Lista Medicamentelor Valabila - 04.12.2018

ANEXA 10
(ANEXA 2e la Ordinul CNAS nr. 247/2017)
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, CU COMPLETARILE SI MODIFICARILE ULTERIOARE,
VALABILA INCEPAND CU 04 DECEMBRIE 2018
Contributie maxima Val. maxima suportata de Contributie maxima

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

Nr crt.
UT/ Pret de compensare 100% beneficiaza de compensare 20%

tara det. amba referinta / UT din pretul de compensare 20% din din pretul de
cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) pretul de referinta) referinta)
SE MODIFICA
84 W56749001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 27,879910 4,680090 5,575982 26,984018
85 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 27,879910 7,800090 5,575982 30,104018
86 W56947001 M05BA06 ACIDUM IBANDRONICUM * QUODIXOR 150 mg COMPR. FILM. 150mg ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P-6L 1 27,879910 7,790090 5,575982 30,094018
87 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 27,879910 7,150090 5,575982 29,454018
88 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 27,879910 7,800090 5,575982 30,104018
89 W60664001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P6L 1 27,879910 0,630090 5,575982 22,934018
90 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 27,879910 4,680090 5,575982 26,984018
91 W57932001 M05BA06 ACIDUM IBANDRONICUM * OSSICA 3 mg SOL INJ. IN SERINGA PREUMPLUTA 3mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE P6L 1 101,637500 2,392500 20,327500 83,702500
93 W57484001 M05BA06 ACIDUM IBANDRONICUM * OSAGRAND 3 mg/3 ml SOL. INJ. 3mg/3ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ. P6L 1 101,637500 3,172500 20,327500 84,482500
94 W62605001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC FRESENIUS KABI 3 mg SOL. INJ. IN SERINGA PREUMPLUTA 3mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA CU CAPACITATEA DE 5 ML DIN POLIMER OLEFIN CICLIC SI 1 AC CONTINAND 3 ML SOL. INJ. P6L 1 101,637500 3,172500 20,327500 84,482500
95 W43328001 M05BA06 ACIDUM IBANDRONICUM * BONVIVA 3mg/3ml SOL. INJ. IN SERINGA PREUMPLUTA 3mg/3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC P-6L 1 101,637500 51,262500 20,327500 132,572500
Pagina 1 din 1
ANEXA 6
(ANEXA 2a la Ordinul CNAS nr. 247/2017)
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, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILA INCEPAND CU 04 DECEMBRIE 2018

Prescriptie
(pt. asiguratii care sociale de sanatate / UT (pt. asiguratii care
Cod_CIM

Nr crt.

SE ADAUGA
1.095 W64022007 A02BC01 OMEPRAZOLUM OMEZ 40 mg CAPS. GASTROREZ. 40mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. GASTROREZ. P6L 30 0,670333 0,000000 0,603299 0,067034
1.096 W62752001 G03BA03 TESTOSTERONUM * ANDROGEL 16,2 mg/g GEL 16,2mg/g BESINS HEALTHCARE BELGIA CUTIE CU 1 RECIPIENT MULTIDOZA DIN PP, CARE CONTINE UN REZERVOR DIN PEJD, PREVAZUT CU UN ADAPTOR LA CARE SE CONECTEAZA O POMPA DOZATOARE CU 88 G GEL PRF 1 178,934637 73,005363 161,041173 90,898827
1.097 W64727001 G03BA03 TESTOSTERONUM * TESTAVAN 20 mg/g GEL TRANSDERMIC 20mg/g FERRING CONTROLLED THERAPEUTICS LIMITED MAREA BRITANIE CUTIE CU 1 RECIPIENT MULTIDOZA CU POMPA DOZATOARE CARE CONTINE 85,5 G GEL TRANSDERMIC SI POATE ELIBERA 56 DOZE MASURATE PR/PRF 1 214,631194 22,928806 193,168074 44,391926
1.098 W59497007 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 21 COMPR. FILM. PRF 21 0,962142 0,008810 0,865927 0,105025
1.099 W59497004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 14 COMPR. FILM. PRF 14 0,962142 0,008572 0,865927 0,104787
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 0,249599 0,374401 0,224639 0,399361
2 W07481003 A02BC01 OMEPRAZOLUM ULTOP CAPS. GASTROREZ. 20mg KRKA D.D. SLOVENIA CUTIE X 1 FLAC. PE X 14 CAPS. GASTROREZ. P-6L 14 0,499198 0,176516 0,449278 0,226436
3 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 0,499198 0,186516 0,449278 0,236436
4 W51990001 A02BC01 OMEPRAZOLUM OMEPRAZOL 20 mg CAPS. GASTROREZ. 20mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 CAPS. GASTROREZ. P-6L 30 0,499198 0,283468 0,449278 0,333388
5 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 0,499198 0,279802 0,449278 0,329722
6 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 0,499198 0,262468 0,449278 0,312388
7 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 0,499198 0,195802 0,449278 0,245722
8 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 0,499198 0,239468 0,449278 0,289388
10 W58105001 A02BC01 OMEPRAZOLUM OMEZ 20mg CAPS. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 3 FOLII AL/PE-PE/AL X 10 CAPS. GASTROREZ. P-6L 30 0,499198 0,241468 0,449278 0,291388
12 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 0,499198 0,348302 0,449278 0,398222
17 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 0,499198 0,294373 0,449278 0,344293
19 W53138002 A02BC01 OMEPRAZOLUM OMEPRAZOL FARMEX 20 mg CAPS. GASTROREZ. 20mg FARMEX COMPANY SRL ROMANIA CUTIE X 3 BLIST. AL/AL X 10 CAPS. GASTROREZ. P6L 30 0,499198 0,195802 0,449278 0,245722
20 W64021007 A02BC01 OMEPRAZOLUM OMEZ 20 mg CAPS. GASTROREZ. 20mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 CAPS. GASTROREZ. P6L 30 0,499198 0,248135 0,449278 0,298055
21 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 0,499198 0,241468 0,449278 0,291388
22 W14125001 A02BC01 OMEPRAZOLUM ORTANOL 40 mg CAPS. GASTROREZ. 40mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 BLIST. AL/AL X 7 CAPS. GASTROREZ.P-6L 7 0,998397 0,193031 0,898557 0,292871
25 W57994002 A02BC01 OMEPRAZOLUM OMEDAR 20 mg COMPR. GASTROREZ. 20mg DAR AL DAWA PHARMA S.R.L. ROMANIA CUTIE X 1 FLAC. DE STICLA BRUNA X 28 COMPR. FILM. GASTROREZ. P-6L 28 0,499198 0,036159 0,449278 0,086079
28 W42951001 A02BC03 LANSOPRAZOLUM LEVANT 15 mg CAPS. GASTROREZ. 15mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 0,249599 0,236829 0,224639 0,261789
29 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 0,499198 0,473659 0,449278 0,523579
30 W42952001 A02BC03 LANSOPRAZOLUM LEVANT 30 mg CAPS. GASTROREZ. 30mg RANBAXY UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. PVC-AL-PO/AL-PE X 7 CAPS. GASTROREZ. P-6L 14 0,499198 0,342944 0,449278 0,392864
31 W56144004 A02BC03 LANSOPRAZOLUM LANZAP 30mg CAPS. GASTROREZ. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 CAPS. GASTROREZ. P-6L 20 0,499198 0,364302 0,449278 0,414222
434 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 0,122099 0,202186 0,109889 0,214396
435 W12477002 C10AA01 SIMVASTATINUM ZEPLAN (R) 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILMP-6L 28 0,122099 0,081472 0,109889 0,093682
436 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 0,122099 0,189567 0,109889 0,201777
437 W08725001 C10AA01 SIMVASTATINUM VASILIP 10 mg COMPR. FILM. 10mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L 28 0,122099 0,201472 0,109889 0,213682
438 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 0,122099 0,201901 0,109889 0,214111
439 W56206001 C10AA01 SIMVASTATINUM SIMVASTATINA SUN 10 mg COMPR. FILM. 10mg CIPLA (UK) LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 0,122099 0,020043 0,109889 0,032253
440 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 0,122099 0,026472 0,109889 0,038682
441 W58957005 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L 30 0,122099 0,025901 0,109889 0,038111
442 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 0,122099 0,182567 0,109889 0,194777
444 W12478002 C10AA01 SIMVASTATINUM ZEPLAN (R) 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILMP-6L 28 0,244199 0,189015 0,219779 0,213435
445 W51357002 C10AA01 SIMVASTATINUM ZOCOR 20 mg COMPR. FILM. 20mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR.FILM. P-6L 28 0,244199 0,422229 0,219779 0,446649
447 W08479001 C10AA01 SIMVASTATINUM VASILIP 20 mg COMPR. FILM. 20mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. DIN PVC/PE/PVDC/AL X 7 COMPR. FILM. P-6L 28 0,244199 0,189015 0,219779 0,213435
448 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 0,244199 0,188801 0,219779 0,213221
Pagina 1 din 2
Prescriptie
Cod_CIM (pt. asiguratii care sociale de sanatate / UT (pt. asiguratii care
Nr crt.

