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Anexa nr.

1
(ANEXA nr. 2 la Ordinul 1605/875/2014)

SECŢIUNEA C2 - LISTA denumirilor comerciale și a prețurilor de decontare a medicamentelor care se acordă bolnavilor cuprinși în cadrul programelor
naționale de sănătate, în tratamentul ambulatoriu și spitalicesc, corespunzătoare denumirilor comune internaţionale cuprinse în secțiunea C2 a sublistei C
din HG nr. 720/2008, republicată, cu modificările și completările ulterioare, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificările și
completările ulterioare,
VALABILĂ ÎNCEPÂND CU 01 AUGUST 2023

contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE

1 W63734002 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFASIGMA S.P.A. ITALIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL A CATE 12 COMPR. FILM. PRF 36 2.155277 2.725277 0.000000
2 W69191001 A07AA11 RIFAXIMINUM NORMIX 400 mg COMPR. FILM. 400mg ALFASIGMA S.P.A. ITALIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 18 COMPR. FILM. PRF 18 5.290000 6.688333 0.000000
3 W69191002 A07AA11 RIFAXIMINUM NORMIX 400 mg COMPR. FILM. 400mg ALFASIGMA S.P.A. ITALIA CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 18 COMPR. FILM. PRF 36 5.194722 6.341666 0.000000
4 W69191003 A07AA11 RIFAXIMINUM NORMIX 400 mg COMPR. FILM. 400mg ALFASIGMA S.P.A. ITALIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 18 COMPR. FILM. PRF 54 5.194814 6.341851 0.000000
5 W69191004 A07AA11 RIFAXIMINUM NORMIX 400 mg COMPR. FILM. 400mg ALFASIGMA S.P.A. ITALIA CUTIE CU 4 BLIST. PVC-PE-PVDC/AL X 18 COMPR. FILM. PRF 72 5.139305 6.131666 0.000000
6 W69191005 A07AA11 RIFAXIMINUM NORMIX 400 mg COMPR. FILM. 400mg ALFASIGMA S.P.A. ITALIA CUTIE CU 5 BLIST. PVC-PE-PVDC/AL X 18 COMPR. FILM. PRF 90 5.055888 5.934777 0.000000
7 W63735001 A07AA11 RIFAXIMINUM NORMIX 200mg/10ml GRAN. PT. SUSP. ORALA 200mg/10ml ALFASIGMA S.P.A. ITALIA CUTIE CU UN FLACON DIN STICLA BRUNA CONTINÂND GRANULE PENTRU 60 ML SUSPENSIE ORALA, ÎNSOTIT DE O MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML. PRF 1 18.700000 25.270000 0.000000
8 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 19.380000 26.190000 0.000000
9 W60557001 D06BB03 ACICLOVIRUM ACICLOVIR-RICHTER 50mg/g CREMA 50mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 TUB AL X 5 G CREMA PRF 1 6.110000 8.260000 0.000000
10 W53041001 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 6.936000 9.372000 2.188000
11 W58038001 D06BB03 ACICLOVIRUM ACICLOVIR TERAPIA 50 mg/g CREMA 50mg/g TERAPIA S.A. ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF 1 6.936000 9.372000 2.958000
12 W66137001 D06BB03 ACICLOVIRUM ACICLOVIR FITERMAN 50 mg/g CREMA 50mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G PRF 1 2.870000 3.880000 0.000000
13 W58038002 D06BB03 ACICLOVIRUM ACICLOVIR TERAPIA 50 mg/g CREMA 50mg/g TERAPIA S.A. ROMANIA CUTIE CU 1 TUB DIN AL A 5 G CREMA PRF 1 7.332000 9.912000 0.108000
14 W60557002 D06BB03 ACICLOVIRUM ACICLOVIR-RICHTER 50mg/g CREMA 50mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA PRF 1 6.936000 9.372000 1.688000
15 W66137002 D06BB03 ACICLOVIRUM ACICLOVIR FITERMAN 50 mg/g CREMA 50mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G PRF 1 5.780000 7.810000 0.000000
16 W67305002 D06BB03 ACICLOVIRUM ACICLOVIR ROMPHARM 50 mg/g CREMA 50mg/g ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF 1 6.936000 9.372000 3.098000
17 W64910001 D06BB03 ACICLOVIRUM ACEVIREX 50 mg/g CREMA 50mg/g GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 TUB DIN AL X 5 G CREMA PRF 1 7.332000 9.912000 8.208000
18 W55128001 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA P-RF 1 6.936000 9.372000 5.298000
19 W51339001 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 1.843333 2.491666 0.000000
20 W51340001 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 3.546666 4.793333 0.000000
21 W04675003 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF 1000 0.319000 0.385860 0.000000
22 W04675002 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.376500 0.463032 0.045968
23 W11729001 J01CF04 OXACILLINUM OXACILINA ATB 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.382800 0.463032 0.415468
24 W12910003 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 0.734000 0.903048 0.088952
25 W07274001 J01CF04 OXACILLINUM OXACILINA ATB 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 0.734000 0.903048 0.088952
26 W13743001 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 0.734000 0.903048 0.088952
27 W12910001 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 0.734500 0.903048 0.089452
28 W12910002 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE CU 50 BLIST. PVC/AL CU 10 CAPSULE (AMBALAJ DE UZ SPITALICESC) P-RF/S 500 0.620400 0.752540 0.000000
29 W60469001 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 9.758760 11.094840 2.685160
30 W60469002 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 50 8.432200 9.954000 0.000000
31 W60469003 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 8.132300 9.245700 0.000000
32 W60469004 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 10 8.773000 11.093000 0.000000
33 W60468003 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 5.751300 6.650400 0.000000
34 W60468002 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 50 5.996600 7.320600 0.000000
35 W60468004 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 10 6.106000 7.721000 0.000000
36 W60468001 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 6.901560 7.980480 1.589520
37 W58901004 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PRF 25 16.864400 19.908000 0.000000

Pagina 1 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
38 W58901002 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PRF 50 16.264600 18.491400 0.000000
39 W00400003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 0.907142 1.225714 0.000000
40 W68990002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 875 mg/125 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE CU 2 BLIST. AL/AL X 7 COMPR.FILM. PRF 14 0.907142 1.225714 0.000000
41 W65088002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0.668570 0.903428 0.645143
42 W69672008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500 mg/125 mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.557142 0.752857 0.000000
43 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.795000 1.075000 0.000000
44 W65089001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0.954000 1.290000 0.602857
45 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 0.907142 1.226190 0.000000
46 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 0.907142 1.225714 0.000000
47 W69673008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.907142 1.225714 0.000000
48 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 0.668570 0.903428 0.612286
49 W59739002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 50 15.100000 17.222000 0.000000
50 W59739005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 25 15.700000 18.639200 0.000000
51 W59739001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 1 16.530000 20.666400 1.673600
52 W59739004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 10 15.950000 19.472000 0.000000
53 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 10.220000 13.810000 0.000000
54 W67768003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (DE CAPACITATE 147ML)CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O SERINGA PT. ADMINISTRARE ORALA PRF 1 15.156000 20.484000 3.226000
55 W08783002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, TIP III, CU PULB. PT. 70 ML SUSP. ORALA + SERINGA DOZATOARE CU MARCAJE PT. MASURAREA VOLUMELOR (1,25; 2,5 SI 5 ML) P-RF 1 12.630000 17.070000 0.000000
56 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 15.156000 20.484000 3.226000
57 W67768004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (DE CAPACITATE 147ML) CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 15.156000 20.484000 3.226000
58 W65099003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN ES 600mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CONTINÂND PULB. PENTRU 100 ML SUSPENSIE SI O LINGURITA DOZATOARE DIN POLISTIREN, MARCAT CU GRADATII PT. MASURAREA VOLUMELOR 2,5 ML SI 5,0 ML PRF 1 32.256000 42.192000 5.238000
59 W67567002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 600 mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600mg/42,9mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 180 ML SI PREVAZUTA CU PIPETA DOZATOARE CU PISTON DIN POLISTIREN SI CORP DIN PEJD MARCATA DE LA 0,4 ML PANA LA 5 ML CU 33,10 G PULB. PT. SUSP. ORALA PRF 1 26.880000 35.160000 0.000000
60 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA SI SERINGA DOZATOARE CU MARCAJE DE LA 0,4 LA 5 ML CONTINAND 25 MG PULB. PT. 100 ML SUSP. RECONSTITUITA P-RF 1 17.920000 24.220000 0.000000
61 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 33.000000 40.286400 18.743600
62 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 17.100000 23.110000 0.000000
63 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 19.800000 24.171600 4.067400
64 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 16.500000 20.143000 0.000000
65 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 27.500000 33.572000 0.000000
66 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 28.500000 37.280000 0.000000
67 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 33.000000 40.286400 18.743600
68 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 30.778000 37.363000 0.000000
69 W42064001 J01DD04 CEFTRIAXONUM MEDAXONE 1 g PULB. PT. SOL. INJ./PERF. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. DIN STICLA X 1 G PULB. PT. SOL. INJ./PERF. S/P-RF 10 8.379000 10.594000 0.000000
70 W13949009 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF. PR 10 10.054800 12.712800 7.430200
71 W13949003 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 17 ML CU PULB. PT. SOL. INJ./PERF. PR 10 10.054800 12.712800 7.430200
72 W13949012 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ./PERF. PR 10 10.054800 12.712800 7.430200
73 W13949006 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ./PERF. PR 10 10.054800 12.712800 7.430200
74 W53779001 J01DD04 CEFTRIAXONUM SEFTRION 1 g PULB. PT. SOL. INJ./PERF. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. PR 1 10.054800 12.712800 8.247200
75 W59397002 J01DD04 CEFTRIAXONUM CEFTRIAXONA-MIP 1 g PULB. PT. SOL. INJ./PERF. 1g MIP PHARMA GMBH GERMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 10 10.054800 12.712800 25.619200
76 W13948008 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ. PERF. PR 10 8.300000 10.494000 0.000000
77 W13948004 J01DD04 CEFTRIAXONUM CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ. PERF. PR 10 8.300000 10.494000 0.000000
78 W42544001 J01DD04 CEFTRIAXONUM MEDAXONE 2 g PULB. PT. SOL. INJ./PERF. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF. S/P-RF 10 10.928000 13.341000 0.000000
79 W59398002 J01DD04 CEFTRIAXONUM CEFTRIAXONA-MIP 2 g PULB. PT. SOL. INJ./PERF. 2g MIP PHARMA GMBH GERMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 10 13.113600 16.009200 45.188800
80 W13891008 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF. PR 10 13.113600 16.009200 19.442800
81 W13891004 J01DD04 CEFTRIAXONUM CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 50 ML, CU PULB. PT. SOL. INJ./PERF. PR 10 13.113600 16.009200 19.442800
82 W53778001 J01DD04 CEFTRIAXONUM SEFTRION 500 mg PULB. PT. SOL. INJ./PERF. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1 7.110000 9.610000 0.000000
83 W56096001 J01DD04 CEFTRIAXONUM SEFTRION 2 g PULB. PT. SOL. PERF. 2g EIPICO MED SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. P-RF 1 13.113600 16.009200 4.110800
84 W57455001 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 2.109000 2.851000 0.000000
85 W13701001 J01DD08 CEFIXIMUM EFICEF 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3.990000 5.219000 0.000000
86 W68974005 J01DD08 CEFIXIMUM CEFIXIMA STADA 200 mg COMPR. FILM. 200mg STADA M&D SRL ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. PRF 10 3.884000 5.080000 0.000000
87 W60256003 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF 10 8.221200 10.394400 0.250600
88 W60256001 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF 5 8.221200 10.394400 1.599600
89 W68975007 J01DD08 CEFIXIMUM CEFIXIMA STADA 400 mg COMPR. FILM. 400mg STADA M&D SRL ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. PRF 10 6.851000 8.662000 0.000000
90 W61965002 J01DD08 CEFIXIMUM XIFIA 100 mg/5 ml GRANULE PT. SUSP. ORALA 100mg/5ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU CAPCITATEA DE 150 ML CARE CONTINE 53 G GRAN. PT. SUSP. ORALA+1 MASURA DOZATOARE DIN PP PT. MASURAREA VOLUMULUI DE SOLVENT GRADATA LA 66 ML+1 SERINGA DOZATOARE DIN PLASTIC A 5 ML, GRADATA DE LA 0,5 ML PANA LA 5 ML PRF 1 76.490000 96.710000 0.000000
91 W13676001 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 16.415000 20.040000 0.000000

Pagina 2 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
92 W13677001 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 21.683000 26.470000 0.000000
93 W44045001 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU 500 MG PULB. PT. SOL. INJ. S/P-RF 1 3.560000 4.810000 0.000000
94 W52795001 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 24 ML CU 2G PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 22.450000 30.350000 0.000000
95 W44061001 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 16.970000 22.930000 0.000000
96 W53787002 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 10 26.762000 32.671000 0.000000
97 W61143002 J01DH02 MEROPENEMUM ARCHIFAR 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 36.037000 43.095000 0.000000
98 W58974002 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 39.038400 47.130000 42.250000
99 W58974005 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 39.038400 47.130000 42.250000
100 W69121002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g EUGIA PHARMA (MALTA) LTD. MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 39.038400 47.130000 50.473000
101 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 39.038400 47.130000 50.473000
102 W68533002 J01DH02 MEROPENEMUM MEROPENEM ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP CAUCIUC BUTILIC, SIGILAT CU CAPSA DIN AL CU PULB. PT. SOL. INJ/PERF. PR 10 39.038400 47.130000 42.250000
103 W56125002 J01DH02 MEROPENEMUM MEROPENEM KABI 1 g PULB. PT. SOL. INJ./PERF. 1g FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 10 32.532000 39.275000 0.000000
104 W58973002 J01DH02 MEROPENEMUM MEROPENEM ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 24.211200 29.557200 19.492800
105 W68532002 J01DH02 MEROPENEMUM MEROPENEM ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. STICLA INCOLORA, CU CAPACITATEA DE 10 ML CU DOP CAUCIUC BUTILIC, SIGILAT CU CAPSA DIN AL CU PULB. PT. SOL. INJ/PERF. PR 10 24.211200 29.557200 19.492800
106 W61142002 J01DH02 MEROPENEMUM ARCHIFAR 500 mg PULB. PT. SOL. INJ./PERF. 500mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 20.176000 24.631000 0.000000
107 W56826001 J01DH02 MEROPENEMUM LODITER 500 mg PULB. PT. SOL. INJ./PERF. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 24.211200 29.557200 27.772800
108 W56124002 J01DH02 MEROPENEMUM MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. PR 10 24.211200 29.557200 7.829800
109 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20.785000 25.374000 0.000000
110 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 7.613200
111 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24.942000 30.448800 7.348200
112 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 21.909000 26.747000 0.000000
113 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 7.613200
114 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24.942000 30.448800 10.281200
115 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 11.001200
116 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.377500 0.510000 0.000000
117 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 400 mg/80 mg COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.377500 0.510000 0.000000
118 W68734001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SEVATRIM SOL. INJ. 400mg/80mg DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 50 FIOLE X 5 ML SOL. INJ. PR 50 54.600000 60.277000 0.000000
119 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM 200 mg/40 mg/5 ml SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 13.000000 17.570000 0.000000
120 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 25mg/ml+5mg/ml SUSP. ORALA 25mg/ml+5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 10.430000 14.100000 0.000000
121 W63533001 J01FA02 SPIRAMYCINUM ROVAMYCINE® 1,5 Mil. UI COMPR. FILM. 1,5 Mil.U.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 0.603125 0.815000 0.000000
122 W63534001 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 5 COMPR. FILM. PRF 10 2.333000 3.153000 0.000000
123 W63534002 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF 10 2.333000 3.153000 0.000000
124 W68970001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. CU ELIB. PREL. 500mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.717714 2.322000 1.056000
125 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg COMPR. CU ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 7 COMPR. ELIB. PREL. P-RF 7 1.717714 2.322000 0.783714
126 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.717714 2.322000 1.056000
127 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.717714 2.322000 1.056000
128 W44093001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 1.192857 1.612142 0.000000
129 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.305428 1.764857 0.290143
130 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.087857 1.470714 0.000000
131 W68967002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.305428 1.764857 0.290143
132 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.165714 1.575714 0.000000
133 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.305428 1.764857 0.290143
134 W54044001 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 1.692000 2.213000 0.000000
135 W44087001 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 1.713571 2.315714 0.000000
136 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.717714 2.322000 0.080857
137 W60254003 J01FA09 CLARITHROMYCINUM LEKOKLAR 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 1.431428 1.935000 0.000000
138 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.717714 2.322000 0.037285
139 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 22.056000 29.808000 3.812000
140 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 22.056000 29.808000 3.812000
141 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14.520000 19.620000 3.080000
142 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14.520000 19.620000 3.080000
143 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 41,66 - 46,04 G GRANULE PENTRU PREPARAREA A 60 ML DE SUSPENSIE ORALA PRF 1 12.100000 16.350000 0.000000
144 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 69,44 - 76,75 G GRANULE PENTRU PREPARAREA A 100 ML DE SUSPENSIE ORALA PRF 1 18.380000 24.840000 0.000000
145 W68969001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14.520000 19.620000 3.080000

