Notificare privind baza unitară de calcul per SKU/03.03.

2022

Nr
DCI Compens Limita
UT/ Cod
Denumire SKU Mod de ambalare are U.T.
cuti SKU
CNAS pentru
e
92 zile
Cutie x blistere PVC/PVDC/Al x W59339004 62/1
ELIQUIS 5mg 60 0%
APIXABANUM 60 comprimate filmate (3 ani) W65620009 luna
W57283003
62/1
ELIQUIS 2.5 mg APIXABANUM 60 Cutie x blistere PVC/PVDC/Al x 0% W57283004
luna
60 comprimate filmate (3 ani) W65619003
Cutie cu 15 fiole din sticla
incolora cu punct de rupere,
VASAPROSTAN 20 W58530002 120/1
ALPROSTADILUM 15 cu capacitate de 5 ml, 90%
µg/ml W67213002 luna
continand 48,2 mg pulb. pt.
sol. perf.
Cutie x 4 blistere calendar din
BRILIQUE 90 mg TICAGRELOR 56 PVC-PVDC/Al x 14 0% W56291004 224
comprimate filmate.
RIVAROXABANUM Cutie x blistere PP/Al x 98
XARELTO 2.5 mg 98 0% W64154001 184
comprimate filmate
RIVAROXABANUM Cutie x blistere PP/Al x 98 W60380001
XARELTO 15 mg 98 0% 113
comprimate filmate W63897001
RIVAROXABANUM Cutie x blistere PP/Al x 98 W60381001
XARELTO 20 mg 98 0% 113
comprimate filmate W63898001
CILOSTAZOLUM Cutie x blistere PVC-PVDC/Al x W60674005
VELYN 100mg 30 0% 184
30 comprimate W60675008
CILOSTAZOLUM Cutie x blistere PVC-PVDC/Al x
VELYN 100mg 60 0% W60675005 184
60 comprimate
CILOSTAZOLUM Cutie x blistere PVC/Al x 56
DILVAS 100mg 56 0% W60428001 184
comprimate (2 ani)
COMBINATII CUTIE CU 1 FLAC. PRESURIZAT 50%
FOSTER 100/6
(BECLOMETASONUM+FOR 1 PLASTIC A 180 DOZE SOL. DE W57995002 -
mcg/doza 90%
MOTEROLUM) INHALAT
Cutie cu 1 inhalator multidoza
COMBINATII introdus intr-un saculet
Foster Nexthaler 200/6 (BECLOMETASONUM+FOR 1 protector din PET/ Al/PE 0% W62574001 -
MOTEROLUM) continand 120 doze pulbere
de inhalat (2 ani)
Cutie x folii AI/AI x 30
BETMIGA 50 mg MIRABEGRONUM 30 comprimate cu eliberare 0% W59966003 130
prelungita
COMBINATII
Cutie x blistere AI/AI x 30
(SOLIFENACINUM
VESOMNI 6mg/0.4 mg 30 comprimate cu eliberare 0% W61041005 130
SUCCINATE+TAMSULOSIN
prelungita (3 ani)
UM)
COMBINATII Cutie x 28 comprimate
W62448001
Entresto 24mg/26 mg (SACUBITRILUM+VALSART 28 (blistere PVC/PVDC/AL x 14 0% 184
W64479001
ANUM) comprimate)
COMBINATII Cutie x 56 comprimate
W62449001
Entresto 49mg/51 mg (SACUBITRILUM+VALSART 56 (blistere PVC/PVDC/AL x 14 0% 184
W64480001
ANUM) comprimate)
COMBINATII Cutie x 56 comprimate
W62450001
Entresto 97mg/103 mg (SACUBITRILUM+VALSART 56 (blistere PVC/PVDC/AL x 14 0% 184
W64481001
ANUM) comprimate)
 COMBINATII CUTIE X 7 CASETE BRUNE
21/1
DUODOPA (LEVODOPUM+CARBIDOP 7 TRANSPARENTE X 100 GEL 0% W60962001
luna
UM) INT. IN PUNGA PVC
CUTIE X 1 STILOU INJECTOR
FORSTEO 20µg/80µl TERIPARATIDUM 1 (PEN) PREUMPLUT X 2,4 ML 100% W55488001 3/84 zile
(28 DOZE X 20 ΜCG/80ΜCL)
VACCIN MENINGOCOCIC
1 flac.+1 seringa W64765001
Nimenrix CONJUGAT DE GRUP 1 0% 3/12 luni
preumpluta+2 ace W64116001
A,C,W135 SI Y
VACCIN MENINGOCOCIC Cutie cu 1 seringa preumpluta
Trumenba PENTRU SEROGRUPUL B 1 0% W65911001 2/12 luni
x 0,5 ml susp. inj., cu ac
DAPAGLIFLOZINUM Cutie cu blister din Alu/Alu
Forxiga 10mg 30 perforat 30 x 1 comprimat 0% W62286004 92
filmat (unitate dozata) (3 ani)
100%
(C2)
NORDITROPIN Cutie cu 1 stilou inj.
50%,
NORDIFLEX 10mg/1.5 SOMATROPINUM 1 preumplut multidoza x 1,5 ml W66430001 -
90%,
ml sol. inj.
100% (B)
0%
CUTIE X 2 SERINGI
PREUMPLUTE DIN STICLA X W64402002
FASLODEX 250 mg FULVESTRANTUM 2 5ML SOLUTIE INJECTABILA + 2 100% W51514002 6
ACE CU SISTEM DE
SIGURANTA
RASAGILINA CUTIE CU BLIST AL/AL X 30
RATIOPHARM 1 mg RASAGILINUM 30 COMPR. 100% W62180001 92

