Lista Medicamente A, B, C1, C3, D-01.02.2023

ANEXA 6
(ANEXA 2a la Ordinul CNAS nr. 116/2022)
SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE
PERSONALA DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILA INCEPAND CU 01 FEBRUARIE 2023
Contributie maxima Val. maxima suportata de Contributie maxima

a asiguratului / UT sistemul de asigurari a asiguratului / UT
(pt. asiguratii care sociale de sanatate / UT (pt. asiguratii care
Prescriptie
cant. beneficiaza de (pt. asiguratii care beneficiaza de
Cod_CIM
UT/ Pret de compensare 100% beneficiaza de compensare 90%

Nr crt.
tara det. amba referinta / UT din pretul de compensare 90% din pretul din pretul de
cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) de referinta) referinta)
SE ADAUGA
1,060 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 2.137500 0.928214 1.923750 1.141964
SE MODIFICA
1 W64020007 A02BC01 OMEPRAZOLUM OMEZ 10 mg CAPS. GASTROREZ. 10mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. GASTROREZ. P6L 30 0.261054 0.420946 0.234948 0.447052
2 W42129001 A02BC01 OMEPRAZOLUM OMEPRAZOL-RICHTER 20 mg CAPS. GASTROREZ. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-AL-PA/AL X 7 CAPS. GASTROREZ. P-6L 14 0.522108 0.224320 0.469897 0.276531
4 W52044001 A02BC01 OMEPRAZOLUM OMEPRAZOL TERAPIA 20 mg CAPS. GASTROREZ. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 0.522108 0.337558 0.469897 0.389769
5 W52887001 A02BC01 OMEPRAZOLUM OMEPRAZOL ARENA 20 mg CAPS. GASTROREZ. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 0.522108 0.413225 0.469897 0.465436
8 W60470001 A02BC01 OMEPRAZOLUM OMEPRAZOL ATB 20 mg CAPS. GASTROREZ. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 FOLII AL/PE X 10 CAPS. GASTR. P-6L 20 0.522108 0.413392 0.469897 0.465603
12 W42284004 A02BC01 OMEPRAZOLUM OMEPRAZOL LPH 20 mg CAPS. GASTROREZ. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. PVC-AL-OPA/AL X 10 CAPS. GASTROREZ P-6L 30 0.522108 0.413225 0.469897 0.465436
15 W64023001 A02BC01 OMEPRAZOLUM OMEPRAZOL DR. REDDY'S 20 mg CAPS. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P6L 30 0.522108 0.294558 0.469897 0.346769
1,023 W68415015 A02BC01 OMEPRAZOLUM OMECOD 20 mg CAPS. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. GASTROREZ. P6L 30 0.522108 0.413225 0.469897 0.465436
3 W51990001 A02BC01 OMEPRAZOLUM OMEPRAZOL SLAVIA 20 mg CAPS. GASTROREZ. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 0.522108 0.411558 0.469897 0.463769
6 W53138001 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMEX 20 mg CAPS. GASTROREZ. 20mg FARMEX COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 0.522108 0.413225 0.469897 0.465436
7 W55651001 A02BC01 OMEPRAZOLUM OMEPRAZOL ROMPHARM 20 mg CAPS. GASTROREZ. 20mg ROMPHARM COMPANY SRL ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 CAPS. GASTROREZ. P-6L 30 0.522108 0.293558 0.469897 0.345769
13 W61506002 A02BC01 OMEPRAZOLUM OMERAN 20 mg CAPS. GASTROREZ. 20mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P6L 28 0.522108 0.412177 0.469897 0.464388
19 W61506003 A02BC01 OMEPRAZOLUM OMERAN 20 mg CAPS. GASTROREZ. 20mg GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 5 BLIST. AL/AL X 6 CAPS. GASTROREZ. P6L 30 0.522108 0.354225 0.469897 0.406436
20 W67667002 A02BC01 OMEPRAZOLUM OMERAN 20 mg CAPS. GASTROREZ. 20mg GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA CUTIE CU 4 BLIST. AL/AL X 7 CAPS. GASTROREZ. P6L 28 0.522108 0.412177 0.469897 0.464388
21 W67667003 A02BC01 OMEPRAZOLUM OMERAN 20 mg CAPS. GASTROREZ. 20mg GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA CUTIE CU 5 BLIST. AL/AL X 6 CAPS. GASTROREZ. P6L 30 0.522108 0.354225 0.469897 0.406436
1,058 W68838005 A02BC01 OMEPRAZOLUM OMEPRAZOL MEDREG 20 mg CAPS. GASTROREZ. 20mg MEDREG S.R.O. REPUBLICA CEHA P6L
CUTIE CU BLIST. TERMOFORMATE PVC-PE-PVDC/AL X 30 CAPS. GASTROREZ. 30 0.522108 0.413225 0.469897 0.465436
1,024 W68414013 A02BC01 OMEPRAZOLUM OMECOD 40 mg CAPS. GASTROREZ. 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 7 CAPS. GASTROREZ. P6L 7 1.044216 0.267212 0.939794 0.371634
27 W65062001 A02BC03 LANSOPRAZOLUM LEVANT 15 mg CAPS. GASTROREZ. 15mg TERAPIA S.A. ROMANIA CUTIE CU 2 BLIST. AL-PVC-PA/AL X 7 CAPS. GASTROREZ. P6L 14 0.261054 0.274660 0.234948 0.300766
28 W03936001 A02BC03 LANSOPRAZOLUM LANZUL CAPS. GASTROREZ. 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 7 CAPS. GASTROREZ. P-6L 14 0.522108 0.287892 0.469897 0.340103
29 W65063001 A02BC03 LANSOPRAZOLUM LEVANT 30 mg CAPS. GASTROREZ. 30mg TERAPIA S.A. ROMANIA P6L
CUTIE CU 2 BLIST. AL-PVC-PA/AL X 7 CAPS. GASTROREZ. 14 0.522108 0.407892 0.469897 0.460103
62 W07616001 B01AC05 TICLOPIDINUM (1) TICLODIN 250 mg COMPR. FILM. 250mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P6L 20 0.286481 1.673519 0.257832 1.702168
63 W07968001 B01AC05 TICLOPIDINUM (1) IPATON 250 mg COMPR. FILM. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P6L 20 0.286481 1.085519 0.257832 1.114168
74 W58535002 C01AA05 DIGOXINUM DIGOXINA ZENTIVA 0,25 mg COMPR. 0,25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 0.594000 0.000000 0.534600 0.059400
101 W01369003 C02AC01 CLONIDINUM CLONIDINA SINTOFARM 0,15 mg COMPR. 0,15mg SINTOFARM SA ROMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-6L 50 0.253980 0.028220 0.228582 0.053618
102 W60265001 C02AC01 CLONIDINUM CLONIDINA ARENA 0,15 mg COMPR. 0,15mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. PVC/AL X 10 COMPR. P6L 50 0.253980 0.028220 0.228582 0.053618
163 W04263002 C07AB02 METOPROLOLUM BETAPROL 100 mg COMPR. 100mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.287062 0.039604 0.258355 0.068311
164 W04266001 C07AB02 METOPROLOLUM EGILOK 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X, 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 0.287062 0.039438 0.258355 0.068145
165 W07222003 C07AB02 METOPROLOLUM METOPROLOL LPH 100 mg COMPR. 100mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.287062 0.039604 0.258355 0.068311
166 W42176001 C07AB02 METOPROLOLUM METOPROLOL 100 mg COMPR. 100mg MAGISTRA C & C SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.287062 0.039604 0.258355 0.068311
167 W52230001 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 100 mg COMPR. 100mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.287062 0.039604 0.258355 0.068311
168 W53669001 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 100 mg COMPR. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.287062 0.039438 0.258355 0.068145
169 W53941002 C07AB02 METOPROLOLUM METOPROLOL ARENA 100 MG COMPR. 100mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.287062 0.039604 0.258355 0.068311
170 W57206001 C07AB02 METOPROLOLUM METOPROLOL SLAVIA 100 mg COMPR. 100mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 0.287062 0.032438 0.258355 0.061145
172 W53922001 C07AB02 METOPROLOLUM METOPROLOL ARENA 25 MG COMPR. 25mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.071765 0.092568 0.064588 0.099745
174 W04264002 C07AB02 METOPROLOLUM BETAPROL 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.143531 0.125135 0.129177 0.139489
175 W04268001 C07AB02 METOPROLOLUM EGILOK 50 mg COMPR. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 20 COMPR. P-6L 20 0.143531 0.045469 0.129177 0.059823
178 W52231001 C07AB02 METOPROLOLUM METOPROLOL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.143531 0.129135 0.129177 0.143489
Pagina 1 din 4
Prescriptie
Cod_CIM