Pagina 3 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
146 W68969002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 22.056000 29.808000 3.812000
147 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 69,44 - 76,75 G GRANULE PENTRU PREPARAREA A 100 ML DE SUSPENSIE ORALA PRF 1 48.510000 63.450000 0.000000
148 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 41,66 - 46,04 G GRANULE PENTRU PREPARAREA A 60 ML DE SUSPENSIE ORALA PRF 1 31.010000 40.560000 0.000000
149 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 36.190000 47.340000 0.000000
150 W68968001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 36.190000 47.340000 0.000000
151 W64359001 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 2.698000 3.646000 1.960666
152 W00517001 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 2.698000 3.646000 1.960666
153 W00518001 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 3.898333 5.270000 0.000000
154 W64356001 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC/AL X 6 COMPR. FILM. PRF 6 3.898333 5.270000 0.000000
155 W42879004 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF 6 2.248333 3.038333 0.000000
156 W52840001 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM. P-RF 3 3.544000 4.788000 2.325333
157 W64357001 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC/AL X 3 COMPR. FILM. PRF 3 3.544000 4.788000 6.158666
158 W57032001 J01FA10 AZITHROMYCINUM AZITROX 500 mg COMPR. FILM. 500mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 3.544000 4.788000 1.122000
159 W43486001 J01FA10 AZITHROMYCINUM AZIBIOT 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 3.544000 4.788000 2.325333
160 W42878001 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF 3 2.953333 3.990000 0.000000
161 W52840002 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM. P-RF 3 3.544000 4.788000 2.325333
162 W60406001 J01FA10 AZITHROMYCINUM AZITROMICINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM. PRF 3 3.544000 4.788000 2.325333
163 W66687001 J01FA10 AZITHROMYCINUM AZITROMICINA ROMPHARM 500 mg PULB. PT. SOL. PERF. 500mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA PRF 1 33.050000 43.230000 0.000000
164 W66687002 J01FA10 AZITHROMYCINUM AZITROMICINA ROMPHARM 500 mg PULB. PT. SOL. PERF. 500mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA PRF 5 29.796000 36.374000 0.000000
165 W42901001 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL ROMANIA 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 P-RF 1 16.550000 22.370000 0.000000
166 W42877002 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA SANDOZ SRL
200 mg/5 ml ROMANIA 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 (800 MG) SUSP. ORALA P-RF 1 13.380000 18.090000 0.000000
167 W64358002 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. 30 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE PRF 1 30.770000 40.250000 0.000000
168 W00520001 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 30.770000 40.250000 0.000000
169 W53281001 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA CUTIE CU 1 FLAC. DIN PEÎD PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PT COPII DIN PP,CONTINÂND PULBERE PENTRU 15 ML SUSPENSIE ORALA RECONSTITUITA,1 LINGURITA DOZATOARE, 1 SERINGA PENTRU ADMINISTRARE ORALA CU CAPACITATEA DE 10 ML, 1 MASURA DOZATOARE P-RF 1 13.640000 18.430000 0.000000
170 W00520003 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 38.210000 49.980000 0.000000
171 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 38.210000 49.980000 0.000000
172 W62087001 J01GB03 GENTAMICINUM GENTAMICINA EIPICO 40 mg/ml SOL INJ. 40mg/ml E.I.P.I.CO MED S.R.L. ROMANIA CUTIE CU 3 FLAC. DIN STICLA TIP I INCOLORA CU CAPACITATEA DE 2,5 ML, CONTINAND 2 ML SOL. INJ. PRF 3 0.933333 1.263333 0.000000
173 W03308001 J01GB03 GENTAMICINUM GENTAMICIN KRKA 40 mg/1 ml SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 0.698000 0.943000 0.000000
174 W03309001 J01GB03 GENTAMICINUM GENTAMICIN KRKA 80 mg/2 ml SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 0.938000 1.268000 0.000000
175 W53277001 J01GB06 AMIKACINUM AMIKOZIT 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 55.010000 69.550000 0.000000
176 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 1.958000 2.647000 0.000000
177 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 mg COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1.958000 2.647000 0.000000
178 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM. P-RF 10 1.958000 2.647000 0.000000
179 W54037001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.542000 4.633000 0.000000
180 W54038002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0.677500 0.915500 0.000000
181 W54038001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.677000 0.915000 0.000000
182 W01271002 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.677000 0.915000 0.000000
183 W65056001 J01MA02 CIPROFLOXACINUM CIFRAN 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0.677000 0.915000 0.000000
184 W01288001 J01MA02 CIPROFLOXACINUM CIPROLEN 250 mg COMPR. FILM. 250mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.677000 0.915000 0.000000
185 W44077004 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.594000 0.803000 0.000000
186 W01273001 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.667000 0.901000 0.000000
187 W66438003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0.594000 0.803000 0.000000
188 W65057001 J01MA02 CIPROFLOXACINUM CIFRAN 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0.715200 0.967200 0.779800
189 W54039001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.779800
190 W01289001 J01MA02 CIPROFLOXACINUM CIPROLEN 500 mg COMPR. FILM. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.779800
191 W01272001 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.779800
192 W66439003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0.596000 0.806000 0.000000
193 W54039002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0.715200 0.967200 0.724300
194 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.779800
195 W44076001 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.565800
196 W01274001 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.386800
197 W42772001 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 3.542000 4.633000 0.000000
198 W54040001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.542000 4.633000 0.000000
199 W60268001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ZENTIVA 10 mg/ml CONC. PT. SOL. PERF. 100mg/10ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML PR 5 3.288000 4.444000 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
200 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 3.288000 4.444000 0.000000
201 W61489003 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 10 14.683000 17.925000 0.000000
202 W61489001 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 10 7.800000 9.862000 0.000000
203 W68020002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA VIOSER 2 mg/ml SOL. PERF. 2mg/ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 10 FLAC. TRANSPARENTE DIN PEJD X 200 ML SOL. PERF. PR 10 14.683000 17.925000 0.000000
204 W61489002 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 50 7.564000 9.007800 0.000000
205 W61489004 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 30 14.348000 16.911000 0.000000
206 W52445001 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 2.728000 3.568000 0.000000
207 W60377003 J01MA06 NORFLOXACINUM NORFLOXACINA ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE CU 2 BLIST. DIN PVC/AL X 10 CAPS. PRF 20 0.967200 1.100028 0.262972
208 W60377004 J01MA06 NORFLOXACINUM NORFLOXACINA ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE CU 5 BLIST DIN PVC/AL X 10 CAPS. PRF 50 0.946600 1.100028 0.138172
209 W60377005 J01MA06 NORFLOXACINUM NORFLOXACINA ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE CU 100 BLIST. DIN PVC/AL X 10 CAPS. PRF 1000 0.806000 0.916690 0.000000
210 W62811001 J01MA06 NORFLOXACINUM NORFLOXACINA ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 20 0.830500 1.100028 0.022472
211 W58303001 J01MA06 NORFLOXACINUM NORFLOXACIN HELCOR 400 mg COMPR. FILM. 400mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 0.967200 1.100028 0.262972
212 W14009001 J01MA06 NORFLOXACINUM NORFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 0.967200 1.100028 0.263972
213 W07984001 J01MA06 NORFLOXACINUM NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 0.835500 1.100028 0.029472
214 W55699003 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF 7 2.342857 3.167142 0.000000
215 W61631003 J01MA12 LEVOFLOXACINUM LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 2.362857 3.194285 0.000000
216 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 2.365000 3.196000 0.000000
217 W60574001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 2.340000 3.164000 0.000000
218 W60574002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 2.342000 3.166000 0.000000
219 W56939002 J01MA12 LEVOFLOXACINUM FLERADAY 500 mg COMPR. FILM. 500 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF 7 4.174285 5.460000 0.000000
220 W68675004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA TEVA 500 mg COMPR. FILM. 500mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF 7 3.628571 4.745714 0.000000
221 W60575001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 4.174000 5.642000 0.000000
222 W60575002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 3.917000 5.123000 0.000000
223 W52787004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 3.628571 4.745714 0.000000
224 W61706003 J01MA12 LEVOFLOXACINUM LEVALOX 500 mg COMPR. FILM. 500mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 4.174285 5.460000 0.000000
225 W55700002 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 4.354285 5.694857 0.465143
226 W66213001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 3.904000 5.106000 0.000000
227 W61707001 J01MA12 LEVOFLOXACINUM LEVALOX 5 mg/ml SOL. PERF. 5mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPAC DIN AL A 100 ML SOL. PERF. PR 1 31.480000 41.170000 0.000000
228 W62972004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 100 ML SOL. PERF. PRF 30 37.776000 45.816000 0.000000
229 W55815004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 37.776000 49.404000 13.846000
230 W54108008 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. PEJD KABIPAC(TIP BOTTLEPACK) A 100 ML CONTINAND 100 ML SOL. PERF. (500MG LEVOFLOXAC PR 10 37.776000 49.404000 2.382000
231 W62972002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 50 ML SOL. PERF. PRF 50 20.898800 23.542600 0.000000
232 W56429007 J01MA12 LEVOFLOXACINUM CENOMAR 5 mg/ml SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 PUNGA PEJD X 100 ML SOL. PERF. PR 1 37.776000 49.404000 13.846000
233 W63876001 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF 5 6.730000 8.804000 0.000000
234 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 6.730000 8.804000 0.000000
235 W66200001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 6.160000 8.058000 0.000000
236 W60943001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF 5 6.106000 7.986000 0.000000
237 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 6.426000 8.406000 0.000000
238 W65324001 J01MA14 MOXIFLOXACINUM KIMOKS 400 mg COMPR. FILM. 400mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM. PRF 5 6.308000 8.252000 0.000000
239 W67240002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 10 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 10 52.532000 61.075000 0.000000
240 W67240003 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 20 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 20 51.032500 57.533000 0.000000
241 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 61.239000 69.039600 12.220400
242 W63877004 J01MA14 MOXIFLOXACINUM AVELOX 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AMBALAJ MULTIPLU (FOLIE DE PLASTIC ETICHETATA) CU 5 CUTII DIN CARTON A CATE 1 FLAC. DIN STICLA X 250 ML SOL. PERF., ÎNCHIS CU DOP DIN CAUCIUC CLOROBUTILIC SAU BROMOBUTILIC PR 5 61.239000 69.039600 10.564400
243 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 60.982000 69.039600 1.245400
244 W63849002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 5 61.239000 69.039600 7.406400
245 W68721001 J01XA01 VANCOMYCINUM LEVOVANOX 250 mg CAPS. 250mg ALLIANCE HEALTHCARE ROMANIA SRL ROMANIA CUTIE CU 4 CAPS. PR 4 47.575000 58.080000 0.000000
246 W68992001 J01XA01 VANCOMYCINUM VANCOMICINA ATB 1000 mg 1000mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, DE TIP I, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 73.770000 93.280000 0.000000
247 W68992002 J01XA01 VANCOMYCINUM VANCOMICINA ATB 1000 mg 1000mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, DE TIP I, CU PULB. PT. CONC. PT. SOL. PERF. PR 10 68.868000 78.881000 0.000000
248 W67482001 J01XA01 VANCOMYCINUM VANCOMICINA ROMPHARM 1000mg 1000mg
PULB. PT. CONC. PT. SOL. PERF. ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE 1000 MG PULBERE PT. CONC. PT. SOL. PERF. PR 1 73.770000 93.280000 0.000000
249 W68991002 J01XA01 VANCOMYCINUM VANCOMICINA ATB 500 mg 500mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, DE TIP I, CU PULB. PT. CONC. PT. SOL. PERF. PR 10 38.330000 45.595000 0.000000
250 W68991001 J01XA01 VANCOMYCINUM VANCOMICINA ATB 500 mg 500mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, DE TIP I, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 41.664000 54.504000 1.856000
251 W67245004 J01XA01 VANCOMYCINUM VANCOMICINA MIP 1000 mg PULB. PT. SOL. PERF. 1000mg MIP PHARMA GMBH GERMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 25 ML, INCHISE CU DOP GRI DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA METALICA PREVAZUTA CU DISC DIN PLASTIC TIP FLIP-OFF PR 5 71.864000 85.962000 0.000000
252 W67244002 J01XA01 VANCOMYCINUM VANCOMICINA MIP 500 mg PULB. PT. SOL. PERF. 500mg MIP PHARMA GMBH GERMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML, INCHISE CU DOP GRI DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA METALICA PREVAZUTA CU DISC DIN PLASTIC TIP FLIP-OFF PR 5 38.858000 47.438000 0.000000
253 W57042001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg 1000mg
PULB. PT.CONC. PT.SOL. PERF. FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 63.540000 80.340000 0.000000

Pagina 5 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
254 W57041001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 500 mg PULB. PT.CONC. PT.SOL. PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 34.720000 45.420000 0.000000
255 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF 1 121.080000 147.810000 0.000000
256 W52501003 J01XB01 COLISTINUM COLISTINA ATB 1.000.000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, ÎNCHISE CU DOP DIN CAUCIUC HALOBUTILIC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC FLIP-OFF DIN POLIPROPILENA, CONTINÂND PULB. PENTRU SOL. INJ./PERF. PR 10 32.010000 38.706000 0.000000
257 W63535001 J01XD01 METRONIDAZOLUM FLAGYL 250 mg (vezi P01AB01) COMPR. FILM. 250mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 20 0.345500 0.467000 0.000000
258 W64585002 J01XD01 METRONIDAZOLUM METRONIDAZOL VIOSER 500 mg/100 ml SOL. PERF. 500mg/100ml VIOSER S.A. PARENTERAL SOLUTION INDUSTRY GRECIA CUTIE CU 10 FLAC. PEJD X 100 ML SOL. PERF. PRF 10 4.404000 5.760000 0.000000
259 W64585001 J01XD01 METRONIDAZOLUM METRONIDAZOL VIOSER 500 mg/100 ml SOL. PERF. 500mg/100ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 1 FLAC. PEJD X 100 ML SOL. PERF. PRF 1 4.700000 6.176400 0.173600
260 W42138002 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 7.520000 9.508333 0.000000
261 W42139002 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 7.520000 9.508333 0.000000
262 W08927002 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 10 4.432000 5.797000 0.000000
263 W08927001 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 10 4.432000 5.797000 0.000000
264 W08927003 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 20 4.070500 5.147000 0.000000
265 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 62.878000 72.352000 0.000000
266 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 35.632600
267 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75.453600 86.822400 35.632600
268 W61133001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 11.442600
269 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 996.460000 1,124.290000 0.000000
270 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 996.460000 1,124.290000 0.000000
271 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 136.718000 152.838000 0.000000
272 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 145.712400 163.404000 8.466000
273 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 141.592000 158.150000 0.000000
274 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 121.427000 136.170000 0.000000
275 W61561004 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN PEJD A CATE 300 ML SOL. PERF. PR 10 145.712400 163.404000 6.367000
276 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 145.712400 163.404000 19.875000
277 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 145.712400 163.404000 98.576000
278 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 121.427000 136.170000 0.000000
279 W68367001 J02AA01 AMPHOTERICINUM B (4) AMBISOME 50mg 50mg
PULB. PT. CONC. PT. DISPERSIE PERF. ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 FLAC. CU PULB. PT. CONC. PT. DISPERSIE PERFUZABILA PR 10 1,401.887000 1,531.874000 0.000000
280 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.670000 7.415714 0.000000
281 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 6.040000 8.162500 0.000000
282 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
283 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
284 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
285 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
286 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
287 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
288 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
289 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.750000 9.120000 0.000000
290 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 8.100000 10.944000 1.566000
291 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.100000 10.944000 1.566000
292 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
293 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
294 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.338571 6.982857 0.000000
295 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
296 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
297 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 3.147428 4.253142 0.514000
298 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
299 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
300 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
301 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
302 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 3.147428 4.253142 0.514000
303 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
304 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
305 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 43.588200 49.800000 14.010000
306 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 87.736000 99.447000 0.000000
307 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 76.778000 87.503000 0.000000

Pagina 6 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
308 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
309 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
310 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 12.075500 14.741500 0.000000
311 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 2.024666 2.648000 0.000000
312 W67015006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg BAUSCH HEALTH IRELAND LIMITED IRLANDA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 2.024666 2.648000 0.000000
313 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL SLAVIA 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 2.024666 2.648000 0.000000
314 W59235001 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 2.024666 2.648000 0.000000
315 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL 100 mg CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 2.098666 2.744666 0.000000
316 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
REPUBLICA CEHA PRF 28 16.732142 19.600714 0.000000
317 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 19.993600 23.319199 6.767229
318 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 19.993600 23.319199 16.420801
319 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 16.661333 19.432666 0.000000
320 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 19.993600 23.319199 2.974372
321 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 52.899372
322 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 4.235443
323 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 19.993600 23.319199 52.899372
324 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.810357 26.225714 0.000000
325 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.899285 28.775000 0.000000
326 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 22.292857 24.980535 0.000000
327 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 324.410000 391.760000 0.000000
328 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg 200mg
PULB. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 389.292000 470.112000 357.478000
329 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 324.410000 391.760000 0.000000
330 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 389.292000 470.112000 38.608000
331 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 324.410000 391.760000 0.000000
332 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,740.030000 1,934.780000 0.000000
333 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,740.030000 1,934.780000 0.000000
334 W66421009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.709166 40.512500 0.000000
335 W66225002 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL PERFORAT PENTRU ELIBERAREA UNEI DOZE X 24X1 COMPR. GASTROREZ PR 24 29.901666 34.182500 0.000000
336 W66832009 J02AC04 POSACONAZOLUM ** POSACONAZOL STADA 100 mg COMPR. GASTROREZ. 100mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 29.901666 34.182500 0.000000
337 W66364009 J02AC04 POSACONAZOLUM ** POSACONAZOL ZENTIVA 100 mg COMPR. GASTROREZ. 100mg ZENTIVA K.S. REP. CEHA CUTIE CU BLIST. OPAC NEPERFORAT DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.881999 41.019000 11.502666
338 W68234009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.709166 40.512500 0.000000
339 W66225001 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 24 COMPR. GASTROREZ PR 24 29.901666 34.182500 0.000000
340 W69004001 J02AC04 POSACONAZOLUM ** POSACONAZOL VIATRIS 40 mg/ml SUSP. ORALA 40mg/ml VIATRIS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 668.220000 766.510000 0.000000
341 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 668.220000 766.510000 0.000000
342 W66224001 J02AC04 POSACONAZOLUM ** POSACONAZOLE AHCL 40 mg/ml SUSP. ORALA 40mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PP + 1 LINGURITA DOZATOARE X 105 ML SUSP. ORALA PR 1 668.220000 766.510000 0.000000
343 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 180.646428 199.629285 0.000000
344 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 180.646428 199.629285 0.000000
345 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
346 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
347 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
348 W68343001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA M&D 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
349 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
350 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
351 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
352 W69111001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ROMPHARM 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPAC. DE 10 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
353 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
354 W68342001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA M&D 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
355 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
356 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
357 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
358 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg 50mg
PULB. PT.CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
359 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg 70mg
PULB. PT.CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
360 W55841001 J02AX06 ANIDULAFUNGINUM ECALTA 100mg 100mg
PULB. PT. CONC. PT. SOL. PERF. PFIZER LIMITED MAREA BRITANIE CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB. S 1 875.030000 991.930000 0.000000
361 W64932001 J02AX06 ANIDULAFUNGINUM ECALTA 100mg 100mg
PULB. PT. CONC. PT. SOL. PERF. PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC.DIN STICLA A 30ML X 100 MG PULB. PR 1 875.030000 991.930000 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
362 W65875001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA ACCORD 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg ACCORD HEALTHCARE POLONIA PR 1
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL CU CAPAC DIN PLASTIC CU PULB. PT. CONC. PT. SOL. PERF. 833.650000 946.830000 0.000000
363 W66592001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA FRESENIUS KABI 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg FRESENIUS KABI ROMANIA SRL ROMANIA PR 1
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL CU CAP DETASABIL CU PULB. PT. CONC. PT. SOL. PERF. 875.030000 991.930000 0.000000
364 W64659001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA TEVA 100 mg PULB. PT. CONC. PT.SOL. PERF. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA PR 1
CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. 833.650000 946.830000 0.000000
365 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0.143000 0.174573 0.000000
366 W61241001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0.145500 0.180823 0.015677
367 W61241003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0.123433 0.150686 0.000000
368 W61241002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0.146000 0.180823 0.016377
369 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0.340000 0.396033 0.000000
370 W61242002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0.362944 0.426127 0.070673
371 W61242001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0.362944 0.426127 0.069873
372 W61242003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0.302453 0.355106 0.000000
373 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0.596000 0.675073 0.000000
374 W53682002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.338352 0.399319 0.368181
375 W59648002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 100 BLIST. PVC/AL X 10 CAPS. PRF 1000 0.382080 0.454620 0.000000
376 W59648001 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0.457500 0.545544 0.072956
377 W42943002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM. PRF 1500 0.281960 0.332766 0.000000
378 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM. PRF 1500 0.436806 0.501553 0.000000
379 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO 300 mg+150 mg CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. PRF 1000 1.086000 1.221890 0.000000
380 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
381 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
382 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.836500 0.949940 0.000000
383 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
384 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.602000 3.403000 0.000000
385 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 1.003800 1.139928 0.277072
386 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
387 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
388 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2.328000 3.146000 0.000000
389 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.852000 52.314000 0.000000
390 W69293002 J05AB01 ACICLOVIRUM ACICLOVIR ROMPHARM 250 mg PULB. PT. SOL. PERF. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 43.184000 52.718000 0.000000
391 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 41.340000 50.468000 0.000000
392 W68191001 J05AB06 GANCICLOVIRUM GANCICLOVIR ROMPHARM 500 mg PULB. PT. CONC. PT.SOL. PERF. 500mg ROMPHARM COMPANY S.R.L. ROMANIA PRF 1
CUTIE CU UN FLACON DIN STICLA INCOLORA, CU DOP GRI DIN CAUCIUC BROMOBUTILIC SI SISTEM DE ÎNCHIDERE DIN AL CU CAPSA ALBA DETASABILA DIN AL, CU PULBERE PENTRU CONCENTRAT PENTRU SOLUTIE PERFUZABILA 100.270000 122.410000 0.000000
393 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 3.408000 4.458000 0.000000
394 W60087001 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 2.920000 3.820000 0.000000
395 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 18.988333 21.333166 0.000000
396 W12651002 J05AB15 BRIVUDINUM BRIVAL 125mg COMPR. 125mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF 7 28.315714 34.567142 0.000000
397 W64691001 J05AE03 RITONAVIRUM ** NORVIR 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR.FILM. PR 30 2.281600 2.884800 0.827866
398 W64015001 J05AE03 RITONAVIRUM ** RITONAVIR MYLAN 100 mg COMPR. FILM. 100mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 1.901333 2.404000 0.000000
399 W68252001 J05AE03 RITONAVIRUM ** RITONAVIR MYLAN 100 mg COMPR. FILM. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 1.901333 2.404000 0.000000
400 W62562001 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 17.371000 19.570166 0.000000
401 W66622002 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 150 mg CAPS. 150mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 20.845200 23.484199 4.457467
402 W62562003 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 CAPS. PR 60 17.371000 19.570166 0.000000
403 W65779001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 150 mg CAPS. 150mg KRKA, D.D., NOVO MESTO SLOVENIA PR 60
CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 60 CAPS. 20.845200 23.484199 0.671467
404 W62562002 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60X1 CAPS. PR 60 17.371000 19.570166 0.000000
405 W65780001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 200 mg CAPS. 200mg KRKA, D.D., NOVO MESTO SLOVENIA PR 60
CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 60 CAPS. 22.499833 25.160666 0.000000
406 W64138001 J05AE08 ATAZANAVIRUM ATAZANAVIR MYLAN 300 mg CAPS. 300mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 28.475333 32.309666 0.000000
407 W66623002 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 300 mg CAPS. 300mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 34.170400 38.771599 13.795734
408 W68110001 J05AE08 ATAZANAVIRUM ATAZANAVIR MYLAN 300 mg CAPS. 300mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 28.475333 32.309666 0.000000
409 W66623004 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 300 mg CAPS. 300mg STADA M&D SRL ROMANIA PR 90
AMBALAJ MULTIPLU CONTINÂND 90X1 CAPSULE (3 CUTII CU BLISTERE DIN OPA-AL-PVC/AL CONTINÂND 30X1 CAPSULE) 34.170400 38.771599 12.221289
410 W62564001 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 32.630333 36.838666 0.000000
411 W66623001 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 300 mg CAPS. 300mg STADA M&D SRL ROMANIA PR 30
CUTIE CU BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL CONTINAND 30X1 CAPS. 34.170400 38.771599 21.776067
412 W62564002 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30X1 CAPS. PR 30 32.630333 36.838666 0.000000
413 W62564005 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 32.630333 36.838666 0.000000
414 W61895001 J05AE10 DARUNAVIRUM ** PREZISTA 150 mg COMPR. FILM. 150mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. CU CAPACITATEA DE 160 ML DIN PEID X 240 COMPR. FILM. PRF 240 5.042291 5.655041 0.000000
415 W66600003 J05AE10 DARUNAVIRUM ** DARUNAVIR AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 60 COMPR. FILM. PR 60 19.092000 21.446166 0.000000