450 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. 28 P-6L 0,244199 0,001158 0,219779 0,025578
451 W58958005 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 20 mg COMPR. FILM. 20mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. 30 P6L 0,244199 0,001801 0,219779 0,026221
453 W41703002 C10AA01 SIMVASTATINUM SIMVAHEXAL (R) 30 mg COMPR. FILM. 30mg HEXAL AG GERMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0,366299 0,117034 0,329669 0,153664
455 W13137001 C10AA01 SIMVASTATINUM VASILIP (R) 40 mg COMPR. FILM. 40mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 7 COMPR. FILM P-6L 28 0,488399 0,463029 0,439559 0,511869
456 W41446002 C10AA01 SIMVASTATINUM ZEPLAN (R) 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 0,488399 0,061958 0,439559 0,110798
458 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 0,488399 0,617934 0,439559 0,666774
463 W06752001 C10AA02 LOVASTATINUM MEDOSTATIN COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 0,162799 0,362201 0,146519 0,378481
464 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 0,162799 0,731867 0,146519 0,748147
465 W43037001 C10AA03 PRAVASTATINUM PRAVATOR 20 mg COMPR. 20mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR.P-6L 28 0,244199 0,587943 0,219779 0,612363
466 W43843001 C10AA03 PRAVASTATINUM PRAVATOR 40 mg COMPR. 40mg RANBAXY U.K. LIMITED MAREA BRITANIE CUTIE X 4 BLIST. PE-AL-PVC/AL X 7 COMPR.P-6L 28 0,488399 0,827672 0,439559 0,876512
634 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA PRF 1
CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 24,652499 1,617501 22,187249 4,082751
636 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA PRF 1
CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML 14,791500 4,928500 13,312350 6,407650
637 W44091001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 29,583000 3,287000 26,624700 6,245300
638 W58393002 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA PRF 1
CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA 29,583000 0,277000 26,624700 3,235300
947 W60729001 N06AB03 FLUOXETINUM * FLUOXETIN ARENA 10 mg CAPS. 10mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 0,248584 0,447416 0,223725 0,472275
949 W13241001 N06AB03 FLUOXETINUM * FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 2 BLIST. PVC/AL X 7 CAPS. P-RF 14 0,497169 0,308545 0,447452 0,358262
950 W13241002 N06AB03 FLUOXETINUM * FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS. P-RF 28 0,497169 0,290688 0,447452 0,340405
954 W10228001 N06AB03 FLUOXETINUM * PROZAC 20 mg COMPR. DISP. 20mg ELI LILLY SA SPANIA CUTIE X 2 BLIST. PVC-PE-ACLAR/AL X 14 COMPR. DISP. P-RF 28 0,497169 0,817831 0,447452 0,867548
956 W43706001 N06AB04 CITALOPRAMUM ** LINISAN 20 mg COMPR. FILM. 20mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 30 0,497169 0,870831 0,447452 0,920548
957 W41796001 N06AB05 PAROXETINUM * ARKETIS COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC, X 10 COMPR. P-RF 30 0,497169 0,022497 0,447452 0,072214
958 W57051001 N06AB05 PAROXETINUM * PAROXETINA ATB 20 mg COMPR. FILM. 20 mg ANTIBIOTICE SA ROMANIA CUTIE CU 3 BLIST. DIN PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF 30 0,497169 0,119831 0,447452 0,169548
959 W04913003 N06AB05 PAROXETINUM * SEROXAT 20 mg COMPR. FILM. 20mg SMITHKLINE BEECHAM MAREA BRITANIE CUTIE CU 3 BLIST. PVC/AL-HARTIE X 10 COMPR. FILM. P-RF 30 0,497169 0,451497 0,447452 0,501214
960 W43958002 N06AB05 PAROXETINUM * PAXETIN 20 mg COMPR. FILM. 20mg ACTAVIS GROUP HF. ISLANDA CUTIE X 3 BLIST. AL/AL X 10 COMPR. FILM. P-RF 30 0,497169 0,022497 0,447452 0,072214
1088 W64362002 N06AB05 PAROXETINUM * PAXETIN 20 mg COMPR. FILM. 20mg TEVA B.V. OLANDA CUTIE CU 3 BLIST. OPA-AL-PVC/PVC-AL-OPA X 10 COMPR. FILM. PRF 30 0,497169 0,022497 0,447452 0,072214
961 W44097001 N06AB06 SERTRALINUM * SERLIFT 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 0,994338 0,288162 0,894904 0,387596
962 W12874001 N06AB06 SERTRALINUM * ASENTRA (R) COMPR. FILM. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 0,994338 0,082090 0,894904 0,181524
964 W55563001 N06AB06 SERTRALINUM * ZOLOFT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X BLISTERE DIN AL/PVC X 28 COMPRIMATE FILMATE P-RF 28 0,994338 0,978876 0,894904 1,078310
965 W59051001 N06AB06 SERTRALINUM * ADJUVIN 100 mg COMPR. FILM. 100mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 30 0,994338 0,268662 0,894904 0,368096
966 W59303002 N06AB06 SERTRALINUM * STIMULOTON® 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 0,994338 0,288162 0,894904 0,387596
967 W60444001 N06AB06 SERTRALINUM * SERTRALINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 0,994338 0,287995 0,894904 0,387429
969 W44096001 N06AB06 SERTRALINUM * SERLIFT 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 0,497169 0,227116 0,447452 0,276833
972 W55562001 N06AB06 SERTRALINUM * ZOLOFT 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X BLIST. DIN AL/PVC X 28 COMPR. FILM. P-RF 28 0,497169 0,695688 0,447452 0,745405
973 W59050001 N06AB06 SERTRALINUM * ADJUVIN 50 mg COMPR. FILM. 50mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 30 0,497169 0,196831 0,447452 0,246548
974 W59302001 N06AB06 SERTRALINUM * STIMULOTON® 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-RF 30 0,497169 0,036497 0,447452 0,086214
975 W60443001 N06AB06 SERTRALINUM * SERTRALINA ARENA 50 mg COMPR. FILM. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 0,497169 0,203831 0,447452 0,253548
977 W55564001 N06AB06 SERTRALINUM * ZOLOFT 20 mg/ml CONC. PT. SOL. ORALA 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE P-RF 1
CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA 11,932066 39,657934 10,738859 40,851141
978 W62371001 N06AB08 FLUVOXAMINUM * FEVARIN 100mg COMPR. FILM. 100mg BGP PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM.P-RF 30 0,497169 0,619497 0,447452 0,669214
1091 W64560001 N06AB08 FLUVOXAMINUM * FEVARIN 100 COMPR. FILM. 100mg MYLAN HEALTHCARE B.V. OLANDA CUTIE CU 2 BLIST. PVC/PVDC X 15 COMPR. FILM. PRF 30 0,497169 0,619497 0,447452 0,669214
979 W62372001 N06AB08 FLUVOXAMINUM * FEVARIN 50mg COMPR. FILM. 50mg BGP PRODUCTS B.V. OLANDA CUTIE X 2 BLIST. PVC/PVDC X 15 COMPR. FILM.P-RF 30 0,248584 0,309749 0,223725 0,334608
1092 W64561001 N06AB08 FLUVOXAMINUM * FEVARIN 50 COMPR. FILM. 50mg MYLAN HEALTHCARE B.V. OLANDA CUTIE CU 2 BLIST. PVC/PVDC X 15 COMPR. FILM. PRF 30 0,248584 0,309749 0,223725 0,334608
Pagina 2 din 2
ANEXA 7
(ANEXA 2b la Ordinul CNAS nr. 247/2017)
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, CU MODIFICARILE SI COMPLETARILE ULTERIOARE, VALABILA INCEPAND CU 04 DECEMBRIE 2018
Contributie Val. maxima suportata Contributie Val. maxima suportata Contributie