Nr crt.
179 W53670001 C07AB02 METOPROLOLUM COMPR.
METOPROLOL VIM SPECTRUM 50 mg 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.143531 0.128969 0.129177 0.143323
180 W53940001 C07AB02 METOPROLOLUM METOPROLOL ARENA 50 MG COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.143531 0.125135 0.129177 0.139489
181 W57205001 C07AB02 METOPROLOLUM METOPROLOL SLAVIA 50 mg COMPR. 50mg SLAVIA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 0.143531 0.125469 0.129177 0.139823
183 W43226010 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR. ELIB. MODIF. 47,5mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L 30 0.136354 0.101979 0.122718 0.115615
184 W43227010 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR. ELIB. MODIF. 95mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PP/AL X 10 COMPR. ELIB. MODIF. P-6L 30 0.272709 0.123291 0.245438 0.150562
185 W66032001 C07AB02 METOPROLOLUM BETALOC ZOK 100 mg COMPR. ELIB. PREL. 100mg RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A. ITALIA CUTIE CU 1 FLAC. PEID X 30 COMPR. ELIB. PREL. P6L 30 0.287062 0.672271 0.258355 0.700978
186 W66033001 C07AB02 METOPROLOLUM BETALOC ZOK 50 mg COMPR. ELIB. PREL. 50mg RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A. ITALIA CUTIE CU 1 FLAC. PEID X 30 COMPR. ELIB. PREL. P6L 30 0.143531 0.442135 0.129177 0.456489
187 W66454003 C07AB02 METOPROLOLUM METOPROLOL TARTRAT AUROBINDO 100 mgCOMPR. FILM. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.287062 0.037604 0.258355 0.066311
188 W67867004 C07AB02 METOPROLOLUM METOPROLOL MEDREG 100 mg COMPR. FILM. 100mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P6L 30 0.287062 0.039604 0.258355 0.068311
189 W66453003 C07AB02 METOPROLOLUM METOPROLOL TARTRAT AUROBINDO 50 mg COMPR. FILM. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.143531 0.125135 0.129177 0.139489
190 W67866004 C07AB02 METOPROLOLUM METOPROLOL MEDREG 50 mg COMPR. FILM. 50mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P6L 30 0.143531 0.120135 0.129177 0.134489
191 W43226004 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 47,5 mg COMPR.FILM.ELIB.MOD. 47,5mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 0.136354 0.101979 0.122718 0.115615
192 W43227004 C07AB02 METOPROLOLUM METOSUCCINAT SANDOZ 95 mg COMPR.FILM.ELIB.MOD. 95mg HEXAL AG GERMANIA CUTIE X 3 BLIST. ACLAR-PVC/AL X 10 COMPR. FILM. ELIB. MODIF. P-6L 30 0.272709 0.123291 0.245438 0.150562
199 W12507001 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 2 BLIST. AL/PVC X 14 COMPR.FILM. P-6L 28 0.430594 0.205477 0.387534 0.248537
200 W12507003 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg SANOFI-AVENTIS FRANCE FRANTA CUTIE CU 6 BLIST. PVC/AL X 14 COMPR. FILM. P6L 84 0.430594 0.439167 0.387534 0.482227
201 W64210003 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 14 COMPR. FILM. P6L 84 0.430594 0.439167 0.387534 0.482227
202 W67248003 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 6 BLIST. PVC/AL X 14 COMPR. FILM. P6L 84 0.430594 0.439167 0.387534 0.482227
203 W67248001 C07AB05 BETAXOLOLUM LOKREN 20 mg COMPR. FILM. 20mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 0.430594 0.205477 0.387534 0.248537
204 W00625001 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 0.430594 0.416406 0.387534 0.459466
206 W43154001 C07AB07 BISOPROLOLUM BISOTENS 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0.430594 0.045406 0.387534 0.088466
207 W00625002 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM. P-6L 60 0.430594 0.388739 0.387534 0.431799
208 W60359002 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.430594 0.429072 0.387534 0.472132
210 W66286002 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg
MERCK ROMANIA SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM. P6L 60 0.430594 0.388739 0.387534 0.431799
211 W66286001 C07AB07 BISOPROLOLUM CONCOR 10 mg COMPR. FILM. 10mg
212 W66289002 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg
214 W60357002 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg
MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.107648 0.220685 0.096883 0.231450
215 W60567004 C07AB07 BISOPROLOLUM SOBYC 2,5 mg COMPR. FILM. 2,5mg
KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 0.107648 0.160352 0.096883 0.171117
216 W66288002 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg
217 W00626001 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mgMERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 0.215297 0.330703 0.193767 0.352233
218 W43153001 C07AB07 BISOPROLOLUM BISOTENS 5 mg COMPR. FILM. 5mgANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0.215297 0.078369 0.193767 0.099899
219 W00626002 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mgMERCK KGAA GERMANIA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM. P-6L 60 0.215297 0.361703 0.193767 0.383233
220 W60358002 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mgMERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.215297 0.213036 0.193767 0.234566
221 W60568004 C07AB07 BISOPROLOLUM SOBYC 5 mg COMPR. FILM. 5mgKRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 0.215297 0.015369 0.193767 0.036899
223 W66285002 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mgMERCK ROMANIA SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM. P6L 60 0.215297 0.361703 0.193767 0.383233
224 W66285001 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mgMERCK ROMANIA SRL ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.215297 0.330703 0.193767 0.352233
225 W66287002 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mgMERCK ROMANIA SRL ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.215297 0.213036 0.193767 0.234566
414 W01854001 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP H 10 mg/25 mg COMPR. 10mg+25mg
KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 0.435825 0.078675 0.392242 0.122258
415 W42590001 C09BA02 COMBINATII (ENALAPRILUM+HYDROCHLOROTHIAZIDUM) ENAP-HL 20 mg/12,5 mg COMPR. 20 mg/12,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 0.435825 0.018675 0.392242 0.062258
417 W62429001 C09BA05 COMBINATII (RAMIPRILUM+HYDROCHLOROTHIAZIDUM) TRITACE PLUS 5 mg/25 mg COMPR. 5mg/25mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/ AL X 28 COMPR. P6L 28 0.435825 0.101675 0.392242 0.145258
419 W53260001 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. P-6L 30 0.353571 0.015762 0.318213 0.051120
420 W53260003 C09CA01 LOSARTANUM TALOSAN 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 3 FOLII AL/PE X 10 COMPR. FILM. P-6L 30 0.353571 0.015762 0.318213 0.051120
422 W60908002 C10AA01 SIMVASTATINUM SIMVASTATINA ARENA 10 mg COMPR. FILM. 10 mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 0.107303 0.250554 0.096572 0.261285
423 W12477002 C10AA01 SIMVASTATINUM ZEPLAN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 0.107303 0.114839 0.096572 0.125570
424 W42158001 C10AA01 SIMVASTATINUM SINTENAL 10 mg COMPR. FILM. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0.107303 0.249697 0.096572 0.260428
425 W42328001 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 10 mg COMPR. FILM. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. FILM. P-6L 30 0.107303 0.249697 0.096572 0.260428
426 W56959001 C10AA01 SIMVASTATINUM SIMVACARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 0.107303 0.056268 0.096572 0.066999
427 W59878005 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.107303 0.056030 0.096572 0.066761
430 W12478002 C10AA01 SIMVASTATINUM ZEPLAN 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 0.214606 0.256822 0.193145 0.278283
433 W42327001 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 20 mg COMPR. FILM. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0.214606 0.263060 0.193145 0.284521
434 W56960001 C10AA01 SIMVASTATINUM SIMVACARD 20 mg COMPR. FILM. 20mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 0.214606 0.057179 0.193145 0.078640
435 W59879005 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.214606 0.261394 0.193145 0.282855
438 W41446002 C10AA01 SIMVASTATINUM ZEPLAN 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 0.429214 0.170071 0.386292 0.212993
440 W52431001 C10AA01 SIMVASTATINUM SIMVASTATIN LPH 40 mg COMPR. FILM. 40mg LABORMED PHARMA S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0.429214 0.752786 0.386292 0.795708
444 W06752001 C10AA02 LOVASTATINUM MEDOSTATIN 20 mg COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 0.143071 1.337929 0.128763 1.352237
445 W57367004 C10AA02 LOVASTATINUM LOVASTATINA ARENA 20 mg COMPR. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0.143071 0.843595 0.128763 0.857903
Pagina 2 din 4
Prescriptie
Cod_CIM

Nr crt.
446 W65064001 C10AA03 PRAVASTATINUM PRAVATOR 20 mg COMPR. 20mg TERAPIA S.A. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. P-6L 28 0.214606 0.703251 0.193145 0.724712
447 W65065001 C10AA03 PRAVASTATINUM PRAVATOR 40 mg COMPR. 40mg TERAPIA S.A. ROMANIA CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. P-6L 28 0.429214 1.022928 0.386292 1.065850
581 W57455001 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 2.213714 0.253286 1.992342 0.474658
584 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 8.854856 2.203144 7.969370 3.088630
585 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 8.854856 1.647144 7.969370 2.532630
586 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 8.517142 0.000000 7.665427 0.851715
587 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 44.274282 38.075718 39.846853 42.503147
656 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 4.275000 2.790000 3.847500 3.217500
657 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 4.275000 2.563571 3.847500 2.991071
659 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.412500 1.477500 5.771250 2.118750
660 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 6.412500 4.787500 5.771250 5.428750
661 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 6.412500 1.477500 5.771250 2.118750
663 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 6.412500 1.477500 5.771250 2.118750
664 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 6.412500 1.477500 5.771250 2.118750
665 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 6.412500 1.477500 5.771250 2.118750
666 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 6.412500 24.897500 5.771250 25.538750
667 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 6.412500 1.477500 5.771250 2.118750
668 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 6.412500 1.477500 5.771250 2.118750
669 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.412500 4.787500 5.771250 5.428750
671 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 6.412500 1.477500 5.771250 2.118750
673 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 2.137500 0.928214 1.923750 1.141964
674 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 2.137500 2.208214 1.923750 2.421964
675 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 2.137500 0.928214 1.923750 1.141964
678 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 2.137500 0.928214 1.923750 1.141964
679 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 2.137500 0.928214 1.923750 1.141964
680 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 2.137500 2.208214 1.923750 2.421964
682 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 14.962500 20.017500 13.466250 21.513750
683 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 14.962500 20.017500 13.466250 21.513750
800 W64281004 N03AX12 GABAPENTINUM GABAPENTIN AUROBINDO 100 mg CAPS. 100 mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 50 CAPS. P6L 50 0.114534 0.067666 0.103080 0.079120
801 W54332002 N03AX12 GABAPENTINUM GRIMODIN 100 mg CAPS. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L 60 0.114534 0.521632 0.103080 0.533086
802 W60025001 N03AX12 GABAPENTINUM GABAPENTIN ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L 60 0.114534 0.521632 0.103080 0.533086
804 W41589005 N03AX12 GABAPENTINUM GABAGAMMA 300 mg CAPS. 300mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 0.343605 0.490895 0.309244 0.525256
805 W43540001 N03AX12 GABAPENTINUM GABALEPT 300 mg CAPS. 300mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 0.343605 0.134295 0.309244 0.168656
806 W54333001 N03AX12 GABAPENTINUM GRIMODIN 300 mg CAPS. 300mg UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L
EGIS PHARMACEUTICALS P.L.C. 60 0.343605 0.291561 0.309244 0.325922
808 W64360001 N03AX12 GABAPENTINUM GABALEPT 300 mg CAPS. 300mg TEVA B.V. OLANDA CUTIE CU 10 BLIST. PVC-PVDC TRANSPARENTA/AL X 10 CAPS. P6L 100 0.343605 0.134295 0.309244 0.168656
809 W65059001 N03AX12 GABAPENTINUM GABARAN 300 mg CAPS. 300mg TERAPIA S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVDC/AL X 10 CAPS. P6L 50 0.343605 1.116395 0.309244 1.150756
811 W41590005 N03AX12 GABAPENTINUM GABAGAMMA 400 mg CAPS. 400mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 0.458142 0.709358 0.412327 0.755173
812 W43541001 N03AX12 GABAPENTINUM GABALEPT 400 mg CAPS. 400mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-6L 100 0.458142 0.178758 0.412327 0.224573
813 W54334001 N03AX12 GABAPENTINUM GRIMODIN 400 mg CAPS. 400mg UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS. P-6L
EGIS PHARMACEUTICALS P.L.C. 60 0.458142 0.638858 0.412327 0.684673
815 W64361001 N03AX12 GABAPENTINUM GABALEPT 400 mg CAPS. 400mg TEVA B.V. OLANDA CUTIE CU 10 BLIST. PVC-PVDC TRANSPARENTA/AL X 10 CAPS. P6L 100 0.458142 0.178758 0.412327 0.224573
816 W65060001 N03AX12 GABAPENTINUM GABARAN 400 mg CAPS. 400mg TERAPIA S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVDC/AL X 10 CAPS. P6L 50 0.458142 1.207458 0.412327 1.253273
817 W65061001 N03AX12 GABAPENTINUM GABARAN 600 mg COMPR. FILM. 600mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. AL-PVC-PA/AL X 10 COMPR. FILM. P6L 30 0.687213 1.676453 0.618491 1.745175
919 W60361001 N06AX11 MIRTAZAPINUM * MIRTAZAPIN ARENA 15 mg COMPR. FILM. 15mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. ALBE OPACE DIN PVC-PVDC/AL-PVDC X 10 COMPR. FILM. PRF 30 0.391833 0.547500 0.352649 0.586684
921 W44013002 N06AX11 MIRTAZAPINUM * PHARMATAZ 30 mg COMPR. FILM. 30mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. PVC-PVDC/AL, X 10 COMPR. FILM. P-RF 30 0.783666 0.000000 0.705299 0.078367
924 W64363002 N06AX11 MIRTAZAPINUM * PHARMATAZ 30 mg COMPR. FILM. 30mg TEVA B.V. OLANDA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. PRF 30 0.783666 0.000000 0.705299 0.078367
927 W63233003 N06AX11 MIRTAZAPINUM * REMERON SOLTAB 30 mg COMPR. ORODISPERSABILE 30mg MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC-PA-POLIESTER PERFORATE PT. ELIB. UNEI UNITATI DOZATE X 6 COMPR. ORODISPERSABILE PRF 30 0.783666 1.236334 0.705299 1.314701
1,013 W68318003 N06AX11 MIRTAZAPINUM * REMERON SOLTAB 30 mg COMPR. ORODISPERSABILE 30mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC-PA-POLIESTER PERFORATE PT. ELIB. UNEI UNITATI DOZATE X 6 COMPR. ORODISPERSABILE PRF 30 0.783666 1.236334 0.705299 1.314701
SE ELIMINA
Pagina 3 din 4
Prescriptie
Cod_CIM