Pagina 8 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
416 W64530001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 FLAC. DIN PEID A CATE 30 COMPR. FILM. PR 60 22.482000 25.141166 0.000000
417 W63424025 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 600 mg COMPR. FILM. 600mg TEVA PHARMACEUTICALS S.R.L. ROMANIA PR
CUTIE CU UN FLACON DIN PEÎD, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI DESICANT X 60 COMPR. FILM. 60 23.081666 25.794833 0.000000
418 W66601003 J05AE10 DARUNAVIRUM ** DARUNAVIR AUROBINDO 600 mg COMPR. FILM. 600mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 60 COMPR. FILM. PR 60 24.398500 27.230166 0.000000
419 W68203001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 600 mg COMPR. FILM. 600mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 60 COMPR. FILM. PR 60 21.185333 23.727833 0.000000
420 W63331001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 600 mg COMPR. FILM. 600mg MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 60 COMPR. FILM. PR 60 21.185333 23.727833 0.000000
421 W64415010 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg TEVA B.V. TARILE DE JOS CUTIE CU 1 FLAC. PEID, CU DESICANT X 30 COMPR. FILM. PR 30 28.828399 32.948800 0.135533
422 W68204001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 800 mg COMPR. FILM. 800mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 30 COMPR. FILM. PR 30 24.023666 27.457333 0.000000
423 W64415013 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg TEVA B.V. TARILE DE JOS CUTIE CU 1 FLAC. PEID, FARA DESICANT X 30 COMPR. FILM. PR 30 28.828399 32.948800 0.135533
424 W64531001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 800 mg COMPR. FILM. 800mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 24.374666 27.840000 0.000000
425 W63332001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 800 mg COMPR. FILM. 800mg MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 30 COMPR. FILM. PR 30 24.023666 27.457333 0.000000
426 W61893001 J05AE10 DARUNAVIRUM ** PREZISTA 100 mg/ml SUSP. ORALA 100mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DE STICLA MULTIDOZA CU 200 ML SUSP. + 1 PIPETA DE 6 ML PT. ADMINISTRARE ORALA CU GRADATII DE 0,2 ML PRF 1 685.640000 785.500000 0.000000
427 W65176002 J05AF01 ZIDOVUDINUM RETROVIR 100 mg CAPS. 100mg VIIV HEALTHCARE BV OLANDA CUTIE CU 10 BLIST. PVC/AL X 10 CAPS. P-RF 100 4.063100 4.810300 0.000000
428 W06151002 J05AF01 ZIDOVUDINUM RETROVIR 100mg CAPS. 100mg VIIV HEALTHCARE UK LIMITED UK CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 4.063100 4.810300 0.000000
429 W65177002 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 1 ML PRF 1 52.480000 66.350000 0.000000
430 W65177001 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 10 ML PRF 1 52.480000 66.350000 0.000000
431 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR
MAREA BRITANIE 60 4.376400 5.342800 0.288200
432 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4.376400 5.342800 0.288200
433 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3.647000 4.452333 0.000000
434 W62523002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 11.233200 13.713600 1.902400
435 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9.361000 11.428000 0.000000
436 W65303002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 88.410000 111.790000 0.000000
437 W65271001 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE X 60 COMPR. FILM. PR 60 11.593000 13.399399 4.382267
438 W66672001 J05AF06 ABACAVIRUM ABACAVIR AUROBINDO 300 mg COMPR. FILM. 300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL A 60 COMPR. FILM. PR 60 9.660833 11.166166 0.000000
439 W65272001 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml VIIV HEALTHCARE BV OLANDA CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE PR 1 285.970000 349.110000 0.000000
440 W64012002 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL AUROBINDO 245 mg COMPR. FILM. 245mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 13.375000 15.850333 0.000000
441 W68200001 J05AF07 TENOFOVIRUM DISOPROXIL **1 VIROFOB 245 mg COMPR. FILM. 245mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP X 30 COMPR. FILM. PR 30 16.050000 18.776000 0.000000
442 W60828015 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL TEVA 245 mg COMPR. FILM. 245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA PR
CUTIE CU 1 FLAC. DIN PEÎD CU CAPAC CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM. 30 16.050000 19.020400 1.231933
443 W63256001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL MYLAN COMPR. FILM. 245mg MYLAN S.A.S FRANTA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM PR 30 15.559000 18.231000 0.000000
444 W65737001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ACCORDPHARMA 245 mg COMPR. FILM. 245mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 30X1 COMPR. FILM. 30 14.932000 17.547666 0.000000
445 W68144001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL MYLAN COMPR. FILM. 245mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 15.559000 18.231000 0.000000
446 W62771001 J05AF07 TENOFOVIRUM DISOPROXIL **1 VIROFOB 245 mg COMPR. FILM. 245mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP X 30 COMPR. FILM. PR 30 16.050000 18.776000 0.000000
447 W65970001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR STADA 245 mg COMPR. FILM. 245mg STADA M&D SRL ROMANIA PR
CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 (1X30) COMPR. FILM. 30 16.050000 19.020400 5.253266
448 W65970002 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR STADA 245 mg COMPR. FILM. 245mg STADA M&D SRL ROMANIA PR
AMBALAJ MULTIPLU CU 3 FLAC. PEID CU CAPAC DIN PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 90 (3X30) COMPR. FILM. 90 16.050000 19.020400 3.618933
449 W65812001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ACCORD 245 mg COMPR. FILM. 245mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 14.932000 17.547666 0.000000
450 W64753001 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 22.215333 25.486333 0.000000
451 W13091001 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/5ml SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA PR
CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON 1 126.890000 154.910000 0.000000
452 W64652001 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII PRF 30 11.883000 14.224000 0.000000
453 W61898001 J05AG04 ETRAVIRINUM INTELENCE 200 mg COMPR. 200mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 60 COMPR. PR 60 21.553166 24.128833 0.000000
454 W61897001 J05AG04 ETRAVIRINUM INTELENCE 25 mg COMPR. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. PR 120 4.242166 4.941916 0.000000
455 W58157001 J05AG05 RILPIVIRINUM EDURANT COMPR. FILM. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU UN FLACON DIN PEÎD X 30 COMPRIMATE FILMATE PR 30 31.999666 36.151333 0.000000
456 W65374001 J05AG06 DORAVIRINUM PIFELTRO 100 mg COMPR. FILM. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 33.439000 37.720333 0.000000
457 W64644001 J05AJ01 RALTEGRAVIRUM ISENTRESS 400 mg COMPR. FILM. 400mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 39.591833 43.791000 0.000000
458 W64645001 J05AJ01 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 39.591833 43.791000 0.000000
459 W67357001 J05AJ03 DOLUTEGRAVIRUM ** TIVICAY 5 mg COMPR. DISPERSABILE 5mg VIIV HEALTHCARE BV OLANDA PR
FLAC. DIN PEID X 60 COMPR. DISPERSABILE +O MASURA DOZATOARE SI O SERINGA PENTRU ADMINISTRARE ORALA 60 9.241000 10.708500 0.000000
460 W64581001 J05AJ03 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg VIIV HEALTHCARE BV OLANDA PR
FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA 30 16.013000 18.726000 0.000000
461 W63696001 J05AJ03 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE PR
FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA 30 16.013000 18.726000 0.000000
462 W64582001 J05AJ03 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg VIIV HEALTHCARE BV OLANDA PR
FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA 30 38.528333 43.267666 0.000000
463 W63697001 J05AJ03 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE PR
FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA 30 38.528333 43.267666 0.000000
464 W64583001 J05AJ03 DOLUTEGRAVIRUM ** TIVICAY 50 mg COMPR. FILM. 50mg VIIV HEALTHCARE BV OLANDA PR
FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA 30 76.056000 84.172666 0.000000
465 W60635001 J05AJ03 DOLUTEGRAVIRUM ** TIVICAY 50mg COMPR. FILM. 50mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE PR
FLACOANE PEID X 30 COMPRIMATE FILMATE, INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA 30 76.056000 84.172666 0.000000
466 W68897001 J05AP01 RIBAVIRINUM VIRON 200 mg CAPS. 200mg CN UNIFARM S.A. ROMANIA CUTIE CU BLIST. DIN PVC/PVDC/AL X 140 CAPSULE PRF 140 3.690714 4.295357 0.000000
467 W66476001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg COMPR. FILM. 150mg/300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 5.954166 7.125833 0.000000
468 W65906003 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA TERAPIA 600 mg/300 mg COMPR. FILM. 600mg/300mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. TRIPLU (TRIPLEX) DIN PVC-PE-PVDC/AL X 30 COMPR. FILM PR 30 7.665333 9.357666 0.000000
469 W67488001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN PHARMA 600 mg/300 mg COMPR. FILM. 600mg/300mg MYLAN IRELAND LIMITED IRLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9.198400 11.229199 10.356467

Pagina 9 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
470 W64747004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN 600 mg/300 mg COMPR. FILM. 600mg/300mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9.198400 11.229199 10.356467
471 W66762003 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA STADA 600 mg/300 mg COMPR. FILM. 600mg/300mg STADA M&D S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. PR 30 9.198400 11.229199 5.736801
472 W66762001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA STADA 600 mg/300 mg COMPR. FILM. 600mg/300mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. PR 30 9.198400 11.229199 5.736801
473 W68224004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN 600 mg/300 mg COMPR. FILM. 600mg/300mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9.198400 11.229199 10.356467
474 W69243001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA VIATRIS 600 mg/300 mg COMPR. FILM. 600mg/300mg VIATRIS LIMITED IRLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 9.198400 11.229199 10.356467
475 W65906004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA TERAPIA 600 mg/300 mg COMPR. FILM. 600mg/300mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. FORMAT LA RECE DIN PVC-PA/AL X 30 COMPR. FILM PR 30 7.665333 9.357666 0.000000
476 W65115001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE X 30 COMPR. FILM. ( BLIST.ALB-OPAC PVC/PVDC-AL/HARTIE) PR 30 9.198400 11.229199 9.513467
477 W63257001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN S.A.S FRANTA CUTIE CU BLIST. X 30 COMPR. FILM. PR 30 7.544666 9.210666 0.000000
478 W68235002 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. (OPA/AL/PVC/AL) X 30 COMPR. FILM. PR 30 7.544666 9.210666 0.000000
479 W68235001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. X 30 COMPR. FILM. PR 30 7.544666 9.210666 0.000000
480 W66839001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL STADA 200 mg/245 mg COMPR. FILM. 200mg/245mg STADA M&D S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9.025200 11.017999 3.719667
481 W62931007 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL TEVA 200 mg/245 mg COMPR. FILM. 200mg/245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEID CU CAPACITATEA DE 100 ML, PREVAZUT CU CAPAC DIN PP CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI RECIPIENT CARE CONTINE 3 G DESICANT X 30 COMPR. FILM. PR 30 7.521000 9.181666 0.000000
482 W65016001 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM ** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. OPACE DIN PCTFE- PVC/ACLAR) PR 60 31.167500 34.608333 0.000000
483 W68108001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PEID ETICHETAT "DO NOT EAT" (A NU FI INGERAT) X 30 COMPR. FILM. PR 30 36.160333 40.686333 0.000000
484 W64590001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL KRKA 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 33.066000 37.313666 0.000000
485 W64622001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL ZENTIVA 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 39.679200 44.776399 2.242267
486 W63863001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg MYLAN S.A.S FRANTA CUTIE CU 1 FLAC. DIN PEID ETICHETAT "DO NOT EAT" (A NU FI INGERAT) X 30 COMPR. FILM. PR 30 36.160333 40.686333 0.000000
487 W64678001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. FILM. PR 120 10.321399 11.631799 1.555617
488 W68159005 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR MYLAN 200 mg/50 mg COMPR. FILM. 200mg/50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. X 120 COMPR. FILM. PR 120 8.601166 9.693166 0.000000
489 W64170005 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR MYLAN 200 mg/50 mg COMPR. FILM. 200mg/50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. X 120 COMPR. FILM. PR 120 8.601166 9.693166 0.000000
490 W64677002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA 120 ML (2 FLACOANE X 60 ML) CU 2 SERINGI X 2 ML CU GRADATII DE 0,1 ML PR 2 301.940000 348.190000 0.000000
491 W64677001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML PR 5 292.940000 326.934000 0.000000
492 W65274001 J05AR13 COMBINATII (DOLUTEGRAVIRUM+ABACAVIRUM+LAMIVUDINUM) TRIUMEQ 50 mg/600 mg/300mg COMPR. FILM. 50mg/600mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 100.541666 110.862000 0.000000
493 W61899001 J05AR14 COMBINATII (DARUNAVIRUM+COBICISTATUM) REZOLSTA 800 mg/150 mg COMPR. FILM. 800mg/150mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC ALB DIN PEID X 30 COMPR. FILM. PR 30 59.511666 66.139333 0.000000
494 W64751001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/10 mg COMPR. FILM. 200mg/10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 66.928666 74.224000 0.000000
495 W64752001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/25 mg COMPR. FILM. 200mg/25mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 66.928666 74.224000 0.000000
496 W64755001 J05AR18 ELVITEGRAVIR+COBICISTAT+EMTRICITABINE+TENOFOVIR GENVOYA 150 mg/150 mg/200 mg/10 mg COMPR. FILM. 150mg/150mg/200mg/10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 101.653333 112.073666 0.000000
497 W65900001 J05AR20 BICTEGRAVIRUM+EMTRICITABINUM+TENOFOVIRUM BIKTARVY 50 mg/200 mg/25 mg COMPR. FILM. 50mg/200mg/25mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC DIN PEID, PREVAZUT CU CAPAC DIN PP SI SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 COMPR. FILM. PR 30 96.481000 106.436000 0.000000
498 W66116001 J05AR21 COMBINATII (DOLUTEGRAVIRUM + RILPIVIRINUM) JULUCA 50 mg/25 mg COMPR. FILM. 50mg/25mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. DIN PEID CU CAPAC CU FILET DIN PE PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 COMPR. FILM. PR 30 95.727666 105.614666 0.000000
499 W64326001 J05AR22 DARUNAVIRUM+COBICISTATUM+EMTRICITABINA+TENOFOVIR ALAFENAMIDA SYMTUZA 800 mg/150 mg/200 mg/10 mg COMPR. FILM. 800mg/150mg/200mg/10mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 111.413000 122.712000 0.000000
500 W65375001 J05AR24 DORAVIRINUM+LAMIVUDINUM+TENOFOVIRUM DISOPROXIL DELSTRIGO 100 mg/300 mg/245 mg COMPR. FILM. 100mg/300mg/245mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 66.523333 73.782000 0.000000
501 W66226001 J05AR25 COMBINATII (DOLUTEGRAVIRUM + LAMIVUDINUM) DOVATO 50 mg/300 mg COMPR. FILM. 50mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. DIN PEID PREVAZUT CU CAPAC CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 COMPR. FILM. PR 30 89.033000 98.317666 0.000000
502 W61477003 J05AX09 MARAVIROCUM CELSENTRI 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 38.247166 42.325166 0.000000
503 W64977003 J05AX09 MARAVIROCUM CELSENTRI 150 mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL) PR 60 38.247166 42.325166 0.000000
504 W64978003 J05AX09 MARAVIROCUM CELSENTRI 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL) PR 60 38.247166 42.325166 0.000000
505 W61478003 J05AX09 MARAVIROCUM CELSENTRI 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)
MAREA BRITANIE PR 60 38.247166 42.325166 0.000000
506 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,990.970000 3,298.310000 0.000000
507 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 390.940000 464.270000 0.000000
508 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 751.860000 857.680000 0.000000
509 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,473.710000 1,644.490000 0.000000
510 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 621.050000 715.090000 0.000000
511 W69115001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 100 mg/ml SOL. PERF. 100mg/ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. INJ. (20G) PR 1 8,929.990000 9,771.850000 0.000000
512 W65358007 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML, CU 200 ML SOL. PERF. PR 1 7,616.970000 8,340.650000 0.000000
513 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 1,926.740000 2,138.300000 0.000000
514 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,230.310000 1,379.190000 0.000000
515 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,417.300000 2,673.010000 0.000000
516 W65358005 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML, CU 100 ML SOL. PERF. PR 1 3,823.480000 4,205.740000 0.000000
517 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 269.350000 328.820000 0.000000
518 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 632.570000 727.650000 0.000000
519 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,607.940000 2,880.800000 0.000000
520 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET PT. PERFUZARE PR 1 283.570000 346.180000 0.000000
521 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 674.480000 773.330000 0.000000
522 W68738001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
523 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,396.500000 1,560.340000 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
524 W68982003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 100 ML SOL. PERF. PR 1 2,250.000000 2,490.650000 0.000000
525 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 713.250000 815.590000 0.000000
526 W69207001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
527 W69207002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 4,667.000000 5,125.180000 0.000000
528 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,762.990000 3,049.810000 0.000000
529 W68982002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 50 ML SOL. PERF. PR 1 1,125.000000 1,264.400000 0.000000
530 W68982001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. PERF. PR 1 4,500.000000 4,943.150000 0.000000
531 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 355.870000 426.050000 0.000000
532 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,318.970000 1,475.830000 0.000000
533 W69340001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KEDRIGAMMA 6g/120ml SOL. PERF. 6g/120ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE X 1 FLAC. 120 ML SOL. PERF. PR 1 2,700.000000 2,981.150000 0.000000
534 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 69.190000 87.490000 0.000000
535 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 116.508000 147.312000 0.678000
536 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 116.720000 142.490000 0.000000
537 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 73.620000 93.080000 0.000000
538 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97.090000 122.760000 0.000000
539 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 846.090000 960.390000 0.000000
540 W64857002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 75.120000 89.510000 0.000000
541 W64858002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 116.508000 145.440000 0.000000
542 W12757001 S01AA23 NETILMICINUM NETTACIN 3 mg/ml PIC. OFT., SOL 3mg/ml S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 23.940000 32.360000 0.000000
543 W41510001 S01AA23 NETILMICINUM NETTACIN 3 mg/ml PICATURI OFT.-SOL. 3mg/ml S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 1.888666 2.470000 0.000000
544 W65421001 S01AA23 NETILMICINUM NETTACIN 3 mg/g UNG. OFT. 3mg/g SIFI S.P.A. ITALIA CUTIE CU 1 TUB DIN AL PREVAZUT CU APLICATOR DIN PEJD X 5 G UNG. OFT. PRF 1 28.728000 38.832000 2.738000
545 W55648001 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF 1 5.140000 6.950000 0.000000
546 W63597001 S01BA01 DEXAMETHASONUM MAXIDEX 1 mg/ml PICATURI OFT.-SUSP. 1 mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEJD, PREVAZUT CU PICURATOR DIN PEJD X 5 ML PIC. OFT., SOL. P-RF 1 5.560000 7.520000 0.000000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