maxima a de sistemul de maxima a de sistemul de maxima a
asiguratului / UT asigurari sociale de asiguratului / UT asigurari sociale de asiguratului / UT
(pt. asiguratii care sanatate / UT (pt. (pt. asiguratii care sanatate / UT (pt. (pt. asiguratii care
Prescriptie
cant. beneficiaza de asiguratii care beneficiaza de asiguratii care beneficiaza de
Cod_CIM
UT/ Pret de compensare 100% beneficiaza de compensare 50% beneficiaza de compensare 90%
Nr crt.
Tara det. amb referinta / din pretul de compensare 50% din din pretul de compensare 90% din din pretul de
cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj alaj UT (RON) referinta) pretul de referinta) referinta) pretul de referinta) referinta)
SE ADAUGA
1.164 W57344003 C07BB07 COMBINATII (BISOPROLOLUM+HYDROCHLOROTHIAZIDUM) LODOZ 5mg/6,25mg COMPR. FILM. 5mg/6,25mg MERCK KGAA GERMANIA CUTIE CU 1 BLIST. PVC/AL X 30 COMPR. FILM. P6L 30 0,575666 0,000000 0,287833 0,287833 0,518099 0,057567
1.165 W03916002 C08CA09 LACIDIPINUM LACIPIL 4 mg COMPR. FILM. 4mg GLAXO OPERATIONS UK LTD. MAREA BRITANIE CUTIE X 4 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-6L 28 0,264299 0,432486 0,132149 0,564636 0,237869 0,458916
1.166 W64084002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLMESARTAN MEDOXOMIL/AMLODIPINA ZENTIVA 20 mg/5 mg COMPR. FILM. 20mg/5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1,264258 1,034313 0,632129 1,666442 1,137832 1,160739
1.169 W64099007 C10AA05 ATORVASTATINUM ATORVASTATINA ACCORD 10 mg COMPR. FILM. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0,136000 0,000000 0,068000 0,068000 0,122400 0,013600
1.172 W64599001 G01AA51 COMBINATII POLYGYNAX VIRGO CAPS. MOI VAG. FARA LABORATOIRE INNOTECH INTERNATIONAL FRANTA CUTIE CU 1 BLIST. PVC/PVDC TRANSPARENT/AL X 6 CAPS. VAG. MOI PRF 6 2,145000 0,330000 1,072500 1,402500 1,930500 0,544500
1.173 W62488001 G04BD08 SOLIFENACINUM SUCCINATE ** # VESICARE 1 mg/ml SUSP. ORALA 1mg/ml ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA DIN PET CARE CONTINE 150 ML SUSP. ORALA P6L 1 43,402499 140,937501 21,701249 162,638751 39,062249 145,277751
1.174 W64823002 H01AC01 SOMATROPINUM ** # GENOTROPIN 16 UI/ml (5,3 mg/ml) PULB. + SOLV. PT. SOL. INJ. 16UI/ml(5,3mg/ml) PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 CARTUS BICAMERAL MULTIDOZA CARE CONTINE PULB. SI SOLV. PT. SOL. INJ. PRF 1 409,962666 54,497334 204,981333 259,478667 368,966399 95,493601
1.175 W57960002 H02AB01 BETAMETHASONUM DIPROPHOS SUSP. INJ. 7mg/ml MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 1 FIOLE DIN STICLA TIP I X 1 ML SUSP. INJ. PRF 1 17,160000 0,000000 8,580000 8,580000 15,444000 1,716000
1.176 W64358003 J01FA10 AZITHROMYCINUM SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 37,5 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE PRF 1 49,304999 11,055001 24,652499 35,707501 44,374499 15,985501
1.177 W62143002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UITEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4X1 COMPR. P6L 4 6,505312 0,797188 3,252656 4,049844 5,854780 1,447720
1.178 W62143001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UITEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. P6L 4 6,505312 0,797188 3,252656 4,049844 5,854780 1,447720
1.179 W63955004 N06AX21 DULOXETINUM ** DOZZEX 30 mg CAPS. GASTROREZ. 30mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC-PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 1,072333 0,129095 0,536166 0,665262 0,965099 0,236329
1.180 W63956004 N06AX21 DULOXETINUM ** DOZZEX 60 mg CAPS. GASTROREZ. 60mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC-PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 1,246071 0,000000 0,623035 0,623036 1,121463 0,124608
1.181 W64195001 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM) VERTIGIX 20 mg/40 mg COMPR. 20mg/40mg GALENICA S.A. GRECIA CUTIE CU BLIST. PVC-PVDC/AL-PVDC X 50 COMPR. PRF 50 1,085800 0,000000 0,542900 0,542900 0,977220 0,108580
1.182 W64463002 R03AC18 INDACATEROLUM ** ONBREZ BREEZHALER 150 µg CAPS. CU PULB.INHAL. 150µg NOVARTIS EUROPHARM LTD. IRLANDA CUTIECU BLIST. DIN PA/AL/PVC X 30 CAPSULE (3 BIST X10)+ UN INHALATOR PRF 30 2,148500 2,148500 1,074250 3,222750 1,933650 2,363350
1.183 W64464002 R03AC18 INDACATEROLUM ** ONBREZ BREEZHALER 300 µg CAPS. CU PULB.INHAL. 300µg NOVARTIS EUROPHARM LTD. IRLANDA PRF
CUTIE CU BLIST. DIN PA/AL/PVC X 30 CAPSULE (1 BLIST. X10)+ UN INHALATOR 30 4,297000 0,000000 2,148500 2,148500 3,867300 0,429700
1.184 W64226001 R03BA08 CICLESONIDUM * ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160micrograme/doza ASTRAZENECA AB SUEDIA PRF
CUTIE CU 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA 1 86,070000 0,000000 43,035000 43,035000 77,463000 8,607000
1.185 W64476001 S01GX09 OLOPATADINUM OPATANOL 1mg/ml PIC. OFT., SOL. 1mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 FLAC. X 5 ML PRF 1 25,550000 2,450000 12,775000 15,225000 22,995000 5,005000
SE MODIFICA
9 W61932062 A02BC02 PANTOPRAZOLUM CONTROLOC 20 mg COMPR. GASTROREZ. 20mg TAKEDA GMBH GERMANIA CUTIE DE CARTON CU BLIST. DIN AL/AL CU RANFORSARE DIN CARTON X 30 COMPR. GASTROREZ. P6L 30 0,499198 0,009135 0,249599 0,258734 0,449278 0,059055
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 0,665597 0,852260 0,332798 1,185059 0,599037 0,918820
27 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 0,665597 0,272260 0,332798 0,605059 0,599037 0,338820
28 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 1,331196 0,799518 0,665598 1,465116 1,198076 0,932638
30 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 1,331196 0,053089 0,665598 0,718687 1,198076 0,186209
31 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 0,665597 0,272260 0,332798 0,605059 0,599037 0,338820
32 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 1,331196 0,053089 0,665598 0,718687 1,198076 0,186209
345 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 2,528517 0,666125 1,264258 1,930384 2,275665 0,918977
346 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 2,454149 0,549601 1,227074 1,776676 2,208734 0,795016
347 W51853005 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) EXFORGE 5mg/80mg COMPR. FILM. 5mg/80mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM.(BLIST.PVC/PVDC ) P-6L 56 1,264258 1,929670 0,632129 2,561799 1,137832 2,056096
348 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 1,264258 1,888242 0,632129 2,520371 1,137832 2,014668
349 W57427002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM SEVIKAR 20 mg/5 mg COMPR. FILM. 20mg/5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1,264258 2,175384 0,632129 2,807513 1,137832 2,301810
350 W64151010 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLSSA 20 mg/5 mg COMPR. FILM. 20mg/5mg HCS BVBA BELGIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI OPA-AL-PVC/AL X 28X1 COMPR. FILM. P6L 28 1,264258 0,889313 0,632129 1,521442 1,137832 1,015739
352 W64151002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLSSA 20 mg/5 mg COMPR. FILM. 20mg/5mg HCS BVBA BELGIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1,264258 0,889313 0,632129 1,521442 1,137832 1,015739
1.127 W64245006 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLMESARTAN MEDOXOMIL/AMLODIPINA ACCORD 20 mg/5 mg COMPR. FILM. 20mg/5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1,264258 1,034313 0,632129 1,666442 1,137832 1,160739
1.128 W64245001 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLMESARTAN MEDOXOMIL/AMLODIPINA ACCORD 20 mg/5 mg COMPR. FILM. 20mg/5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1,264258 1,034313 0,632129 1,666442 1,137832 1,160739
354 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 1,264258 2,175384 0,632129 2,807513 1,137832 2,301810
1.131 W64246006 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLMESARTAN MEDOXOMIL/AMLODIPINA ACCORD 40 mg/5 mg COMPR. FILM. 40mg/5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 2,275666 0,022905 1,137833 1,160738 2,048099 0,250472
Pagina 1 din 3
Prescriptie
Cod_CIM
Nr crt.
1.132 W64246001 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLMESARTAN MEDOXOMIL/AMLODIPINA ACCORD 40 mg/5 mg COMPR. FILM. 40mg/5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 2,275666 0,022905 1,137833 1,160738 2,048099 0,250472
373 W51413001 C10AA04 FLUVASTATINUM LESCOL 20 mg CAPS. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 0,244199 0,347943 0,122099 0,470043 0,219779 0,372363
374 W51414001 C10AA04 FLUVASTATINUM LESCOL 40 mg CAPS. 40mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/AL X 7 CAPS. P-6L 28 0,488399 0,482315 0,244199 0,726515 0,439559 0,531155
376 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 0,366299 0,516701 0,183149 0,699851 0,329669 0,553331
378 W55165007 C10AA05 ATORVASTATINUM GLETOR 10 mg COMPR. FILM. 10mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0,366299 0,140034 0,183149 0,323184 0,329669 0,176664
379 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 0,366299 0,340367 0,183149 0,523517 0,329669 0,376997
380 W56114001 C10AA05 ATORVASTATINUM TORVAZIN 10 mg COMPR. FILM. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0,366299 0,283034 0,183149 0,466184 0,329669 0,319664
382 W59408001 C10AA05 ATORVASTATINUM STAVRA 10 mg COMPR. FILM. 10mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L 30 0,366299 0,340367 0,183149 0,523517 0,329669 0,376997
387 W12894001 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 0,732599 0,440067 0,366299 0,806367 0,659339 0,513327
390 W55517003 C10AA05 ATORVASTATINUM ASCORD 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 0,732599 0,185067 0,366299 0,551367 0,659339 0,258327
393 W59409001 C10AA05 ATORVASTATINUM STAVRA 20 mg COMPR. FILM. 20mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 30 COMPR. FILM. P6L 30 0,732599 0,185067 0,366299 0,551367 0,659339 0,258327
418 W13864001 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 0,732599 2,593829 0,366299 2,960129 0,659339 2,667089
419 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 0,732599 0,100401 0,366299 0,466701 0,659339 0,173661
421 W55990002 C10AA07 ROSUVASTATINUM ROSTAT 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0,732599 0,021401 0,366299 0,387701 0,659339 0,094661
423 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 0,732599 0,509186 0,366299 0,875486 0,659339 0,582446
424 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 0,732599 0,509186 0,366299 0,875486 0,659339 0,582446
425 W59657004 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 10 mgCOMPR. FILM. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0,732599 0,089067 0,366299 0,455367 0,659339 0,162327
427 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 0,732599 0,114734 0,366299 0,481034 0,659339 0,187994
1.136 W64682002 C10AA07 ROSUVASTATINUM ROSI 10 mg COMPR. FILM. 10mg SWYSSI AG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,732599 1,430067 0,366299 1,796367 0,659339 1,503327
431 W13865001 C10AA07 ROSUVASTATINUM CRESTOR 20 mg COMPR. FILM. 20mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 1,465198 3,399802 0,732599 4,132401 1,318678 3,546322
1.137 W64684002 C10AA07 ROSUVASTATINUM ROSI 20 mg COMPR. FILM. 20mg SWYSSI AG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 1,465198 1,812802 0,732599 2,545401 1,318678 1,959322
452 W43678001 C10AA07 ROSUVASTATINUM CRESTOR 5 mg COMPR. FILM. 5mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. AL/AL X 14 COMPR. FILM. P-6L 28 0,366299 2,269772 0,183149 2,452922 0,329669 2,306402
454 W55989002 C10AA07 ROSUVASTATINUM ROSTAT 5 mg COMPR. FILM. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0,366299 0,406034 0,183149 0,589184 0,329669 0,442664
455 W58125003 C10AA07 ROSUVASTATINUM TINTAROS 5 mg COMPR. FILM. 5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM. P6L 28 0,366299 0,017272 0,183149 0,200422 0,329669 0,053902
458 W59656004 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 5 mg COMPR. FILM. 5mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0,366299 0,250034 0,183149 0,433184 0,329669 0,286664
459 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 0,366299 0,660129 0,183149 0,843279 0,329669 0,696759
460 W61053001 C10AA07 ROSUVASTATINUM ROSUVASTATINA ATB 5 mg COMPR. FILM. 5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 0,366299 0,404034 0,183149 0,587184 0,329669 0,440664
533 W51716002 G01AA51 COMBINATII MACMIROR COMPLEX CAPS. MOI VAG. 500mg/200000UI POLICHEM SA LUXEMBURG CUTIE X 1 BLIST. AL/PVDC-PVC X 12 CAPS. MOI. VAG. P-RF 12 2,145000 1,075833 1,072500 2,148333 1,930500 1,290333
534 W01949002 G01AA51 COMBINATII POLYGYNAX CAPS. MOI VAG. FARA CONCENTRATIE LAB. INNOTECH INT.FRANTA CUTIE CU 2 BLIST. PVC-PVDC/AL X 6 CAPS. MOI. VAG. P-RF 12 2,145000 0,420833 1,072500 1,493333 1,930500 0,635333
629 W05539002 H01AC01 SOMATROPINUM ** # GENOTROPIN 16 UI/ml (5,3 mg/ml) PULB. + SOLV. PT. SOL. INJ. 16UI/ml (5,3mg/ml) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.P-RF 1 409,962666 54,497334 204,981333 259,478667 368,966399 95,493601
630 W07530001 H01AC01 SOMATROPINUM ** # ZOMACTON PULB. + SOLV. PT. SOL. INJ. 4mg (12ui) FERRING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. PR/PRF 1 307,472000 141,038000 153,736000 294,774000 276,724800 171,785200
632 W63193001 H01AC01 SOMATROPINUM ** # OMNITROPE 5 mg/1,5 ml SOL INJ. IN CARTUS 5mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. (PENTRU SUREPAL 5) PR/PRF 1 384,340000 0,000000 192,170000 192,170000 345,906000 38,434000
633 W55322001 H01AC01 SOMATROPINUM ** # NUTROPINAq 10 mg/2 ml SOL. INJ. 10mg/2ml IPSEN PHARMA FRANTA CUTIE X 1 CARTUS X 2 ML. SOL. INJ. P-RF/R 1 768,680000 182,960000 384,340000 567,300000 691,812000 259,828000
634 W52345001 H01AC01 SOMATROPINUM ** # OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 384,340000 0,000000 192,170000 192,170000 345,906000 38,434000
636 W54046001 H01AC01 SOMATROPINUM ** # NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF 1 768,680000 391,200000 384,340000 775,540000 691,812000 468,068000
669 W42901001 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 mlPULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA P-RF
CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (400 MG) SUSP. ORALA 1 13,147996 6,192004 6,573998 12,766002 11,833196 7,506804
671 W00520002 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA P-RF
CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE 1 19,721999 2,538001 9,860999 12,399001 17,749799 4,510201
672 W00520003 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA D.O.O. SLOVENIA P-RF
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE 1 49,304999 11,055001 24,652499 35,707501 44,374499 15,985501
673 W00520001 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLIJANA D.O.O. SLOVENIA P-RF
CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE 1 39,443999 0,236001 19,721999 19,958001 35,499599 4,180401
1.151 W64358002 J01FA10 AZITHROMYCINUM SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V. OLANDA PRF
CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 30 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE 1 39,443999 0,236001 19,721999 19,958001 35,499599 4,180401
804 W60296004 M05BA04 ACIDUM ALENDRONICUM * FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 6,505312 7,114688 3,252656 10,367344 5,854780 7,765220
805 W60296002 M05BA04 ACIDUM ALENDRONICUM * FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 6,505312 2,154688 3,252656 5,407344 5,854780 2,805220
807 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 6,505312 1,630521 3,252656 4,883177 5,854780 2,281053
810 W54377002 M05BA07 ACIDUM RISEDRONICUM * LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 6,505312 0,717188 3,252656 3,969844 5,854780 1,367720
811 W55565003 M05BA07 ACIDUM RISEDRONICUM * OSODENS 35 mg COMPR. FILM. 35mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 6,505312 0,717188 3,252656 3,969844 5,854780 1,367720
814 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 6,505312 4,244688 3,252656 7,497344 5,854780 4,895220
815 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 13,939955 19,255045 6,969977 26,225023 12,545959 20,649041
816 W62565001 M05BA07 ACIDUM RISEDRONICUM * RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 13,939955 7,265045 6,969977 14,235023 12,545959 8,659041
817 W42702002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UIMERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P-6L 4 6,505312 11,984688 3,252656 15,237344 5,854780 12,635220
818 W63914002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/2800 UI COMPR. 70mg/2800UIAUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 6,505312 0,042188 3,252656 3,294844 5,854780 0,692720
819 W63922002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/2800 UI COMPR. 70mg/2800UIZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 6,505312 6,149688 3,252656 9,402344 5,854780 6,800220
820 W52559001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UIMERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P-6L 2 6,505312 11,169688 3,252656 14,422344 5,854780 11,820220
821 W62143003 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UITEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR P6L 4 6,505312 0,797188 3,252656 4,049844 5,854780 1,447720
822 W63074002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL SANDOZ 70 mg/5600 UI COMPR. 70mg/5600UISANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR.P6L 4 6,505312 0,739688 3,252656 3,992344 5,854780 1,390220
823 W63915002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/5600 UI COMPR. 70mg/5600UIAUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 6,505312 0,042188 3,252656 3,294844 5,854780 0,692720
824 W63923002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) * ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/5600 UI COMPR. 70mg/5600UIZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 6,505312 0,739688 3,252656 3,992344 5,854780 1,390220
Pagina 2 din 3
Prescriptie
Cod_CIM
Nr crt.
896 W13298008 N06AB10 ESCITALOPRAMUM ** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 0,994338 0,269947 0,497169 0,767116 0,894904 0,369381
901 W59746003 N06AB10 ESCITALOPRAMUM ** ESTAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 14 0,552142 0,000000 0,276071 0,276071 0,496927 0,055215
902 W59746005 N06AB10 ESCITALOPRAMUM ** ESTAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 0,552500 0,000000 0,276250 0,276250 0,497250 0,055250
909 W59846001 N06AB10 ESCITALOPRAMUM ** ESCITALOPRAM TORRENT 20 mg COMPR. FILM. 20mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. PVC-PEJD-PVDC/AL X 28 COMPR. FILM. PRF 28 1,988677 0,279894 0,994338 1,274233 1,789809 0,478762
930 W43297002 N06AX21 DULOXETINUM ** CYMBALTA 30mg CAPS. GASTROREZ. 30mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 1,072333 1,867667 0,536166 2,403834 0,965099 1,974901
931 W61820005 N06AX21 DULOXETINUM ** DULSEVIA 30 mg CAPS. GASTROREZ. 30mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL[PEID-PE-DESICANT-PEID-AL-PE X 30 CAPS. GASTROREZ. PRF 30 1,072333 0,127667 0,536166 0,663834 0,965099 0,234901
932 W61959001 N06AX21 DULOXETINUM ** ZATINEX 30 mg CAPS. GASTROREZ. 30mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. GASTROREZ. PRF 28 1,072333 0,099095 0,536166 0,635262 0,965099 0,206329
933 W61959002 N06AX21 DULOXETINUM ** ZATINEX 30 mg CAPS. GASTROREZ. 30mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 CAPS. GASTROREZ. PRF 28 1,072333 0,099095 0,536166 0,635262 0,965099 0,206329
934 W62006001 N06AX21 DULOXETINUM ** DULOXETINA DR. REDDY'S 30 mg CAPS. GASTROREZ. 30mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-ACLAR/AL X 28 CAPS. GASTROREZ. PRF 28 1,072333 0,214809 0,536166 0,750976 0,965099 0,322043
935 W62305004 N06AX21 DULOXETINUM ** DULOXETINA AUROBINDO 30 mg CAPS. GASTROREZ. 30mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 30 CAPS. GASTROREZ. PRF 30 1,072333 0,127667 0,536166 0,663834 0,965099 0,234901
936 W62054001 N06AX21 DULOXETINUM ** DULOXETINE ZENTIVA 30 mg CAPS. GASTROREZ. 30mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 1,072333 0,107309 0,536166 0,643476 0,965099 0,214543
938 W62274004 N06AX21 DULOXETINUM ** DULASOLAN 30 mg CAPS. GASTROREZ. 30mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. TRANSPARENTE PVC-PCTFE/AL X 30 CAPS. GASTOREZ. PRF 30 1,072333 0,085333 0,536166 0,621500 0,965099 0,192567
940 W62801002 N06AX21 DULOXETINUM ** ONELAR 30 mg CAPS. GASTROREZ. 30mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. GASTROREZ. PRF 28 1,072333 0,213381 0,536166 0,749548 0,965099 0,320615
941 W62801012 N06AX21 DULOXETINUM ** ONELAR 30 mg CAPS. GASTROREZ. 30mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PA-AL-PVC/AL X 28 CAPS. GASTROREZ. PRF 28 1,072333 0,213381 0,536166 0,749548 0,965099 0,320615
1.154 W62301003 N06AX21 DULOXETINUM ** DULOXETINA STADA 30 mg CAPS. GASTROREZ. 30mg STADA M&D SRL ROMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL X 28 CAPS. GASTROREZ. PRF 28 1,072333 0,869452 0,536166 1,405619 0,965099 0,976686
943 W43298001 N06AX21 DULOXETINUM ** CYMBALTA 60mg CAPS. GASTROREZ. 60mg ELI LILLY NEDERLAND BV OLANDA CUTIE, X 28 CAPS. GASTROREZ.( BLIST. PVC/PE/PCTFE/AL) P-RF 28 2,144666 2,418191 1,072333 3,490524 1,930199 2,632658
944 W61821005 N06AX21 DULOXETINUM ** DULSEVIA 60 mg CAPS. GASTROREZ. 60mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL[PEID-PE-DESICANT-PEID-AL-PE X 30 CAPS. GASTROREZ. PRF 30 2,144666 0,355334 1,072333 1,427667 1,930199 0,569801
948 W62055001 N06AX21 DULOXETINUM ** DULOXETINE ZENTIVA 60 mg CAPS. GASTROREZ. 60mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 2,144666 0,261405 1,072333 1,333738 1,930199 0,475872
949 W62306004 N06AX21 DULOXETINUM ** DULOXETINA AUROBINDO 60 mg CAPS. GASTROREZ. 60mg MALTA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 30 CAPS. GASTROREZ.
AUROBINDO PHARMA (MALTA) LIMITED PRF 30 2,144666 0,095667 1,072333 1,168000 1,930199 0,310134
951 W62275004 N06AX21 DULOXETINUM ** DULASOLAN 60 mg CAPS. GASTROREZ. 60mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. TRANSPARENTE PVC-PCTFE/AL X 30 CAPS. GASTOREZ. PRF 30 2,144666 0,095667 1,072333 1,168000 1,930199 0,310134
952 W62803003 N06AX21 DULOXETINUM ** ONELAR 60 mg CAPS. GASTROREZ. 60mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. GASTROREZ. PRF 30 2,144666 0,235667 1,072333 1,308000 1,930199 0,450134
953 W62803013 N06AX21 DULOXETINUM ** ONELAR 60 mg CAPS. GASTROREZ. 60mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PA-AL-PVC/AL X 30 CAPS. GASTROREZ. PRF 30 2,144666 0,235667 1,072333 1,308000 1,930199 0,450134
984 W02144003 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-RF 100 1,295200 0,209400 0,647600 0,857000 1,165680 0,338920
985 W02144006 N07CA52 COMBINATII (CINARIZINUM +DIMENHIDRINATUM) ARLEVERT COMPR. FARA CONCENTRATIE HENNIG ARZNEIMITTEL GMBH & CO.KG GERMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 24 COMPR. P-RF 48 1,295200 0,291466 0,647600 0,939066 1,165680 0,420986
999 W57033002 R03AC18 INDACATEROLUM ** ONBREZ BREEZHALER 150 µg CAPS. CU PULB.INHAL. 150 µg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIECU BLIST. DIN PA/AL/PVC X 30 CAPSULE (3 BIST X10)+ UN INHALATOR PRF 30 2,148500 2,148500 1,074250 3,222750 1,933650 2,363350
1.000 W57034002 R03AC18 INDACATEROLUM ** ONBREZ BREEZHALER 300 µg CAPS. CU PULB.INHAL. 300 µg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X BLISTER DIN PA/AL/PVC X 30 CAPSULE (3 BLIST. X 10 CAPSULE) + UN INHALATOR PRF 30 4,297000 0,000000 2,148500 2,148500 3,867300 0,429700
1.121 W12189001 S01GX09 OLOPATADINUM OPATANOL 1mg/ml PIC. OFT., SOL. 1mg/ml ALCON LABORATORIES LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML P-RF 1 25,550000 2,450000 12,775000 15,225000 22,995000 5,005000
1.123 W63546001 S01GX09 OLOPATADINUM OPATANOL 1mg/ml PIC. OFT., SOL. 1mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLACON X 5 ML P-RF 1 25,550000 2,450000 12,775000 15,225000 22,995000 5,005000
Pagina 3 din 3
ANEXA 8
(ANEXA 2c la Ordinul CNAS nr. 247/2017)
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, 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 04 DECEMBRIE 2018
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)
4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C şi D - G4
SE ADAUGA
67 W64757001 J05AF08 ADEFOVIRUM DIPIVOXILUM **1 HEPSERA COMPR. 10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. PR 30 36,378000 36,378000 0,000000
68 W64330001 J05AF10 ENTECAVIRUM **1 COMPR. FILM.
ENTECAVIR ZENTIVA K.S. 0,5 mg 0,5mg ZENTIVA, K.S. REPUBLICA CEHA PR
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. 30 9,668799 9,668799 3,027201
69 W64664001 J05AF10 ENTECAVIRUM **1 ENTECAVIR SANIENCE 0,5 mg COMPR. FILM. 0,5mg SANIENCE S.R.L. ROMANIA CUTIE CU 3 BLIST. AL/OPA-AL-PVC X 10 COMPR. FILM. PR 30 8,057333 8,057333 0,000000
70 W64664003 J05AF10 ENTECAVIRUM **1 ENTECAVIR SANIENCE 0,5 mg COMPR. FILM. 0,5mg SANIENCE S.R.L. ROMANIA CUTIE CU 3 BLIST. AL/PVC-PVDC(120) X 10 COMPR. FILM. PR 30 8,057333 8,057333 0,000000
72 W64331001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ZENTIVA K.S. 1 mg COMPR. FILM. 1mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 32,612666 32,612666 0,000000
SE MODIFICA
17 W51522001 J05AF08 ADEFOVIRUM DIPIVOXILUM **1 HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 36,378000 36,378000 0,000000
18 W51442002 J05AF10 ENTECAVIRUM **1 BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 9,668799 9,668799 47,444867
19 W63932001 J05AF10 ENTECAVIRUM **1 ENTECAVIR SANDOZ 0,5 mg COMPR. FILM. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 9,668799 9,668799 7,625867
20 W63777001 J05AF10 ENTECAVIRUM **1 ENTECAVIR GLENMARK 0,5 mg COMPR. FILM. 0,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA PR
CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. 30 9,668799 9,668799 14,419867
21 W63911001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ACCORD 0,5 mg COMPR. FILM. 0,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 30 X 1 COMPR. FILM. PR 30 9,668799 9,668799 7,644867
22 W63864001 J05AF10 ENTECAVIRUM **1 ENTECAVIR MYLAN 0,5 mg COMPR. FILM. 0,5mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. (OPA/ALU/PVC-ALU) X 30 COMPR. FILM.PR 30 9,668799 9,668799 3,027201
23 W63812002 J05AF10 ENTECAVIRUM **1 ENTECAVIR DR. REDDY'S 0,5 mg COMPR. FILM. 0,5mg DR. REDDY'S LABORATORIES ROMANIA PR
CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. 30 9,668799 9,668799 28,281867
24 W63803001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ALVOGEN 0,5 mg COMPR. FILM. 0,5mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA PR
CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. 30 9,668799 9,668799 28,263201
25 W63755002 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9,668799 9,668799 0,911201
26 W63755005 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30X1 COMPR. FILM. PR 30 9,668799 9,668799 0,911201
27 W64007001 J05AF10 ENTECAVIRUM **1 ENTECAVIR AUROBINDO 0,5 mg COMPR. FILM. 0,5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9,668799 9,668799 24,666201
7. CIROZA HEPATICA - G7
SE ADAUGA
90 W64757001 J05AF08 ADEFOVIRUM DIPIVOXILUM **1 HEPSERA COMPR. 10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. PR 30 36,378000 36,378000 0,000000
91 W64330001 J05AF10 ENTECAVIRUM **1 COMPR. FILM.
ENTECAVIR ZENTIVA K.S. 0,5 mg 0,5mg ZENTIVA, K.S. REPUBLICA CEHA PR
CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. 30 9,668799 9,668799 3,027201
92 W64664001 J05AF10 ENTECAVIRUM **1 ENTECAVIR SANIENCE 0,5 mg COMPR. FILM. 0,5mg SANIENCE S.R.L. ROMANIA CUTIE CU 3 BLIST. AL/OPA-AL-PVC X 10 COMPR. FILM. PR 30 8,057333 8,057333 0,000000
95 W64331001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ZENTIVA K.S. 1 mg COMPR. FILM. 1mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 32,612666 32,612666 0,000000
SE MODIFICA
39 W51522001 J05AF08 ADEFOVIRUM DIPIVOXILUM **1 HEPSERA COMPR. 10mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. P-RF/R 30 36,378000 36,378000 0,000000
40 W51442002 J05AF10 ENTECAVIRUM **1 BARACLUDE 0,5mg COMPR. FILM. 0,5mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 30 X 1 COMPR. FILM. (BLIST. AL/AL UNIDOZA) P-RF/R 30 9,668799 9,668799 47,444867
41 W63932001 J05AF10 ENTECAVIRUM **1 ENTECAVIR SANDOZ 0,5 mg COMPR. FILM. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 9,668799 9,668799 7,625867
42 W63777001 J05AF10 ENTECAVIRUM **1 ENTECAVIR GLENMARK 0,5 mg COMPR. FILM. 0,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 9,668799 9,668799 14,419867
Pagina 1 din 7
Prescriptie
Cod_CIM cant. (pt. asiguratii care beneficiaza de
Nr crt.

