Lista Medic

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 IUNIE 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
1,073 W69372001 A02BC01 OMEPRAZOLUM OMEPRAZOL ZENTIVA 40 mg PULB. PT. SOL. PERF. 40mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU UN FLAC. DIN STICLA TRANSPARENTA BOROSILICATA CU PULB. PT. SOL. PERF. PR/PRF 1 16.386300 2.183700 14.747670 3.822330
1,074 W69372002 A02BC01 OMEPRAZOLUM OMEPRAZOL ZENTIVA 40 mg PULB. PT. SOL. PERF. 40mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA BOROSILICATA CU PULB. PT. SOL. PERF. PR/PRF 5 16.386300 0.671700 14.747670 2.310330
1,075 W69372003 A02BC01 OMEPRAZOLUM OMEPRAZOL ZENTIVA 40 mg PULB. PT. SOL. PERF. 40mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA BOROSILICATA CU PULB. PT. SOL. PERF. PR/PRF 10 16.178000 0.000000 14.560200 1.617800
1,076 W69429003 C04AD03 PENTOXIFYLLINUM PENTOXIFILINA RETARD LPH 400 mg COMPR. CU ELIB. PREL. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L 60 0.398800 0.222200 0.358920 0.262080
1,077 W69093003 C07AB07 BISOPROLOLUM CORSIB 10 mg COMPR. 10mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.434812 0.179521 0.391330 0.223003
1,078 W69091003 C07AB07 BISOPROLOLUM CORSIB 2,5 mg COMPR. 2,5mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.108703 0.159297 0.097832 0.170168
1,079 W69092003 C07AB07 BISOPROLOLUM CORSIB 5 mg COMPR. 5mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.217406 0.061927 0.195665 0.083668
1,080 W68179001 H02AB09 HYDROCORTISONUM * ALKINDI 5 mg GRANULE AMBALATE ÎN CAPSULE CARE TREBUIE DESCHISE 5mg DIURNAL EUROPE B.V OLANDA CUTIE CU UN FLACON X 50 CAPSULE PRF 50 25.681320 2.853480 23.113188 5.421612
SE MODIFICA
25 W56141001 A02BC01 OMEPRAZOLUM OMEZ 40 mg PULB. PT. SOL. PERF. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATE DE 15 ML CU PULB.PT. SOL. PERF. S/P-RF 1 16.386300 2.183700 14.747670 3.822330
1,014 W60679002 A02BC01 OMEPRAZOLUM OMEPRAZOL ZENTIVA 40 mg PULB. PT. SOL. PERF. 40mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 6 ML CU PULB. PT. SOL. PERF. PR/PRF 1 16.386300 2.183700 14.747670 3.822330
1,059 W69103001 A02BC01 OMEPRAZOLUM OMEPRAZOL ROMPHARM 40 mg PULB. PT. SOL. PERF. 40mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. PERF. PR/PRF 1 16.386300 2.183700 14.747670 3.822330
26 W60679001 A02BC01 OMEPRAZOLUM OMEPRAZOL ZENTIVA 40 mg PULB. PT. SOL. PERF. 40mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. PERF. PR/PRF 1 16.386300 2.183700 14.747670 3.822330
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 0.413555 1.546445 0.372199 1.587801
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 0.413555 0.958445 0.372199 0.999801
143 W13574002 C04AD03 PENTOXIFYLLINUM PENTOXI RETARD 400 mg COMPR. ELIB. PREL. 400mg TERAPIA SA ROMANIA CUTIE X 4 BLIST. X 10 COMPR. CU ELIB. PREL. P-6L 40 0.398800 0.242950 0.358920 0.282830
146 W66977001 C04AD03 PENTOXIFYLLINUM ANGIOPENT RETARD 400 mg COMPR. ELIB. PREL. 400mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P6L 20 0.398800 0.586700 0.358920 0.626580
150 W54452002 C04AD03 PENTOXIFYLLINUM VASONIT RETARD 600 mg COMPR. ELIB. PREL. 600mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-6L 50 0.598200 0.147600 0.538380 0.207420
152 W53123003 C04AD03 PENTOXIFYLLINUM OXIFLUX 400 mg COMPR. FILM. ELIB. PREL. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL P-6L 60 0.398800 0.222200 0.358920 0.262080
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 0.289874 0.036792 0.260886 0.065780
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 0.289874 0.036626 0.260886 0.065614
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 0.289874 0.036792 0.260886 0.065780
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 0.289874 0.036792 0.260886 0.065780
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 0.289874 0.036792 0.260886 0.065780
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 0.289874 0.036626 0.260886 0.065614
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 0.289874 0.036792 0.260886 0.065780
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 0.289874 0.029626 0.260886 0.058614
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 0.072468 0.091865 0.065221 0.099112
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 0.144937 0.123729 0.130443 0.138223
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 0.144937 0.044063 0.130443 0.058557
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 0.144937 0.127729 0.130443 0.142223
179 W53670001 C07AB02 METOPROLOLUM METOPROLOL VIM SPECTRUM 50 mg COMPR. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.144937 0.127563 0.130443 0.142057
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 0.144937 0.123729 0.130443 0.138223
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 0.144937 0.124063 0.130443 0.138557
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 0.137690 0.100643 0.123921 0.114412
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 0.275381 0.120619 0.247842 0.148158
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 0.289874 0.669459 0.260886 0.698447
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 0.144937 0.440729 0.130443 0.455223
Pagina 1 din 4
Prescriptie
Cod_CIM