1 W56760001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. 20 P-6L 0.534000 0.721800 0.660200
2 W42822002 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE CU 2 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. 20 P6L 0.445000 0.601500 0.000000
3 W42822003 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE CU 5 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. P6L 50 0.445200 0.601800 0.000000
4 W56758001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mg/5 ml SOL. INJ. 250mg/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 6.552000 8.570000 0.000000
5 W56757001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA P-RF 5
CUTIE CU 5 FIOLE DIN STICLA INCOLORA, PREVAZUTE CU INEL DE RUPERE SAU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI 2 INELE COLORATE PE GATUL FIOLEI PT. IDENTIFICARE X 2 ML SOL. INJ. 4.696000 6.348000 0.000000
6 W12565003 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 0.111440 0.136050 0.000000
7 W13686002 H02AB07 PREDNISONUM PREDNISON SINTOFARM 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0.129333 0.163260 0.011740
8 W53341001 H02AB07 PREDNISONUM PREDNISONA-RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0.129500 0.163260 0.011740
9 W05242001 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.129500 0.163260 0.011740
10 W12565002 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0.129333 0.163260 0.011740
11 W00400003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 0.907142 1.225714 0.000000
12 W68990002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 875 mg/125 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE CU 2 BLIST. AL/AL X 7 COMPR.FILM. PRF 14 0.907142 1.225714 0.000000
13 W65088002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA PRF 14
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT 0.668570 0.903428 0.645143
14 W69672008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500 mg/125 mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.557142 0.752857 0.000000
15 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.795000 1.075000 0.000000
16 W65089001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA PRF 14
CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT 0.954000 1.290000 0.602857
17 W59497007 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA PRF 21
CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 21 COMPR. FILM. 0.907142 1.226190 0.000000
18 W59497004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA PRF 14
CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 14 COMPR. FILM. 0.907142 1.225714 0.000000
19 W69673008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.907142 1.225714 0.000000
20 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 0.668570 0.903428 0.612286
21 W59739002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 50 15.100000 17.222000 0.000000

Pagina 11 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
22 W59739005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 25 15.700000 18.639200 0.000000
23 W59739001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 1 16.530000 20.666400 1.673600
24 W59739004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 10 15.950000 19.472000 0.000000
25 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 10.220000 13.810000 0.000000
26 W67768003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (DE CAPACITATE 147ML)CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O SERINGA PT. ADMINISTRARE ORALA PRF 1 15.156000 20.484000 3.226000
27 W08783002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, TIP III, CU PULB. PT. 70 ML SUSP. ORALA + SERINGA DOZATOARE CU MARCAJE PT. MASURAREA VOLUMELOR (1,25; 2,5 SI 5 ML) P-RF 1 12.630000 17.070000 0.000000
28 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 15.156000 20.484000 3.226000
29 W67768004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (DE CAPACITATE 147ML) CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 15.156000 20.484000 3.226000
30 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA SI SERINGA DOZATOARE CU MARCAJE DE LA 0,4 LA 5 ML CONTINAND 25 MG PULB. PT. 100 ML SUSP. RECONSTITUITA P-RF 1 17.920000 24.220000 0.000000
31 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20.785000 25.374000 0.000000
32 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 7.613200
33 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24.942000 30.448800 7.348200
34 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 21.909000 26.747000 0.000000
35 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 7.613200
36 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24.942000 30.448800 10.281200
37 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 11.001200
38 W68970001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. CU ELIB. PREL. 500mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.717714 2.322000 1.056000
39 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg COMPR. CU ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 7 COMPR. ELIB. PREL. P-RF 7 1.717714 2.322000 0.783714
40 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.717714 2.322000 1.056000
41 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.717714 2.322000 1.056000
42 W44093001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 1.192857 1.612142 0.000000
43 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.305428 1.764857 0.290143
44 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.087857 1.470714 0.000000
45 W68967002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.305428 1.764857 0.290143
46 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.165714 1.575714 0.000000
47 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.305428 1.764857 0.290143
48 W54044001 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 1.692000 2.213000 0.000000
49 W44087001 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 1.713571 2.315714 0.000000
50 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.717714 2.322000 0.080857
51 W60254003 J01FA09 CLARITHROMYCINUM LEKOKLAR 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 1.431428 1.935000 0.000000
52 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.717714 2.322000 0.037285
53 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 22.056000 29.808000 3.812000
54 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 22.056000 29.808000 3.812000
55 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14.520000 19.620000 3.080000
56 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14.520000 19.620000 3.080000
57 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 41,66 - 46,04 G GRANULE PENTRU PREPARAREA A 60 ML DE SUSPENSIE ORALA PRF 1 12.100000 16.350000 0.000000
58 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 69,44 - 76,75 G GRANULE PENTRU PREPARAREA A 100 ML DE SUSPENSIE ORALA PRF 1 18.380000 24.840000 0.000000
59 W68969001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14.520000 19.620000 3.080000
60 W68969002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 22.056000 29.808000 3.812000
61 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 69,44 - 76,75 G GRANULE PENTRU PREPARAREA A 100 ML DE SUSPENSIE ORALA PRF 1 48.510000 63.450000 0.000000
62 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 41,66 - 46,04 G GRANULE PENTRU PREPARAREA A 60 ML DE SUSPENSIE ORALA PRF 1 31.010000 40.560000 0.000000
63 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 36.190000 47.340000 0.000000
64 W68968001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 36.190000 47.340000 0.000000
65 W14119005 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. PR 100 3.234000 3.906600 0.000000
66 W14119004 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. PR 50 3.245000 3.961400 0.000000
67 W69202001 J01GA01 STREPTOMYCINUM STREPTOMICINA SULFAT CRISTALIZATA 1 g PULB.+SOLV. PT. SOL. INJ. 1g CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ+1 FIOLA X 2 ML APA PT. PREPARATE INJECTABILE PR 1 3.880800 4.687920 18.242080

Pagina 12 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
68 W53277001 J01GB06 AMIKACINUM AMIKOZIT 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 55.010000 69.550000 0.000000
69 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 1.958000 2.647000 0.000000
70 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 mg COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1.958000 2.647000 0.000000
71 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM. P-RF 10 1.958000 2.647000 0.000000
72 W54037001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.542000 4.633000 0.000000
73 W54038002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0.677500 0.915500 0.000000
74 W54038001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.677000 0.915000 0.000000
75 W01271002 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.677000 0.915000 0.000000
76 W65056001 J01MA02 CIPROFLOXACINUM CIFRAN 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0.677000 0.915000 0.000000
77 W01288001 J01MA02 CIPROFLOXACINUM CIPROLEN 250 mg COMPR. FILM. 250mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.677000 0.915000 0.000000
78 W44077004 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.594000 0.803000 0.000000
79 W01273001 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.667000 0.901000 0.000000
80 W66438003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0.594000 0.803000 0.000000
81 W65057001 J01MA02 CIPROFLOXACINUM CIFRAN 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0.715200 0.967200 0.779800
82 W54039001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.779800
83 W01289001 J01MA02 CIPROFLOXACINUM CIPROLEN 500 mg COMPR. FILM. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.779800
84 W01272001 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.779800
85 W66439003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0.596000 0.806000 0.000000
86 W54039002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0.715200 0.967200 0.724300
87 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.779800
88 W44076001 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.565800
89 W01274001 J01MA02 CIPROFLOXACINUM CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.715200 0.967200 0.386800
90 W42772001 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 3.542000 4.633000 0.000000
91 W54040001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3.542000 4.633000 0.000000
92 W60268001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ZENTIVA 10 mg/ml CONC. PT. SOL. PERF. 100mg/10ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML PR 5 3.288000 4.444000 0.000000
93 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 3.288000 4.444000 0.000000
94 W61489003 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 10 14.683000 17.925000 0.000000
95 W61489001 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 10 7.800000 9.862000 0.000000
96 W68020002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA VIOSER 2 mg/ml SOL. PERF. 2mg/ml GRECIA CUTIE CU 10 FLAC. TRANSPARENTE DIN PEJD X 200 ML SOL. PERF.
VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY PR 10 14.683000 17.925000 0.000000
97 W61489002 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR 50 7.564000 9.007800 0.000000
98 W61489004 J01MA02 CIPROFLOXACINUM CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR 30 14.348000 16.911000 0.000000
99 W55699003 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF 7 2.342857 3.167142 0.000000
100 W61631003 J01MA12 LEVOFLOXACINUM LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 2.362857 3.194285 0.000000
101 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 2.365000 3.196000 0.000000
102 W60574001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 2.340000 3.164000 0.000000
103 W60574002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 2.342000 3.166000 0.000000
104 W56939002 J01MA12 LEVOFLOXACINUM FLERADAY 500 mg COMPR. FILM. 500 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC - AL X 7 COMPR. FILM. PRF 7 4.174285 5.460000 0.000000
105 W68675004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA TEVA 500 mg COMPR. FILM. 500mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. PRF 7 3.628571 4.745714 0.000000
106 W60575001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 4.174000 5.642000 0.000000
107 W60575002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 3.917000 5.123000 0.000000
108 W52787004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 3.628571 4.745714 0.000000
109 W61706003 J01MA12 LEVOFLOXACINUM LEVALOX 500 mg COMPR. FILM. 500mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 4.174285 5.460000 0.000000
110 W55700002 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 4.354285 5.694857 0.465143
111 W66213001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 3.904000 5.106000 0.000000
112 W61707001 J01MA12 LEVOFLOXACINUM LEVALOX 5 mg/ml SOL. PERF. 5mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPAC DIN AL A 100 ML SOL. PERF. PR 1 31.480000 41.170000 0.000000
113 W62972004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 100 ML SOL. PERF. PRF 30 37.776000 45.816000 0.000000

Pagina 13 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
114 W55815004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 37.776000 49.404000 13.846000
115 W54108008 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. PEJD KABIPAC(TIP BOTTLEPACK) A 100 ML CONTINAND 100 ML SOL. PERF. (500MG LEVOFLOXAC PR 10 37.776000 49.404000 2.382000
116 W62972002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 50 ML SOL. PERF. PRF 50 20.898800 23.542600 0.000000
117 W56429007 J01MA12 LEVOFLOXACINUM CENOMAR 5 mg/ml SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 PUNGA PEJD X 100 ML SOL. PERF. PR 1 37.776000 49.404000 13.846000
118 W63876001 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF 5 6.730000 8.804000 0.000000
119 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 6.730000 8.804000 0.000000
120 W66200001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 6.160000 8.058000 0.000000
121 W60943001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF 5 6.106000 7.986000 0.000000
122 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 6.426000 8.406000 0.000000
123 W65324001 J01MA14 MOXIFLOXACINUM KIMOKS 400 mg COMPR. FILM. 400mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM. PRF 5 6.308000 8.252000 0.000000
124 W67240002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 10 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 10 52.532000 61.075000 0.000000
125 W67240003 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 20 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 20 51.032500 57.533000 0.000000
126 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 61.239000 69.039600 12.220400
127 W63877004 J01MA14 MOXIFLOXACINUM AVELOX 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AMBALAJ MULTIPLU (FOLIE DE PLASTIC ETICHETATA) CU 5 CUTII DIN CARTON A CATE 1 FLAC. DIN STICLA X 250 ML SOL. PERF., ÎNCHIS CU DOP DIN CAUCIUC CLOROBUTILIC SAU BROMOBUTILIC PR 5 61.239000 69.039600 10.564400
128 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 60.982000 69.039600 1.245400
129 W63849002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 5 61.239000 69.039600 7.406400
130 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 62.878000 72.352000 0.000000
131 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 35.632600
132 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75.453600 86.822400 35.632600
133 W61133001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 11.442600
134 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 996.460000 1,124.290000 0.000000
135 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 996.460000 1,124.290000 0.000000
136 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 136.718000 152.838000 0.000000
137 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 145.712400 163.404000 8.466000
138 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 141.592000 158.150000 0.000000
139 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 121.427000 136.170000 0.000000
140 W61561004 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN PEJD A CATE 300 ML SOL. PERF. PR 10 145.712400 163.404000 6.367000
141 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 145.712400 163.404000 19.875000
142 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 145.712400 163.404000 98.576000
143 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 121.427000 136.170000 0.000000
144 W52079002 J04AB01 CYCLOSERINUM CICLOSERINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 BLIST. OPA-AL-PVC/AL X 10 CAPS. P-RF 100 7.111900 8.133500 0.000000
145 W41998002 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. PRF 1000 0.494000 0.576610 0.000000
146 W41999002 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. DIN AL/PVC X 10 CAPS. PRF 1000 0.942000 1.064930 0.000000
147 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0.143000 0.174573 0.000000
148 W61241001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0.145500 0.180823 0.015677
149 W61241003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0.123433 0.150686 0.000000
150 W61241002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0.146000 0.180823 0.016377
151 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0.340000 0.396033 0.000000
152 W61242002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 50 0.362944 0.426127 0.070673
153 W61242001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0.362944 0.426127 0.069873
154 W61242003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0.302453 0.355106 0.000000
155 W56079001 J04AD03 ETIONAMIDUM ETIONAMIDA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 BLIST. AL/AL X 10 COMPR. FILM. P-RF 100 1.672500 2.041800 0.000000
156 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0.596000 0.675073 0.000000
157 W53682002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.338352 0.399319 0.368181
158 W59648002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 100 BLIST. PVC/AL X 10 CAPS. PRF 1000 0.382080 0.454620 0.000000
159 W59648001 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0.457500 0.545544 0.072956

Pagina 14 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
160 W42943002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM. PRF 1500 0.281960 0.332766 0.000000
161 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM. PRF 1500 0.436806 0.501553 0.000000
162 W60621001 J04AK05 BEDAQUILINUM SIRTURO 100 mg COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DIN PEID X 188 COMPR. PR 188 299.344627 326.488563 0.000000
163 W63026001 J04AK06 DELAMANIDUM DELTYBA 50 mg COMPR. FILM. 50mg OTSUKA NOVEL PRODUCTS GMBH GERMANIA CUTIE CU BLISTER AL/AL X 48 COMPRIMATE FILMATE PR 48 46.365416 51.333125 0.000000
164 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO 300 mg+150 mg CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. PRF 1000 1.086000 1.221890 0.000000
165 W69405001 J04BA01 CLOFAZIMINUM CLOFAZIMINE 100 mg COMPR. 100mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLIST. X 10 COMPR. PR 100 5.438000 6.308900 0.000000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE


C) SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI

1 W52316001 J05AH02 OSELTAMIVIRUM TAMIFLU 30mg CAPS. 30mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 2.701200 3.650400 2.816600
2 W66559001 J05AH02 OSELTAMIVIRUM EBILFUMIN 30 mg CAPS. 30mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/PE/PVDC/AL X 10 CAPS. PRF 10 2.251000 3.042000 0.000000
3 W64406001 J05AH02 OSELTAMIVIRUM TAMIFLU 30 mg CAPS. 30mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 BLISTER PVC/PE/PVDC/AL X 10 CAPSULE PRF 10 2.701200 3.650400 2.816600
4 W66870001 J05AH02 OSELTAMIVIRUM SEGOSANA 30 mg CAPS. 30mg ZENTIVA KS REPUBLICA CEHA CUTIE CU BLISTER DIN PVC-PE-PVDC/ AL X 10 CAPSULE PRF 10 2.701200 3.650400 4.044600
5 W13633001 J05AH02 OSELTAMIVIRUM TAMIFLU 75 mg CAPS. 75mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE P-RF 10 6.329000 8.003000 0.000000
6 W66872001 J05AH02 OSELTAMIVIRUM SEGOSANA 75 mg CAPS. 75mg ZENTIVA KS REPUBLICA CEHA CUTIE CU BLISTER DIN PVC-PE-PVDC/ AL X 10 CAPSULE PRF 10 6.893000 8.715000 0.000000
7 W64405001 J05AH02 OSELTAMIVIRUM TAMIFLU 75 mg CAPS. 75mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 BLISTER PVC/PE/PVDC/AL X 10 CAPSULE PRF 10 6.329000 8.003000 0.000000
8 W66561001 J05AH02 OSELTAMIVIRUM EBILFUMIN 75 mg CAPS. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/PE/PVDC/AL X 10 CAPS. PRF 10 6.296000 7.961000 0.000000

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1 W64445002 B02BX05 ELTROMBOPAG **1 Ω REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 111.251071 122.626071 0.000000
2 W64446002 B02BX05 ELTROMBOPAG **1 Ω REVOLADE 50 mg COMPR. FILM. 50 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 221.430357 242.721428 0.000000
3 W67355001 B03XA06 LUSPATERCEPT **1 REBLOZYL 25 mg PULB. PT. SOL. INJ. 50mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA 1 FLAC. DE 3 ML DIN STICLA DE TIP I, CU CAPAC DETASABIL GALBEN DIN PP X 0,5 ML DE LUSPATERCEPT PR 1 5,297.110000 5,812.000000 0.000000
4 W67356001 B03XA06 LUSPATERCEPT **1 REBLOZYL 75 mg PULB. PT. SOL. INJ. 50mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA 1 FLAC. DE 3 ML DIN STICLA DE TIP I, CU CAPAC DETASABIL PORTOCALIU DIN PP X 1,5 ML DE LUSPATERCEPT PR 1 15,831.280000 17,294.250000 0.000000
5 W64041001 G03HA01 CYPROTERONUM ANDROCUR 50 mg COMPR. 50mg BAYER AG GERMANIA CUTIE CU 5 BLIST. AL/PVC X 10 COMPR. PRF 50 1.633800 2.065800 0.000000
6 W68692001 L01AA01 CYCLOPHOSPHAMIDUM CICLOFOSFAMIDA DR. REDDY'S 1000 mg/2ml CONC. PT. SOL. INJ./PERF. 1000mg/2ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TUBULARA, INCOLORA, CU CAPACITATE DE 2 ML, CU CONC. PT. SOL. PERF./INJ. PR 1 430.000000 506.850000 0.000000
7 W68693001 L01AA01 CYCLOPHOSPHAMIDUM CICLOFOSFAMIDA DR. REDDY'S 2000 mg/4ml CONC. PT. SOL. INJ./PERF. 2000mg/4ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TUBULARA, INCOLORA, CU CAPACITATE DE 5 ML, CU CONC. PT. SOL. PERF./INJ. PR 1 630.000000 724.850000 0.000000
8 W68691001 L01AA01 CYCLOPHOSPHAMIDUM CICLOFOSFAMIDA DR. REDDY'S 500 mg/ml CONC. PT. SOL. INJ./PERF. 500mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TUBULARA, INCOLORA, CU CAPACITATE DE 2 ML, CU CONC. PT. SOL. PERF./INJ. PR 1 220.000000 268.580000 0.000000
9 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0.948400 1.240400 0.000000
10 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 45.310000 59.270000 0.000000
11 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 45.310000 59.270000 0.000000
12 W58866002 L01AA02 CHLORAMBUCILUM LEUKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF 25 2.266400 2.865600 0.000000
13 W58865001 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 3.437200 4.346000 0.000000
14 W68111001 L01AA03 MELPHALANUM MELPHALAN-RATIOPHARM 50 mg PULB+SOLV. PT. SOL. INJ./PERF. 50mg TEVA PHARMACEUTICALS S.R.L. PR
ROMANIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 10 ML SOLV. 1 1,095.400000 1,232.140000 0.000000
15 W67923001 L01AA03 MELPHALANUM PHELINUN 200 mg PULB+SOLV. PT. SOL. PERF. 200mg ADIENNE S.R.L. S.U. ITALIA PR
CUTIE CU 1 FLACON X 200MG PULBERE + 1 FLACON X 40ML SOLVENT 1 4,490.550000 4,932.850000 0.000000
16 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. PR 1 135.610000 165.550000 0.000000
17 W68870002 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 5 FLAC. DIN STICLA BRUNA INTRODUSE ÎNTR-UN PLIC PROTECTOR CU 4 ML CONC. PT. SOL. PERF. 5 180.158000 204.002000 0.000000
18 W62432006 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ZENTIVA 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ZENTIVA, K.S. REPUBLICA CEHA PR
CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONCENTRAT PT. SOL. PERF. CARE CONTINE 100 MG CLORHIDRAT DE BENDAMUSTINA 5 171.086000 194.114000 0.000000
19 W62432002 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ZENTIVA 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ZENTIVA, K.S. REPUBLICA CEHA PR
CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 25 ML CU PULB. PT. CONCENTRAT PT. SOL. PERF. CARE CONTINE 25 MG CLORHIDRAT DE BENDAMUSTINA 5 45.400000 55.424000 0.000000
20 W65791001 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 25 MG BENDAMUSTINA 5 54.480000 66.508800 55.115200
21 W65791005 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 100 MG BENDAMUSTINA 5 205.303200 232.936800 211.047200
22 W58856002 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF 100 2.758900 3.368100 0.000000
23 W65792001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 1,037.000000 1,168.480000 0.000000

