/600mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 110.109666 121.291333 0.000000
512 W61899001 J05AR14 COMBINATII (DARUNAVIRUM+COBICISTATUM) REZOLSTA 800 mg/150 mg COMPR. FILM. 800mg/150mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC ALB DIN PEID X 30 COMPR. FILM. PR 30 57.812000 64.286666 0.000000
513 W64751001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/10 mg COMPR. FILM. 200mg/10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 66.618333 73.885666 0.000000
514 W64752001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/25 mg COMPR. FILM. 200mg/25mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 66.618333 73.885666 0.000000
515 W64755001 J05AR18 ELVITEGRAVIR+COBICISTAT+EMTRICITABINE+TENOFOVIR GENVOYA 150 mg/150 mg/200 mg/10 mg COMPR. FILM. 150mg/150mg/200mg/10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 110.536666 121.756666 0.000000
516 W65900001 J05AR20 BICTEGRAVIRUM+EMTRICITABINUM+TENOFOVIRUM BIKTARVY 50 mg/200 mg/25 mg COMPR. FILM. 50mg/200mg/25mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC DIN PEID, PREVAZUT CU CAPAC DIN PP SI SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 COMPR. FILM. PR 30 95.393333 105.250666 0.000000
517 W66116001 J05AR21 COMBINATII (DOLUTEGRAVIRUM + RILPIVIRINUM) JULUCA 50 mg/25 mg COMPR. FILM. 50mg/25mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. DIN PEID CU CAPAC CU FILET DIN PE PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 COMPR. FILM. PR 30 95.393333 105.250666 0.000000
518 W64326001 J05AR22 DARUNAVIRUM+COBICISTATUM+EMTRICITABINA+TENOFOVIR ALAFENAMIDA SYMTUZA 800 mg/150 mg/200 mg/10 mg COMPR. FILM. 800mg/150mg/200mg/10mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 108.081666 119.081000 0.000000
519 W65375001 J05AR24 DORAVIRINUM+LAMIVUDINUM+TENOFOVIRUM DISOPROXIL DELSTRIGO 100 mg/300 mg/245 mg COMPR. FILM. 100mg/300mg/245mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 67.344000 74.676666 0.000000
520 W66226001 J05AR25 COMBINATII (DOLUTEGRAVIRUM + LAMIVUDINUM) DOVATO 50 mg/300 mg COMPR. FILM. 50mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. DIN PEID PREVAZUT CU CAPAC CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 COMPR. FILM. PR 30 87.845333 97.023333 0.000000
521 W64644001 J05AX08 RALTEGRAVIRUM ISENTRESS 400 mg COMPR. FILM. 400mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 39.468666 43.656666 0.000000
522 W64645001 J05AX08 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 39.471000 43.659333 0.000000
523 W64977003 J05AX09 MARAVIROCUM CELSENTRI 150 mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL) PR 60 43.173666 47.695166 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
524 W61477003 J05AX09 MARAVIROCUM CELSENTRI 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 43.173666 47.695166 0.000000
525 W64978003 J05AX09 MARAVIROCUM CELSENTRI 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL) PR 60 43.173666 47.695166 0.000000
526 W61478003 J05AX09 MARAVIROCUM CELSENTRI 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 43.173666 47.695166 0.000000
527 W64581001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg VIIV HEALTHCARE BV OLANDA FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 16.570333 19.333333 0.000000
528 W63696001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 16.570333 19.333333 0.000000
529 W63697001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 39.926333 44.791333 0.000000
530 W64582001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg VIIV HEALTHCARE BV OLANDA FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 39.926333 44.791333 0.000000
531 W64583001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50 mg COMPR. FILM. 50mg VIIV HEALTHCARE BV OLANDA FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 78.852333 87.221000 0.000000
532 W60635001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50mg COMPR. FILM. 50mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLACOANE PEID X 30 COMPRIMATE FILMATE, INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 78.852333 87.221000 0.000000
533 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367.360000 438.570000 0.000000
534 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704.710000 806.290000 0.000000
535 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,379.440000 1,541.740000 0.000000
536 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,741.470000 3,026.360000 0.000000
537 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,082.030000 1,217.560000 0.000000
538 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,123.150000 2,352.390000 0.000000
539 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 640.080000 735.840000 0.000000
540 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567.750000 657.000000 0.000000
541 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 4,719.840000 5,182.780000 0.000000
542 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243.150000 296.840000 0.000000
543 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,567.550000 2,836.780000 0.000000
544 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 235.250000 287.190000 0.000000
545 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 664.380000 762.320000 0.000000
546 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 599.370000 691.460000 0.000000
547 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,307.480000 2,553.310000 0.000000
548 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 221.130000 269.960000 0.000000
549 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,168.750000 1,312.090000 0.000000
550 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1,825.000000 2,027.400000 0.000000
551 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,298.780000 1,453.820000 0.000000
552 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76.032000 92.030400 83.669600
553 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127.632000 148.274400 129.275600
554 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45.800000 59.910000 0.000000
555 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
556 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
557 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127.632000 148.274400 209.375600
558 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231.680000 282.840000 0.000000
559 W64857002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 63.360000 76.692000 0.000000
560 W55757002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 63.360000 76.692000 0.000000
561 W64858002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 106.360000 123.562000 0.000000
562 W55758002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 106.360000 123.562000 0.000000
563 W54015001 P01BC02 MEFLOQUINUM (4) ELOQUINE 250 mg COMPR. 250mg CN UNIFARM ROMANIACUTIE X 10 BLIST. X 10 COMPR. PR 100 1.595000 1.947200 0.000000
564 W12757001 S01AA23 NETILMICINUM NETTACIN 3 mg/ml PIC. OFT., SOL 3mg/ml S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 15.730000 21.260000 0.000000
565 W41510001 S01AA23 NETILMICINUM NETTACIN 3 mg/ml PICATURI OFT.-SOL. 3mg/ml S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 1.634000 2.208666 0.000000
566 W65421001 S01AA23 NETILMICINUM NETTACIN 3 mg/g UNG. OFT. 3mg/g SIFI S.P.A. ITALIA CUTIE CU 1 TUB DIN AL PREVAZUT CU APLICATOR DIN PEJD X 5 G UNG. OFT. PRF 1 18.876000 25.512000 10.468000
567 W55648001 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF 1 4.450000 6.020000 0.000000
568 W02427001 S01BA01 DEXAMETHASONUM MAXIDEX (R) PICATURI OFT.-SUSP. 0,1% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 4.810000 6.500000 0.000000
569 W63597001 S01BA01 DEXAMETHASONUM MAXIDEX 1 mg/ml PICATURI OFT.-SUSP. 1 mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 4.810000 6.500000 0.000000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

1 W42822003 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE CU 5 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. P6L 50 0.385400 0.520800 0.000000
2 W56760001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 0.462480 0.624960 0.386040

Pagina 11 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
3 W42822002 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE CU 2 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. 20 P6L 0.385500 0.521000 0.000000
4 W56758001 A11HA02 PYRIDOXINUM SOL. INJ.
VITAMINA B6 ZENTIVA 250 mg/5 ml 250mg/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. 5 P-RF 5.102000 6.674000 0.000000
5 W56757001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA P-RF 5
CUTIE CU 5 FIOLE DIN STICLA INCOLORA, PREVAZUTE CU INEL DE RUPERE SAU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI 2 INELE COLORATE PE GATUL FIOLEI PT. IDENTIFICARE X 2 ML SOL. INJ. 3.432000 4.640000 0.000000
6 W13686002 H02AB07 PREDNISONUM PREDNISON SINTOFARM 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0.111666 0.151000 0.000000
7 W12565003 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 0.109760 0.134000 0.000000
8 W12565002 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0.111666 0.151000 0.000000
9 W53341001 H02AB07 PREDNISONUM PREDNISONA-RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0.107500 0.145000 0.000000
10 W05242001 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.111500 0.151000 0.000000
11 W00400003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 0.785000 1.060714 0.000000
12 W54453002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500mg/125mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0.482142 0.651428 0.000000
13 W65088002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA PRF 14
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT 0.578570 0.781714 0.576143
14 W64211008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.482142 0.651428 0.000000
15 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.785000 1.060714 0.000000
16 W59497007 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA PRF 21
CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 21 COMPR. FILM. 0.784761 1.060952 0.000000
17 W55401002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0.785000 1.060714 0.000000
18 W59497004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA PRF 14
CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 14 COMPR. FILM. 0.785000 1.060714 0.000000
19 W65089001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA PRF 14
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT 0.941713 1.272857 0.365000
20 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 0.578570 0.781714 0.559714
21 W59739001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 1 15.260000 19.218240 1.411760
22 W59739005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 25 14.592800 17.432000 0.000000
23 W59739002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 50 13.992800 16.015200 0.000000
24 W59739004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 10 14.732000 17.985000 0.000000
25 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 9.170000 12.400000 0.000000
26 W08783002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE P-RF 1 10.940000 14.780000 0.000000
27 W67768004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA PRF 1
CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (DE CAPACITATE 147ML) CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA 13.128000 17.736000 2.784000
28 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA PRF 1
CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA 13.128000 17.736000 2.784000
29 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA P-RF
CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE1 11.130000 15.040000 0.000000
30 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA PR 10
CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. 20.509000 25.037000 0.000000
31 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 20.509000 25.037000 0.000000
32 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24.610800 30.044400 7.505600
33 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24.610800 30.044400 10.845600
34 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24.610800 30.044400 10.232600
35 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24.610800 30.044400 7.294600
36 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 20.882000 25.492000 0.000000
37 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.521428 2.056285 0.859715
38 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.521428 2.056285 0.859715
39 W60253004 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 0.772142 1.043571 0.000000
40 W44093001 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 0.926570 1.252285 0.143429
41 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0.926570 1.252285 0.019857
42 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0.926570 1.252285 0.111286
43 W62390002 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 0.926570 1.252285 0.632715
44 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0.926570 1.252285 0.632715
45 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.521428 2.056285 0.053715
46 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.521428 2.056285 0.064429
47 W44087001 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 1.521428 2.056285 0.544429
48 W54044001 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 1.521428 2.040500 0.000000
49 W60254003 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 1.267857 1.713571 0.000000
50 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg 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 1.521428 2.056285 0.629429
51 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 15.900000 21.490000 0.000000
52 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA PRF 1
CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 19.080000 25.788000 0.962000
53 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 10.460000 14.140000 0.000000
54 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA PRF 1
CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 11.870000 16.040000 0.000000
55 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA PRF 1
CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 11.870000 16.040000 0.000000
56 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA PRF 1
CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 19.080000 25.788000 0.962000

Pagina 12 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
57 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 44.720000 58.500000 0.000000
58 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 26.830000 35.100000 0.000000
59 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 33.370000 43.650000 0.000000
60 W14119005 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. PR 100 3.182300 3.850200 0.000000
61 W14119004 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. PR 50 3.200200 3.906800 0.000000
62 W53277001 J01GB06 AMIKACINUM AMIKOZIT 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 34.270000 44.820000 0.000000
63 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 1.695000 2.291000 0.000000
64 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 mg COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1.695000 2.291000 0.000000
65 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM. P-RF 10 1.695000 2.291000 0.000000
66 W54037001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.266000 4.272000 0.000000
67 W54038001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.141600
68 W54038002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0.481200 0.650400 0.141600
69 W01288001 J01MA02 CIPROFLOXACINUM CIPROLEN 250 mg COMPR. FILM. 250mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.141600
70 W65056001 J01MA02 CIPROFLOXACINUM CIFRAN 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0.481200 0.650400 0.141600
71 W44077004 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.141600
72 W01271002 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.119600
73 W66438003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0.401000 0.542000 0.000000
74 W01273001 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.481200 0.650400 0.129600
75 W66439003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0.588000 0.795000 0.000000
76 W65057001 J01MA02 CIPROFLOXACINUM CIFRAN 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0.705600 0.954000 0.559000
77 W44076001 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.559000
78 W01272001 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.539000
79 W54039002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0.705600 0.954000 0.559000
80 W01289001 J01MA02 CIPROFLOXACINUM CIPROLEN 500 mg COMPR. FILM. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.559000
81 W54039001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.559000
82 W01274001 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.252000
83 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 0.705600 0.954000 0.559000
84 W54040001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.266000 4.272000 0.000000
85 W42772001 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 2.893000 3.784000 0.000000
86 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 2.838000 3.836000 0.000000
87 W60268001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ZENTIVA 10 mg/ml CONC. PT. SOL. PERF. 100mg/10ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML PR 5 2.846000 3.846000 0.000000
88 W61489002 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 50 6.938200 8.325600 0.000000
89 W61489001 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 10 8.325840 9.990720 4.307280
90 W61489004 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 30 13.457666 15.940666 0.000000
91 W61489003 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 10 13.824000 16.876000 0.000000
92 W60574002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 2.028000 2.741000 0.000000
93 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 2.030000 2.744000 0.000000
94 W61631003 J01MA12 LEVOFLOXACINUM LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 2.045714 2.764285 0.000000
95 W55699003 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF 7 2.027142 2.740000 0.000000
96 W60574001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 2.028000 2.740000 0.000000
97 W52786004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 2.045714 2.764285 0.000000
98 W56939002 J01MA12 LEVOFLOXACINUM FLERADAY 500 mg COMPR. FILM. 500 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF 7 3.611428 4.724285 0.000000
99 W61706003 J01MA12 LEVOFLOXACINUM LEVALOX 500 mg COMPR. FILM. 500mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 3.030000 4.095714 0.000000
100 W55700002 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 3.636000 4.914857 0.766571
101 W52787004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 3.062857 4.140000 0.000000
102 W60575001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 3.612000 4.882000 0.000000
103 W60575002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 3.612000 4.725000 0.000000
104 W66213001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 3.583000 4.687000 0.000000
105 W62972002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 50 ML SOL. PERF. PRF 50 19.710000 22.247000 0.000000
106 W54108008 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. PEJD KABIPAC(TIP BOTTLEPACK) A 100 ML CONTINAND 100 ML SOL. PERF. (500MG LEVOFLOXAC PR 10 32.676000 42.744000 8.442000
107 W56429007 J01MA12 LEVOFLOXACINUM CENOMAR 5 mg/ml SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 PUNGA PEJD X 100 ML SOL. PERF. PR 1 32.676000 42.744000 17.586000
108 W61707001 J01MA12 LEVOFLOXACINUM LEVALOX 5 mg/ml SOL. PERF. 5mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPAC DIN AL A 100 ML SOL. PERF. PR 1 27.230000 35.620000 0.000000
109 W62972004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 100 ML SOL. PERF. PRF 30 32.676000 42.744000 0.527333
110 W55815004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 32.676000 42.744000 17.586000

Pagina 13 din 63
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Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
111 W63876001 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF 5 6.206000 8.118000 0.000000
112 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 5.562000 7.274000 0.000000
113 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 6.206000 8.118000 0.000000
114 W65324001 J01MA14 MOXIFLOXACINUM KIMOKS 400 mg COMPR. FILM. 400mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM. PRF 5 5.458000 7.140000 0.000000
115 W60943001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF 5 5.282000 6.910000 0.000000
116 W66222001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 5.900000 7.716000 0.000000
117 W67240002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 10 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 10 51.863000 60.346000 0.000000
118 W67240003 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 20 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 20 50.363000 56.803000 0.000000
119 W63849002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 5 60.435600 68.163600 7.354400
120 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 60.435600 68.163600 12.006400
121 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 60.200000 68.163600 1.269400
122 W63877004 J01MA14 MOXIFLOXACINUM AVELOX 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AMBALAJ MULTIPLU (FOLIE DE PLASTIC ETICHETATA) CU 5 CUTII DIN CARTON A CATE 1 FLAC. DIN STICLA X 250 ML SOL. PERF., ÎNCHIS CU DOP DIN CAUCIUC CLOROBUTILIC SAU BROMOBUTILIC PR 5 60.435600 68.163600 10.474400
123 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 90.018000 102.698400 21.246600
124 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 90.018000 102.698400 21.246600
125 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 75.015000 85.582000 0.000000
126 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835.380000 948.710000 0.000000
127 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 835.380000 948.710000 0.000000
128 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 118.493000 132.972000 0.000000
129 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 137.318400 154.255200 170.864800
130 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP MULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 10 119.830000 134.430000 0.000000
131 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
132 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 137.318400 153.913000 0.000000
133 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 128.510000 154.255200 2.634800
134 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
135 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137.318400 154.255200 1.161800
136 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114.432000 128.546000 0.000000
137 W52079002 J04AB01 CYCLOSERINUM CICLOSERINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF 100 7.020000 8.033300 0.000000
138 W60378001 J04AB02 RIFAMPICINUM RIFAMPICINA ARENA 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. S/P-RF 10 0.326000 0.441000 0.000000
139 W41998002 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. PRF 1000 0.319000 0.385860 0.000000
140 W41999002 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. DIN AL/PVC X 10 CAPS. PRF 1000 0.930000 1.051850 0.000000
141 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0.121773 0.148660 0.000000
142 W61241001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0.126000 0.170500 0.000000
143 W61241002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0.126000 0.170200 0.000000
144 W61241003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0.121773 0.148660 0.000000
145 W61242003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0.298646 0.350960 0.000000
146 W61242002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0.318000 0.421152 0.008648
147 W61242001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0.317500 0.421152 0.007848
148 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0.298646 0.350960 0.000000
149 W56079001 J04AD03 ETIONAMIDUM ETIONAMIDA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 BLIST. AL/AL X 10 COMPR. FILM. P-RF 100 1.650000 2.014300 0.000000
150 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0.500000 0.570433 0.000000
151 W53682002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.249000 0.336500 0.000000
152 W59648002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 100 BLIST. PVC/AL X 10 CAPS. PRF 1000 0.377500 0.449630 0.000000
153 W59648001 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0.396000 0.511000 0.024500
154 W42943002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM. PRF 1500 0.238300 0.285180 0.000000
155 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. PRF 1500 0.367340 0.425833 0.000000
156 W60621001 J04AK05 BEDAQUILINUM SIRTURO 100 mg COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DIN PEID X 188 COMPR. PR 188 295.309042 322.090212 0.000000
157 W63026001 J04AK06 DELAMANIDUM DELTYBA 50 mg COMPR. FILM. 50mg OTSUKA NOVEL PRODUCTS GMBH GERMANIA CUTIE CU BLISTER AL/AL X 48 COMPRIMATE FILMATE PR 48 130.483958 143.022500 0.000000
158 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO 300 mg+150 mg CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0.990000 1.117250 0.000000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


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

Pagina 14 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
1 W66559001 J05AH02 OSELTAMIVIRUM EBILFUMIN 30 mg CAPS. 30mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/PE/PVDC/AL X 10 CAPS. PRF 10 1.948000 2.633000 0.000000
2 W66870001 J05AH02 OSELTAMIVIRUM SEGOSANA 30 mg CAPS. 30mg ZENTIVA KS REPUBLICA CEHA CUTIE CU BLISTER DIN PVC-PE-PVDC/ AL X 10 CAPSULE PRF 10 2.337600 3.159600 1.206400
3 W52316001 J05AH02 OSELTAMIVIRUM TAMIFLU 30mg CAPS. 30mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 2.337600 3.159600 2.335400
4 W64406001 J05AH02 OSELTAMIVIRUM TAMIFLU 30 mg CAPS. 30mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 BLISTER PVC/PE/PVDC/AL X 10 CAPSULE PRF 10 2.337600 3.159600 2.335400
5 W66872001 J05AH02 OSELTAMIVIRUM SEGOSANA 75 mg CAPS. 75mg ZENTIVA KS REPUBLICA CEHA CUTIE CU BLISTER DIN PVC-PE-PVDC/ AL X 10 CAPSULE PRF 10 5.110800 6.685200 0.943800
6 W64405001 J05AH02 OSELTAMIVIRUM TAMIFLU 75 mg CAPS. 75mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 BLISTER PVC/PE/PVDC/AL X 10 CAPSULE PRF 10 5.110800 6.685200 1.151800
7 W66561001 J05AH02 OSELTAMIVIRUM EBILFUMIN 75 mg CAPS. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/PE/PVDC/AL X 10 CAPS. PRF 10 4.259000 5.571000 0.000000
8 W13633001 J05AH02 OSELTAMIVIRUM TAMIFLU 75 mg CAPS. 75mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE P-RF 10 5.110800 6.685200 1.151800

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1 W64041001 G03HA01 CYPROTERONUM ANDROCUR 50 mg COMPR. 50mg BAYER AG GERMANIA CUTIE CU 5 BLIST. AL/PVC X 10 COMPR. PRF 50 1.665200 2.105600 0.000000
2 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0.935000 1.223000 0.000000
3 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 25.210000 32.970000 0.000000
4 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 25.210000 32.970000 0.000000
5 W58866002 L01AA02 CHLORAMBUCILUM LEUKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF 25 2.162000 2.733600 0.000000
6 W58865001 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 4.203600 5.131600 0.000000
7 W68111001 L01AA03 MELPHALANUM MELPHALAN-RATIOPHARM 50 mg 50mg
PULB+SOLV. PT. SOL. INJ./PERF. TEVA PHARMACEUTICALS S.R.L. PR
ROMANIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 10 ML SOLV. 1 1,095.400000 1,232.140000 0.000000
8 W67923001 L01AA03 MELPHALANUM PHELINUN 200 mg PULB+SOLV. PT. SOL. PERF. 200mg ADIENNE S.R.L. S.U. ITALIA PR
CUTIE CU 1 FLACON X 200MG PULBERE + 1 FLACON X 40ML SOLVENT 1 4,420.370000 4,856.360000 0.000000
9 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. PR 1 134.780000 164.540000 0.000000
10 W65791005 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml 2,5mg/ml
PULB. PT. CONC. PT. SOL. PERF. ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 100 MG BENDAMUSTINA 5 213.369600 241.728000 204.278000
11 W62432002 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ZENTIVA 2,5 mg/ml 2,5mg/ml
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA PR
CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 25 ML CU PULB. PT. CONCENTRAT PT. SOL. PERF. CARE CONTINE 25 MG CLORHIDRAT DE BENDAMUSTINA 5 47.248000 57.680000 0.000000
12 W65791001 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml 2,5mg/ml
PULB. PT. CONC. PT. SOL. PERF. ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 25 MG BENDAMUSTINA 5 56.697600 69.216000 74.508000
13 W62432006 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ZENTIVA 2,5 mg/ml 2,5mg/ml
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA PR
CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONCENTRAT PT. SOL. PERF. CARE CONTINE 100 MG CLORHIDRAT DE BENDAMUSTINA 5 177.808000 201.440000 0.000000
14 W58856002 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF 100 2.721700 3.322600 0.000000
15 W64538001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC.) X 10 ML PR 8 723.823750 793.737500 0.000000
16 W65792001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 750.080000 855.740000 0.000000
17 W66250001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 100 mg CAPS. 100mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 41.110000 50.186000 0.000000
18 W64828003 L01AX03 TEMOZOLOMIDUM TEMODAL 100 mg CAPS. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 49.332000 60.223200 16.342800
19 W65711002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 100 mg CAPS. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 41.110000 50.186000 0.000000
20 W63023001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 100 mg CAPS. 100mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 41.110000 50.186000 0.000000
21 W65712002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 140 mg CAPS. 140mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 69.451200 84.396000 0.000000
22 W66251001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 140 mg CAPS. 140mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 57.876000 70.656000 0.000000
23 W65713002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 180 mg CAPS. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 91.904000 107.806000 0.000000
24 W64827003 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 10.281600 13.449600 11.216400
25 W66249001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 20 mg CAPS. 20mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 8.568000 11.208000 0.000000
26 W63022001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 20 mg CAPS. 20mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 8.788000 11.496000 0.000000
27 W65710002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 20 mg CAPS. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 8.788000 11.496000 0.000000
28 W65714002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 124.118000 142.918000 0.000000
29 W63024001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 250 mg CAPS. 250mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 148.941600 171.501600 2.314400
30 W58779001 L01AX04 DACARBAZINUM DACARBAZINA LIPOMED 200 mg PULB. PT. SOL. INJ./PERF. 200 mg LIPOMED GMBH GERMANIA CUTIE CU 10 FLACOANE MONODOZA DIN STICLA BRUNA CU DOP DIN CAUCIUC BROMOBUTILIC CU SIGILIU DIN AL TIP FLIP-OFF CU CAPAC DIN PLASTIC DE CULOARE ROSIE CARE CONTIN PULB. PENTRU SOL. INJ. SAU PERF. PR 10 97.098000 109.652000 0.000000
31 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg/50 ml CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML PR 1 356.390000 426.620000 0.000000
32 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJD PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 ML SOL. ORALA PR 1 753.750000 859.740000 0.000000
33 W67349002 L01BA04 PEMETREXEDUM **1 PEMETREXED SANDOZ 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I, INCOLORA CONTINAND 20 ML CONC. PT. SOL. PERF. PR 1 809.136000 927.744000 1,388.196000
34 W67460001 L01BA04 PEMETREXEDUM **1 PEMETREXED ACCORD 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA MODELATA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BROMOBUTILIC, CU CAPSA FLIP-OFF DECULOARE MOV DESCHIS, CARE CONTINE DE 20 ML DE CONCENTRAT PR 1 809.136000 927.744000 781.726000
35 W62816004 L01BA04 PEMETREXEDUM **1 ARMISARTE 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACTAVIS GROUP PTC EHF. ISLANDA FLAC. DIN STICLA TRANSPARENTA DE 34 ML (850 MG/34 ML) PR 1 2,728.340000 3,012.040000 0.000000
36 W67460002 L01BA04 PEMETREXEDUM **1 PEMETREXED ACCORD 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA MODELATA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BROMOBUTILIC, CU CAPSA FLIP-OFF DECULOARE PORTOCALIE, CARE CONTINE DE 34 ML DE CONCENTRAT PR 1 2,728.340000 3,012.040000 0.000000
37 W62671002 L01BA04 PEMETREXEDUM **1 PEMETREXED STADA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU 20 ML CONC. PT. SOL. PERF. PR 1 809.136000 927.744000 992.806000
38 W62816002 L01BA04 PEMETREXEDUM **1 ARMISARTE 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACTAVIS GROUP PTC EHF. ISLANDA FLAC. DIN STICLA TRANSPARENTA DE 20 ML (500 MG/20 ML) PR 1 809.136000 927.744000 774.406000
39 W67349003 L01BA04 PEMETREXEDUM **1 PEMETREXED SANDOZ 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I, INCOLORA CONTINAND 40 ML CONC. PT. SOL. PERF. PR 1 1,668.612000 1,864.572000 2,837.058000
40 W64298002 L01BA04 PEMETREXEDUM **1 PEMETREXED ZENTIVA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, TIP I CU CAPACITATEA DE 20 ML X 20 ML CONC. PT. SOL. PERF. PR 1 809.136000 927.744000 1,838.066000
41 W66907002 L01BA04 PEMETREXEDUM **1 PEMETREXED FRESENIUS KABI 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I, INCOLORA CONTINAND 20 ML CONC. PT. SOL. PERF. PR 1 809.136000 927.744000 992.816000

Pagina 15 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
42 W62671001 L01BA04 PEMETREXEDUM **1 PEMETREXED STADA 25 mg/ml CONC. PT. SOL. PERF.25mg/ml STADA ARZNEIMITTEL AG GERMANIA PR
CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU 4 ML CONC. PT. SOL. PERF. 1 170.088000 207.648000 218.022000
43 W62785001 L01BA04 PEMETREXEDUM **1 PEMETREXED SUN 1000 mg 1000mg
PULB. PT. CONC. PT. SOL. PERF. SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA PR
CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 50 ML, CU PULB. PT. CONC. PT. SOL. PERF. 1 1,390.510000 1,553.810000 0.000000
44 W62783001 L01BA04 PEMETREXEDUM **1 PEMETREXED SUN 100 mg 100mg
PULB. PT. CONC. PT. SOL. PERF. SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA PR
CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 10 ML, CU PULB. PT. CONC. PT. SOL. PERF. 1 141.740000 173.040000 0.000000
45 W67032001 L01BA04 PEMETREXEDUM **1 PEMETREXED KRKA 100 mg 25mg/ml
PULB. PT. CONC. PT. SOL. PERF. KRKA D.D. NOVO MESTO SLOVENIA PR
CUTIE CU 1 FLACON DE 10ML X 100G PULBERE PENTRU CONCENTRAT PENTRU SOLUTIE PERFUZABILA 1 149.660000 182.700000 0.000000
46 W62784001 L01BA04 PEMETREXEDUM **1 PEMETREXED SUN 500 mg 500mg
PULB. PT. CONC. PT. SOL. PERF. SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA PR
CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 50 ML, CU PULB. PT. CONC. PT. SOL. PERF. 1 674.280000 773.120000 0.000000
47 W64024001 L01BA04 PEMETREXEDUM **1 PEMETREXED DITROMETAMINA DR. REDDY'S 500 mg 500mg
PULB. PT. CONC. PT. SOL. PERF. DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU PULB. PT. CONC. PT. SOL. PERF. PR 1 809.136000 927.744000 2,048.786000
48 W42003001 L01BA04 PEMETREXEDUM **1 ALIMTA 500mg 500mg
PULB. PT. CONC. PT. SOL. PERF. ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 809.136000 927.744000 2,048.786000
49 W58868001 L01BB02 MERCAPTOPURINUM PURI - NETHOL 50 mg COMPR. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF 25 2.406000 2.406000 0.000000
50 W58869001 L01BB03 TIOGUANINUM LANVIS 40 mg COMPR. 40mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. P-RF 25 16.699200 19.728000 0.000000
51 W44114001 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML PR 1 1,365.440000 1,526.480000 0.000000
52 W56210002 L01BB05 FLUDARABINUM ** FLUDARA ORAL 10 mg COMPR. FILM. 10mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 68.074000 76.108000 0.000000
53 W64515001 L01BB05 FLUDARABINUM ** FLUDARABINA TEVA 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDARABINA PR 1 119.410000 145.770000 0.000000
54 W65817001 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 1 3,697.300000 4,068.210000 0.000000
55 W53291005 L01BB06 CLOFARABINUM **1 EVOLTRA 1mg/ml CONC. PT. SOL. PERF. 1mg/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU CONC. PT. SOL. PERF. PR 1 3,793.990000 4,173.600000 0.000000
56 W64498002 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 FLAC. X 50 ML SOL. PERF. PR 1 1,242.710000 1,392.710000 0.000000
57 W64498001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 6 FLAC. X 50 ML SOL. PR 6 1,078.798333 1,182.250000 0.000000
58 W61693001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 6 FLAC. X 50 ML S 6 1,078.798333 1,182.250000 0.000000
59 W66325004 L01BC01 CYTARABINUM CITARABINA ACCORD 20 mg/ml SOL INJ./PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ./PERF. PR 1 49.020000 64.120000 0.000000
60 W66246001 L01BC01 CYTARABINUM KORABIN 1000 mg/20 ml SOL. INJ./PERF. 1000mg/20ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 20 ML SOL. INJ./PERF. PR 1 51.300000 64.860000 0.000000
61 W65007004 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML, CU DOP DIN CAUCIUC BROMOBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA X 20 ML SOL. INJ./PERF. 1 156.370000 190.900000 0.000000
62 W65007003 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 10 ML, CU DOP DIN CAUCIUC BROMOBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE X 10 ML SOL. INJ./PERF. 1 61.560000 77.832000 25.838000
63 W43451005 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. PR 1 20.610000 27.860000 0.000000
64 W66308004 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML SOL. INJ. SAU PERF. PR 1 54.720000 69.190000 0.000000
65 W66308001 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ. SAU PERF. PR 1 13.090000 17.690000 0.000000
66 W66308002 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML SOL. INJ. SAU PERF. PR 1 9.310000 12.590000 0.000000
67 W66308005 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ. SAU PERF. PR 1 60.180000 76.090000 0.000000
68 W65796003 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. 1 179.230000 218.810000 0.000000
69 W65796004 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. 1 230.930000 281.920000 0.000000
70 W65796001 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 2 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. 1 22.260000 30.090000 0.000000
71 W65796002 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. 1 88.790000 112.260000 0.000000
72 W65009001 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 6 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE VERDE, A 200 MG/5,26 ML CONCENTRAT PENTRU SOL. PERF. 1 26.712000 36.108000 5.402000
73 W65009003 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 100 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA, A 2000 MG/52,6 ML CONCENTRAT PENTRU SOL. PERF. 1 277.116000 338.304000 115.996000
74 W65009002 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 30 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA, A 1000 MG/26,3 ML CONCENTRAT PENTRU SOL. PERF. 1 106.548000 134.712000 48.268000
75 W54381001 L01BC05 GEMCITABINUM GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA 1 26.712000 36.108000 25.822000
76 W54381002 L01BC05 GEMCITABINUM GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG GEMCITABINA 1 106.548000 134.712000 151.978000
77 W54381004 L01BC05 GEMCITABINUM GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA 1 277.116000 338.304000 64.366000
78 W62551006 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (2200 MG/220 ML) SOL. PERF. PR 1 788.510000 897.630000 0.000000
79 W62551002 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (1600 MG/160 ML) SOL. PERF. PR 1 581.680000 672.180000 0.000000
80 W62551001 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (1200 MG/120 ML) SOL. PERF. PR 1 443.830000 521.920000 0.000000
81 W62551004 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (1800 MG/180 ML) SOL. PERF. PR 1 650.660000 747.370000 0.000000
82 W62551005 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (2000 MG/200 ML) SOL. PERF. PR 1 277.116000 338.304000 484.256000
83 W65664001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 150 mg COMPR. FILM. 150mg ACCORD HEALTHCARE S.L.U. SPANIA PR
BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 60X1 COMPR. FILM. 60 1.248833 1.579000 0.000000
84 W59424001 L01BC06 CAPECITABINUM CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 120 (12X10) COMPR. FILM. PR 120 2.790499 3.406583 0.000000
85 W58926006 L01BC06 CAPECITABINUM CAPECITABINA GLENMARK 500 mg COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 12 BLIST. PVC/PVDC-AL X 120 (12X10) COMPR. FILM. PR 120 2.790499 3.406600 1.437900
86 W59424002 L01BC06 CAPECITABINUM CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 (12X10) COMPR. FILM. PR 120 2.790499 3.406583 0.000000
87 W65665001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE S.L.U. SPANIA PR
BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 120X1 COMPR. FILM. 120 2.325416 2.838833 0.000000
88 W68333001 L01BC07 AZACITIDINUM **1 AZACITIDINA STADA 25 mg/ml PULB. PT. SUSP. INJ. 25 mg/ml STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU PULB. PT. SUSP. INJ. PR 1 445.480000 523.720000 0.000000
89 W65073001 L01BC07 AZACITIDINUM **1 VIDAZA 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml CELGENE EUROPE BV OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG PULB. PT. SUSP. INJ. PR 1 534.576000 628.464000 9.576000
90 W66607001 L01BC07 AZACITIDINUM **1 AZACITIDINE BETAPHARM 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml BETAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 1 FLAC. DIN STILCA TRANSPARENTA CONTINAND 100 MG AZACITIDINA PR 1 534.576000 628.464000 223.756000
91 W66563001 L01BC07 AZACITIDINUM **1 AZACITIDINE ACCORD 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND 100 MG AZACITIDINA PR 1 534.576000 626.420000 0.000000
92 W66603001 L01BC07 AZACITIDINUM **1 AZACITIDINE ZENTIVA 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA PR 1 534.576000 626.440000 0.000000
93 W67347001 L01BC07 AZACITIDINUM **1 AZACITIDINA SANDOZ 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU UN FLACON DIN STICLA CU 100 MG AZACITIDINA PR 1 534.576000 626.420000 0.000000
94 W59587001 L01BC08 DECITABINUM **1 DACOGEN 50mg
PULB. PT. CONC. PT. SOL. PERF. JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE CU 1 FL. DIN STICLA CE CONTINE 50MG DECITABINA PR 1 4,779.950000 5,248.300000 0.000000
95 W63841001 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 15 mg/6,14 mg COMPR. FILM. 15 mg/6,14 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 20 COMPRIMATE FILMATE PR 20 109.534000 121.299500 0.000000