Nr crt.
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 0.289874 0.034792 0.260886 0.063780
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 0.289874 0.036792 0.260886 0.065780
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 0.144937 0.123729 0.130443 0.138223
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 0.144937 0.118729 0.130443 0.133223
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 0.137690 0.100643 0.123921 0.114412
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 0.275381 0.120619 0.247842 0.148158
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 0.434812 0.201259 0.391330 0.244741
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 0.434812 0.434949 0.391330 0.478431
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 0.434812 0.434949 0.391330 0.478431
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 0.434812 0.434949 0.391330 0.478431
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 0.434812 0.201259 0.391330 0.244741
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 0.434812 0.412188 0.391330 0.455670
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 0.434812 0.041188 0.391330 0.084670
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 0.434812 0.384521 0.391330 0.428003
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 0.434812 0.424854 0.391330 0.468336
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 0.434812 0.384521 0.391330 0.428003
212 W66289002 C07AB07 BISOPROLOLUM CONCOR COR 10 mg COMPR. FILM. 10mg MERCK ROMANIA SRL ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.434812 0.424854 0.391330 0.468336
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 0.108703 0.219630 0.097832 0.230501
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 0.108703 0.159297 0.097832 0.170168
216 W66288002 C07AB07 BISOPROLOLUM CONCOR COR 2,5 mg COMPR. FILM. 2,5mg MERCK ROMANIA SRL ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.108703 0.219630 0.097832 0.230501
217 W00626001 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM. P-6L 30 0.217406 0.328594 0.195665 0.350335
218 W43153001 C07AB07 BISOPROLOLUM BISOTENS 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0.217406 0.076260 0.195665 0.098001
219 W00626002 C07AB07 BISOPROLOLUM CONCOR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU 2 BLIST. PVC/AL X 30 COMPR. FILM. P-6L 60 0.217406 0.359594 0.195665 0.381335
220 W60358002 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.217406 0.210927 0.195665 0.232668
221 W60568004 C07AB07 BISOPROLOLUM SOBYC 5 mg COMPR. FILM. 5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P6L 30 0.217406 0.013260 0.195665 0.035001
225 W66287002 C07AB07 BISOPROLOLUM CONCOR COR 5 mg COMPR. FILM. 5mg MERCK ROMANIA SRL ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P6L 30 0.217406 0.210927 0.195665 0.232668
307 W00775001 C09AA01 CAPTOPRILUM CAPTOPRIL TERAPIA 25 mg COMPR. 25mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.088425 0.082241 0.079582 0.091084
308 W06860001 C09AA01 CAPTOPRILUM CAPTOPRIL EEL COMPR. 25mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.088425 0.078075 0.079582 0.086918
309 W00774002 C09AA01 CAPTOPRILUM CAPTOPRIL LAROPHARM 25 mg COMPR. 25mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 20 COMPR. P-6L 20 0.088425 0.085075 0.079582 0.093918
310 W43029001 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 25 mg COMPR. 25mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.088425 0.078075 0.079582 0.086918
311 W06857001 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 25 mg COMPR. 25mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.088425 0.085241 0.079582 0.094084
312 W08550001 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 25 mg COMPR. 25mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.088425 0.082241 0.079582 0.091084
313 W41981002 C09AA01 CAPTOPRILUM CAPTOPRIL SINTOFARM 25 mg COMPR. 25mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.088425 0.082241 0.079582 0.091084
314 W53677002 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.088425 0.085075 0.079582 0.093918
315 W53677003 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 25 mg COMPR. 25mg ARENA GROUP SA ROMANIA CUTIE CU 100 BLIST. PVC/AL X 10 COMPR. P6L 1000 0.088425 0.062645 0.079582 0.071488
1,009 W68552001 C09AA01 CAPTOPRILUM CAPTOPRIL BIOEEL 25 mg COMPR. 25mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.088425 0.078075 0.079582 0.086918
316 W53678001 C09AA01 CAPTOPRILUM CAPTOPRIL ARENA 50 mg COMPR. 50 mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.176850 0.077150 0.159165 0.094835
317 W00777001 C09AA01 CAPTOPRILUM CAPTOPRIL TERAPIA 50 mg COMPR. 50mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.176850 0.077483 0.159165 0.095168
318 W06862001 C09AA01 CAPTOPRILUM CAPTOPRIL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.176850 0.077150 0.159165 0.094835
319 W43028001 C09AA01 CAPTOPRILUM CAPTOPRIL - AC 50 mg COMPR. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.176850 0.077150 0.159165 0.094835
320 W42060001 C09AA01 CAPTOPRILUM CAPTOPRIL MCC 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.176850 0.077483 0.159165 0.095168
321 W00776003 C09AA01 CAPTOPRILUM CAPTOPRIL LPH 50 mg COMPR. 50mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.176850 0.077483 0.159165 0.095168
1,010 W68553001 C09AA01 CAPTOPRILUM CAPTOPRIL BIOEEL 50 mg COMPR. 50mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.176850 0.077150 0.159165 0.094835
322 W12405001 C09AA02 ENALAPRILUM ENALAPRIL 10 mg COMPR. 10mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0.176850 0.043650 0.159165 0.061335
323 W02920004 C09AA02 ENALAPRILUM ENALAPRIL LPH 10 mg COMPR. 10mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 0.176850 0.043483 0.159165 0.061168
324 W02922001 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. AL/OPA-AL-PVC X 10 COMPR. P-6L 20 0.176850 0.042650 0.159165 0.060335
325 W41447001 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 10 mg COMPR. 10mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. PVC/ AL X 10 COMPR. P-6L 20 0.176850 0.043650 0.159165 0.061335
326 W51276001 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. AL/AL X 14 COMPR. P-6L 28 0.176850 0.117078 0.159165 0.134763
327 W53672002 C09AA02 ENALAPRILUM ENALAPRIL ARENA 10mg COMPR. 10mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC, X 10 COMPR. P-6L 30 0.176850 0.043483 0.159165 0.061168
330 W53666002 C09AA02 ENALAPRILUM ENALAPRIL VIM SPECTRUM 10 mg COMPR. 10mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 20 0.176850 0.042650 0.159165 0.060335
331 W58491002 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. P6L 20 0.176850 0.042650 0.159165 0.060335
332 W62035001 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 10mg COMPR. 10mg TERAPIA SA ROMANIA CUTIE X 2 BLISTERE AL/PVC X 10 COMPRIMATE (2 ANI) P6L 20 0.176850 0.043650 0.159165 0.061335
333 W02922002 C09AA02 ENALAPRILUM ENAP 10 mg COMPR. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/OPA-AL-PVC X 10 COMPR. P6L 30 0.176850 0.042816 0.159165 0.060501
Pagina 2 din 4
Prescriptie
Cod_CIM