CUTIE 2 BLIST. CU CÂTE UN

PEN PRE-UMPLUT (0,4 ML
HUMIRA 40 mg ADALIMUMABUM 2 100%
SOL. STERILA) SI 1 TAMPON W63195001 13
CU ALCOOL
CUTIE 2 BLIST. CU CÂTE UN
PEN PRE-UMPLUT (0,4 ML
HUMIRA 40 mg ADALIMUMABUM 2 100%
SOL. STERILA) SI 1 TAMPON W64710001 13
CU ALCOOL
CUTIE CU 2 BLIST. CE CONTIN
CATE O SERINGA
HUMIRA 40 mg ADALIMUMABUM 2 PREUMPLUTA (0,4 ML SOL. 100% W62576001 13
STERILA) SI UN TAMPON
ALCOOL
CUTIE CU 2 BLIST. CE CONTIN
CATE O SERINGA
HUMIRA 40 mg ADALIMUMABUM 2 PREUMPLUTA (0,4 ML SOL. 100% W64709001 13
STERILA) SI UN TAMPON
ALCOOL
CUTIE X 4 BLIST. PP/ AL X 28 W61565001 224/1
NEXAVAR 200 mg SORAFENIBUM 112 100%
COMPR.FILM. W63886001 luna
Cutie x 2 blist. tip calendar W10174001
0%,
CASODEX 50 mg BICALUTAMIDUM 28 Al/PVC x 14 compr.film.; (5 W65076001 -
100%
ani) W68107001
W12048001
Cutie cu 2 blist. PVC/Al x 14 0%,
CASODEX 150 mg BICALUTAMIDUM 28 W65075001 -
compr. film.(4 ani) 100%
W68106001
Cutie x 4 seringi preumplute x
W64811002
ENBREL 50mg PFS ETANERCEPTUM 4 4 tampoane cu alcool 100% 15
W61300002
medicinal
 Cutie cu 1 flac. din PEID x 30 W65028001
SUTENT 50 mg SUNITINIBUM 30 100% 60
caps. W43557001
Cutie cu 1 flac. din PEID x 30 W65027001 60/1
SUTENT 25 mg SUNITINIBUM 30 100%
caps. W43556001 luna
Cutie cu 1 flac. din PEID x 30 W65026001 60/1
SUTENT 12,5 mg SUNITINIBUM 30 100%
caps. W43546001 luna
Cutie cu 2 flac. cu pulb. pt sol.
inj. + 2 flac. cu solvent + 2
dispozitive de transfer cu filtru
INHIBITOR DE ESTERAZA
CINRYZE 500 UI 2 + 2 seringi de unica folosinta + 100% W66129001 -
C1, UMANA
2 seturi pt. punctie venoasa +
2 materiale impletite cu rol
protector