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Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
96 W63841002 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 15 mg/6,14 mg COMPR. FILM. 15 mg/6,14 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 60 COMPRIMATE FILMATE PR 60 114.375000 125.304833 0.000000
97 W63842001 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 20 mg/8,19 mg COMPR. FILM. 20 mg/8,19 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 20 COMPRIMATE FILMATE PR 20 145.497500 160.500000 0.000000
98 W63842002 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 20 mg/8,19 mg COMPR. FILM. 20 mg/8,19 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 60 COMPRIMATE FILMATE PR 60 152.333333 166.679333 0.000000
99 W59211001 L01CA01 VINBLASTINUM (4) VINBLASTINA TEVA 1 mg/ml SOL INJ. 1mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. PR 1 37.960000 49.650000 0.000000
100 W52220001 L01CA02 VINCRISTINUM SINDOVIN 1 mg PULB. PT. SOL. INJ./PERF. 1mg ACTAVIS S.R.L. ROMANIA CUTIE CU 1 FLACON DE CAPACITATE 10ML CE CONTINE 1MG PULB. PT. SOL. INJ./PERF. I.V. S 1 44.500000 58.210000 0.000000
101 W64718001 L01CA02 VINCRISTINUM SINDOVIN 1 mg PULB. PT. SOL. INJ./PERF. I V 1mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ./PERF. I.V. PR 1 44.500000 58.210000 0.000000
102 W67705001 L01CA04 VINORELBINUM VINORELBINA LABORMED 20 mg CAPS. MOI 20mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 141.740000 173.040000 0.000000
103 W65979001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 20 mg CAPS. MOI 20mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 141.740000 173.040000 0.000000
104 W42512002 L01CA04 VINORELBINUM NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE PR 1 165.000000 201.430000 0.000000
105 W67706001 L01CA04 VINORELBINUM VINORELBINA LABORMED 30 mg CAPS. MOI 30mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 212.610000 259.550000 0.000000
106 W42513002 L01CA04 VINORELBINUM NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE PR 1 247.500000 302.150000 0.000000
107 W65980001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 30 mg CAPS. MOI 30mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 212.610000 259.550000 0.000000
108 W65981001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 80 mg CAPS. MOI 80mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 545.420000 632.660000 0.000000
109 W67707001 L01CA04 VINORELBINUM VINORELBINA LABORMED 80 mg CAPS. MOI 80mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 545.420000 632.660000 0.000000
110 W64798002 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 145.260000 177.330000 0.000000
111 W64798001 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. PR 1 39.500000 51.670000 0.000000
112 W52194001 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. S 1 39.500000 51.670000 0.000000
113 W65810002 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 174.312000 212.796000 172.394000
114 W52194002 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 145.260000 177.330000 0.000000
115 W65810001 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR 1 47.400000 62.004000 61.856000
116 W66187001 L01CB01 ETOPOSIDUM VEPESID 100 mg CAPS. MOI 100mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 10 177.847000 197.668000 0.000000
117 W08035001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 10 177.847000 197.668000 0.000000
118 W66186001 L01CB01 ETOPOSIDUM VEPESID 50 mg CAPS. MOI 50mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 20 76.640500 85.446000 0.000000
119 W08036001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 20 76.640500 85.446000 0.000000
120 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. PR 1 65.000000 82.190000 0.000000
121 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. 1 78.000000 98.628000 26.902000
122 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 27.620000 36.130000 0.000000
123 W54068007 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR 1 386.980000 459.960000 0.000000
124 W65807001 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 5 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 30 MG PACLITAXEL PR 1 48.720000 63.720000 18.230000
125 W64717005 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. PR 1 224.850000 274.500000 0.000000
126 W54068001 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 48.720000 63.350000 0.000000
127 W64717001 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 40.600000 53.100000 0.000000
128 W65807002 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 16,7 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 100 MG PACLITAXEL PR 1 70.550000 89.200000 0.000000
129 W64717003 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR 1 464.376000 551.952000 149.488000
130 W64717004 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. PR 1 889.490000 1,007.690000 0.000000
131 W65807003 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 50 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 300 MG PACLITAXEL PR 1 269.820000 329.400000 33.740000
132 W64717002 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. PR 1 84.660000 107.040000 24.280000
133 W54068005 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. PR 1 269.820000 329.400000 13.760000
134 W54068003 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. PR 1 84.660000 107.040000 8.800000
135 W57028007 L01CD02 DOCETAXELUM DOCETAXEL EBEWE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA PR
CUTIE CU 1 FLACON DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE A 8 ML CONC. PT. SOL. PERF. 1 195.420000 238.572000 169.908000
136 W57028001 L01CD02 DOCETAXELUM DOCETAXEL EBEWE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA PR
CUTIE CU 1 FLACON DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE A 2 ML CONC. PT. SOL. PERF. 1 47.436000 62.040000 47.510000
137 W64533001 L01CD02 DOCETAXELUM DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 120mg/6ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 6 ML CONCENTRAT CE CONTINE 120 MG DOCETAXEL PR 1 1,138.440000 1,279.050000 0.000000
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139 W65666001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 20 mg/1 ml CONC. PT. SOL. PERF. 20mg/1ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 1 ML PR 1 39.530000 51.700000 0.000000
140 W55902003 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA PR
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141 W55902002 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA PR
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142 W64536001 L01CD02 DOCETAXELUM DOCETAXEL KABI 20mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA PR
CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 20 MG DOCETAXEL 1 47.436000 62.040000 103.770000
143 W55902001 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX 1 47.436000 62.040000 38.870000
144 W67987001 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAXEL 1 47.436000 62.040000 38.870000
145 W67987002 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAXEL 1 162.850000 198.810000 0.000000
146 W67987003 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETAXEL 1 1,159.350000 1,301.840000 0.000000
147 W65667001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 4 ML PR 1 167.180000 204.090000 0.000000
148 W64537001 L01CD02 DOCETAXELUM DOCETAXEL KABI 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL PR 1 195.420000 238.572000 375.438000
149 W59593001 L01CD04 CABAZITAXELUM **1 Ω JEVTANA CONC. + SOLV. PT. SOL. PERF. 60mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 1 FL. DIN STICLA X 1,5 ML CONCENTRAT + 1 FL. DIN STICLA X 4,5 ML SOLVENT PR 1 15,056.780000 16,450.060000 0.000000

Pagina 17 din 63
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
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151 W65011003 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 20 ML CARE CONTINE 15 ML CONC. PT. SOL. PERF. PR 1 513.540000 597.910000 0.000000
152 W65011002 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 5 ML CONC. PT. SOL. PERF. PR 1 76.548000 96.792000 48.808000
153 W65011001 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 2 ML CONC. PT. SOL. PERF. PR 1 42.624000 55.752000 9.398000
154 W65011004 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 30 ML CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 652.980000 757.524000 203.086000
155 W64574001 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. PR 1 42.624000 55.752000 4.088000
156 W64574002 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL.PERF. PR 1 76.548000 96.792000 37.938000
157 W52206004 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. S 1 542.868000 631.270000 0.000000
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159 W65797003 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 20 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 15 ML CONC. PT. SOL. PERF. PR 1 535.700000 622.060000 0.000000
160 W65797004 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 30 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 25 ML CONC. PT. SOL. PERF. PR 1 652.980000 757.524000 232.076000
161 W52206002 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ. S 1 76.548000 96.792000 37.938000
162 W62980002 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 5 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA ROSIE DIN AL CU 5 ML CONC. PT. SOL. PERF. PR 1 63.790000 80.660000 0.000000
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167 W64574003 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. PERF. PR 1 544.150000 631.270000 0.000000
168 W52206001 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ. S 1 42.624000 55.752000 4.088000
169 W52206003 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ. S 1 544.150000 631.270000 0.000000
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172 W66780001 L01CE02 IRINOTECANUM IRINOTECAN SUN 1,5 mg/ml SOL. PERF. 1,5mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PERFUZABILA NON-PVC PREVAZUTA CU UN PORT SI TUB CONECTOR CU 180 ML SOL. PERF. PR 1 431.790000 508.800000 0.000000
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176 W59712001 L01DA01 DACTINOMICINUM (4) COSMEGEN LYOVAC 500 micrograme PULB. PT. SOL. INJ. 500 micrograme CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. CU PULB. PT SOL INJ. PR 1 380.000000 452.350000 0.000000
177 W67977001 L01DB01 DOXORUBICINUM CAELYX PEGYLATED LIPOSOMAL 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml BAXTER HOLDING B.V. OLANDA CUTIE X 1 FLACON DIN STICLA X 10 ML S 1 1,486.140000 1,658.050000 0.000000
178 W58281001 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML S 1 1,486.140000 1,658.050000 0.000000
179 W65789003 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA PR 1 376.330000 448.350000 0.000000
180 W65789001 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA PR 1 23.680000 32.000000 0.000000
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201 W68219001 L01DC01 BLEOMYCINUM SULFAS BLEOMYCINE BELLON 15 mg PULB. PT. SOL. INJ. 15mg BIO EEL S.R.L. ROMANIA CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. PR 1 253.560000 309.550000 0.000000
202 W65564001 L01EA02 DASATINIBUM **1 SPRYCEL 100 mg COMPR. FILM. 100mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 386.517333 422.576000 0.000000
203 W65561001 L01EA02 DASATINIBUM **1 SPRYCEL 20 mg COMPR. FILM. 20mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 93.361500 102.400000 0.000000

Pagina 18 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
204 W65562001 L01EA02 DASATINIBUM **1 SPRYCEL 50 mg COMPR. FILM. 50mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 193.258666 211.288000 0.000000
205 W65563001 L01EA02 DASATINIBUM **1 SPRYCEL 70 mg COMPR. FILM. 70mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 193.258666 211.288000 0.000000
206 W64815001 L01EA04 BOSUTINIBUM **1 BOSULIF 100 mg COMPR. FILM. 100 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 28 COMPR. FILM. (CUTIE CU 2 BLIST. DIN PVC/PCTFE/PVC) PR 28 88.391071 97.708928 0.000000
207 W60984001 L01EA04 BOSUTINIBUM **1 BOSULIF 100 mg COMPR. FILM. 100 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR 28 88.391071 97.708928 0.000000
208 W60985001 L01EA04 BOSUTINIBUM **1 BOSULIF 500 mg COMPR. FILM. 500 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR 28 437.669642 478.423214 0.000000
209 W64816001 L01EA04 BOSUTINIBUM **1 BOSULIF 500 mg COMPR. FILM. 500 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 28 COMPR. FILM. (CUTIE CU 2 BLIST. DIN PVC/PCTFE/PVC) PR 28 437.669642 478.423214 0.000000
210 W64971001 L01EA05 PONATINIBUM **1 ICLUSIG 15 mg COMPR. FILM. 15mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 60 COMPR. FILM. PR 60 406.528333 443.752333 0.000000
211 W63164001 L01EA05 PONATINIBUM **1 ICLUSIG 15 mg COMPR. FILM. 15mg INCYTE BIOSCIENCES UK LTD. MAREA BRITANIE FLAC. DIN PEID CU DOP CU FILET X 60 COMPR. FILM. PR 60 406.528333 443.752333 0.000000
212 W64973001 L01EA05 PONATINIBUM **1 ICLUSIG 45 mg COMPR. FILM. 45mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 30 COMPR. FILM. PR 30 813.056666 887.504666 0.000000
213 W63165001 L01EA05 PONATINIBUM **1 ICLUSIG 45 mg COMPR. FILM. 45mg INCYTE BIOSCIENCES UK LTD. MAREA BRITANIE FLAC. DIN PEID CU DOP CU FILET X 30 COMPR. FILM. PR 30 813.056666 887.504666 0.000000
214 W59306001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 263.753833 288.127833 0.000000
215 W64867001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 263.753833 288.127833 0.000000
216 W59307001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 250 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 322.435166 352.090666 0.000000
217 W64866001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 250 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 322.435166 352.090666 0.000000
218 W64763001 L01EF01 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450.723809 493.106190 0.000000
219 W63120001 L01EF01 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450.723809 493.106190 0.000000
220 W64764001 L01EF01 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450.723809 493.106190 0.000000
221 W63121001 L01EF01 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450.723809 493.106190 0.000000
222 W63119001 L01EF01 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450.723809 493.106190 0.000000
223 W64762001 L01EF01 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450.723809 493.106190 0.000000
224 W61483001 L01EG01 TEMSIROLIMUSUM TORISEL 30mg CONC. + SOLV. PT. SOL. PERF. 30mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT S 1 2,945.180000 3,248.400000 0.000000
225 W64785001 L01EG01 TEMSIROLIMUSUM TORISEL 30 mg CONC. + SOLV. PT. SOL. PERF. 30mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT PR 1 2,945.180000 3,248.400000 0.000000
226 W64813002 L01EK01 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 1 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 49.374107 54.499107 0.000000
227 W59304002 L01EK01 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 1 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 49.374107 54.499107 0.000000
228 W64814002 L01EK01 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 5 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 244.726071 267.433035 0.000000
229 W59305002 L01EK01 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 5 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 244.726071 267.433035 0.000000
230 W66272001 L01EK03 TIVOZANIBUM **1 FOTIVDA 1340 micrograme CAPS. 1340micrograme EUSA PHARMA (NETHERLANDS) B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 21 CAPS. PR 21 438.036666 479.277142 0.000000
231 W66271001 L01EK03 TIVOZANIBUM **1 FOTIVDA 890 micrograme CAPS. 890micrograme EUSA PHARMA (NETHERLANDS) B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 21 CAPS. PR 21 438.036666 479.277142 0.000000
232 W65945003 L01EX01 SUNITINIBUM **1 SUNITINIB MYLAN 12,5 mg CAPS. 12,5mg MYLAN IRELAND LIIMTED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 88.212400 97.677600 17.593400
233 W65967001 L01EX01 SUNITINIBUM **1 SUNITINIB STADA 12,5 mg CAPS. 12,5mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. PR 28 88.212400 97.677600 17.762042
234 W67749003 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 12,5 mg CAPS. 12,5mg ZENTIVA, K.S. CUTIE CU BLIST. PERFORATE UNIDOZA PVC-OPA/AL X 30X1 CAPS.
REPUBLICA CEHA PR 30 88.212400 97.677600 17.593400
235 W67749004 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 12,5 mg CAPS. 12,5mg ZENTIVA, K.S. CUTIE CU 1 FLAC. DIN PEID X 30 CAPS.
REPUBLICA CEHA PR 30 88.212400 97.677600 17.593400
236 W67789002 L01EX01 SUNITINIBUM **1 SUNITINIB G.L. PHARMA 12,5 mg CAPS. 12,5mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-OPA/AL X 30 CAPS. PR 30 73.510333 81.398000 0.000000
237 W43546001 L01EX01 SUNITINIBUM **1 SUTENT 12,5 mg CAPS. 12,5mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 88.212400 97.677600 67.856066
238 W65026001 L01EX01 SUNITINIBUM **1 SUTENT 12,5 mg CAPS. 12,5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 88.212400 97.677600 67.856066
239 W65315005 L01EX01 SUNITINIBUM **1 SUNITINIB TEVA 12,5 mg CAPS. 12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 88.212400 97.677600 17.593400
240 W68008001 L01EX01 SUNITINIBUM **1 KLERTIS 12,5 mg CAPS. 12,5mg EGIS PARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 CAPS. PR 28 88.212400 97.677600 17.762400
241 W68067001 L01EX01 SUNITINIBUM **1 SUNITINIB ACCORD 12,5 mg CAPS. 12,5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE UN FLAC. DIN PEID X 30 CAPS. PRF 30 88.212400 97.677600 17.593400
242 W67976006 L01EX01 SUNITINIBUM **1 SUNITINIB DR. REDDY'S 12,5 mg CAPS. 12,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PE/AL X 30X1 PR 30 88.212400 97.677600 17.593400
243 W65946003 L01EX01 SUNITINIBUM **1 SUNITINIB MYLAN 25 mg CAPS. 25mg MYLAN IRELAND LIIMTED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 174.969199 192.242800 35.607200
244 W67790002 L01EX01 SUNITINIBUM **1 SUNITINIB G.L. PHARMA 25 mg CAPS. 25mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-OPA/AL X 30 CAPS. PR 30 145.807666 160.202333 0.000000
245 W67750003 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 25 mg CAPS. 25mg ZENTIVA, K.S. CUTIE CU BLIST. PERFORATE UNIDOZA PVC-OPA/AL X 30X1 CAPS.
REPUBLICA CEHA PR 30 174.969199 192.242800 35.607200
246 W67750004 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 25 mg CAPS. 25mg ZENTIVA, K.S. CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR
REPUBLICA CEHA 30 174.969199 192.242800 35.607200
247 W65316005 L01EX01 SUNITINIBUM **1 SUNITINIB TEVA 25 mg CAPS. 25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 174.969199 192.242800 35.607200
248 W65027001 L01EX01 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 174.969199 192.242800 134.540866
249 W68009001 L01EX01 SUNITINIBUM **1 KLERTIS 25 mg CAPS. 25mg EGIS PARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 CAPS. PR 28 174.969199 192.242800 35.776128
250 W68068001 L01EX01 SUNITINIBUM **1 SUNITINIB ACCORD 25 mg CAPS. 25mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE UN FLAC. DIN PEID X 30 CAPS. PRF 30 174.969199 192.242800 35.607200
251 W67978006 L01EX01 SUNITINIBUM **1 SUNITINIB DR. REDDY'S 25 mg CAPS. 25mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PE/AL X 30X1 PR 30 174.969199 192.242800 35.607200
252 W43556001 L01EX01 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 174.969199 192.242800 134.540866
253 W65948003 L01EX01 SUNITINIBUM **1 SUNITINIB MYLAN 50 mg CAPS. 50mg MYLAN IRELAND LIIMTED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 348.779599 381.696400 71.695266
254 W67979006 L01EX01 SUNITINIBUM **1 SUNITINIB DR. REDDY'S 50 mg CAPS. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PE/AL X 30X1 PR 30 348.779599 381.696400 71.695266
255 W67791002 L01EX01 SUNITINIBUM **1 SUNITINIB G.L. PHARMA 50 mg CAPS. 50mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-OPA/AL X 30 CAPS. PR 30 290.649666 318.080333 0.000000
256 W67752003 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 50 mg CAPS. 50mg ZENTIVA, K.S. CUTIE CU BLIST. PERFORATE UNIDOZA PVC-OPA/AL X 30X1 CAPS.
REPUBLICA CEHA PR 30 348.779599 381.696400 71.695266
257 W67752004 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 50 mg CAPS. 50mg ZENTIVA, K.S. CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR
REPUBLICA CEHA 30 348.779599 381.696400 71.695266

Pagina 19 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
258 W43557001 L01EX01 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg PFIZER LIMITED CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R
MAREA BRITANIE 30 348.779599 381.696400 267.585933
259 W65317005 L01EX01 SUNITINIBUM **1 SUNITINIB TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. CUTIE CU 1 FLAC. PEID X 30 CAPS.
ROMANIA PR 30 348.779599 381.696400 71.695266
260 W65028001 L01EX01 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg
PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 348.779599 381.696400 267.585933
261 W68010001 L01EX01 SUNITINIBUM **1 KLERTIS 50 mg CAPS. 50mg
EGIS PARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 CAPS. PR 28 348.779599 381.696400 71.863957
262 W68069001 L01EX01 SUNITINIBUM **1 SUNITINIB ACCORD 50 mg CAPS. ACCORD HEALTHCARE S.L.U. SPANIA CUTIE UN FLAC. DIN PEID X 30 CAPS.
50mg PRF 30 348.779599 381.696400 71.695266
263 W63886001 L01EX02 SORAFENIBUM **1 NEXAVAR 200 mg COMPR. FILM. 200mg
BAYER AG GERMANIA CUTIE CU 4 BLIST. PP/AL X 28 COMPR.FILM. PR 112 95.752500 104.779070 15.775394
264 W66958001 L01EX02 SORAFENIBUM **1 SORAFENIB ZENTIVA 200mg COMPR. FILM. 200mg
ZENIVA K.S. CUTIE CU BLISTERE UNIDOZA DIN PVC-PE-PVDC/AL X 112 COMPRIMATE FILMATE
REPUBLICA CEHA PR 112 79.793750 87.315892 0.000000
265 W66247001 L01XA01 CISPLATINUM CISPLATIN KOCAK 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 20 ML CONC. PT. SOL. PERF. PR 1 19.440000 26.280000 16.960000
266 W56390003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 36.300000 47.480000 0.000000
267 W65790003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 50 ML CONC. PT. SOL. PERF. PR 1 36.300000 47.480000 0.000000
268 W65790004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71.330000 90.190000 0.000000
269 W56390002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE S
CUTIE X 1 FLACON X 30ML (PENTRU 25ML) DIN STICLA BRUNA CU CONCENTRAT PENTRU SOLUTIE PERFUZABILA 1 23.080000 31.190000 0.000000
270 W65790001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 10 ML CONC. PT. SOL. PERF. PR 1 16.200000 21.900000 0.000000
271 W65790002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 23.080000 31.190000 0.000000
272 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CONC. PT. SOL. PERF. X 50 MG CARBOPLATINA 1 38.560000 50.440000 0.000000
273 W64519002 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. PR 1 60.990000 77.120000 0.000000
274 W64519003 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. PR 1 177.000000 216.080000 0.000000
275 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA 1 443.740000 521.830000 0.000000
276 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA 1 73.188000 92.544000 6.486000
277 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CONC. PT. SOL. PERF. X 450 MG CARBOPLATINA 1 202.010000 246.610000 0.000000
278 W65013001 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. CONTINAND 50 MG OXALIPLATINA 1 45.620000 59.670000 0.000000
279 W65013005 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA 1 407.736000 490.212000 21.708000
280 W65808001 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA PR 1 45.270000 59.210000 0.000000
281 W65013002 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. CONTINAND 100 MG OXALIPLATINA 1 88.470000 111.860000 0.000000
282 W65808003 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLACON DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. X 200 MG OXALIPLATINA 1 339.780000 408.510000 0.000000
283 W65808002 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA PR 1 88.940000 112.450000 0.000000
284 W59766002 L01XB01 PROCARBAZINUM (4) NATULAN 50 mg CAPS. 50 mg CN UNIFARM S.A. ROMANIA CUTIE CU 5 BLIST X 10 CAPS. PRF 50 27.700000 30.956000 0.000000
285 W64512001 L01XC02 RITUXIMABUM **1 RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 2 584.655000 656.350000 0.000000
286 W64422001 L01XC02 RITUXIMABUM **1 BLITZIMA 100 mg CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 FLAC. DIN STICLA X 10 ML (100 MG RITUXIMAB IN 10 ML-10MG/ML) PR 2 612.900000 687.135000 0.000000
287 W64512002 L01XC02 RITUXIMABUM **1 RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 3 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 3 579.653333 644.540000 0.000000
288 W64385001 L01XC02 RITUXIMABUM **1 MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 2 FLACOANE X 10 ML CARE CONTIN 100 MG RITUXIMABUM PR 2 695.584000 773.448000 73.192000
289 W64513002 L01XC02 RITUXIMABUM **1 RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 2 2,905.640000 3,186.225000 0.000000
290 W64421001 L01XC02 RITUXIMABUM **1 BLITZIMA 500 mg CONC. PT. SOL. PERF. 500mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML (500 MG RITUXIMAB IN 50 ML-10MG/ML) PR 1 3,098.630000 3,415.660000 0.000000
291 W64386001 L01XC02 RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR 1 3,486.768000 3,823.470000 311.700000
292 W64513001 L01XC02 RITUXIMABUM **1 RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 1 2,920.640000 3,221.650000 0.000000
293 W66651001 L01XC02 RITUXIMABUM **1 MABTHERA 1600 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA(1600 MG RITUXIMAB /13,4ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 7,488.630000 8,200.770000 0.000000
294 W64387001 L01XC02 RITUXIMABUM **1 MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 6,556.300000 7,184.530000 0.000000
295 W65029001 L01XC03 TRASTUZUMABUM **1 KANJINTI 150 mg 150mg
PULB. PT. CONC. PT. SOL. PERF. AMGEN EUROPE B.V. OLANDA PR
CUTIE CU 1 FLAC. CU CAPACITATEA DE 20 ML DIN STICLA TRANSPARENTA CE CONTINE 150 MG TRASTUZUMAB 1 1,252.850000 1,403.760000 0.000000
296 W66849001 L01XC03 TRASTUZUMABUM **1 ZERCEPAC 150mg 150mg
PULB. PT. CONC. PT. SOL. PERF. ACCORD HEALTHCARE S.L.U. SPANIA PR
CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN CAUCIUC BROMOBUTILIC X 150 MG PULB. PT. CONC. PT. SOL. PERF. 1 1,272.000000 1,424.630000 0.000000
297 W64381001 L01XC03 TRASTUZUMABUM **1 HERCEPTIN 150mg 150mg
PULB. PT. CONC. PT. SOL. PERF. ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. CONTINÂND 150 MG TRASTUZUMAB PR 1 1,503.420000 1,684.512000 149.558000
298 W64586001 L01XC03 TRASTUZUMABUM **1 HERZUMA 150 mg 150mg
PULB. PT. CONC. PT. SOL. PERF. CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA PR
CUTIE CU 1 FLAC. CU CAPACITATEA DE 20 ML DIN STICLA TRANSPARENTA CONTINAND 150 MG TRASTUZUMAB 1 1,503.420000 1,684.512000 19.838000
299 W67811001 L01XC03 TRASTUZUMABUM **1 ZERCEPAC 420 mg 420mg
PULB. PT. CONC. PT. SOL. PERF. ACCORD HEALTHCARE S.L.U. SPANIA PR
CUTIE CU 1 FLAC. CU CAPACITATEA DE 50 ML DIN STICLA CU DOP DIN CAUCIUC BROMOBUTILIC X 420 MG PULB. PT. CONC. PT. SOL. PERF. 1 4,217.472000 4,642.824000 708.276000
300 W65030001 L01XC03 TRASTUZUMABUM **1 KANJINTI 420 mg 420mg
PULB. PT. CONC. PT. SOL. PERF. AMGEN EUROPE B.V. OLANDA PR
CUTIE CU 1 FLAC. CU CAPACITATEA DE 50 ML DIN STICLA TRANSPARENTA CE CONTINE 420 MG TRASTUZUMAB 1 3,514.560000 3,869.020000 0.000000
301 W67810001 L01XC03 TRASTUZUMABUM **1 ZERCEPAC 60 mg 60mg
PULB. PT. CONC. PT. SOL. PERF. ACCORD HEALTHCARE S.L.U. SPANIA PR
CUTIE CU 1 FLAC. CU CAPACITATEA DE 10 ML DIN STICLA CU DOP DIN CAUCIUC BROMOBUTILIC X 60 MG PULB. PT. CONC. PT. SOL. PERF. 1 773.820000 881.610000 0.000000
302 W68011001 L01XC03 TRASTUZUMABUM **1 OGIVRI 150 mg 150mg
PULB. PT. CONC. PT.SOL. PERF. VIATRIS LIMITED IRLANDA PR
CUTIE X 1 FLAC. CU CAPACITATEA DE 15 ML DIN STICLA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BUTILIC LAMINAT CU FILM DE FLUORO-REZINA CONTINÂND TRASTUZUMAB 150 MG 1 1,463.460000 1,633.320000 0.000000
303 W65273001 L01XC03 TRASTUZUMABUM **1 OGIVRI 150 mg 150mg
PULB. PT. CONC. PT.SOL. PERF. MYLAN S.A.S. FRANTA PR
CUTIE X 1 FLAC. CU CAPACITATEA DE 15 ML DIN STICLA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BUTILIC LAMINAT CU FILM DE FLUORO-REZINA CONTINÂND TRASTUZUMAB 150 MG 1 1,463.460000 1,633.320000 0.000000
304 W64935001 L01XC03 TRASTUZUMABUM **1 TRAZIMERA 150 mg 150mg
PULB. PT. CONC. PT.SOL. PERF. PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 15 ML CONTINANAD 150 MG TRASTUZUMAB PR 1 1,347.260000 1,506.670000 0.000000
305 W66584001 L01XC03 TRASTUZUMABUM **1 TRAZIMERA 420 mg 420mg
PULB. PT. CONC. PT.SOL. PERF. PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 30 ML CONTINANAD 420 MG TRASTUZUMAB PR 1 4,217.472000 4,642.824000 1,076.756000
306 W64382001 L01XC03 TRASTUZUMABUM **1 HERCEPTIN 600mg/5ml SOL INJ. 600mg/5ml ROCHE REGISTRATION GMBH GERMANIA PR
CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB) 1 4,815.370000 5,286.910000 0.000000
307 W52549002 L01XC06 CETUXIMABUM **1 ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. S 1 701.370000 802.640000 0.000000
308 W65944002 L01XC06 CETUXIMABUM **1 ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. PR 1 701.370000 802.640000 0.000000
309 W67548001 L01XC07 BEVACIZUMABUM **1 OYAVAS 25 mg/ml CONC. PT. SOL. PERF. 25 mg/ml STADA ARZNEIMITTEL AG GERMANIA PR
CUTIE CU UN FLACON X 4ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA (CONTINE 100MG BEVACIZUMAB) 1 840.276000 961.680000 730.930000
310 W67548002 L01XC07 BEVACIZUMABUM **1 OYAVAS 25 mg/ml CONC. PT. SOL. PERF. 25 mg/ml STADA ARZNEIMITTEL AG GERMANIA PR
CUTIE CU UN FLACON X 16ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA (CONTINE 400MG BEVACIZUMAB) 1 3,183.684000 3,516.000000 3,052.510000
311 W66673001 L01XC07 BEVACIZUMABUM **1 MVASI 25mg/ml CONC. PT. SOL. PERF. 25mg/ml AMGEN TECHNOLOGY (IRELAND) UC IRLANDA CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.(100MG BEVACIZUMAB) PR 1 700.230000 801.400000 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
312 W66673002 L01XC07 BEVACIZUMABUM **1 MVASI 25mg/ml CONC. PT. SOL. PERF. 25mg/ml AMGEN TECHNOLOGY (IRELAND) UC IRLANDA CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.(400MG BEVACIZUMAB) PR 1 2,653.070000 2,930.000000 0.000000
313 W64373002 L01XC07 BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. PR 1 3,183.684000 3,516.000000 614.020000
314 W67574001 L01XC07 BEVACIZUMABUM **1 ALYMSYS 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml MABXIENCE RESEARCH SL SPANIA CUTIE CU 1 FLAC. A 4 ML SOL. CARE CONTINE 100 MG BEVACIZUMAB PR 1 840.276000 961.680000 261.140000
315 W67574002 L01XC07 BEVACIZUMABUM **1 ALYMSYS 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml MABXIENCE RESEARCH SL SPANIA CUTIE CU 1 FLAC. A 16 ML SOL. CARE CONTINE 400 MG BEVACIZUMAB PR 1 3,183.684000 3,516.000000 1,099.310000
316 W64373001 L01XC07 BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. PR 1 840.276000 961.680000 224.620000
317 W52724001 L01XC08 PANITUMUMABUM **1 VECTIBIX 20mg/ml CONC. PT. SOL. PERF. 20mg/ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC. X 100MG PANITUMUMAB X 5ML S 1 1,318.560000 1,475.380000 0.000000
318 W52724003 L01XC08 PANITUMUMABUM **1 VECTIBIX 20mg/ml CONC. PT. SOL. PERF. 20mg/ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC. X 400MG PANITUMUMAB X 20ML S 1 5,184.230000 5,688.970000 0.000000
319 W65565001 L01XC11 IPILIMUMABUM **1 Ω YERVOY 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1FLACON DIN STICLA X 10ML CONCENTRAT PT SOL. PERF. (50MG IPILIMUMAB) PR 1 13,619.620000 14,883.550000 0.000000
320 W65565002 L01XC11 IPILIMUMABUM **1 Ω YERVOY 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1FLACON DIN STICLA X 40ML CONCENTRAT PT SOL. PERF. (200MG IPILIMUMAB) PR 1 53,132.770000 57,952.950000 0.000000
321 W61128001 L01XC12 BRENTUXIMAB VEDOTIN **1 ADCETRIS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50 mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 1 FLACON X 50MG PULBERE PENTRU CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 12,892.490000 14,090.980000 0.000000
322 W64394001 L01XC13 PERTUZUMABUM **1 PERJETA 420mg CONC. PT. SOL. PERF. 420mg ROCHE REGISTRATION GMBH GERMANIA PR
CUTIE X 1 FLACON DIN STICLA X 14ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 420MG PERTUZUMAB 1 10,165.140000 11,118.170000 0.000000
323 W64383001 L01XC14 TRASTUZUMABUM EMTANSINUM **1 KADCYLA 100mg PULB. PT.CONC. PT. SOL. PERF. 100mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON A 15ML X100 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 6,573.890000 7,203.700000 0.000000
324 W64384001 L01XC14 TRASTUZUMABUM EMTANSINUM **1 KADCYLA 160mg PULB. PT.CONC. PT. SOL. PERF. 160mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON A 20ML X160 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 10,500.220000 11,483.400000 0.000000
325 W64380001 L01XC15 OBINUTUZUMABUM **1 GAZYVARO 1000 mg CONC. PT. SOL. PERF. 1000mg ROCHE REGISTRATION GMBH GERMANIA FLAC. DIN STICLA DE 50 ML CARE CONTINE 40 ML CONCENTRAT PR 1 11,465.960000 12,536.060000 0.000000
326 W66236001 L01XC16 DINUTUXIMAB BETA **1 QARZIBA 4,5 mg/ml CONC. PT. SOL. PERF. 4,5mg/ml EUSA PHARMA (NETHERLANDS) B.V. OLANDA PR
CUTIE CU 1 FLAC. DIN STICLA, PREVAZUT CU DOP DIN CAUCIUC SI SIGILIU DETASABIL DIN AL X 4,5 ML CONC. PT. SOL. PERF. (20 MG DINUTUXIMAB BETA) 1 40,751.810000 44,457.680000 0.000000
327 W65560002 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 4,969.510000 5,454.920000 0.000000
328 W65560002 L01XC17 NIVOLUMABUM **1 Ω OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 4,969.510000 5,454.920000 0.000000
329 W65560001 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 1,784.930000 1,983.730000 0.000000
330 W65560001 L01XC17 NIVOLUMABUM **1 Ω OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 1,784.930000 1,983.730000 0.000000
331 W61901002 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 4,969.510000 5,454.920000 0.000000
332 W61901001 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 1,784.930000 1,983.730000 0.000000
333 W64588001 L01XC18 PEMBROLIZUMABUM **1 Ω KEYTRUDA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 4 ML CONCENTRAT (100 MG PEMBROLIZUMAB) PR 1 11,888.880000 12,997.050000 0.000000
334 W62507001 L01XC19 BLINATUMOMABUM **1 BLINCYTO 38,5 micrograme PULB. PT. CONC. SI SOL. PT. SOL. PERF. 38,5micrograme AMGEN EUROPE B.V. OLANDA PR
AMBALAJ CU 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. X 38,5 MICROGRAME +1 FLAC. CU SOLUTIE STABILIZATA X 10 ML 1 9,957.500000 10,891.840000 0.000000
335 W61463001 L01XC21 RAMUCIRUMABUM **1 Ω CYRAMZA CONC. PT. SOL. PERF. 10 mg/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ CU 2 FLACOANE A 10ML PR 2 1,673.590000 1,843.290000 0.000000
336 W62902001 L01XC24 DARATUMUMABUM **1 DARZALEX 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. PR 1 1,721.290000 1,914.360000 0.000000
337 W62902002 L01XC24 DARATUMUMABUM **1 DARZALEX 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR 1 7,074.110000 7,748.940000 0.000000
338 W66768001 L01XC24 DARATUMUMABUM **1 DARZALEX 1800 mg SOL INJ. 120mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 15 ML SOL. INJ. PR 1 20,325.540000 22,193.020000 0.000000
339 W64817001 L01XC26 INOTUZUMAB OZOGAMICIN **1 BESPONSA 1 mg PULB. PT. CONC. PT.SOL. PERF. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CE CONTINE 1 MG PULBERE PR 1 42,756.450000 46,642.740000 0.000000
340 W64923002 L01XC28 DURVALUMABUM **1 Ω IMFINZI 50 mg/ml CONC. PT. SOL. PERF. 50mg/ml ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. DIN STICLA A 10 ML CONC. (CARE CONTINE 500 MG DURVALUMAB) PR 1 9,801.570000 10,721.870000 0.000000
341 W64923001 L01XC28 DURVALUMABUM **1 Ω IMFINZI 50 mg/ml CONC. PT. SOL. PERF. 50mg/ml ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. DIN STICLA A 2,4 ML CONC. (CARE CONTINE 120 MG DURVALUMAB) PR 1 2,375.180000 2,627.100000 0.000000
342 W64125001 L01XC31 AVELUMABUM **1 BAVENCIO 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE 1 FLACON X 10 ML CONC. PT. SOL. PERF. (200 MG AVELUMAB) PR 1 4,033.040000 4,434.170000 0.000000
343 W65131001 L01XC31 AVELUMABUM **1 BAVENCIO 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MERCK EUROPE B.V. OLANDA 1 FLACON X 10 ML CONC. PT. SOL. PERF. (200 MG AVELUMAB) PR 1 4,033.040000 4,434.170000 0.000000
344 W64295001 L01XC32 ATEZOLIZUMAB **1 TECENTRIQ 1200 mg CONC. PT. SOL. PERF. 1200mg/20ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR 1 16,234.580000 17,733.860000 0.000000
345 W64295001 L01XC32 ATEZOLIZUMAB **1 Ω TECENTRIQ 1200 mg CONC. PT. SOL. PERF. 1200mg/20ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR 1 16,234.580000 17,733.860000 0.000000
346 W66772001 L01XC32 ATEZOLIZUMAB **1 Ω TECENTRIQ 840 mg CONC. PT. SOL. PERF. 840mg/14ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA X 14 ML CONC. PT. SOL. PERF. PR 1 11,617.960000 12,701.740000 0.000000
347 W66237001 L01XC33 CEMIPLIMABUM **1 Ω LIBTAYO 350 mg CONC. PT. SOL. PERF. 50mg/ml REGENERON IRELAND DAC IRLANDA PR
CUTIE CU 1 FLAC. DIN STICLA PREVAZUTA CU DOP DIN CAUCIUC CU STRAT FLUROTEC SI UN CAPAC ETANS CU CAPSA DETASABILA X 7 ML CONC. PT. SOL. PERF. (350 MG CEMIPLIMAB) 1 26,797.490000 29,247.450000 0.000000
348 W66558001 L01XC37 POLATUZUMAB VEDOTIN **1 POLIVY 140mg PULB. PT. CONC. PT.SOL. PERF. 20mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DIN STICLA DE 20ML CONTINAND 140 MG POLATUZUMAB VEDOTIN PR 1 47,185.840000 51,470.780000 0.000000
349 W67121001 L01XC37 POLATUZUMAB VEDOTIN **1 POLIVY 30mg PULB. PT. CONC. PT.SOL. PERF. 20mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DIN STICLA DE 6ML CONTINAND 30 MG POLATUZUMAB VEDOTIN PR 1 10,134.840000 11,085.140000 0.000000
350 W59852011 L01XE01 IMATINIBUM **1 MEAXIN 100 mg COMPR. FILM. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 4.029166 4.709750 0.000000
351 W59486006 L01XE01 IMATINIBUM **1 IMAKREBIN 100 mg COMPR. FILM. 100mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 4.834999 5.651700 2.792216
352 W59541007 L01XE01 IMATINIBUM **1 IMATINIB GLENMARK 100 mg COMPR. FILM. 100mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 4.834999 5.651700 0.209466
353 W61913006 L01XE01 IMATINIBUM **1 IMATINIB TERAPIA 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 60 COMPR. FILM. PR 60 4.834999 5.651700 10.025300
354 W61913002 L01XE01 IMATINIBUM **1 IMATINIB TERAPIA 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 4.834999 5.651700 10.025300
355 W67617006 L01XE01 IMATINIBUM **1 IMAKREBIN 100 mg COMPR. FILM. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 4.834999 5.651700 2.792216
356 W65673001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PR 60 4.834999 5.651700 3.359466
357 W59542002 L01XE01 IMATINIBUM **1 IMATINIB GLENMARK 400 mg COMPR. FILM. 400mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 22.329600 25.865200 12.636800
358 W59853006 L01XE01 IMATINIBUM **1 MEAXIN 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 22.329600 25.865200 4.825466
359 W61914001 L01XE01 IMATINIBUM **1 IMATINIB TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 20.511333 23.629000 0.000000
360 W67616003 L01XE01 IMATINIBUM **1 IMAKREBIN 400 mg COMPR. FILM. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 22.329600 25.865200 77.290800
361 W59487003 L01XE01 IMATINIBUM **1 IMAKREBIN 400 mg COMPR. FILM. 400mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 22.329600 25.865200 77.290800
362 W65674001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 400 mg COMPR. FILM. 400mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 18.608000 21.554333 0.000000
363 W61914005 L01XE01 IMATINIBUM **1 IMATINIB TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. FILM. PR 30 20.511333 23.629000 0.000000
364 W65738001 L01XE02 GEFITINIBUM **1 GEFITINIB ACCORD 250 mg COMPR. FILM. 250mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 BLIST. PVC-PVDC/AL PT. ELIBERAREA UNEI UNITATI DOZATE X 30 (30X1) COMPR. FILM. 30 69.759000 77.309000 0.000000
365 W65598001 L01XE02 GEFITINIBUM **1 GEFITINIB ALVOGEN 250 mg COMPR. FILM. 250mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA PR
CUTIE CU 3 BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PE-PVDC/AL INCHISE INTR-O PUNGA PET/AL/PE CONTINAND 10X1 COMPR. FILM. 30 83.710800 92.770800 37.639866