Nr crt.
335 W58491003 C09AA02 ENALAPRILUM ENALAPRIL LAROPHARM 10 mg COMPR. 10mg LAROPHARM SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 20 0.176850 0.042650 0.159165 0.060335
1,016 W68245001 C09AA02 ENALAPRILUM RENITEC 10 mg COMPR. 10mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. P6L 28 0.176850 0.117078 0.159165 0.134763
337 W02921003 C09AA02 ENALAPRILUM ENALAPRIL LPH 20 mg COMPR. 20mg LABORMED PHARMA SA ROMANIA CUTIE X 3 BLIST. AL/AL X 10 COMPR. P-6L 30 0.353700 0.010966 0.318330 0.046336
340 W53674001 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0.353700 0.010966 0.318330 0.046336
341 W53674004 C09AA02 ENALAPRILUM ENALAPRIL ARENA 20 mg COMPR. 20mg ARENA GROUP SA ROMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. P-6L 50 0.353700 0.011100 0.318330 0.046470
342 W56712001 C09AA02 ENALAPRILUM ENALAPRIL SLAVIA 20 mg COMPR. 20mg SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. P6L 20 0.353700 0.011300 0.318330 0.046670
344 W62036001 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 20mg COMPR. 20mg TERAPIA SA ROMANIA P6L
CUTIE X 2 BLISTERE AL/PVC X 10 COMPRIMATE (2 ANI) 20 0.353700 0.011300 0.318330 0.046670
345 W02923002 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA P6L
CUTIE CU 3 BLIST. AL/OPA-AL-PVC X 10 COMPR. 30 0.353700 0.010966 0.318330 0.046336
346 W02923003 C09AA02 ENALAPRILUM ENAP 20 mg COMPR. 20mg KRKA D.D. NOVO MESTO SLOVENIA P6L
CUTIE CU 6 BLIST. AL/OPA-AL-PVC X 10 COMPR. 60 0.353700 0.010966 0.318330 0.046336
351 W12811003 C09AA02 ENALAPRILUM ENALAPRIL LPH 5 mg COMPR. 5mg LABORMED PHARMA SA ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0.088425 0.013908 0.079582 0.022751
352 W53673001 C09AA02 ENALAPRILUM ENALAPRIL ARENA 5 mg COMPR. 5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.088425 0.013908 0.079582 0.022751
354 W62034001 C09AA02 ENALAPRILUM ENALAPRIL TERAPIA 5mg COMPR. 5mg TERAPIA SA ROMANIA P6L
CUTIE X 2 BLISTERE AL/PVC- X 10 COMPRIMATE (2 ANI) 20 0.088425 0.014075 0.079582 0.022918
359 W42156001 C09AA03 LISINOPRILUM LISIREN 10 mg COMPR. 10mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.176850 0.416150 0.159165 0.433835
360 W42593001 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 10 mg COMPR. 10mg HEXAL AG GERMANIACUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0.176850 0.089150 0.159165 0.106835
361 W43054001 C09AA03 LISINOPRILUM LISINOPRIL MEDO 10 mg COMPR. 10mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.176850 0.233150 0.159165 0.250835
362 W53916002 C09AA03 LISINOPRILUM LISINOPRIL ATB 10 MG COMPR. 10mg ANTIBIOTICE SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.176850 0.279816 0.159165 0.297501
363 W54841001 C09AA03 LISINOPRILUM TONOLYSIN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. P-6L 28 0.176850 0.242435 0.159165 0.260120
364 W65067001 C09AA03 LISINOPRILUM RANOLIP 10 mg COMPR. 10mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 0.176850 0.416483 0.159165 0.434168
365 W42088001 C09AA03 LISINOPRILUM LISIREN 20 mg COMPR. 20mg AC HELCOR SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 10 COMPR. P-6L 20 0.353700 0.542300 0.318330 0.577670
366 W42594001 C09AA03 LISINOPRILUM LISINOPRIL SANDOZ 20 mg COMPR. 20mg HEXAL AG GERMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0.353700 0.020633 0.318330 0.056003
369 W43055002 C09AA03 LISINOPRILUM LISINOPRIL MEDO 20 mg COMPR. 20mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 2 BLIST. PVDC/AL X 10 COMPR. P-6L 20 0.353700 0.344300 0.318330 0.379670
370 W65068001 C09AA03 LISINOPRILUM RANOLIP 20 mg COMPR. 20mg TERAPIA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 0.353700 0.542633 0.318330 0.578003
372 W43053001 C09AA03 LISINOPRILUM LISINOPRIL MEDO 5 mg COMPR. 5mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.088425 0.113575 0.079582 0.122418
374 W65066001 C09AA03 LISINOPRILUM RANOLIP 5 mg COMPR. 5mg TERAPIA S.A. ROMANIA
CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P6L 30 0.088425 0.203241 0.079582 0.212084
384 W51934002 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg ACTAVIS GROUP HF ISLANDA CUTIE X 4 BLIST. AL/AL X 7COMPR. P-6L 28 0.176850 0.013150 0.159165 0.030835
385 W64365002 C09AA05 RAMIPRILUM VIVACE 2,5 mg COMPR. 2,5 mg TEVA B.V. OLANDA CUTIE CU 4 BLIST. AL/AL X 7 COMPR. P6L 28 0.176850 0.013150 0.159165 0.030835
386 W42939001 C09AA05 RAMIPRILUM RAMIPRIL-AC 2,5 mg COMPR. 2,5mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-6L 30 0.176850 0.013150 0.159165 0.030835
387 W42970001 C09AA05 RAMIPRILUM AMPRIL 2,5 mg COMPR. 2,5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 0.176850 0.012816 0.159165 0.030501
388 W43522001 C09AA05 RAMIPRILUM ZENRA 2,5 mg COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. X 14 COMPR. P-6L 28 0.176850 0.013150 0.159165 0.030835
389 W62451001 C09AA05 RAMIPRILUM TRITACE 2,5 mg COMPR. 2,5mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL/ X 28 COMPR. P6L 28 0.176850 0.116007 0.159165 0.133692
391 W62451011 C09AA05 RAMIPRILUM TRITACE 2,5 mg COMPR. 2,5mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL/ X 60 COMPR. P6L 60 0.176850 0.407483 0.159165 0.425168
397 W62382001 C09AA05 RAMIPRILUM TRITACE 5 mg COMPR. 5mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. P6L 28 0.353700 0.067728 0.318330 0.103098
399 W62382008 C09AA05 RAMIPRILUM TRITACE 5 mg COMPR. 5mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL/ X 30 COMPR. P6L 30 0.353700 0.119300 0.318330 0.154670
401 W05345001 C09AA06 QUINAPRILUM ACCUPRO 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PVC/AL/PA X 10 COMPR. FILM. P-6L 30 0.117899 0.325434 0.106109 0.337224
402 W64842001 C09AA06 QUINAPRILUM ACCUPRO 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 3 BLIST. AL/PA/AL/PVC X 10 COMPR. FILM. P6L 30 0.117899 0.325434 0.106109 0.337224
403 W41466001 C09AA06 QUINAPRILUM ACCUPRO 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 0.235799 0.400534 0.212219 0.424114
405 W41465001 C09AA06 QUINAPRILUM ACCUPRO 5 mg COMPR. FILM. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. AL/PA-AL-PVC X 10 COMPR. FILM. P-6L 30 0.058949 0.153051 0.053054 0.158946
407 W61581001 C09AA09 FOSINOPRILUM MONOPRIL 10 mg COMPR. 10mg PHARMASWISS CESKÁ REPUBLIKA S.R.O. CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L
REPUBLICA CEHA 28 0.117899 0.476386 0.106109 0.488176
408 W64284006 C09AA09 FOSINOPRILUM FOSINOPRIL AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 0.117899 0.301767 0.106109 0.313557
Pagina 3 din 4
Prescriptie
Cod_CIM