Nr crt.
16 W66010005 A02BC01 OMEPRAZOLUM OMEPRAZOL AUROBINDO 20 mg CAPS. GASTROREZ. 20mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ. P6L 28 0.354285 0.000000 0.318856 0.035429
24 W66011002 A02BC01 OMEPRAZOLUM OMEPRAZOL AUROBINDO 40 mg CAPS. GASTROREZ. 40mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 14 CAPS. GASTROREZ. P6L 14 0.587857 0.000000 0.529071 0.058786
75 W66390001 C01AA05 DIGOXINUM DIGOXIN LECIVA 0,25 mg COMPR. 0,25mg S.C. ZENTIVA S.A. ROMANIA CUTIE CU 1 BLISTER X 30 COMPR. PRF 30 0.287000 0.000000 0.258300 0.028700
90 W04587001 C01DA02 NITROGLYCERINUM NITRODERM TTS 5 mg/24 ore PLASTURE TRANSDERMIC 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 PLICURI X 1 SIST. TERAPEUTIC TRANSDERMIC P-6L 10 2.484000 0.000000 2.235600 0.248400
268 W65894007 C08CA01 AMLODIPINUM AMLODIPINA AUROBINDO 10 mgCOMPR. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 0.279000 0.000000 0.251100 0.027900
282 W65893007 C08CA01 AMLODIPINUM AMLODIPINA AUROBINDO 5 mg COMPR. 5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P6L 30 0.142666 0.000000 0.128399 0.014267
428 W65996005 C10AA01 SIMVASTATINUM COMPR. FILM.
SIMVASTATIN AUROBINDO 10 mg 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L 30 0.102074 0.061259 0.091866 0.071467
443 W65998005 C10AA01 SIMVASTATINUM COMPR. FILM.
SIMVASTATIN AUROBINDO 40 mg 40mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L 30 0.212666 0.000000 0.191399 0.021267
583 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 3.981000 0.000000 3.582900 0.398100
658 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 2.922106 0.333608 2.629895 0.625819
923 W64105002 N06AX11 MIRTAZAPINUM * VALDREN 30 mg COMPR. FILM. 30mg G.L. PHARMA GMBH AUSTRIA CUTIE CU 3 BLIST. ALBE OPACE PVC/PVDC/AL X 10 COMPR. FILM. PRF 30 0.580333 0.000000 0.522299 0.058034
979 W57245001 R03DX05 OMALIZUMABUM ** XOLAIR 150 mg SOL INJ. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA PR/PRF 1 1,522.324999 73.625001 1,370.092499 225.857501
980 W65487001 R03DX05 OMALIZUMABUM ** XOLAIR 150 mg SOL INJ. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR/PRF 1 1,522.324999 73.625001 1,370.092499 225.857501
982 W65486001 R03DX05 OMALIZUMABUM ** XOLAIR 75 mg SOL INJ. 75mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 0.5 ML SOL. INJ. PR/PRF 1 724.350000 0.000000 651.915000 72.435000
Pagina 4 din 4
ANEXA 7
(ANEXA 2b la Ordinul CNAS nr. 116/2022)
SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE PERSONALA
DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE, VALABILA INCEPAND CU 01 FEBRUARIE 2023
Contributie maxima a Val. maxima suportata Val. maxima suportata

asiguratului / UT (pt. de sistemul de asigurari Contributie maxima a de sistemul de asigurari Contributie maxima a
asiguratii care sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
Prescriptie
cant. beneficiaza de (pt. asiguratii care asiguratii care (pt. asiguratii care asiguratii care
Cod_CIM
UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

Nr crt.
Tara det. amba referinta / UT din pretul de compensare 50% din compensare 50% din compensare 90% din compensare 90% din
cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) pretul de referinta) pretul de referinta) pretul de referinta) pretul de referinta)
SE ADAUGA
1,282 W68950002 C02AC06 RILMENIDINUM TARUZA 1 mg COMPR. 1mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.667333 0.000000 0.333666 0.333667 0.600599 0.066734
1,283 W69148001 C09AA04 PERINDOPRILUM PRICORON 10 mg COMPR. FILM. 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.855000 0.121000 0.427500 0.548500 0.769500 0.206500
1,284 W69148003 C09AA04 PERINDOPRILUM PRICORON 10 mg COMPR. FILM. 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. DE CULOARE ALBA PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.855000 0.121000 0.427500 0.548500 0.769500 0.206500
1,285 W69147002 C09AA04 PERINDOPRILUM PRICORON 5 mg COMPR. FILM. 5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.427500 0.282833 0.213750 0.496583 0.384750 0.325583
1,286 W69147005 C09AA04 PERINDOPRILUM PRICORON 5 mg COMPR. FILM. 5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. DE CULOARE ALBA PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.427500 0.282833 0.213750 0.496583 0.384750 0.325583
1,287 W66514007 C10AA07 ROSUVASTATINUM ROSUVASTATINA MSN LABORATORIES 10 mg COMPR. FILM. 10mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. AL/AL CU 30 COMPRIMATE FILMATE P6L 30 0.643821 1.741512 0.321910 2.063423 0.579438 1.805895
1,291 W69278001 D06BB10 IMIQUIMODUM * ALDARA 5% CREMA 5% VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE X 12 PLICURI DIN POLIESTER/AL X 250 MG CREMA PRF 12 22.330000 0.000000 11.165000 11.165000 20.097000 2.233000
1,292 W67508001 R03BB04 TIOTROPIUM * DILOCHOB 18 micrograme CAPS. CU PULB. DE INHAL. 18 micrograme ZENTIVA, K.S. REPUBLICA CEHA CUTIE CARE CONTINE 30 DE CAPSULE (3 BLISTERE OPA-PVC-PET/AL ) SI UN INHALATOR MRX003-T10 DPI PRF 30 4.087666 0.000000 2.043833 2.043833 3.678899 0.408767
SE MODIFICA
25 W06755002 A02BC05 ESOMEPRAZOLUM NEXIUM 20 mg COMPR. GASTROREZ. 20mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. AL/PVC-AL-POLIAMIDA X 7 COMPR. GASTROREZISTENTE P-6L 14 0.696143 0.410285 0.348071 0.758357 0.626528 0.479900
26 W56303013 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TERAPIA 20mg COMPR. GASTROREZ. 20mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ. P6L 14 0.696143 0.392428 0.348071 0.740500 0.626528 0.462043
1,272 W68972002 A02BC05 ESOMEPRAZOLUM NEXIUM 20 mg COMPR. GASTROREZ. 20mg GRÜNENTHAL GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC-AL-POLIAMIDA X 7 COMPR. GASTROREZISTENTE P6L 14 0.696143 0.410285 0.348071 0.758357 0.626528 0.479900
27 W06756002 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg COMPR. GASTROREZ. 40mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. AL/PVC-AL-POLIAMIDA X 7 COMPR. GASTROREZISTENTE P-6L 14 1.392288 0.164854 0.696144 0.860998 1.253059 0.304083
28 W56304013 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TERAPIA 40mg COMPR. GASTROREZ. 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. GASTROREZ. P6L 14 1.392288 0.135569 0.696144 0.831713 1.253059 0.274798
1,273 W68973002 A02BC05 ESOMEPRAZOLUM NEXIUM 40 mg COMPR. GASTROREZ. 40mg GRÜNENTHAL GMBH GERMANIA CUTIE CU 2 BLIST. AL/PVC-AL-POLIAMIDA X 7 COMPR. GASTROREZISTENTE P6L 14 1.392288 0.164854 0.696144 0.860998 1.253059 0.304083
29 W56303002 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TERAPIA 20mg COMPR. GASTROREZISTENTE 20mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE P-6L 14 0.696143 0.392428 0.348071 0.740500 0.626528 0.462043
30 W56304002 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL TERAPIA 40mg COMPR. GASTROREZISTENTE 40mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 14 COMPR. GASTROREZISTENTE P-6L 14 1.392288 0.135569 0.696144 0.831713 1.253059 0.274798
60 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 16.490499 1.195501 8.245249 9.440751 14.841449 2.844551
61 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 16.490499 1.195501 8.245249 9.440751 14.841449 2.844551
62 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 8.046000 0.000000 4.023000 4.023000 7.241400 0.804600
1,245 W63591023 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 CUT IE CU 50 SERINGI PREUMPLUT E (ST ICLA T IP I) ASAMBLAT E CU DOP DIN CAUCIUC (CLOROBUT ILIC SAU BROMOBUT ILIC) SI AC DE INJECT IE CU SIST EM AUT OMAT DE SIGURANT A PREVENT IS® PR/PRF 50 16.490499 2.429101 8.245249 10.674351 14.841449 4.078151
1,246 W63591022 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 CUT IE CU 50 SERINGI PREUMPLUT E (ST ICLA T IP I) ASAMBLAT E CU DOP DIN CAUCIUC (CLOROBUT ILIC SAU BROMOBUT ILIC) SI AC DE INJECT IE CU SIST EM AUT OMAT DE SIGURANT A ERIS® PR/PRF 50 16.490499 2.429101 8.245249 10.674351 14.841449 4.078151
1,247 W63591021 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 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 16.490499 2.429101 8.245249 10.674351 14.841449 4.078151
1,248 W63592027 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 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 24.735749 5.412251 12.367874 17.780126 22.262174 7.885826
1,249 W63592028 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 CUT IE CU 50 SERINGI PREUMPLUT E (ST ICLA T IP I) ASAMBLAT E CU DOP DIN CAUCIUC (CLOROBUT ILIC SAU BROMOBUT ILIC) SI AC DE INJECT IE CU SIST EM AUT OMAT DE SIGURANT A ERIS® PR/PRF 50 24.735749 5.412251 12.367874 17.780126 22.262174 7.885826
1,250 W63592029 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 CUT IECU 50 SERINGI PREUMPLUT E (ST ICLA T IP I) ASAMBLAT E CU DOP DIN CAUCIUC (CLOROBUT ILIC SAU BROMOBUT ILIC) SI AC DE INJECT IE CU SIST EM AUT OMAT DE SIGURANT A PREVENT IS® PR/PRF 50 24.735749 5.412251 12.367874 17.780126 22.262174 7.885826
75 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 47.115708 9.927292 23.557854 33.485146 42.404137 14.638863
76 W59475001 B01AB10 TINZAPARINUM ** # INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN FLACOANE 20000 UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT CU LAC DE CULOARE VERDE SI CAPSA DE SIGURANTA DIN PP DE CULOARE VERDE INCHIS PR/PRF 10 94.231425 28.446575 47.115712 75.562288 84.808282 37.869718
87 W61520001 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI CLIR SNC FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 28 1.145927 0.818715 0.572963 1.391679 1.031334 0.933308
88 W61520013 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI CLIR SNC FRANTA CUTIE X 30 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 30 1.145927 0.963406 0.572963 1.536370 1.031334 1.077999
91 W66403001 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 28 1.145927 0.818715 0.572963 1.391679 1.031334 0.933308
92 W66403013 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 30 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 30 1.145927 0.963406 0.572963 1.536370 1.031334 1.077999
93 W66626001 B01AC04 CLOPIDOGRELUM ** CLOPIDOGREL EIPICO 75 mg COMPR. FILM. 75mg E.I.P.I.CO MED S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 1.145927 0.035073 0.572963 0.608037 1.031334 0.149666
95 W53412001 B01AC18 TRIFLUSALUM AFLEN 300 mg CAPS. 300mg GALENICA S.A. GRECIA CUTIE X 5 BLIST. X 10 CAPS. P-RF 50 0.572963 0.196837 0.286481 0.483319 0.515666 0.254134
116 W63258002 C01EB17 IVABRADINUM ** IVABRADINE ZENTIVA 5 mg COMPR. FILM. 5 mg ZENIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 0.980517 0.312161 0.490258 0.802420 0.882465 0.410213
117 W42777003 C01EB17 IVABRADINUM ** CORLENTOR 5mg COMPR. FILM. 5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 0.980517 0.805911 0.490258 1.296170 0.882465 0.903963
118 W62962004 C01EB17 IVABRADINUM ** BIXEBRA 5 mg COMPR. FILM. 5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 0.980517 0.312161 0.490258 0.802420 0.882465 0.410213
120 W63479001 C01EB17 IVABRADINUM ** RAENOM 5 mg COMPR. FILM. 5mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 0.980517 0.312161 0.490258 0.802420 0.882465 0.410213
121 W63443003 C01EB17 IVABRADINUM ** FELOCORD 5 mg COMPR. FILM. 5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 0.980517 0.472697 0.490258 0.962956 0.882465 0.570749
123 W65679001 C01EB17 IVABRADINUM ** IVABRADINA ACCORD 5 mg COMPR. FILM. 5mg SPANIA
ACCORD HEALTHCARE S.L.U. CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITAZI DOZATE AL/AL X 56X1 COMPR. FILM. PRF 56 0.980517 0.108054 0.490258 0.598313 0.882465 0.206106
124 W65845003 C01EB17 IVABRADINUM ** APREDONAV 5 mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 0.980517 0.349304 0.490258 0.839563 0.882465 0.447356
125 W42779003 C01EB17 IVABRADINUM ** CORLENTOR 7,5mg COMPR. FILM. 7,5mg LES LAB. SERVIER FRANTA CUTIE X 56 COMPR. FILM. (BLIST. AL/PVC TIP CALENDAR) P-6L 56 1.470776 0.315652 0.735388 1.051040 1.323698 0.462730
126 W62963004 C01EB17 IVABRADINUM ** BIXEBRA 7,5 mg COMPR. FILM. 7,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 1.470776 0.189938 0.735388 0.925326 1.323698 0.337016
128 W63259002 C01EB17 IVABRADINUM ** IVABRADINE ZENTIVA 7,5 mg COMPR. FILM. 7,5mg ZENIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 1.470776 0.009581 0.735388 0.744969 1.323698 0.156659
129 W63480001 C01EB17 IVABRADINUM ** RAENOM 7,5 mg COMPR. FILM. 7,5mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 1.470776 0.167438 0.735388 0.902826 1.323698 0.314516
130 W63444003 C01EB17 IVABRADINUM ** FELOCORD 7,5 mg COMPR. FILM. 7,5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. TIP CALENDAR OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 1.470776 0.360652 0.735388 1.096040 1.323698 0.507730
134 W62327003 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 mg COMPR. FILM. 0,2mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 1.015920 0.175508 0.507960 0.683468 0.914328 0.277100
1,240 W68789003 C02AC05 MOXONIDINUM PHYSIOTENS 0,2 mg COMPR. FILM. 0,2mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 1.015920 0.175508 0.507960 0.683468 0.914328 0.277100
203 W56278004 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 8 mg/2,5mg COMPR. 8mg/2,5mg KRKA-POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P-6L 30 0.871650 0.230016 0.435825 0.665841 0.784485 0.317181
204 W65267004 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSA 8 mg/2,5mg COMPR. 8mg/2,5mg KRKA D.D, NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.871650 0.230016 0.435825 0.665841 0.784485 0.317181
205 W54255004 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLITERAX 10 mg/2,5mg COMPR. FILM. 10mg/2,5mg
LES LAB. SERVIER FRANTA CUTIE X 1 FLAC. DIN PP CU CAPAC PEJD CU SILICAGEL X 30 COMPR. FILM. P-6L 30 0.871650 0.337683 0.435825 0.773508 0.784485 0.424848
206 W63520001 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PERINDOPRIL TOSILAT/INDAPAMIDA TEVA 10 mg/2,5 mg COMPR. FILM. 10mg/2,5mg
TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 30 COMPR. FILM. P6L 30 0.871650 0.231683 0.435825 0.667508 0.784485 0.318848
207 W52783004 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG 2,5mg/0,625mg COMPR. FILM. 2,5mg/0,625mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 0.871650 0.360016 0.435825 0.795841 0.784485 0.447181
209 W52784004 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) NOLIPREL ARG FORTE 5mg/1,25mg COMPR. FILM. 5mg/1,25mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PROPILENA X 30 COMPR. FILM. P-6L 30 0.871650 0.291016 0.435825 0.726841 0.784485 0.378181
213 W43137001 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE FORTE COMPR. FILM. 20mg/12,5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 0.871650 0.195683 0.435825 0.631508 0.784485 0.282848
Pagina 1 din 4
Prescriptie
Cod_CIM