Pagina 21 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
366 W68063001 L01XE02 GEFITINIBUM **1 GEFITINIB LABORMED 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PE-PVDC/AL INCHISE INTR-O PUNGA PET/AL/PE CONTINAND 10X1 COMPR. FILM. PR 30 83.710800 92.770800 37.639866
367 W64328001 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR 30 70.833000 78.479666 0.000000
368 W64328002 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 70.833000 78.479666 0.000000
369 W63228001 L01XE03 ERLOTINIBUM **1 VARLOTA 100 mg COMPR. FILM. 100mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 84.999600 94.175599 13.916067
370 W63901001 L01XE03 ERLOTINIBUM **1 ERLOTINIB MYLAN 100 mg COMPR. FILM. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 73.000000 80.841666 0.000000
371 W68228001 L01XE03 ERLOTINIBUM **1 ERLOTINIB MYLAN 100 mg COMPR. FILM. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 73.000000 80.841666 0.000000
372 W63229001 L01XE03 ERLOTINIBUM **1 VARLOTA 150 mg COMPR. FILM. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 91.798399 101.586400 32.233600
373 W64329001 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR 30 76.498666 84.655333 0.000000
374 W63902001 L01XE03 ERLOTINIBUM **1 ERLOTINIB MYLAN 150 mg COMPR. FILM. 150mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 91.798399 101.586400 5.415266
375 W64329002 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 76.498666 84.655333 0.000000
376 W68229001 L01XE03 ERLOTINIBUM **1 ERLOTINIB MYLAN 150 mg COMPR. FILM. 150mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 91.798399 101.586400 5.415266
377 W64592005 L01XE07 LAPATINIBUM **1 Ω TYVERB COMPR. FILM. 250mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT X 140 COMPR. FILM. PR 140 47.214714 51.736571 0.000000
378 W61702006 L01XE07 LAPATINIBUM **1 Ω TYVERB COMPR. FILM. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT X 140 COMPR. FILM. PR 140 47.214714 51.736571 0.000000
379 W64607001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) (CUTIE DIN CARTON) PR 28 94.325714 104.177857 0.000000
380 W64606001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 112.955000 124.483571 0.000000
381 W64608001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 120(3X40) CAPS. (BLIST. PVC/PVDC/AL) PR 120 38.202416 41.958583 0.000000
382 W54589001 L01XE10 EVEROLIMUS **1 AFINITOR 10 mg COMPR. 10 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PA/PVC/AL X 10 COMPR. P-RF 30 246.108000 269.784000 39.440333
383 W64505001 L01XE10 EVEROLIMUS **1 AFINITOR 10 mg COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 246.108000 269.784000 39.440333
384 W66816002 L01XE10 EVEROLIMUS **1 VERIMMUS 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC X 30 COMPR. PR 30 205.090000 224.820000 0.000000
385 W64502002 L01XE11 PAZOPANIB **1 Ω VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. PR 90 93.694222 102.550666 0.000000
386 W64502002 L01XE11 PAZOPANIB **1 VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. PR 90 93.694222 102.550666 0.000000
387 W61703002 L01XE11 PAZOPANIB **1 Ω VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. S 90 93.694222 102.550666 0.000000
388 W61703002 L01XE11 PAZOPANIB **1 VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. S 90 93.694222 102.550666 0.000000
389 W64503002 L01XE11 PAZOPANIB **1 Ω VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. PR 60 182.161000 199.191666 0.000000
390 W64503002 L01XE11 PAZOPANIB **1 VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. PR 60 182.161000 199.191666 0.000000
391 W61704002 L01XE11 PAZOPANIB **1 Ω VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. S 60 182.161000 199.191666 0.000000
392 W61704002 L01XE11 PAZOPANIB **1 VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. S 60 182.161000 199.191666 0.000000
393 W62995001 L01XE12 VANDETANIBUM **1 Ω CAPRELSA 100mg COMPR. FILM. 100mg GENZYME EUROPE B.V. OLANDA BLISTERE PVC/PVDC/AL, SIGILATE CU FOLIE DE ALUMINIU X 30 COMPRIMATE FILMATE PR 30 216.117333 236.840000 0.000000
394 W60260003 L01XE13 AFATINIBUM **1 GIOTRIF 20mg COMPR. FILM. 20mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 276.062142 302.270714 0.000000
395 W60261003 L01XE13 AFATINIBUM **1 GIOTRIF 30mg COMPR. FILM. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 276.062142 302.270714 0.000000
396 W60262003 L01XE13 AFATINIBUM **1 GIOTRIF 40mg COMPR. FILM. 40mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 276.062142 302.270714 0.000000
397 W64409001 L01XE15 VEMURAFENIBUM **1 Ω ZELBORAF COMPR. FILM. 240mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR. FILM PR 56 99.599642 109.245000 0.000000
398 W64596001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 215.934821 236.050535 0.000000
399 W64594001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 215.934821 236.050535 0.000000
400 W64595001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 215.934821 236.050535 0.000000
401 W64593001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 109.692321 120.246071 0.000000
402 W64833002 L01XE21 REGORAFENIBUM **1 STIVARGA COMPR. FILM. 40mg BAYER AG GERMANIA CUTIE CU 3 FLAC. DIN PEID X 28 COMPR. FILM. (AMBALAJ MULTIPLU) PR 84 106.162738 116.171666 0.000000
403 W61700002 L01XE23 DABRAFENIBUM **1 TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 124.179250 135.673500 0.000000
404 W61700002 L01XE23 DABRAFENIBUM **1 Ω TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 124.179250 135.673500 0.000000
405 W64724002 L01XE23 DABRAFENIBUM **1 TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 124.179250 135.673500 0.000000
406 W64724002 L01XE23 DABRAFENIBUM **1 Ω TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 124.179250 135.673500 0.000000
407 W64725002 L01XE23 DABRAFENIBUM **1 TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 186.143833 203.215000 0.000000
408 W64725002 L01XE23 DABRAFENIBUM **1 Ω TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 186.143833 203.215000 0.000000
409 W61701002 L01XE23 DABRAFENIBUM **1 TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 186.143833 203.215000 0.000000
410 W61701002 L01XE23 DABRAFENIBUM **1 Ω TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 186.143833 203.215000 0.000000
411 W62208002 L01XE25 TRAMETINIBUM **1 MEKINIST 0,5 mg COMPR. FILM. 0,5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 143.944000 158.171000 0.000000
412 W64448002 L01XE25 TRAMETINIBUM **1 MEKINIST 0,5 mg COMPR. FILM. 0,5mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM PR 30 143.944000 158.171000 0.000000
413 W62210002 L01XE25 TRAMETINIBUM **1 MEKINIST 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 572.778000 625.600333 0.000000
414 W64449002 L01XE25 TRAMETINIBUM **1 MEKINIST 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 572.778000 625.600333 0.000000
415 W64527001 L01XE26 CABOZANTINIBUM **1 Ω CABOMETYX 20 mg COMPR. FILM. 20mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 698.552333 762.694666 0.000000
416 W64528001 L01XE26 CABOZANTINIBUM **1 Ω CABOMETYX 40 mg COMPR. FILM. 40mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 698.552333 762.694666 0.000000
417 W64529001 L01XE26 CABOZANTINIBUM **1 Ω CABOMETYX 60 mg COMPR. FILM. 60mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 698.552333 762.694666 0.000000
418 W66231001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 140 mg COMPR. FILM. 140mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 249.503333 273.230666 0.000000
419 W66232001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 280 mg COMPR. FILM. 280mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 498.007000 544.100000 0.000000

Pagina 22 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
420 W66233001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 420 mg COMPR. FILM. 420mg JANSSEN-CILAG INTERNATIONAL NV BELGIA PR
CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON 30 746.511000 814.969666 0.000000
421 W66234001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 560 mg COMPR. FILM. 560mg JANSSEN-CILAG INTERNATIONAL NV BELGIA PR
CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON 30 995.014333 1,085.838666 0.000000
422 W64628002 L01XE28 CERITINIBUM **1 ZYKADIA 150 mg CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 90 CAPS. PR 90 140.123111 153.158222 0.000000
423 W62648002 L01XE35 OSIMERTINIB **1 TAGRISSO 40 mg COMPR. FILM. 40mg ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PERFORATE UNIDOZA AL/AL X 28X1 COMPR. FILM. PR 28 824.317142 899.869285 0.000000
424 W62649002 L01XE35 OSIMERTINIB **1 TAGRISSO 80 mg COMPR. FILM. 80mg ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PERFORATE UNIDOZA AL/AL X 28X1 COMPR. FILM. PR 28 824.317142 899.869285 0.000000
425 W64294001 L01XE36 ALECTINIB **1 Ω ALECENSA 150mg CAPS. 150mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ MULTIPLU X 224 CAPSULE PR 224 92.309285 100.787544 0.000000
426 W64447001 L01XE39 MIDOSTAURINUM **1 RYDAPT 25 mg CAPS. MOI 25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA-AL-PVC/AL X 112 (4X28) CAPS. MOI PR 112 499.087767 544.346964 0.000000
427 W64450003 L01XE42 RIBOCICLIBUM **1 Ω KISQALI 200 mg COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PCTFE/PVC X 42 COMPR. FILM. PR 42 143.900476 157.760000 0.000000
428 W64450001 L01XE42 RIBOCICLIBUM **1 Ω KISQALI 200 mg COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PCTFE/PVC X 63 COMPR. FILM. PR 63 144.175714 157.757301 0.000000
429 W65265001 L01XE50 ABEMACICLIBUM **1 Ω VERZENIOS 100 mg COMPR. FILM. 100mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. X 28 COMPR. FILM. PR 28 139.903214 153.857142 0.000000
430 W65266001 L01XE50 ABEMACICLIBUM **1 Ω VERZENIOS 150 mg COMPR. FILM. 150mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. X 28 COMPR. FILM. PR 28 139.903214 153.857142 0.000000
431 W65264001 L01XE50 ABEMACICLIBUM **1 Ω VERZENIOS 50 mg COMPR. FILM. 50mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. X 28 COMPR. FILM. PR 28 139.903214 153.857142 0.000000
432 W67012001 L01XE54 GILTERITINIB **1 XOSPATA 40 mg COMPR. FILM. 40mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU BLIST. DIN OPA/ALUMINIU/PVC/ALUMINIU X 84 COMPR. FILM. PR 84 911.417857 993.900952 0.000000
433 W66756001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB SANDOZ 2,5 mg PULB. PT. SOL. INJ. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA CARE CONTINE PULB. PT. SOL. INJ. PR 1 1,974.000000 2,189.810000 0.000000
434 W68328001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB FRESENIUS KABI 2,5 mg PULB. PT. SOL. INJ. 2,5mg FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA PR
CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML, CE CONTINE 2,5 MG BORTEZOMIB 1 1,831.860000 2,034.880000 0.000000
435 W68199001 L01XG01 BORTEZOMIBUM **1 VORTEMYEL 3,5 mg PULB. PT. SOL. INJ. 3,5mg LABORMED PHARMA S.A. ROMANIA PR
CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA INCOLORA (VOLUM NOMINAL DE 10 ML), CARE CONTINE PULB. PT. SOL. INJ. 1 757.032000 870.948000 1,450.122000
436 W61990001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACTAVIS 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. PR 1 757.032000 870.948000 1,051.522000
437 W63461001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB HOSPIRA 3,5 mg PULB. PT. SOL. INJ. 3,5mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA CE CONTINE 3,5 MG PULB. PENTRU SOL. INJ. PR 1 630.860000 725.790000 0.000000
438 W64875001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB HOSPIRA 3,5 mg PULB. PT. SOL. INJ. 3,5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA CE CONTINE 3,5 MG PULB. PENTRU SOL. INJ. PR 1 630.860000 725.790000 0.000000
439 W61926001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE PR
FLACON DIN STICLA DE TIP I CU CAPACITATEA DE 10 ML, PREVAZUT CU DOP DIN CAUCIUC CLOROBUTILIC SI O CAPSA DIN ALUMINIU, CU UN CAPAC ROSU, CE CONTINE BORTEZOMIB 3,5 MG 1 757.032000 870.948000 639.352000
440 W61918001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB GLENMARK 3,5 mg PULB. PT. SOL. INJ. 3,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CU CAPACITATE DE 10 ML PR 1 757.032000 870.948000 506.222000
441 W61907001 L01XG01 BORTEZOMIBUM **1 VORTEMYEL 3,5 mg PULB. PT. SOL. INJ. 3,5mg ALVOGEN IPCO S.AR.L. LUXEMBURG PR
CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA INCOLORA (VOLUM NOMINAL DE 10 ML), CARE CONTINE PULB. PT. SOL. INJ. 1 757.032000 870.948000 1,450.122000
442 W65718001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB MSN 3,5 mg PULB. PT. SOL. INJ. 3,5mg VIVANTA GENERICS S.R.O., CEHIA PR
CUTIE CU FLAC. DIN STICLA TIP I, CU CAPACITATE DE 10 ML, CU DOP DIN CAUCIUC BROMOBUTILIC DE CULOARE GRI INCHIS ETANSAT CU CAPSA AL CU DISC PP ALBASTRA, CU PULB. PT. SOL. INJ. 1 652.490000 749.360000 0.000000
443 W62997001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB DR. REDDY'S 3,5 mg PULB. PT. SOL. INJ. 3,5mg DR. REDDY'S LABORATORIES ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATE DE 10 ML CARE CONTINE PULB. PT. SOL. INJ. 1 757.032000 870.948000 2,763.522000
444 W67736001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB AUROBINDO 3,5 mg PULB. PT. SOL. INJ. 3,5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU SAU FARA INVELIS PROTECTOR DIN PLASTIC, CU CAPACITATE DE 10 ML CU PULB. PT. SOL. INJ. 1 668.740000 767.080000 0.000000
445 W65669001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACCORD HEALTHCARE S.L.U. SPANIA PR
FLACON DIN STICLA DE TIP I CU CAPACITATEA DE 10 ML, PREVAZUT CU DOP DIN CAUCIUC CLOROBUTILIC SI O CAPSA DIN ALUMINIU, CU UN CAPAC ROSU, CE CONTINE BORTEZOMIB 3,5 MG 1 757.032000 870.948000 639.352000
446 W64673001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB SUN 3,5 mg PULB. PT. SOL. INJ. 3,5mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE 10ML CE CONTINE 3,5 BORTEZOMIB PR 1 757.032000 870.948000 57.962000
447 W66591001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB FRESENIUS KABI 3,5 mg PULB. PT. SOL. INJ. 3,5mg FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. 1 757.032000 870.910000 0.000000
448 W67920001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 2,5 mg/ml SOL INJ. 2,5mg/ml ACCORD HEALTHCARE S.L.U. SPANIA PR
FLACON DIN STICLA DE TIP I TRANSPARENTA, PREVAZUT CU DOP DIN CAUCIUC BROMOBUTILIC DE CULOARE GRI SI CAPSA DIN ALUMINIU, CU CAPAC PORTOCALIU, CE CONTINE 1 ML DE SOLUTIE INJECTABILA 1 2,113.110000 2,341.440000 0.000000
449 W67920003 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 2,5 mg/ml SOL INJ. 2,5mg/ml ACCORD HEALTHCARE S.L.U. SPANIA PR
FLACON DIN STICLA DE TIP I TRANSPARENTA, PREVAZUT CU DOP DIN CAUCIUC BROMOBUTILIC DE CULOARE GRI SI CAPSA DIN ALUMINIU, CU CAPAC ROSU, CE CONTINE 1,4 ML DE SOLUTIE INJECTABILA 1 757.032000 870.948000 1,221.992000
450 W65545001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB STADA 2,5 mg/ml SOL. INJ. 2,5mg/ml STADA M&D SRL ROMANIA PR
CUTIE CU FLAC. DIN STICLA TIP I PREVAZUT CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL TIP FLIP-OFF, CU CAPAC COLORAT X 1,4 ML SOL. INJ. 1 757.032000 870.948000 996.922000
451 W68167001 L01XX02 ASPARAGINAZUM CRISANTASPASE PORTON BIOPHARMA PULB. PT. SOL. INJ./PERF. 10.000E DIRECT PHARMA LOGISTICS S.R.L. ROMANIA PR
CUTIE X 5 FLACOANE (FIECARE A CATE 10.000E) CU PULBERE PENTRU SOLUTIE INJECTABILA/PERFUZABILA 5 6,187.318000 6,751.816000 0.000000
452 W03542001 L01XX05 HYDROXYCARBAMIDUM HYDREA 500 mg CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF 100 0.927600 1.172800 0.000000
453 W67916001 L01XX14 TRETINOINUM (4) VESANOID 10 mg CAPS. MOI 10mg MAGNAPHARM MARKETING & SALES ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 CAPS. MOI PR 100 17.800000 19.783500 0.000000
454 W64499001 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 10 CAPS. PR 10 112.359000 126.286000 0.000000
455 W61694001 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF 10 112.359000 126.286000 0.000000
456 W65809003 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. (4 MG TOPOTECAN) PR 1 189.828000 231.744000 113.416000
457 W65809001 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, CU CAPACITATEA DE 2 ML CARE CONTINE CONC. PT. SOL. PERF. (1 MG TOPOTECAN) PR 1 74.410000 94.090000 0.000000
458 W56744001 L01XX17 TOPOTECAMUM POTACTASOL 4mg 4mg
PULB. PT. CONC. PT. SOL. PERF. ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA PR 1 158.190000 193.120000 0.000000
459 W66770001 L01XX23 MITOTANUM LYSODREN 500mg COMPR. 500mg HRA PHARMA RARE DISEASES FRANTA CUTIE CU 1 FLAC. DIN PEID X 100 COMPR. PR 100 22.882200 25.323100 0.000000
460 W66172001 L01XX24 PEGASPARGASUM **1 ONCASPAR 750 U/ml PULB. PT. SOL. INJ./PERF. 750U/ml LES LABORATOIRES SERVIER FRANTA CUTIE CU 1 FLAC. STICLA MATA DE TIP I CU DOP DIN ELASTOMER CLOROBUTIL SI ACOPERIT CU SIGILIU DE AL X 3750 U PEGASPARGAZA PR 1 7,294.310000 7,988.960000 0.000000
461 W66541003 L01XX27 ARSENICUM TRIOXIDUM **1 ARSENIC TRIOXIDE ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1 mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE X 10 FLACOANE DIN STICLA CONTINAND 10ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 10 846.810000 926.839000 0.000000
462 W62932001 L01XX27 ARSENICUM TRIOXIDUM **1 TRISENOX 1mg/ml CONC. PT. SOL. PERF. 1mg/ml TEVA B.V. OLANDA CUTIE X 10 FIOLE CU CONC. PT. SOL. PERF. X 10 ML PR 10 1,016.172000 1,112.206800 16.861200
463 W66904001 L01XX42 PANOBINOSTATUM **1 FARYDAK 10 mg CAPS. 10mg SECURA BIO LIMITED IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3,055.456666 3,336.810000 0.000000
464 W66905001 L01XX42 PANOBINOSTATUM **1 FARYDAK 15 mg CAPS. 15mg SECURA BIO LIMITED IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3,055.456666 3,336.810000 0.000000
465 W66906001 L01XX42 PANOBINOSTATUM **1 FARYDAK 20 mg CAPS. 20mg SECURA BIO LIMITED IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3,055.456666 3,336.810000 0.000000
466 W59956003 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 25 mg/ml CONC. PT. SOL. PERF. 25mg/ ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 10 ML X 8 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 200 MG AFLIBERCEPT PR 1 2,569.620000 2,839.040000 0.000000
467 W59956001 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 25 mg/ml CONC. PT. SOL. PERF. 25mg/ ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 5 ML X 4 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 100 MG AFLIBERCEPT PR 1 1,417.130000 1,582.820000 0.000000
468 W62506001 L01XX45 CARFILZOMIBUM **1 KYPROLIS 60 mg PULB. PT. SOL. PERF. 60mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I PT. UTILIZARE UNICA, DOP ELASTOMERIC LAMINAT CU FLUOROPOLIMERI SI O CAPSA DE ALUMINIU DE TIP FLIP OFF PR 1 4,602.330000 5,054.700000 0.000000
469 W64660001 L01XX46 OLAPARIBUM **1 Ω LYNPARZA 100 mg COMPR. FILM. 100mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 151.390535 165.697142 0.000000
470 W64660001 L01XX46 OLAPARIBUM **1 LYNPARZA 100 mg COMPR. FILM. 100mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 151.390535 165.697142 0.000000
471 W64661001 L01XX46 OLAPARIBUM **1 Ω LYNPARZA 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 181.817500 198.862678 0.000000
472 W64661001 L01XX46 OLAPARIBUM **1 LYNPARZA 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 181.817500 198.862678 0.000000
473 W63372001 L01XX50 IXAZOMIB **1 NINLARO 2,3 mg CAPS. 2,3mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 5,659.946666 6,182.066666 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
474 W63373001 L01XX50 IXAZOMIB **1 NINLARO 3 mg CAPS. 3mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 5,659.946666 6,182.066666 0.000000
475 W63374001 L01XX50 IXAZOMIB **1 NINLARO 4 mg CAPS. 4mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 5,659.946666 6,182.066666 0.000000
476 W63379001 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 198.901428 222.252857 0.000000
477 W64705001 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 198.901428 222.252857 0.000000
478 W63379002 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 196.758571 217.192142 0.000000
479 W64705002 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 196.758571 217.192142 0.000000
480 W64705003 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 112 COMPR. FILM. (4 CUTII X 28 COMPR. FILM.) AMBALAJ MULTIPLU PR 112 195.150178 213.054642 0.000000
481 W63379003 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 112 COMPR. FILM. (4 CUTII X 28 COMPR. FILM.) AMBALAJ MULTIPLU PR 112 195.150178 213.054642 0.000000
482 W63377002 L01XX52 VENETOCLAX **1 VENCLYXTO 10 mg COMPR. FILM. 10mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 21.407142 26.134285 0.000000
483 W64703001 L01XX52 VENETOCLAX **1 VENCLYXTO 10 mg COMPR. FILM. 10mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 21.407142 26.134285 0.000000
484 W64704001 L01XX52 VENETOCLAX **1 VENCLYXTO 50 mg COMPR. FILM. 50mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 101.592857 116.187142 0.000000
485 W63378002 L01XX52 VENETOCLAX **1 VENCLYXTO 50 mg COMPR. FILM. 50mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 101.592857 116.187142 0.000000
486 W65093001 L01XX71 TISAGENLECLEUCEL **1 KYMRIAH DISPERSIE PERF. FARA CONCENTRATIE NOVARTIS EUROPHARM LTD. IRLANDA 1 PANA LA 3 PUNGI DE PERFUZARE (IN FUCTIE DE PACIENT, PANA LA MAX. 50 ML) PR 1 1,365,924.220000 1,488,897.490000 0.000000
487 W52184001 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF 30 3.132000 3.960000 0.000000
488 W64575001 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. PR 30 3.132000 3.960000 0.000000
489 W61373001 L02AE02 LEUPRORELINUM ** LEPTOPROL 5 mg IMPLANT 5mg SANDOZ SRL ROMANIA CUTIE CU O SERINGA PREUMPLUTA DIN POLICARBONAT CU PISTON DIN COPOLIMER ACRILONITRIL-BUTADIENSTIRENIC SI AC SIGILATE ÎNTR-O PUNGA DIN POLIETILENTEREFTALAT/AL-PE. SERINGA PREUMPLUTA CONTINE UN IMPLANT PR 1 589.540000 680.750000 0.000000
490 W67702006 L02AE02 LEUPRORELINUM ** ELIGARD 22,5 mg PULB+SOLV. PT. SOL. INJ. 22,5mg RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A. ITALIA CUTIE X 1 SET DE 2 CASETE TERMOFORMATATE; O CASETA CONTINE O SERINGA PREUMPLUTA (SERINGA A), PISTON PT SERINGA B SI PLIC DESICANT ; CEALALTA CASETA CONTINE O SERINGA PREUMPLUTA (SERINGA B), AC STERIL SI PLIC DESICANT PR 1 699.890000 801.030000 0.000000
491 W43179004 L02AE02 LEUPRORELINUM ** ELIGARD 22,5 mg PULB+SOLV.PT.SOL.INJ 22,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP/COPOLIMER ACID OLEFINIC CICLIC PREUMPLUTE (O SERINGA A SI O SERINGA B) IN TAVI TERMOFORMATE PR 1 699.890000 801.030000 0.000000
492 W52321002 L02AE02 LEUPRORELINUM ** ELIGARD 45 mg PULB+SOLV.PT.SOL.INJ 45mg ASTELLAS PHARMA EUROPE BV OLANDA O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B) PR 1 1,307.990000 1,463.860000 0.000000
493 W67816001 L02AE02 LEUPRORELINUM ** ELIGARD 45 mg PULB+SOLV.PT.SOL.INJ. 45mg RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A. ITALIA O CUTIE DE CARTON CU DOUA CASETE CE CONTIN 2 SERINGI PREUMPLUTE (1 X SERINGA A; 1 X SERINGA B) PR 1 1,307.990000 1,463.860000 0.000000
494 W65082001 L02AE03 GOSERELINUM ** ZOLADEX LA 10,8 mg IMPLANT 10,8 mg ASTRAZENECA AB SUEDIA CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROTECTIE PR 1 542.300000 629.260000 0.000000
495 W65081001 L02AE03 GOSERELINUM ** ZOLADEX 3,6 mg IMPLANT 3,6mg ASTRAZENECA AB SUEDIA CUTIE CU 1 PUNGA X 1 SERINGA PREUMPLUTA MONODOZA A 3,6 MG GASORELINA PR/PRF 1 169.140000 206.490000 0.000000
496 W62379001 L02AE03 GOSERELINUM ** RESELIGO 10,8 mg IMPLANT IN SERINGA PREUMPLUTA 10,8mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR 1 504.620000 588.190000 0.000000
497 W62378001 L02AE03 GOSERELINUM ** RESELIGO 3,6 mg IMPLANT IN SERINGA PREUMPLUTA 3,6mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR/PRF 1 165.370000 201.880000 0.000000
498 W55725001 L02AE04 TRIPTORELINUM DIPHERELINE 0,1 mg PULB+SOLV. PT. SOL. INJ. 0,1mg IPSEN PHARMA FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF 7 11.938571 15.095714 0.000000
499 W55726002 L02AE04 TRIPTORELINUM DIPHERELINE PR 11,25 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 11,25mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA CU 2 ML SOLV. + 1 BLIST. CU 1 SERINGA DIN PP A 3 ML + 1 BLIST. CU 3 ACE STERILE S/P-RF 1 586.230000 677.140000 0.000000
500 W55727001 L02AE04 TRIPTORELINUM DIPHERELINE 3,75 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 3,75mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU O SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE S/P-RF 1 295.300000 360.500000 0.000000
501 W62618001 L02AE04 TRIPTORELINUM DIPHERELINE 22,5 mg PULB. SI SOLV. PT. SUSP. INJ. CU ELIB. PREL. 22,5mg IPSEN PHARMA FRANTA CUT IE CU 1 FLAC. CU CAPACIT AT EA DE 6 ML DIN ST ICLA USOR COLORAT A CU PULB. PT . SUSP. INJ. CU ELIB. PREL.+1 FIOLA DIN ST ICLA INCOLORA,CU 2 ML SOLV. (APA PT . PREPARAT E INJ.) PT . RECONST . SUSP.INJ.+1BLIST . DIN PVC CARE CONT INE 1 SERINGA DIN PP SI 2 ACE PR 1 2,033.180000 2,254.320000 0.000000
502 W53654002 L02BA01 TAMOXIFENUM TAMOXIFEN SANDOZ 10 mg COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF 100 0.319100 0.417400 0.000000
503 W64160002 L02BA03 FULVESTRANTUM ** FALVAX 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA INCOLORA CU 5 ML SOL. INJ. SI 2 ACE CU SISTEM DE SIGURANTA PRF 2 324.012000 376.062000 436.223000
504 W67405002 L02BA03 FULVESTRANTUM ** IMARSA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA DE TIP I, INCOLORA CU PISTON DE POLISTIREN SI DOP ELASTOMERIC SI 2 ACE CU SISTEM DE SIGURANTA (BD SAFETYGLIDE) PENTRU CONECTAREA LA SERINGA X 5 ML SOL. INJ. PRF 2 324.012000 376.062000 93.973000
505 W65489001 L02BA03 FULVESTRANTUM ** FULVESTRANT ROMPHARM 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU DOUA BLIST. CU CATE O SERINGA PREUMPLUTA FIECARE SI DOUA ACE STERILE HIPODERMICE, FIECARE CONTINE 5 ML SOL. INJ. PRF 2 324.012000 376.062000 436.218000
506 W62773002 L02BA03 FULVESTRANTUM ** FULVESTRANT TEVA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA INCOLORA CU PISTON DIN PP, PREVAZUTE CU SISTEM DE INCHIDERE CU SIGILIU SI DOUA ACE, CU CATE 5 ML SOL. INJ. PRF 2 270.010000 313.385000 0.000000
507 W65414001 L02BA03 FULVESTRANTUM ** FULVESTRANT SUN 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA TIP I CONTINAND 5 ML SOL. INJ. PR 1 324.012000 376.062000 471.648000
508 W65414002 L02BA03 FULVESTRANTUM ** FULVESTRANT SUN 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA INCOLORA TIP I CONTINAND 5 ML SOL. INJ. PR 2 324.012000 376.062000 436.223000
509 W67128002 L02BA03 FULVESTRANTUM ** VASTALOMA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg ALVOGEN PHARMA TRADING EUROPE EOOD BULGARIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA, CU TIJA SI PISTON DE POLISTIREN SI 2 ACE DE SIGURANTA (BD SAFETYGLIDE) PENTRU CONECTARE LA SERINGA X 5 ML SOL. INJ. PRF 2 324.012000 376.062000 436.223000
510 W68308002 L02BA03 FULVESTRANTUM ** VASTALOMA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA, CU TIJA SI PISTON DE POLISTIREN SI 2 ACE DE SIGURANTA (BD SAFETYGLIDE) PENTRU CONECTARE LA SERINGA X 5 ML SOL. INJ. PRF 2 324.012000 376.062000 436.223000
511 W64402002 L02BA03 FULVESTRANTUM ** FASLODEX 250 mg SOL. INJ. 250mg/5ml ASTRAZENECA AB SUEDIA CUTIE X 2 SERINGI PREUMPLUTE DIN STICLA X 5ML SOLUTIE INJECTABILA + 2 ACE CU SISTEM DE SIGURANTA PRF 2 324.012000 376.062000 436.223000
512 W65851002 L02BA03 FULVESTRANTUM ** FULVESTRANT EVER PHARMA 250 mg 250mg
SOL. INJ. IN SERINGA PREUMPLUTA EVER VALINJECT GMBH AUSTRIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA, CU DOP DIN CAUCIUC, PISTON SI STOPPER, PREVAZUTE CU AC X 5 ML SOL. INJ. PRF 2 270.010000 313.385000 0.000000
513 W65873001 L02BA03 FULVESTRANTUM ** FULVESTRANT ACCORD 250 mg 250mg
SOL. INJ. IN SERINGA PREUMPLUTA ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 2 SERINGI DIN STICLA, CU PISTON DIN CAUCIUC BROMOBUTILIC SI TIJA DIN PLASTIC SI 2 ACE PENTRU INJECTII CU SIGURANTA (BD SAFETYGLIDE) X 5 ML SOL. INJ. PRF 2 324.012000 376.062000 58.158000
514 W03217002 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 2.606800 3.182400 0.000000
515 W65075001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 11.357570 13.865570 3.348715
516 W68106001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg LABORATOIRES JUVISÉ PHARMACEUTICALS FRANTA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 11.357570 13.865570 3.348715
517 W61109001 L02BB03 BICALUTAMIDUM YONISTIB 150 mg COMPR. FILM. 150mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 9.464642 11.554642 0.000000
518 W64314001 L02BB03 BICALUTAMIDUM BICALUTAMIDA ALVOGEN 150 mg COMPR. FILM. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 11.357570 13.865570 6.871572
519 W68107001 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg LABORATOIRES JUVISÉ PHARMACEUTICALS FRANTA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1.830400 2.394000 4.076714
520 W66317004 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 1.525333 1.995000 0.000000
521 W65076001 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1.830400 2.394000 4.076714
522 W61108001 L02BB03 BICALUTAMIDUM YONISTIB 50 mg COMPR. FILM. 50mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 1.830400 2.394000 1.106714
523 W60465001 L02BB04 ENZALUTAMIDUM **1 Ω XTANDI 40 mg CAPS. MOI 40mg ASTELLAS PHARMA EUROPE BV OLANDA PRF
COMPARTIMENT EXTERIOR CARE CONTINE UN BLISTER DE ALUMINIU/PVC/PCTFE CU 28 CAPS. MOI. FIECARE CUTIE ARE 4 COMPARTIMENTE EXTERIOARE (112 CPAS. MOI) 112 109.667142 119.877946 0.000000
524 W66581001 L02BB04 ENZALUTAMIDUM **1 Ω XTANDI 40 mg COMPR. FILM. 40mg ASTELLAS PHARMA EUROPE B.V. OLANDA PRF
SUPORT DE CARTON CARE CONTINE UN BLIST. DE PVC-PCTFE/AL CU 28 DE COMPRIMATE FILMATE. FIECARE CUTIE CONTINE 112 COMPR.FILM. (4 COMPARTIMENTE X28) 112 109.667142 119.877946 0.000000
525 W65819001 L02BB05 APALUTAMIDUM **1 Ω ERLEADA 60 mg COMPR. FILM. 60mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. PVC/PCTFE/AL IN AMBALAJ TIP PORTOFEL X 120 COMPR. FILM. PR 120 128.774000 140.681750 0.000000
526 W53266005 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU, BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. PR 30 1.446400 1.891999 1.022001
527 W53147002 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P6L 28 1.446400 1.891999 0.000143