Nr crt.
409 W66866001 C09AA09 FOSINOPRILUM MONOPRIL 10 mg COMPR. 10mg BAUSCH HEALTH IRELAND LIMITED IRLANDA CUTIE CU 2 BLIST. AL/PVC/PVDC X 14 COMPR. P6L 28 0.117899 0.476386 0.106109 0.488176
410 W61582001 C09AA09 FOSINOPRILUM MONOPRIL 20 mg COMPR. 20mg PHARMASWISS CESKÁ REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 2 BLIST. AL/PVC-PVDC X 14 COMPR. P-6L 28 0.235799 0.578486 0.212219 0.602066
411 W64285006 C09AA09 FOSINOPRILUM FOSINOPRIL AUROBINDO 20 mg COMPR. 20mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 0.235799 0.371201 0.212219 0.394781
412 W66867001 C09AA09 FOSINOPRILUM MONOPRIL 20 mg COMPR. 20mg IRLANDA CUTIE CU 2 BLIST. AL/PVC/PVDC X 14 COMPR. P6L
BAUSCH HEALTH IRELAND LIMITED 28 0.235799 0.578486 0.212219 0.602066
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 0.353892 0.015441 0.318502 0.050831
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 0.353892 0.015441 0.318502 0.050831
452 W13742001 D01AC02 MICONAZOLUM MICONAZOL SLAVIA 20 mg/g CREMA 20mg/g SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 6.493333 19.696667 5.843999 20.346001
1,001 W68176001 H02AB09 HYDROCORTISONUM * ALKINDI 0,5 mg GRANULE AMBALATE ÎN CAPSULE CARE TREBUIE DESCHISE 0,5mg DIURNAL EUROPE B.V OLANDA CUTIE CU UN FLACON X 50 CAPSULE PRF 50 2.568039 0.772961 2.311235 1.029765
564 W12657001 J01DC02 CEFUROXIMUM ZINNAT (R) 250 mg COMPR. FILM. 250mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X, 10 COMPR.FILM P-RF 10 1.290150 0.415850 1.161135 0.544865
565 W62257003 J01DC02 CEFUROXIMUM CEFUROXIMA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 1.205000 0.000000 1.084500 0.120500
566 W65112001 J01DC02 CEFUROXIMUM ZINNAT 250 mg COMPR. FILM. 250mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 1.290150 0.415850 1.161135 0.544865
567 W12659001 J01DC02 CEFUROXIMUM ZINNAT (R) 500 mg COMPR. FILM. 500mg GLAXOWELLCOME UK LTD. MAREA BRITANIE CUTIE X 1 BLIST. X 10 COMPR.FILM P-RF 10 2.580300 0.286700 2.322270 0.544730
569 W65113001 J01DC02 CEFUROXIMUM ZINNAT 500 mg COMPR. FILM. 500mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-RF 10 2.580300 0.286700 2.322270 0.544730
571 W00985003 J01DC04 CEFACLORUM CEFACLOR ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 0.645075 1.089925 0.580567 1.154433
572 W56967001 J01DC04 CEFACLORUM CEFACLOR TERAPIA 250 mg CAPS. 250mg TERAPIA SA ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS. P-RF 15 0.645075 0.638925 0.580567 0.703433
573 W55271001 J01DC04 CEFACLORUM CEFACLOR ARENA 500 mg CAPS. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1.290150 1.903850 1.161135 2.032865
574 W56966001 J01DC04 CEFACLORUM CEFACLOR TERAPIA 500 mg CAPS. 500mg TERAPIA SA ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 15 CAPS. P-RF 15 1.290150 0.657183 1.161135 0.786198
710 W54364001 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg COMPR. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 0.086737 0.348263 0.078063 0.356937
SE ELIMINA
536 W54453002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500mg/125mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0.606122 0.045306 0.545509 0.105919
539 W55401002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 1.060714 0.000000 0.954642 0.106072
559 W53168001 J01DC02 CEFUROXIMUM CEFUROXIMA ATB 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 1.084500 0.120500 0.976050 0.228950
560 W53168002 J01DC02 CEFUROXIMUM CEFUROXIMA ATB 250 mg COMPR. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 1.084500 0.120500 0.976050 0.228950
561 W53169001 J01DC02 CEFUROXIMUM CEFUROXIMA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-AL-PA/AL X 10 COMPR. P-RF 10 2.055000 0.000000 1.849500 0.205500
562 W53169002 J01DC02 CEFUROXIMUM CEFUROXIMA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 10 COMPR. P-RF 10 2.055000 0.000000 1.849500 0.205500
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 IUNIE 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
1,307 W69341013 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 30 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 30 1.654220 0.455113 0.827110 1.282223 1.488798 0.620535
1,308 W69341007 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 28 COMPR. FILM.( BLIST. AL/AL) PRF 28 1.654220 0.310422 0.827110 1.137532 1.488798 0.475844
1,309 W69341001 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 28 1.654220 0.310422 0.827110 1.137532 1.488798 0.475844
1,310 W69341014 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 30 COMPR. FILM.( BLIST. AL/AL) PRF 30 1.654220 0.455113 0.827110 1.282223 1.488798 0.620535
1,311 W69013003 C09AA04 PERINDOPRILUM PERINDOPRIL ARGININA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.854666 0.000000 0.427333 0.427333 0.769199 0.085467
1,312 W69012005 C09AA04 PERINDOPRILUM PERINDOPRIL ARGININA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.442125 0.268208 0.221062 0.489271 0.397912 0.312421
1,313 W69393006 C09CA04 IRBESARTANUM APROVEL 150mg COMPR. FILM. 150mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X BLIST PVC/PVDC/AL X 30 COMPR. FILM. P6L 30 0.707785 0.580548 0.353892 0.934441 0.637006 0.651327
1,314 W69394007 C09CA04 IRBESARTANUM APROVEL 300mg COMPR. FILM. 300mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X BLIST PVC/PVDC/AL X 30 COMPR. FILM. P6L 30 1.415570 0.247096 0.707785 0.954881 1.274013 0.388653
1,315 W69398002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150mg/12,5mg COMPR. FILM. 150mg/12,5mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P6L 28 0.683774 0.584083 0.341887 0.925970 0.615396 0.652461
1,316 W69399002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/12,5mg COMPR. FILM. 300mg/12,5mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 0.683774 0.885154 0.341887 1.227041 0.615396 0.953532
1,317 W69400002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/25mg COMPR. FILM. 300mg/25mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 0.683774 0.919083 0.341887 1.260970 0.615396 0.987461
1,318 W68676002 C10BA05 COMBINATII (EZETIMIBUM+ATORVASTATINUM) ** COLEATEZ 10 mg/10 mg COMPR. FILM. 10mg/10mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0.743125 1.543541 0.371562 1.915104 0.668812 1.617854
1,322 W69355001 R03AL05 ACLIDINIUM BROMIDUM+FORMOTEROLUM FUMARAT ** DUAKLIR GENUAIR 340 micrograme/12 micrograme PULB. DE INHAL. 340 micrograme/12 micrograme COVIS PHARMA EUROPE B.V. OLANDA CUTIE CU 1 INHALATOR A 60 DE DOZE PRF 1 214.829999 24.690001 107.414999 132.105001 193.346999 46.173001
1,323 W69484001 R03BA05 FLUTICASONUM PROPIONAT FLIXON 50 micrograme/doza SUSP. DE INHALAT PRESURIZATA 50micrograme/doza CN UNIFARM S.A. ROMANIA CUTIE CU 1 INHALATOR X 120 DOZE PRF 1 17.557200 31.352800 8.778600 40.131400 15.801480 33.108520
1,324 W69485001 R03BA05 FLUTICASONUM PROPIONAT FLIXAIR 0,5 mg/2 ml Suspensie pentru nebulizator SUSP. DE INHALAT PRIN NEBULIZATOR 0,5mg/2ml CN UNIFARM S.A. ROMANIA CUTIE CU 10 FIOLE UNIDOZA A CATE 2 ML SUSP. PT. NEBULIZATOR PRF 10 0.585239 2.187761 0.292619 2.480381 0.526715 2.246285
SE MODIFICA
32 W67732001 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL ROMPHARM 40 mg PULB. PT. SOL. INJ./PERF. 40mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CARE CONTINE PULB. PT. SOL. INJ./PERF. PR/PRF 1 21.848394 3.541606 10.924197 14.465803 19.663554 5.726446
33 W68187001 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL SUN 40 mg PULB. PT. SOL. INJ./PERF. 40mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF. PR/PRF 1 21.848394 3.541606 10.924197 14.465803 19.663554 5.726446
34 W68187002 A02BC05 ESOMEPRAZOLUM ESOMEPRAZOL SUN 40 mg PULB. PT. SOL. INJ./PERF. 40mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF. PR/PRF 10 21.848394 0.291606 10.924197 11.215803 19.663554 2.476446
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 1.654220 0.310422 0.827110 1.137532 1.488798 0.475844
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 1.654220 0.455113 0.827110 1.282223 1.488798 0.620535
91 W66403001 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 28 1.654220 0.310422 0.827110 1.137532 1.488798 0.475844
92 W66403013 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 30 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 30 1.654220 0.455113 0.827110 1.282223 1.488798 0.620535
95 W53412001 B01AC18 TRIFLUSALUM AFLEN 300 mg CAPS. 300mg GALENICA S.A. GRECIA CUTIE X 5 BLIST. X 10 CAPS. P-RF 50 0.769800 0.000000 0.384900 0.384900 0.692820 0.076980
1,298 W68512002 C09AA04 PERINDOPRILUM PRENESSANEO 10 mg COMPR. 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.882333 0.000000 0.441166 0.441167 0.794099 0.088234
173 W54042001 C09AA04 PERINDOPRILUM TREZEN 4 mg COMPR. 4mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 0.353700 0.070633 0.176850 0.247483 0.318330 0.106003
174 W54042002 C09AA04 PERINDOPRILUM TREZEN 4 mg COMPR. 4mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0.353700 0.070633 0.176850 0.247483 0.318330 0.106003
176 W61726001 C09AA04 PERINDOPRILUM ERNYOM 4 mg COMPR. 4mg VIM SPECTRUM S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0.353700 0.632966 0.176850 0.809816 0.318330 0.668336
177 W64970003 C09AA04 PERINDOPRILUM PRENESSA 4 mg COMPR. 4mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 30 COMPR. P6L 30 0.353700 0.057300 0.176850 0.234150 0.318330 0.092670
1,299 W68510002 C09AA04 PERINDOPRILUM PRENESSANEO 5 mg COMPR. 5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.442125 0.268208 0.221062 0.489271 0.397912 0.312421
178 W54043001 C09AA04 PERINDOPRILUM TREZEN 8 mg COMPR. 8mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P-6L 30 0.707400 0.032266 0.353700 0.385966 0.636660 0.103006
179 W54043002 C09AA04 PERINDOPRILUM TREZEN 8 mg COMPR. 8mg TERAPIA S.A. ROMANIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. P-6L 30 0.707400 0.032266 0.353700 0.385966 0.636660 0.103006
181 W61727001 C09AA04 PERINDOPRILUM ERNYOM 8 mg COMPR. 8mg VIM SPECTRUM S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. P6L 30 0.707400 1.167933 0.353700 1.521633 0.636660 1.238673
183 W42663001 C09AA04 PERINDOPRILUM PRESTARIUM 10 mg COMPR. FILM. 10 mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 0.884250 0.095083 0.442125 0.537208 0.795825 0.183508
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 0.884250 0.091750 0.442125 0.533875 0.795825 0.180175
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 0.884250 0.091750 0.442125 0.533875 0.795825 0.180175
185 W42664001 C09AA04 PERINDOPRILUM PRESTARIUM 5 mg COMPR. FILM. 5mg LES LABORATOIRES SERVIER FRANTA CUTIE X 1 FLAC. DIN PP X 30 COMPR. FILM. P-6L 30 0.442125 0.459875 0.221062 0.680938 0.397912 0.504088
186 W59479001 C09AA04 PERINDOPRILUM PERINDOPRIL TOSILAT TEVA 5 mg COMPR. FILM. 5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PP X 30 COMPR. FILM. P6L 30 0.442125 0.266541 0.221062 0.487604 0.397912 0.310754
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 0.442125 0.268208 0.221062 0.489271 0.397912 0.312421
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 0.442125 0.268208 0.221062 0.489271 0.397912 0.312421
187 W61396001 C09AA10 TRANDOLAPRILUM TRANDOLAPRIL ARENA 0,5 mg CAPS. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/PE/PVDC ALB OPAC SI FOLIE DE ALUMINIU X 10 CAPS. P6L 30 0.088425 0.159241 0.044212 0.203454 0.079582 0.168084
189 W61398001 C09AA10 TRANDOLAPRILUM TRANDOLAPRIL ARENA 2 mg CAPS. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/PE/PVDC ALB OPAC SI FOLIE DE ALUMINIU X 10 CAPS. P6L 30 0.353700 0.082966 0.176850 0.259816 0.318330 0.118336
191 W61399001 C09AA10 TRANDOLAPRILUM TRANDOLAPRIL ARENA 4 mg CAPS. 4mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PVC/PE/PVDC ALB OPAC SI FOLIE DE ALUMINIU X 10 CAPS. P6L 30 0.707400 0.112266 0.353700 0.465966 0.636660 0.183006
193 W13178003 C09AA15 ZOFENOPRILUM ZOMEN 30 mg COMPR. FILM. 30mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 0.353700 1.192371 0.176850 1.369221 0.318330 1.227741
194 W13177003 C09AA15 ZOFENOPRILUM ZOMEN 7,5 mg COMPR. FILM. 7,5mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBURG CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 0.088425 0.717289 0.044212 0.761502 0.079582 0.726132
1,300 W68760002 C09BA04 COMBINATII (PERINDOPRILUM+INDAPAMIDUM) CO-PRENESSANEO 10 mg/2,5 mg COMPR. 10mg/2,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.925200 0.178133 0.462600 0.640733 0.832680 0.270653
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 0.353892 0.977893 0.176946 1.154839 0.318502 1.013283
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 0.353892 0.630750 0.176946 0.807696 0.318502 0.666140
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 0.353892 0.630750 0.176946 0.807696 0.318502 0.666140
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 0.707785 0.326143 0.353892 0.680036 0.637006 0.396922
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 4.246711 21.843289 2.123355 23.966645 3.822039 22.267961
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 0.707785 0.005786 0.353892 0.359679 0.637006 0.076565
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 0.707785 0.580548 0.353892 0.934441 0.637006 0.651327
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 0.707785 0.580548 0.353892 0.934441 0.637006 0.651327
Pagina 1 din 2
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)