Pagina 15 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
24 W68966001 L01AD02 LOMUSTINUM (4) CECENU 40 mg CAPS. 40mg TRIDENT PHARMA SRL ROMANIA CUTIE X 20 CAPS. PR 20 139.309000 153.754500 0.000000
25 W63023001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 100 mg CAPS. 100mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 41.670000 50.870000 0.000000
26 W64828003 L01AX03 TEMOZOLOMIDUM TEMODAL 100 mg CAPS. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 45.964800 56.114400 21.393600
27 W66250001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 100 mg CAPS. 100mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 39.782000 48.566000 0.000000
28 W65711002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 100 mg CAPS. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 38.304000 46.762000 0.000000
29 W66251001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 140 mg CAPS. 140mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 55.694000 67.992000 0.000000
30 W65712002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 140 mg CAPS. 140mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 66.832800 81.590400 2.145600
31 W65713002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 180 mg CAPS. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 91.096000 106.924000 0.000000
32 W65710002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 20 mg CAPS. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 9.536000 12.472000 0.000000
33 W63022001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 20 mg CAPS. 20mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 9.536000 12.472000 0.000000
34 W64827003 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 10.588800 13.850400 18.195600
35 W66249001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 20 mg CAPS. 20mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 8.824000 11.542000 0.000000
36 W63024001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 250 mg CAPS. 250mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 147.609600 170.049600 3.766400
37 W65714002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 123.008000 141.708000 0.000000
38 W58779001 L01AX04 DACARBAZINUM DACARBAZINA LIPOMED 200 mg PULB. PT. SOL. INJ./PERF. 200 mg LIPOMED GMBH GERMANIA CUTIE CU 10 FLACOANE MONODOZA DIN STICLA BRUNA CU DOP DIN CAUCIUC BROMOBUTILIC CU SIGILIU DIN AL TIP FLIP-OFF CU CAPAC DIN PLASTIC DE CULOARE ROSIE CARE CONTIN PULB. PENTRU SOL. INJ. SAU PERF. PR 10 109.597000 123.276000 0.000000
39 W69114001 L01AX04 DACARBAZINUM DETIMEDAC 500 mg PULB. PT. SOL. PERF. 500mg TRIDENT PHARMA SRL ROMANIA CUTIE CU 1 FLAC. X 500 MG PULB. PT. SOL. PERF. PR 1 444.650000 522.820000 0.000000
40 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg/50 ml CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML PR 1 372.270000 443.920000 0.000000
41 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJD PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 ML SOL. ORALA PR 1 763.650000 870.530000 0.000000
42 W62816004 L01BA04 PEMETREXEDUM ARMISARTE 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACTAVIS GROUP PTC EHF. ISLANDA FLAC. DIN STICLA TRANSPARENTA DE 34 ML (850 MG/34 ML) PR 1 1,337.868000 1,504.056000 1,548.194000
43 W67349002 L01BA04 PEMETREXEDUM PEMETREXED SANDOZ 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I, INCOLORA CONTINAND 20 ML CONC. PT. SOL. PERF. PR 1 667.160000 765.350000 0.000000
44 W67349003 L01BA04 PEMETREXEDUM PEMETREXED SANDOZ 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I, INCOLORA CONTINAND 40 ML CONC. PT. SOL. PERF. PR 1 1,305.380000 1,461.010000 0.000000
45 W66907002 L01BA04 PEMETREXEDUM PEMETREXED FRESENIUS KABI 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I, INCOLORA CONTINAND 20 ML CONC. PT. SOL. PERF. PR 1 668.170000 766.460000 0.000000
46 W67460002 L01BA04 PEMETREXEDUM PEMETREXED ACCORD 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA MODELATA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BROMOBUTILIC, CU CAPSA FLIP-OFF DECULOARE PORTOCALIE, CARE CONTINE DE 34 ML DE CONCENTRAT PR 1 1,114.890000 1,253.380000 0.000000
47 W67460001 L01BA04 PEMETREXEDUM PEMETREXED ACCORD 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA MODELATA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BROMOBUTILIC, CU CAPSA FLIP-OFF DECULOARE MOV DESCHIS, CARE CONTINE DE 20 ML DE CONCENTRAT PR 1 668.170000 766.460000 0.000000
48 W62671002 L01BA04 PEMETREXEDUM PEMETREXED STADA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU 20 ML CONC. PT. SOL. PERF. CARE CONTINE 500 MG PEMETREXED PR 1 800.592000 918.420000 1,027.430000
49 W64298002 L01BA04 PEMETREXEDUM PEMETREXED ZENTIVA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, TIP I CU CAPACITATEA DE 20 ML X 20 ML CONC. PT. SOL. PERF. PR 1 800.592000 918.420000 1,884.240000
50 W62671001 L01BA04 PEMETREXEDUM PEMETREXED STADA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG PEMETREXED PR 1 168.492000 205.692000 224.828000
51 W62816002 L01BA04 PEMETREXEDUM ARMISARTE 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACTAVIS GROUP PTC EHF. ISLANDA FLAC. DIN STICLA TRANSPARENTA DE 20 ML (500 MG/20 ML) PR 1 800.592000 918.420000 783.720000
52 W62785001 L01BA04 PEMETREXEDUM PEMETREXED SUN 1000 mg PULB. PT. CONC. PT. SOL. PERF. 1000mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 50 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,409.110000 1,574.080000 0.000000
53 W62783001 L01BA04 PEMETREXEDUM PEMETREXED SUN 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 10 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 140.410000 171.410000 0.000000
54 W42003001 L01BA04 PEMETREXEDUM ALIMTA 500mg PULB. PT. CONC. PT. SOL. PERF. 500mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S 1 800.592000 918.420000 1,428.440000
55 W69193001 L01BA04 PEMETREXEDUM PEMETREXED SEACROSS 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg SEACROSS PHARMA (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TIP I CU PULB. PT. CONC. PT. SOL. PERF. PR 1 800.592000 918.420000 339.460000
56 W62784001 L01BA04 PEMETREXEDUM PEMETREXED SUN 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 50 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 668.220000 766.510000 0.000000
57 W64024001 L01BA04 PEMETREXEDUM PEMETREXED DITROMETAMINA DR. REDDY'S 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU PULB. PT. CONC. PT. SOL. PERF. PR 1 800.592000 918.420000 2,097.840000
58 W58868001 L01BB02 MERCAPTOPURINUM PURI - NETHOL 50 mg COMPR. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF 25 2.357600 2.981200 0.000000
59 W58869001 L01BB03 TIOGUANINUM LANVIS 40 mg COMPR. 40mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. P-RF 25 16.010800 18.977600 0.000000
60 W44114001 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML PR 1 1,359.910000 1,520.450000 0.000000
61 W56210002 L01BB05 FLUDARABINUM ** FLUDARA ORAL 10 mg COMPR. FILM. 10mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 78.248500 87.198500 0.000000
62 W64515001 L01BB05 FLUDARABINUM ** FLUDARABINA TEVA 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDARABINA PR 1 143.850000 175.610000 0.000000
63 W53291005 L01BB06 CLOFARABINUM **1 EVOLTRA 1mg/ml CONC. PT. SOL. PERF. 1mg/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU CONC. PT. SOL. PERF. PR 1 4,055.410000 4,458.550000 0.000000
64 W65817001 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 1 3,747.440000 4,122.860000 0.000000
65 W64498002 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 FLAC. X 50 ML SOL. PERF. PR 1 1,093.700000 1,230.280000 0.000000
66 W61693001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 6 FLAC. X 50 ML S 6 1,068.700000 1,171.241666 0.000000
67 W64498001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 6 FLAC. X 50 ML SOL. PR 6 1,068.700000 1,171.241666 0.000000
68 W66325004 L01BC01 CYTARABINUM CITARABINA ACCORD 20 mg/ml SOL INJ./PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ./PERF. PR 1 53.170000 67.230000 0.000000
69 W65007003 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 10 ML, CU DOP DIN CAUCIUC BROMOBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE X 10 ML SOL. INJ./PERF. PR 1 111.900000 136.610000 0.000000

Pagina 16 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
70 W65007004 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML, CU DOP DIN CAUCIUC BROMOBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA X 20 ML SOL. INJ./PERF. 1 169.300000 206.680000 0.000000
71 W43451005 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. PR 1 21.540000 29.110000 0.000000
72 W66308005 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ. SAU PERF. PR 1 59.290000 74.970000 0.000000
73 W66308002 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML SOL. INJ. SAU PERF. PR 1 7.800000 10.540000 0.000000
74 W66308001 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ. SAU PERF. PR 1 3.900000 5.270000 0.000000
75 W66308004 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML SOL. INJ. SAU PERF. PR 1 32.290000 42.230000 0.000000
76 W65796002 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. 1 86.390000 109.230000 0.000000
77 W65796001 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 2 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. 1 22.650000 30.620000 0.000000
78 W65796004 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. 1 174.840000 213.440000 0.000000
79 W65796003 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. 1 138.210000 168.730000 0.000000
80 W65009001 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 6 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE VERDE, A 200 MG/5,26 ML CONCENTRAT PENTRU SOL. PERF. 1 27.180000 36.744000 9.246000
81 W65009002 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 30 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA, A 1000 MG/26,3 ML CONCENTRAT PENTRU SOL. PERF. 1 103.668000 131.076000 58.004000
82 W65009003 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 100 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA, A 2000 MG/52,6 ML CONCENTRAT PENTRU SOL. PERF. 1 209.808000 256.128000 198.172000
83 W54381001 L01BC05 GEMCITABINUM GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA 1 27.180000 36.744000 9.336000
84 W62551004 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (1800 MG/180 ML) SOL. PERF. PR 1 774.790000 882.670000 0.000000
85 W62551002 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (1600 MG/160 ML) SOL. PERF. PR 1 692.020000 792.450000 0.000000
86 W62551005 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (2000 MG/200 ML) SOL. PERF. PR 1 209.808000 256.128000 716.772000
87 W62551006 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (2200 MG/220 ML) SOL. PERF. PR 1 940.210000 1,062.980000 0.000000
88 W62551001 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (1200 MG/120 ML) SOL. PERF. PR 1 526.600000 612.140000 0.000000
89 W59424002 L01BC06 CAPECITABINUM CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 (12X10) COMPR. FILM. PR 120 2.806000 3.425599 0.014401
90 W59424001 L01BC06 CAPECITABINUM CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 120 (12X10) COMPR. FILM. PR 120 2.806000 3.425599 0.014401
91 W65665001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE S.L.U. SPANIA PR
BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 120X1 COMPR. FILM. 120 2.338333 2.854666 0.000000
92 W68333001 L01BC07 AZACITIDINUM **1 AZACITIDINA STADA 25 mg/ml PULB. PT. SUSP. INJ. 25 mg/ml STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU PULB. PT. SUSP. INJ. PR 1 451.160000 529.910000 0.000000
93 W66563002 L01BC07 AZACITIDINUM **1 AZACITIDINE ACCORD 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND 150 MG AZACITIDINA PR 1 661.670000 759.370000 0.000000
94 W67347001 L01BC07 AZACITIDINUM **1 AZACITIDINA SANDOZ 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU UN FLACON DIN STICLA CU 100 MG AZACITIDINA PR 1 538.450000 625.060000 0.000000
95 W66563001 L01BC07 AZACITIDINUM **1 AZACITIDINE ACCORD 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND 100 MG AZACITIDINA PR 1 451.110000 529.860000 0.000000
96 W66603001 L01BC07 AZACITIDINUM **1 AZACITIDINE ZENTIVA 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA PR 1 541.332000 635.832000 101.728000
97 W66607001 L01BC07 AZACITIDINUM **1 AZACITIDINE BETAPHARM 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml BETAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 1 FLAC. DIN STILCA TRANSPARENTA CONTINAND 100 MG AZACITIDINA PR 1 541.332000 635.832000 9.958000
98 W59587001 L01BC08 DECITABINUM **1 DACOGEN PULB. PT. CONC. PT. SOL. PERF. 50mg JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE CU 1 FL. DIN STICLA CE CONTINE 50MG DECITABINA PR 1 4,844.900000 5,319.090000 0.000000
99 W63841002 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 15 mg/6,14 mg COMPR. FILM. 15 mg/6,14 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 60 COMPRIMATE FILMATE PR 60 112.582000 123.350166 0.000000
100 W63841001 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 15 mg/6,14 mg COMPR. FILM. 15 mg/6,14 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 20 COMPRIMATE FILMATE PR 20 113.582500 125.712500 0.000000
101 W63842002 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 20 mg/8,19 mg COMPR. FILM. 20 mg/8,19 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 60 COMPRIMATE FILMATE PR 60 149.942833 164.073500 0.000000
102 W63842001 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 20 mg/8,19 mg COMPR. FILM. 20 mg/8,19 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 20 COMPRIMATE FILMATE PR 20 150.943000 166.435500 0.000000
103 W59211001 L01CA01 VINBLASTINUM (4) VINBLASTINA TEVA 1 mg/ml SOL INJ. 1mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. PR 1 58.420000 73.870000 0.000000
104 W52220001 L01CA02 VINCRISTINUM SINDOVIN 1 mg PULB. PT. SOL. INJ./PERF. 1mg ACTAVIS S.R.L. ROMANIA CUTIE CU 1 FLACON DE CAPACITATE 10ML CE CONTINE 1MG PULB. PT. SOL. INJ./PERF. I.V. S 1 47.610000 62.280000 0.000000
105 W64718001 L01CA02 VINCRISTINUM SINDOVIN 1 mg PULB. PT. SOL. INJ./PERF. I V 1mg TEVA B.V. OLANDA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA, TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ./PERF. I.V. 1 47.610000 62.280000 0.000000
106 W67705001 L01CA04 VINORELBINUM VINORELBINA LABORMED 20 mg CAPS. MOI 20mg LABORMED PHARMA S.A. ROMANIA PR
CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE 1 140.410000 171.410000 0.000000
107 W42512002 L01CA04 VINORELBINUM NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT FRANTA CUTIE CU 1 BLIST. TIP ,,PEEL - PUSH'' PVC-PVDC/AL-HARTIE KRAFT X 1 CAPS. MOALE PR 1 168.492000 205.692000 2.128000
108 W65979001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 20 mg CAPS. MOI 20mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA PR
CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE 1 140.410000 171.410000 0.000000
109 W67706001 L01CA04 VINORELBINUM VINORELBINA LABORMED 30 mg CAPS. MOI 30mg LABORMED PHARMA S.A. ROMANIA PR
CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE 1 210.620000 257.120000 0.000000
110 W65980001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 30 mg CAPS. MOI 30mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA PR
CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE 1 210.620000 257.120000 0.000000
111 W42513002 L01CA04 VINORELBINUM NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT FRANTA CUTIE CU 1 BLIST. TIP ,,PEEL - PUSH'' PVC-PVDC/AL-HARTIE KRAFT X 1 CAPS. MOALE PR 1 252.744000 308.544000 3.806000
112 W67707001 L01CA04 VINORELBINUM VINORELBINA LABORMED 80 mg CAPS. MOI 80mg LABORMED PHARMA S.A. ROMANIA PR
CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE 1 540.580000 627.380000 0.000000
113 W65981001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 80 mg CAPS. MOI 80mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA PR
CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE 1 540.580000 627.380000 0.000000
114 W52194002 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 262.284000 320.196000 66.734000
115 W64798001 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. PR 1 58.164000 76.080000 52.730000

Pagina 17 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
116 W65810001 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. 1 48.470000 63.400000 0.000000
117 W65810002 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. 1 218.570000 266.830000 0.000000
118 W52194001 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. S 1 58.164000 76.080000 52.730000
119 W64798002 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 262.284000 320.196000 66.734000
120 W08035001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 10 180.238000 200.274000 0.000000
121 W66187001 L01CB01 ETOPOSIDUM VEPESID 100 mg CAPS. MOI 100mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 10 CAPS. MOI PRF 10 180.238000 200.274000 0.000000
122 W08036001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 20 77.669000 86.566500 0.000000
123 W66186001 L01CB01 ETOPOSIDUM VEPESID 50 mg CAPS. MOI 50mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 20 77.669000 86.566500 0.000000
124 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. PR 1 120.756000 147.420000 2.980000
125 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 39.670000 51.890000 0.000000
126 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. 1 100.630000 122.850000 0.000000
127 W64717005 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. PR 1 290.040000 354.080000 0.000000
128 W64717004 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. PR 1 889.490000 1,007.690000 0.000000
129 W54068007 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR 1 386.980000 459.960000 0.000000
130 W65807003 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 50 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 300 MG PACLITAXEL PR 1 296.340000 361.776000 3.704000
131 W54068003 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. PR 1 76.812000 97.116000 13.474000
132 W54068005 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. PR 1 246.950000 301.480000 0.000000
133 W64717001 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 30.180000 39.468000 36.492000
134 W64717002 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. PR 1 76.812000 97.116000 34.204000
135 W64717003 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR 1 464.376000 551.952000 149.488000
136 W54068001 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 30.180000 39.468000 30.632000
137 W65807002 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 16,7 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 100 MG PACLITAXEL PR 1 64.010000 80.930000 0.000000
138 W65807001 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 5 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 30 MG PACLITAXEL PR 1 25.150000 32.890000 0.000000
139 W64533001 L01CD02 DOCETAXELUM DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 120mg/6ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 6 ML CONCENTRAT CE CONTINE 120 MG DOCETAXEL PR 1 1,360.130000 1,520.690000 0.000000
140 W65668001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 160 mg/8 ml CONC. PT. SOL. PERF. 160mg/8ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 8 ML PR 1 354.990000 425.090000 0.000000
141 W65666001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 20 mg/1 ml CONC. PT. SOL. PERF. 20mg/1ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 1 ML PR 1 57.310000 72.460000 0.000000
142 W55902002 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX 1 200.220000 244.428000 1.602000
143 W55902001 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX 1 68.772000 86.952000 13.958000
144 W55902003 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA 1 1,159.350000 1,301.840000 0.000000
145 W67987003 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETAXEL 1 1,159.350000 1,301.840000 0.000000
146 W67987001 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAXEL 1 68.772000 86.952000 13.958000
147 W67987002 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA PR
CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAXEL 1 200.220000 244.428000 1.602000
148 W64536001 L01CD02 DOCETAXELUM DOCETAXEL KABI 20mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA PR
CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 20 MG DOCETAXEL 1 68.772000 86.952000 81.108000
149 W65667001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 4 ML PR 1 166.850000 203.690000 0.000000
150 W64537001 L01CD02 DOCETAXELUM DOCETAXEL KABI 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL PR 1 200.220000 244.428000 377.002000
151 W67781001 L01CD04 CABAZITAXELUM **1 ELEBER 60 mg CONC. + SOLV. PT. SOL. PERF. 60 mg ZENTIVA K.S. REPUBLICA CEHA PR
CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 15 ML, CU 1,5 ML CONC. SI 1 FLAC. DIN STICLA CU CAPACITATEA DE 15 ML, CU 4,5 ML SOLVENT 1 8,343.432000 9,140.124000 2,048.936000
152 W69352001 L01CD04 CABAZITAXELUM **1 JEVTANA CONC. + SOLV. PT. SOL. PERF. 60mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE CU 1 FL. DIN STICLA X 1,5 ML CONCENTRAT + 1 FL. DIN STICLA X 4,5 ML SOLVENT PR 1 8,343.432000 9,140.124000 2,048.936000
153 W59593001 L01CD04 CABAZITAXELUM **1 JEVTANA CONC. + SOLV. PT. SOL. PERF. 60mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 1 FL. DIN STICLA X 1,5 ML CONCENTRAT + 1 FL. DIN STICLA X 4,5 ML SOLVENT PR 1 8,343.432000 9,140.124000 2,048.936000
154 W68138003 L01CD04 CABAZITAXELUM **1 CABAZITAXEL EVER PHARMA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EVER VALINJECT GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU 6 ML CONC. PT. SOL. PERF. PR 1 6,952.860000 7,616.770000 0.000000
155 W67021001 L01CD04 CABAZITAXELUM **1 CABAZITAXEL ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLACON TUBULAR DIN STICLA X 3 ML CONCENTRAT + 1 FLACON DE UNICA FOLOSINTAPR 1 8,343.432000 9,140.124000 2,957.046000
156 W64499001 L01CE01 TOPOTECANUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 10 CAPS. PR 10 113.855000 127.917000 0.000000
157 W61694001 L01CE01 TOPOTECANUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF 10 113.855000 127.917000 0.000000
158 W65809003 L01CE01 TOPOTECANUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. (4 MG TOPOTECAN) PR 1 271.960000 332.010000 0.000000
159 W65809001 L01CE01 TOPOTECANUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, CU CAPACITATEA DE 2 ML CARE CONTINE CONC. PT. SOL. PERF. (1 MG TOPOTECAN) PR 1 75.430000 95.380000 0.000000
160 W66173001 L01CE02 IRINOTECANUM **1 Ω ONIVYDE PEGYLATED LIPOSOMAL 4,3 mg/ml CONC. PT. DISPERSIE PERF. 4,3mg/ml LES LABORATOIRES SERVIER FRANTA CUTIE CU 1 FLAC. DE STICLA DE TIP I CU DOP DE CLOROBUTIL GRI SI SIGILIU DE AL CU CAPAC DETASABIL X 10 ML CONC. PT. DISPERSIE PERF. PR 1 3,949.450000 4,343.050000 0.000000
161 W65011001 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 2 ML CONC. PT. SOL. PERF. PR 1 45.552000 59.580000 8.410000