Nr crt.
214 W64844001 C09BA06 COMBINATII (QUINAPRILUM+HYDROCHLOROTHIAZIDUM) ACCUZIDE FORTE 20 mg/12,5 mg COMPR. FILM. 20mg/12,5mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 3 BLIST. AL/PVC-AL-OPA X 10 COMPR. FILM. P-6L 30 0.871650 0.195683 0.435825 0.631508 0.784485 0.282848
221 W57912007 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM) AMLESSA 4 mg/5 mg COMPR. 4mg/5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.474444 0.080222 0.237222 0.317444 0.426999 0.127667
222 W58748001 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM) BEATIL 4 mg/ 5 mg COMPR. 4mg/5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. P6L 30 0.474444 0.080222 0.237222 0.317444 0.426999 0.127667
249 W56929003 C09CA03 VALSARTANUM DIOVAN 40 mg COMPR. FILM. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. TIP CALENDAR PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.353571 0.978214 0.176785 1.155000 0.318213 1.013572
250 W58948003 C09CA03 VALSARTANUM VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 0.353571 0.631071 0.176785 0.807857 0.318213 0.666429
251 W58948013 C09CA03 VALSARTANUM VAPRESS 40 mg COMPR. FILM. 40mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PCTFE/AL X 28 COMPR. FILM. P6L 28 0.353571 0.631071 0.176785 0.807857 0.318213 0.666429
252 W56931003 C09CA03 VALSARTANUM DIOVAN 80 mg COMPR. FILM. 80mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU BLIST. TIP CALENDAR PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.707142 0.326786 0.353571 0.680357 0.636427 0.397501
255 W55631001 C09CA03 VALSARTANUM DIOVAN 3 mg/ml SOL. ORALA 3mg/ml NOVARTIS PHARMA GMBH GERMANIA CUT IE X 1 FLACON DIN ST ICLA BRUNA X 160ML SOLUT IE ORALA + 1 T RUSA DE ADMINIST RARE (ADAPT OR PENT RU FLACON + 1 SERINGA DOZAT OARE A 5ML + 1 MASURA DOZAT OARE A 30ML ) P-6L 1 4.242854 21.847146 2.121427 23.968573 3.818568 22.271432
258 W54081003 C09CA04 IRBESARTANUM IRBESARTAN TERAPIA 150 mg COMPR. FILM. 150mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL, X 28 COMPR. FILM. P-6L 28 0.707142 0.006429 0.353571 0.360000 0.636427 0.077144
260 W60637006 C09CA04 IRBESARTANUM APROVEL 150mg COMPR. FILM. 150mg SANOFI CLIR SNC FRANTA CUTIE X BLIST PVC/PVDC/AL X 30 COMPR. FILM. P-6L 30 0.707142 0.581191 0.353571 0.934762 0.636427 0.651906
264 W66400006 C09CA04 IRBESARTANUM APROVEL 150mg COMPR. FILM. 150mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X BLIST PVC/PVDC/AL X 30 COMPR. FILM. P6L 30 0.707142 0.581191 0.353571 0.934762 0.636427 0.651906
271 W66401007 C09CA04 IRBESARTANUM APROVEL 300mg COMPR. FILM. 300mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X BLIST PVC/PVDC/AL X 30 COMPR. FILM. P6L 30 1.414284 0.248382 0.707142 0.955524 1.272855 0.389811
299 W05785002 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 1.414284 0.021073 0.707142 0.728215 1.272855 0.162502
341 W51851005 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 1.804021 0.292586 0.902010 1.194597 1.623618 0.472989
345 W64723005 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P6L 56 1.804021 0.292586 0.902010 1.194597 1.623618 0.472989
347 W51852005 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) EXFORGE 5mg/160mg COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 1.750961 0.242431 0.875480 1.117912 1.575864 0.417528
356 W62873006 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) AMLODIPINA/VALSARTAN STADA 5 mg/80 mg COMPR. FILM. 5mg/80mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 56 COMPR. FILM. P6L 56 0.902010 0.077275 0.451005 0.528280 0.811809 0.167476
358 W67663003 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) AMLODIPINA/VALSARTAN AUROBINDO 5 mg/80 mg COMPR. FILM. 5mg/80mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.902010 0.787990 0.451005 1.238995 0.811809 0.878191
359 W53445002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM INOVUM 20 mg/5 mg COMPR. FILM. 20mg/5mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBOURG CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 0.902010 0.881918 0.451005 1.332923 0.811809 0.972119
363 W66041002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM SALVO 20 mg/5 mg COMPR. FILM. 20mg/5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.902010 0.781918 0.451005 1.232923 0.811809 0.872119
364 W66702002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLSSA 20 mg/5 mg COMPR. FILM. 20mg/5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-PVC/AL X 28 COMPR. FILM. P6L 28 0.902010 0.782275 0.451005 1.233280 0.811809 0.872476
365 W66702011 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLSSA 20 mg/5 mg COMPR. FILM. 20mg/5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU UN PACHET CALENDAR DIN OPA-PVC/AL X 28 COMPR. FILM. P6L 28 0.902010 0.782275 0.451005 1.233280 0.811809 0.872476
366 W68064002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM SEVIKAR 20 mg/5 mg COMPR. FILM. 20mg/5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.902010 1.225490 0.451005 1.676495 0.811809 1.315691
1,201 W67835002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM REVERANTZA 20 mg/5 mg COMPR. FILM. 20mg/5mg SWYSSI AG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.902010 0.747632 0.451005 1.198637 0.811809 0.837833
360 W64426002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM SEVIKAR 20 mg/5 mg COMPR. FILM. 20mg/5mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.902010 1.225490 0.451005 1.676495 0.811809 1.315691
361 W65814001 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLMESARTAN MEDOXOMIL/AMLODIPINA ACCORD 20 mg/5 mg COMPR. FILM. 20mg/5mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.902010 0.501204 0.451005 0.952209 0.811809 0.591405
362 W65814006 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLMESARTAN MEDOXOMIL/AMLODIPINA ACCORD 20 mg/5 mg COMPR. FILM. 20mg/5mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.902010 0.501204 0.451005 0.952209 0.811809 0.591405
1,202 W67836002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM REVERANTZA 40 mg/5 mg COMPR. FILM. 40mg/5mg SWYSSI AG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1.623619 0.267452 0.811809 1.079262 1.461257 0.429814
397 W12893001 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 0.321910 0.325756 0.160955 0.486711 0.289719 0.357947
398 W54696006 C10AA05 ATORVASTATINUM ATORIS 10 mg COMPR. FILM. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR.FILM. P-6L 28 0.321910 0.078090 0.160955 0.239045 0.289719 0.110281
399 W55516003 C10AA05 ATORVASTATINUM ASCORD 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 0.321910 0.061090 0.160955 0.222045 0.289719 0.093281
401 W64877001 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg BELGIA
PFIZER EUROPE MA EEIG CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.321910 0.325756 0.160955 0.486711 0.289719 0.357947
402 W65497005 C10AA05 ATORVASTATINUM ATORVASTATIN TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.321910 0.061090 0.160955 0.222045 0.289719 0.093281
403 W65547003 C10AA05 ATORVASTATINUM ATORVASTATINA ARENA 10 mg COMPR. FILM. 10mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL A CATE 10 COMPRIMATE FILMATE P6L 30 0.321910 0.458423 0.160955 0.619378 0.289719 0.490614
407 W67270001 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg UPJOHN EESV OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.321910 0.325756 0.160955 0.486711 0.289719 0.357947
412 W64878001 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.643821 0.465179 0.321910 0.787090 0.579438 0.529562
414 W65548003 C10AA05 ATORVASTATINUM ATORVASTATINA ARENA 20 mg COMPR. FILM. 20mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL A CATE 10 COMPRIMATE FILMATE P6L 30 0.643821 0.369179 0.321910 0.691090 0.579438 0.433562
424 W64879006 C10AA05 ATORVASTATINUM SORTIS 40 mg COMPR. FILM. 40mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P6L 14 1.287642 0.033072 0.643821 0.676893 1.158877 0.161837
441 W55327002 C10AA07 ROSUVASTATINUM ROSUCARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0.643821 0.045512 0.321910 0.367423 0.579438 0.109895
443 W59899004 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.643821 0.032964 0.321910 0.354875 0.579438 0.097347
444 W59899017 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 0.643821 0.032964 0.321910 0.354875 0.579438 0.097347
446 W61054001 C10AA07 ROSUVASTATINUM ROSUVASTATINA ATB 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 0.579333 0.000000 0.289666 0.289667 0.521399 0.057934
448 W64682002 C10AA07 ROSUVASTATINUM ROSI 10 mg COMPR. FILM. 10mg SWYSSI AG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.643821 0.356845 0.321910 0.678756 0.579438 0.421228
449 W65079001 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 0.643821 0.561179 0.321910 0.883090 0.579438 0.625562
458 W64684002 C10AA07 ROSUVASTATINUM ROSI 20 mg COMPR. FILM. 20mg SWYSSI AG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 1.287642 0.217358 0.643821 0.861179 1.158877 0.346123
Pagina 2 din 4
Prescriptie
Cod_CIM