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 1.415570 0.247096 0.707785 0.954881 1.274013 0.388653
299 W05785002 C09CA07 TELMISARTANUM MICARDIS 80 mg COMPR. 80mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 1.415570 0.019787 0.707785 0.727572 1.274013 0.161344
308 W59585002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 300mg/12,5mg COMPR. FILM 300mg/12,5mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 2 BLIST. PVC/PVDC/AL X 14 COMPR. FILM. P-6L 28 0.683774 0.368011 0.341887 0.709898 0.615396 0.436389
309 W65145002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) IRBESARTAN HYDROCHLOROTHIAZIDE ZENTIVA 300mg/12,5 mg COMPR. FILM 300mg/12,5mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P6L 28 0.683774 0.368011 0.341887 0.709898 0.615396 0.436389
310 W60639002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150mg/12,5mg COMPR. FILM. 150mg/12,5mg SANOFI CLIR SNC FRANTA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 0.683774 0.584083 0.341887 0.925970 0.615396 0.652461
311 W61154002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) CONVERIDE 150 mg/12,5 mg COMPR. FILM. 150mg/12,5mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. OPACE PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.683774 0.166583 0.341887 0.508470 0.615396 0.234961
312 W61154011 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) CONVERIDE 150 mg/12,5 mg COMPR. FILM. 150mg/12,5mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 0.683774 0.166583 0.341887 0.508470 0.615396 0.234961
313 W66394002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 150mg/12,5mg COMPR. FILM. 150mg/12,5mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X BLIST. PVC/PVDC/AL X 28 COMPR. FILM. P6L 28 0.683774 0.584083 0.341887 0.925970 0.615396 0.652461
314 W60640002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/12,5mg COMPR. FILM. 300mg/12,5mg SANOFI CLIR SNC FRANTA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 0.683774 0.885154 0.341887 1.227041 0.615396 0.953532
315 W61158002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) CONVERIDE 300 mg/12,5 mg COMPR. FILM. 300mg/12,5mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. OPACE PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.683774 0.273011 0.341887 0.614898 0.615396 0.341389
316 W61158011 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) CONVERIDE 300 mg/12,5 mg COMPR. FILM. 300mg/12,5mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 0.683774 0.273011 0.341887 0.614898 0.615396 0.341389
317 W66395002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/12,5mg COMPR. FILM. 300mg/12,5mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 0.683774 0.885154 0.341887 1.227041 0.615396 0.953532
318 W60641002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/25mg COMPR. FILM. 300mg/25mg SANOFI CLIR SNC FRANTA CUTIE X BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 0.683774 0.919083 0.341887 1.260970 0.615396 0.987461
319 W61159002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) CONVERIDE 300 mg/25 mg COMPR. FILM. 300mg/25mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. OPACE PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0.683774 0.238011 0.341887 0.579898 0.615396 0.306389
320 W61159011 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) CONVERIDE 300 mg/25 mg COMPR. FILM. 300mg/25mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 28 COMPR. FILM. P6L 28 0.683774 0.238011 0.341887 0.579898 0.615396 0.306389
321 W66396002 C09DA04 COMBINATII (IRBERSARTANUM+HYDROCHLOROTHIAZIDUM) COAPROVEL 300mg/25mg COMPR. FILM. 300mg/25mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 0.683774 0.919083 0.341887 1.260970 0.615396 0.987461
322 W57536004 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT) KARBICOMBI 16 mg/12,5 mg COMPR. 16mg/12,5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIT. PVC-PVDC/AL X 30 COMPR. P6L 30 0.683774 0.068226 0.341887 0.410113 0.615396 0.136604
323 W57536013 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT) KARBICOMBI 16 mg/12,5 mg COMPR. 16mg/12,5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.683774 0.068226 0.341887 0.410113 0.615396 0.136604
324 W58871004 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT) CANZENO HCT 16mg/12,5mg COMPR. 16mg/12,5mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. P6L 30 0.683774 0.142559 0.341887 0.484446 0.615396 0.210937
325 W64690001 C09DA06 COMBINATII (CANDESARTANUM CILEXETIL+HCT) CANDESARTAN HCT SWYSSI 16 mg/12,5 mg COMPR. 16mg/12,5mg SWYSSI AG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.683774 0.132892 0.341887 0.474779 0.615396 0.201270
330 W59718002 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) ACTELSAR HCT 80 mg/12,5 mg COMPR. 80 mg/12,5 mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF 28 0.683774 0.414083 0.341887 0.755970 0.615396 0.482461
331 W59819005 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TOLUCOMBI 80 mg/12,5mg COMPR. 80 mg/12,5mg KRKA D.D. SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE PRF 30 0.683774 0.142226 0.341887 0.484113 0.615396 0.210604
332 W59820005 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TOLUCOMBI 80 mg/25mg COMPR. 80 mg/25mg KRKA D.D. SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPRIMATE PRF 30 0.683774 0.142226 0.341887 0.484113 0.615396 0.210604
333 W59719001 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) ACTELSAR HCT 80 mg/25mg COMPR. 80 mg/25mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE DIN AL/AL X 28 COMPRIMATE PRF 28 0.683774 0.426226 0.341887 0.768113 0.615396 0.494604
334 W12033002 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/12,5mg COMPR. 80/12,5mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 28COMPR. ( BLIST. PA/AL/PVC) P-6L 28 0.683774 1.010154 0.341887 1.352041 0.615396 1.078532
335 W53178002 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) MICARDISPLUS 80/25mg COMPR. 80/25mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 28 COMPR. (BLIST. PA/AL/PVC/AL SAU PA/PA/AL/PVC/AL) P-6L 28 0.683774 1.038368 0.341887 1.380255 0.615396 1.106746
336 W59921007 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELMISARTAN/HIDROCLOROTIAZIDA EGIS 80 mg/12,5 mg COMPR. 80mg/12,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. AL/AL X 30 COMPR. P6L 30 0.683774 0.142559 0.341887 0.484446 0.615396 0.210937
337 W60206003 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TEZEO HCT 80 mg/12,5 mg COMPR. 80mg/12,5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.683774 0.078559 0.341887 0.420446 0.615396 0.146937
338 W65924001 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELHYCAR 80 mg/12,5 mg COMPR. 80mg/12,5mg SWYSSI AG. GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L 28 0.683774 0.392654 0.341887 0.734541 0.615396 0.461032
339 W60207003 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TEZEO HCT 80 mg/25 mg COMPR. 80mg/25mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.683774 0.187226 0.341887 0.529113 0.615396 0.255604
340 W65925001 C09DA07 COMBINATII (TELMISARTANUM+HYDROCHLOROTHIAZIDUM) TELHYCAR 80 mg/25 mg COMPR. 80mg/25mg SWYSSI AG. GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. P6L 28 0.683774 0.422297 0.341887 0.764184 0.615396 0.490675
481 W66280001 C10BA05 COMBINATII (EZETIMIBUM+ATORVASTATINUM) ** TORVAZIN PLUS 10 mg/10 mg CAPS. 10mg/10mg EGIS PHARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. OPA-PVC/AL X 30 CAPS. P6L 30 0.743125 2.410541 0.371562 2.782104 0.668812 2.484854
484 W66253002 C10BA05 COMBINATII (EZETIMIBUM+ATORVASTATINUM) ** ZETOVAR 10 mg/10 mg COMPR. 10mg/10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE DE CARTON CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 0.743125 1.544541 0.371562 1.916104 0.668812 1.618854
1,099 W61579001 R03AL05 ACLIDINIUM BROMIDUM+FORMOTEROLUM FUMARAT ** DUAKLIR GENUAIR 340 micrograme/12 micrograme PULB. DE INHAL. 340 micrograme/12 micrograme ASTRAZENECA AB SUEDIA CUTIE CU 1 INHALATOR A 60 DE DOZE PRF 1 214.829999 24.690001 107.414999 132.105001 193.346999 46.173001
1,100 W62377001 R03AL05 ACLIDINIUM BROMIDUM+FORMOTEROLUM FUMARAT ** BRIMICA GENUAIR 340 micrograme/12 micrograme PULB. DE INHAL. 340 micrograme/12 micrograme ASTRAZENECA AB SUEDIA CUTIE CU 1 INHALATOR A 60 DE DOZE PRF 1 214.829999 23.050001 107.414999 130.465001 193.346999 44.533001
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 0.600142 1.873429 0.300071 2.173500 0.540127 1.933444
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 0.600142 1.873429 0.300071 2.173500 0.540127 1.933444
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 0.750178 1.723393 0.375089 2.098482 0.675160 1.798411
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 0.750178 0.000536 0.375089 0.375625 0.675160 0.075554
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 0.750178 1.723393 0.375089 2.098482 0.675160 1.798411
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 0.600142 1.960572 0.300071 2.260643 0.540127 2.020587
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 0.600142 1.960572 0.300071 2.260643 0.540127 2.020587
SE ELIMINA
1,095 W59645001 R03AK11 COMBINATII (FLUTICASONUM+FORMOTEROLUM) FLUTIFORM 125 micrograme/5 micrograme SUSP. INHAL. PRESURIZATA 125micrograme/5micrograme MUNDIPHARMA GESELLSCHAFT M.B.H. AUSTRIA CUTIE CU 1 FLAC. DIN AL (INHALATOR) PREVAZUT CU VALVA DOZATOARE SI DISPOZITIV DE ADMINISTRARE DIN PP X 120 DOZE SUSP. DE INHALAT PRESURIZATA P6L 1 134.590000 32.790000 67.295000 100.085000 121.131000 46.249000
1,096 W59644001 R03AK11 COMBINATII (FLUTICASONUM+FORMOTEROLUM) FLUTIFORM 50 micrograme/5 micrograme SUSP. INHAL. PRESURIZATA 50micrograme/5micrograme MUNDIPHARMA GESELLSCHAFT M.B.H. AUSTRIA CUTIE CU 1 FLAC. DIN AL (INHALATOR) PREVAZUT CU VALVA DOZATOARE SI DISPOZITIV DE ADMINISTRARE DIN PP X 120 DOZE SUSP. DE INHALAT PRESURIZATA P6L 1 123.660000 0.000000 61.830000 61.830000 111.294000 12.366000
1,110 W65204003 R03BA05 FLUTICASONUM PROPIONAT FLIXOTIDE NEBULES 0,5 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 0,5mg/2ml GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 FOLII SIGILATE POLIESTER/AL/ PEJD A CATE 5 FIOLE DIN PEJD X 2,5ML CONTINAND CATE 2ML SUSP. INHAL. PRIN NEBULIZATOR PRF 10 0.585239 3.450761 0.292619 3.743381 0.526715 3.509285
1,111 W65205003 R03BA05 FLUTICASONUM PROPIONAT FLIXOTIDE NEBULES 2 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 2mg/2ml GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 FOLII SIGILATE POLIESTER/AL/ PEJD A CATE 5 FIOLE DIN PEJD X 2,5ML CONTINAND CATE 2ML SUSP. INHAL. PRIN NEBULIZATOR PRF 10 2.340959 6.971041 1.170479 8.141521 2.106863 7.205137
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 0.750356 0.077858 0.375178 0.453036 0.675320 0.152894
Pagina 2 din 2
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 IUNIE 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
247 W69093003 C07AB07 BISOPROLOLUM CORSIB 10 mg COMPR. 10mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.353760 0.353760 0.260573
248 W69091003 C07AB07 BISOPROLOLUM CORSIB 2,5 mg COMPR. 2,5mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.268000 0.268000 0.000000
249 W69092003 C07AB07 BISOPROLOLUM CORSIB 5 mg COMPR. 5mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. P6L 30 0.202080 0.202080 0.077253
3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
SE ADAUGA
15 W69341013 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 30 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 30 0.646532 0.646532 1.462801
16 W69341007 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 28 COMPR. FILM.( BLIST. AL/AL) PRF 28 0.646532 0.646532 1.318110
17 W69341001 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 28 0.646532 0.646532 1.318110
18 W69341014 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X 30 COMPR. FILM.( BLIST. AL/AL) PRF 30 0.646532 0.646532 1.462801
Tratamentul se iniţiază de către medicul în specialitatea cardiologie, chirurgie cardiovasculară şi chirurgie vasculară.
6. CIROZA BILIARA PRIMARA, COLANGITA SCLEROZANTA PRIMITIVA, HEPATITA CRONICA SI CIROZE DE ALTE ETIOLOGII CU COLESTAZA - G6
SE MODIFICA
5 W64488001 A05AA04 ACIDUM OBETICHOLICUM ** Ω OCALIVA 5 mg COMPR. FILM. 5mg INTERCEPT PHARMA LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN HDPE X 30 COMPR. PRF 30 413.813000 413.813000 0.000000
Tratamentul se initiază de către medicul în specialitatea gastroenterologie
8. MEDICAMENTE DE SUPORT PENTRU AFECŢIUNI ONCOLOGICE, HEMATOLOGICE ŞI PENTRU TERAPIA DURERII - G10
SE MODIFICA
235 W68355004 A04AA01 ONDANSETRONUM ** ONDANSETRON KALCEKS 2 mg/ml SOL INJ./PERF. 2 mg/ml AKCIJU SABIEDRIBA KALCEKS LETONIA CUTIE CU 5 FIOLE DIN STICLA TRANSPARENTA PREVAZUTE CU PUNCT DE RUPERE A CATE 4 ML SOLUTIE INJ./PERF. PR 5 14.275200 14.275200 4.488800
SE ELIMINA
3 W63617002 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 2 ML SOL. INJ./PERF. PR 5 5.448000 5.448000 0.000000
4 W63617005 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 4 ML SOL. INJ./PERF. PR 5 10.018000 10.018000 0.000000
9. EPILEPSIE - G11
SE MODIFICA
153 W63827001 N03AX23 BRIVARACETAMUM ** Ω BRIVIACT 100mg COMPR. FILM. 100mg U.C.B. PHARMA S.A. BELGIA CUTIE CU BLISTERE DIN PVC / PCTFE - AL X 56 COMPRIMATE FILMATE PRF 56 7.782857 7.782857 0.000000
Pagina 1 din 4
Prescriptie
Cod_CIM