43 W63911001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ACCORD 0,5 mg COMPR. FILM. 0,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 30 X 1 COMPR. FILM. PR 30 9,668799 9,668799 7,644867
44 W63864001 J05AF10 ENTECAVIRUM **1 ENTECAVIR MYLAN 0,5 mg COMPR. FILM. 0,5mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. (OPA/ALU/PVC-ALU) X 30 COMPR. FILM. PR 30 9,668799 9,668799 3,027201
45 W63812002 J05AF10 ENTECAVIRUM **1 ENTECAVIR DR. REDDY'S 0,5 mg COMPR. FILM. 0,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 9,668799 9,668799 28,281867
46 W63803001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ALVOGEN 0,5 mg COMPR. FILM. 0,5mg 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 9,668799 9,668799 28,263201
47 W63755002 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9,668799 9,668799 0,911201
48 W63755005 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30X1 COMPR. FILM. PR 30 9,668799 9,668799 0,911201
49 W64007001 J05AF10 ENTECAVIRUM **1 ENTECAVIR AUROBINDO 0,5 mg COMPR. FILM. 0,5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9,668799 9,668799 24,666201
8. Leucemii, limfoame, aplazie medulara, gamapatii monoclonale maligne, mieloproliferari cronice si tumori maligne, sindroame mielodisplazice - G10
SE ADAUGA
225 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. 1 932,680000 932,680000 0,000000
226 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. 1 1.195,620000 1.195,620000 0,000000
227 W64277002 L01XX35ANAGRELIDUM ** ANAGRELIDA ZENTIVA 0,5 mg CAPS. 0,5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 100 CAPS. PR 100 9,754200 9,754200 0,000000
228 W64440001 V03AC03 DEFERASIROXUM ** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 27,555357 27,555357 0,000000
229 W64441001 V03AC03 DEFERASIROXUM ** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 52,592500 52,592500 0,000000
230 W64442001 V03AC03 DEFERASIROXUM ** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 95,897142 95,897142 0,000000
231 W64443001 V03AC03 DEFERASIROXUM ** EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 49,869333 49,869333 0,000000
232 W64444001 V03AC03 DEFERASIROXUM ** EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 97,377000 97,377000 0,000000
9. EPILEPSIE - G11
SE ADAUGA
180 W64667001 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. ELIB. PREL. 300mg SANOFI ROMANIA SRL ROMANIA CUTIE X 2 FLAC. DIN PP X 50 COMPR. ELIB. PREL. P-6L 100 0,281280 0,281280 0,067820
181 W64666001 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 500 mg COMPR. ELIB. PREL. 500mg SANOFI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PP X 30 COMPR. ELIB. PREL. P-RF 30 0,365400 0,365400 0,103600
182 W64668001 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. GASTROREZ. 200mg SANOFI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN PP X 40 COMPR. GASTROREZ. P-6L 40 0,277250 0,277250 0,000000
183 W64181001 N03AX16 PREGABALINUM ** SIRANALEN 20 mg/ml SOL. ORALA 20mg/ml MEDOCHEMIE LTD. CIPRU 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 PRF 1 141,500000 141,500000 0,000000
SE MODIFICA
39 W10512001 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. ELIB. PREL. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. PP X 30 COMPR. ELIB. PREL. P-RF 30 0,365400 0,365400 0,103600
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 ADAUGA
353 W64667001 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 300 mg COMPR. ELIB. PREL. 300mg SANOFI ROMANIA SRL ROMANIA CUTIE X 2 FLAC. DIN PP X 50 COMPR. ELIB. PREL. P-6L 100 0,281280 0,281280 0,067820
354 W64666001 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE CHRONO 500 mg COMPR. ELIB. PREL. 500mg SANOFI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PP X 30 COMPR. ELIB. PREL. P-RF 30 0,365400 0,365400 0,103600
355 W64668001 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE 200 mg COMPR. GASTROREZ. 200mg SANOFI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN PP X 40 COMPR. GASTROREZ. P-6L 40 0,277250 0,277250 0,000000
356 W62259003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL STADA 10 mg COMPR. 10mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. PRF 28 2,040399 2,040399 4,659958
357 W62260003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL STADA 15 mg COMPR. 15mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. PRF 28 1,680714 1,680714 0,000000
358 W63955004 N06AX21 DULOXETINUM ** DOZZEX 30 mg CAPS. GASTROREZ. 30mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC-PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 1,201428 1,201428 0,000000
359 W63956004 N06AX21 DULOXETINUM ** DOZZEX 60 mg CAPS. GASTROREZ. 60mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC-PCTFE/AL X 28 CAPS. GASTROREZ. PRF 28 1,244142 1,244142 0,001929
SE MODIFICA
9 W10512001 N03AG01 ACIDUM VALPROICUM + SARURI DEPAKINE (R) CHRONO 500 mg COMPR. ELIB. PREL. 500mg SANOFI-AVENTIS FRANCE FRANTA CUTIE X 1 FLAC. PP X 30 COMPR. ELIB. PREL. P-RF 30 0,365400 0,365400 0,103600
Pagina 2 din 7
Prescriptie
Nr crt.