Nr crt.
470 W59898004 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.321910 0.022732 0.160955 0.183687 0.289719 0.054923
471 W59898017 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 0.321910 0.022732 0.160955 0.183687 0.289719 0.054923
472 W60391003 C10AA07 ROSUVASTATINUM ROVASTAMED 5mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.321910 0.579875 0.160955 0.740830 0.289719 0.612066
474 W65077001 C10AA07 ROSUVASTATINUM CRESTOR 5 mg COMPR. FILM. 5mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 0.321910 0.872732 0.160955 1.033687 0.289719 0.904923
476 W51918006 C10AX09 EZETIMIBUM EZETROL 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PCTFE/PVC/AL X 14 COMPR. P-RF 28 1.129332 0.796739 0.564666 1.361405 1.016398 0.909673
477 W60949001 C10AX09 EZETIMIBUM COLTOWAN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-PE-PVC/AL X 30 COMPR. PRF 30 1.129332 0.014001 0.564666 0.578667 1.016398 0.126935
478 W65800016 C10AX09 EZETIMIBUM EZETIMIB ACCORD 10 mg COMPR. 10mg POLONIA
ACCORD HEALTHCARE POLSKA SP. Z O.O. CUTIE CU BLIST. AL-PVC/ACLAR X 30 COMPR. PRF 30 1.129332 0.434334 0.564666 0.999000 1.016398 0.547268
1,219 W68118006 C10AX09 EZETIMIBUM EZETROL 10 mg COMPR. 10mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 2 BLIST. DIN POLICLOROTRIFLUOROETILENA/PVC/AL X 14 COMPR. PRF 28 1.129332 0.796739 0.564666 1.361405 1.016398 0.909673
835 W60296004 M05BA04 ACIDUM ALENDRONICUM * FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 5.170200 7.104800 2.585100 9.689900 4.653180 7.621820
836 W60296002 M05BA04 ACIDUM ALENDRONICUM * FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 5.170200 6.467300 2.585100 9.052400 4.653180 6.984320
1,231 W68213002 M05BA04 ACIDUM ALENDRONICUM * FOSAMAX 70 mg COMPR. 70mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 5.170200 6.467300 2.585100 9.052400 4.653180 6.984320
1,232 W68213004 M05BA04 ACIDUM ALENDRONICUM * FOSAMAX 70 mg COMPR. 70mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 5.170200 7.104800 2.585100 9.689900 4.653180 7.621820
1,262 W63265001 M05BA04 ACIDUM ALENDRONICUM * BINOSTO 70 mg COMPR. EFF. 70 mg GALENICA SA GRECIA CUTIE CU 2 BENZI DIN HARTIE/PE/AL/ZN-IONOMER X 2 COMPR. EFF. P6L 4 5.170200 11.424800 2.585100 14.009900 4.653180 11.941820
839 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 5.170200 3.800633 2.585100 6.385733 4.653180 4.317653
843 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 5.170200 7.142300 2.585100 9.727400 4.653180 7.659320
845 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 5.170200 7.142300 2.585100 9.727400 4.653180 7.659320
846 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 11.079000 13.556000 5.539500 19.095500 9.971100 14.663900
847 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 11.079000 13.556000 5.539500 19.095500 9.971100 14.663900
848 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 11.079000 3.536000 5.539500 9.075500 9.971100 4.643900
849 W66935003 M05BA07 ACIDUM RISEDRONICUM * ACTONEL 35 mg COMPR. GASTROREZ. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU BLIST. PVC/AL X 4 COMPR. P6L 4 5.170200 16.159800 2.585100 18.744900 4.653180 16.676820
850 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 5.170200 1.377300 2.585100 3.962400 4.653180 1.894320
851 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 5.170200 7.207300 2.585100 9.792400 4.653180 7.724320
852 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 5.170200 3.884800 2.585100 6.469900 4.653180 4.401820
853 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 5.170200 3.884800 2.585100 6.469900 4.653180 4.401820
854 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 5.170200 0.404800 2.585100 2.989900 4.653180 0.921820
855 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 5.170200 0.404800 2.585100 2.989900 4.653180 0.921820
856 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 5.170200 0.404800 2.585100 2.989900 4.653180 0.921820
857 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 5.170200 1.762300 2.585100 4.347400 4.653180 2.279320
858 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 5.170200 7.504800 2.585100 10.089900 4.653180 8.021820
859 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 5.170200 4.189800 2.585100 6.774900 4.653180 4.706820
860 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 5.170200 7.504800 2.585100 10.089900 4.653180 8.021820
861 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 5.170200 4.189800 2.585100 6.774900 4.653180 4.706820
885 W63613001 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 125 mg CAPS. 125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 CAPS. PRF 14 1.718032 1.116968 0.859016 1.975984 1.546228 1.288772
887 W63613008 N03AX16 PREGABALINUM ** # PREGABALINA TERAPIA 125 mg CAPS. 125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF 14 1.718032 1.116968 0.859016 1.975984 1.546228 1.288772
898 W63186001 N03AX16 PREGABALINUM ** # SIRANALEN 150 mg CAPS. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF 14 2.061642 0.738358 1.030821 1.769179 1.855477 0.944523
900 W63186008 N03AX16 PREGABALINUM ** # SIRANALEN 150 mg CAPS. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PVDC/AL X 14 CAPS. PRF 14 2.061642 0.738358 1.030821 1.769179 1.855477 0.944523
918 W63187001 N03AX16 PREGABALINUM ** # SIRANALEN 300 mg CAPS. 300mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 CAPS. PRF 14 4.123285 0.441715 2.061642 2.503358 3.710956 0.854044
920 W63187008 N03AX16 PREGABALINUM ** # SIRANALEN 300 mg CAPS. 300mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PVDC/AL X 14 CAPS. PRF 14 4.123285 0.441715 2.061642 2.503358 3.710956 0.854044
927 W41743001 N03AX16 PREGABALINUM ** # LYRICA 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE X 14 CAPS., (BLIST. PVC/AL) P-RF 14 1.030821 0.102036 0.515410 0.617447 0.927738 0.205119
941 W64906001 N03AX16 PREGABALINUM ** # LYRICA 75 mg CAPS. 75mg BELGIA CUTIE X 14 CAPS. (BLIST. PVC/AL) PRF
PFIZER EUROPE MA EEIG 14 1.030821 0.102036 0.515410 0.617447 0.927738 0.205119
947 W66796001 N03AX16 PREGABALINUM ** # LYRICA 75 mg CAPS. 75mg UPJOHN EESV OLANDA CUTIE X 14 CAPS. (BLIST. PVC/AL) PRF 14 1.030821 0.102036 0.515410 0.617447 0.927738 0.205119
949 W64181001 N03AX16 PREGABALINUM ** # SIRANALEN 20 mg/ml SOL. ORALA 20mg/ml MEDOCHEMIE LTD. CIPRU PRF
CUTIE CU 1 FLAC. PEID CONTINAND 473 ML SOL. ORALA, O SERINGA PT. ADMINISTRARE ORALA, UN ADAPTOR DIN PLASTIC ALB CARE SE ATASEAZA LA FLAC. PRIN IMPINGERE 1 130.020925 20.649075 65.010462 85.659538 117.018832 33.651168
1,029 W57876003 N07CA01 BETAHISTINUM VERTIMED 16 mg COMPR. 16mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. P6L 30 0.350282 0.049384 0.175141 0.224525 0.315253 0.084413
1,030 W56369001 N07CA01 BETAHISTINUM BETAHISTINA LPH 16 mg COMPR. 16mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0.350282 0.292384 0.175141 0.467525 0.315253 0.327413
1,033 W57312003 N07CA01 BETAHISTINUM BETAHISTINA LPH 24 mg COMPR. 24 mg LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 60 0.525425 0.000075 0.262712 0.262788 0.472882 0.052618
1,035 W55890001 N07CA01 BETAHISTINUM BETAHISTINA MCC 24 mg COMPR. 24mg MAGISTRA C&C SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 20 0.525425 0.000075 0.262712 0.262788 0.472882 0.052618
1,040 W61967003 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg BGP PRODUCTS B.V. OLANDA CUTIE CU 3 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 60 0.525425 0.307075 0.262712 0.569788 0.472882 0.359618
1,041 W61967001 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg BGP PRODUCTS B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 20 0.525425 0.333575 0.262712 0.596288 0.472882 0.386118
1,044 W64556001 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg MYLAN HEALTHCARE B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 20 0.525425 0.333575 0.262712 0.596288 0.472882 0.386118
1,254 W68853001 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 20 0.525425 0.333575 0.262712 0.596288 0.472882 0.386118
1,049 W57875009 N07CA01 BETAHISTINUM VERTIMED 8 mg COMPR. 8mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 100 COMPR. P6L 100 0.175141 0.021659 0.087570 0.109230 0.157626 0.039174
1,050 W56368004 N07CA01 BETAHISTINUM BETAHISTINA LPH 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 90 0.175141 0.021525 0.087570 0.109096 0.157626 0.039040
1,051 W62009002 N07CA01 BETAHISTINUM BETASERC 8 mg COMPR. 8mg BGP PRODUCTS B.V. OLANDA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 0.175141 0.078159 0.087570 0.165730 0.157626 0.095674
1,053 W66441006 N07CA01 BETAHISTINUM BETAHISTINA DICLORHIDRAT AUROBINDO 8 mg COMPR. 8mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 0.175141 0.021659 0.087570 0.109230 0.157626 0.039174
1,054 W62326004 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. ORODISPERSABILE 24mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. ORODISPERSABILE P6L 60 0.525425 0.427408 0.262712 0.690121 0.472882 0.479951
1,055 W66245004 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. ORODISPERSABILE 24mg MYLAN IRE HEALTHCARE LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. ORODISPERSABILE P6L 60 0.525425 0.427408 0.262712 0.690121 0.472882 0.479951
Pagina 3 din 4
Prescriptie
Cod_CIM