Nr crt.

154 W63823001 N03AX23 BRIVARACETAMUM ** Ω BRIVIACT 10mg COMPR. FILM. 10mg U.C.B. PHARMA S.A. BELGIA CUTIE CU BLISTERE DIN PVC / PCTFE - AL X 14COMPRIMATE FILMATE PRF 14 8.118571 8.118571 0.000000
158 W63829001 N03AX23 BRIVARACETAMUM ** Ω BRIVIACT 10mg/ml SOL. ORALA 10mg/ml U.C.B. PHARMA S.A. BELGIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, 300 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII (PE) + 1 SERINGA PT. ADMINISTRARE ORALA (PP, PE), GRADATA, A 5 ML SI 10 ML + 1 ADAPTOR PT. SERINGA (PE) PRF 1 431.150000 431.150000 0.000000
Tratamentul se iniţiază de către medicul în specialitatea neurologie şi neurologie pediatrică.
16. POLIARTRITA REUMATOIDĂ, ARTROPATIA PSORIAZICĂ, PSORIAZIS CRONIC SEVER ŞI ARTRITA JUVENILĂ - G 18
SE ADAUGA
77 W64737002 L04AX03 METHOTREXATUM NORDIMET 10 mg SOL INJ. IN SERINGA PREUMPLUTA 10mg NORDIC GROUP BV OLANDA 4 (4X1) SERINGI PREUMPLUTE+8 (4X2) TAMPOANE CU ALCOOL (AMBALAJ MULTIPLU) PR 4 42.594000 42.594000 24.768500
78 W63807002 L04AX03 METHOTREXATUM NORDIMET 15 mg SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 15mg NORDIC GROUP BV OLANDA AMBALAJ MULTIPLU: 4(4X1)STILOURI INJECTOR (PEN) PREUMPLUTE (0,6 ML) CU AC ATASAT PR 4 52.026000 52.026000 36.529000
79 W63808002 L04AX03 METHOTREXATUM NORDIMET 17,5 mg SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 17,5mg NORDIC GROUP BV OLANDA AMBALAJ MULTIPLU: 4(4X1)STILOURI INJECTOR (PEN) PREUMPLUTE (0,7 ML) CU AC ATASAT PR 4 99.090000 99.090000 0.000000
80 W63809002 L04AX03 METHOTREXATUM NORDIMET 20 mg SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 20mg NORDIC GROUP BV OLANDA AMBALAJ MULTIPLU: 4(4X1)STILOURI INJECTOR (PEN) PREUMPLUTE (0,8 ML) CU AC ATASAT PR 4 75.939000 75.939000 30.556000
SE MODIFICA
58 W54364001 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg COMPR. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 0.435000 0.435000 0.000000
Tratamentul se iniţiază de către medicul din specialitatea reumatologie, nefrologie, medicină internă, pediatrie, reabilitare medicală şi dermatovenerologie.
17. SPONDILITA ANKILOZANTA - G 19
SE MODIFICA
12 W54364001 M01AB05 DICLOFENACUM DICLOFENAC ARENA 25 mg COMPR. GASTROREZ. 25mg ARENA GROUP SA ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. GASTROREZ. P-6L 30 0.435000 0.435000 0.000000
Tratamentul se iniţiază de către medicul din specialitatea reumatologie sau reabilitare medicală.
18. BOLI ENDOCRINE ŞI METABOLICE - G 22
SE ADAUGA
90 W68179001 H02AB09 HYDROCORTISONUM ALKINDI 5 mg GRANULE AMBALATE ÎN CAPSULE CARE TREBUIE DESCHISE 5mg DIURNAL EUROPE B.V OLANDA CUTIE CU UN FLACON X 50 CAPSULE PRF 50 28.534800 28.534800 0.000000
SE MODIFICA
76 W66769001 A16AX16 GIVOSIRANUM **1 Ω GIVLAARI 189 mg/ml SOL INJ. 189mg/ml ALNYLAM NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA X 1 ML SOL. INJ. PR 1 180,696.580000 180,696.580000 0.000000
20. BOALA CRONICA DE RINICHI - faza predializa - G 25
SE ADAUGA
75 W69393006 C09CA04 IRBESARTANUM ** APROVEL 150mg COMPR. FILM. 150mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X BLIST PVC/PVDC/AL X 30 COMPR. FILM. P6L 30 0.589713 0.589713 0.698620
76 W69394007 C09CA04 IRBESARTANUM ** APROVEL 300mg COMPR. FILM. 300mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE X BLIST PVC/PVDC/AL X 30 COMPR. FILM. P6L 30 0.922713 0.922713 0.739953
Tratamentul se initiaza de catre medicul in specialitatea nefrologie.
Pagina 2 din 4
Prescriptie
Cod_CIM