Pagina 24 din 63
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
528 W67720001 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg FRANTA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L
LABORATOIRES JUVISÉ PHARMACEUTICALS 28 1.446400 1.891999 2.291215
529 W61107001 L02BG03 ANASTROZOLUM KYARESTA 1 mg COMPR. FILM. 1mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL A CATE 14 COMPR. FILM. P-6L 28 1.446400 1.891999 0.007643
530 W65172001 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1.446400 1.891999 2.291215
531 W00468001 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L 28 1.446400 1.891999 2.291215
532 W56267005 L02BG03 ANASTROZOLUM ANASTROZOL TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 1.205333 1.576666 0.000000
533 W62173002 L02BG04 LETROZOLUM ZEQUIPRA 2,5 mg COMPR. FILM. 2,5mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM. P6L 30 2.127000 2.689333 0.000000
534 W58106004 L02BG04 LETROZOLUM TROZEL 2,5 mg COMPR. FILM. 2,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 2.127333 2.689666 0.000000
535 W55646003 L02BG04 LETROZOLUM LETROZOL ALVOGEN 2,5 mg COMPR. FILM. 2,5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 2.019666 2.553666 0.000000
536 W55787007 L02BG04 LETROZOLUM ELOZORA 2,5 mg COMPR. FILM. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 1.876000 2.372000 0.000000
537 W53743003 L02BG04 LETROZOLUM ETRUZIL 2,5 mg COMPR. FILM. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L 30 1.916000 2.422666 0.000000
538 W56479002 L02BG06 EXEMESTANUM EXEMESTAN ALVOGEN 25 mg COMPR. FILM. 25mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 2.320666 2.934333 0.000000
539 W55874002 L02BG06 EXEMESTANUM EXEMESTAN GLENMARK 25mg COMPR. FILM. 25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 2.784333 3.520333 0.000000
540 W65803004 L02BG06 EXEMESTANUM EXEMESTAN ACCORD 25 mg COMPR. FILM. 25mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 2.320666 2.934333 0.000000
541 W61219001 L02BG06 EXEMESTANUM XANEPRA 25 mg COMPR. FILM. 25mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM PRF 30 2.784799 3.521200 0.278133
542 W08074001 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. P-RF 30 2.784799 3.521200 0.224466
543 W65092001 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. PRF 30 2.784799 3.521200 0.224466
544 W58139001 L02BX03 ABIRATERONUM **1 Ω ZYTIGA 250 mg COMPR. 250mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU FLACON DIN PEÎD X 120 COMPRIMATE PRF 120 100.530250 109.896000 0.000000
545 W63682002 L02BX03 ABIRATERONUM **1 ZYTIGA 500 mg COMPR. FILM. 500mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. PVDC/PE/PVC X 60 COMPR. FILM. (5 AMBALAJE DE TIP PORTOFEL A CATE 12 COMPRIMATE) PRF 60 207.757333 227.091666 0.000000
546 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76.032000 92.030400 83.669600
547 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127.632000 148.274400 129.275600
548 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45.800000 59.910000 0.000000
549 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
550 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
551 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127.632000 148.274400 209.375600
552 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231.680000 282.840000 0.000000
553 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 63.360000 76.692000 0.000000
554 W55757002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 63.360000 76.692000 0.000000
555 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 106.360000 123.562000 0.000000
556 W55758002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 106.360000 123.562000 0.000000
557 W65705001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 1,802.350000 2,002.710000 0.000000
558 W64949001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 1,802.350000 2,002.710000 0.000000
559 W65254001 L03AA13 PEGFILGRASTIMUM ** ZIEXTENZO 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg SANDOZ GMBH AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 1,708.820000 1,900.770000 0.000000
560 W51563001 L03AA13 PEGFILGRASTIMUM ** NEULASTA 6mg SOL. INJ. 6mg(10mg/ml) AMGEN EUROPE B.V. OLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML (10 MG/ML) SOL. INJ. PR 1 1,802.350000 2,002.710000 0.000000
561 W66201001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL. INJ. IN INJECTOR PREUMPLUT 6mg SPANIA
ACCORD HEALTHCARE S.L.U. CUTIE CU 1 INJECTOR PREUMPLUT CARE CONTINE 0,6 ML SOL. INJ. PR 1 1,652.370000 1,839.240000 0.000000
562 W66175001 L03AA13 PEGFILGRASTIMUM ** GRASUSTEK 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml JUTA PHARMA GMBH GERMANIA CUTIE CU 1 SERINGA PREUMPLUTA CU DOP DIN CAUCIUC SI AC DIN OTEL INOXIDABIL CU GARDA AUTOMATA A ACULUI X 0,6 ML SOL. INJ. (6 MG PEGFILGRASTIM) PR 1 1,640.700000 1,826.510000 0.000000
563 W66956001 L03AA13 PEGFILGRASTIMUM ** PELMEG 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml MUNDIPHARMA CORPORATION (IRELAND) LIMITED IRLANDA CUTIE CU AMBALAJ TIP BLISTER CE CONTINE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 1,667.000000 1,855.180000 0.000000
564 W66405001 L03AA13 PEGFILGRASTIMUM ** PELMEG 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml MUNDIPHARMA BIOLOGICS S.L. SPANIA CUTIE CU AMBALAJ TIP BLISTER CE CONTINE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 1,667.000000 1,855.180000 0.000000
565 W65072001 L04AX02 TALIDOMIDUM **1 THALIDOMIDE CELGENE 50 mg CAPS. 50mg CELGENE EUROPE BV OLANDA CUTIE TIP PORTOFEL X 28 CAPS. (14 CAPS. X 2 BLISTERE PCTFE/PVC/AL) PR 28 55.437142 61.788928 0.000000
566 W65684001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 10 mg CAPS. 10mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 337.378285 369.922856 66.474286
567 W64957001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 10 mg CAPS. 10mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 281.148571 308.269047 0.000000
568 W66645002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 10 mg CAPS. 10mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 337.378285 369.922856 24.922382
569 W65248003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 10 mg CAPS. 10mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 337.378285 369.922856 61.432858
570 W66646002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 15 mg CAPS. 15mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 367.207142 402.072857 0.000000
571 W64958001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 15 mg CAPS. 15mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 367.207142 402.072857 0.000000
572 W65685001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 15 mg CAPS. 15mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 440.648570 482.487428 12.217810
573 W65249003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 15 mg CAPS. 15mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 440.648570 482.487428 15.389238
574 W65687001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 25 mg CAPS. 25mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 501.280476 548.212857 0.000000
575 W66648002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 25 mg CAPS. 25mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 500.989523 547.896190 0.000000
576 W65251003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 25 mg CAPS. 25mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 501.280476 548.212857 0.000000
577 W64960001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 25 mg CAPS. 25mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 492.882857 539.059523 0.000000
578 W66643002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 5 mg CAPS. 5mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 324.458285 355.840000 27.447619
579 W65246003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 5 mg CAPS. 5mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 324.458285 355.840000 90.444285
580 W64955002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 5 mg CAPS. 5mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 324.458285 355.840000 82.979523
581 W65682001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 5 mg CAPS. 5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 270.381904 296.533333 0.000000

Pagina 25 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
582 W68143001 L04AX06 POMALIDOMIDUM **1 IMNOVID 4 mg CAPS. 4mg IRLANDA CUTIE CU BLIST. PVC/PCTFE X 21 CAPS.
BRISTOL-MYERS SQUIBB PHARMA EEIG PR 21 1,680.387142 1,833.440952 0.000000
583 W64986001 L04AX06 POMALIDOMIDUM **1 IMNOVID 4 mg CAPS. 4mg CELGENE EUROPE B.V. OLANDA CUTIE CU BLIST. PVC/PCTFE X 21 CAPS. PR 21 1,680.387142 1,833.440952 0.000000
584 W52199001 M05BA02 ACIDUM CLODRONICUM ** SINDRONAT (R) 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 5 ML S 1 37.490000 49.040000 0.000000
585 W64719001 M05BA02 ACIDUM CLODRONICUM ** SINDRONAT 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 37.490000 49.040000 0.000000
586 W59829025 M05BA06 ACIDUM IBANDRONICUM ** ACID IBANDRONIC GLENMARK 50 mg COMPR. FILM. 50mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM. P6L 28 8.306570 10.140857 2.372000
587 W56932004 M05BA06 ACIDUM IBANDRONICUM ** IASIBON 50 mg COMPR. FILM. 50mg PHARMATHEN S.A. GRECIA CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR 28 6.922142 8.450714 0.000000
588 W65655001 M05BA06 ACIDUM IBANDRONICUM ** ACID IBANDRONIC ACCORD 6 mg CONC. PT. SOL. PERF. 6mg SPANIA
ACCORD HEALTHCARE S.L.U. CUTIE CU 1 FLAC. CU CAPACITATEA DE 6 ML, DIN STICLA DE TIP I SI FLUOROTEC PR 1 275.916000 336.840000 64.730000
589 W56933001 M05BA06 ACIDUM IBANDRONICUM ** IASIBON 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml PHARMATHEN S.A. GRECIA CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR 1 229.930000 280.700000 0.000000
590 W59090002 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF. PR 4 93.864000 118.680000 60.890000
591 W59588001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACTAVIS 4mg/5ml CONC. PT. SOL. PERF. 4mg/5ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLACON PLASTIC TRANSPARENT, INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PER PR 1 78.220000 98.900000 0.000000
592 W65657001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACCORD 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 5 ML DIN COPOLIMER CICLOOLEFINIC TRANSPARENT PRF 1 93.864000 118.680000 17.540000
593 W68080001 M05BA08 ACIDUM ZOLEDRONICUM ** ZERLINDA 4 mg/100 ml SOL. PERF. 4mg/100ml TEVA B.V. OLANDA CUTIE CU 1 PUNGA A 100 ML SOL. PERF. PR 1 93.864000 118.680000 10.230000
594 W60543001 M05BA08 ACIDUM ZOLEDRONICUM ** ZERLINDA 4 mg/100 ml SOL. PERF. 4mg/100ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 PUNGA A 100 ML SOL. PERF. PR 1 93.864000 118.680000 10.230000
595 W66310001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACCORD 4 mg/100 ml SOL. PERF. 4mg/100ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 PUNGA DIN PLASTIC POLIOLEFINIC CU 100 ML SOL. PERF. PR 1 93.864000 118.680000 344.710000
596 W04133001 V03AF01 MESNUM UROMITEXAN 400mg/4ml SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR 15 7.430000 9.070666 0.000000
597 W52218002 V03AF03 CALCII FOLINAS FOLCASIN 10 mg/ml SOL. INJ./PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SOL. INJ./PERF. S/P-RF 1 37.090000 48.520000 0.000000
598 W64436002 V03AF03 CALCII FOLINAS FOLCASIN 10 mg/ml SOL. INJ./PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SOL. INJ./PERF. PR 1 37.090000 48.520000 0.000000
599 W62525006 V03AF03 CALCII FOLINAS FOLINAT DE CALCIU KABI 10 mg/ml SOL. INJ./PERF. 10mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 10 FLACOANE DIN STICLA BRUNA, PREVAZUTE CU DOP DIN CAUCIUC CLOROBUTILIC SI SIGILATE CU CAPSA DIN AL TIP FLIP-OFF SI DISC DE CULOARE GALBENA, CARE CONTIN 10 ML SOL. INJ./PERF. PR 10 44.508000 58.224000 26.822000

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE


Subprogramul de tratament al sclerozei multiple

1 W65163001 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK EUROPE B.V. OLANDA CUTIE CU 4 CARTUSE (DIN STICLA DE TIP I), CU DOP CU PISTON (DIN CAUCIUC) SI UN CAPAC FARA FILET (DIN ALUMINIU SI CAUCIUC HALOBUTILIC) CONTINAND 1.5 ML SOLUTIE INJECTABILA PR 4 767.805000 846.445000 0.000000
2 W62420001 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 4 CARTUSE (DIN STICLA DE TIP I), CU DOP CU PISTON (DIN CAUCIUC) SI UN CAPAC FARA FILET (DIN ALUMINIU SI CAUCIUC HALOBUTILIC) CONTINAND 1.5 ML SOLUTIE INJECTABILA PR 4 767.805000 846.445000 0.000000
3 W65147001 L03AB07 INTERFERONUM BETA 1A **1 AVONEX 30µg/0,5ml PEN SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 30µg/0,5ml BIOGEN NETHERLANDS B.V. OLANDA AMBALAJ X 4 CUTII INDIVIDUALE FIECARE CONTINAND 1 STILOU INJECTOR (PEN) DE UNICA FOLOSINTA, 1 AC DE INJECTIE SI 1 CAPAC PENTRU STILOU INJECTOR (PEN) X 0.5ML PR 4 694.862500 766.937500 0.000000
4 W08473003 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 44mcg MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. P-RF/R 12 260.625833 287.261666 0.000000
5 W65162003 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 44µg MERCK EUROPE B.V. OLANDA CUTIE CU 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. PR 12 260.625833 287.261666 0.000000
6 W63878007 L03AB08 INTERFERONUM BETA 1-B **1 BETAFERON 250µg/ml PULB. + SOLV. PT. SOL. INJ. 250µg/ml BAYER AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. + ADAPTOR CU AC SI 2 TAMPOANE CU ALCOOL PR 15 176.052666 194.440666 0.000000
7 W64761001 L03AB13 PEGINTERFERON BETA-1A **1 PLEGRIDY 63 micrograme+94 micrograme SOL. INJ. IN PEN PRE-UMPLUT FARA CONCENTRATIE BIOGEN NETHERLANDS B.V. OLANDA PACHET DE INITIERE CONTINE 1 PEN PREUMPLUT DE 63 MICROGRAME (PEN CU ETICHETA PORTOCALIE,PRIMA DOZA) SI 1 PEN PREUMPLUT DE 94 MICROGRAME(PEN CU ETICHETA ALBASTRA,A DOUA DOZA) PRF 1 1,742.360000 1,937.320000 0.000000
8 W65153001 L03AB13 PEGINTERFERON BETA-1A **1 PLEGRIDY 125 micrograme SOL. INJ. IN PEN PRE-UMPLUT FARA CONCENTRATIE BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 2 PEN-URI PREUMPLUTE DE 125 MICROGRAME (PEN-URI CU ETICHETA GRI) PRF 2 1,244.110000 1,375.155000 0.000000
9 W68201002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml LABORMED PHARMA S.A. ROMANIA CUTIE CU 12 SERINGI PREUMPLUTE X 1 ML SOL. INJ. PR 12 146.840000 163.235000 0.000000
10 W64563002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 12 SERINGI PREUMPLUTE X 1 ML SOL. INJ. PR 12 146.840000 163.235000 0.000000
11 W62547002 L03AX13 GLATIRAMER ACETAT **1 COPAXONE 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 12 SERINGI PREUMPLUTE A CATE 1 ML SOL. INJ. IN SERINGA PREUMPLUTA PR 12 176.208000 195.882000 10.653833
12 W68309002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 20 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 20mg/ml LABORMED PHARMA S.A. ROMANIA CUTIE CU 28 SERINGI PREUMPLUTE DIN STICLA DE UNICA FOLOSINTA, CU AC INCORPORAT, ACOPERIT CU UN CAPAC PROTECTOR CARE CONTIN SOL. INJ. PR 28 83.830357 92.737857 0.000000
13 W63124002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 20 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 20mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 28 SERINGI PREUMPLUTE DIN STICLA DE UNICA FOLOSINTA, CU AC INCORPORAT, ACOPERIT CU UN CAPAC PROTECTOR CARE CONTIN SOL. INJ. PR 28 83.830357 92.737857 0.000000
14 W65148001 L04AA23 NATALIZUMABUM **1 TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. X 15ML CONC. PT. SOL. PERF PR 1 5,046.760000 5,539.130000 0.000000
15 W67544001 L04AA23 NATALIZUMABUM **1 TYSABRI 150mg SOL INJ. IN SERINGA PREUMPLUTA 150mg BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE PR 2 2,598.655000 2,851.615000 0.000000
16 W66496002 L04AA27 FINGOLIMODUM **1 Ω GILENYA 0,25 mg CAPS. 0,25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. DIN PVC/PVDC/AL X 28 CAPS. PR 28 138.649642 152.490714 0.000000
17 W64461005 L04AA27 FINGOLIMODUM **1 Ω GILENYA 0,5 mg CAPS. 0,5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/AL CU 28 CAPSULE PR 28 222.922857 244.348571 0.000000
18 W57766001 L04AA27 FINGOLIMODUM **1 Ω GILENYA 0,5 mg CAPS. 0,5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST.PVC/PVDC/AL CU 28 CAPSULE PR 28 222.922857 244.348571 0.000000
19 W60449002 L04AA31 TERIFLUNOMIDUM **1 AUBAGIO COMPR. FILM. 14mg SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 28 COMPR. FILM. PR 28 107.301071 118.320714 0.000000
20 W64873001 L04AA34 ALEMTUZUMABUM **1 Ω LEMTRADA 12mg CONC. PT. SOL. PERF. 12mg/1,2ml SANOFI BELGIUM BELGIA CUTIE CU 1 FLACON X 12MG/1,2ML PR 1 25,586.420000 27,927.380000 0.000000
21 W64485001 L04AA36 OCRELIZUMAB **1 Ω OCREVUS 300 mg CONC. PT. SOL. PERF. 300mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 10 ML CONC. PR 1 22,911.580000 25,011.800000 0.000000
22 W64663001 L04AA40 CLADRIBINUM **1 Ω MAVENCLAD 10 mg COMPR. 10mg MERCK EUROPE B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC-AL X 1 COMPR. (AMBALAJ TIP PORTOFEL) PR 1 8,029.370000 8,790.170000 0.000000
23 W64663002 L04AA40 CLADRIBINUM **1 Ω MAVENCLAD 10 mg COMPR. 10mg MERCK EUROPE B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC-AL X 4 COMPR. (AMBALAJ TIP PORTOFEL) PR 4 8,006.850000 8,737.015000 0.000000
24 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0.488400 0.638800 0.000000
25 W65150001 L04AX07 DIMETHYL FUMARATE **1 Ω TECFIDERA 120 mg CAPS. GASTROREZ. 120mg BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU BLIST. PVC/PE/PVDC-PVC ALUMINIU X 14 CAPS. GASTROREZ. PR 14 34.018571 39.805000 0.000000
26 W65151001 L04AX07 DIMETHYL FUMARATE **1 Ω TECFIDERA 240 mg CAPS. GASTROREZ. 240mg BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU BLIST. PVC/PE/PVDC-PVC ALUMINIU X 56 CAPS. GASTROREZ. PR 56 64.281607 70.748214 0.000000

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

Pagina 26 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
Tratamentul medicamentos al bolnavilor cu diabet zaharat

1 W52999001 A10AB01 INSULINE UMANE HUMULIN R 100 UI/ml SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ. P-RF 1 57.820000 73.110000 0.000000
2 W64794002 A10AB01 INSULINE UMANE HUMULIN R KwikPen 100 UI/ml SOL. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SOL. INJ. PRF 6 19.211666 23.453333 0.000000
3 W08452003 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 17.706000 22.388000 0.000000
4 W08451001 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 35.114000 42.868000 0.000000
5 W53811003 A10AB01 INSULINE UMANE INSUMAN RAPID 100 UI/ml SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 16.766000 21.200000 0.000000
6 W66676001 A10AB04 INSULINUM LISPRO ** LYUMJEV 100U/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE PREUMPLUTE (KWIKPEN) X 3 ML SOL. INJ. (3,5MG/ML) PRF 5 28.951200 35.342400 1.469600
7 W64009002 A10AB04 INSULINUM LISPRO ** HUMALOG 100 unitati/ml JUNIOR KWIKPEN SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml ELI LILLY NEDERLAND BV OLANDA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE A CATE 3 ML SOL. INJ. PRF 5 28.951200 35.342400 1.717600
8 W66677001 A10AB04 INSULINUM LISPRO ** LYUMJEV 200U/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 200 U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE PREUMPLUTE (KWIKPEN) X 3 ML SOL. INJ. (6,9MG/ML) PRF 5 64.868000 78.336000 0.000000
9 W62269001 A10AB04 INSULINUM LISPRO ** HUMALOG 200 UNITATI/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 200unitati/ml ELI LILLY NEDERLAND BV OLANDA 5 STILOURI INJECTOARE (PEN) PREUMPLUTE A 3 ML (KWIKPEN) PRF 5 60.236000 73.288000 0.000000
10 W53873001 A10AB04 INSULINUM LISPRO ** HUMALOG KWIKPEN100U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ. P-RF 5 28.951200 35.342400 2.459600
11 W52601001 A10AB04 INSULINUM LISPRO ** HUMALOG 100 U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ. P-RF 5 24.126000 29.452000 0.000000
12 W63977001 A10AB05 INSULINUM ASPART ** FIASP 100 unitati/ml SOL INJ. IN FLAC. 100unitati/ml NOVO NORDISK A/S DANEMARCA 1 FLAC. (STICLA) X 10 ML SOL. PRF 1 77.780000 98.350000 0.000000
13 W63975005 A10AB05 INSULINUM ASPART ** FIASP 100 unitati/ml SOL INJ. IN STILOU INJECTOR PREUMPLUT 100unitati/ml NOVO NORDISK A/S DANEMARCA 5 STILOURI INJECTOARE PREUMPLUTE (STICLA) (FLEXTOUCH) X 3 ML SOL. PRF 5 29.966400 36.583200 0.286800
14 W08932002 A10AB05 INSULINUM ASPART ** NOVORAPID FLEXPEN 100 unitati/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML P-RF 5 28.740000 35.086000 0.000000
15 W07268001 A10AB05 INSULINUM ASPART ** NOVORAPID PENFILL 100 unitati/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 24.972000 30.486000 0.000000
16 W41740004 A10AB06 INSULINUM GLULIZINA ** APIDRA 100U/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 22.410000 27.358000 0.000000
17 W52538004 A10AB06 INSULINUM GLULIZINA ** APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ. P-RF 5 22.594000 27.582000 0.000000
18 W64795002 A10AC01 INSULINE UMANE HUMULIN N KwikPen 100 UI/ml SUSP. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SUSP. INJ. PRF 6 20.311200 25.680000 5.936666
19 W08444003 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 16.926000 21.400000 0.000000
20 W53808003 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SoloStar SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 16.944000 21.424000 0.000000
21 W64796002 A10AD01 INSULINE UMANE HUMULIN M3 KwikPen 100 UI/ml SUSP. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SUSP. INJ. PRF 6 20.764800 26.256000 4.740666
22 W03703002 A10AD01 INSULINE UMANE MIXTARD 30 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 20.114000 24.554000 0.000000
23 W08446003 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 17.834000 22.550000 0.000000
24 W08449003 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 20.764800 26.256000 4.486000
25 W08445002 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF 5 27.924000 34.090000 0.000000
26 W53810003 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SoloStar SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS, DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 17.304000 21.880000 0.000000
27 W03665001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX50 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 25.416000 31.028000 0.000000
28 W53875001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX50 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3 ML, SUSP. INJ. P-RF 5 30.499200 37.233600 0.436400
29 W53874001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX25 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3 ML, SUSP. INJ. P-RF 5 30.499200 37.233600 0.436400
30 W52602001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX25 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP.INJ. P-RF 5 25.426000 31.040000 0.000000
31 W08973001 A10AD05 INSULINUM ASPART ** NOVOMIX 30 FLEXPEN SUSP. INJ. 100UIml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML P-RF 5 32.042400 39.117600 0.420400
32 W08254001 A10AD05 INSULINUM ASPART ** NOVOMIX 30 PENFILL 100 U/ml SUSP. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 26.702000 32.598000 0.000000
33 W65160002 A10AE04 INSULINUM GLARGINE ** ABASAGLAR SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100UI/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ X10 STILOURI PRE-UMPLUTE/PEN (2 CUTII X 5 PEN) A 3ML DOZAJ 80U PRF 10 36.669000 43.784000 0.000000
34 W08054002 A10AE04 INSULINUM GLARGINE ** LANTUS 100UI/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. P-RF 5 38.690000 47.234000 0.000000
35 W65691001 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 Unitati/ml DOUBLESTAR SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 3 STILOURI INJECTOARE PREUMPLUTE X 3 ML SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT DOUBLESTAR PRF 3 113.090000 135.983333 0.000000
36 W61744003 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 unitati/ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 5 STILOURI INJECTOARE PREUMPLUTE X 1,5 ML SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT SOLOSTAR PRF 5 54.866000 66.980000 0.000000
37 W52628008 A10AE04 INSULINUM GLARGINE ** LANTUS SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 38.714000 47.262000 0.000000
38 W41731002 A10AE05 INSULINUM DETEMIR ** LEVEMIR FLEXPEN 100 unitati/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 46.824000 57.162000 0.000000
39 W41732002 A10AE05 INSULINUM DETEMIR ** LEVEMIR PENFILL 100 unitati/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF 5 42.674000 52.096000 0.000000
40 W66105004 A10AE06 INSULINUM DEGLUDEC ** TRESIBA 100 unitati/ml SOL INJ. IN STILOU INJECTOR PREUMPLUT 100 UI/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 5 STILOURI INJECTOARE PREUMPLUTE (FLEXTOUCH) X 3 ML SOL. INJ. PRF 5 52.876000 64.552000 0.000000
41 W63476001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+33 micrograme/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+33micrograme/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 68.880000 82.710000 0.000000
42 W63475001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+50 micrograme/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+50micrograme/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 132.442000 151.992000 0.000000
43 W53953002 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. PRF 200 0.172866 0.226066 0.100284
44 W53953004 A10BA02 METFORMINUM METFORMINA ARENA 1000 mg COMPR. 1000mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. DIN PE X 180 COMPR. PRF 180 0.144055 0.188388 0.000000
45 W53951003 A10BA02 METFORMINUM METFORMIN ARENA 500 MG COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. P-RF 60 0.171199 0.231199 0.019967
46 W53952001 A10BA02 METFORMINUM METFORMIN ARENA 850 MG COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR. PRF 15 0.094000 0.126666 0.000000
47 W53952003 A10BA02 METFORMINUM METFORMIN ARENA 850 mg COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 6 BLIST. PVC/AL X 10 COMPRIMATE PRF 60 0.093500 0.126333 0.000000
48 W65730002 A10BA02 METFORMINUM SIOFOR 1000 mg COMPR. CU ELIB. PREL. 1000mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0.172866 0.226066 0.376267
49 W65728002 A10BA02 METFORMINUM SIOFOR 500 mg COMPR. CU ELIB. PREL. 500mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0.171199 0.231199 0.189801
50 W65729002 A10BA02 METFORMINUM SIOFOR 750 mg COMPR. CU ELIB. PREL. 750mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0.334333 0.452000 0.000000
51 W63931002 A10BA02 METFORMINUM GLUCOPHAGE XR 1000 mg COMPR. ELIB. PREL. 1000mg MERCK SANTE S.A.S. FRANTA CUTIE CU 3 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. PRF 30 0.172866 0.226066 0.701934

Pagina 27 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
52 W63931004 A10BA02 METFORMINUM GLUCOPHAGE XR 1000 mg COMPR. ELIB. PREL. 1000mg MERCK SANTE S.A.S. FRANTA CUTIE CU 6 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. PRF 60 0.172866 0.226066 0.683600
53 W65799009 A10BA02 METFORMINUM METFORMIN ACCORD 500 mg COMPR. ELIB. PREL. 500mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P6L 30 0.171199 0.231199 1.085801
54 W43318002 A10BA02 METFORMINUM GLUCOPHAGE XR 500 mg COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P6L 30 0.171199 0.231199 0.293134
55 W63930004 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 4 BLIST. PVC/PVDC/AL X 15 COMPR. ELIB. PREL. PRF 60 0.401200 0.542400 0.221100
56 W63930002 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 2 BLIST. PVC/PVDC/AL X 15 COMPR. ELIB. PREL. PRF 30 0.401200 0.542400 0.148933
57 W42349002 A10BA02 METFORMINUM SIOFOR 1000 mg COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. P6L 60 0.172866 0.226066 0.068267
58 W43828002 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM P6L 120 0.154083 0.208250 0.000000
59 W65995002 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.172866 0.226066 0.050267
60 W13583011 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL, X 60 COMPR. FILM. P-6L 60 0.172866 0.226066 0.077267
61 W13955002 A10BA02 METFORMINUM MEGUAN 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 30 0.171199 0.231199 0.041134
62 W13955001 A10BA02 METFORMINUM MEGUAN 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 20 0.171199 0.231199 0.040801
63 W65992003 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.142666 0.192666 0.000000
64 W65994003 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.112200 0.151600 0.110733
65 W41858004 A10BB01 GLIBENCLAMIDUM COMPR.
GLIBENCLAMIDA ARENA 1,75 mg 1,75mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P6L 1000 0.054150 0.068470 0.000000
66 W41858002 A10BB01 GLIBENCLAMIDUM COMPR.
GLIBENCLAMIDA ARENA 1,75 mg 1,75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P6L 100 0.054200 0.073200 0.000000
67 W41858003 A10BB01 GLIBENCLAMIDUM COMPR.
GLIBENCLAMIDA ARENA 1,75 mg 1,75mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P6L 30 0.054333 0.073333 0.000000
68 W41859004 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P6L 1000 0.039040 0.051070 0.000000
69 W41859003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P6L 30 0.039333 0.053000 0.000000
70 W41859002 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P6L 100 0.039000 0.052700 0.000000
71 W65039001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. CU ELIB. MODIF. PRF 30 1.349000 1.764333 0.000000
72 W03348001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. ELIB. MODIF. P-RF 30 1.349000 1.764333 0.000000
73 W03352001 A10BB08 GLIQUIDONUM GLURENORM 30 mg COMPR. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 0.293666 0.397000 0.000000
74 W59674006 A10BB09 GLICLAZIDUM GLYCLADA 60 mg COMPR. CU ELIB. MODIF. 60mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. CU ELIB. MODIF. PRF 60 0.419833 0.549166 0.000000
75 W59674016 A10BB09 GLICLAZIDUM GLYCLADA 60 mg COMPR. CU ELIB. MODIF. 60mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. CU ELIB. MODIF. PRF 60 0.419833 0.549166 0.000000
76 W55137009 A10BB09 GLICLAZIDUM DIAPREL MR 60 mg COMPR. ELIB. MODIF. 60mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. P-RF 60 0.503800 0.658999 0.047001
77 W54001003 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P-6L 60 0.211833 0.286333 0.000000
78 W54001004 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 60 0.211833 0.286333 0.000000
79 W62433005 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.139333 0.188333 0.000000
80 W62434004 A10BB12 GLIMEPIRIDUM AMARYL 2 mg COMPR. 2mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.228000 0.308000 0.000000
81 W62435004 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.389333 0.526333 0.000000
82 W62436004 A10BB12 GLIMEPIRIDUM AMARYL 4 mg COMPR. 4mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.424333 0.573666 0.000000
83 W62437004 A10BB12 GLIMEPIRIDUM AMARYL 6 mg COMPR. 6mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.728666 0.984666 0.000000
84 W42117001 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS.
P-RF 20 0.216000 0.292000 0.000000
85 W42117002 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS.
P-RF/S 500 0.212240 0.259100 0.000000
86 W10546002 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLIBOMET 400 mg/2,5mg COMPR. FILM. 400mg/2,5mg LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM.
P6L 60 0.254688 0.310920 0.126080
87 W13594006 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE FRANTA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P6L 60 0.448666 0.586833 0.000000
88 W13595006 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P6L 60 0.448666 0.586833 0.000000
89 W67718003 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 1.377142 1.801428 0.000000
90 W67718004 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 1.377333 1.801666 0.000000
91 W67718005 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. PRF 56 1.353571 1.711428 0.000000
92 W67718006 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1.353500 1.711333 0.000000
93 W64669003 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** JANUMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PE/PVDC/AL X 56 COMPR. FILM. PRF 56 1.624200 2.053600 0.369792
94 W67394004 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** GLUAMET 50 mg/850 mg COMPR. FILM. 50 mg/850 mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL X 60 COMPRIMATE FILMATE PRF 60 1.731600 2.189400 0.125100
95 W52552003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/1000mg COMPR. FILM. 50mg/1000mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) P-RF 60 1.624999 2.054599 0.207734
96 W64469003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/1000mg COMPR. FILM. 50mg/1000mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) PRF 60 1.624999 2.054599 0.207734
97 W67399004 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** GLUAMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL X 60 COMPRIMATE FILMATE PRF 60 1.624999 2.054599 0.259901
98 W64184003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** DALTEX 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1.354166 1.712166 0.000000
99 W67492002 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** AGARTHA DUO 50 mg/1000 mg COMPR. FILM. 50mg/1000mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC//AL X 60 COMPR. FILM. PRF 60 1.443000 1.824500 0.000000
100 W64183003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** DALTEX 50 mg/850 mg COMPR. FILM. 50mg/850mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1.731600 2.189400 0.061600
101 W52551003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/850mg COMPR. FILM. 50mg/850mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) P-RF 60 1.731600 2.189400 0.072933
102 W64470003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/850mg COMPR. FILM. 50mg/850mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) PRF 60 1.731600 2.189400 0.072933
103 W67491002 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** AGARTHA DUO 50 mg/850 mg COMPR. FILM. 50mg/850mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC//AL X 60 COMPR. FILM. PRF 60 1.443000 1.824500 0.000000
104 W62421003 A10BD10 COMBINATII (SAXAGLIPTINUM + METFORMINUM) ** Komboglyze 2,5 mg/1000 mg COMPR. FILM. 2,5mg/1000mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL NEPERFORATE CU 60 COMPR. FILM. PRF 60 2.099333 2.562833 0.000000
105 W62325003 A10BD15 COMBINATII (DAPAGLIFLOZINUM+METFORMINUM) ** XIGDUO 5 mg/1000 mg COMPR. FILM. 5mg/1000mg ASTRAZENECA AB SUEDIA BLIST. PVC/PCTFE/AL X 56 COMPR. FILM. PRF 56 2.844821 3.472857 0.000000

Pagina 28 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
106 W62325004 A10BD15 COMBINATII (DAPAGLIFLOZINUM+METFORMINUM) ** XIGDUO 5 mg/1000 mg COMPR. FILM. 5mg/1000mg ASTRAZENECA AB SUEDIA BLIST. PVC/PCTFE/AL X 60 COMPR. FILM. PRF 60 2.844666 3.472833 0.000000
107 W63069001 A10BD21 COMBINATII (SAXAGLIPTIN+DAPAGLIFLOZINUM) ** QTERN 5 mg/10 mg COMPR. FILM. 5mg/10mg ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PA/ALU/PVC-ALU X 30 COMPR. FILM. PRF 30 10.732000 12.969666 0.000000
108 W63883002 A10BF01 ACARBOSUM GLUCOBAY 100 COMPR. 100mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0.420500 0.531666 0.000000
109 W63882002 A10BF01 ACARBOSUM GLUCOBAY 50 COMPR. 50mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0.272500 0.356416 0.000000
110 W61804002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1.054666 1.379666 0.000000
111 W65698002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1.054666 1.379666 0.000000
112 W65699002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1.118000 1.462333 0.000000
113 W61805002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1.118000 1.462333 0.000000
114 W61806002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1.118000 1.462333 0.000000
115 W65700002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1.118000 1.462333 0.000000
116 W67106002 A10BH01 SITAGLIPTINUM ** MAYSIGLU 100 mg COMPR. FILM. 100mg KRKA, D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 2.707142 3.422857 0.000000
117 W67106003 A10BH01 SITAGLIPTINUM ** MAYSIGLU 100 mg COMPR. FILM. 100mg KRKA, D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 2.707000 3.422666 0.000000
118 W64831002 A10BH01 SITAGLIPTINUM ** JANUVIA 100 mg COMPR. FILM. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) PRF 28 3.248400 4.107199 0.739586
119 W64964002 A10BH01 SITAGLIPTINUM ** JANUVIA 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) PRF 28 3.332857 4.213928 0.000000
120 W64467005 A10BH02 VILDAGLIPTINUM ** GALVUS 50 mg COMPR. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC//AL X 56 COMPR. PRF 56 1.886607 2.303214 0.000000
121 W52375005 A10BH02 VILDAGLIPTINUM ** GALVUS 50mg COMPR. 50mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X, 56 COMPR. (BLISTER PA/AL/PVC//AL) P-RF 56 1.886607 2.303214 0.000000
122 W64117005 A10BH02 VILDAGLIPTINUM ** DALMEVIN 50 mg COMPR. 50mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. PA-AL-PVC/AL X 56 COMPR. PRF 56 1.883214 2.298928 0.000000
123 W66805004 A10BH02 VILDAGLIPTINUM ** GLUADDA 50 mg COMPR. 50mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 1.863666 2.356333 0.000000
124 W66814002 A10BH02 VILDAGLIPTINUM ** AGARTHA 50 mg COMPR. 50mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 1.826000 2.309000 0.000000
125 W62289009 A10BH03 SAXAGLIPTIN ** ONGLYZA COMPR. FILM. 5 mg ASTRAZENECA AB SUEDIA CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM. P-RF 30 4.980333 6.080000 0.000000
126 W61682001 A10BJ01 EXENATIDUM ** BYETTA 10µg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10µg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 324.980000 392.380000 0.000000
127 W61681001 A10BJ01 EXENATIDUM ** BYETTA 5µg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5µg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 229.390000 280.040000 0.000000
128 W64922001 A10BJ01 EXENATIDUM ** BYDUREON 2 mg SUSP. INJ. CU ELIB. PREL. IN STILOU INJECOTR (PEN) 2mg ASTRAZENECA AB SUEDIA AMBALAJ X 4 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE CU DOZA UNICA (BCISE) PRF 4 97.260000 115.550000 0.000000
129 W54586003 A10BJ02 LIRAGLUTIDUM ** VICTOZA 6 mg/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 6 mg/ml NOVO NORDISK A/S DANEMARCA CUTIE X 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML SOLUTIE INJECTABILA/STILOU P-RF 3 187.480000 217.070000 0.000000
130 W61462002 A10BJ05 DULAGLUTIDUM ** TRULICITY 1,5 mg/0,5ml SOL INJ. 1,5 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ MULTIPLU X 12 (3 PACHETE A CÂTE 4) STILOURI INJECTOARE (PENURI) PREUMPLUTE CU 0,5 ML SOLUTIE INJECTABILA (FIECARE CU 1,5MG DULAGLUTID) PRF 12 94.344166 106.014166 0.000000
131 W67148001 A10BJ05 DULAGLUTIDUM ** TRULICITY 3 mg/0,5ml SOL INJ. 3 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ MULTIPLU X 12 (3 PACHETE A CÂTE 4) STILOURI INJECTOARE (PENURI) PREUMPLUTE CU 0,5 ML SOLUTIE INJECTABILA (FIECARE CU 3MG DULAGLUTID) PRF 12 94.344166 106.014166 0.000000
132 W67149001 A10BJ05 DULAGLUTIDUM ** TRULICITY 4,5 mg/0,5ml SOL INJ. 4,5 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ MULTIPLU X 12 (3 PACHETE A CÂTE 4) STILOURI INJECTOARE (PENURI) PREUMPLUTE CU 0,5 ML SOLUTIE INJECTABILA (FIECARE CU 4,5MG DULAGLUTID) PRF 12 94.344166 106.014166 0.000000
133 W66743003 A10BJ06 SEMAGLUTIDUM ** RYBELSUS 14 mg COMPR. 14 mg NOVO NORDISK A/S DANEMARCA CUTIE CU BLIST. AL/AL X 90 COMPRIMATE PRF 90 14.333333 16.047222 0.000000
134 W66741002 A10BJ06 SEMAGLUTIDUM ** RYBELSUS 3 mg COMPR. 3 mg NOVO NORDISK A/S DANEMARCA CUTIE CU BLIST. AL/AL X 30 COMPRIMATE PRF 30 14.666666 17.258333 0.000000
135 W66742004 A10BJ06 SEMAGLUTIDUM ** RYBELSUS 7 mg COMPR. 7 mg NOVO NORDISK A/S DANEMARCA CUTIE CU BLIST. AL/AL X 90 COMPRIMATE PRF 90 14.333333 16.047222 0.000000
136 W65787002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 1 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 1 MG SEMAGLUTIDA PRF 3 369.183333 415.126666 0.000000
137 W65785001 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,25 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT + 4 ACE X 0,25 MG SEMAGLUTIDA PRF 1 351.070000 420.820000 0.000000
138 W65786002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,5 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 0,5 MG SEMAGLUTIDA PRF 3 369.183333 415.126666 0.000000
139 W62286004 A10BK01 DAPAGLIFLOZINUM ** FORXIGA 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNITATE DOZATA) PRF 30 5.334333 6.512000 0.000000
140 W62286005 A10BK01 DAPAGLIFLOZINUM ** FORXIGA 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. DIN ALU/ALU X 90X1 COMPR. FILM. (UNITATE DOZATA PRF 90 6.201555 7.183555 0.000000
141 W60940001 A10BK03 EMPAGLIFLOZINUM ** JARDIANCE 10mg COMPR. FILM. 10mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X BLISTERE PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 30 COMPRIMATE FILMATE (30X1) PRF 30 5.741666 7.009333 0.000000
142 W60941001 A10BK03 EMPAGLIFLOZINUM ** JARDIANCE 25mg COMPR. FILM. 25mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X BLISTERE PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 30 COMPRIMATE FILMATE (30X1) PRF 30 5.741666 7.009333 0.000000
143 W56718002 A10BX02 REPAGLINIDUM RENEOS 0,5 mg COMPR. 0,5 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF 90 0.119333 0.161333 0.186000
144 W64096002 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF 90 0.119333 0.161333 0.186000
145 W64096005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0.119333 0.161333 0.174767
146 W65706002 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 0,5 mg COMPR. 0,5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0.099444 0.134444 0.000000
147 W64096003 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF 120 0.119333 0.161333 0.174750
148 W64096004 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF 270 0.119333 0.161333 0.157926
149 W64096001 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF 30 0.119333 0.161333 0.186000
150 W56719002 A10BX02 REPAGLINIDUM RENEOS 1 mg COMPR. 1 mg ZENTIVA K.S. CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF
REPUBLICA CEHA 90 0.234400 0.316800 0.030533
151 W64097004 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF 270 0.234400 0.316800 0.002459
152 W64097003 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF 120 0.234400 0.316800 0.019283
153 W65707001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0.195333 0.264000 0.000000
154 W64097005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0.234400 0.316800 0.019300
155 W64097001 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF 30 0.234400 0.316800 0.030533
156 W64097002 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF 90 0.234400 0.316800 0.030533
157 W56720002 A10BX02 REPAGLINIDUM RENEOS 2 mg COMPR. 2 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR. PRF 90 0.257000 0.347333 0.000000
158 W65708001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0.257000 0.347333 0.000000
159 W64098004 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF 270 0.252481 0.319259 0.000000