Nr crt.
1,233 W68647004 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. ORODISPERSABILE 24mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. ORODISPERSABILE P6L 60 0.525425 0.427408 0.262712 0.690121 0.472882 0.479951
1,114 W57488004 R03BB04 TIOTROPIUM * SPIRIVA 18 micrograme CAPS. CU PULB. INHAL. 18micrograme BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT + 1 DISPOZITIV HANDIHALER PRF 30 4.336499 0.253834 2.168249 2.422084 3.902849 0.687484
1,116 W58575005 R03BB04 TIOTROPIUM * SPIRIVA RESPIMAT 2,5 micrograme SOL. DE INHALAT 2,5micrograme BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 1 INHALATOR RESPIMAT RE-UTILIZABIL SI 1 CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MEDICINALE) SOL. DE INHALAT PRF 1 130.094985 7.615015 65.047492 72.662508 117.085486 20.624514
1,117 W58575007 R03BB04 TIOTROPIUM * SPIRIVA RESPIMAT 2,5 micrograme SOL. DE INHALAT 2,5micrograme BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 1 CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MEDICINALE) SOL. DE INHALAT PRF 1 130.094985 13.955015 65.047492 79.002508 117.085486 26.964514
1,118 W59574003 R03BB06 GLICOPIRONIUM BROMIDUM ** SEEBRI BREEZHALER CAPS. CU PULB. INHAL. 44 micrograme NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PERFORATE PA-AL-PVC/AL CE CONTINE 30 X 1 CAPSULA CU PULBERE PENTRU INHALAT INSOTITE DE UN INHALATOR PRF 30 4.336499 0.248834 2.168249 2.417084 3.902849 0.682484
1,119 W64726003 R03BB06 GLICOPIRONIUM BROMIDUM ** SEEBRI BREEZHALER CAPS. CU PULB. INHAL. 44 micrograme NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PERFORATE PA-AL-PVC/AL CE CONTINE 30 X 1 CAPSULA CU PULBERE PENTRU INHALAT INSOTITE DE UN INHALATOR PRF 30 4.336499 0.248834 2.168249 2.417084 3.902849 0.682484
1,133 W58747005 R03DC03 MONTELUKASTUM * SINGULAIR 4 mg COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.600428 1.873143 0.300214 2.173357 0.540385 1.933186
1,134 W66475005 R03DC03 MONTELUKASTUM * MONTELUKAST AUROBINDO 4 mg COMPR. MAST. 4mg ROMANIA
AUROBINDO PHARMA ROMANIA S.R.L. CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.600428 0.169929 0.300214 0.470143 0.540385 0.229972
1,136 W51361004 R03DC03 MONTELUKASTUM * SINGULAIR 5 mg COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P6L 28 0.750535 1.723036 0.375267 2.098304 0.675481 1.798090
1,137 W56685005 R03DC03 MONTELUKASTUM * MONKASTA 5 mg COMPR. MAST. 5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L 28 0.750535 0.000179 0.375267 0.375447 0.675481 0.075233
1,139 W66474005 R03DC03 MONTELUKASTUM * MONTELUKAST AUROBINDO 5 mg COMPR. MAST. 5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.750535 0.077679 0.375267 0.452947 0.675481 0.152733
1,140 W58090003 R03DC03 MONTELUKASTUM * SINGULAIR 4 mg GRANULE 4mg MERCK SHARP & DOHME ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L 28 0.600428 1.960286 0.300214 2.260500 0.540385 2.020329
1,236 W68298005 R03DC03 MONTELUKASTUM * SINGULAIR 4 mg COMPR. MAST. 4mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.600428 1.873143 0.300214 2.173357 0.540385 1.933186
1,237 W68217002 R03DC03 MONTELUKASTUM * SINGULAIR 5 mg COMPR. MAST. 5mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P6L 28 0.750535 1.723036 0.375267 2.098304 0.675481 1.798090
1,238 W68297003 R03DC03 MONTELUKASTUM * SINGULAIR 4 mg GRANULE 4mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L 28 0.600428 1.960286 0.300214 2.260500 0.540385 2.020329
1,173 W10602001 S01AA12 TOBRAMYCINUM TOBREX PIC. OFT.,SOL. 3mg/ml ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON DIN PEJD CU PICURATOR X 5 ML PIC. OFTALMICE, SOL. P-RF 1 8.573749 0.146251 4.286874 4.433126 7.716374 1.003626
1,174 W63542001 S01AA12 TOBRAMYCINUM TOBREX 3 mg/ml PIC. OFT.,SOL. 3mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 1 FLACON DIN PEJD, PREVAZUT CU PICURATOR DIN PEJD CARE CONTINE 5 ML PIC. OFTALMICE, SOL. PRF 1 8.573749 0.146251 4.286874 4.433126 7.716374 1.003626
1,177 W05932001 S01AA12 TOBRAMYCINUM TOBREX (R) UNG. OFT. 0,3% ALCON COUVREUR NV BELGIA CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF 1 6.430312 3.029688 3.215156 6.244844 5.787280 3.672720
1,178 W63543001 S01AA12 TOBRAMYCINUM TOBREX 3 mg/g UNG. OFT. 3mg/g NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 TUB DIN AL X 3,5 G UNGUENT OFTALMIC P-RF 1 6.430312 3.029688 3.215156 6.244844 5.787280 3.672720
SE ELIMINA
66 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 9.414165 0.032835 4.707082 4.739918 8.472748 0.974252
67 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 9.414165 0.032835 4.707082 4.739918 8.472748 0.974252
68 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 9.414165 0.032835 4.707082 4.739918 8.472748 0.974252
94 W58717002 B01AC18 TRIFLUSALUM PLATROX 300 mg CAPS. 300 mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 5 BLIST. AL-PVC/PVDC X 10 CAPS. PRF 50 0.579945 0.189855 0.289972 0.479828 0.521950 0.247850
122 W63904002 C01EB17 IVABRADINUM ** IVABRADINA AUROBINDO 5 mg COMPR. FILM. 5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 0.956838 0.523519 0.478419 1.001938 0.861154 0.619203
131 W63905001 C01EB17 IVABRADINUM ** IVABRADINA AUROBINDO 7,5 mg COMPR. FILM. 7,5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. P6L 56 1.435258 0.045099 0.717629 0.762728 1.291732 0.188625
147 W55035003 C07AB12 NEBIVOLOLUM NEBINORM 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 0.253333 0.000000 0.126666 0.126667 0.227999 0.025334
175 W55290004 C09AA04 PERINDOPRILUM PRINDEX 4 mg COMPR. 4mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 0.342000 0.094000 0.171000 0.265000 0.307800 0.128200
180 W55291004 C09AA04 PERINDOPRILUM PRINDEX 8 mg COMPR. 8mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-6L 30 0.684000 0.005333 0.342000 0.347333 0.615600 0.073733
195 W56887001 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRINDEX PLUS 2 mg/0,625 mg COMPR. 2 mg/0,625mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L 30 0.617333 0.000000 0.308666 0.308667 0.555599 0.061734
199 W56888001 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) PRINDEX PLUS 4 mg/1,25mg COMPR. 4 mg/1,25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC/PVDC-AL IN AMBALAJ DE AL X 30 (30X1) COMPR. P6L 30 0.836666 0.000000 0.418333 0.418333 0.752999 0.083667
220 W64004001 C09BB04 COMBINATII (PERINDOPRILUM+AMLODIPINUM) PERINDOPRIL/AMLODIPINA ZENTIVA 4 mg/10 mg COMPR. 4mg/10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. A/AL (OPA-AL-PVC/AL) X 30 COMPR. P6L 30 0.764049 0.043284 0.382024 0.425309 0.687644 0.119689
302 W57129003 C09CA07 TELMISARTANUM TELMARK 40 mg COMPR. FILM. 40mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L 28 0.655000 0.000000 0.327500 0.327500 0.589500 0.065500
303 W57130003 C09CA07 TELMISARTANUM TELMARK 80 mg COMPR. FILM. 80mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 28 COMPR. FILM. P6L 28 0.461785 0.000000 0.230892 0.230893 0.415606 0.046179
342 W62738003 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) AMLODIPINA/VALSARTAN ZENTIVA 10 mg/160 mg COMPR. FILM. 10mg/160mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 28 COMPR. FILM. P6L 28 1.814285 0.645357 0.907142 1.552500 1.632856 0.826786
405 W66444003 C10AA05 ATORVASTATINUM ATORVASTATINA AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.142666 0.000000 0.071333 0.071333 0.128399 0.014267
406 W66444016 C10AA05 ATORVASTATINUM ATORVASTATINA AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L 30 0.142666 0.000000 0.071333 0.071333 0.128399 0.014267
417 W66445016 C10AA05 ATORVASTATINUM ATORVASTATINA AUROBINDO 20 mg COMPR. FILM. 20mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P6L 30 0.281333 0.000000 0.140666 0.140667 0.253199 0.028134
429 W66446016 C10AA05 ATORVASTATINUM ATORVASTATINA AUROBINDO 40 mg COMPR. FILM. 40mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. FILM. P6L 30 0.526333 0.000000 0.263166 0.263167 0.473699 0.052634
439 W66447013 C10AA05 ATORVASTATINUM ATORVASTATINA AUROBINDO 80 mg COMPR. FILM. 80mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. FILM. P6L 30 0.770333 0.000000 0.385166 0.385167 0.693299 0.077034
468 W66472004 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 40 mg COMPR. FILM. 40mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0.755666 0.000000 0.377833 0.377833 0.680099 0.075567
475 W66469004 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 5 mg COMPR. FILM. 5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0.208000 0.000000 0.104000 0.104000 0.187200 0.020800
908 W66013005 N03AX16 PREGABALINUM ** # PREGABALINA AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 CAPS. PRF 60 0.646166 0.000000 0.323083 0.323083 0.581549 0.064617
946 W66012005 N03AX16 PREGABALINUM ** # PREGABALINA AUROBINDO 75 mg CAPS. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 CAPS. PRF 60 0.571666 0.000000 0.285833 0.285833 0.514499 0.057167
957 W55288001 N04BC05 PRAMIPEXOLUM * GLEPARK 0,7 mg COMPR. 0,7mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 0.849600 1.363066 0.424800 1.787866 0.764640 1.448026
1,031 W66442004 N07CA01 BETAHISTINUM BETAHISTINA DICLORHIDRAT AUROBINDO 16 mg COMPR. 16mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. P6L 60 0.350299 0.043201 0.175149 0.218351 0.315269 0.078231
1,127 W58991005 R03DC03 MONTELUKASTUM * MONTELUKAST AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.873000 0.136285 0.436500 0.572785 0.785700 0.223585
1,128 W66468005 R03DC03 MONTELUKASTUM * MONTELUKAST AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.873000 0.136285 0.436500 0.572785 0.785700 0.223585
1,132 W58990005 R03DC03 MONTELUKASTUM * MONTELUKAST AUROBINDO 4 mg COMPR. MAST. 4mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.616071 0.154286 0.308035 0.462322 0.554463 0.215894
1,138 W58989005 R03DC03 MONTELUKASTUM * MONTELUKAST AUROBINDO 5 mg COMPR. MAST. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.770089 0.058125 0.385044 0.443170 0.693080 0.135134
1,175 W42218001 S01AA12 TOBRAMYCINUM TOBREX 2 X PICATURI OFT.-SOL. 0,3% ALCON COUVREUR NV BELGIA CUTIE CU 1 FLAC. DIN PEJD, PREVAZUT CU PICURATOR DIN PEJD CARE CONTINE 5 ML PIC. OFT., SOL. P-RF 1 8.622499 13.177501 4.311249 17.488751 7.760249 14.039751
Pagina 4 din 4
ANEXA 8
(ANEXA 2c la Ordinul CNAS nr. 116/2022)
SECŢIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREŢUL DE REFERINŢĂ CONFORM
DCI-urilor UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI
DIN H.G. NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE;
MEDICAMENTELE DIN ACEASTĂ SUBLISTĂ SE ELIBEREAZĂ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZĂ DE PRESCRIPŢIE MEDICALĂ CU REŢINERE ÎN FARMACIE
VALABILĂ ÎNCEPÂND CU 01 FEBRUARIE 2023
Val. maxima suportata Contributie maxima

de sistemul de asigurari a asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
Prescriptie
cant. (pt. asiguratii care beneficiaza de
Cod_CIM
UT/ Pret de beneficiaza de compensare 100%