Nr crt.

21. BOLI DEGENERATIVE ALE OCHIULUI (GLAUCOM ŞI BOLI MACULARE) - G 26
SE MODIFICA
47 W62677001 S01EE05 TAFLUPROSTUM ** Ω SAFLUTAN 15 micrograme/ml PIC. OFT., SOL., FIOLA UNIDOZA 15micrograme/ml SANTEN OY FINLANDA CUTIE CU 3 PUNGI A CATE 10 FIOLE UNIDOZA DIN PEJD X 0,3 ML PIC. OFT., SOL. (30 FIOLE) PRF 30 2.279000 2.279000 0.000000
49 W63881001 S01LA05 AFLIBERCEPTUM ** Ω EYLEA 40mg/ml SOL INJ. 40mg/ml BAYER AG GERMANIA CUTIE X 1 FLACON DIN STICLA CU SOLUTIE INJECTABILA+1 AC CU FILTRU PR 1 3,101.240000 3,101.240000 0.000000
50 W66674001 S01LA06 BROLUCIZUMABUM ** Ω BEOVU 120 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 120mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 SERINGA PREUMPLUTA (0,165 ML SOLUTIE STERILA) PR 1 3,009.370000 3,009.370000 0.000000
Tratamentul se iniţiază de către medicul în specialitatea oftalmologie.
22. PEMFIGUS - G 27
SE ADAUGA
32 W68707001 J04BA02 DAPSONUM (4) DISULONE COMPR. DIVIZ. 100mg BIO EEL S.R.L. ROMANIA CUTIE X 100 COMPR. DIVIZIBILE PRF 100 1.239100 1.239100 0.000000
Tratamentul se iniţiază de către medicul în specialitatea dermatologie.
IMUNOSUPRESOARE SELECTIVE - G31