Pagina 18 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
162 W65011002 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 5 ML CONC. PT. SOL. PERF. 1 75.540000 95.508000 51.602000
163 W65011003 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 20 ML CARE CONTINE 15 ML CONC. PT. SOL. PERF. 1 248.424000 303.276000 300.304000
164 W64574004 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. PR 1 248.424000 303.276000 327.994000
165 W65797002 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 5 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA ROSIE DIN AL CU 5 ML CONC. PT. SOL. PERF. 1 62.950000 79.590000 0.000000
166 W65797003 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 20 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 15 ML CONC. PT. SOL. PERF. 1 207.020000 252.730000 0.000000
167 W64574001 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. PR 1 45.552000 59.580000 13.960000
168 W65797004 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 30 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 25 ML CONC. PT. SOL. PERF. 1 330.600000 398.500000 0.000000
169 W64574002 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL.PERF. PR 1 75.540000 95.508000 39.222000
170 W52206001 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ. S 1 45.552000 59.580000 13.960000
171 W52206003 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ. S 1 396.720000 478.200000 153.070000
172 W52206004 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. S 1 248.424000 303.276000 327.994000
173 W52206002 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ. S 1 75.540000 95.508000 39.222000
174 W64574003 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. PERF. PR 1 396.720000 478.200000 153.070000
175 W65797001 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 5 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 2 ML CONC. PT. SOL. PERF. 1 37.960000 49.650000 0.000000
176 W66780007 L01CE02 IRINOTECANUM IRINOTECAN SUN 1,5 mg/ml SOL. PERF. 1,5mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA PR
CUTIE CU 1 PUNGA PERFUZABILA NON-PVC PREVAZUTA CU UN PORT SI TUB CONECTOR CU 220 ML SOL. PERF. 1 573.960000 663.770000 0.000000
177 W66780001 L01CE02 IRINOTECANUM IRINOTECAN SUN 1,5 mg/ml SOL. PERF. 1,5mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA PR
CUTIE CU 1 PUNGA PERFUZABILA NON-PVC PREVAZUTA CU UN PORT SI TUB CONECTOR CU 180 ML SOL. PERF. 1 512.150000 596.390000 0.000000
178 W66780004 L01CE02 IRINOTECANUM IRINOTECAN SUN 1,5 mg/ml SOL. PERF. 1,5mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA PR
CUTIE CU 1 PUNGA PERFUZABILA NON-PVC PREVAZUTA CU UN PORT SI TUB CONECTOR CU 200 ML SOL. PERF. 1 248.424000 303.276000 320.064000
179 W66780010 L01CE02 IRINOTECANUM IRINOTECAN SUN 1,5 mg/ml SOL. PERF. 1,5mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA PR
CUTIE CU 1 PUNGA PERFUZABILA NON-PVC PREVAZUTA CU UN PORT SI TUB CONECTOR CU 240 ML SOL. PERF. 1 598.680000 690.710000 0.000000
180 W68822001 L01CX01 TRABECTEDINUM **1 TRABECTEDIN TEVA 0,25 mg PULB. PT. CONC. PT. SOL. PERF. 0,25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PR 1 1,134.680000 1,274.950000 0.000000
181 W68823001 L01CX01 TRABECTEDINUM **1 TRABECTEDIN TEVA 1 mg PULB. PT. CONC. PT. SOL. PERF. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PR 1 4,290.660000 4,714.970000 0.000000
182 W52365001 L01CX01 TRABECTEDINUM **1 YONDELIS 0,25mg PULB. PT.CONC. PT.SOL. PERF. 0,25mg PHARMA MAR S.A. SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S 1 1,134.680000 1,274.950000 0.000000
183 W52366001 L01CX01 TRABECTEDINUM **1 YONDELIS 1mg PULB. PT.CONC. PT.SOL. PERF. 1mg PHARMA MAR S.A. SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S 1 4,290.660000 4,714.970000 0.000000
184 W69339001 L01DA01 DACTINOMICINUM (4) COSMEGEN LYOVAC 500 micrograme PULB. PT. SOL. INJ. 500micrograme CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. A 500 MICROGRAME PULB. PT SOL INJ. PR 1 358.000000 428.370000 0.000000
185 W68886001 L01DB01 DOXORUBICINUM ZOLSKETIL PEGYLATED LIPOSOMAL 2 mg/ml CONC. PT. DISPERSIE PERF. 2mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLACON DIN STICLA X 10 ML (20MG) PR 1 989.440000 1,116.640000 0.000000
186 W67977003 L01DB01 DOXORUBICINUM CAELYX PEGYLATED LIPOSOMAL 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml BAXTER HOLDING B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA X 25 ML S 1 1,742.778000 1,922.520000 2,066.710000
187 W65789001 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA 1 16.990000 22.970000 0.000000
188 W65789002 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA 1 65.210000 82.450000 0.000000
189 W65789003 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA 1 256.170000 312.730000 0.000000
190 W65789004 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CONTINAND 20 MG DOXORUBICINA 1 31.910000 41.740000 0.000000
191 W65789005 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CONC. PT. SOL. PERF. CONTINAND 100 MG DOXORUBICINA 1 128.460000 156.830000 0.000000
192 W67977001 L01DB01 DOXORUBICINUM CAELYX PEGYLATED LIPOSOMAL 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml BAXTER HOLDING B.V. OLANDA CUTIE X 1 FLACON DIN STICLA X 10 ML S 1 1,187.328000 1,339.968000 315.032000
193 W62998001 L01DB01 DOXORUBICINUM MYOCET 50mg PULB. + AMESTC. PT. CONC. PT.DISP.LIPOZOM.PT.PERF 50mg TEVA B.V. OLANDA CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB. + 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.) PR 2 1,452.315000 1,602.100000 0.000000
194 W52209001 L01DB03 EPIRUBICINUM EPISINDAN 10 mg PULB. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA S
CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE UMPLERE 8ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 10MG CLORHIDRAT DE EPIRUBICINA 1 49.600000 64.880000 0.000000
195 W64434001 L01DB03 EPIRUBICINUM EPISINDAN 10 mg PULB. PT. SOL. INJ. 10mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, AVAND CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 49.600000 64.880000 0.000000
196 W52208001 L01DB03 EPIRUBICINUM EPISINDAN 50 mg PULB. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA S
CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE UMPLERE 50ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 50MG CLORHIDRAT DE EPIRUBICINA 1 122.870000 150.000000 0.000000
197 W64435001 L01DB03 EPIRUBICINUM EPISINDAN 50 mg PULB. PT. SOL. INJ. 50mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, AVAND CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. PR 1 122.870000 150.000000 0.000000
198 W53325004 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML) S 1 195.600000 238.790000 0.000000
199 W64517003 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) PR 1 104.820000 127.970000 0.000000
200 W64517002 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML) PR 1 42.830000 56.020000 0.000000
201 W53325002 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML) S 1 40.020000 52.350000 0.000000
202 W53325003 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) S 1 104.820000 127.970000 0.000000
203 W53325005 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML) S 1 460.160000 539.720000 0.000000
204 W64517004 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML) PR 1 195.600000 238.790000 0.000000
205 W65097001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1 CAPS. PRF 1 210.550000 257.040000 0.000000
206 W03575001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 210.550000 257.040000 0.000000
207 W03581001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 120.040000 146.540000 0.000000

Pagina 19 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
208 W65096001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 120.040000 146.540000 0.000000
209 W42735002 L01DB07 MITOXANTRONUM ONKOTRONE 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. PR 1 543.480000 630.540000 0.000000
210 W66318001 L01DC01 BLEOMYCINUM SULFAS BLEOMICINA ACCORD 15000UI PULB. PT. SOL. INJ./PERF. 15000UI ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 6 ML CU PULB. PT. SOL. INJ./PERF PR 1 167.604000 187.266000 32.834000
211 W66318002 L01DC01 BLEOMYCINUM SULFAS BLEOMICINA ACCORD 15000UI PULB. PT. SOL. INJ./PERF. 15000UI ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 6 ML CU PULB. PT. SOL. INJ./PERF PR 10 139.670000 156.055000 0.000000
212 W61913006 L01EA01 IMATINIBUM ** IMATINIB TERAPIA 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 60 COMPR. FILM. PR 60 5.380800 6.568800 0.000033
213 W65673001 L01EA01 IMATINIBUM ** IMATINIB ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PR 60 4.484000 5.474000 0.000000
214 W59486006 L01EA01 IMATINIBUM ** IMAKREBIN 100 mg COMPR. FILM. 100mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 5.380800 6.568800 3.445866
215 W67617006 L01EA01 IMATINIBUM ** IMAKREBIN 100 mg COMPR. FILM. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 5.380800 6.568800 3.445866
216 W61913002 L01EA01 IMATINIBUM ** IMATINIB TERAPIA 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 5.380800 6.568800 0.000033
217 W65674001 L01EA01 IMATINIBUM ** IMATINIB ACCORD 400 mg COMPR. FILM. 400mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 18.012799 21.160000 4.233000
218 W61914005 L01EA01 IMATINIBUM ** IMATINIB TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. FILM. PR 30 15.010666 17.633333 0.000000
219 W59487003 L01EA01 IMATINIBUM ** IMAKREBIN 400 mg COMPR. FILM. 400mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 18.012799 21.160000 102.155000
220 W61914001 L01EA01 IMATINIBUM ** IMATINIB TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 15.010666 17.633333 0.000000
221 W67616003 L01EA01 IMATINIBUM ** IMAKREBIN 400 mg COMPR. FILM. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 18.012799 21.160000 102.155000
222 W69075002 L01EA02 DASATINIBUM **1 NODRIGA 100 mg COMPR. FILM. 100mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 129.704000 142.649000 0.000000
223 W65564001 L01EA02 DASATINIBUM **1 SPRYCEL 100 mg COMPR. FILM. 100mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 154.887600 170.353600 65.459066
224 W66168002 L01EA02 DASATINIBUM **1 DASATINIB TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 141.433333 155.434000 0.000000
225 W67862001 L01EA02 DASATINIBUM **1 DASATINIB SUN 100 mg COMPR. FILM. 100mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. OPA-AL-PEID-PE+DESICANT-PEID/AL-PE PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 143.353333 157.526666 0.000000
226 W66917001 L01EA02 DASATINIBUM **1 DASATINIB KRKA 100 mg COMPR. FILM. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 141.000000 154.961666 0.000000
227 W66368001 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 129.073000 141.961333 0.000000
228 W66368002 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 129.073000 141.961333 0.000000
229 W66368003 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP CU INCHIDERE SECURIZATA PT. COPII X 30 COMPR. FILM. PR 30 129.073000 141.961333 0.000000
230 W69154001 L01EA02 DASATINIBUM **1 DARUPH 111 mg COMPR. FILM. 111mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PR 28 142.985714 157.216785 0.000000
231 W69154002 L01EA02 DASATINIBUM **1 DARUPH 111 mg COMPR. FILM. 111mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 142.914333 157.048333 0.000000
232 W69149001 L01EA02 DASATINIBUM **1 DARUPH 16 mg COMPR. FILM. 16mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. PR 56 67.185199 73.994800 4.613592
233 W69149002 L01EA02 DASATINIBUM **1 DARUPH 16 mg COMPR. FILM. 16mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 67.185199 73.994800 4.529366
234 W69072002 L01EA02 DASATINIBUM **1 NODRIGA 20 mg COMPR. FILM. 20mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60X1 COMPR. FILM. PR 60 61.685500 67.873000 0.000000
235 W67858001 L01EA02 DASATINIBUM **1 DASATINIB SUN 20 mg COMPR. FILM. 20mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. OPA-AL-PEID-PE+DESICANT-PEID/AL-PE PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 60X1 COMPR. FILM. PR 60 61.685500 67.873000 0.000000
236 W65561001 L01EA02 DASATINIBUM **1 SPRYCEL 20 mg COMPR. FILM. 20mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 55.987666 61.662333 0.000000
237 W66365003 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 20 mg COMPR. FILM. 20mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP CU INCHIDERE SECURIZATA PT. COPII X 60 COMPR. FILM. PR 60 67.185199 73.994800 6.053533
238 W66365001 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 20 mg COMPR. FILM. 20mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 67.185199 73.994800 6.053533
239 W66365002 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 20 mg COMPR. FILM. 20mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 60X1 COMPR. FILM. PR 60 67.185199 73.994800 6.053533
240 W66164004 L01EA02 DASATINIBUM **1 DASATINIB TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 60X1 COMPR. FILM. PR 60 67.185199 73.994800 2.691033
241 W69150001 L01EA02 DASATINIBUM **1 DARUPH 40 mg COMPR. FILM. 40mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. PR 56 71.492857 78.608392 0.000000
242 W69150002 L01EA02 DASATINIBUM **1 DARUPH 40 mg COMPR. FILM. 40mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 71.457166 78.524166 0.000000
243 W69073002 L01EA02 DASATINIBUM **1 NODRIGA 50 mg COMPR. FILM. 50mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60X1 COMPR. FILM. PR 60 67.595000 74.314333 0.000000
244 W65562001 L01EA02 DASATINIBUM **1 SPRYCEL 50 mg COMPR. FILM. 50mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 77.443800 85.176799 40.343034
245 W67859001 L01EA02 DASATINIBUM **1 DASATINIB SUN 50 mg COMPR. FILM. 50mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. OPA-AL-PEID-PE+DESICANT-PEID/AL-PE PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 60X1 COMPR. FILM. PR 60 71.676666 78.763333 0.000000
246 W66366001 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 50 mg COMPR. FILM. 50mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 64.536500 70.980666 0.000000
247 W66366002 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 50 mg COMPR. FILM. 50mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 60X1 COMPR. FILM. PR 60 64.536500 70.980666 0.000000
248 W66366003 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 50 mg COMPR. FILM. 50mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP CU INCHIDERE SECURIZATA PT. COPII X 60 COMPR. FILM. PR 60 64.536500 70.980666 0.000000
249 W66914002 L01EA02 DASATINIBUM **1 DASATINIB KRKA 50 mg COMPR. FILM. 50mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 70.500000 77.480833 0.000000
250 W66165004 L01EA02 DASATINIBUM **1 DASATINIB TEVA 50 mg COMPR. FILM. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 60X1 COMPR. FILM. PR 60 70.716666 77.717000 0.000000
251 W69151001 L01EA02 DASATINIBUM **1 DARUPH 55 mg COMPR. FILM. 55mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. PR 56 71.492857 78.608392 0.000000
252 W69151002 L01EA02 DASATINIBUM **1 DARUPH 55 mg COMPR. FILM. 55mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 71.457166 78.524166 0.000000
253 W69152001 L01EA02 DASATINIBUM **1 DARUPH 63 mg COMPR. FILM. 63mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PR 28 142.985714 157.216785 0.000000