Nr crt.
TARA amba referinta / UT compensare 100% din din pretul de

cod ATC DCI Denumire Comerciala forma farm. concentratie DETINATOR APP DET. APP AMBALAJ laj (RON) pretul de referinta) referinta)
1.INSUFICIENTA CARDIACA CRONICA(CLASA III SAU IV NYHA) - G 1
SE ADAUGA
244 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 6.512000 6.512000 0.000000
245 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 7.183555 7.183555 0.000000
246 W60940002 A10BK03 EMPAGLIFLOZINUM ** JARDIANCE 10mg COMPR. FILM. 10mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 90X1 COMPR. FILM. PRF 90 7.170888 7.170888 0.000000
SE MODIFICA
3 W58535002 C01AA05 DIGOXINUM DIGOXINA ZENTIVA 0,25 mg COMPR. 0,25mg ZENTIVA S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 25 COMPR. P-RF 25 0.594000 0.594000 0.000000
66 W04501004 C07AB12 NEBIVOLOLUM ** NEBILET 5 mg COMPR. 5mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 0.537999 0.537999 0.142715
67 W53839001 C07AB12 NEBIVOLOLUM ** NOLET 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. PVC- PE- PVDC/AL X 10 COMPR. P-6L 30 0.460333 0.460333 0.000000
69 W64198003 C07AB12 NEBIVOLOLUM ** NEBIVOLOL AUROBINDO 5 mg COMPR. 5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. P6L 30 0.448333 0.448333 0.000000
70 W64800005 C07AB12 NEBIVOLOLUM ** NEBIVOLOL TEVA 5 mg COMPR. 5mg TEVA B.V. OLANDA CUTIE CU 3 BLIST. PVDC/AL X 10 COMPR. P6L 30 0.462666 0.462666 0.000000
71 W65312001 C07AB12 NEBIVOLOLUM ** NOLET 5 mg COMPR. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 0.460333 0.460333 0.000000
SE ELIMINA
4 W66390001 C01AA05 DIGOXINUM DIGOXIN LECIVA 0,25 mg COMPR. 0,25mg S.C. ZENTIVA S.A. ROMANIA CUTIE CU 1 BLISTER X 30 COMPR. PRF 30 0.287000 0.287000 0.000000
68 W55035003 C07AB12 NEBIVOLOLUM ** NEBINORM 5 mg COMPR. 5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. P-6L 30 0.253333 0.253333 0.000000
4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C şi D - G4
SE MODIFICA
30 W63756007 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 13.112400 13.112400 15.392933
31 W63933001 J05AF10 ENTECAVIRUM **1 ENTECAVIR SANDOZ 1 mg COMPR. FILM. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 13.112400 13.112400 21.956600
32 W63756010 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 13.112400 13.112400 15.392933
34 W63814001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ALVOGEN 1 mg COMPR. FILM. 1mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 13.112400 13.112400 34.831600
35 W63756002 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 13.112400 13.112400 15.392933
36 W63756005 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30X1 COMPR. FILM. PR 30 13.112400 13.112400 15.392933
38 W65672001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ACCORD 1 mg COMPR. FILM. 1mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 30 X 1 COMPR. FILM. PR 30 13.112400 13.112400 11.667600
40 W65512001 J05AF10 ENTECAVIRUM **1 ENTECAVIR TERAPIA 1 mg COMPR. FILM. 1mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL CONTINAND 30X1 COMPR. FILM. PR 30 13.112400 13.112400 8.584266
65 W68664001 J05AF10 ENTECAVIRUM **1 ENTECAVIR LABORMED 1 mg COMPR. FILM. 1mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 13.112400 13.112400 34.831600
67 W68897001 J05AP01 RIBAVIRINUM **1 VIRON 200 mg CAPS. 200mg CN UNIFARM S.A. ROMANIA CUTIE CU BLIST. DIN PVC/PVDC/AL X 140 CAPSULE PRF 140 4.295357 4.295357 0.000000
44 W64756001 J05AP51 COMBINATII (LEDIPASVIRUM+SOFOSBUVIRUM) **1 β HARVONI 90 mg/400 mg COMPR. FILM. 90mg/400mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. PEID PREVAZUT CU UN SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. FILM. PR 28 2,155.721785 2,155.721785 0.000000
45 W64675001 J05AP53 OMBITASVIRUM+PARITAPREVIRUM+RITONAVIRUM **1 β VIEKIRAX COMPR. FILM. 12,5 mg+75 mg+50 mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPR. FILM. (AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPR. FILM. FIECARE) PR 56 194.662321 194.662321 0.000000
46 W64754001 J05AP55 COMBINATII (SOFOSBUVIRUM+VELPATASVIRUM) **1 β EPCLUSA 400mg/100mg COMPR. FILM. 400mg/100mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. PEID PREVAZUT CU SISTEM SECURIZAT PENTRU COPII X 28 COMPR. FILM. PR 28 1,460.103214 1,460.103214 0.000000
48 W65905001 J05AP57 COMBINATII (GLECAPREVIRUM + PIBRENTASVIRUM) **1 β MAVIRET 100 mg/40 mg COMPR. FILM. 100mg/40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 4 BLIST. PVC/PE/PCTFE/AL X 21 COMPR. FILM PR 84 624.816666 624.816666 0.000000
SE ELIMINA
37 W64008001 J05AF10 ENTECAVIRUM **1 ENTECAVIR AUROBINDO 1 mg COMPR. FILM. 1mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9.106000 9.106000 0.000000
39 W65516002 J05AF10 ENTECAVIRUM **1 VIREN 1 mg COMPR. FILM. 1mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE AL/AL X 30X1 COMPR. FILM. PR 30 10.927200 10.927200 0.330466
42 W66449009 J05AP01 RIBAVIRINUM **1 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 2.085059 2.085059 0.000000
Pagina 1 din 5
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Tratamentul se iniţiază de către medicul în specialitatea gastroenterologie, boli infecţioase, nefrologie (doar pentru pacienţii cu afectare renală consecutivă infecţiei cu virusuri hepatitice), gastroenterologie pediatrică şi pediatrie cu
supraspecializare/competenţă/atestat în gastroenterologie pediatrică.
7. CIROZA HEPATICA - G7
SE MODIFICA
45 W63756007 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 13.112400 13.112400 15.392933
46 W63933001 J05AF10 ENTECAVIRUM **1 ENTECAVIR SANDOZ 1 mg COMPR. FILM. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 13.112400 13.112400 21.956600
47 W63756010 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 13.112400 13.112400 15.392933
49 W63814001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ALVOGEN 1 mg COMPR. FILM. 1mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 13.112400 13.112400 34.831600
50 W63756002 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 13.112400 13.112400 15.392933
51 W63756005 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30X1 COMPR. FILM. PR 30 13.112400 13.112400 15.392933
53 W65672001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ACCORD 1 mg COMPR. FILM. 1mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 30 X 1 COMPR. FILM. PR 30 13.112400 13.112400 11.667600
55 W65512001 J05AF10 ENTECAVIRUM **1 ENTECAVIR TERAPIA 1 mg COMPR. FILM. 1mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL CONTINAND 30X1 COMPR. FILM. PR 30 13.112400 13.112400 8.584266
83 W68664001 J05AF10 ENTECAVIRUM **1 ENTECAVIR LABORMED 1 mg COMPR. FILM. 1mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 13.112400 13.112400 34.831600
85 W68897001 J05AP01 RIBAVIRINUM **1 VIRON 200 mg CAPS. 200mg CN UNIFARM S.A. ROMANIA CUTIE CU BLIST. DIN PVC/PVDC/AL X 140 CAPSULE PRF 140 4.295357 4.295357 0.000000
59 W64756001 J05AP51 COMBINATII (LEDIPASVIRUM+SOFOSBUVIRUM) **1 β HARVONI 90 mg/400 mg COMPR. FILM. 90mg/400mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. PEID PREVAZUT CU UN SISTEM DE INCHIDERE SECURIZAT PT. COPII X 28 COMPR. FILM. PR 28 2,155.721785 2,155.721785 0.000000
60 W64675001 J05AP53 OMBITASVIRUM+PARITAPREVIRUM+RITONAVIRUM **1 β VIEKIRAX COMPR. FILM. 12,5 mg+75 mg+50 mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPR. FILM. (AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPR. FILM. FIECARE) PR 56 194.662321 194.662321 0.000000
61 W64754001 J05AP55 COMBINATII (SOFOSBUVIRUM+VELPATASVIRUM) **1 β EPCLUSA 400mg/100mg COMPR. FILM. 400mg/100mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. PEID PREVAZUT CU SISTEM SECURIZAT PENTRU COPII X 28 COMPR. FILM. PR 28 1,460.103214 1,460.103214 0.000000
63 W65905001 J05AP57 COMBINATII (GLECAPREVIRUM + PIBRENTASVIRUM) **1 β MAVIRET 100 mg/40 mg COMPR. FILM. 100mg/40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 4 BLIST. PVC/PE/PCTFE/AL X 21 COMPR. FILM PR 84 624.816666 624.816666 0.000000
SE ELIMINA
52 W64008001 J05AF10 ENTECAVIRUM **1 ENTECAVIR AUROBINDO 1 mg COMPR. FILM. 1mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9.106000 9.106000 0.000000
54 W65516002 J05AF10 ENTECAVIRUM **1 VIREN 1 mg COMPR. FILM. 1mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE AL/AL X 30X1 COMPR. FILM. PR 30 10.927200 10.927200 0.330466
57 W66449009 J05AP01 RIBAVIRINUM **1 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 2.085059 2.085059 0.000000
Tratamentul se iniţiază de către medicul în specialitatea gastroenterologie, boli infecţioase, nefrologie (doar pentru pacienţii cu afectare renală consecutivă infecţiei cu virusuri hepatitice), gastroenterologie pediatrică şi pediatrie cu
supraspecializare/competenţă/atestat în gastroenterologie pediatrică.
8. MEDICAMENTE DE SUPORT PENTRU AFECŢIUNI ONCOLOGICE, HEMATOLOGICE ŞI PENTRU TERAPIA DURERII - G10
SE ELIMINA
81 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 19.905199 19.905199 44.228372
137 W64671001 L01XX35 ANAGRELIDUM ** ANAGRELIDA SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 100 CAPS. PR 100 5.431080 5.431080 0.695920
9. EPILEPSIE - G11
SE ELIMINA
107 W66013005 N03AX16 PREGABALINUM ** PREGABALINA AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 CAPS. PRF 60 0.646166 0.646166 0.000000
145 W66012005 N03AX16 PREGABALINUM ** PREGABALINA AUROBINDO 75 mg CAPS. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 CAPS. PRF 60 0.571666 0.571666 0.000000
Tratamentul se iniţiază de către medicul în specialitatea neurologie şi neurologie pediatrică.
10. BOALA PARKINSON ŞI ALTE AFECŢIUNI NEUROLOGICE - G12
SE ADAUGA
79 W67762001 L01EE04 SELUMETINIBUM **1 KOSELUGO 10 mg CAPS. 10mg ASTRAZENECA AB SUEDIA CUTIE CU FLAC. DIN PLASTIC DIN HDPE X 60 CAPS. PR 60 444.284000 444.284000 0.000000
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80 W67763001 L01EE04 SELUMETINIBUM **1 KOSELUGO 25 mg CAPS. 25mg ASTRAZENECA AB SUEDIA CUTIE CU FLAC. DIN PLASTIC DIN HDPE X 60 CAPS. PR 60 1,108.938833 1,108.938833 0.000000
SE MODIFICA
58 W62180001 N04BD02 RASAGILINUM ** RASAGILINA RATIOPHARM 1 mg COMPR. 1mg TEVA B.V. OLANDA CUTIE CU BLIST AL/AL X 30 COMPR. PRF 30 2.247999 2.247999 0.638667
59 W62556004 N04BD02 RASAGILINUM ** SAGILIA 1 mg COMPR. 1mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. AL/AL X 30 COMPR. PRF 30 2.247999 2.247999 0.638667
60 W62556010 N04BD02 RASAGILINUM ** SAGILIA 1 mg COMPR. 1mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. PRF 30 2.247999 2.247999 0.638667
61 W62766004 N04BD02 RASAGILINUM ** HIPERAVIA 1 mg COMPR. 1mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2.087666 2.087666 0.000000
63 W62764004 N04BD02 RASAGILINUM ** RASAGILINA ZENTIVA 1 mg COMPR. 1mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2.247999 2.247999 0.900001
64 W62982004 N04BD02 RASAGILINUM ** AZILECT 1mg COMPR. 1mg TEVA BV OLANDA CUTIE X 30 COMPR.(BLIST. AL/AL) P-RF 30 2.247999 2.247999 1.892334
SE ELIMINA
39 W55288001 N04BC05 PRAMIPEXOLUM ** GLEPARK 0,7 mg COMPR. 0,7mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. AL/AL X 30 COMPR. P-RF 30 2.212666 2.212666 0.000000
65 W66562012 N04BD02 RASAGILINUM ** RASAGILINA AUROBINDO 1 mg COMPR. 1mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. PRF 30 1.739666 1.739666 0.000000
Nota din subsolul punctului G12 se abrogă
13. BOLI PSIHICE (SCHIZOFRENIE, TULBURĂRI SCHIZOTIPALE ŞI DELIRANTE, TULBURĂRI AFECTIVE MAJORE, TULBURĂRI PSIHOTICE ACUTE ŞI BOLI PSIHICE COPII, AUTISM, TULBURĂRI CU DEFICIT DE
ATENŢIE/HIPERREACTIVITATE) - G15
SE ELIMINA
59 W66001004 N05AH03 OLANZAPINUM ** OLANZAPINA AUROBINDO 10 mg COMPR. ORODISPERSABILE 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PE-DESICANT-PE/AL-PE X 28 COMPR. ORODISPERSABILE PRF 28 0.712500 0.712500 0.000000
Tratamentul se iniţiază de către medicul în specialitatea psihiatrie şi psihiatrie pediatrică/neuropsihiatrie infantilă.
14. DEMENŢE (DEGENERATIVE, VASCULARE, MIXTE) - G 16
SE MODIFICA
63 W60192007 N06DX01 MEMANTINUM ** MEMANTINA ATB 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PR 56 0.613750 0.613750 0.000000
73 W60193002 N06DX01 MEMANTINUM ** MEMANTINA ATB 20 mg COMPR. FILM. 20mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PR 28 1.768571 1.768571 0.000000
SE ELIMINA
25 W61217007 N06DA02 DONEPEZILUM ** DARIZOL 10 mg COMPR. ORODISPERSABILE 10mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PCTFE(ACLAR)/AL /FOLIE DE AL DETASABILA X 14 COMPR. ORODISPERSABILE PRF 28 1.386785 1.386785 0.000000
34 W60992002 N06DA03 RIVASTIGMINUM ** RIDAXIN 4,5 mg CAPS. 4,5mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 4 BLIST. PVC/AL X 14 CAPS. PRF 56 2.007428 2.007428 0.376322
Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie
15. COLAGENOZE MAJORE (LUPUS ERITEMATOS SISTEMIC, SCLERODERMIE, POLI/DERMATOMIOZITA, VASCULITE SISTEMICE) - G 17
SE ADAUGA
26 W64404001 L04AC07 TOCILIZUMABUM **1 ROACTEMRA 162mg SOL. INJ. IN SERINGA PREUMPLUTA 162mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 4 SERINGI PREUMPLUTE SISTEM DE PROTECTIE PENTRU AC A CATE 0.9ML SOL. PR 4 816.537500 816.537500 0.000000
Tratamentul se iniţiază şi se monitorizează de către medicul în specialitatea reumatologie, nefrologie, boli infecţioase, pediatrie sau medicină internă, iar pentru medicamentul prevăzut la poziţia 6 şi de către medicul în specialitatea pneumologie.
Pagina 3 din 5
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24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30
SE ELIMINA
27 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 3.981000 3.981000 0.000000
Tratamentul se iniţiază de către medicul în specialitatea dermatologie şi obstetrică-ginecologie (pentru gonoree şi infecţia cu Chlamidia).
26. POLIARTITRITA REUMATOIDA - G31b
SE MODIFICA
Tratamentul se iniţiază de către medicul în specialitatea reumatologie, medicină internă, nefrologie (pentru pacienţii cu afectare renală) şi reabilitarea medicală.
29. ARTRITA JUVENILA - G31e
SE MODIFICA
Tratamentul se iniţiază de către medicul în specialitatea reumatologie, pediatrie şi reabilitare medicală.
31 DERMATITA ATOPICĂ - G31g
SE MODIFICA
1 W66535001 D11AH05 DUPILUMABUM **1 ꭥ DUPIXENT 300 mg SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 150mg/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE X 2 ML SOL. INJ. IN PEN PREUMPLUT PR 2 2,974.885000 2,974.885000 0.000000
2 W66695001 D11AH05 DUPILUMABUM **1 ꭥ DUPIXENT 200 mg SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 175mg/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE X 1,14 ML SOL. INJ. IN PEN PREUMPLUT PR 2 2,975.855000 2,975.855000 0.000000
3 W66694001 D11AH05 DUPILUMABUM **1 ꭥ DUPIXENT 200 mg SOL. INJ. IN SERINGA PREUMPLUTA 175mg/ml SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 2 SERINGI PREUMPLUTE CU SCUT PT. AC X 1,14 ML SOL. PR 2 2,657.530000 2,657.530000 0.000000
4 W65623001 D11AH05 DUPILUMABUM **1 ꭥ DUPIXENT 300 mg SOL. INJ. IN SERINGA PREUMPLUTA 300mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA TRANSPARENTA DE TIP 1 SILICONATA, CU UN AC FIX DIN OTEL INOXIDABIL CU PERETE SUBTIRE X 2 ML SOL. INJ. IN SERINGA PREUMPLUTA PR 2 2,657.530000 2,657.530000 0.000000
5 W65623002 D11AH05 DUPILUMABUM **1 ꭥ DUPIXENT 300 mg SOL. INJ. IN SERINGA PREUMPLUTA 300mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA TRANSPARENTA DE TIP 1 SILICONATA, CU UN AC FIX DIN OTEL INOXIDABIL, CU SCUT PENTRU AC, CU PERETE SUBTIRE X 2 ML SOL. INJ. IN SERINGA PREUMPLUTA PR 2 2,657.530000 2,657.530000 0.000000
32. AFECȚIUNI PULMONARE CRONICE - G31h
SE ADAUGA
10 W65487001 R03DX05 OMALIZUMABUM ** XOLAIR 150 mg SOL INJ. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR/PRF 1 1,595.950000 1,595.950000 0.000000
11 W57245001 R03DX05 OMALIZUMABUM ** XOLAIR 150 mg SOL INJ. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA PR/PRF 1 1,595.950000 1,595.950000 0.000000
12 W65486001 R03DX05 OMALIZUMABUM ** XOLAIR 75 mg SOL INJ. 75mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 0.5 ML SOL. INJ. PR/PRF 1 724.350000 724.350000 0.000000
SE MODIFICA
2 W66535001 D11AH05 DUPILUMABUM ** DUPIXENT 300 mg SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 150mg/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE X 2 ML SOL. INJ. IN PEN PREUMPLUT PR 2 2,974.885000 2,974.885000 0.000000
3 W66695001 D11AH05 DUPILUMABUM ** DUPIXENT 200 mg SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 175mg/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE X 1,14 ML SOL. INJ. IN PEN PREUMPLUT PR 2 2,975.855000 2,975.855000 0.000000
4 W66694001 D11AH05 DUPILUMABUM ** DUPIXENT 200 mg SOL. INJ. IN SERINGA PREUMPLUTA 175mg/ml SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 2 SERINGI PREUMPLUTE CU SCUT PT. AC X 1,14 ML SOL. PR 2 2,657.530000 2,657.530000 0.000000
5 W65623001 D11AH05 DUPILUMABUM ** DUPIXENT 300 mg SOL. INJ. IN SERINGA PREUMPLUTA 300mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA TRANSPARENTA DE TIP 1 SILICONATA, CU UN AC FIX DIN OTEL INOXIDABIL CU PERETE SUBTIRE X 2 ML SOL. INJ. IN SERINGA PREUMPLUTA PR 2 2,657.530000 2,657.530000 0.000000
6 W65623002 D11AH05 DUPILUMABUM ** DUPIXENT 300 mg SOL. INJ. IN SERINGA PREUMPLUTA 300mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA TRANSPARENTA DE TIP 1 SILICONATA, CU UN AC FIX DIN OTEL INOXIDABIL, CU SCUT PENTRU AC, CU PERETE SUBTIRE X 2 ML SOL. INJ. IN SERINGA PREUMPLUTA PR 2 2,657.530000 2,657.530000 0.000000
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SE ADAUGA
33. SINDROAME FEBRILE PERIODICE ASOCIATE CU CRIOPIRINĂ - G31i
1 W67341001 L04AC08 CANAKINUMABUM **1 ILARIS 150 mg/ml SOL INJ. 150mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU UN FLACON X 1ML SOLUTIE INJECTABILA PR 1 51,942.520000 51,942.520000 0.000000
La nota din subsolul secţiunii C1, după ultimul paragraf se introduce un nou paragraf, cu următorul cuprins:
Medicamentele corespunzătoare DCI: DAPAGLIFLOZINUM şi EMPAGLIFLOZINUM de la punctul G1 se adresează şi pacienţilor adulţi cu insuficienţă cardiacă cronică, clasa II NYHA.
Pagina 5 din 5
ANEXA 9
(ANEXA 2d la Ordinul CNAS nr. 116/2022)
SECŢIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% DIN PREȚUL DE REFERINȚĂ - CONFORM DCI-URILOR, ALTELE DECÂT CELE DIN
SUBLISTELE A, B, SUBLISTA C SECŢIUNEA C1 ŞI SUBLISTA D, CORESPUNZĂTOARE MEDICAMENTELOR, DE CARE BENEFICIAZĂ COPIII PÂNĂ LA 18 ANI, TINERII DE LA 18 LA
26 DE ANI DACĂ SUNT ELEVI, UCENICI SAU STUDENŢI, DACĂ NU REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LEHUZE, ÎN TRATAMENTUL AMBULATORIU,
DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILĂ ÎNCEPÂND CU 01 FEBRUARIE 2023
Val. maxima suportata de Contributie maxima