Pagina 29 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
160 W64098002 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF 90 0.257000 0.347333 0.000000
161 W64098001 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF 30 0.257000 0.347333 0.000000
162 W64098003 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF 120 0.256916 0.336083 0.000000
163 W64098005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0.257000 0.336100 0.000000
164 W66520001 H04AA01 GLUCAGONUM BAQSIMI 3 mg PULB. NAZALA UNIDOZA 3mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLACON CU DOZA UNICA PRF 1 361.720000 432.420000 0.000000
165 T0001 FARA ATC FARA DCI Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat FARA FORMA FARA CONCENTRATIE FARA PRODUCATOR ROMANIA FARA FORMA AMB X 1 0.000000 1.200000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE

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2 W62684001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 1500 UI PULB+SOLV. PT. SOL. INJ. 1500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 3,908.170000 4,298.060000 0.000000
3 W62685001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 5,200.880000 5,707.120000 0.000000
4 W62680001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 250 UI PULB+SOLV. PT. SOL. INJ. 250UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 676.360000 775.380000 0.000000
5 W62686001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 3000 UI PULB+SOLV. PT. SOL. INJ. 3000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 7,786.330000 8,525.260000 0.000000
6 W62681001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 500 UI PULB+SOLV. PT. SOL. INJ. 500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 1,322.710000 1,479.910000 0.000000
7 W56025001 B02BD02 FACTOR VIII DE COAGULARE HAEMOCTIN SDH 1000 PULB+SOLV. PT. SOL. INJ. 100UI/ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR 1 1,647.024000 1,841.040000 386.270000
8 W56024001 B02BD02 FACTOR VIII DE COAGULARE HAEMOCTIN SDH 500 PULB+SOLV. PT. SOL. INJ. 50UI/ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR 1 838.392000 959.628000 191.962000
9 W61672001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 1000 UI PULB+SOLV. PT. SOL. INJ./PERF. 1000UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 10ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 10 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 1,647.024000 1,841.040000 86.480000
10 W61673001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 2000 UI PULB+SOLV. PT. SOL. INJ./PERF. 2000UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 10 ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 10 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 4,445.310000 4,883.540000 0.000000
11 W61670001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 250 UI PULB+SOLV. PT. SOL. INJ./PERF. 250UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 2,5ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 5 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 487.632000 577.296000 142.504000
12 W61671001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 500 UI PULB+SOLV. PT. SOL. INJ./PERF. 500UI CSL BEHRING GMBH GERMANIA CUT IE CU1 FLAC.DIN ST ICLA INCOLORA CU PULB.PT .SOL.INJ/PERF+1FLAC.DIN ST ICLA CU SOLV. CU 5ML APA PT . PREPARAT E INJ. SI CUT IE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE T RANSFER CU FILT RU 20/20,1SERINGA DE 5 ML,1SET PT . PUNCT IE VENOASA,2T AMP+PLAST URE PR 1 832.040000 945.080000 0.000000
13 W43393001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 1000 UI PULB+SOLV.PT.SOL.INJ 1000ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL PR 1 1,525.140000 1,700.550000 0.000000
14 W43391001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 250 UI PULB+SOLV.PT.SOL.INJ 250ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL PR 1 406.360000 481.080000 0.000000
15 W43392001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 500 UI PULB+SOLV.PT.SOL.INJ 500ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL PR 1 778.230000 886.420000 0.000000
16 W65354001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 100 UI/ml PULB. + SOLV. PT. SOL. INJ. 100UI/ml OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1FLAC. DIN ST ICLA INCOLORA CU PULB.PT .SOL. INJ.(100UI/ML)+CUT IE CU 1 SET PT . RECONST IT UIRE SI ADM.:1FLAC. DIN ST ICLA CU 10ML APA PT . PREPARAT E INJ.(1000UI/FLAC)+1SERINGA+1SET T RANSFERMIX2VIAL+1AC PT . INJECT IE T IP FLUT URE+2 T AMPOANE CU ALCOOL PR 1 1,372.520000 1,534.200000 0.000000
17 W65353001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50UI/ml OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ.(50UI/ML)+CUT IE CU SET DE RECONST IT UIRE SI ADM.:1FLAC. DIN ST ICLA CU 5 ML APA PT . PREPARAT E INJ(250UI/FLAC.)+1SERINGA+1SET T RANSFERMIX2VIAL+1AC PT . INJECT IE T IP FLUT URE+2 T AMPOANE CU ALCOOL PR 1 416.930000 492.600000 0.000000
18 W65353002 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50UI/ml OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ.(50UI/ML)+CUT IE CU SET DE RECONST IT UIRE SI ADM.:1FLAC. DIN ST ICLA CU 10 ML APA PT . PREPARAT E INJ(500UI/FLAC.)+1SERINGA+1SET T RANSFERMIX2VIAL+1AC PT . INJECT IE T IP FLUT URE+2 T AMPOANE CU ALCOOL PR 1 698.660000 799.690000 0.000000
19 W13336001 B02BD02 FACTOR VIII DE COAGULARE EMOCLOT 500 UI PULB.+SOLV. SOL. PERF. 500 UI KEDRION SPA ITALIA CUTIE X 1 FLACON DIN STICLA NEUTRA TIP I DIN ELASTOMER TIP I CONTINAND PULBERE, 1 FLACON DIN STICLA NEUTRA TIP I CU DOP DIN ELASTOMER TIP I CONTINAND SOLVENT, 1 SET PENTRU RECONST. SI ADM. PR 1 838.392000 959.628000 88.882000
20 W62271001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB+SOLV. PT. SOL. INJ. IN SERINGA PREUMPLUTA 500UI PFIZER LIMITED MAREA BRITANIE 1 SERINGA PREUMPLUTA+1 TIJA A PISTONULUI+ 1 SET DE PERFUZIE STERIL+2 TAMPOANE CU ALCOOL MEDICINAL+1 PLASTURE+1 BUCATA DE TIFON+1 CAPAC STERIL PT AERISIRE PR 1 1,217.300000 1,365.010000 0.000000
21 W64779001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB+SOLV. PT. SOL. INJ. IN SERINGA PREUMPLUTA 500UI PFIZER EUROPE MA EEIG BELGIA 1 SERINGA PREUMPLUTA+1 TIJA A PISTONULUI+ 1 SET DE PERFUZIE STERIL+2 TAMPOANE CU ALCOOL MEDICINAL+1 PLASTURE+1 BUCATA DE TIFON+1 CAPAC STERIL PT AERISIRE PR 1 1,217.300000 1,365.010000 0.000000
22 W61061001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 1000UI PULB. + SOL. PT. SOL. INJ. 1000 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 2,422.570000 2,678.760000 0.000000
23 W61062001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 2000UI PULB. + SOL. PT. SOL. INJ. 2000 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 5,543.580000 6,080.660000 0.000000
24 W61059001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 250UI PULB. + SOL. PT. SOL. INJ. 250 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 637.820000 733.370000 0.000000
25 W61060001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500UI PULB. + SOL. PT. SOL. INJ. 500 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 1,217.300000 1,365.010000 0.000000
26 W64776001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 1000 UI PULB. + SOLV. PT. SOL. INJ. 1000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 2,422.570000 2,678.760000 0.000000
27 W64777001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 2000UI PULB. + SOLV. PT. SOL. INJ. 2000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 5,543.580000 6,080.660000 0.000000
28 W64774001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 250 UI PULB. + SOLV. PT. SOL. INJ. 250UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 637.820000 733.370000 0.000000
29 W64775001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB. + SOLV. PT. SOL. INJ. 500UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 1,217.300000 1,365.010000 0.000000
30 W64715001 B02BD02 OCTOCOG ALFA ** KOVALTRY 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 2,499.740000 2,762.870000 0.000000
31 W64716001 B02BD02 OCTOCOG ALFA ** KOVALTRY 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 4,969.480000 5,454.890000 0.000000
32 W64713001 B02BD02 OCTOCOG ALFA ** KOVALTRY 250 UI PULB+SOLV. PT. SOL. INJ. 250UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 647.430000 743.850000 0.000000
33 W64714001 B02BD02 OCTOCOG ALFA ** KOVALTRY 500 UI PULB+SOLV. PT. SOL. INJ. 500UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 1,264.870000 1,416.860000 0.000000
34 W51449001 B02BD02 OCTOCOG ALFA ** ADVATE 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 2,624.880000 2,899.270000 0.000000
35 W66732001 B02BD02 OCTOCOG ALFA ** ADVATE 1000UI PULB+SOLV.PT.SOL.INJ 1000UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 2,624.880000 2,899.270000 0.000000
36 W66733001 B02BD02 OCTOCOG ALFA ** ADVATE 1500UI PULB+SOLV.PT.SOL.INJ 1500UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 3,922.320000 4,313.480000 0.000000
37 W51450001 B02BD02 OCTOCOG ALFA ** ADVATE 1500UI PULB+SOLV.PT.SOL.INJ 1500UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 3,922.320000 4,313.480000 0.000000
38 W66730001 B02BD02 OCTOCOG ALFA ** ADVATE 500UI PULB+SOLV.PT.SOL.INJ 500 UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 1,327.440000 1,485.060000 0.000000
39 W51448001 B02BD02 OCTOCOG ALFA ** ADVATE 500UI PULB+SOLV.PT.SOL.INJ 500 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 1,327.440000 1,485.060000 0.000000
40 W53183001 B02BD02 OCTOCOG ALFA ** ADVATE 2000UI PULB+SOLV.PT.SOL.INJ. 2000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R 1 5,219.750000 5,727.690000 0.000000
41 W66734001 B02BD02 OCTOCOG ALFA ** ADVATE 2000UI PULB+SOLV.PT.SOL.INJ. 2000 UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II PR 1 5,219.750000 5,727.690000 0.000000
42 W51447001 B02BD02 OCTOCOG ALFA ** ADVATE 250UI PULB+SOLV.PT.SOL.INJ. 250 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 678.710000 777.950000 0.000000

Pagina 30 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
43 W66731001 B02BD02 OCTOCOG ALFA ** ADVATE 250UI PULB+SOLV.PT.SOL.INJ. 250 UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 678.710000 777.950000 0.000000
44 W66735001 B02BD02 OCTOCOG ALFA ** ADVATE 3000UI PULB+SOLV.PT.SOL.INJ. 3000 UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II PR 1 7,814.630000 8,556.110000 0.000000
45 W53185001 B02BD02 OCTOCOG ALFA ** ADVATE 3000UI PULB+SOLV.PT.SOL.INJ. 3000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R 1 7,814.630000 8,556.110000 0.000000
46 W61474001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 1000UI PULB+SOLV. PT. SOL. INJ. 1000 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUMPLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAMPOANE ÎMBIBATE CU ALCOOL PR 1 2,650.690000 2,927.410000 0.000000
47 W61475001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 2000UI PULB+SOLV. PT. SOL. INJ. 2000 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUMPLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAMPOANE ÎMBIBATE CU ALCOOL PR 1 5,268.500000 5,780.820000 0.000000
48 W61472001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 250UI PULB+SOLV. PT. SOL. INJ. 250 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUMPLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAMPOANE ÎMBIBATE CU ALCOOL PR 1 685.630000 785.490000 0.000000
49 W61473001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 500UI PULB+SOLV. PT. SOL. INJ. 500 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUMPLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAMPOANE ÎMBIBATE CU ALCOOL PR 1 1,341.230000 1,500.090000 0.000000
50 W65190001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 1000 UI PULB+SOLV. PT. SOL. INJ. 1000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 2,521.220000 2,786.280000 0.000000
51 W65191001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 1500 UI PULB+SOLV. PT. SOL. INJ. 1500 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 3,766.810000 4,143.980000 0.000000
52 W65192001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 2000 UI PULB+SOLV. PT. SOL. INJ. 2000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 5,012.420000 5,501.700000 0.000000
53 W65188001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 250 UI PULB+SOLV. PT. SOL. INJ. 250 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 652.800000 749.700000 0.000000
54 W65193001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 3000 UI PULB+SOLV. PT. SOL. INJ. 3000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 7,503.640000 8,217.130000 0.000000
55 W65189001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 500 UI PULB+SOLV. PT. SOL. INJ. 500 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 1,275.600000 1,428.560000 0.000000
56 W62498002 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII ** FEIBA 25 U/ml PULB+SOLV. PT. SOL. PERF. 25U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA,CU CAPAC. DE 50 ML CARE CONTINE 500 U FEIBA PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA INCOLORA, CU CAPAC. DE 20 ML CARE CONTINE 20 ML APA PURIFICATA PT. PREPARATE INJ.,1 DISPOZ.BAXJECT II HIFLOW PR 1 1,513.030000 1,687.360000 0.000000
57 W62499005 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII ** FEIBA 50 U/ml PULB+SOLV. PT. SOL. PERF. 50U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA,CU CAPAC. DE 20 ML CARE CONTINE 500 U FEIBA PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA INCOLORA, CU CAPAC. DE 10 ML CARE CONTINE 10 ML APA PURIFICATA PT. PREPARATE INJ.,1 DISPOZ.BAXJECT II HIFLOW PR 1 1,678.640000 1,867.870000 0.000000
58 W63107001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 4,571.450000 5,021.040000 0.000000
59 W63108001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 9,112.910000 9,971.230000 0.000000
60 W63105001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 250 UI PULB+SOLV. PT. SOL. INJ. 250UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 1,165.370000 1,308.400000 0.000000
61 W63109001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 3000 UI PULB+SOLV. PT. SOL. INJ. 3000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 13,654.360000 14,921.420000 0.000000
62 W63106001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 500 UI PULB+SOLV. PT. SOL. INJ. 500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 2,300.740000 2,545.960000 0.000000
63 W65356001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 1000 UI PULB. + SOLV. PT. SOL. PERF. 1000UI OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1 FLAC. DIN ST ICLA CU PULB. PT . SOL. PERF. +1 FLAC. DIN ST ICLA CU 10 ML SOLV. PT . SOL. PERF.+ DISPOZIT IV PT . RECONST IT UIRE SI ADM. CU 1SET T RANSFER MIX2VIAL T M +1SET DE PERFUZARE(T IP FLUT URE)+1SERINGA DE UNICA FOLOSINT A+2 T AMPOANE ALCOOL MED PR 1 1,529.930000 1,705.780000 0.000000
64 W65355001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 500 UI PULB. + SOLV. PT. SOL. PERF. 500 UI OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1 FLAC. DIN ST ICLA CU PULB. PT . SOL. PERF. +1 FLAC. DIN ST ICLA CU 5 ML SOLV. PT . SOL. PERF.+DISPOZIT IV PT . RECONST IT UIRE SI ADM:1SET T RANSEFER MIX2VIALT M+1SET DE PERFUZARE(T IP FLUT URE)+1SERINGA DE UNICA FOLOSINT A+2 T AMPOANE ALCOOL MEDICINAL PR 1 818.560000 930.380000 0.000000
65 W62890001 B02BD04 FACTOR IX DE COAGULARE ** IMMUNINE 1200 UI PULB.+SOLV. PT. SOL. INJ./PERF. 1200UI BAXALTA INNOVATIONS GMBH AUSTRIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ./ PERF. + 1 FLAC. UNIDOZA DIN ST ICLA INCOLORA CU 10 ML SOLV. +1 AC PT . T RANSFER+1 AC PT . AERARE+1 AC PT . FILT RARE+1 AC DE UNICA FOLOSINT A+1 SERINGA DE UNICA FOLOSINT A+1 SET DE T RANSFER PR 1 1,832.060000 2,035.100000 0.000000
66 W62889001 B02BD04 FACTOR IX DE COAGULARE ** IMMUNINE 600 UI PULB.+SOLV. PT. SOL. INJ./PERF. 600UI BAXALTA INNOVATIONS GMBH AUSTRIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ./ PERF. + 1 FLAC. UNIDOZA DIN ST ICLA INCOLORA CU 5 ML SOLV. +1 AC PT . T RANSFER+1 AC PT . AERARE+1 AC PT . FILT RARE+1 AC DE UNICA FOLOSINT A+1 SERINGA DE UNICA FOLOSINT A+1 SET DE T RANSFER PR 1 1,003.670000 1,132.150000 0.000000
67 W60173002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 2,440.760000 2,698.580000 0.000000
68 W64927001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 2,440.760000 2,698.580000 0.000000
69 W64928001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 4,851.510000 5,326.300000 0.000000
70 W60172002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 4,851.510000 5,326.300000 0.000000
71 W64925001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 679.540000 778.850000 0.000000
72 W60175002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 679.540000 778.850000 0.000000
73 W60174001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 1,170.670000 1,314.180000 0.000000
74 W64926001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI PFIZER EUROPE MA EEIGBELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 1,170.670000 1,314.180000 0.000000
75 W65362001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 1000 1000 UI FVW/1000 UI FVIII PULB+SOLV. PT. SOL. INJ 1000 UI FVW/1000 UI FVIII OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) PR 1 1,893.560000 2,102.130000 0.000000
76 W65361001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 500 500 UI FVW/500 UI FVIII PULB+SOLV. PT. SOL. INJ 500 UI FVW/500 UI FVIII OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) PR 1 999.290000 1,127.380000 0.000000
77 W62888001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** IMMUNATE 1000 UI FVIII/750 UI FVW PULB.+SOLV. PT. SOL. INJ. 1000 UI /750 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR 1 1,322.590000 1,479.770000 0.000000
78 W62886001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** IMMUNATE 250 UI FVIII/190 UI FVW PULB.+SOLV. PT. SOL. INJ. 250 UI /190 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR 1 345.710000 414.970000 0.000000
79 W62887001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** IMMUNATE 500 UI FVIII/375 UI FVW PULB.+SOLV. PT. SOL. INJ. 500 UI /375 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR 1 637.370000 732.880000 0.000000
80 W52389001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** HAEMATE P 500UI FVIII/1200 UI FVW PULB.+SOLV. PT. SOL. INJ. SAU PERF. 500UI+1200UI CSL BEHRING GMBH GERMANIA PACHET DE 500 UI CONT INE:1 CUT IE CU 1 FL.PULB+1 FL. CU 10ML APA PT PREP.INJ. 1 CUT IE CU DIZPOZ. DE ADMINIST RARE CONT INE:1DISPOZ. DE T RANSFER CU FILT RU 20/20+1SERINGA CU CAPAC. 10 ML+1SET PT PUNCT IE VENOASA+2 T AMPOANE ALCOOL+1PANSAMENT NEST ERIL P-RF 1 985.420000 1,112.260000 0.000000
81 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR 1 2,198.430000 2,434.440000 0.000000
82 W02408001 V03AC01 DEFEROXAMINUM ** (3) DESFERAL 500 mg PULB. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. PR 10 12.034000 14.691000 0.000000
83 W66841001 V03AC03 DEFERASIROXUM **1 DEFERASIROX STADA 180 mg COMPR. FILM. 180mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
84 W66803001 V03AC03 DEFERASIROXUM **1 REDITENS 180 mg COMPR. FILM. 180mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 31.297000 35.385333 0.000000
85 W68074001 V03AC03 DEFERASIROXUM **1 DEFERASIROX ACCORD 180 mg COMPR. FILM. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 31.297000 35.385333 0.000000
86 W64443001 V03AC03 DEFERASIROXUM **1 EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 37.556400 42.462400 4.645600
87 W68284001 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
88 W68284003 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
89 W68284005 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
90 W68284007 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
91 W66842001 V03AC03 DEFERASIROXUM **1 DEFERASIROX STADA 360 mg COMPR. FILM. 360mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 61.594000 68.409333 0.000000
92 W68075001 V03AC03 DEFERASIROXUM **1 DEFERASIROX ACCORD 360 mg COMPR. FILM. 360mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 61.594000 68.409333 0.000000
93 W66804001 V03AC03 DEFERASIROXUM **1 REDITENS 360 mg COMPR. FILM. 360mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 61.595666 68.411000 0.000000
94 W64444001 V03AC03 DEFERASIROXUM **1 EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 73.912800 82.091200 9.763466
95 W68283001 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 61.594000 68.409333 0.000000
96 W68283003 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 61.594000 68.409333 0.000000

Pagina 31 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
97 W68283005 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 61.594000 68.409333 0.000000
98 W68283007 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 61.594000 68.409333 0.000000
99 W66802001 V03AC03 DEFERASIROXUM **1 REDITENS 90 mg COMPR. FILM. 90mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 17.088333 19.898000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.2: EPIDERMOLIZA BULOASA

1 W54946001 D06AA04 TETRACYCLINUM TETRACICLINA ATB 30 mg/g UNGUENT 30mg/g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 TUB AL X 12 G UNGUENT P-RF 1 13.680000 18.490000 0.000000
2 W60525001 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA 20mg/g+10mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 17.160000 23.200000 0.000000
3 W59725001 D07CC01 BETAMETHASONUM+GENTAMICINUM+CLOTRIMAZOLUM TRESYL CREMA FARA CONCENTRATIE FITERMAN PHARMA S.R.L. ROMANIA CUTIE CU 1 TUB DIN AL FILMAT LA INTERIOR CU LAC EPOXIFENOLIC X 15 G CREMA P6L 1 8.380000 11.330000 0.000000
4 W57219001 D07CC01 COMBINATII TRIDERM 0,5 mg+10 mg+1 mg/gram CREMA 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 8.390000 11.340000 0.000000
5 W57648001 D07CC01 COMBINATII DIPROGENTA 0,5 mg/1 mg pe gram CREMA 0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 10.580000 14.300000 0.000000
6 W57224001 D07CC01 COMBINATII TRIDERM 0,5 mg+10 mg+1 mg/gram UNGUENT 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.068000 13.608000 5.272000
7 W57649001 D07CC01 COMBINATII DIPROGENTA 0,5 mg/1 mg pe gram UNGUENT 0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 10.580000 14.300000 0.000000
8 W59984002 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMA A/S DANEMARCA CUTIE CU 1 TUB DIN AL X 20 G CREMA PRF 1 22.510000 30.430000 0.000000
9 W12701001 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST., AL/PVC X 10 CAPS. P-RF 20 0.274000 0.370500 0.000000
10 W12701002 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 50 BLIST., AL/PVC X 10 CAPS. P-RF 500 0.264540 0.322960 0.000000
11 W56910001 J01AA07 TETRACYCLINUM TETRACICLINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0.317448 0.387552 0.105448
12 W12143001 N03AB02 PHENYTOINUM FENITOINA RICHTER 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0.285000 0.385000 0.000000
13 W55235001 N03AB02 PHENYTOINUM PHENHYDAN 250 mg/5 ml SOL. INJ. 250mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 20.084000 24.518000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.3: HIPERTENSIUNE PULMONARA

1 W63291002 C02KX01 BOSENTANUM ** BOPAHO 125 mg COMPR. FILM. 125mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 25.463035 28.436071 0.000000
2 W65305001 C02KX01 BOSENTANUM ** TRACLEER 125 mg COMPR. FILM. 125mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. PR 56 30.555642 34.123285 54.733857
3 W67433001 C02KX02 AMBRISENTANUM ** AMBRISENTAN AOP 5 mg COMPR. FILM. 5mg AOP ORPHAN PHARMACEUTICALS AG AUSTRIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PVDC/AL X 30X1 COMPR. FILM. PR 30 178.226333 195.538666 0.000000
4 W65300001 C02KX04 MACITENTANUM ** OPSUMIT 10 mg COMPR. FILM. 10mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. ALBE DIN FOLIE OPACA PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 277.206666 303.427333 0.000000
5 W63713001 C02KX05 RIOCIGUAT ** ADEMPAS 0,5mg COMPR. FILM. 0,5mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 110.784047 121.663095 0.000000
6 W60680001 C02KX05 RIOCIGUAT ** ADEMPAS 0,5mg COMPR. FILM. 0,5mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 110.784047 121.663095 0.000000
7 W63715001 C02KX05 RIOCIGUAT ** ADEMPAS 1,5mg COMPR. FILM. 1,5mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 110.784047 121.663095 0.000000
8 W63714001 C02KX05 RIOCIGUAT ** ADEMPAS 1mg COMPR. FILM. 1mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 110.784047 121.663095 0.000000
9 W63717001 C02KX05 RIOCIGUAT ** ADEMPAS 2,5mg COMPR. FILM. 2,5mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 110.784047 121.663095 0.000000
10 W63716001 C02KX05 RIOCIGUAT ** ADEMPAS 2mg COMPR. FILM. 2mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 110.784047 121.663095 0.000000
11 W66755001 G04BE03 SILDENAFILUM ** REVATIO 20 mg COMPR. FILM. 20mg UPJOHN EESV OLANDA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 7.444111 8.538000 0.000000
12 W65670002 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 90X1 COMPR. FILM. PR 90 7.678000 8.792888 0.000000
13 W65670001 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 7.678000 8.792888 0.000000
14 W42831001 G04BE03 SILDENAFILUM ** REVATIO 20 mg COMPR. FILM. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM. PR 90 7.444111 8.538000 0.000000
15 W63626001 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 7.678000 8.792888 0.000000
16 W63139001 G04BE03 SILDENAFILUM ** MYSILDECARD 20 mg COMPR. FILM. 20mg MYLAN S.A.S FRANTA CUTIE CU BLIST. PVC-AL X 90 COMPR. FILM. PR 90 7.379555 8.467555 0.000000
17 W63675002 G04BE03 SILDENAFILUM ** SILDENAFIL TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 90 COMPR. FILM. PR 90 7.287444 8.367222 0.000000
18 W64746001 G04BE03 SILDENAFILUM ** REVATIO 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 7.444111 8.538000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.4: MUCOVISCIDOZA

1 W66550001 A09AA02 PANCREATINUM ** PANKREAL 35000 CAPS. GASTROREZ. 420mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU CAPAC DIN PP X 50 CAPS. GASTROREZ. P6L 50 2.168000 2.646600 0.000000
2 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.521428 2.056285 0.859715

Pagina 32 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
3 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.521428 2.056285 0.859715
4 W60253004 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 0.772142 1.043571 0.000000
5 W44093001 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 0.926570 1.252285 0.143429
6 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0.926570 1.252285 0.019857
7 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0.926570 1.252285 0.111286
8 W62390002 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 0.926570 1.252285 0.632715
9 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0.926570 1.252285 0.632715
10 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.521428 2.056285 0.053715
11 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.521428 2.056285 0.064429
12 W44087001 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 1.521428 2.056285 0.544429
13 W54044001 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 1.521428 2.040500 0.000000
14 W60254003 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 1.267857 1.713571 0.000000
15 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg 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 1.521428 2.056285 0.629429
16 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 15.900000 21.490000 0.000000
17 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 19.080000 25.788000 0.962000
18 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 10.460000 14.140000 0.000000
19 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 11.870000 16.040000 0.000000
20 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 11.870000 16.040000 0.000000
21 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 19.080000 25.788000 0.962000
22 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 44.720000 58.500000 0.000000
23 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 26.830000 35.100000 0.000000
24 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 33.370000 43.650000 0.000000
25 W52060001 J01GB01 TOBRAMYCINUM ** TOBI (R) SOL. INHAL. 300mg/5ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5ML SOLUTIE DE INHALAT PRIN NEBULIZATOR P-RF 56 64.045892 70.491428 0.000000
26 W66587001 J01GB01 TOBRAMYCINUM ** TOBI 300 mg/5 ml 300mg/5ml
SOL. PT. INHALARE PRIN NEBULIZATOR MYLAN IRE HEALTHCARE LIMITED IRLANDA CUTIE CU 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD A 5 ML SOL. DE INHALAT PRIN NEBULIZATOR PRF 56 64.045892 70.491428 0.000000
27 W63762001 J01GB01 TOBRAMYCINUM ** TOBRAMICINA SUN 300 mg SOL. PT. NEBULIZATOR 300mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 56 FIOLE AMBALATE IN PUNGI DE FOLIE LAMINATA DIN PEJD A CATE 5 ML SOL. DE INHALAT PRIN NEBULIZATOR, DISPUSE IN 14 PUNGI SIGILATE CU CATE 4 FIOLE PRF 56 63.401964 69.789464 0.000000
28 W63371003 J01XB01 COLISTIMETAT DE SODIU ** Ω COLOBREATHE CAPS. CU PULB. DE INHAL. 1662500 UI TEVA B.V. OLANDA CUTIE CU 7 BLIST. OPA/AL/PVC X 8 CAPSULE + INHALATOR DE PULBERE TURBOSPIN PRF 56 71.653928 78.784107 0.000000
29 W61214001 R05CB13 DORNAZA ALFA ** PULMOZYME 2500 U/2,5 ml SOL. DE INHALAT PRIN NEBULIZATOR 2500U/2,5ml ROCHE ROMANIA S.R.L. ROMANIA PR
CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL 6 76.523333 89.768333 0.000000
30 W65612002 R07AX02 IVACAFTORUM ** KALYDECO 150 mg COMPR. FILM. 150mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. PCTFE/AL X 56 COMPR. PR 56 958.731250 1,045.699642 0.000000
31 W65612001 R07AX02 IVACAFTORUM ** KALYDECO 150 mg COMPR. FILM. 150mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU 1 FLAC. HDPE X 56 COMPR. PR 56 958.731250 1,045.699642 0.000000
32 W65612003 R07AX02 IVACAFTORUM ** KALYDECO 150 mg COMPR. FILM. 150mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CARD CU BLIST. PCTFE/AL X 28 COMPR. PR 28 959.267142 1,046.965000 0.000000
33 W65613001 R07AX02 IVACAFTORUM ** KALYDECO 50 mg GRANULE 50mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA AMBALAJ CU 56 PLICURI (4X14) PLICURI DIN BOPET/PE/FOLIE ALUMINIU/PE) PR 56 958.731250 1,045.699642 0.000000
34 W65614001 R07AX02 IVACAFTORUM ** KALYDECO 75 mg GRANULE 75mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA AMBALAJ CU 56 PLICURI (4X14) PLICURI DIN BOPET/PE/FOLIE ALUMINIU/PE) PR 56 958.731250 1,045.699642 0.000000
35 W65262001 R07AX30 LUMACAFTORUM+IVACAFTORUM **1 ORKAMBI 100 mg/125 mg COMPR. FILM. 100mg/125mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA PACHET CARE CONTINE 112 COMPR. FILM. (4 PACHETE DE 28 COMPR.FILM.) PR 112 429.033571 467.987857 0.000000
36 W65261001 R07AX30 LUMACAFTORUM+IVACAFTORUM **1 ORKAMBI 200 mg/125 mg COMPR. FILM. 200mg/125mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. ACLAR/PVC/AL X 112 (4X28) COMPR. FILM (AMBALAJ GRUPAT) PR 112 429.033571 467.987857 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

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

1 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367.360000 438.570000 0.000000
2 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704.710000 806.290000 0.000000
3 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,379.440000 1,541.740000 0.000000
4 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,741.470000 3,026.360000 0.000000
5 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,082.030000 1,217.560000 0.000000
6 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,123.150000 2,352.390000 0.000000
7 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 640.080000 735.840000 0.000000
8 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567.750000 657.000000 0.000000
9 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 4,719.840000 5,182.780000 0.000000
10 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243.150000 296.840000 0.000000
11 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,567.550000 2,836.780000 0.000000
12 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 235.250000 287.190000 0.000000

Pagina 33 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
13 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 664.380000 762.320000 0.000000
14 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 599.370000 691.460000 0.000000
15 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,307.480000 2,553.310000 0.000000
16 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 221.130000 269.960000 0.000000
17 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,168.750000 1,312.090000 0.000000
18 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1,825.000000 2,027.400000 0.000000
19 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,298.780000 1,453.820000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.2: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE DEGENERATIVE-SCLEROZA LATERALA AMIOTROFICA

1 W66040001 N07XX02 RILUZOLUM ** RILUTEK 50 mg COMPR. FILM. 50mg SANOFI MATURE IP FRANTA CUTIE CU BLIST. X 56 COMPR. FILM. PR 56 5.564285 6.746250 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.3: Tratamentul medicamentos al bolnavilor cu amiloidoză cu transtiretină

1 W64784003 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PA/AL/PVC-AL/PET/HARTIE X 30X1 CAPS. MOI PR 30 1,146.625666 1,251.095333 0.000000
2 W59336001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 1,146.625666 1,251.095333 0.000000
3 W64784001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 1,146.625666 1,251.095333 0.000000
4 W66576001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 61mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PA/AL/PVC-AL/PET/HARTIE X 30X1 CAPS. MOI PR 30 2,032.767333 2,216.991000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.7: SINDROM PRADER WILLI