200 W41602002 N05AX12 ARIPIPRAZOLUM ** ABILIFY 10mg COMPR. 10mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 28 (X1) COMPR. P-RF 28 2,040399 2,040399 3,360315
201 W61492003 N05AX12 ARIPIPRAZOLUM ** ARYZALERA 10mg COMPR. 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2,040399 2,040399 1,783267
202 W61843003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL GLENMARK 10 mg COMPR. 10mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 BLSIT. OPA-AL-PVC/AL X 28 COMPR. PRF 28 2,040399 2,040399 5,423172
203 W61847007 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL TEVA 10 mg COMPR. 10mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 1,700333 1,700333 0,000000
204 W61920003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF 30 2,040399 2,040399 1,216601
205 W61973001 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL SANDOZ 10 mg COMPR. 10mg SANDOZ GMBH AUSTRIA CUTIE CU BLIST. ALU/ALU X 28 COMPR. PRF 28 2,040399 2,040399 1,289958
206 W62212001 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOLE ACCORD 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST DIN AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE CU 28X1 COMPR. PRF 28 2,040399 2,040399 0,735315
207 W62245006 N05AX12 ARIPIPRAZOLUM ** ARICOGAN 10 mg COMPR. 10mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2,040399 2,040399 0,707267
208 W62048001 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOLE ZENTIVA 10 mg COMPR. 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. PRF 28 2,040399 2,040399 1,256743
209 W62060001 N05AX12 ARIPIPRAZOLUM ** RESTIGULIN 10 mg COMPR. 10mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. PRF 28 2,040399 2,040399 2,648529
210 W62098001 N05AX12 ARIPIPRAZOLUM ** EXPLEMED 10 mg COMPR. 10mg EGIS PHARMACEUTICALS PLC UNGARIA CUTIE CU 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. PRF 28 2,040399 2,040399 3,586386
211 W62250002 N05AX12 ARIPIPRAZOLUM ** ZYKALOR 10 mg COMPR. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2,040399 2,040399 1,559267
212 W62123003 N05AX12 ARIPIPRAZOLUM ** LEMILVO 10 mg COMPR. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2,040399 2,040399 4,925601
214 W61493003 N05AX12 ARIPIPRAZOLUM ** ARYZALERA 15mg COMPR. 15mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2,016856 2,016856 3,623144
216 W61848007 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL TEVA 15 mg COMPR. 15mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2,016856 2,016856 0,032477
217 W61921003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL AUROBINDO 15 mg COMPR. 15mg MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR.
AUROBINDO PHARMA (MALTA) LIMITED PRF 30 2,016856 2,016856 1,381810
218 W61974001 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL SANDOZ 15 mg COMPR. 15mg SANDOZ GMBH AUSTRIA CUTIE CU BLIST. ALU/ALU X 28 COMPR. PRF 28 2,016856 2,016856 2,481358
220 W62251002 N05AX12 ARIPIPRAZOLUM ** ZYKALOR 15 mg COMPR. 15mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2,016856 2,016856 2,980144
221 W62049001 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOLE ZENTIVA 15 mg COMPR. 15mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. PRF 28 2,016856 2,016856 1,444929
222 W62061001 N05AX12 ARIPIPRAZOLUM ** RESTIGULIN 15 mg COMPR. 15mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 28 COMPR. PRF 28 2,016856 2,016856 4,890286
223 W62246006 N05AX12 ARIPIPRAZOLUM ** ARICOGAN 15 mg COMPR. 15mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2,016856 2,016856 0,868144
224 W62099001 N05AX12 ARIPIPRAZOLUM ** EXPLEMED 15 mg COMPR. 15mg EGIS PHARMACEUTICALS PLC UNGARIA CUTIE CU 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. PRF 28 2,016856 2,016856 4,544572
225 W62124003 N05AX12 ARIPIPRAZOLUM ** LEMILVO 15 mg COMPR. 15mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 2,016856 2,016856 2,861477
352 W41603004 N05AX12 ARIPIPRAZOLUM ** ABILIFY 15mg COMPR. 15mg OTSUKA PHARMACEUTICAL EUROPE LTD. MAREA BRITANIE CUTIE X 1BLIST. AL/AL PERFORAT UNIDOZA X 56 (X1) COMPR. P-RF 56 2,016856 2,016856 2,775286
215 W61844003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL GLENMARK 15 mg COMPR. 15mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 BLSIT. OPA-AL-PVC/AL X 28 COMPR. PRF 28 2,016856 2,016856 5,446715
219 W62213002 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOLE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST DIN AL/AL PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE CU 28X1 COMPR. PRF 28 2,016856 2,016856 2,146715
228 W61718002 N05AX12 ARIPIPRAZOLUM ** ASTORET 10 mg COMPR. ORODISPERSABILE 10mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. DETASABIL (PEEL-OF) DIN PA/AL/PVC-AL X 28 COMPR. ORODISPERSABILE PRF 28 2,040399 2,040399 1,256743
229 W62050001 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOLE ZENTIVA 10 mg COMPR. ORODISPERSABILE 10mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. ORODISPERSABILE PRF 28 2,040399 2,040399 1,256743
230 W62131003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL TORRENT 10 mg COMPR. ORODISPERSABILE 10mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE PRF 28 2,040399 2,040399 4,434243
231 W62030003 N05AX12 ARIPIPRAZOLUM ** LEMILVO 10 mg COMPR. ORODISPERSABILE 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE OPA-AL-PVC/AL X 30 COMPRIMATE ORODISPERSABILE PRF 30 2,040399 2,040399 4,925601
232 W61719002 N05AX12 ARIPIPRAZOLUM ** ASTORET 15 mg COMPR. ORODISPERSABILE 15mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. DETASABIL (PEEL-OF) DIN PA/AL/PVC-AL X 28 COMPR. ORODISPERSABILE PRF 28 2,016856 2,016856 1,444929
233 W62051001 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOLE ZENTIVA 15 mg COMPR. ORODISPERSABILE 15mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA/AL/PVC/AL (BLISTER AL-AL) X 28 COMPR. ORODISPERSABILE PRF 28 2,016856 2,016856 1,444929
234 W62132003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL TORRENT 15 mg COMPR. ORODISPERSABILE 15mg TORRENT PHARMA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE PRF 28 2,016856 2,016856 4,937429
235 W62031003 N05AX12 ARIPIPRAZOLUM ** LEMILVO 15 mg COMPR. ORODISPERSABILE 15mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLISTERE OPA-AL-PVC/AL X 30 COMPRIMATE ORODISPERSABILE PRF 30 2,016856 2,016856 2,861477
252 W54498006 N06AB10 ESCITALOPRAMUM ** DEPRESINAL 10 mg COMPR. FILM. 10 mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-RF 30 0,662570 0,662570 0,116096
254 W13298008 N06AB10 ESCITALOPRAMUM ** CIPRALEX 10 mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X 2 BLIST. TRANSPARENTE PVC-PE-PVDC/AL X 14 COMPR. FILM. P-RF 28 0,662570 0,662570 0,601715
256 W55522003 N06AB10 ESCITALOPRAMUM ** LENUXIN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P-RF 28 0,662570 0,662570 0,186358
257 W54882002 N06AB10 ESCITALOPRAMUM ** ESLOREX 10 mg COMPR. FILM. 10mg ZENTIVA K.S. CEHIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0,662570 0,662570 0,118096
258 W55813002 N06AB10 ESCITALOPRAMUM ** SERODEPS 10mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. AL/POLIAMIDA/PVC X 28 COMPR. FILM.P-RF 28 0,662570 0,662570 0,117787
259 W59746003 N06AB10 ESCITALOPRAMUM ** ESTAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 14 0,552142 0,552142 0,000000
260 W59746005 N06AB10 ESCITALOPRAMUM ** ESTAN 10 mg COMPR. FILM. 10mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 0,552500 0,552500 0,000000
261 W60685003 N06AB10 ESCITALOPRAMUM ** ESCITALOPRAM ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVDC/PVDC/AL X 28 COMPR. FILM. PRF 28 0,662570 0,662570 0,115644
262 W60692004 N06AB10 ESCITALOPRAMUM ** ELICEA 10 mg COMPR. FILM. 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0,662570 0,662570 0,118096
263 W60777003 N06AB10 ESCITALOPRAMUM ** ESCITALOPRAM AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. PRF 28 0,662570 0,662570 0,115644
264 W61414004 N06AB10 ESCITALOPRAMUM ** ESCITALOPRAM ATB 10 mg COMPR. FILM. 10mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF 28 0,662570 0,662570 0,102430
270 W60145007 N06AB10 ESCITALOPRAMUM ** ELICEA Q-TAB 10 mg COMPR. ORODISPERSABILE 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET X 28 COMPR. ORODIPSERSABILE PRF 28 0,662570 0,662570 0,117787
271 W60145001 N06AB10 ESCITALOPRAMUM ** ELICEA Q-TAB 10 mg COMPR. ORODISPERSABILE 10mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL-PET-HARTIE X 28 COMPR. ORODIPSERSABILE PRF 28 0,662570 0,662570 0,117787
14. DEMENŢE (DEGENERATIVE, VASCULARE, MIXTE) - G 16
SE ADAUGA
90 W64475005 N06DA03 RIVASTIGMINUM ** EXELON 13,3 mg/24h PLASTURE TRANSDERMIC 13,3mg/24h NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 30 PLICURI X 1 PLASTURE TRANSDERMIC PR 30 11,130666 11,130666 0,000000
Pagina 3 din 7
Prescriptie
Nr crt.