25. BOALA CRONICĂ INFLAMATORIE INTESTINALĂ ŞI SINDROM DE INTESTIN SCURT - G31a
SE ADAUGA
48 W69241001 L04AB04 ADALIMUMABUM **1 YUFLYMA 80 mg SOL INJ. IN SERINGA PREUMPLUTA 80mg/0,8ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA 1 SERINGA PREUMPLUTA (0,8 ML SOLUTIE STERILA) CU 2 TAMPOANE ALCOOL PR 1 2,290.670000 2,290.670000 0.000000
49 W69244001 L04AB04 ADALIMUMABUM **1 AMGEVITA 40 mg SOL. INJ. IN PEN PREUMPLUT 40mg/0.8ml AMGEN EUROPE B.V. OLANDA CUTIE CU 2 PENURI PRE-UMPLUTE CE CONTIN 40 MG ADALIMUMAB IN 0,8 ML SOLUTIE (50 MG/ML) PR 2 992.380000 992.380000 0.000000
SE MODIFICA
42 W68332001 L04AB04 ADALIMUMABUM **1 HUKYNDRA 80 mg SOL INJ. IN SERINGA PREUMPLUTA 80mg/0,8ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 SERINGA PREUMPLUTA AMBALATA INTR-UN BLISTER DIN PVC/PE X 0,8ML SOL. INJ. + 1 TAMPOAN ALCOOL PR 1 2,748.804000 2,748.804000 897.076000
Tratamentul se iniţiază de către medicul în specialitatea gastroenterologie, gastroenterologie pediatrică şi medicină internă.
26. POLIARTITRITA REUMATOIDA - G31b
SE ADAUGA
Tratamentul se iniţiază de către medicul în specialitatea reumatologie, medicină internă, nefrologie (pentru pacienţii cu afectare renală) şi reabilitarea medicală.
27. ARTROPATIA PSORIAZICA - G31c
SE ADAUGA
SE MODIFICA
57 W65090002 L04AC16 GUSELKUMABUM **1 Ω TREMFYA 100 mg SOL INJ. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 STILOU INJECTOR (PEN ) PREUMPLUT PR 1 8,568.570000 8,568.570000 0.000000
Pagina 3 din 4
Prescriptie
Cod_CIM

Nr crt.

Tratamentul se iniţiază de către medicul în specialitatea reumatologie şi reabilitare medicală.
28. SPONDILOARTRITA AXIALĂ - G31d
SE ADAUGA
Tratamentul se iniţiază de către medicul în specialitatea reumatologie, medicină internă şi reabilitare medicală.
29. ARTRITA JUVENILA - G31e
SE ADAUGA
Tratamentul se iniţiază de către medicul în specialitatea reumatologie, pediatrie şi reabilitare medicală.
30. PSORIAZIS CRONIC SEVER (PLĂCI) - G31f
SE ADAUGA
68 W69241001 L04AB04 ADALIMUMABUM **1 YUFLYMA 80 mg SOL INJ. IN SERINGA PREUMPLUTA 80mg/0,8ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA 1 SERINGA PREUMPLUTA (0,8 ML SOLUTIE STERILA) CU 2 TAMPOANE ALCOOL PR 1 2,290.670000 2,290.670000 0.000000
SE MODIFICA
64 W68332001 L04AB04 ADALIMUMABUM **1 HUKYNDRA 80 mg SOL INJ. IN SERINGA PREUMPLUTA 80mg/0,8ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 SERINGA PREUMPLUTA AMBALATA INTR-UN BLISTER DIN PVC/PE X 0,8ML SOL. INJ. + 1 TAMPOAN ALCOOL PR 1 2,748.804000 2,748.804000 897.076000
61 W65090002 L04AC16 GUSELKUMABUM **1 TREMFYA 100 mg SOL INJ. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 STILOU INJECTOR (PEN ) PREUMPLUT PR 1 8,568.570000 8,568.570000 0.000000
Tratamentul se iniţiază de către medicul în specialitatea dermatologie.
Pagina 4 din 4
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 IUNIE 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 ADAUGA
286 W56297011 A11DBN1 COMBINATII NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 0.407400 0.407400 0.000000
287 W56297010 A11DBN1 COMBINATII NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 2 BLIST. AL/AL X 10 COMPR. FILM. P-6L 20 0.488880 0.488880 0.011120
SE MODIFICA
253 W02268001 S02CA05 COMBINATII (CHLORAMPHENICOLUM+FLUOCINOLONUM+LIDOCAINUM) OTIS-T PICATURI AURICULARE, SOL. FARA CONCENTRATIE TIS FARMACEUTIC SA ROMANIA CUTIE X 1 FLACON DIN PE X 10 ML PIC. AURICULARE, SOL. P-RF 1 9.240000 9.240000 0.000000
254 W10587001 S02CA05 COMBINATII SOLUTIE AURICULARA CU CLORAMFENICOL SI FLUOCINOLON SOL. AURICULARA FARA CONCENTRATIE BIOFARM SA ROMANIA CUTIE X 1 FLAC DIN STICLA BRUNA+APLICATOR TIP PIPETA X 10 ML SOL. AURICULARA P-RF 1 9.520000 9.520000 0.000000
SE ELIMINA
109 W61424001 G03AC06 MEDROXYPROGESTERONUM SAYANA 104 mg SUSP. INJ. IN SERINGA PREUMPLUTA 104mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU O SERINGA PREUMPLUTA DE UNICA FOLOSINTA CU AC DE DIMENSIUNEA 26G, 3/8, DIN STICLA INCOLORA, CU CAPAC SI PISTON DIN CAUCIUC BROMOBUTILIC, CARE CONTINE 0,65 ML SUSPENSIE INJECTABILA PRF 1 124.490000 124.490000 0.000000
110 W65275001 G03AC06 MEDROXYPROGESTERONUM SAYANA 104 mg SUSP. INJ. IN SERINGA PREUMPLUTA 104mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 SERINGA PREUMPLUTA DE UNICA FOLOSINTA CU AC DE DIMENSIUNEA 26G, 3/8, DIN STICLA INCOLORA, CU CAPAC SI PISTON DIN CAUCIUC BROMOBUTILIC, CARE CONTINE 0,65 ML SUSPENSIE INJECTABILA PRF 1 124.490000 124.490000 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 IUNIE 2023

Prescriptie
Cod_CIM

Nr crt.
SE ADAUGA
127 W56297010 A11DBN1 COMBINATII ** NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 2 BLIST. AL/AL X 10 COMPR. FILM. P-6L 20 0.407400 0.092600 0.081480 0.418520
128 W56297011 A11DBN1 COMBINATII ** NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 10 BLIST. AL/AL X 10 COMPR. FILM. P-6L 100 0.407400 0.000000 0.081480 0.325920
SE MODIFICA
30 W01610002 A11DBN1 COMBINATII ** MILGAMMA N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 50 0.407400 0.666000 0.081480 0.991920
31 W56297001 A11DBN1 COMBINATII ** NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 0.407400 0.092600 0.081480 0.418520
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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

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

Tratamentul se initiază de către medicul în specialitatea gastroenterologie

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.

17. SPONDILITA ANKILOZANTA - G 19

18. BOLI ENDOCRINE ŞI METABOLICE - G 22

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

Tratamentul se initiaza de catre medicul in specialitatea nefrologie.

UT/ Pret de beneficiaza de compensare 100%

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

21. BOLI DEGENERATIVE ALE OCHIULUI (GLAUCOM ŞI BOLI MACULARE) - G 26

Tratamentul se iniţiază de către medicul în specialitatea oftalmologie.

Tratamentul se iniţiază de către medicul în specialitatea dermatologie.

IMUNOSUPRESOARE SELECTIVE - G31

26. POLIARTITRITA REUMATOIDA - G31b

27. ARTROPATIA PSORIAZICA - G31c

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 reumatologie şi reabilitare medicală.

28. SPONDILOARTRITA AXIALĂ - G31d

29. ARTRITA JUVENILA - G31e

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

30. PSORIAZIS CRONIC SEVER (PLĂCI) - G31f

Tratamentul se iniţiază de către medicul în specialitatea dermatologie.

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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