1 W05539002 H01AC01 SOMATROPINUM ** GENOTROPIN 16 UI/ml (5,3 mg/ml) PULB. + SOLV. PT. SOL. INJ. 16UI/ml (5,3mg/ml) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-RF 1 348.840000 418.390000 0.000000
2 W64823002 H01AC01 SOMATROPINUM ** GENOTROPIN 16 UI/ml (5,3 mg/ml) PULB. + SOLV. PT. SOL. INJ. 16UI/ml(5,3mg/ml) PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 CARTUS BICAMERAL MULTIDOZA CARE CONTINE PULB. SI SOLV. PT. SOL. INJ. PRF 1 348.840000 418.390000 0.000000
3 W07530001 H01AC01 SOMATROPINUM ** ZOMACTON PULB. + SOLV. PT. SOL. INJ. 4mg (12ui) FERRING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. PR/PRF 1 388.110000 461.190000 0.000000
4 W63194001 H01AC01 SOMATROPINUM ** OMNITROPE 10 mg/1,5 ml SOL INJ. IN CARTUS 10mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. (PENTRU SUREPAL 10) PR/PRF 1 594.410000 686.060000 0.000000
5 W63193001 H01AC01 SOMATROPINUM ** OMNITROPE 5 mg/1,5 ml SOL INJ. IN CARTUS 5mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. (PENTRU SUREPAL 5) PR/PRF 1 304.420000 369.970000 0.000000
6 W52345001 H01AC01 SOMATROPINUM ** OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 304.420000 369.970000 0.000000
7 W52346001 H01AC01 SOMATROPINUM ** OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 594.410000 686.060000 0.000000
8 W66036001 H01AC01 SOMATROPINUM ** SAIZEN 5,83 mg/ml SOL. INJ. IN CARTUS 5,83mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 1,03 ML SOL. INJ. (6 MG SOMATROPINA) PR/PRF 1 492.210000 574.660000 0.000000
9 W66037003 H01AC01 SOMATROPINUM ** SAIZEN 8 mg/ml SOL. INJ. IN CARTUS 8mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 2,50 ML SOL. INJ. (20 MG SOMATROPINA) PR/PRF 1 1,570.700000 1,750.220000 0.000000
10 W66037001 H01AC01 SOMATROPINUM ** SAIZEN 8 mg/ml SOL. INJ. IN CARTUS 8mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 1,50 ML SOL. INJ. (12 MG SOMATROPINA) PR/PRF 1 954.430000 1,078.480000 0.000000
11 W66430001 H01AC01 SOMATROPINUM ** NORDITROPIN NORDIFLEX 10 mg/1,5 ml SOL. INJ. IN STILOU INJ. PREUMPLUT 6,7mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJ. PREUMPLUT MULTIDOZA X 1,5 ML SOL. INJ. PRF 1 713.292000 823.272000 242.858000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.8: BOALA FABRY

1 W08961001 A16AB04 AGALSIDASUM BETA ** FABRAZYME 35 mg PULB. PT. CONC. PT. SOL. PERF. 35mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. PR 1 11,153.540000 12,195.520000 0.000000
2 W65913001 A16AX14 MIGALASTATUM ** GALAFOLD 123 mg CAPS. 123mg IRLANDA CUTIE CU BLIST. PVC/PCTFE/PVC/AL X 14 CAPS. PR
AMICUS THERAPEUTICS EUROPE LIMITED 14 4,587.865714 5,003.505000 0.000000

Pagina 34 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.9: BOALA POMPE

1 W51536001 A16AB07 ALGLUCOSIDASUM ALPHA ** MYOZYME 50mg PULB. PT. CONC. PT. SOL. PERF. 50mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1,911.300000 2,121.470000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.10: TIROZINEMIE

1 W51629001 A16AX04 NITISINONUM ORFADIN 10mg CAPS. 10mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 104.248399 114.394000 0.905000
2 W67456001 A16AX04 NITISINONUM NITISINONE MDK 10 mg CAPS. 10mg MENDELIKABS EUROPE LIMITED IRLANDA FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE X 60 DE CAPS. PR 60 86.873666 95.328333 0.000000
3 W65523001 A16AX04 NITISINONUM NITISINONE MENDELIKABS 10 mg CAPS. 10mg MENDELIKABS EUROPE LIMITED MAREA BRITANIE FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE CONTINE 60 DE CAPS. PR 60 86.873666 95.328333 0.000000
4 W51622001 A16AX04 NITISINONUM ORFADIN 2mg CAPS. 2mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 21.329599 24.004500 0.000000
5 W67452001 A16AX04 NITISINONUM NITISINONE MDK 2 mg CAPS. 2mg MENDELIKABS EUROPE LIMITED IRLANDA FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE X 60 DE CAPS. PR 60 17.774666 20.010333 0.000000
6 W65521001 A16AX04 NITISINONUM NITISINONE MENDELIKABS 2 mg CAPS. 2mg MENDELIKABS EUROPE LIMITED MAREA BRITANIE FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE CONTINE 60 DE CAPS. PR 60 17.774666 20.010333 0.000000
7 W67454001 A16AX04 NITISINONUM NITISINONE MDK 5 mg CAPS. 5mg MENDELIKABS EUROPE LIMITED IRLANDA FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE X 60 DE CAPS. PR 60 43.687000 48.254666 0.000000
8 W65522001 A16AX04 NITISINONUM NITISINONE MENDELIKABS 5 mg CAPS. 5mg MENDELIKABS EUROPE LIMITED MAREA BRITANIE FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE CONTINE 60 DE CAPS. PR 60 43.687000 48.254666 0.000000
9 W51627001 A16AX04 NITISINONUM ORFADIN 5mg CAPS. 5mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 52.424400 57.905599 0.334401

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.12: MUCOPOLIZAHARIDOZĂ TIP II (SINDROM HUNTER)

1 W51481002 A16AB09 IDURSULFASUM ** ELAPRASE 2mg/ml CONC. PT. SOL. PERF. 2mg/ml SHIRE HUMAN GENETIC THERAPIES AB SUEDIA CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF. PR 4 11,674.542500 12,734.805000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.13: MUCOPOLIZAHARIDOZĂ TIP I (SINDROM HURLER)

1 W42203001 A16AB05 LARONIDAZUM ** ALDURAZYME 100U/ml CONC. PT. SOL. PERF. 100U/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML PR 1 2,321.480000 2,568.570000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.14: Afibrinogenemie congenitală

1 W67066001 B02BB01 FIBRINOGEN UMAN ** FIBRYGA 1 g PULB+SOLV. PT. SOL. INJ./PERF. 1g OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1 G FIBRINOGEN UMAN+1 FLAC. CU SOLV. DIN STICLA (50 ML APA PT. PREPARATE INJECTABILE)+1 DISPOZITIV DE TRANSFER OCTAJET+1 FILTRU DE PARTICULE PR 1 1,906.990000 2,116.770000 0.000000
2 W13381003 B02BB01 FIBRINOGEN UMAN ** HAEMOCOMPLETTAN P 1 g PULB. PT. SOL. INJ./PERF. 1g CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ/PERF. PR 1 1,785.390000 1,984.230000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.15: Sindrom de imunodeficienţă primară

1 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367.360000 438.570000 0.000000
2 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704.710000 806.290000 0.000000
3 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,379.440000 1,541.740000 0.000000
4 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,741.470000 3,026.360000 0.000000
5 W66174002 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** HYQVIA 100 mg/ml SOL. PERF. PT. ADMIN. SC. 100mg/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA PREVAZUT CU DOP X 50 ML SOLUTIE IMUNOGLOBULINA UMANA NORMALA (IG 10%) + 1 FLAC. DIN STICLA PREVAZUT CU DOP X 2,5 ML SOLUTIE HIALURONIDAZA UMANA RECOMBINATA (RHUPH20) PR 1 1,163.260000 1,306.100000 0.000000

Pagina 35 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
6 W66174001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** HYQVIA 100 mg/ml SOL. PERF. PT. ADMIN. SC. 100mg/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA PREVAZUT CU DOP X 25 ML SOLUTIE IMUNOGLOBULINA UMANA NORMALA (IG 10%) + 1 FLAC. DIN STICLA PREVAZUT CU DOP X 1,25 ML SOLUTIE HIALURONIDAZA UMANA RECOMBINATA (RHUPH20) PR 1 596.650000 688.500000 0.000000
7 W66174003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** HYQVIA 100 mg/ml SOL. PERF. PT. ADMIN. SC. 100mg/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA PREVAZUT CU DOP X 100 ML SOLUTIE IMUNOGLOBULINA UMANA NORMALA (IG 10%) + 1 FLAC. DIN STICLA PREVAZUT CU DOP X 5 ML SOLUTIE HIALURONIDAZA UMANA RECOMBINATA (RHUPH20) PR 1 2,296.570000 2,541.420000 0.000000
8 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,082.030000 1,217.560000 0.000000
9 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,123.150000 2,352.390000 0.000000
10 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 640.080000 735.840000 0.000000
11 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567.750000 657.000000 0.000000
12 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 4,719.840000 5,182.780000 0.000000
13 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243.150000 296.840000 0.000000
14 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,567.550000 2,836.780000 0.000000
15 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 235.250000 287.190000 0.000000
16 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 664.380000 762.320000 0.000000
17 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 599.370000 691.460000 0.000000
18 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,307.480000 2,553.310000 0.000000
19 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 221.130000 269.960000 0.000000
20 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,168.750000 1,312.090000 0.000000
21 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1,825.000000 2,027.400000 0.000000
22 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,298.780000 1,453.820000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.16: Scleroza sistemică şi ulcere digitale evolutive

1 W63291002 C02KX01 BOSENTANUM ** BOPAHO 125 mg COMPR. FILM. 125mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 25.463035 28.436071 0.000000
2 W65305001 C02KX01 BOSENTANUM ** TRACLEER 125 mg COMPR. FILM. 125mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. PR 56 30.555642 34.123285 54.733857

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.17: Purpura trombocitopenică imună idiopatică cronică

1 W53894001 B02BX04 ROMIPLOSTIMUM **1 NPLATE 250mcg PULB. PT. SOL. INJ. 250mcg AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC X 250MCG PULB. PT. SOL. INJ. S 1 2,434.090000 2,691.310000 0.000000
2 W61698002 B02BX05 ELTROMBOPAG **1 REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. P-RF/R 28 129.108214 142.090714 0.000000
3 W64445002 B02BX05 ELTROMBOPAG **1 REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 129.108214 142.090714 0.000000
4 W64446002 B02BX05 ELTROMBOPAG **1 REVOLADE 50 mg COMPR. FILM. 50 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 257.206428 281.717857 0.000000
5 W61699002 B02BX05 ELTROMBOPAG **1 REVOLADE 50 mg COMPR. FILM. 50 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. P-RF/R 28 257.206428 281.717857 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.18: Pacienţi adulţi şi copii cu hiperfenilalaninemie diagnosticaţi cu fenilcetonurie sau deficit de tetrahidrobiopterină (BH4)

1 W62473002 A16AX07 SAPROPTERINUM **1 KUVAN 100 mg COMPR. SOLUBILE 100 mg BIOMARIN INTERNATIONAL LIMITED IRLANDA CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE PR 120 94.643666 103.479666 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.19: Scleroză tuberoasă

1 W64600002 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 2,5 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 154.350000 169.513333 0.000000
2 W64601001 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 322.033666 352.289000 0.000000
3 W64603001 L01XE10 EVEROLIMUS **1 VOTUBIA 2 mg COMPR. PT. DISP. ORALA 2mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 131.527333 144.636666 0.000000
4 W64604001 L01XE10 EVEROLIMUS **1 VOTUBIA 3 mg COMPR. PT. DISP. ORALA 3mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 196.789333 215.772333 0.000000
5 W64605001 L01XE10 EVEROLIMUS **1 VOTUBIA 5 mg COMPR. PT. DISP. ORALA 5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 327.315333 358.045666 0.000000

Pagina 36 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.20: Fibroza pulmonară idiopatică

1 W61689002 L01XE31 NINTEDANIBUM **1 OFEV 100 mg CAPS. MOI 100mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA AMBALAJ CU 60X1 CAPSULE MOI ÎN BLISTERE PERFORATE DIN ALUMINIU PENTRU ELIBERAREA UNUI UNITATII DOZATE PR 60 82.758666 90.842833 0.000000
2 W61690002 L01XE31 NINTEDANIBUM **1 OFEV 150 mg CAPS. MOI 150mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA AMBALAJ CU 60X1 CAPSULE MOI ÎN BLISTERE PERFORATE DIN ALUMINIU PENTRU ELIBERAREA UNUI UNITATII DOZATE PR 60 154.411166 168.944166 0.000000
3 W64378001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg COMPR. FILM. 267mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 252 COMPR. FILM. PR 252 27.603174 30.238888 0.000000
4 W64379001 L04AX05 PIRFENIDONUM **1 ESBRIET 801 mg COMPR. FILM. 801mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 84 COMPR. FILM PR 84 82.809523 90.716666 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.21: Distrofia musculară Duchenne

1 W62140001 M09AX03 ATALURENUM **1 TRANSLARNA 1000 mg GRANULE PT. SUSP. ORALA 1000mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI PRF 30 3,760.331333 4,100.038000 0.000000
2 W62138001 M09AX03 ATALURENUM **1 TRANSLARNA 125 mg GRANULE PT. SUSP. ORALA 125mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI PRF 30 459.371000 501.986666 0.000000
3 W62139001 M09AX03 ATALURENUM **1 TRANSLARNA 250 mg GRANULE PT. SUSP. ORALA 250mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI PRF 30 917.743000 1,001.612666 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.22: Angioedem ereditar

1 W58531001 B06AC01 INHIBITOR DE ESTERAZA C1, UMANA **1 BERINERT 500 PULB+SOLV. PT. SOL. INJ./PERF. 500UI CSL BEHRING GMBH GERMANIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ/PERFUZ.+1 FLAC. DIN ST ICLA CU 10ML APA PT . PREPARAT E INJ. SI DISPOZIT IV DE ADM. (DISPOZ DE T RANSFER CU FILT RU 20/20,1 SERINGA DE UNICA FOLOSINT A,1 SET PT . PUNCT IE VENOASA,2 T AMPOANE,1PLAST URE PR 1 2,071.020000 2,295.560000 0.000000
2 W66129001 B06AC01 INHIBITOR DE ESTERAZA C1, UMANA **1 CINRYZE 500 UI PULB. SI SOLV. PT. SOL. INJ. 500UI SHIRE SERVICES BVBA BELGIA CUTIE CU 2 FLAC. CU PULB. PT SOL. INJ. + 2 FLAC. CU SOLVENT + 2 DISPOZITIVE DE TRANSFER CU FILTRU + 2 SERINGI DE UNICA FOLOSINTA + 2 SETURI PT. PUNCTIE VENOASA + 2 MATERIALE IMPLETITE CU ROL PROTECTOR PR 2 2,485.224000 2,754.672000 338.403000
3 W67881001 B06AC02 ICATIBANTUM **1 ICATIBANT ACCORD 30 mg SOL INJ. IN SERINGA PREUMPLUTA 10mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC PR 1 4,580.540000 5,030.950000 0.000000
4 W66736001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml Shire Pharmaceuticals Ireland Limited IRLANDA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC PR 1 5,086.290000 5,582.210000 0.000000
5 W68202001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml TAKEDA PHARM. INTERNATIONAL AG IRELAND BRANCH IRLANDA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC PR 1 5,086.290000 5,582.210000 0.000000
6 W62758001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml SHIRE ORPHAN THERAPIES GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC P-RF 1 5,086.290000 5,582.210000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.23: Neuropatia optică ereditară Leber

1 W62508001 N06BX13 IDEBENONUM **1 RAXONE 150 mg COMPR. FILM. 150mg SANTHERA PHARMACEUTICALS (DEUTSCHLAND) GMBH GERMANIA CUTIE CU FLAC. PEID X 180 COMPR. FILM. PR 180 100.403500 109.651888 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.24: Amiotrofia spinală musculară

2 W65220001 M09AX07 NUSINERSENUM **1 SPINRAZA 12 mg SOL INJ. 2,4mg/ml BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. DE 5 ML CONTINE 12 MG NUSINERSEN PR 1 323,243.380000 352,373.890000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.25: Boala Castelman

1 W66521001 L04AC11 SILTUXIMABUM **1 SYLVANT 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 8 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 100 MG DE SILTUXIMAB PRF 1 2,253.290000 2,494.240000 0.000000
2 W66522001 L04AC11 SILTUXIMABUM **1 SYLVANT 400 mg PULB. PT. CONC. PT. SOL. PERF. 400mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 30 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 400 MG DE SILTUXIMAB PRF 1 8,923.190000 9,764.440000 0.000000

Pagina 37 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.26: Mucopolizaharidoza Tip IVA

1 W66181001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN INTERNATIONAL LIMITED IRLANDA FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3,395.960000 3,739.750000 0.000000
2 W63017001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN EUROPE LIMITED MAREA BRITANIE FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3,395.960000 3,739.750000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.27: Boli rare - medicamente incluse condiţionat

1 W66425001 A16AA04 MERCAPTAMINUM **1 Ω PROCYSBI 25 mg CAPS. GASTROREZ. 25mg CHIESI FARMACEUTICI S.P.A. ITALIA CUTIE CU 1 FLAC. DIN PEID X 60 CAPS. GASTROREZ. PR 60 37.435333 41.440333 0.000000
2 W66426001 A16AA04 MERCAPTAMINUM **1 Ω PROCYSBI 75 mg CAPS. GASTROREZ. 75mg CHIESI FARMACEUTICI S.P.A. ITALIA CUTIE CU 1 FLAC. DIN PEID X 250 CAPS. GASTROREZ. PR 250 110.925600 121.061640 0.000000
3 W08891006 A16AB03 AGALSIDASUM ALFA ** Ω REPLAGAL 1mg/ml CONC. PT. SOL. PERF. 1mg/ml SHIRE HUMAN GENETIC THERAPIES AB SUEDIA CUTIE X 4 FLACON X 3,5 ML CONC.PT.SOL.PERF. INTR-UN FLC. DE 5ML PR 4 6,188.790000 6,755.327500 0.000000
4 W65240002 A16AB15 VELMANAZA ALFA **1 Ω LAMZEDE 10 mg PULB. PT. SOL. PERF. 10 mg CHIESI FARMACEUTICI S.P.A. ITALIA FLACON DE 10 ML CARE CONTINE 10MG VELMANAZA ALFA PR 1 4,322.790000 4,750.000000 0.000000
5 W65588001 B01AX07 CAPLACIZUMABUM ** Ω CABLIVI 10 mg PULB+SOLV. PT. SOL. INJ 10mg ABLYNX NV BELGIA 1 FLAC+1 SERINGA PREUMPLUTA CU SOLV.+1 ADAPTOR +2 TAMPOANE PR 1 21,858.450000 23,863.890000 0.000000
6 W66507001 B02BD02 RURIOCTOCOG ALFA PEGOL ** Ω ADYNOVI 250 UI/2 ml PULB. SI SOLV. PT. SOL. INJ. 125UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA PR
CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III 1 708.930000 810.890000 0.000000
7 W66508001 B02BD02 RURIOCTOCOG ALFA PEGOL ** Ω ADYNOVI 500 UI/2 ml PULB. SI SOLV. PT. SOL. INJ. 250UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA PR
CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III 1 1,387.880000 1,550.940000 0.000000
8 W66276002 B02BD02 RURIOCTOCOG ALFA PEGOL ** Ω ADYNOVI 2000 UI/5 ml PULB. SI SOLV. PT. SOL. INJ. 400UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA PR
CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 5 ML SOLVENT, PREASAMBLATE IN SISTEM BAXJECT III 1 5,461.530000 5,991.230000 0.000000
9 W66509001 B02BD02 RURIOCTOCOG ALFA PEGOL ** Ω ADYNOVI 1000 UI/2 ml PULB. SI SOLV. PT. SOL. INJ. 500UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA PR
CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III 1 2,745.770000 3,031.040000 0.000000
10 W64641001 B02BX06 EMICIZUMABUM ** Ω HEMLIBRA 150 mg/ml SOL INJ. 150mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 0,4 ML SOL. INJ. (CONTINE 60 MG EMICIZUMAB) PR 1 20,643.430000 22,539.520000 0.000000
11 W64641002 B02BX06 EMICIZUMABUM ** Ω HEMLIBRA 150 mg/1 ml SOL INJ. 150mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 0,7 ML SOL. INJ. (CONTINE 105 MG EMICIZUMAB) PR 1 36,103.490000 39,391.010000 0.000000
12 W64641003 B02BX06 EMICIZUMABUM ** Ω HEMLIBRA 150 mg/1 ml SOL INJ. 150mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 1 ML SOL. INJ. (CONTINE 150 MG EMICIZUMAB) PR 1 51,563.560000 56,242.500000 0.000000
13 W64640001 B02BX06 EMICIZUMABUM ** Ω HEMLIBRA 30 mg/1 ml SOL INJ. 30mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 1 ML SOL. INJ. (CONTINE 30 MG EMICIZUMAB) PR 1 10,336.720000 11,305.190000 0.000000
14 W64494001 L04AX08 DARVADSTROCELUM **1 Ω ALOFISEL 5 milioane celule/ml SUSP. INJ. 30milioane celule/6ml TAKEDA PHARMA A/S DANEMARCA CUTIE CU 4 FLAC. DIN STICLA X 6 ML SUSP. PR 1 279,347.640000 304,527.470000 0.000000
15 W64892001 N07XX12 PATISIRANUM ** Ω ONPATTRO 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ALNYLAM NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA CU 5 ML CONC. PR 1 35,193.630000 38,399.260000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.28: Limfangioleiomiomatoză

1 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR
MAREA BRITANIE 30 14.740000 17.338333 0.000000
2 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14.740000 17.338333 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.29: Lipofuscinoza Ceroidă TIP2 (Deficit de tripeptidil peptidaza - TPP1)

1 W64486001 A16AB17 CERLIPONASUM ALFA **1 BRINEURA 150 mg SOL. PERF. 150mg BIOMARIN INTERNATIONAL LIMITED IRLANDA DIMENSIUNEA AMBALAJULUI CU 3 FLAC.: 2 FLAC. X 150 MG DE CERLIPONAZA ALFA IN 5 ML SOLUTIE + 1 FLAC. X 5 ML SOLUTIE DE SPALARE PR 1 93,841.420000 102,325.430000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.30: Sindrom hemolitic uremic atipic (SHUa) şi hemoglobinurie paroxistică nocturnă (HPN)

1 W68259001 L04AA25 ECULIZUMABUM **1 SOLIRIS 300 mg CONC. PT. SOL. PERF. 300mg ALEXION EUROPE SAS FRANTA CUTIE CU 1 FLAC. X 30 ML CONC. PT. SOL. PERF. PR 1 15,442.210000 16,870.180000 0.000000

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE


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

1 W00231001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 0.417400 0.564200 0.000000
2 W67321001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 micrograme CAPS. MOI 0,25micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 50 CAPS. MOI PRF 50 0.417400 0.564200 0.000000
3 W58167002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0.500880 0.677040 0.167960

Pagina 38 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
4 W44042001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 0.956333 1.251000 0.000000
5 W67770001 A11CC03 ALFACALCIDOLUM MEDIRAZIN 0,5 micrograme CAPS. MOI 0,50micrograme ZENIVA K.S. REPUBLICA CEHA CUTIE CU UN FLACON ALB OPAC DIN PEÎD X 30 CAPSULE MOI PRF 30 0.956333 1.251000 0.000000
6 W67323001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 micrograme CAPS. MOI 0,50micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 30 CAPS. MOI PRF 30 0.956333 1.251000 0.000000
7 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOI PRF 30 0.956333 1.251000 0.000000
8 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0.956333 1.251000 0.000000
9 W68102001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 12.111000 14.785000 0.000000
10 W68102002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 23.101000 28.202000 0.000000
11 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 23.101000 28.202000 0.000000
12 W55847001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 12.111000 14.785000 0.000000
13 W62058002 G03CA03 ESTRADIOLUM LENZETTO 1,53 mg/doza SPRAY TRANSDERMIC, SOL. 1,53mg/doza GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU UN FLAC. DIN STICLA CARE CONTINE 6,5 ML SOL., PREVAZUT CU O POMPA DOZATOARE P6L 1 37.880000 49.550000 0.000000
14 W63437001 G03CX01 TIBOLONUM LIVIAL 2,5 mg COMPR. 2,5mg MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 28 COMPR. PRF 28 1.338214 1.750357 0.000000
15 W62041003 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 84 1.307142 1.595714 0.000000
16 W62041002 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 28 1.330714 1.740357 0.000000
17 W62041001 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 14 1.330714 1.798571 0.000000
18 W42160002 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S 2 1,521.835000 1,677.875000 0.000000
19 W65156001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 5 BLIST. AL-PVC/PVC X 10 COMPR. PRF 50 0.484400 0.654800 0.000000
20 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0.484400 0.654800 0.000000
21 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 1.757500 2.298500 0.000000
22 W65157001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. PRF 20 1.757500 2.298500 0.000000
23 W08307001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg PULB+SOLV. PT. SOL. INJ./PERF. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML PRF 1 17.390000 23.500000 0.000000
24 W08310001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg PULB+SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML PRF 1 56.350000 71.250000 0.000000
25 W67515002 H03AA01 LEVOTHYROXINUM EUTHYROX 125 µg COMPR 125 µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLISTERE DIN PVC/AL A CÂTE 25 COMPRIMATE P6L 100 0.136200 0.184100 0.000000
26 W57399003 H03AA01 LEVOTHYROXINUM EUTHYROX 100µg COMPR. 100µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0.110200 0.149000 0.000000
27 W66292003 H03AA01 LEVOTHYROXINUM EUTHYROX 100µg COMPR. 100µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0.110200 0.149000 0.000000
28 W66294002 H03AA01 LEVOTHYROXINUM EUTHYROX 150µg COMPR. 150µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0.150100 0.202900 0.000000
29 W57396003 H03AA01 LEVOTHYROXINUM EUTHYROX 25µg COMPR. 25µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0.072700 0.098200 0.000000
30 W66291003 H03AA01 LEVOTHYROXINUM EUTHYROX 25µg COMPR. 25µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0.072700 0.098200 0.000000
31 W66293002 H03AA01 LEVOTHYROXINUM EUTHYROX 50µg COMPR. 50µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0.087700 0.118500 0.000000
32 W57398002 H03AA01 LEVOTHYROXINUM EUTHYROX 50µg COMPR. 50µg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0.087700 0.118500 0.000000
33 W67516002 H03AA01 LEVOTHYROXINUM EUTHYROX 75 µg COMPR. 75 µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLISTERE DIN PVC/AL A CÂTE 25 COMPRIMATE P6L 100 0.107400 0.145100 0.000000
34 W61162002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 100 micrograme/5 ml SOL. ORALA 100micrograme/5ml GALENICA S.A. GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L 2 16.260000 21.270000 0.000000
35 W61160002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 25 micrograme/5 ml SOL. ORALA 25micrograme/5ml GALENICA S.A. GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L 2 15.150000 19.815000 0.000000
36 W61161002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 50 micrograme/5 ml SOL. ORALA 50micrograme/5ml GALENICA S.A. GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L 2 15.150000 19.815000 0.000000
37 W66144003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. (2 BLIST. X 25 COMPR. FILM.) P6L 50 0.355800 0.481000 0.000000
38 W54546003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0.355800 0.481000 0.000000
39 W54545003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0.432600 0.584800 0.000000
40 W66145003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK ROMANIA SRL ROMANIA P6L
CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. (2 BLIST. X 25 COMPR. FILM.) 50 0.432600 0.584800 0.000000
41 W66143004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK ROMANIA SRL ROMANIA P6L
CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. (4 BLIST. X 25 COMPR. FILM.) 100 0.265800 0.347700 0.000000
42 W54547004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 0.265800 0.347700 0.000000
43 W03843004 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 0.130300 0.176100 0.000000
44 W66151004 H03CA01 KALII IODIDUM JODID 100 micrograme COMPR. 100micrograme MERCK ROMANIA SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. PRF 100 0.130300 0.176100 0.000000
45 W54297001 M05BA04 ACIDUM ALENDRONICUM ** TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 2.435000 3.290000 0.000000
46 W66435002 M05BA04 ACIDUM ALENDRONICUM ** ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 4 COMPR. P6L 4 2.522500 3.410000 0.000000
47 W60296002 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2.838000 3.834000 7.803500
48 W60296004 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2.838000 3.834000 8.441000
49 W56763002 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 2.838000 3.834000 5.926000
50 W52948001 M05BA04 ACIDUM ALENDRONICUM ** ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 2.365000 3.195000 0.000000
51 W56763003 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 2.838000 3.834000 5.613500
52 W56763001 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 2.838000 3.834000 5.136833
53 W61163003 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 3.636000 4.914000 7.398500
54 W66431003 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 35 mg COMPR. FILM. 35mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L 4 3.447500 4.660000 0.000000
55 W60074002 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT SODIC ZENTIVA 35mg COMPR. FILM. 35mg ZENTIVA KS REPUBLICA CEHA CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE P-6L 4 3.030000 4.095000 0.000000
56 W66497003 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 3.636000 4.914000 7.398500
57 W66214001 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 75 mg COMPR. FILM. 75mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 12.978000 17.538000 7.097000

Pagina 39 din 63
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
58 W66432001 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 10.815000 14.615000 0.000000
59 W61164001 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 12.978000 17.538000 7.097000
60 W66935003 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 35 mg COMPR. GASTROREZ. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU BLIST. PVC/AL X 4 COMPR. P6L 4 3.636000 4.914000 16.416000
61 W42407001 M05BA08 ACIDUM ZOLEDRONICUM ** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLACON PLASTIC (POLIMER CICLOOLEFINIC) X 100ML SOLUTIE PERFUZABILA INCHIS CU UN DOP DIN CAUCIUC BROMOBUTILIC ACOPERIT CU FLUORO-POLIMER + 1 CAPAC ALUMINIU/POLIPROPILENA CU COMPONENTA FLIP PR 1 883.890000 1,001.590000 0.000000
62 W64472001 M05BA08 ACIDUM ZOLEDRONICUM ** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. PR 1 883.890000 1,001.590000 0.000000
63 W63922002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/2800 UI COMPR. 70mg/2800UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5.814000 7.857000 4.520500
64 W67694002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI N.V. ORGANON OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L 4 5.814000 7.857000 1.198000
65 W63914002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/2800 UI COMPR. 70mg/2800UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 4.845000 6.547500 0.000000
66 W64728002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L 4 5.814000 7.857000 1.198000
67 W63923002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/5600 UI COMPR. 70mg/5600UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 4.950000 6.690000 5.985000
68 W62143003 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 4.125000 5.575000 0.000000
69 W67697001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI N.V. ORGANON OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 4.950000 6.690000 2.670000
70 W65841001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ACCORD 70 mg/5600 UI COMPR. 70mg/5600UI ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 4.950000 6.690000 5.985000
71 W62143001 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. P6L 4 4.125000 5.575000 0.000000
72 W63915002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/5600 UI COMPR. 70mg/5600UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 4.950000 6.690000 0.242500
73 W64729001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 4.950000 6.690000 2.670000
74 W62143002 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 4X1 COMPR. P6L 4 4.125000 5.575000 0.000000
75 W62679005 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 1110 MBQ PR 1 876.860000 993.930000 0.000000
76 W62679003 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 185 MBQ PR 1 728.680000 832.410000 0.000000
77 W62679002 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 111 MBQ PR 1 747.380000 852.790000 0.000000
78 W62679001 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTRU-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PENTRU UZ TERAPEUTIC 7400 MBQ PR 1 2,789.170000 3,078.350000 0.000000
79 W62679009 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 5550 MBQ PR 1 2,358.920000 2,609.380000 0.000000
80 W62679004 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 370 MBQ PR 1 749.840000 855.480000 0.000000
81 W62679006 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 1850 MBQ PR 1 823.950000 936.260000 0.000000
82 W62679007 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 2590 MBQ PR 1 847.070000 961.460000 0.000000
83 W62679010 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 259 MBQ PR 1 738.490000 843.100000 0.000000
84 W62679008 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 3700 MBQ PR 1 1,194.440000 1,340.090000 0.000000
85 W66052002 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 74 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,060.220000 1,193.790000 0.000000
86 W66052003 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 111 MBQ + APLICATOR SEPARAT DIN PP PR 1 896.856000 1,023.348000 170.442000
87 W66052004 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 185 MBQ + APLICATOR SEPARAT DIN PP PR 1 874.416000 998.892000 307.188000
88 W66052005 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 259 MBQ + APLICATOR SEPARAT DIN PP PR 1 886.188000 1,011.720000 294.360000
89 W66052011 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 5500 MBQ + APLICATOR SEPARAT DIN PP PR 1 2,502.530000 2,765.910000 0.000000
90 W66052001 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 37-56 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,060.220000 1,193.790000 0.000000
91 W66052006 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 370 MBQ + APLICATOR SEPARAT DIN PP PR 1 899.808000 1,026.576000 391.804000
92 W66052007 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 1110 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,052.232000 1,192.716000 281.814000
93 W66052008 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 1850 MBQ + APLICATOR SEPARAT DIN PP PR 1 988.740000 1,123.512000 631.748000
94 W66052009 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 2590 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,016.484000 1,153.752000 713.798000
95 W66052010 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 3700 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,433.328000 1,608.108000 484.042000
96 W58679003 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 5 ML SOL. ORALA 5 MCI PR 1 874.416000 998.892000 1,431.028000
97 W58679004 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 5 ML SOL. ORALA 10 MCI PR 1 899.808000 1,026.576000 1,741.394000
98 W58679005 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 5 ML SOL. ORALA 15 MCI PR 1 2,736.180000 3,020.590000 0.000000
99 W58679001 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 5 ML SOL. ORALA 2 MCI PR 1 1,272.264000 1,432.548000 660.522000
100 W58679010 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 75 MCI PR 1 5,132.240000 5,632.300000 0.000000
101 W58679007 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 30 MCI PR 1 1,052.232000 1,192.716000 2,585.744000
102 W58679011 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 100 MCI PR 1 1,433.328000 1,608.108000 5,120.112000
103 W58679012 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 150 MCI PR 1 2,830.704000 3,131.256000 4,861.314000
104 W58679013 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 200 MCI PR 1 3,347.004000 3,694.020000 5,898.530000
105 W58679002 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 20 MCI PR 1 3,045.200000 3,357.420000 0.000000
106 W58679008 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 50 MCI PR 1 988.740000 1,123.512000 3,498.278000
107 W58679009 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 60 MCI PR 1 4,900.450000 5,379.650000 0.000000
108 W58679006 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 25 MCI PR 1 3,276.990000 3,610.070000 0.000000

Pagina 40 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.1: TRANSPLANT MEDULAR

1 W56153001 A04AA01 ONDANSETRONUM ** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 BLIST. AL-PVDC/PVC X 10 COMPR. FILM. P-RF 10 1.879000 2.539000 0.000000
2 W56154001 A04AA01 ONDANSETRONUM ** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 BLIST. AL-PVDC/PVC X 10 COMPR. FILM. P-RF 10 3.285000 4.297000 0.000000
3 W63617002 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 2 ML SOL. INJ./PERF. PR 5 4.030000 5.448000 0.000000
4 W63617005 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 4 ML SOL. INJ./PERF. PR 5 7.660000 10.018000 0.000000
5 W57423001 A04AA01 ONDANSETRONUM ** OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 4.786000 6.468000 0.000000
6 W57424001 A04AA01 ONDANSETRONUM ** OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 9.094000 11.896000 0.000000
7 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0.972000 1.271400 0.000000
8 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0.899200 1.137000 0.000000
9 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 2.098100 2.561400 0.000000
10 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 87.130000 110.170000 0.000000
11 W68079001 B02AA02 ACIDUM TRANEXAMICUM (4) UGUROL 500 mg/5ml SOL. INJ. PT. ADM. I.V., ORALA SI CUT. 500mg/5ml BGP PRODUCTS S.R.L. ROMANIA CUTIE CU 6 FIOLE A CATE 5 ML SOL. INJ. PR 6 4.801666 6.280000 0.000000
12 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR 1 2,198.430000 2,434.440000 0.000000
13 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 24.789600 30.262800 19.707200
14 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 13.684000 16.705000 0.000000
15 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 16.420800 20.046000 8.314000
16 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 14.180000 19.170000 0.000000
17 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 20.658000 25.219000 0.000000
18 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 21.410000 28.940000 0.000000
19 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24.789600 30.262800 19.707200
20 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 24.789600 30.262800 6.647200
21 W58974002 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 39.963600 48.138000 40.131000
22 W58974005 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 39.963600 48.138000 40.131000
23 W61143002 J01DH02 MEROPENEMUM ARCHIFAR 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 35.591000 42.609000 0.000000
24 W56827001 J01DH02 MEROPENEMUM LODITER 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 39.963600 48.138000 57.322000
25 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 39.963600 48.138000 34.378000
26 W56125002 J01DH02 MEROPENEMUM MEROPENEM KABI 1 g PULB. PT. SOL. INJ./PERF. 1g FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 10 33.303000 40.115000 0.000000
27 W61142002 J01DH02 MEROPENEMUM ARCHIFAR 500 mg PULB. PT. SOL. INJ./PERF. 500mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 19.904000 24.299000 0.000000
28 W58973002 J01DH02 MEROPENEMUM MEROPENEM ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 23.884800 29.158800 19.270200
29 W56124002 J01DH02 MEROPENEMUM MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. PR 10 23.884800 29.158800 8.009200
30 W56826001 J01DH02 MEROPENEMUM LODITER 500 mg PULB. PT. SOL. INJ./PERF. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 23.884800 29.158800 27.401200
31 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20.509000 25.037000 0.000000
32 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 20.509000 25.037000 0.000000
33 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24.610800 30.044400 7.505600
34 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24.610800 30.044400 10.845600
35 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24.610800 30.044400 10.232600
36 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24.610800 30.044400 7.294600
37 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 20.882000 25.492000 0.000000
38 W67482001 J01XA01 VANCOMYCINUM VANCOMICINA ROMPHARM 1000mg PULB. PT. CONC. PT. SOL. PERF. 1000mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE 1000 MG PULBERE PT. CONC. PT. SOL. PERF. PR 1 23.280000 31.460000 0.000000
39 W67245004 J01XA01 VANCOMYCINUM VANCOMICINA MIP 1000 mg PULB. PT. SOL. PERF. 1000mg MIP PHARMA GMBH GERMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 25 ML, INCHISE CU DOP GRI DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA METALICA PREVAZUTA CU DISC DIN PLASTIC TIP FLIP-OFF PR 5 27.936000 37.752000 47.242000
40 W67244002 J01XA01 VANCOMYCINUM VANCOMICINA MIP 500 mg PULB. PT. SOL. PERF. 500mg MIP PHARMA GMBH GERMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML, INCHISE CU DOP GRI DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA METALICA PREVAZUTA CU DISC DIN PLASTIC TIP FLIP-OFF PR 5 27.036000 36.540000 10.260000
41 W57042001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.SOL. PERF. 1000mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 27.936000 37.752000 22.238000
42 W57041001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 500 mg PULB. PT.CONC. PT.SOL. PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 22.530000 30.450000 0.000000
43 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF 1 119.450000 145.820000 0.000000
44 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF
MAREA BRITANIE 10 90.018000 102.698400 21.246600
45 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 90.018000 102.698400 21.246600
46 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 75.015000 85.582000 0.000000
47 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835.380000 948.710000 0.000000
48 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 835.380000 948.710000 0.000000
49 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 118.493000 132.972000 0.000000
50 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 137.318400 154.255200 170.864800