16. POLIARTRITA REUMATOIDĂ, ARTROPATIA PSORIAZICĂ, PSORIAZIS CRONIC SEVER ŞI ARTRITA JUVENILĂ - G 18
SE ADAUGA
55 W57960002 H02AB01 BETAMETHASONUM DIPROPHOS SUSP. INJ. 7mg/ml MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 1 FIOLE DIN STICLA TIP I X 1 ML SUSP. INJ. PRF 1 17,160000 17,160000 0,000000
56 W62602001 L01BA01 METHOTREXATUM METHOTREXATE 2,5 mg COMPR. FILM. 2,5mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLIST. X 10 COMPR. FILM. PR 100 0,362100 0,362100 0,000000
57 W64135001 L04AX03 METHOTREXATUM METHOFILL 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 10 COMPR. PR 10 0,746000 0,746000 0,000000
58 W64135011 L04AX03 METHOTREXATUM METHOFILL 10 mg COMPR. 10mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 10X1 COMPR. PR 10 0,746000 0,746000 0,000000
59 W64134008 L04AX03 METHOTREXATUM METHOFILL 2,5 mg COMPR. 2,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30 COMPR. PR 30 0,158333 0,158333 0,000000
60 W64134018 L04AX03 METHOTREXATUM METHOFILL 2,5 mg COMPR. 2,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. PR 30 0,158333 0,158333 0,000000
17. SPONDILITA ANKILOZANTA - G 19
SE ADAUGA
27 W57960002 H02AB01 BETAMETHASONUM DIPROPHOS SUSP. INJ. 7mg/ml MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 1 FIOLE DIN STICLA TIP I X 1 ML SUSP. INJ. PRF 1 17,160000 17,160000 0,000000
18. BOLI ENDOCRINE (GUŞĂ ENDEMICĂ, INSUFICIENŢĂ SUPRARENALĂ CRONICĂ, DIABETUL INSIPID, MIXEDEMUL ADULTULUI, TUMORI HIPOFIZARE CU EXPANSIUNE SUPRASELARĂ, TUMORI NEUROENDOCRINE ŞI OSTEOPOROZĂ
SEVERĂ) - G 22
SE ADAUGA
43 W64454001 H01CB05 PASIREOTIDUM ** SIGNIFOR 20 mg PULB+SOLV. PT. SUSP. INJ. 20mg NOVARTIS EUROPHARM LTD. IRLANDA 1 FLAC. (DIN STICLA) DE CULOARE MARONIE, CU PULB. PT. SUSP. INJ. SI O SERINGA (DIN STICLA) PREUMPUTA, CU SOLVENT+1 ADAPTOR PT. FLAC. SI UN AC DE PROIECTAT PT. INJECTARE IN SIGURANTA PRF 1 11.407,210000 11.407,210000 0,000000
46 W64451003 H01CB05 PASIREOTIDUM ** SIGNIFOR 0,3 mg SOL INJ. 0,3mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 30 FIOLE DIN STICLA A 1ML X 0,3 MG PR 30 223,166333 223,166333 0,000000
49 W61162002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 100 micrograme/5 ml SOL. ORALA 100micrograme/5ml GALENICA S.A. GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L 2 20,650000 20,650000 0,000000
21. GLAUCOM - G 26
SE ADAUGA
40 W64500001 S01EC04 BRINZOLAMIDUM AZOPT 10mg/ml PICATURI OFT.-SUSP. 10mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 FLAC. PEJD X 5 ML P6L 1 33,540000 33,540000 0,000000
41 W64501001 S01ED51 COMBINATII ( BRINZOLAMIDUM + TIMOLOLUM) ** AZARGA PIC. OFT. SUSP. 10mg/ml+5mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 FLAC. X 5 ML SUSP. OFT. PRF 1 57,650000 57,650000 0,000000
42 W64597001 S01ED51 COMBINATII (TRAVOPROSTUM+TIMOLOLUM) DUOTRAV 40 micrograme/ml + 5mg/ml PIC. OFT.-SOL. 40µg/ml + 5mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 FLAC. DIN PP X 2,5 ML PIC. OFTALMICE,SOLUTIE PRF 1 62,810000 62,810000 0,000000
43 W64506001 S01EE04 TRAVOPROSTUM IZBA PIC. OFT., SOL 30micrograme/ml NOVARTIS EUROPHARM LTD. IRLANDA PRF
CUTIE CU 1 FLAC. A 4 ML X 2,5 ML DE TRAVOPROST, PICATURI OFTALMICE, SOLUTIE 1 71,590000 71,590000 0,000000
23. BOALA GAUCHER - G 29
SE ADAUGA
4 W64524002 A16AX06 MIGLUSTATUM **1 MIGLUSTAT ACCORD 100 mg CAPS. 100mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PCTFE/AL X 84X1 PR 84 220,073928 220,073928 0,000000
Pagina 4 din 7
Prescriptie
Nr crt.