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contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
254 W69152002 L01EA02 DASATINIBUM **1 DARUPH 63 mg COMPR. FILM. 63mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 142.914333 157.048333 0.000000
255 W69074002 L01EA02 DASATINIBUM **1 NODRIGA 70 mg COMPR. FILM. 70mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60X1 COMPR. FILM. PR 60 67.595000 74.314333 0.000000
256 W67860001 L01EA02 DASATINIBUM **1 DASATINIB SUN 70 mg COMPR. FILM. 70mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. OPA-AL-PEID-PE+DESICANT-PEID/AL-PE PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 60X1 COMPR. FILM. PR 60 71.676666 78.763333 0.000000
257 W65563001 L01EA02 DASATINIBUM **1 SPRYCEL 70 mg COMPR. FILM. 70mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 80.410600 88.410600 37.109233
258 W66367001 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 70 mg COMPR. FILM. 70mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 67.008833 73.675500 0.000000
259 W66367002 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 70 mg COMPR. FILM. 70mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 60X1 COMPR. FILM. PR 60 67.008833 73.675500 0.000000
260 W66367003 L01EA02 DASATINIBUM **1 DASATINIB ZENTIVA 70 mg COMPR. FILM. 70mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP CU INCHIDERE SECURIZATA PT. COPII X 60 COMPR. FILM. PR 60 67.008833 73.675500 0.000000
261 W66166004 L01EA02 DASATINIBUM **1 DASATINIB TEVA 70 mg COMPR. FILM. 70mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 60X1 COMPR. FILM. PR 60 70.716666 77.717000 0.000000
262 W66915002 L01EA02 DASATINIBUM **1 DASATINIB KRKA 70 mg COMPR. FILM. 70mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 70.500000 77.480833 0.000000
263 W69153001 L01EA02 DASATINIBUM **1 DARUPH 79 mg COMPR. FILM. 79mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PR 28 142.985714 157.216785 0.000000
264 W69153002 L01EA02 DASATINIBUM **1 DARUPH 79 mg COMPR. FILM. 79mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 142.914333 157.048333 0.000000
265 W64607001 L01EA03 NILOTINIBUM **1 TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) (CUTIE DIN CARTON) PR 28 89.341071 98.744285 0.000000
266 W64606002 L01EA03 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE DE CARTON X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 94.184285 104.023214 0.000000
267 W64606001 L01EA03 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 94.184285 104.023214 0.000000
268 W64608001 L01EA03 NILOTINIBUM **1 TASIGNA CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 120(3X40) CAPS. (BLIST. PVC/PVDC/AL) PR 120 38.721333 42.524166 0.000000
269 W60984001 L01EA04 BOSUTINIBUM **1 BOSULIF 100 mg COMPR. FILM. 100 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR 28 89.585357 99.010714 0.000000
270 W64815001 L01EA04 BOSUTINIBUM **1 BOSULIF 100 mg COMPR. FILM. 100 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 28 COMPR. FILM. (CUTIE CU 2 BLIST. DIN PVC/PCTFE/PVC) PR 28 89.585357 99.010714 0.000000
271 W67871001 L01EA04 BOSUTINIBUM **1 BOSULIF 400 mg COMPR. FILM. 400mg PFIZER EUROPE MA EEG BELGIA CUTIE CU BLIST. DIN PVC/PCTFE/PVC X 28 COMPR. FILM. PR 28 365.969642 400.269285 0.000000
272 W60985001 L01EA04 BOSUTINIBUM **1 BOSULIF 500 mg COMPR. FILM. 500 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR 28 443.642142 484.932500 0.000000
273 W64816001 L01EA04 BOSUTINIBUM **1 BOSULIF 500 mg COMPR. FILM. 500 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 28 COMPR. FILM. (CUTIE CU 2 BLIST. DIN PVC/PCTFE/PVC) PR 28 443.642142 484.932500 0.000000
274 W64971001 L01EA05 PONATINIBUM **1 ICLUSIG 15 mg COMPR. FILM. 15mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 60 COMPR. FILM. PR 60 412.410166 450.162833 0.000000
275 W64973001 L01EA05 PONATINIBUM **1 ICLUSIG 45 mg COMPR. FILM. 45mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 30 COMPR. FILM. PR 30 755.979000 825.288666 0.000000
276 W65738001 L01EB01 GEFITINIBUM **1 GEFITINIB ACCORD 250 mg COMPR. FILM. 250mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 BLIST. PVC-PVDC/AL PT. ELIBERAREA UNEI UNITATI DOZATE X 30 (30X1) COMPR. FILM. PR 30 70.355000 77.958666 0.000000
277 W65598001 L01EB01 GEFITINIBUM **1 GEFITINIB ALVOGEN 250 mg COMPR. FILM. 250mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 3 BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PE-PVDC/AL INCHISE INTR-O PUNGA PET/AL/PE CONTINAND 10X1 COMPR. FILM. PR 30 84.426000 93.550399 62.469601
278 W68063001 L01EB01 GEFITINIBUM **1 GEFITINIB LABORMED 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PE-PVDC/AL INCHISE INTR-O PUNGA PET/AL/PE CONTINAND 10X1 COMPR. FILM. PR 30 84.426000 93.550399 62.469601
279 W68228001 L01EB02 ERLOTINIBUM **1 ERLOTINIB MYLAN 100 mg COMPR. FILM. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 66.847999 74.390400 22.147266
280 W64328001 L01EB02 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR 30 55.706666 61.992000 0.000000
281 W63901001 L01EB02 ERLOTINIBUM **1 ERLOTINIB MYLAN 100 mg COMPR. FILM. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 66.847999 74.390400 22.147266
282 W64328002 L01EB02 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 55.706666 61.992000 0.000000
283 W64329002 L01EB02 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 67.375000 74.710333 0.000000
284 W64329001 L01EB02 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR 30 67.375000 74.710333 0.000000
285 W63902001 L01EB02 ERLOTINIBUM **1 ERLOTINIB MYLAN 150 mg COMPR. FILM. 150mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 80.850000 89.652400 31.778600
286 W68229001 L01EB02 ERLOTINIBUM **1 ERLOTINIB MYLAN 150 mg COMPR. FILM. 150mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 80.850000 89.652400 31.778600
287 W64409001 L01EC01 VEMURAFENIBUM **1 Ω ZELBORAF COMPR. FILM. 240mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR. FILM PR 56 87.348392 95.891071 0.000000
288 W64724002 L01EC02 DABRAFENIBUM **1 TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 128.872166 140.788583 0.000000
289 W64724002 L01EC02 DABRAFENIBUM **1 Ω TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 128.872166 140.788583 0.000000
290 W64725002 L01EC02 DABRAFENIBUM **1 TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 183.897000 200.765666 0.000000
291 W64725002 L01EC02 DABRAFENIBUM **1 Ω TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 183.897000 200.765666 0.000000
292 W64867001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 289.282166 315.953333 0.000000
293 W59306001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 289.282166 315.953333 0.000000
294 W59307001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 250 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 314.715500 343.675666 0.000000
295 W64866001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 250 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 314.715500 343.675666 0.000000
296 W64294001 L01ED03 ALECTINIB **1 Ω ALECENSA 150mg CAPS. 150mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ MULTIPLU X 224 CAPSULE PR 224 91.700982 100.124375 0.000000
297 W65344001 L01ED04 BRIGATINIBUM **1 Ω ALUNBRIG 180 mg COMPR. FILM. 180mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU BLIST. ACLAR/AL X 28 COMPR. FILM PR 28 648.265714 707.972857 0.000000
298 W65342002 L01ED04 BRIGATINIBUM **1 Ω ALUNBRIG 30 mg COMPR. FILM. 30mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU BLIST. ACLAR/AL X 28 COMPR. FILM PR 28 110.843571 122.182142 0.000000
299 W65343002 L01ED04 BRIGATINIBUM **1 Ω ALUNBRIG 90 mg COMPR. FILM. 90mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU BLIST. ACLAR/AL X 28 COMPR. FILM PR 28 371.078571 405.838571 0.000000

Pagina 21 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
300 W66552001 L01ED04 BRIGATINIBUM **1 Ω ALUNBRIG 90 mg+180 mg COMPR. FILM. FARA CONCENTRATIE TAKEDA PHARMA A/S DANEMARCA PACHET DE INITIERE CU BLIST. ACLAR/AL X 28 COMPR. FILM (7 X 90MG + 21 X 180MG PR 1 18,151.440000 19,823.240000 0.000000
301 W66360001 L01ED05 LORLATINIBUM **1 Ω LORVIQUA 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 3 BLIST. OPA/AL/PVC-AL X 10 COMPR. FILM. PR 30 611.812333 668.147000 0.000000
302 W66359002 L01ED05 LORLATINIBUM **1 Ω LORVIQUA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 9 BLIST. OPA/AL/PVC-AL X 10 COMPR. FILM. PR 90 174.061888 190.151333 0.000000
303 W64448002 L01EE01 TRAMETINIBUM **1 MEKINIST 0,5 mg COMPR. FILM. 0,5mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM PR 30 145.898666 160.301333 0.000000
304 W64449002 L01EE01 TRAMETINIBUM **1 MEKINIST 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 561.756666 613.586333 0.000000
305 W63120001 L01EF01 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 457.084761 500.039047 0.000000
306 W64763001 L01EF01 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 457.084761 500.039047 0.000000
307 W64764001 L01EF01 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 457.084761 500.039047 0.000000
308 W63121001 L01EF01 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 457.084761 500.039047 0.000000
309 W63119001 L01EF01 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 457.084761 500.039047 0.000000
310 W64762001 L01EF01 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 457.084761 500.039047 0.000000
311 W64450001 L01EF02 RIBOCICLIBUM **1 KISQALI 200 mg COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PCTFE/PVC X 63 COMPR. FILM. PR 63 145.381428 159.071269 0.000000
312 W64450003 L01EF02 RIBOCICLIBUM **1 KISQALI 200 mg COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PCTFE/PVC X 42 COMPR. FILM. PR 42 150.780952 165.259523 0.000000
313 W65265001 L01EF03 ABEMACICLIBUM **1 VERZENIOS 100 mg COMPR. FILM. 100mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. X 28 COMPR. FILM. PR 28 138.193571 151.993571 0.000000
314 W65266001 L01EF03 ABEMACICLIBUM **1 VERZENIOS 150 mg COMPR. FILM. 150mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. X 28 COMPR. FILM. PR 28 138.193571 151.993571 0.000000
315 W65264001 L01EF03 ABEMACICLIBUM **1 VERZENIOS 50 mg COMPR. FILM. 50mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. X 28 COMPR. FILM. PR 28 138.193571 151.993571 0.000000
316 W64785001 L01EG01 TEMSIROLIMUSUM TORISEL 30 mg CONC. + SOLV. PT. SOL. PERF. 30mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT PR 1 2,917.760000 3,218.510000 0.000000
317 W61483001 L01EG01 TEMSIROLIMUSUM TORISEL 30mg CONC. + SOLV. PT. SOL. PERF. 30mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT S 1 2,917.760000 3,218.510000 0.000000
318 W64505001 L01EG02 EVEROLIMUS **1 AFINITOR 10 mg COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 166.469666 182.723666 0.000000
319 W66816002 L01EG02 EVEROLIMUS **1 VERIMMUS 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC X 30 COMPR. PR 30 169.814000 186.369000 0.000000
320 W64592005 L01EH01 LAPATINIBUM **1 Ω TYVERB COMPR. FILM. 250mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT X 140 COMPR. FILM. PR 140 44.430142 48.701357 0.000000
321 W64596001 L01EJ01 RUXOLITINIBUM **1 JAKAVI COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 246.362500 269.216428 0.000000
322 W64594001 L01EJ01 RUXOLITINIBUM **1 JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 229.539821 250.879642 0.000000
323 W64595001 L01EJ01 RUXOLITINIBUM **1 JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 229.539821 250.879642 0.000000
324 W64593001 L01EJ01 RUXOLITINIBUM **1 JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 115.037857 126.072500 0.000000
325 W68147001 L01EJ02 FEDRATINIBUM **1 Ω INREBIC 100 mg CAPS. 100mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU UN FLACON DIN HDPE X 120 CAPSULE PR 120 186.231083 203.310083 0.000000
326 W59304002 L01EK01 AXITINIBUM **1 Ω INLYTA 1 mg COMPR. FILM. 1 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 42.590178 47.104464 0.000000
327 W64813002 L01EK01 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 1 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 42.590178 47.104464 0.000000
328 W64814002 L01EK01 AXITINIBUM **1 Ω INLYTA COMPR. FILM. 5 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 210.766250 230.416428 0.000000
329 W59305002 L01EK01 AXITINIBUM **1 Ω INLYTA 5 mg COMPR. FILM. 5 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 210.766250 230.416428 0.000000
330 W66272001 L01EK03 TIVOZANIBUM **1 FOTIVDA 1340 micrograme CAPS. 1340micrograme EUSA PHARMA (NETHERLANDS) B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 21 CAPS. PR 21 632.280000 691.001904 0.000000
331 W66271001 L01EK03 TIVOZANIBUM **1 FOTIVDA 890 micrograme CAPS. 890micrograme EUSA PHARMA (NETHERLANDS) B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 21 CAPS. PR 21 632.280000 691.001904 0.000000
332 W67375002 L01EL02 ACALABRUTINIBUM **1 CALQUENCE 100 mg CAPS. 100mg ASTRA ZENECA AB SUEDIA CUTIE CU BLISTERE DIN AL/AL CU SIMBOLURILE SOARELUI/LUNII X 60 CAPSULE PR 60 412.237166 449.974333 0.000000
333 W68067001 L01EX01 SUNITINIBUM **1 SUNITINIB ACCORD 12,5 mg CAPS. 12,5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE UN FLAC. DIN PEID X 30 CAPS. PRF 30 18.606000 21.806400 0.000266
334 W67976006 L01EX01 SUNITINIBUM **1 SUNITINIB DR. REDDY'S 12,5 mg CAPS. 12,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PE/AL X 30X1 PR 30 18.606000 21.806400 7.364933
335 W65026001 L01EX01 SUNITINIBUM **1 SUTENT 12,5 mg CAPS. 12,5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 18.606000 21.763666 0.000000
336 W68239001 L01EX01 SUNITINIBUM **1 SUNITINIB TERAPIA 12,5 mg CAPS. 12,5mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 CAPS. PR 28 18.606000 21.806400 0.000385
337 W67749003 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 12,5 mg CAPS. 12,5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PERFORATE UNIDOZA PVC-OPA/AL X 30X1 CAPS. PR 30 15.505000 18.172000 0.000000
338 W67749004 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 12,5 mg CAPS. 12,5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 15.505000 18.172000 0.000000
339 W68008001 L01EX01 SUNITINIBUM **1 KLERTIS 12,5 mg CAPS. 12,5mg EGIS PARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 CAPS. PR 28 18.606000 21.806400 43.126457
340 W65945003 L01EX01 SUNITINIBUM **1 SUNITINIB MYLAN 12,5 mg CAPS. 12,5mg MYLAN IRELAND LIIMTED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 18.606000 21.806400 39.342600
341 W67789002 L01EX01 SUNITINIBUM **1 SUNITINIB G.L. PHARMA 12,5 mg CAPS. 12,5mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-OPA/AL X 30 CAPS. PR 30 18.606000 21.806400 39.342600
342 W66108002 L01EX01 SUNITINIBUM **1 SUNITINIB SANDOZ 12,5 mg CAPS. 12,5mg S.C. SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 17.438333 20.279333 0.000000
343 W43546001 L01EX01 SUNITINIBUM **1 SUTENT 12,5 mg CAPS. 12,5mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 18.606000 21.763666 0.000000
344 W65967001 L01EX01 SUNITINIBUM **1 SUNITINIB STADA 12,5 mg CAPS. 12,5mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. PR 28 17.224642 20.137500 0.000000
345 W68830003 L01EX01 SUNITINIBUM **1 SUNITINIB VIATRIS 12,5 mg CAPS. 12,5mg VIATRIS LIMITED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 18.606000 21.806400 39.342600

Pagina 22 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
346 W65315005 L01EX01 SUNITINIBUM **1 SUNITINIB TEVA 12,5 mg CAPS. 12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 18.606000 21.806400 11.439600
347 W66109002 L01EX01 SUNITINIBUM **1 SUNITINIB SANDOZ 25 mg CAPS. 25mg S.C. SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 37.405000 42.043000 0.000000
348 W68068001 L01EX01 SUNITINIBUM **1 SUNITINIB ACCORD 25 mg CAPS. 25mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE UN FLAC. DIN PEID X 30 CAPS. PRF 30 40.363600 45.522333 0.000000
349 W68240001 L01EX01 SUNITINIBUM **1 SUNITINIB TERAPIA 25 mg CAPS. 25mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 CAPS. PR 28 40.363600 45.522142 0.000000
350 W43556001 L01EX01 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 40.363600 45.453000 0.000000
351 W65968001 L01EX01 SUNITINIBUM **1 SUNITINIB STADA 25 mg CAPS. 25mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. PR 28 38.486071 43.312142 0.000000
352 W67750003 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 25 mg CAPS. 25mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PERFORATE UNIDOZA PVC-OPA/AL X 30X1 CAPS. PR 30 33.636333 37.935333 0.000000
353 W67750004 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 25 mg CAPS. 25mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 33.636333 37.935333 0.000000
354 W67978006 L01EX01 SUNITINIBUM **1 SUNITINIB DR. REDDY'S 25 mg CAPS. 25mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PE/AL X 30X1 PR 30 40.363600 45.522400 26.279600
355 W65946003 L01EX01 SUNITINIBUM **1 SUNITINIB MYLAN 25 mg CAPS. 25mg MYLAN IRELAND LIIMTED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 40.363600 45.522400 76.923600
356 W68009001 L01EX01 SUNITINIBUM **1 KLERTIS 25 mg CAPS. 25mg EGIS PARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 CAPS. PR 28 40.363600 45.522400 81.812600
357 W67790002 L01EX01 SUNITINIBUM **1 SUNITINIB G.L. PHARMA 25 mg CAPS. 25mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-OPA/AL X 30 CAPS. PR 30 40.363600 45.522400 80.554266
358 W68831003 L01EX01 SUNITINIBUM **1 SUNITINIB VIATRIS 25 mg CAPS. 25mg VIATRIS LIMITED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 40.363600 45.522400 76.923600
359 W65027001 L01EX01 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 40.363600 45.453000 0.000000
360 W65316005 L01EX01 SUNITINIBUM **1 SUNITINIB TEVA 25 mg CAPS. 25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 40.363600 45.522400 18.608266
361 W68069001 L01EX01 SUNITINIBUM **1 SUNITINIB ACCORD 50 mg CAPS. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE UN FLAC. DIN PEID X 30 CAPS. PRF 30 66.077200 73.549999 0.000334
362 W65969001 L01EX01 SUNITINIBUM **1 SUNITINIB STADA 50 mg CAPS. 50mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. PR 28 57.501071 64.038571 0.000000
363 W65948003 L01EX01 SUNITINIBUM **1 SUNITINIB MYLAN 50 mg CAPS. 50mg MYLAN IRELAND LIIMTED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 66.077200 73.549999 110.187667
364 W43557001 L01EX01 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 64.600000 71.685666 0.000000
365 W66111002 L01EX01 SUNITINIBUM **1 SUNITINIB SANDOZ 50 mg CAPS. 50mg S.C. SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 60.512000 67.229666 0.000000
366 W67752003 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 50 mg CAPS. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PERFORATE UNIDOZA PVC-OPA/AL X 30X1 CAPS. PR 30 55.064333 61.291666 0.000000
367 W67752004 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 50 mg CAPS. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 55.064333 61.291666 0.000000
368 W67979006 L01EX01 SUNITINIBUM **1 SUNITINIB DR. REDDY'S 50 mg CAPS. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PE/AL X 30X1 PR 30 66.077200 73.549999 33.676667
369 W68242001 L01EX01 SUNITINIBUM **1 SUNITINIB TERAPIA 50 mg CAPS. 50mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PCTFE/AL X 28 CAPS. PR 28 66.077200 73.549999 0.000001
370 W68010001 L01EX01 SUNITINIBUM **1 KLERTIS 50 mg CAPS. 50mg EGIS PARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 CAPS. PR 28 66.077200 73.549999 178.589643
371 W65028001 L01EX01 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 64.600000 71.685666 0.000000
372 W67791002 L01EX01 SUNITINIBUM **1 SUNITINIB G.L. PHARMA 50 mg CAPS. 50mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-OPA/AL X 30 CAPS. PR 30 66.077200 73.549999 110.187667
373 W68833003 L01EX01 SUNITINIBUM **1 SUNITINIB VIATRIS 50 mg CAPS. 50mg VIATRIS LIMITED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 66.077200 73.549999 110.187667
374 W65317005 L01EX01 SUNITINIBUM **1 SUNITINIB TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 66.077200 73.549999 52.349001
375 W67036002 L01EX02 SORAFENIBUM **1 SORAFENIB STADA 200 mg COMPR. FILM. 200mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 112 COMPR. FILM. PR 112 12.850446 14.347589 0.000000
376 W69370001 L01EX02 SORAFENIBUM **1 SORAFENIB ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL PERFORATE PE UNITATI DE DOZAJ X 112X1 COMPR. FILM. PR 112 15.420535 17.217107 71.283964
377 W68829001 L01EX02 SORAFENIBUM **1 SORAFENIB VIATRIS 200 mg COMPR. FILM. 200mg VIATRIS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 112 COMPR. FILM. PR 112 15.420535 17.217107 53.816107
378 W67348005 L01EX02 SORAFENIBUM **1 SORAFENIB SANDOZ 200 mg COMPR. FILM. 200mg SANDOZ S.R.L. ROMANIA CUTIE CU BLISTERE UNIDOZA DIN PVC-PE-PVDC/AL CU 112X1COMPRIMATE FILMATE PR 112 15.093303 16.792321 0.000000
379 W67395001 L01EX02 SORAFENIBUM **1 SORAFENIB DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 112 COMPR. FILM. PR 112 15.420535 17.217107 1.172446
380 W63886001 L01EX02 SORAFENIBUM **1 NEXAVAR 200 mg COMPR. FILM. 200mg BAYER AG GERMANIA CUTIE CU 4 BLIST. PP/AL X 28 COMPR.FILM. PR 112 15.420535 17.217107 53.816107
381 W68279001 L01EX02 SORAFENIBUM **1 WELDININ 200 mg COMPR. FILM. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLISTERE TIP CALENDAR DIN PVC-PE-PVDC/AL X 112 COMPRIMATE FILMATE PR 112 15.420535 17.217107 54.778785
382 W66958001 L01EX02 SORAFENIBUM **1 SORAFENIB ZENTIVA 200mg COMPR. FILM. 200mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLISTERE UNIDOZA DIN PVC-PE-PVDC/AL X 112 COMPRIMATE FILMATE PR 112 14.087053 15.695535 0.000000
383 W67966005 L01EX02 SORAFENIBUM **1 SORAFENIB STADA 400 mg COMPR. FILM. 400mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. PR 56 92.074642 101.042678 0.000000
384 W67937001 L01EX02 SORAFENIBUM **1 SORAFENIB SANDOZ 400 mg COMPR. FILM. 400mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PR 28 107.462500 118.496785 0.000000
385 W64502002 L01EX03 PAZOPANIBUM **1 VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. PR 90 61.018000 66.933555 0.000000
386 W64502002 L01EX03 PAZOPANIBUM **1 Ω VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. PR 90 61.018000 66.933555 0.000000
387 W68580005 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 90 COMPR.FILM. PR 90 51.306444 56.347888 0.000000
388 W68756002 L01EX03 PAZOPANIBUM **1 PAZOPANIB TEVA 200 mg COMPR. FILM. 200mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. PR 60 51.575833 56.853500 0.000000
389 W68580008 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. UNIDOZA PVC-PE-PVDC/AL X 90 X 1 COMPR. FILM. PR 90 51.306444 56.347888 0.000000
390 W68580009 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA K.S. REPUBLICA CEHA PR
AMBALAJ MULTIPLU CU BLIST. UNIDOZA PVC-PE-PVDC/AL X 90X1 (3 PACHETE CU 30X1) COMPR.FILM. 90 51.306444 56.347888 0.000000
391 W68580006 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA K.S. REPUBLICA CEHA AMBALAJ MULTIPLU CU BLIST. PVC-PE-PVDC/AL X 90 (3 X30) COMPR. FILM. PR 90 51.306444 56.347888 0.000000

