Notificare privind baza unitară de calcul per SKU/01.01.

2021
NrU
T/ Compensa Cod Limita U.T.
Denumire SKU Mod de ambalare
cuti re SKU pentru 92
e CNAS zile
Cutie x 1 punga folie laminata + 1
dispozitiv de inhalare din plastic de
SYMBICORT 160
culoare rosie cu 120 actionari
micrograme/4,5 1 0%, 50% W62789001 3
alcatuit dintr-un flac. presurizat,
micrograme/inhalatie
inchis cu o valva dozatoare si atasat
unui indicator al dozelor (2 ani)
Cutie x 2 blist. tip calendar Al/PVC x W10174001
CASODEX 50 mg 28 100% 92
14 compr.film.; (5 ani) W65076001
Cutie x 2 blistere x 14 comprimate W12048001
CASODEX 150 mg 28 100% 92
filmate (4 ani) W65075001
Cutie x blistere PVC/PVDC/Al x 60 W59339004
ELIQUIS 5mg 60 0% 62/1 luna
comprimate filmate (3 ani) W65620009
W57283003
ELIQUIS 2.5 mg 60 Cutie x blistere PVC/PVDC/Al x 60 0% W57283004 62/1 luna
comprimate filmate (3 ani) W65619003
CUTIE CU 15 FIOLE DIN STICLA
INCOLORA CU PUNCT DE RUPERE,
VASAPROSTAN 20 µg/ml 15 CU CAPACITATE DE 5 ML, 50%, 90% W58530002 120/1 luna
CONTINAND 48,2 MG PULB. PT. SOL.
PERF.
Cutie x 4 blistere calendar din PVC-
BRILIQUE 90 mg 56 0% W56291004 224
PVDC/Al x 14 comprimate filmate.
Cutie x blistere PP/Al x 98
XARELTO 2.5 mg 98 0% W64154001 184
comprimate filmate
Cutie x blistere PP/Al x 98 W60380001
XARELTO 15 mg 98 0% 113
comprimate filmate W63897001
Cutie x blistere PP/Al x 98 W60381001
XARELTO 20 mg 98 0% 113
comprimate filmate W63898001
Cutie x blistere PVC-PVDC/Al x 30 W60674005
VELYN 100mg 30 0% 184
comprimate W60675008
Cutie x blistere PVC-PVDC/Al x 60
VELYN 100mg 60 0% W60675005 184
comprimate
Cutie x blistere PVC/Al x 56
DILVAS 100mg 56 0% W60428001 184
comprimate (2 ani)
CUTIE CU 1 FLAC. PRESURIZAT 90% -
FOSTER 100/6 mcg/doza 1 PLASTIC A 180 DOZE SOL. DE 50% W57995002 -
INHALAT 0% -
Cutie cu 1 inhalator multidoza
introdus intr-un saculet protector
Foster Nexthaler 200/6 1 0% W62574001 -
din PET/ Al/PE continand 120 doze
pulbere de inhalat (2 ani)
Cutie x 1blist. Al/al perforat unidoza W41602002
ABILIFY 10 mg 28 0%, 100% 276
x 28 (x1) comprimate W64888002
CUTIE X 1BLIST. AL/AL PERFORAT W41603004
ABILIFY 15mg/56 UT 56 0%, 100% 184
UNIDOZA X 56 (X1) COMPR. W64889004
Cutie x 3 blistere din Al/Al x 10 W42418004
AZILECT 1 mg 30 100% 240
comprimate (2 ani) W62982004
Cutie x folii AI/AI x 30 comprimate cu
BETMIGA 50 mg 30 0% W59966003 130
eliberare prelungita
 Cutie x blistere AI/AI x 30
VESOMNI 6mg/0.4 mg 30 comprimate cu eliberare prelungita 0% W61041005 130
(3 ani)
Cutie x 28 comprimate (blistere W62448001
Entresto 24mg/26 mg 28 0% 184
PVC/PVDC/AL x 14 comprimate) W64479001
Cutie x 56 comprimate (blistere W62449001
Entresto 49mg/51 mg 56 0% 184
PVC/PVDC/AL x 14 comprimate) W64480001
Cutie x 56 comprimate (blistere W62450001
Entresto 97mg/103 mg 56 0% 184
PVC/PVDC/AL x 14 comprimate) W64481001
CUTIE X 7 CASETE BRUNE
DUODOPA 7 TRANSPARENTE X 100 GEL INT. IN 0% W60962001 21/1 luna
PUNGA PVC

Cutie cu blist. PVC-PE-PVDC/Al x

Pexalit 80 mg 28 0% W64089011 84
28 compr. film.

Cutie cu blist. PVC-PE-PVDC/Al x

Pexalit 120 mg 28 0% W64090011 84
28 compr. film

CUTIE X 1 STILOU INJECTOR (PEN)

FORSTEO 20µg/80µl 1 PREUMPLUT X 2,4 ML (28 DOZE X 20 100% W55488001 3/84 zile
ΜCG/80ΜCL)
CUTIE CU 1 SERINGA PREUMPLUTA
FASENRA 30mg 1 DE UNICA FOLOSINTA X 1 ML SOL. 50%, 90% W64265001 3
INJ

W64765001
Nimenrix 1 1 flac.+1 seringa preumpluta+2 ace 0% 3/12 luni
W64116001

Cutie cu 1 seringa preumpluta x 0,5

Trumenba 1 0% W65911001 2/12 luni
ml susp. inj., cu ac

Cutie x blistere PVC- PE-PVDC/Al x

CARAMLO 16 mg/10 mg 28 0% W60988002 92
28 comprimate

Cutie cu blist. PVC-PE- PVdC/Al x 28

CARAMLO 8 mg/5 mg 28 0% W60987002 92
comprimate (2 ani)

Cutie cu blist. transparent din PVC-

CARAMLO 16mg/5 mg 56 0% W66363004 92
PE-PVDC/Al x 56 compr. (2 ani)

CUTIE 2 BLIST. CU CÂTE UN PEN PRE-

HUMIRA 40 mg 2 UMPLUT (0,4 ML SOL. STERILA) SI 1 100% W63195001 13
TAMPON CU ALCOOL
CUTIE 2 BLIST. CU CÂTE UN PEN PRE-
HUMIRA 40 mg 2 UMPLUT (0,4 ML SOL. STERILA) SI 1 100% W64710001 13
TAMPON CU ALCOOL
CUTIE CU 2 BLIST. CE CONTIN CATE
HUMIRA 40 mg O SERINGA PREUMPLUTA (0,4 ML W62576001 13
2 100%
SOL. STERILA) SI UN TAMPON
ALCOOL
CUTIE CU 2 BLIST. CE CONTIN CATE
HUMIRA 40 mg O SERINGA PREUMPLUTA (0,4 ML W64709001 13
2 100%
SOL. STERILA) SI UN TAMPON
ALCOOL
 Cutie cu blister din Alu/Alu perforat
Forxiga 10mg 30 30 x 1 comprimat filmat (unitate 0% W62286004 92
dozata) (3 ani)
100% (C2)
NORDITROPIN Cutie cu 1 stilou inj. preumplut
1 50%, 90%,
NORDIFLEX 10mg/1.5 ml multidoza x 1,5 ml sol. inj. W66430001 -
100% (B)
0%
CUTIE X 2 SERINGI PREUMPLUTE DIN
FASLODEX 250 mg 2 STICLA X 5ML SOLUTIE INJECTABILA 100% W64402002 6
+ 2 ACE CU SISTEM DE SIGURANTA