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30
SE ADAUGA
81 W64358003 J01FA10 AZITHROMYCINUM SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 37,5 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE PRF 1 60,360000 60,360000 0,000000
IMUNOSUPRESOARE SELECTIVE - G31

25. BOALA CRONICA INFLAMATORIE INTESTINALA - G31a
SE ADAUGA
9 W64826001 L04AB02 INFLIXIMABUM **1 INFLECTRA 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. DIN STICLA CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.567,590000 1.567,590000 0,000000
10 W64710001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN PEN PREUMPLUT 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE 2 BLIST. CU CÂTE UN PEN PRE-UMPLUT (0,4 ML SOL. STERILA) SI 1 TAMPON CU ALCOOL PR 2 1.946,790000 1.946,790000 0,000000
11 W64711001 L04AB04 ADALIMUMABUM **1 HUMIRA 80 mg SOL INJ. IN PEN PREUMPLUT 80mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 BLIST. CE CONTINE UN PEN PREUMPLUT (0,8 ML SOLUTIE STERILA) SI DOUA TAMPOANE CU ALCOOL. PR 1 4.144,180000 4.144,180000 0,000000
12 W64056001 L04AB04 ADALIMUMABUM **1 HUMIRA 80 mg SOL INJ. IN PEN PREUMPLUT 80mg ABBVIE LTD MAREA BRITANIE CUTIE CU 1 BLIST. CE CONTINE UN PEN PREUMPLUT (0,8 ML SOLUTIE STERILA) SI DOUA TAMPOANE CU ALCOOL. PR 1 4.144,180000 4.144,180000 0,000000
13 W64674001 L04AB04 ADALIMUMABUM **1 HUMIRA 20 mg SOL INJ. IN SERINGA PREUMPLUTA 20mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 BLIST. CE CONTINE 2 SERINGI PREUMPLUTE (0,2 ML SOLUTIE STERILA) SI DOUA TAMPOANE CU ALCOOL PR 2 1.054,985000 1.054,985000 0,000000
14 W64709001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 2 BLIST. CE CONTIN CATE O SERINGA PREUMPLUTA (0,4 ML SOL. STERILA) SI UN TAMPON ALCOOL PR 2 1.930,650000 1.930,650000 0,000000
15 W64708001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL. INJ. 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA 2 CUTII A CATE 1 FLACON ( 0,8 ML SOLUTIE STERILA)+ O SERINGA STERILA+ UN AC STERIL+UN ADAPTOR STERIL PENTRU FLACON + 2 TAMPOANE CU ALCOOL PR 2 1.956,550000 1.956,550000 0,000000
Pagina 5 din 7
Prescriptie
Nr crt.