Pagina 41 din 63
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
51 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP MULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 10 119.830000 134.430000 0.000000
52 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
53 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 137.318400 153.913000 0.000000
54 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 128.510000 154.255200 2.634800
55 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
56 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137.318400 154.255200 1.161800
57 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114.432000 128.546000 0.000000
58 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2.890285 3.906857 3.158143
59 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2.408571 3.255714 0.000000
60 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.890285 3.906857 2.931714
61 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
62 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.008000 9.468000 1.732000
63 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
64 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
65 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
66 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
67 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.840000 7.890000 0.000000
68 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
69 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
70 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMANIA P-RF 1 7.008000 9.468000 21.842000
71 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.008000 9.468000 1.732000
72 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
73 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
74 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4.922857 6.440000 0.000000
75 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 2.329714
76 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
77 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1.242857 1.680000 0.000000
78 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
79 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
80 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
81 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
82 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
83 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1.491428 2.016000 2.329714
84 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
85 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
86 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22.848000 27.193200 33.656800
87 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 19.040000 22.661000 0.000000
88 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 22.848000 27.193200 13.795300
89 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 38.090000 45.333000 0.000000
90 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9.647000 11.777000 0.000000
91 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 45.708000 54.399600 43.801400
92 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 14.122142 16.755714 0.000000
93 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 44.228372
94 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 14.051333 16.587666 0.000000
95 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 7.311943
96 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 16.861600 19.905199 20.413729
97 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16.861600 19.905199 6.050872
98 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16.861600 19.905199 9.843372
99 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 47.911586
100 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16.861600 19.905199 47.911586
101 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 16.861600 19.905199 20.413729
102 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21.999464 24.660714 0.000000
103 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.517142 25.906071 0.000000
104 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.605714 28.455000 0.000000

Pagina 42 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
105 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320.040000 386.990000 0.000000
106 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 354.340000 424.380000 0.000000
107 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316.450000 383.080000 0.000000
108 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379.740000 459.696000 28.084000
109 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 379.740000 459.696000 357.694000
110 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354.340000 424.380000 0.000000
111 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,641.500000 1,827.390000 0.000000
112 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,641.500000 1,827.390000 0.000000
113 W68234009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 40.438666
114 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 106.648666
115 W66364009 J02AC04 POSACONAZOLUM ** POSACONAZOL ZENTIVA 100 mg COMPR. GASTROREZ. 100mg ZENTIVA K.S. REP. CEHA CUTIE CU BLIST. OPAC NEPERFORAT DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 49.952000
116 W66832009 J02AC04 POSACONAZOLUM ** POSACONAZOL STADA 100 mg COMPR. GASTROREZ. 100mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 29.515000 33.760833 0.000000
117 W66225001 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 24 COMPR. GASTROREZ PR 24 29.515000 33.760833 0.000000
118 W66421009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 40.438666
119 W66491011 J02AC04 POSACONAZOLUM ** POSACONAZOL ALVOGEN 100 mg COMPR. GASTROREZ. 100mg ALVOGEN PHARMA TRADING EUROPE EOOD BULGARIA PR
CUTIE CU BLIST. PVC-PE-PVDC/AL PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE X 24 COMPR. GASTROREZ. 24 35.418000 40.513000 59.008250
120 W64694001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 16,7ML CONC. PT SOL. PERF. (18MG POSACONAZOL/ML) PR 1 1,419.030000 1,584.900000 0.000000
121 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA PR
CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA 1 674.280000 773.120000 0.000000
122 W66224001 J02AC04 POSACONAZOLUM ** POSACONAZOLE AHCL 40 mg/ml SUSP. ORALA 40mg/ml ACCORD HEALTHCARE S.L.U. SPANIA PR
CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PP + 1 LINGURITA DOZATOARE X 105 ML SUSP. ORALA 1 674.280000 773.120000 0.000000
123 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 809.136000 927.744000 1,914.756000
124 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178.238571 197.005000 0.000000
125 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178.238571 197.005000 0.000000
126 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
127 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
128 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
129 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
130 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 854.420000 969.470000 0.000000
131 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
132 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
133 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
134 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 893.780000 1,012.370000 0.000000
135 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
136 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,078.810000 1,214.050000 0.000000
137 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
138 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
139 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
140 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,157.360000 1,299.670000 0.000000
141 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
142 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg 50mg
PULB. PT.CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
143 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg 70mg
PULB. PT.CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
144 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.608400 0.822600 0.115350
145 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
146 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
147 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
148 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1.185600 1.603200 1.439800
149 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.608400 0.822600 0.402900
150 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0.608400 0.822600 0.151400
151 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.608400 0.822600 0.217400
152 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 0.608400 0.822600 0.402900
153 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0.507000 0.685500 0.000000
154 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 0.988000 1.336000 0.000000
155 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1.185600 1.603200 1.039800
156 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.602000 52.008000 0.000000
157 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42.602000 52.008000 0.000000
158 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 3.033600 3.967200 1.117800

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Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
159 W60087001 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 2.528000 3.306000 0.000000
160 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 15.907000 17.974500 0.000000
161 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17.166666 19.347500 0.000000
162 W65648001 J05AX18 LETERMOVIRUM ** PREVYMIS 240 mg COMPR. FILM. 240mg MERCK SHARP & DOHME OLANDA CUTIE X 4 BLIST. PA-AL-PVC/AL TIP CARD X 7 COMPR. FILM. PR 28 689.815714 753.262500 0.000000
163 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367.360000 438.570000 0.000000
164 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704.710000 806.290000 0.000000
165 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,379.440000 1,541.740000 0.000000
166 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,741.470000 3,026.360000 0.000000
167 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,082.030000 1,217.560000 0.000000
168 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,123.150000 2,352.390000 0.000000
169 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 640.080000 735.840000 0.000000
170 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567.750000 657.000000 0.000000
171 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 4,719.840000 5,182.780000 0.000000
172 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243.150000 296.840000 0.000000
173 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,567.550000 2,836.780000 0.000000
174 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 235.250000 287.190000 0.000000
175 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 664.380000 762.320000 0.000000
176 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 599.370000 691.460000 0.000000
177 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,307.480000 2,553.310000 0.000000
178 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 221.130000 269.960000 0.000000
179 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,168.750000 1,312.090000 0.000000
180 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1,825.000000 2,027.400000 0.000000
181 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,298.780000 1,453.820000 0.000000
182 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0.935000 1.223000 0.000000
183 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 25.210000 32.970000 0.000000
184 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 25.210000 32.970000 0.000000
185 W58865001 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 4.203600 5.131600 0.000000
186 W68111001 L01AA03 MELPHALANUM MELPHALAN-RATIOPHARM 50 mg PULB+SOLV. PT. SOL. INJ./PERF. 50mg TEVA PHARMACEUTICALS S.R.L. PR
ROMANIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 10 ML SOLV. 1 1,095.400000 1,232.140000 0.000000
187 W67923001 L01AA03 MELPHALANUM PHELINUN 200 mg PULB+SOLV. PT. SOL. PERF. 200mg ADIENNE S.R.L. S.U. ITALIA PR
CUTIE CU 1 FLACON X 200MG PULBERE + 1 FLACON X 40ML SOLVENT 1 4,420.370000 4,856.360000 0.000000
188 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. PR 1 134.780000 164.540000 0.000000
189 W58856002 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF 100 2.721700 3.322600 0.000000
190 W64538001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC.) X 10 ML PR 8 723.823750 793.737500 0.000000
191 W65792001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 750.080000 855.740000 0.000000
192 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg/50 ml CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML PR 1 356.390000 426.620000 0.000000
193 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJD PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 ML SOL. ORALA PR 1 753.750000 859.740000 0.000000
194 W56210002 L01BB05 FLUDARABINUM FLUDARA ORAL 10 mg COMPR. FILM. 10mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 68.074000 76.108000 0.000000
195 W64515001 L01BB05 FLUDARABINUM FLUDARABINA TEVA 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDARABINA PR 1 119.410000 145.770000 0.000000
196 W66187001 L01CB01 ETOPOSIDUM VEPESID 100 mg CAPS. MOI 100mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 10 177.847000 197.668000 0.000000
197 W08035001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 10 177.847000 197.668000 0.000000
198 W66186001 L01CB01 ETOPOSIDUM VEPESID 50 mg CAPS. MOI 50mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 20 76.640500 85.446000 0.000000
199 W08036001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 20 76.640500 85.446000 0.000000
200 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. PR 1 65.000000 82.190000 0.000000
201 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. 1 78.000000 98.628000 26.902000
202 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 27.620000 36.130000 0.000000
203 W65097001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1 CAPS. PRF 1 207.720000 253.580000 0.000000
204 W03575001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 207.720000 253.580000 0.000000
205 W03581001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 118.410000 144.560000 0.000000
206 W65096001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. PR 1 118.410000 144.560000 0.000000
207 W42735002 L01DB07 MITOXANTRONUM ** ONKOTRONE 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. PR 1 543.480000 630.540000 0.000000
208 W66247001 L01XA01 CISPLATINUM CISPLATIN KOCAK 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 20 ML CONC. PT. SOL. PERF. PR 1 19.440000 26.280000 16.960000
209 W56390003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 36.300000 47.480000 0.000000
210 W65790003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 50 ML CONC. PT. SOL. PERF. PR 1 36.300000 47.480000 0.000000
211 W65790004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71.330000 90.190000 0.000000
212 W56390002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE S
CUTIE X 1 FLACON X 30ML (PENTRU 25ML) DIN STICLA BRUNA CU CONCENTRAT PENTRU SOLUTIE PERFUZABILA 1 23.080000 31.190000 0.000000

Pagina 44 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
213 W65790001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 10 ML CONC. PT. SOL. PERF. PR 1 16.200000 21.900000 0.000000
214 W65790002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 23.080000 31.190000 0.000000
215 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CONC. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 38.560000 50.440000 0.000000
216 W64519002 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. PR 1 60.990000 77.120000 0.000000
217 W64519003 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. PR 1 177.000000 216.080000 0.000000
218 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA PR 1 443.740000 521.830000 0.000000
219 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA PR 1 73.188000 92.544000 6.486000
220 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CONC. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 202.010000 246.610000 0.000000
221 W64512001 L01XC02 RITUXIMABUM ** RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 2 584.655000 656.350000 0.000000
222 W64422001 L01XC02 RITUXIMABUM ** BLITZIMA 100 mg CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 FLAC. DIN STICLA X 10 ML (100 MG RITUXIMAB IN 10 ML-10MG/ML) PR 2 612.900000 687.135000 0.000000
223 W64512002 L01XC02 RITUXIMABUM ** RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 3 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 3 579.653333 644.540000 0.000000
224 W64385001 L01XC02 RITUXIMABUM ** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 2 FLACOANE X 10 ML CARE CONTIN 100 MG RITUXIMABUM PR 2 695.584000 773.448000 73.192000
225 W64513002 L01XC02 RITUXIMABUM ** RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 2 2,905.640000 3,186.225000 0.000000
226 W64421001 L01XC02 RITUXIMABUM ** BLITZIMA 500 mg CONC. PT. SOL. PERF. 500mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML (500 MG RITUXIMAB IN 50 ML-10MG/ML) PR 1 3,098.630000 3,415.660000 0.000000
227 W64386001 L01XC02 RITUXIMABUM ** MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR 1 3,486.768000 3,823.470000 311.700000
228 W64513001 L01XC02 RITUXIMABUM ** RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 1 2,920.640000 3,221.650000 0.000000
229 W66651001 L01XC02 RITUXIMABUM ** MABTHERA 1600 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA(1600 MG RITUXIMAB /13,4ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 7,488.630000 8,200.770000 0.000000
230 W64387001 L01XC02 RITUXIMABUM ** MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 6,556.300000 7,184.530000 0.000000
231 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76.032000 92.030400 83.669600
232 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127.632000 148.274400 129.275600
233 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45.800000 59.910000 0.000000
234 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
235 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
236 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127.632000 148.274400 209.375600
237 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231.680000 282.840000 0.000000
238 W64857002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 63.360000 76.692000 0.000000
239 W55757002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 63.360000 76.692000 0.000000
240 W64858002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 106.360000 123.562000 0.000000
241 W55758002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 106.360000 123.562000 0.000000
242 W54580001 L03AX16 PLERIXAFOR ** MOZOBIL 20mg/ml SOL. INJ. 20 mg/ml GENZYME EUROPE B.V. OLANDA FLACON CU 1,2 ML SOL. X 20 MG/ML S 1 21,942.450000 23,955.450000 0.000000
243 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON 20mg/ml
CONC. PT. SOL. PERF. NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1,621.690000 1,805.790000 0.000000
244 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg 180mg
COMPR. FILM. GASTROREZ. NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2.598583 3.150416 0.000000
245 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.815166 6.656500 0.000000
246 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.358400 1.658300 0.000000
247 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.563600 1.977000 0.000000
248 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.716800 3.316600 0.000000
249 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR
MAREA BRITANIE 30 14.740000 17.338333 0.000000
250 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14.740000 17.338333 0.000000
251 W61297001 L04AB01 ETANERCEPTUM ** ENBREL 25mg 25mg
PULB. + SOLV. PT. SOL. INJ. PFIZER LIMITED MAREA BRITANIE CUTIE X 4 FLACOANE + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PENTRU FLACOANE + 8 TAMPOANE CU ALCOOL P-RF/R 4 343.860000 384.345000 0.000000
252 W64809001 L04AB01 ETANERCEPTUM ** ENBREL 25mg 25mg
PULB. + SOLV. PT. SOL. INJ. PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PT. FLAC. + 8 TAMPOANE CU ALCOOL MEDICINAL PR 4 343.860000 384.345000 0.000000
253 W65221001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL INJ. 50mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 4 SERINGI PREUMPLUTE A CATE 50 MG PR 4 558.172500 617.947500 0.000000
254 W63832001 L04AB01 ETANERCEPTUM ** ERELZI 50 mg SOL INJ. 50mg SANDOZ GMBH AUSTRIA CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE PR 4 478.102500 530.670000 0.000000
255 W64810001 L04AB01 ETANERCEPTUM ** ENBREL 25mg SOL. INJ. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL MEDICINAL PR 4 349.487500 390.480000 0.000000
256 W65222001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL. INJ. 50mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE A CATE 50 MG PR 4 558.172500 617.947500 0.000000
257 W64812002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL MEDICINAL PR 4 682.170000 753.105000 0.000000
258 W64811002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL MEDICINAL PR 4 682.170000 753.105000 0.000000
259 W61299001 L04AB01 ETANERCEPTUM ** ENBREL 25mg 25mg
SOL. INJ. (INSERINGA PREUMPLUTA) PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 349.487500 390.480000 0.000000
260 W61300002 L04AB01 ETANERCEPTUM ** ENBREL 50mg 50mg
SOL. INJ. (INSERINGA PREUMPLUTA) PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 682.170000 753.105000 0.000000
261 W61303002 L04AB01 ETANERCEPTUM ** ENBREL 50mg 50mg
SOL. INJ. IN STILOU INJECTOR PREUMPLUT PFIZER LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL P-RF/R 4 682.170000 753.105000 0.000000
262 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.449200 1.832400 0.000000
263 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.745600 3.351800 0.000000
264 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.666000 2.106400 0.000000
265 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.073200 1.357000 0.000000
266 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.464200 4.229200 0.000000

Pagina 45 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
267 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.437800 2.976000 0.000000
268 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18.094200 20.485800 0.000000
269 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.666000 2.106400 0.000000
270 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3.464200 4.229200 0.000000
271 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 18.094200 20.485800 0.000000
272 W68112002 L04AX03 METHOTREXATUM METHOTREXAAT PCH 2,5 mg COMPR. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. PR 30 0.839333 1.098000 0.000000
273 W68338004 L04AX03 METHOTREXATUM METOTREXAT SANDOZ 2,5 mg (vezi L01BA01) COMPR. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PP X 50 COMPR. PR 50 0.660000 0.863400 0.000000
274 W12691002 N02AX02 TRAMADOLUM TRAMADOL 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.293500 0.397000 0.000000
275 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.352200 0.476400 0.039100
276 W60291001 N02AX02 TRAMADOLUM TRAMACALM 50 mg CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 0.352200 0.476400 0.039600
277 W42957001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.352200 0.476400 0.039100
278 W68093001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 0.352200 0.476400 0.039100
279 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.352200 0.476400 0.039100
280 W58072001 N02AX02 TRAMADOLUM TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF 30 0.532000 0.718800 0.002866
281 W61448003 N02AX02 TRAMADOLUM MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.443333 0.599000 0.000000
282 W63389001 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0.778399 1.051999 0.213001
283 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST. PP/AL X 10 COMPR. ELIB. PREL. P-RF 10 0.778399 1.051999 0.213001
284 W61449011 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0.778399 1.051999 0.076001
285 W61449001 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0.778399 1.051999 0.076001
286 W61449003 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.648666 0.876666 0.000000
287 W58894002 N02AX02 TRAMADOLUM TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.891333 1.166000 0.000000
288 W61450003 N02AX02 TRAMADOLUM MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.834000 1.091000 0.000000
289 W43360001 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 0.778399 1.051999 0.101001
290 W43361001 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR., FILM. ELIB. PREL. P-RF 30 1.000800 1.309200 0.227800
291 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS 50 mg/ml SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 10 1.500000 2.028000 0.000000
292 W05967001 N02AX02 TRAMADOLUM TRAMADOL 100 mg/2 ml SOL. INJ. 100mg/2ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 1.800000 2.433600 0.568400
293 W05961001 N02AX02 TRAMADOLUM MABRON 100 mg/2 ml SOL. INJ. 100mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1.534000 2.074000 0.000000
294 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0.834000 1.128000 0.000000
295 W61214001 R05CB13 DORNAZA ALFA ** PULMOZYME 2500 U/2,5 ml SOL. DE INHALAT PRIN NEBULIZATOR 2500U/2,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL PR 6 76.523333 89.768333 0.000000
296 W66841001 V03AC03 DEFERASIROXUM ** DEFERASIROX STADA 180 mg COMPR. FILM. 180mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
297 W66803001 V03AC03 DEFERASIROXUM ** REDITENS 180 mg COMPR. FILM. 180mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 31.297000 35.385333 0.000000
298 W68074001 V03AC03 DEFERASIROXUM ** DEFERASIROX ACCORD 180 mg COMPR. FILM. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 31.297000 35.385333 0.000000
299 W64443001 V03AC03 DEFERASIROXUM ** EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 37.556400 42.462400 4.645600
300 W68284001 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
301 W68284003 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
302 W68284005 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
303 W68284007 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 31.297000 35.385333 0.000000
304 W66842001 V03AC03 DEFERASIROXUM ** DEFERASIROX STADA 360 mg COMPR. FILM. 360mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 61.594000 68.409333 0.000000
305 W68075001 V03AC03 DEFERASIROXUM ** DEFERASIROX ACCORD 360 mg COMPR. FILM. 360mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 61.594000 68.409333 0.000000
306 W66804001 V03AC03 DEFERASIROXUM ** REDITENS 360 mg COMPR. FILM. 360mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 61.595666 68.411000 0.000000
307 W64444001 V03AC03 DEFERASIROXUM ** EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 73.912800 82.091200 9.763466
308 W68283001 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 61.594000 68.409333 0.000000
309 W68283003 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 61.594000 68.409333 0.000000
310 W68283005 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 61.594000 68.409333 0.000000
311 W68283007 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 61.594000 68.409333 0.000000
312 W66802001 V03AC03 DEFERASIROXUM ** REDITENS 90 mg COMPR. FILM. 90mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 17.088333 19.898000 0.000000
313 W04133001 V03AF01 MESNUM UROMITEXAN 400mg/4ml SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR 15 7.430000 9.070666 0.000000

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


P9.2: TRANSPLANT DE CORD

1 W02947002 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR 10 3.266000 4.272000 0.000000

Pagina 46 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
2 W60389001 C01CA24 EPINEPHRINUM EPIPEN 150 micrograme SOL. INJ. IN STILOU PREUMPLUT 150mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 157.850000 192.700000 0.000000
3 W60390001 C01CA24 EPINEPHRINUM EPIPEN 300 micrograme SOL. INJ. IN STILOU PREUMPLUT 300mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 163.550000 199.660000 0.000000
4 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 24.789600 30.262800 19.707200
5 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 13.684000 16.705000 0.000000
6 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 16.420800 20.046000 8.314000
7 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 14.180000 19.170000 0.000000
8 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 20.658000 25.219000 0.000000
9 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 21.410000 28.940000 0.000000
10 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24.789600 30.262800 19.707200
11 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 24.789600 30.262800 6.647200
12 W13676001 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 16.194000 19.770000 0.000000
13 W13677001 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 21.389000 26.112000 0.000000
14 W44045001 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1 3.510000 4.750000 0.000000
15 W52795001 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 22.160000 29.950000 0.000000
16 W44061001 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 16.740000 22.620000 0.000000
17 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20.509000 25.037000 0.000000
18 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 20.509000 25.037000 0.000000
19 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24.610800 30.044400 7.505600
20 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24.610800 30.044400 10.845600
21 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24.610800 30.044400 10.232600
22 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24.610800 30.044400 7.294600
23 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 20.882000 25.492000 0.000000
24 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF
MAREA BRITANIE 10 90.018000 102.698400 21.246600
25 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 90.018000 102.698400 21.246600
26 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 75.015000 85.582000 0.000000
27 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835.380000 948.710000 0.000000
28 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 835.380000 948.710000 0.000000
29 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 118.493000 132.972000 0.000000
30 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 137.318400 154.255200 170.864800
31 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP MULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 10 119.830000 134.430000 0.000000
32 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
33 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 137.318400 153.913000 0.000000
34 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 128.510000 154.255200 2.634800
35 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
36 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137.318400 154.255200 1.161800
37 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114.432000 128.546000 0.000000
38 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2.890285 3.906857 3.158143
39 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2.408571 3.255714 0.000000
40 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.890285 3.906857 2.931714
41 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
42 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.008000 9.468000 1.732000
43 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
44 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
45 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
46 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
47 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.840000 7.890000 0.000000
48 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
49 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
50 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.008000 9.468000 21.842000
51 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.008000 9.468000 1.732000
52 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
53 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
54 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4.922857 6.440000 0.000000
55 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 2.329714

Pagina 47 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
56 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
57 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1.242857 1.680000 0.000000
58 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
59 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
60 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mgCAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
61 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
62 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
63 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1.491428 2.016000 2.329714
64 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
65 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
66 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22.848000 27.193200 33.656800
67 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 19.040000 22.661000 0.000000
68 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 22.848000 27.193200 13.795300
69 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 38.090000 45.333000 0.000000
70 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9.647000 11.777000 0.000000
71 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 45.708000 54.399600 43.801400
72 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 14.122142 16.755714 0.000000
73 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 44.228372
74 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 14.051333 16.587666 0.000000
75 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 7.311943
76 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 16.861600 19.905199 20.413729
77 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16.861600 19.905199 6.050872
78 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16.861600 19.905199 9.843372
79 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 47.911586
80 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16.861600 19.905199 47.911586
81 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 16.861600 19.905199 20.413729
82 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21.999464 24.660714 0.000000
83 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.517142 25.906071 0.000000
84 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.605714 28.455000 0.000000
85 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320.040000 386.990000 0.000000
86 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg 200mg
PULB. PT. SOL. PERF. PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 354.340000 424.380000 0.000000
87 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg 200mg
PULB. PT. SOL. PERF. ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316.450000 383.080000 0.000000
88 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379.740000 459.696000 28.084000
89 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 379.740000 459.696000 357.694000
90 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354.340000 424.380000 0.000000
91 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,641.500000 1,827.390000 0.000000
92 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,641.500000 1,827.390000 0.000000
93 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178.238571 197.005000 0.000000
94 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178.238571 197.005000 0.000000
95 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
96 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
97 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 15.907000 17.974500 0.000000
98 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17.166666 19.347500 0.000000
99 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1,621.690000 1,805.790000 0.000000
100 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg 180mg
COMPR. FILM. GASTROREZ. NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2.598583 3.150416 0.000000
101 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.815166 6.656500 0.000000
102 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.358400 1.658300 0.000000
103 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.563600 1.977000 0.000000
104 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.716800 3.316600 0.000000
105 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.449200 1.832400 0.000000
106 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.745600 3.351800 0.000000
107 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.666000 2.106400 0.000000
108 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.073200 1.357000 0.000000
109 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.464200 4.229200 0.000000

Pagina 48 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
110 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.437800 2.976000 0.000000
111 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18.094200 20.485800 0.000000
112 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.666000 2.106400 0.000000
113 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3.464200 4.229200 0.000000
114 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 18.094200 20.485800 0.000000

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


P9.3: TRANSPLANT HEPATIC

1 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0.972000 1.271400 0.000000
2 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0.899200 1.137000 0.000000
3 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 2.098100 2.561400 0.000000
4 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 87.130000 110.170000 0.000000
5 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 6.363000 8.046000 0.000000
6 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 11.527000 14.072000 0.000000
7 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 14.124000 17.243000 0.000000
8 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 18.661666 22.781666 0.000000
9 W63884001 B01AC11 ILOPROSTUM ** ILOMEDIN 20 CONC. PT. SOL. PERF. 20µg/ml BAYER AG PR
GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. 5 126.662000 145.692000 0.000000
10 W00257001 B01AD02 ALTEPLASUM ** ACTILYSE 50 mg PULB+SOLV. PT. SOL. INJ 50mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. INJ./PERF. + 1 FLAC. STICLA INCOLORA X 50 ML SOLV. + CANULA DE TRANSFER 1 1,571.520000 1,751.110000 0.000000
11 W68079001 B02AA02 ACIDUM TRANEXAMICUM (4) UGUROL 500 mg/5ml SOL. INJ. PT. ADM. I.V., ORALA SI CUT. 500mg/5ml BGP PRODUCTS S.R.L. ROMANIA CUTIE CU 6 FIOLE A CATE 5 ML SOL. INJ. PR 6 4.801666 6.280000 0.000000
12 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA PR
CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON 1 2,198.430000 2,434.440000 0.000000
13 W58726003 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUROCARD 50 mg/20 mg CAPS. 50mg/20 mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 0.987333 1.291333 0.000000
14 W60585002 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 0.986333 1.290333 0.000000
15 W60585001 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P6L 20 0.987500 1.334500 0.000000
16 W07005001 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 mg/20 mg CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-6L 20 0.987500 1.334500 0.000000
17 W53992002 H01BA02 DESMOPRESSINUM MINIRIN MELT 120 mcg LIOF. ORAL 120mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 5.487666 6.699333 0.000000
18 W53991002 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 2.799333 3.539333 0.000000
19 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 24.789600 30.262800 19.707200
20 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 13.684000 16.705000 0.000000
21 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 16.420800 20.046000 8.314000
22 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 14.180000 19.170000 0.000000
23 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 20.658000 25.219000 0.000000
24 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 21.410000 28.940000 0.000000
25 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24.789600 30.262800 19.707200
26 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 24.789600 30.262800 6.647200
27 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 90.018000 102.698400 21.246600
28 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 90.018000 102.698400 21.246600
29 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 75.015000 85.582000 0.000000
30 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835.380000 948.710000 0.000000
31 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 835.380000 948.710000 0.000000
32 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 118.493000 132.972000 0.000000
33 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 137.318400 154.255200 170.864800
34 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP MULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 10 119.830000 134.430000 0.000000
35 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
36 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 137.318400 153.913000 0.000000
37 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 128.510000 154.255200 2.634800
38 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
39 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137.318400 154.255200 1.161800
40 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114.432000 128.546000 0.000000
41 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 14.122142 16.755714 0.000000
42 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 44.228372
43 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 14.051333 16.587666 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
44 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 7.311943
45 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM
MAREA BRITANIE PRF 28 16.861600 19.905199 20.413729
46 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16.861600 19.905199 6.050872
47 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16.861600 19.905199 9.843372
48 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 47.911586
49 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16.861600 19.905199 47.911586
50 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 16.861600 19.905199 20.413729
51 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21.999464 24.660714 0.000000
52 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.517142 25.906071 0.000000
53 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.605714 28.455000 0.000000
54 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320.040000 386.990000 0.000000
55 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 354.340000 424.380000 0.000000
56 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316.450000 383.080000 0.000000
57 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379.740000 459.696000 28.084000
58 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 379.740000 459.696000 357.694000
59 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354.340000 424.380000 0.000000
60 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,641.500000 1,827.390000 0.000000
61 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,641.500000 1,827.390000 0.000000
62 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178.238571 197.005000 0.000000
63 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178.238571 197.005000 0.000000
64 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
65 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
66 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
67 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
68 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 854.420000 969.470000 0.000000
69 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
70 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
71 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
72 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 893.780000 1,012.370000 0.000000
73 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
74 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,078.810000 1,214.050000 0.000000
75 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
76 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
77 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
78 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,157.360000 1,299.670000 0.000000
79 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
80 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg 50mg
PULB. PT.CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
81 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg 70mg
PULB. PT.CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
82 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 15.907000 17.974500 0.000000
83 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17.166666 19.347500 0.000000
84 W56595001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ZUTECTRA 500 UI
SOL INJ. IN SERINGA PRE-UMPLUTA BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF 5 1,040.582000 1,141.866000 0.000000
85 W54188001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML SOL. PERF. (100UI) PR 1 252.640000 308.420000 0.000000
86 W54188003 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR 1 3,186.200000 3,511.110000 0.000000
87 W54188004 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. (5000UI) PR 1 7,798.520000 8,538.550000 0.000000
88 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml 60MU/ml
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76.032000 92.030400 83.669600
89 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml 96MU/ml
SOL. INJ. /PERF. IN SERINGA PREUMPLUTA SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127.632000 148.274400 129.275600
90 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45.800000 59.910000 0.000000
91 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
92 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
93 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127.632000 148.274400 209.375600
94 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231.680000 282.840000 0.000000
95 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 63.360000 76.692000 0.000000
96 W55757002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 63.360000 76.692000 0.000000
97 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 106.360000 123.562000 0.000000

Pagina 50 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
98 W55758002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 106.360000 123.562000 0.000000
99 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg 180mg
COMPR. FILM. GASTROREZ. NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2.598583 3.150416 0.000000
100 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.815166 6.656500 0.000000
101 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.358400 1.658300 0.000000
102 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.563600 1.977000 0.000000
103 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR
ROCHE REGISTRATION GMBH GERMANIA 50 2.716800 3.316600 0.000000
104 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR
MAREA BRITANIE 30 14.740000 17.338333 0.000000
105 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14.740000 17.338333 0.000000
106 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.449200 1.832400 0.000000
107 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.745600 3.351800 0.000000
108 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.666000 2.106400 0.000000
109 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.073200 1.357000 0.000000
110 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.464200 4.229200 0.000000
111 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.437800 2.976000 0.000000
112 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18.094200 20.485800 0.000000
113 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.666000 2.106400 0.000000
114 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3.464200 4.229200 0.000000
115 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 18.094200 20.485800 0.000000

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


P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

1 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0.972000 1.271400 0.000000
2 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0.899200 1.137000 0.000000
3 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 2.098100 2.561400 0.000000
4 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 87.130000 110.170000 0.000000
5 W00231001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 0.417400 0.564200 0.000000
6 W67321001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 micrograme CAPS. MOI 0,25micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 50 CAPS. MOI PRF 50 0.417400 0.564200 0.000000
7 W58167002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0.500880 0.677040 0.167960
8 W44042001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 0.956333 1.251000 0.000000
9 W67770001 A11CC03 ALFACALCIDOLUM MEDIRAZIN 0,5 micrograme CAPS. MOI 0,50micrograme ZENIVA K.S. REPUBLICA CEHA CUTIE CU UN FLACON ALB OPAC DIN PEÎD X 30 CAPSULE MOI PRF 30 0.956333 1.251000 0.000000
10 W67323001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 micrograme CAPS. MOI 0,50micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 30 CAPS. MOI PRF 30 0.956333 1.251000 0.000000
11 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOI PRF 30 0.956333 1.251000 0.000000
12 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0.956333 1.251000 0.000000
13 W68102001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 12.111000 14.785000 0.000000
14 W68102002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 23.101000 28.202000 0.000000
15 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 23.101000 28.202000 0.000000
16 W55847001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 12.111000 14.785000 0.000000
17 W64849001 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000UI/0,2ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA PR/PRF 10 13.830000 16.884000 0.000000
18 W52808004 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA S/P-RF 10 13.830000 16.884000 0.000000
19 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 6.363000 8.046000 0.000000
20 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 11.527000 14.072000 0.000000
21 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 14.124000 17.243000 0.000000
22 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 18.661666 22.781666 0.000000
23 W42954002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 10 mg PULB.+SOLV. PT. SOL. INJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR 1 707.100000 808.890000 0.000000
24 W42955002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 20 mg PULB.+SOLV. PT. SOL. INJ. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR 1 1,384.190000 1,546.920000 0.000000
25 W42956002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 30 mg PULB.+SOLV. PT. SOL. INJ. 30mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR 1 2,061.260000 2,284.930000 0.000000
26 W59079001 H01CB02 OCTREOTIDUM ** SANDOSTATIN 100 micrograme/ml SOL. INJ./PERF. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ./PERF. PR 5 6.374000 8.336000 0.000000
27 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 24.789600 30.262800 19.707200
28 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 13.684000 16.705000 0.000000
29 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 16.420800 20.046000 8.314000
30 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 14.180000 19.170000 0.000000

Pagina 51 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
31 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 20.658000 25.219000 0.000000
32 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 21.410000 28.940000 0.000000
33 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24.789600 30.262800 19.707200
34 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 24.789600 30.262800 6.647200
35 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF 1 119.450000 145.820000 0.000000
36 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF
MAREA BRITANIE 10 90.018000 102.698400 21.246600
37 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 90.018000 102.698400 21.246600
38 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 75.015000 85.582000 0.000000
39 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835.380000 948.710000 0.000000
40 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 835.380000 948.710000 0.000000
41 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 118.493000 132.972000 0.000000
42 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 137.318400 154.255200 170.864800
43 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP MULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 10 119.830000 134.430000 0.000000
44 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
45 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 137.318400 153.913000 0.000000
46 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 128.510000 154.255200 2.634800
47 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
48 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137.318400 154.255200 1.161800
49 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114.432000 128.546000 0.000000
50 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2.890285 3.906857 3.158143
51 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2.408571 3.255714 0.000000
52 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.890285 3.906857 2.931714
53 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
54 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.008000 9.468000 1.732000
55 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
56 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
57 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
58 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
59 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.840000 7.890000 0.000000
60 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
61 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
62 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMANIA P-RF 1 7.008000 9.468000 21.842000
63 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.008000 9.468000 1.732000
64 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
65 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
66 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4.922857 6.440000 0.000000
67 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 2.329714
68 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
69 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1.242857 1.680000 0.000000
70 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
71 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
72 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
73 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
74 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
75 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1.491428 2.016000 2.329714
76 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
77 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
78 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22.848000 27.193200 33.656800
79 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 19.040000 22.661000 0.000000
80 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 22.848000 27.193200 13.795300
81 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 38.090000 45.333000 0.000000
82 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9.647000 11.777000 0.000000
83 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 45.708000 54.399600 43.801400
84 W67015006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg BAUSCH HEALTH IRELAND LIMITED IRLANDA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1.752000 2.291333 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
85 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1.752000 2.291333 0.000000
86 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF 15 1.752000 2.291333 0.000000
87 W59235001 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1.752000 2.291333 0.000000
88 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1.752000 2.291333 0.000000
89 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL 100 mg CAPS. 100mg BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.
JANSSEN PHARMACEUTICA N.V. P-RF 15 1.880000 2.459333 0.000000
90 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL SLAVIA 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1.752000 2.291333 0.000000
91 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 14.122142 16.755714 0.000000
92 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 44.228372
93 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 14.051333 16.587666 0.000000
94 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 7.311943
95 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 16.861600 19.905199 20.413729
96 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16.861600 19.905199 6.050872
97 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16.861600 19.905199 9.843372
98 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 47.911586
99 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16.861600 19.905199 47.911586
100 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 16.861600 19.905199 20.413729
101 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21.999464 24.660714 0.000000
102 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.517142 25.906071 0.000000
103 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.605714 28.455000 0.000000
104 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320.040000 386.990000 0.000000
105 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 354.340000 424.380000 0.000000
106 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316.450000 383.080000 0.000000
107 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379.740000 459.696000 28.084000
108 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 379.740000 459.696000 357.694000
109 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354.340000 424.380000 0.000000
110 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,641.500000 1,827.390000 0.000000
111 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,641.500000 1,827.390000 0.000000
112 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178.238571 197.005000 0.000000
113 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178.238571 197.005000 0.000000
114 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
115 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
116 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
117 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
118 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 854.420000 969.470000 0.000000
119 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
120 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
121 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
122 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 893.780000 1,012.370000 0.000000
123 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
124 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,078.810000 1,214.050000 0.000000
125 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
126 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
127 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
128 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,157.360000 1,299.670000 0.000000
129 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
130 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902.630000 1,022.020000 0.000000
131 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,168.910000 1,312.260000 0.000000
132 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.608400 0.822600 0.115350
133 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
134 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
135 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
136 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1.185600 1.603200 1.439800
137 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.608400 0.822600 0.402900
138 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0.608400 0.822600 0.151400