sistemul de asigurari a asiguratului / UT
Prescriptie
Cod_CIM

Nr crt.
Tara det. amba referinta / UT compensare 100% din din pretul de

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) pretul de referinta) referinta)
SE ELIMINA
130 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 19.905199 19.905199 44.228372
227 W05792001 P01AX08 TENONITROZOLUM ATRICAN 250 mg CAPS. MOI GASTROREZ. 250mg LAB. INNOTECH INT. FRANTA CUTIE X 1 BLIST. AL/PVC X 8 CAPS. MOI GASTROREZ. P-RF 8 1.592500 1.592500 0.000000
Pagina 1 din 1
ANEXA 10
(ANEXA 2e la Ordinul CNAS nr. 116/2022)
SUBLISTA D - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 20% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE
PERSONALA DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILA INCEPAND CU 01 FEBRUARIE 2023

Prescriptie
Cod_CIM

Nr crt.
SE MODIFICA
84 W55441001 M05BA06 ACIDUM IBANDRONICUM * OSSICA 150 mg COMPR. FILM. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L 1 22.158000 12.172000 4.431600 29.898400
85 W57485004 M05BA06 ACIDUM IBANDRONICUM * OSAGRAND 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM. P6L 1 22.158000 2.462000 4.431600 20.188400
86 W58574001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L 1 22.158000 17.212000 4.431600 34.938400
87 W63021001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150mg TEVA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 22.158000 0.382000 4.431600 18.108400
88 W66455001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P6L 1 22.158000 16.062000 4.431600 33.788400
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ANEXA 6

(ANEXA 2a la Ordinul CNAS nr. 116/2022)

Contributie maxima Val. maxima suportata de Contributie maxima

UT/ Pret de compensare 100% beneficiaza de compensare 90%

UT/ Pret de compensare 100% beneficiaza de compensare 90%

UT/ Pret de compensare 100% beneficiaza de compensare 90%

UT/ Pret de compensare 100% beneficiaza de compensare 90%

Contributie maxima a Val. maxima suportata Val. maxima suportata

UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

Val. maxima suportata Contributie maxima

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

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

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

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

Tratamentul se iniţiază de către medicul în specialitatea neurologie şi neurologie pediatrică.

10. BOALA PARKINSON ŞI ALTE AFECŢIUNI NEUROLOGICE - G12

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

Nota din subsolul punctului G12 se abrogă

Tratamentul se iniţiază de către medicul în specialitatea psihiatrie şi psihiatrie pediatrică/neuropsihiatrie infantilă.

14. DEMENŢE (DEGENERATIVE, VASCULARE, MIXTE) - G 16

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

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

26. POLIARTITRITA REUMATOIDA - G31b

29. ARTRITA JUVENILA - G31e

Tratamentul se iniţiază de către medicul în specialitatea reumatologie, pediatrie şi reabilitare medicală.

31 DERMATITA ATOPICĂ - G31g

32. AFECȚIUNI PULMONARE CRONICE - G31h

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

33. SINDROAME FEBRILE PERIODICE ASOCIATE CU CRIOPIRINĂ - G31i

Val. maxima suportata de Contributie maxima

UT/ Pret de beneficiaza de compensare 100%

Tara det. amba referinta / UT compensare 100% din din pretul de

Contributie maxima Val. maxima suportata de Contributie maxima

UT/ Pret de compensare 100% beneficiaza de compensare 20%

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