26. POLIARTITRITA REUMATOIDA - G31b
SE ADAUGA
35 W64512002 L01XC02 RITUXIMABUM **1 RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 3 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 3 821,293333 821,293333 0,000000
36 W64512001 L01XC02 RITUXIMABUM **1 RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR 2 833,100000 833,100000 0,000000
37 W64422001 L01XC02 RITUXIMABUM **1 BLITZIMA 100 mg CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA PR
CUTIE CU 2 FLAC. DIN STICLA X 10 ML (100 MG RITUXIMAB IN 10 ML-10MG/ML) 2 784,745000 784,745000 0,000000
38 W64513001 L01XC02 RITUXIMABUM **1 RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 1 4.084,610000 4.084,610000 0,000000
39 W64421001 L01XC02 RITUXIMABUM **1 BLITZIMA 500 mg CONC. PT. SOL. PERF. 500mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA PR
CUTIE CU 1 FLAC. DIN STICLA X 50 ML (500 MG RITUXIMAB IN 50 ML-10MG/ML) 1 3.818,160000 3.818,160000 0,000000
40 W64513002 L01XC02 RITUXIMABUM **1 RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 2 4.049,185000 4.049,185000 0,000000
42 W64710001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN PEN PREUMPLUT 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA PR
CUTIE 2 BLIST. CU CÂTE UN PEN PRE-UMPLUT (0,4 ML SOL. STERILA) SI 1 TAMPON CU ALCOOL 2 1.946,790000 1.946,790000 0,000000
43 W64709001 L04AB04 ADALIMUMABUM **1 HUMIRA 40 mg SOL INJ. IN SERINGA PREUMPLUTA 40mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA PR
CUTIE CU 2 BLIST. CE CONTIN CATE O SERINGA PREUMPLUTA (0,4 ML SOL. STERILA) SI UN TAMPON ALCOOL 2 1.930,650000 1.930,650000 0,000000
SE MODIFICA
1 W07200001 L01XC02 RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 4.581,792000 4.581,792000 506,258000
2 W64386001 L01XC02 RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR 1 4.581,792000 4.581,792000 506,258000
3 W07199001 L01XC02 RITUXIMABUM **1 MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 941,694000 941,694000 90,826000
4 W64385001 L01XC02 RITUXIMABUM **1 MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 2 FLACOANE X 10 ML CARE CONTIN 100 MG RITUXIMABUM PR 2 941,694000 941,694000 90,826000
27. ARTROPATIA PSORIAZICA - G31c
SE ADAUGA
23 W64459001 L04AC10 SECUKINUMABUM **1 COSENTYX 150 mg SOL INJ. IN SERINGA PREUMPLUTA 150 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR 1 2.548,050000 2.548,050000 0,000000
24 W64459002 L04AC10 SECUKINUMABUM **1 COSENTYX 150 mg SOL INJ. IN SERINGA PREUMPLUTA 150 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 2 SERINGI PREUMPLUTE X 1ML SOL. INJ. PR 2 2.512,625000 2.512,625000 0,000000
25 W64460002 L04AC10 SECUKINUMABUM **1 COSENTYX 150 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 150 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 2 STILOURI PREUMPLUTE (STILOU SENSO READY) X 1ML SOL. INJ. PR 2 2.512,625000 2.512,625000 0,000000
26 W64460001 L04AC10 SECUKINUMABUM **1 COSENTYX 150 mg SOL INJ. IN STILOU INJECTOR PREUMPLUT 150 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 STILOU PREUMPLUT (STILOU SENSO READY) X 1ML SOL. INJ. PR 1 2.548,050000 2.548,050000 0,000000
28. SPONDILITA ANKILOZANTA - G 31d
SE ADAUGA
29. ARTRITA JUVENILA - G 31e
SE ADAUGA
Pagina 6 din 7
Prescriptie
Nr crt.

30. PSORIAZIS CRONIC SEVER (PLĂCI) - G 31f
SE ADAUGA
23 W64056001 L04AB04 ADALIMUMABUM **1 HUMIRA 80 mg SOL INJ. IN PEN PREUMPLUT 80mg ABBVIE LTD MAREA BRITANIE CUTIE CU 1 BLIST. CE CONTINE UN PEN PREUMPLUT (0,8 ML SOLUTIE STERILA) SI DOUA TAMPOANE CU ALCOOL. PR 1 4.144,180000 4.144,180000 0,000000
24 W64711001 L04AB04 ADALIMUMABUM **1 HUMIRA 80 mg SOL INJ. IN PEN PREUMPLUT 80mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 BLIST. CE CONTINE UN PEN PREUMPLUT (0,8 ML SOLUTIE STERILA) SI DOUA TAMPOANE CU ALCOOL. PR 1 4.144,180000 4.144,180000 0,000000
25 W64674001 L04AB04 ADALIMUMABUM **1 HUMIRA 20 mg SOL INJ. IN SERINGA PREUMPLUTA 20mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 BLIST. CE CONTINE 2 SERINGI PREUMPLUTE (0,2 ML SOLUTIE STERILA) SI DOUA TAMPOANE CU ALCOOL PR 2 1.054,985000 1.054,985000 0,000000
Pagina 7 din 7
ANEXA 9
(ANEXA 2d la Ordinul CNAS nr. 247/2017)
SECŢIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% DIN PRE ȚUL 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, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILĂ ÎNCEPÂND CU 04 DECEMBRIE 2018
Val. maxima suportata de Contributie maxima

sistemul de asigurari a asiguratului / UT
Prescriptie
cant. (pt. asiguratii care beneficiaza de
Cod_CIM

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

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj aj (RON) pretul de referinta) referinta)
SE ADAUGA
239 W64825001 A06AD65 COMBINATII CLENSIA PULB. PT. SUSP. ORALAFARA CONCENTRATIE ALFASIGMA ROMANIA S.R.L. ROMANIA CUTIE CU 8 PLICURI (4 PLICURI A (MARI) + 4 PLICURI B (MICI)) DIN HARTIE-AL-PE CARE CONTIN PULB. PT. SOL. ORALA, CORESP. UNEI SINGURE CURE DE TRATAMENT PRF 4 14,147500 14,147500 0,000000
240 W60841001 G03GA02 MENOTROPINUM MENOPUR 1200 UI PULB. SI SOLV. PT. SOL. INJ. 1200UI FERRING GMBH GERMANIA CUTIE CU 1 FLAC. CU PULBERE PENTRU SOL. INJ., 2 SERINGI PRE-UMPLUTE CU SOLV. PENTRU RECONSTITUIRE, 1 AC PENTRU RECONSTITUIRE, 18 TAMPOANE CU ALCOOL MEDICINAL SI 18 SERINGI DE UNICA FOLOSINTA PENTRU ADMIN., GRADATE ÎN UNITATI FSH/LH CU ACE PRE-FIXATE PR 1 1.399,040000 1.399,040000 0,000000
241 W60840001 G03GA02 MENOTROPINUM MENOPUR 600 UI PULB. SI SOLV. PT. SOL. INJ. 600UI FERRING GMBH GERMANIA CUTIE CU 1 FLAC. CU PULBERE PENTRU SOL. INJ., 1 SERINGA PRE-UMPLUTA CU SOLV. PENTRU RECONSTITUIRE, 1 AC PENTRU RECONSTITUIRE, 9 TAMPOANE CU ALCOOL MEDICINAL SI 9 SERINGI DE UNICA FOLOSINTA PENTRU ADMIN., GRADATE ÎN UNITATI FSH/LH CU ACE PRE-FIXATE PR 1 729,990000 729,990000 0,000000
242 W61759001 R05CB03 CARBOCISTEINUM TRECID 100 mg/5 ml SIROP 100mg/5ml BIOFARM S.A. ROMANIA CUTIE CU 1 FLAC DIN STICLA BRUNA CU CAPAC DIN PE SI O MASURA DOZATOARE DIN PP CU GRADATII CUPRINSE INTRE 2,5-20 ML, A 100 ML SIROP PRF 1 4,190000 4,190000 0,000000
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ANEXA 10

(ANEXA 2e la Ordinul CNAS nr. 247/2017)

Contributie maxima Val. maxima suportata de Contributie maxima

cant. beneficiaza de (pt. asiguratii care beneficiaza de

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

Contributie maxima Val. maxima suportata de Contributie maxima

cant. beneficiaza de (pt. asiguratii care beneficiaza de

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

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

Contributie Val. maxima suportata Contributie Val. maxima suportata Contributie

Val. maxima suportata Contributie maxima

UT/ Pret de beneficiaza de compensare 100%

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

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

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

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

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

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

17. SPONDILITA ANKILOZANTA - G 19

23. BOALA GAUCHER - G 29

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

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

IMUNOSUPRESOARE SELECTIVE - G31

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

27. ARTROPATIA PSORIAZICA - G31c

28. SPONDILITA ANKILOZANTA - G 31d

29. ARTRITA JUVENILA - G 31e

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

30. PSORIAZIS CRONIC SEVER (PLĂCI) - G 31f

Val. maxima suportata de Contributie maxima

UT/ Pret de beneficiaza de compensare 100%

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

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