Pagina 53 din 63
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
139 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.608400 0.822600 0.217400
140 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 0.608400 0.822600 0.402900
141 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0.507000 0.685500 0.000000
142 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 0.988000 1.336000 0.000000
143 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1.185600 1.603200 1.039800
144 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.602000 52.008000 0.000000
145 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42.602000 52.008000 0.000000
146 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 3.033600 3.967200 1.117800
147 W60087001 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 2.528000 3.306000 0.000000
148 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 15.907000 17.974500 0.000000
149 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17.166666 19.347500 0.000000
150 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367.360000 438.570000 0.000000
151 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704.710000 806.290000 0.000000
152 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,379.440000 1,541.740000 0.000000
153 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,741.470000 3,026.360000 0.000000
154 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,082.030000 1,217.560000 0.000000
155 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,123.150000 2,352.390000 0.000000
156 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 640.080000 735.840000 0.000000
157 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567.750000 657.000000 0.000000
158 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 4,719.840000 5,182.780000 0.000000
159 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243.150000 296.840000 0.000000
160 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,567.550000 2,836.780000 0.000000
161 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 235.250000 287.190000 0.000000
162 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 664.380000 762.320000 0.000000
163 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 599.370000 691.460000 0.000000
164 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,307.480000 2,553.310000 0.000000
165 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 221.130000 269.960000 0.000000
166 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,168.750000 1,312.090000 0.000000
167 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1,825.000000 2,027.400000 0.000000
168 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,298.780000 1,453.820000 0.000000
169 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0.935000 1.223000 0.000000
170 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 25.210000 32.970000 0.000000
171 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 25.210000 32.970000 0.000000
172 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76.032000 92.030400 83.669600
173 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127.632000 148.274400 129.275600
174 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45.800000 59.910000 0.000000
175 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
176 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76.032000 92.030400 134.819600
177 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127.632000 148.274400 209.375600
178 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231.680000 282.840000 0.000000
179 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 63.360000 76.692000 0.000000
180 W55757002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 63.360000 76.692000 0.000000
181 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 106.360000 123.562000 0.000000
182 W55758002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 106.360000 123.562000 0.000000
183 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1,621.690000 1,805.790000 0.000000
184 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2.598583 3.150416 0.000000
185 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.815166 6.656500 0.000000
186 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.358400 1.658300 0.000000
187 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.563600 1.977000 0.000000
188 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.716800 3.316600 0.000000
189 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14.740000 17.338333 0.000000
190 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14.740000 17.338333 0.000000
191 W13098001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S 1 3,843.630000 4,227.710000 0.000000
192 W64598001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg PULB. + SOLV. PT. SOL. INJ. SAU PERF. 20mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR 1 3,843.630000 4,227.710000 0.000000

Pagina 54 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
193 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.449200 1.832400 0.000000
194 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.745600 3.351800 0.000000
195 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.666000 2.106400 0.000000
196 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.073200 1.357000 0.000000
197 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.464200 4.229200 0.000000
198 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.437800 2.976000 0.000000
199 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18.094200 20.485800 0.000000
200 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.666000 2.106400 0.000000
201 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3.464200 4.229200 0.000000
202 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 18.094200 20.485800 0.000000
203 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0.488400 0.638800 0.000000
204 W54297001 M05BA04 ACIDUM ALENDRONICUM TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 2.435000 3.290000 0.000000
205 W66435002 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 4 COMPR. P6L 4 2.522500 3.410000 0.000000
206 W60296002 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2.838000 3.834000 7.803500
207 W60296004 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2.838000 3.834000 8.441000
208 W56763002 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 2.838000 3.834000 5.926000
209 W52948001 M05BA04 ACIDUM ALENDRONICUM ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 2.365000 3.195000 0.000000
210 W56763003 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 2.838000 3.834000 5.613500
211 W56763001 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 2.838000 3.834000 5.136833
212 W42905002 N02AB02 PETHIDINUM MIALGIN 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML PS 5 4.610000 6.232000 0.000000

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


P9.5: TRANSPLANT CELULE PANCREATICE

1 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 90.018000 102.698400 21.246600
2 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 90.018000 102.698400 21.246600
3 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 75.015000 85.582000 0.000000
4 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835.380000 948.710000 0.000000
5 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 835.380000 948.710000 0.000000
6 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 118.493000 132.972000 0.000000
7 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 137.318400 154.255200 170.864800
8 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP MULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 10 119.830000 134.430000 0.000000
9 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
10 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 137.318400 153.913000 0.000000
11 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 128.510000 154.255200 2.634800
12 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
13 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137.318400 154.255200 1.161800
14 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114.432000 128.546000 0.000000
15 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 14.122142 16.755714 0.000000
16 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 44.228372
17 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 14.051333 16.587666 0.000000
18 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 7.311943
19 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 16.861600 19.905199 20.413729
20 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16.861600 19.905199 6.050872
21 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16.861600 19.905199 9.843372
22 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 47.911586
23 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16.861600 19.905199 47.911586
24 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 16.861600 19.905199 20.413729
25 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21.999464 24.660714 0.000000
26 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.517142 25.906071 0.000000
27 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.605714 28.455000 0.000000
28 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320.040000 386.990000 0.000000

Pagina 55 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
29 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 354.340000 424.380000 0.000000
30 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316.450000 383.080000 0.000000
31 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379.740000 459.696000 28.084000
32 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 379.740000 459.696000 357.694000
33 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354.340000 424.380000 0.000000
34 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,641.500000 1,827.390000 0.000000
35 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,641.500000 1,827.390000 0.000000
36 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178.238571 197.005000 0.000000
37 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178.238571 197.005000 0.000000
38 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
39 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
40 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 15.907000 17.974500 0.000000
41 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17.166666 19.347500 0.000000

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


P9.6: TRANSPLANT PULMONAR

1 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 6.363000 8.046000 0.000000
2 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 11.527000 14.072000 0.000000
3 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 14.124000 17.243000 0.000000
4 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 18.661666 22.781666 0.000000
5 W68079001 B02AA02 ACIDUM TRANEXAMICUM (4) UGUROL 500 mg/5ml SOL. INJ. PT. ADM. I.V., ORALA SI CUT. 500mg/5ml BGP PRODUCTS S.R.L. ROMANIA CUTIE CU 6 FIOLE A CATE 5 ML SOL. INJ. PR 6 4.801666 6.280000 0.000000
6 W02947002 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR 10 3.266000 4.272000 0.000000
7 W60389001 C01CA24 EPINEPHRINUM EPIPEN 150 micrograme SOL. INJ. IN STILOU PREUMPLUT 150mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 157.850000 192.700000 0.000000
8 W60390001 C01CA24 EPINEPHRINUM EPIPEN 300 micrograme SOL. INJ. IN STILOU PREUMPLUT 300mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 163.550000 199.660000 0.000000
9 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 24.789600 30.262800 19.707200
10 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 13.684000 16.705000 0.000000
11 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 16.420800 20.046000 8.314000
12 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 14.180000 19.170000 0.000000
13 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 20.658000 25.219000 0.000000
14 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 21.410000 28.940000 0.000000
15 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24.789600 30.262800 19.707200
16 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 24.789600 30.262800 6.647200
17 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 90.018000 102.698400 21.246600
18 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 90.018000 102.698400 21.246600
19 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 75.015000 85.582000 0.000000
20 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835.380000 948.710000 0.000000
21 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 835.380000 948.710000 0.000000
22 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 118.493000 132.972000 0.000000
23 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 137.318400 154.255200 170.864800
24 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP MULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 10 119.830000 134.430000 0.000000
25 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
26 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 137.318400 153.913000 0.000000
27 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 128.510000 154.255200 2.634800
28 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 137.318400 154.255200 1.161800
29 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137.318400 154.255200 1.161800
30 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114.432000 128.546000 0.000000
31 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2.890285 3.906857 3.158143
32 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2.408571 3.255714 0.000000
33 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.890285 3.906857 2.931714
34 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
35 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.008000 9.468000 1.732000

Pagina 56 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
36 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
37 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
38 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
39 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
40 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.840000 7.890000 0.000000
41 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
42 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
43 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMANIA P-RF 1 7.008000 9.468000 21.842000
44 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.008000 9.468000 1.732000
45 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
46 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
47 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4.922857 6.440000 0.000000
48 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 2.329714
49 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
50 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1.242857 1.680000 0.000000
51 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
52 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
53 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
54 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
55 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
56 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1.491428 2.016000 2.329714
57 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
58 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
59 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22.848000 27.193200 33.656800
60 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 19.040000 22.661000 0.000000
61 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 22.848000 27.193200 13.795300
62 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 38.090000 45.333000 0.000000
63 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9.647000 11.777000 0.000000
64 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 45.708000 54.399600 43.801400
65 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 14.122142 16.755714 0.000000
66 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 44.228372
67 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 14.051333 16.587666 0.000000
68 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 7.311943
69 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM
MAREA BRITANIE PRF 28 16.861600 19.905199 20.413729
70 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16.861600 19.905199 6.050872
71 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16.861600 19.905199 9.843372
72 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 47.911586
73 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16.861600 19.905199 47.911586
74 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 16.861600 19.905199 20.413729
75 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21.999464 24.660714 0.000000
76 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.517142 25.906071 0.000000
77 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.605714 28.455000 0.000000
78 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320.040000 386.990000 0.000000
79 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 354.340000 424.380000 0.000000
80 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316.450000 383.080000 0.000000
81 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379.740000 459.696000 28.084000
82 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 379.740000 459.696000 357.694000
83 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354.340000 424.380000 0.000000
84 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,641.500000 1,827.390000 0.000000
85 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,641.500000 1,827.390000 0.000000
86 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178.238571 197.005000 0.000000
87 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178.238571 197.005000 0.000000
88 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000
89 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,512.480000 1,686.750000 0.000000

Pagina 57 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
90 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.608400 0.822600 0.115350
91 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
92 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
93 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
94 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1.185600 1.603200 1.439800
95 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.608400 0.822600 0.402900
96 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0.608400 0.822600 0.151400
97 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.608400 0.822600 0.217400
98 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 0.608400 0.822600 0.402900
99 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0.507000 0.685500 0.000000
100 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 0.988000 1.336000 0.000000
101 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1.185600 1.603200 1.039800
102 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.602000 52.008000 0.000000
103 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42.602000 52.008000 0.000000
104 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
REPUBLICA CEHA PRF 60 15.907000 17.974500 0.000000
105 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17.166666 19.347500 0.000000
106 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1,621.690000 1,805.790000 0.000000
107 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg 180mg
COMPR. FILM. GASTROREZ. NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2.598583 3.150416 0.000000
108 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.815166 6.656500 0.000000
109 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.358400 1.658300 0.000000
110 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.563600 1.977000 0.000000
111 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.716800 3.316600 0.000000
112 W13098001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg 20mg
LIOF. + SOLV. PT. SOL. INJ./PERF. NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S 1 3,843.630000 4,227.710000 0.000000
113 W64598001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg 20mg
PULB. + SOLV. PT. SOL. INJ. SAU PERF. NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR 1 3,843.630000 4,227.710000 0.000000
114 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.449200 1.832400 0.000000
115 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.745600 3.351800 0.000000
116 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0.488400 0.638800 0.000000
117 W12691002 N02AX02 TRAMADOLUM TRAMADOL 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.293500 0.397000 0.000000
118 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.352200 0.476400 0.039100
119 W60291001 N02AX02 TRAMADOLUM TRAMACALM 50 mg CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 0.352200 0.476400 0.039600
120 W42957001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.352200 0.476400 0.039100
121 W68093001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 0.352200 0.476400 0.039100
122 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.352200 0.476400 0.039100
123 W58072001 N02AX02 TRAMADOLUM TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF 30 0.532000 0.718800 0.002866
124 W61448003 N02AX02 TRAMADOLUM MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.443333 0.599000 0.000000
125 W63389001 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0.778399 1.051999 0.213001
126 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST. PP/AL X 10 COMPR. ELIB. PREL. P-RF 10 0.778399 1.051999 0.213001
127 W61449011 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0.778399 1.051999 0.076001
128 W61449001 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0.778399 1.051999 0.076001
129 W61449003 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.648666 0.876666 0.000000
130 W58894002 N02AX02 TRAMADOLUM TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.891333 1.166000 0.000000
131 W61450003 N02AX02 TRAMADOLUM MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.834000 1.091000 0.000000
132 W43360001 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 0.778399 1.051999 0.101001
133 W43361001 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR., FILM. ELIB. PREL. P-RF 30 1.000800 1.309200 0.227800
134 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS 50 mg/ml SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 10 1.500000 2.028000 0.000000
135 W05967001 N02AX02 TRAMADOLUM TRAMADOL 100 mg/2 ml SOL. INJ. 100mg/2ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 1.800000 2.433600 0.568400
136 W05961001 N02AX02 TRAMADOLUM MABRON 100 mg/2 ml SOL. INJ. 100mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1.534000 2.074000 0.000000
137 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0.834000 1.128000 0.000000

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


P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

Pagina 58 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
1 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0.972000 1.271400 0.000000
2 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.
P6L 100 0.899200 1.137000 0.000000
3 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg
DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 2.098100 2.561400 0.000000
4 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 87.130000 110.170000 0.000000
5 W65156001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 5 BLIST. AL-PVC/PVC X 10 COMPR. PRF 50 0.484400 0.654800 0.000000
6 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0.484400 0.654800 0.000000
7 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 1.757500 2.298500 0.000000
8 W65157001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. PRF 20 1.757500 2.298500 0.000000
9 W08307001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg PULB+SOLV. PT. SOL. INJ./PERF. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML PRF 1 17.390000 23.500000 0.000000
10 W08310001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg PULB+SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML PRF 1 56.350000 71.250000 0.000000
11 W13686002 H02AB07 PREDNISONUM PREDNISON SINTOFARM 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0.111666 0.151000 0.000000
12 W12565003 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 0.109760 0.134000 0.000000
13 W12565002 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0.111666 0.151000 0.000000
14 W53341001 H02AB07 PREDNISONUM PREDNISONA-RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0.107500 0.145000 0.000000
15 W05242001 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.111500 0.151000 0.000000
16 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.326500 0.441500 0.000000
17 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 400 mg/80 mg COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.326500 0.441500 0.000000
18 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM 200 mg/40 mg/5 ml SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 7.570000 10.230000 0.000000
19 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 25mg/ml+5mg/ml SUSP. ORALA 25mg/ml+5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 7.990000 10.800000 0.000000
20 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2.890285 3.906857 3.158143
21 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2.408571 3.255714 0.000000
22 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.890285 3.906857 2.931714
23 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
24 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7.008000 9.468000 1.732000
25 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
26 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
27 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
28 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
29 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5.840000 7.890000 0.000000
30 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
31 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
32 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA CUTIE X 1 BLIST. AL/PVC X 1 CAPS.
ROMANIA P-RF 1 7.008000 9.468000 21.842000
33 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7.008000 9.468000 1.732000
34 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 5.840000 7.890000 0.000000
35 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5.840000 7.890000 0.000000
36 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4.922857 6.440000 0.000000
37 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 2.329714
38 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
39 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1.242857 1.680000 0.000000
40 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
41 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
42 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
43 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
44 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1.491428 2.016000 1.049714
45 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1.491428 2.016000 2.329714
46 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
47 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 26.740000 34.980000 0.000000
48 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22.848000 27.193200 33.656800
49 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 19.040000 22.661000 0.000000
50 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 22.848000 27.193200 13.795300
51 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 38.090000 45.333000 0.000000
52 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9.647000 11.777000 0.000000
53 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 45.708000 54.399600 43.801400
54 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 14.122142 16.755714 0.000000

Pagina 59 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
55 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 44.228372
56 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 14.051333 16.587666 0.000000
57 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 7.311943
58 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 16.861600 19.905199 20.413729
59 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16.861600 19.905199 6.050872
60 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16.861600 19.905199 9.843372
61 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16.861600 19.905199 47.911586
62 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16.861600 19.905199 47.911586
63 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 16.861600 19.905199 20.413729
64 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21.999464 24.660714 0.000000
65 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.517142 25.906071 0.000000
66 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.605714 28.455000 0.000000
67 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320.040000 386.990000 0.000000
68 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 354.340000 424.380000 0.000000
69 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316.450000 383.080000 0.000000
70 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379.740000 459.696000 28.084000
71 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 379.740000 459.696000 357.694000
72 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354.340000 424.380000 0.000000
73 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,641.500000 1,827.390000 0.000000
74 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,641.500000 1,827.390000 0.000000
75 W68234009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 40.438666
76 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 106.648666
77 W66364009 J02AC04 POSACONAZOLUM ** POSACONAZOL ZENTIVA 100 mg COMPR. GASTROREZ. 100mg ZENTIVA K.S. REP. CEHA PR
CUTIE CU BLIST. OPAC NEPERFORAT DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. 24 35.418000 40.513000 49.952000
78 W66832009 J02AC04 POSACONAZOLUM ** POSACONAZOL STADA 100 mg COMPR. GASTROREZ. 100mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 29.515000 33.760833 0.000000
79 W66225001 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 24 COMPR. GASTROREZ PR 24 29.515000 33.760833 0.000000
80 W66421009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.418000 40.513000 40.438666
81 W66491011 J02AC04 POSACONAZOLUM ** POSACONAZOL ALVOGEN 100 mg COMPR. GASTROREZ. 100mg ALVOGEN PHARMA TRADING EUROPE EOOD BULGARIA PR
CUTIE CU BLIST. PVC-PE-PVDC/AL PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE X 24 COMPR. GASTROREZ. 24 35.418000 40.513000 59.008250
82 W64694001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 16,7ML CONC. PT SOL. PERF. (18MG POSACONAZOL/ML) PR 1 1,419.030000 1,584.900000 0.000000
83 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA PR
CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA 1 674.280000 773.120000 0.000000
84 W66224001 J02AC04 POSACONAZOLUM ** POSACONAZOLE AHCL 40 mg/ml SUSP. ORALA 40mg/ml ACCORD HEALTHCARE S.L.U. SPANIA PR
CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PP + 1 LINGURITA DOZATOARE X 105 ML SUSP. ORALA 1 674.280000 773.120000 0.000000
85 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 809.136000 927.744000 1,914.756000
86 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178.238571 197.005000 0.000000
87 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178.238571 197.005000 0.000000
88 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.608400 0.822600 0.115350
89 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
90 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
91 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.608400 0.822600 0.402900
92 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1.185600 1.603200 1.439800
93 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.608400 0.822600 0.402900
94 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0.608400 0.822600 0.151400
95 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.608400 0.822600 0.217400
96 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 0.608400 0.822600 0.402900
97 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0.507000 0.685500 0.000000
98 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 0.988000 1.336000 0.000000
99 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1.185600 1.603200 1.039800
100 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.602000 52.008000 0.000000
101 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42.602000 52.008000 0.000000
102 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
REPUBLICA CEHA PRF 60 15.907000 17.974500 0.000000
103 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17.166666 19.347500 0.000000
104 W62522002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA 100 mg COMPR. FILM. 100 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF 30 2.883333 3.645666 0.000000
105 W65306001 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) PR 28 3.460000 4.374799 0.201272
106 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4.376400 5.342800 0.248033
107 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3.647000 4.452333 0.000000
108 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4.376400 5.342800 0.248033

Pagina 60 din 63
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
109 W62523002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 10.966666 13.225333 0.000000
110 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9.409666 11.487333 0.000000
111 W65303002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 87.210000 110.270000 0.000000
112 W65648001 J05AX18 LETERMOVIRUM ** PREVYMIS 240 mg COMPR. FILM. 240mg MERCK SHARP & DOHME OLANDA CUTIE X 4 BLIST. PA-AL-PVC/AL TIP CARD X 7 COMPR. FILM. PR 28 689.815714 753.262500 0.000000
113 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg 180mg
COMPR. FILM. GASTROREZ. NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2.598583 3.150416 0.000000
114 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.815166 6.656500 0.000000
115 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.358400 1.658300 0.000000
116 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.563600 1.977000 0.000000
117 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR
ROCHE REGISTRATION GMBH GERMANIA 50 2.716800 3.316600 0.000000
118 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR
MAREA BRITANIE 30 14.740000 17.338333 0.000000
119 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14.740000 17.338333 0.000000
120 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.449200 1.832400 0.000000
121 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.745600 3.351800 0.000000
122 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.666000 2.106400 0.000000
123 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.073200 1.357000 0.000000
124 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.464200 4.229200 0.000000
125 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.437800 2.976000 0.000000
126 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18.094200 20.485800 0.000000
127 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1.666000 2.106400 0.000000
128 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3.464200 4.229200 0.000000
129 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 18.094200 20.485800 0.000000
130 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0.488400 0.638800 0.000000

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


P9.8: Tratamentul recidivei hepatitei cronice VHB la pacienţii cu transplant hepatic

1 W56595001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ZUTECTRA 500 UI


SOL INJ. IN SERINGA PRE-UMPLUTA BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF 5 1,040.582000 1,141.866000 0.000000
2 W54188001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML SOL. PERF. (100UI) PR 1 252.640000 308.420000 0.000000
3 W54188003 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR 1 3,186.200000 3,511.110000 0.000000
4 W54188004 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. (5000UI) PR 1 7,798.520000 8,538.550000 0.000000

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA

1 W00231001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 0.417400 0.564200 0.000000
2 W67321001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 micrograme CAPS. MOI 0,25micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 50 CAPS. MOI PRF 50 0.417400 0.564200 0.000000
3 W58167002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0.500880 0.677040 0.167960
4 W44042001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 0.956333 1.251000 0.000000
5 W67770001 A11CC03 ALFACALCIDOLUM MEDIRAZIN 0,5 micrograme CAPS. MOI 0,50micrograme ZENIVA K.S. REPUBLICA CEHA CUTIE CU UN FLACON ALB OPAC DIN PEÎD X 30 CAPSULE MOI PRF 30 0.956333 1.251000 0.000000
6 W67323001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 micrograme CAPS. MOI 0,50micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 30 CAPS. MOI PRF 30 0.956333 1.251000 0.000000
7 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOI PRF 30 0.956333 1.251000 0.000000
8 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5µg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0.956333 1.251000 0.000000
9 W68102001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 12.111000 14.785000 0.000000
10 W68102002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 23.101000 28.202000 0.000000
11 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 23.101000 28.202000 0.000000
12 W55847001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 12.111000 14.785000 0.000000
13 W62870002 B01AB01 HEPARINUM ** HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml MESFARMA SRL ROMANIA CUTIE CU 10 FIOLE DIN STICLA INCOLORA X 5 ML SOLUTIE INJECTABILA PR 10 29.681000 36.235000 0.000000
14 W61666001 B01AB01 HEPARINUM ** HEPARINA SODICA PANPHARMA 5000 UI/ml SOL. INJ. 5000UI/ml PANPHARMA FRANTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 5 ML SOL. INJ. PR 10 28.064000 34.261000 0.000000
15 W62870001 B01AB01 HEPARINUM ** HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml MESFARMA SRL ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOLUTIE INJECTABILA PR 5 6.152000 8.046000 0.000000
16 W66221001 B01AB01 HEPARINUM ** HEPARIN-BELMED 5000 UI/ml SOL. INJ. 5000UI/ml C.N. UNIFARM S.A. ROMANIA CUTIE CU 5 FLAC. X 5 ML SOL. INJ. PR 5 29.982000 36.602000 0.000000
17 W63590012 B01AB05 ENOXAPARINUM ** CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 6.363000 8.046000 0.000000

Pagina 61 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
18 W63591012 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 11.527000 14.072000 0.000000
19 W63592012 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 14.124000 17.243000 0.000000
20 W63593009 B01AB05 ENOXAPARINUM ** CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 18.661666 22.781666 0.000000
21 W67783001 B01AB06 NADROPARINUM ** FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml MYLAN IRE HEALTHCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. PR/PRF 10 7.472000 9.447000 0.000000
22 W61293001 B01AB06 NADROPARINUM ** FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 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 10 7.472000 9.447000 0.000000
23 W68321001 B01AB06 NADROPARINUM ** FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. PR/PRF 10 7.472000 9.447000 0.000000
24 W61291001 B01AB06 NADROPARINUM ** FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 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 10 11.481000 14.016000 0.000000
25 W67784001 B01AB06 NADROPARINUM ** FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml MYLAN IRE HEALTHCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. PR/PRF 10 11.481000 14.016000 0.000000
26 W68323001 B01AB06 NADROPARINUM ** FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. PR/PRF 10 11.481000 14.016000 0.000000
27 W67785001 B01AB06 NADROPARINUM ** FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml MYLAN IRE HEALTHCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. PR/PRF 10 16.133000 19.695000 0.000000
28 W61292001 B01AB06 NADROPARINUM ** FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. S/P-RF 10 16.133000 19.695000 0.000000
29 W68322001 B01AB06 NADROPARINUM ** FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. PR/PRF 10 16.133000 19.695000 0.000000
30 W59473001 B01AB10 TINZAPARINUM ** INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN FLACOANE 10000UI anti-XA/ml LEO PHARMA A/S 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 PR/PRF 10 48.833000 57.043000 0.000000
31 W59475001 B01AB10 TINZAPARINUM ** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN FLACOANE 20000 UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUT IE CU 10 FLAC. DIN ST ICLA INCOLORA X 2 ML (40000 UI ANT I-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMAT URA DE ET ANSARE DIN AL LACUIT CU LAC DE CULOARE VERDE SI CAPSA DE SIGURANT A DIN PP DE CULOARE VERDE INCHIS PR/PRF 10 109.048000 122.678000 0.000000
32 W51230001 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER 100 mg fer/5 ml SOL. INJ./PERF. 100mg/5ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 48.018000 58.620000 0.000000
33 W52283002 B03XA01 EPOETINUM ALFA ** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. PR 6 47.283333 57.723333 0.000000
34 W55046001 B03XA01 EPOETINUM ALFA ** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R 1 473.800000 554.590000 0.000000
35 W57497004 B03XA01 EPOETINUM ALFA ** EPREX 40000 UI/ml SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 752.856000 866.388000 401.662000
36 W55048001 B03XA01 EPOETINUM ALFA ** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R 1 627.380000 721.990000 0.000000
37 W52285002 B03XA01 EPOETINUM ALFA ** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. PR 6 91.116666 105.675000 0.000000
38 W64395002 B03XA01 EPOETINUM BETA ** NEORECORMON 10000 UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE PR 6 264.873333 295.070000 0.000000
39 W64396002 B03XA01 EPOETINUM BETA ** NEORECORMON 2000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE PR 6 48.591666 59.321666 0.000000
40 W64397001 B03XA01 EPOETINUM BETA ** NEORECORMON 30000 UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC PR 1 950.320000 1,074.000000 0.000000
41 W64398002 B03XA01 EPOETINUM BETA ** NEORECORMON 4000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE PR 6 92.361666 107.033333 0.000000
42 W64399002 B03XA01 EPOETINUM BETA ** NEORECORMON 5000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE PR 6 126.241666 143.961666 0.000000
43 W64987001 B03XA01 EPOETINUM ZETA ** RETACRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 198.710000 242.590000 0.000000
44 W60969001 B03XA01 EPOETINUM ZETA ** RETACRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR 1 198.710000 242.590000 0.000000
45 W64990001 B03XA01 EPOETINUM ZETA ** RETACRIT 2000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,6ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 42.870000 56.080000 0.000000
46 W60964001 B03XA01 EPOETINUM ZETA ** RETACRIT 2000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR 1 42.870000 56.080000 0.000000
47 W64991001 B03XA01 EPOETINUM ZETA ** RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75 ML SOL. INJ. PR 1 448.850000 527.400000 0.000000
48 W60967001 B03XA01 EPOETINUM ZETA ** RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. PR 1 448.850000 527.400000 0.000000
49 W60965001 B03XA01 EPOETINUM ZETA ** RETACRIT 3000UI/0,9ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,9ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ. PR 1 63.180000 79.880000 0.000000
50 W64992001 B03XA01 EPOETINUM ZETA ** RETACRIT 3000UI/0,9ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,9ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,9 ML SOL. INJ. PR 1 63.180000 79.880000 0.000000
51 W60966001 B03XA01 EPOETINUM ZETA ** RETACRIT 40000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 40000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR 1 423.140000 499.370000 0.000000
52 W64993001 B03XA01 EPOETINUM ZETA ** RETACRIT 40000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 40000UI/1,0ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 423.140000 499.370000 0.000000
53 W60973001 B03XA01 EPOETINUM ZETA ** RETACRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,4ML SOL. INJ. PR 1 84.250000 106.520000 0.000000
54 W64994001 B03XA01 EPOETINUM ZETA ** RETACRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. PR 1 84.250000 106.520000 0.000000
55 W64995001 B03XA01 EPOETINUM ZETA ** RETACRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. PR 1 105.320000 128.580000 0.000000
56 W60972001 B03XA01 EPOETINUM ZETA ** RETACRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ. PR 1 105.320000 128.580000 0.000000
57 W64996001 B03XA01 EPOETINUM ZETA ** RETACRIT 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 124.120000 151.520000 0.000000
58 W60971001 B03XA01 EPOETINUM ZETA ** RETACRIT 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR 1 124.120000 151.520000 0.000000
59 W64997001 B03XA01 EPOETINUM ZETA ** RETACRIT 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. PR 1 177.200000 216.320000 0.000000
60 W60970001 B03XA01 EPOETINUM ZETA ** RETACRIT 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,8ML SOL. INJ. PR 1 177.200000 216.320000 0.000000
61 W41530002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 682.205000 753.142500 0.000000
62 W41522002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 82.937500 99.940000 0.000000
63 W41524002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 139.985000 162.120000 0.000000
64 W41532001 B03XA02 DARBEPOETINUM ALFA ** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 1,678.460000 1,867.670000 0.000000
65 W41525002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 207.255000 235.445000 0.000000
66 W41526002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 273.292500 307.427500 0.000000
67 W41533001 B03XA02 DARBEPOETINUM ALFA ** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 2,728.250000 3,011.950000 0.000000
68 W41527002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 341.065000 381.300000 0.000000
69 W41528002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 409.035000 455.387500 0.000000
70 W41529002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 545.387500 604.010000 0.000000
71 W64391001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 100 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 100µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 707.480000 809.300000 0.000000

Pagina 62 din 63
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
72 W64392001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 150 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 974.420000 1,100.270000 0.000000
73 W64389001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 50 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 50 µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 352.500000 422.380000 0.000000
74 W64390001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 75 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 75µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 538.020000 624.590000 0.000000
75 W13989003 B05DB COMBINATII BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2000 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 87.965000 105.420000 0.000000
76 W13998003 B05DB COMBINATII BALANCE 4,25% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE CONTINAND CATE 2000 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 87.965000 105.420000 0.000000
77 W13997003 B05DB COMBINATII BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2000 ML SOL PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 87.965000 105.420000 0.000000
78 W53456002 B05DB COMBINATII CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE PR 4 71.260000 86.995000 0.000000
79 W53457002 B05DB COMBINATII CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE PR 4 71.260000 86.995000 0.000000
80 W53456003 B05DB COMBINATII CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE PR 2 176.980000 211.985000 0.000000
81 W13989004 B05DB COMBINATII BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2500 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 101.870000 120.575000 0.000000
82 W13997004 B05DB COMBINATII BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2500 ML SOL PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 101.870000 120.575000 0.000000
83 W53458002 B05DB COMBINATII CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNG DIN PVC X 2000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM STAY-STAFE PR 4 71.260000 86.995000 0.000000
84 W53458003 B05DB COMBINATII CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM SLEEP-SAFE PR 2 176.980000 211.985000 0.000000
85 W53457003 B05DB COMBINATII CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE PR 2 176.980000 211.985000 0.000000
86 W66319002 H05BX01 CINACALCETUM ** CINACALCET ACCORD 30 mg COMPR. FILM 30mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 28 12.177857 14.636428 0.000000
87 W43185002 H05BX01 CINACALCETUM ** MIMPARA 30 mg COMPR. FILM. 30mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 14.613428 17.563714 1.744500
88 W66608001 H05BX01 CINACALCETUM ** CINACALCET ACCORDPHARMA 30 mg COMPR. FILM. 30mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. DIN AL/PVC TRANSPARENT X 28 COMPR. FILM. PRF 28 12.177857 14.636428 0.000000
89 W64166002 H05BX01 CINACALCETUM ** CINACALCET HEATON 30 mg COMPR. FILM. 30mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 13.308571 15.868928 0.000000
90 W43186002 H05BX01 CINACALCETUM ** MIMPARA 60 mg COMPR. FILM. 60mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 29.504285 33.522142 0.000000
91 W43187002 H05BX01 CINACALCETUM ** MIMPARA 90 mg COMPR. FILM. 90mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 44.556785 49.929642 0.000000
92 W63199002 H05BX02 PARICALCITOLUM ** ZEMPLAR 1 microgram CAPS. MOI 1micrograme ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI PRF 28 7.901428 9.646071 0.000000
93 W63198001 H05BX02 PARICALCITOLUM ** ZEMPLAR 5 micrograme/ml SOL. INJ. 5micrograme/ml ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I X 1 ML SOL. INJ. PR 5 52.018000 63.504000 0.000000
94 W63198003 H05BX02 PARICALCITOLUM ** ZEMPLAR 5 micrograme/ml SOL. INJ. 5micrograme/ml ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA TIP I X 1 ML SOL. INJ. PR 5 52.018000 63.504000 0.000000
95 W62911004 V03AE02 SEVELAMER ** CARBONAT DE SEVELAMER HEATON 800 mg COMPR. FILM. 800mg HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN PEÎD CU CAPAC DIN PP PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI DESICANT CU 180 COMPRIMATE FILMATE PRF 180 1.805111 2.179500 0.000000
96 W08985002 V03AE02 SEVELAMER ** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 1.737111 2.105388 0.000000

P11: PROGRAM NATIONAL DE SANATATE MINTALA


SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

1 W66185003 N07BB04 NALTREXONUM NALTREXONA AMOMED 50 mg COMPR. FILM. 50mg AMOMED PHARMA GMBH AUSTRIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 28 6.744642 8.233928 0.000000
2 W66267002 N07BC02 METHADONUM METADONA BIOEEL 10 mg COMPR. 10mg S.C. BIO EEL S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC-PVDC X 10 COMPR. PS 50 0.824000 1.077800 0.000000
3 W66267001 N07BC02 METHADONUM METADONA BIOEEL 10 mg COMPR. 10mg S.C. BIO EEL S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC-PVDC X 10 COMPR. PS 20 0.823500 1.113000 0.000000
4 W51921003 N07BC02 METHADONUM SINTALGON 2,5 mg COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-TS 50 0.413400 0.558800 0.000000
5 W55532002 N07BC02 METHADONUM METADON BIOEEL 20 mg COMPR. 20mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 1.545400 1.954000 0.000000
6 W66268001 N07BC02 METHADONUM METADONA BIOEEL 40 mg COMPR. 40mg S.C. BIO EEL S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC-PVDC X 10 COMPR. PS 20 3.091000 3.908500 0.000000
7 W66268002 N07BC02 METHADONUM METADONA BIOEEL 40 mg COMPR. 40mg S.C. BIO EEL S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC-PVDC X 10 COMPR. PS 50 3.035800 3.706000 0.000000
8 W55533002 N07BC02 METHADONUM METADON BIOEEL 5 mg COMPR. 5mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 0.412000 0.556800 0.000000
9 W60166003 N07BC02 METHADONUM MISYO 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 CU SIGILIU DIN PE A 1000 ML CONC. PT. SOL. ORAL PS 1 306.840000 372.610000 0.000000
10 W60166004 N07BC02 METHADONUM MISYO 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, A 1000 ML CONC. PT. SOL. ORALA PS 1 306.840000 372.610000 0.000000
11 W63213001 N07BC02 METHADONUM METHASAN 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. ORALA, SERINGA GRADATA PT. ADMINISTRARE ORALA SI UN ADAPTOR PT. FLAC. PS 1 39.810000 52.070000 0.000000
12 W67747001 N07BC51 COMBINATII (BUPRENORPHINUM+NALAXONE) ZUBSOLV 1,4 mg/0,36 mg COMPR. SUBLING. 1,4mg/0,36mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU PVC-OPA-AL-PVC/AL-PET-HÂRTIE X 7 COMPR. SUBLINGUALE PS/PR 7 8.175714 10.337142 0.000000
13 W67748001 N07BC51 COMBINATII (BUPRENORPHINUM+NALAXONE) ZUBSOLV 5,7 mg/1,4 mg COMPR. SUBLING. 5,7mg/1,4mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU PVC-OPA-AL-PVC/AL-PET-HÂRTIE X 7 COMPR. SUBLINGUALE PS/PR 7 24.090000 29.408571 0.000000

NOTĂ:

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu ** se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii.
- Medicamentul corespunzător DCI-ului notat cu (3) se livrează împreună cu solvent.
- Medicamentele corespunzătoare DCI-urilor notate cu (4) se importă cu avizul Agenţiei Naţionale a Medicamentului şi a Dispozitivelor Medicale.
- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu Ω se efectuează în baza contractelor cost-volum încheiate.
- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu **1 se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii şi pot fi
administrate şi în regim de spitalizare de zi.

Pagina 63 din 63

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