Pagina 23 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
392 W68580002 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 90 COMPR.FILM. PR 90 51.306444 56.347888 0.000000
393 W68580003 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA K.S. REPUBLICA CEHA AMBALAJ MULTIPLU CU FLAC. PEID X 90 (3X30) COMPR.FILM. PR 90 51.306444 56.347888 0.000000
394 W68700007 L01EX03 PAZOPANIBUM **1 PYZYPI 200 mg COMPR. FILM. 200mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 90 COMPR. FILM. PR 90 61.567733 67.617466 0.220534
395 W64503002 L01EX03 PAZOPANIBUM **1 VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. PR 60 118.579833 129.887833 0.000000
396 W64503002 L01EX03 PAZOPANIBUM **1 Ω VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. PR 60 118.579833 129.887833 0.000000
397 W68757002 L01EX03 PAZOPANIBUM **1 PAZOPANIB TEVA 400 mg COMPR. FILM. 400mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. PR 60 99.190333 108.753333 0.000000
398 W68583007 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 400 mg COMPR. FILM. 400mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. UNIDOZA PVC-PE-PVDC/AL X 60 X 1 COMPR. FILM. PR 60 98.966166 108.509000 0.000000
399 W68583008 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 400 mg COMPR. FILM. 400mg ZENTIVA K.S. REPUBLICA CEHA PR
AMBALAJ MULTIPLU CU BLIST. UNIDOZA PVC-PE-PVDC/AL X 60 X 1 (2 PACHETE CU 30 X 1) COMPR. FILM. 60 98.966166 108.509000 0.000000
400 W68701005 L01EX03 PAZOPANIBUM **1 PYZYPI 400 mg COMPR. FILM. 400mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. PR 60 118.759399 130.210800 1.436866
401 W68583004 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 400 mg COMPR. FILM. 400mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR.FILM. PR 60 98.966166 108.509000 0.000000
402 W68583005 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 400 mg COMPR. FILM. 400mg ZENTIVA K.S. REPUBLICA CEHA AMBALAJ MULTIPLU CU BLIST. PVC-PE-PVDC/AL X 60 (2 X30) COMPR. FILM. PR 60 98.966166 108.509000 0.000000
403 W68583002 L01EX03 PAZOPANIBUM **1 PAZOPANIB ZENTIVA 400 mg COMPR. FILM. 400mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR.FILM. PR 60 98.966166 108.509000 0.000000
404 W64447001 L01EX10 MIDOSTAURINUM **1 RYDAPT 25 mg CAPS. MOI 25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA-AL-PVC/AL X 112 (4X28) CAPS. MOI PR 112 494.396607 539.232946 0.000000
405 W64394001 L01FD02 PERTUZUMABUM **1 PERJETA 420mg CONC. PT. SOL. PERF. 420mg ROCHE REGISTRATION GMBH GERMANIA PR
CUTIE X 1 FLACON DIN STICLA X 14ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 420MG PERTUZUMAB 1 9,429.120000 10,315.890000 0.000000
406 W64383001 L01FD03 TRASTUZUMABUM EMTANSINUM **1 KADCYLA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON A 15ML X100 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 6,805.700000 7,456.360000 0.000000
407 W64384001 L01FD03 TRASTUZUMABUM EMTANSINUM **1 KADCYLA 160mg PULB. PT. CONC. PT. SOL. PERF. 160mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON A 20ML X160 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 10,911.250000 11,931.410000 0.000000
408 W67658001 L01FD04 TRASTUZUMABUM DERUXTECANUM **1 Ω ENHERTU 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE 10 ML CARE CONTINE 100 MG TRASTUZUMAB DERUXTECAN PRF 1 7,835.110000 8,578.430000 0.000000
409 W65560002 L01FF01 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 4,990.470000 5,477.770000 0.000000
410 W65560004 L01FF01 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 12ML (120 MG CONC. PT. SOL. PERF.) PR 1 5,957.340000 6,531.660000 0.000000
411 W65560001 L01FF01 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 1,695.680000 1,886.440000 0.000000
412 W65560002 L01FF01 NIVOLUMABUM **1 Ω OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 4,990.470000 5,477.770000 0.000000
413 W65560004 L01FF01 NIVOLUMABUM **1 Ω OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 12ML (120 MG CONC. PT. SOL. PERF.) PR 1 5,957.340000 6,531.660000 0.000000
414 W65560001 L01FF01 NIVOLUMABUM **1 Ω OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 1,695.680000 1,886.440000 0.000000
415 W64588001 L01FF02 PEMBROLIZUMABUM **1 Ω KEYTRUDA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 4 ML CONCENTRAT (100 MG PEMBROLIZUMAB) PR 1 11,741.270000 12,836.130000 0.000000
416 W64923002 L01FF03 DURVALUMABUM **1 Ω IMFINZI 50 mg/ml CONC. PT. SOL. PERF. 50mg/ml ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. DIN STICLA A 10 ML CONC. (CARE CONTINE 500 MG DURVALUMAB) PR 1 9,165.620000 10,028.680000 0.000000
417 W64923001 L01FF03 DURVALUMABUM **1 Ω IMFINZI 50 mg/ml CONC. PT. SOL. PERF. 50mg/ml ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. DIN STICLA A 2,4 ML CONC. (CARE CONTINE 120 MG DURVALUMAB) PR 1 2,221.630000 2,459.730000 0.000000
418 W64295001 L01FF05 ATEZOLIZUMAB **1 TECENTRIQ 1200 mg CONC. PT. SOL. PERF. 1200mg/20ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR 1 16,148.130000 17,639.610000 0.000000
419 W64295001 L01FF05 ATEZOLIZUMAB **1 Ω TECENTRIQ 1200 mg CONC. PT. SOL. PERF. 1200mg/20ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR 1 16,148.130000 17,639.610000 0.000000
420 W66772001 L01FF05 ATEZOLIZUMAB **1 Ω TECENTRIQ 840 mg CONC. PT. SOL. PERF. 840mg/14ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA X 14 ML CONC. PT. SOL. PERF. PR 1 11,140.560000 12,181.360000 0.000000
421 W66237001 L01FF06 CEMIPLIMABUM **1 Ω LIBTAYO 350 mg CONC. PT. SOL. PERF. 50mg/ml REGENERON IRELAND DAC IRLANDA PR
CUTIE CU 1 FLAC. DIN STICLA PREVAZUTA CU DOP DIN CAUCIUC CU STRAT FLUROTEC SI UN CAPAC ETANS CU CAPSA DETASABILA X 7 ML CONC. PT. SOL. PERF. (350 MG CEMIPLIMAB) 1 18,150.190000 19,821.860000 0.000000
422 W67548001 L01FG01 BEVACIZUMABUM **1 OYAVAS 25 mg/ml CONC. PT. SOL. PERF. 25 mg/ml STADA ARZNEIMITTEL AG GERMANIA PR
CUTIE CU UN FLACON X 4ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA (CONTINE 100MG BEVACIZUMAB) 1 821.376000 941.076000 751.534000
423 W67548002 L01FG01 BEVACIZUMABUM **1 OYAVAS 25 mg/ml CONC. PT. SOL. PERF. 25 mg/ml STADA ARZNEIMITTEL AG GERMANIA PR
CUTIE CU UN FLACON X 16ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA (CONTINE 400MG BEVACIZUMAB) 1 3,099.432000 3,424.164000 3,144.346000
424 W64373001 L01FG01 BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. PR 1 821.376000 941.076000 139.344000
425 W66673001 L01FG01 BEVACIZUMABUM **1 MVASI 25mg/ml CONC. PT. SOL. PERF. 25mg/ml AMGEN TECHNOLOGY (IRELAND) UC IRLANDA CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.(100MG BEVACIZUMAB) PR 1 684.480000 784.230000 0.000000
426 W66673002 L01FG01 BEVACIZUMABUM **1 MVASI 25mg/ml CONC. PT. SOL. PERF. 25mg/ml AMGEN TECHNOLOGY (IRELAND) UC IRLANDA CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.(400MG BEVACIZUMAB) PR 1 2,582.860000 2,853.470000 0.000000
427 W67574002 L01FG01 BEVACIZUMABUM **1 ALYMSYS 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml MABXIENCE RESEARCH SL SPANIA CUTIE CU 1 FLAC. A 16 ML SOL. CARE CONTINE 400 MG BEVACIZUMAB PR 1 3,099.432000 3,424.164000 143.126000
428 W69240001 L01FG01 BEVACIZUMABUM **1 VEGZELMA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. A 4 ML CARE CONTINE 100 MG DE BEVACIZUMAB PR 1 821.376000 941.076000 32.774000
429 W69240002 L01FG01 BEVACIZUMABUM **1 VEGZELMA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. A 16 ML CARE CONTINE 400 MG DE BEVACIZUMAB PR 1 3,099.432000 3,424.164000 138.936000
430 W67574001 L01FG01 BEVACIZUMABUM **1 ALYMSYS 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml MABXIENCE RESEARCH SL SPANIA CUTIE CU 1 FLAC. A 4 ML SOL. CARE CONTINE 100 MG BEVACIZUMAB PR 1 821.376000 941.076000 30.854000
431 W64373002 L01FG01 BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. PR 1 3,099.432000 3,424.164000 555.056000
432 W61463001 L01FG02 RAMUCIRUMABUM **1 CYRAMZA CONC. PT. SOL. PERF. 10 mg/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ CU 2 FLACOANE A 10ML PR 2 1,696.265000 1,868.005000 0.000000
433 W66358001 L01FX02 GEMTUZUMAB OZOGAMICIN **1 Ω MYLOTARG 5 mg PULB. PT. CONC. PT. SOL. PERF. 5mg PFIZER EUROPE MA EEIG BELGIA PR
CUTIE CU 1 FLAC. DIN STICLA BRUNA CU DOP DIN CAUCIUC BUTILIC SI SIGILIU CU CAPAC DETASABIL X 5 MG GEMTUZUMAB OZOGAMICIN 1 32,122.220000 35,051.410000 0.000000
434 W65565001 L01FX04 IPILIMUMABUM **1 Ω YERVOY 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1FLACON DIN STICLA X 10ML CONCENTRAT PT SOL. PERF. (50MG IPILIMUMAB) PR 1 12,795.980000 13,985.790000 0.000000
435 W65565002 L01FX04 IPILIMUMABUM **1 Ω YERVOY 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1FLACON DIN STICLA X 40ML CONCENTRAT PT SOL. PERF. (200MG IPILIMUMAB) PR 1 51,093.910000 55,730.580000 0.000000
436 W67184001 L01FX09 MOGAMULIZUMAB **1 Ω POTELIGEO 4 mg/ml CONC. PT. SOL. PERF. 4mg/ml KYOWA KIRIN HOLDINGS B.V. OLANDA CUTIE CU 1 FLAC. A 5 ML CONC. PT. SOL. PERF. PR 1 5,396.010000 5,919.810000 0.000000
437 W65790001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 10 ML CONC. PT. SOL. PERF. PR 1 10.600000 14.330000 0.000000

Pagina 24 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
438 W65790003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 50 ML CONC. PT. SOL. PERF. PR 1 39.490000 51.650000 0.000000
439 W65790004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71.770000 90.750000 0.000000
440 W65790002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 20.820000 28.140000 0.000000
441 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA PR 1 443.740000 521.830000 0.000000
442 W64519002 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. PR 1 97.176000 122.868000 6.202000
443 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA PR 1 80.980000 102.390000 0.000000
444 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CONC. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 188.330000 229.910000 0.000000
445 W64519003 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. PR 1 214.880000 262.320000 0.000000
446 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CONC. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 42.780000 55.950000 0.000000
447 W65808002 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA PR 1 89.610000 113.300000 0.000000
448 W65013002 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. CONTINAND 100 MG OXALIPLATINA PR 1 87.340000 110.430000 0.000000
449 W65808003 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. X 200 MG OXALIPLATINA PR 1 176.020000 214.890000 0.000000
450 W65013001 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. CONTINAND 50 MG OXALIPLATINA PR 1 48.260000 63.120000 0.000000
451 W65808001 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA PR 1 48.800000 63.830000 0.000000
452 W65013005 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA PR 1 211.224000 257.868000 254.052000
453 W59766002 L01XB01 PROCARBAZINUM (4) NATULAN 50 mg CAPS. 50 mg CN UNIFARM S.A. ROMANIA CUTIE CU 5 BLIST X 10 CAPS. PRF 50 28.650000 31.991600 0.000000
454 W64422001 L01XC02 RITUXIMABUM **1 BLITZIMA 100 mg CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 FLAC. DIN STICLA X 10 ML (100 MG RITUXIMAB IN 10 ML-10MG/ML) PR 2 579.583999 647.008000 22.507000
455 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 2 487.990000 550.985000 0.000000
456 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 3 482.986666 539.173333 0.000000
457 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 2 579.583999 647.008000 170.307000
458 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 2,399.640000 2,653.760000 0.000000
459 W64421001 L01XC02 RITUXIMABUM **1 BLITZIMA 500 mg CONC. PT. SOL. PERF. 500mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML (500 MG RITUXIMAB IN 50 ML-10MG/ML) PR 1 2,861.568000 3,142.002000 158.208000
460 W64386001 L01XC02 RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR 1 2,861.568000 3,142.002000 838.288000
461 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 2,384.640000 2,618.335000 0.000000
462 W66651001 L01XC02 RITUXIMABUM **1 MABTHERA 1600 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA(1600 MG RITUXIMAB /13,4ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 7,696.420000 8,427.250000 0.000000
463 W64387001 L01XC02 RITUXIMABUM **1 MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 6,726.140000 7,369.640000 0.000000
464 W65029001 L01XC03 TRASTUZUMABUM **1 KANJINTI 150 mg PULB. PT. CONC. PT. SOL. PERF. 150mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. CU CAPACITATEA DE 20 ML DIN STICLA TRANSPARENTA CE CONTINE 150 MG TRASTUZUMAB PR 1 1,100.770000 1,237.990000 0.000000
465 W66849001 L01XC03 TRASTUZUMABUM **1 ZERCEPAC 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN CAUCIUC BROMOBUTILIC X 150 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1,243.760000 1,393.850000 0.000000
466 W64381001 L01XC03 TRASTUZUMABUM **1 HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. CONTINÂND 150 MG TRASTUZUMAB PR 1 1,320.924000 1,485.588000 342.832000
467 W64586001 L01XC03 TRASTUZUMABUM **1 HERZUMA 150 mg PULB. PT. CONC. PT. SOL. PERF. 150mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 20 ML DIN STICLA TRANSPARENTA CONTINAND 150 MG TRASTUZUMAB PR 1 1,320.924000 1,485.588000 263.482000
468 W65030001 L01XC03 TRASTUZUMABUM **1 KANJINTI 420 mg PULB. PT. CONC. PT. SOL. PERF. 420mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. CU CAPACITATEA DE 50 ML DIN STICLA TRANSPARENTA CE CONTINE 420 MG TRASTUZUMAB PR 1 3,431.170000 3,778.130000 0.000000
469 W67811001 L01XC03 TRASTUZUMABUM **1 ZERCEPAC 420 mg PULB. PT. CONC. PT. SOL. PERF. 420mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 50 ML DIN STICLA CU DOP DIN CAUCIUC BROMOBUTILIC X 420 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 4,117.404000 4,533.756000 1,873.384000
470 W67810001 L01XC03 TRASTUZUMABUM **1 ZERCEPAC 60 mg PULB. PT. CONC. PT. SOL. PERF. 60mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 10 ML DIN STICLA CU DOP DIN CAUCIUC BROMOBUTILIC X 60 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 922.580000 1,043.760000 0.000000
471 W64935001 L01XC03 TRASTUZUMABUM **1 TRAZIMERA 150 mg PULB. PT. CONC. PT.SOL. PERF. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 15 ML CONTINANAD 150 MG TRASTUZUMAB PR 1 1,225.820000 1,374.290000 0.000000
472 W65273001 L01XC03 TRASTUZUMABUM **1 OGIVRI 150 mg PULB. PT. CONC. PT.SOL. PERF. 150mg MYLAN S.A.S. FRANTA CUTIE X 1 FLAC. CU CAPACITATEA DE 15 ML DIN STICLA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BUTILIC LAMINAT CU FILM DE FLUORO-REZINA CONTINÂND TRASTUZUMAB 150 MG PR 1 1,320.924000 1,485.588000 147.732000
473 W68011001 L01XC03 TRASTUZUMABUM **1 OGIVRI 150 mg PULB. PT. CONC. PT.SOL. PERF. 150mg VIATRIS LIMITED IRLANDA CUTIE X 1 FLAC. CU CAPACITATEA DE 15 ML DIN STICLA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BUTILIC LAMINAT CU FILM DE FLUORO-REZINA CONTINÂND TRASTUZUMAB 150 MG PR 1 1,320.924000 1,485.588000 147.732000
474 W66584001 L01XC03 TRASTUZUMABUM **1 TRAZIMERA 420 mg PULB. PT. CONC. PT.SOL. PERF. 420mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 30 ML CONTINANAD 420 MG TRASTUZUMAB PR 1 4,117.404000 4,533.756000 549.814000
475 W64382001 L01XC03 TRASTUZUMABUM **1 HERCEPTIN 600mg/5ml SOL INJ. 600mg/5ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB) PR 1 4,739.030000 5,203.690000 0.000000
476 W65944002 L01XC06 CETUXIMABUM **1 ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. PR 1 733.160000 837.290000 0.000000
477 W52549002 L01XC06 CETUXIMABUM **1 ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. S 1 733.160000 837.290000 0.000000
478 W52724003 L01XC08 PANITUMUMABUM **1 VECTIBIX 20mg/ml CONC. PT. SOL. PERF. 20mg/ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC. X 400MG PANITUMUMAB X 20ML S 1 5,135.760000 5,636.130000 0.000000
479 W52724001 L01XC08 PANITUMUMABUM **1 VECTIBIX 20mg/ml CONC. PT. SOL. PERF. 20mg/ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC. X 100MG PANITUMUMAB X 5ML S 1 1,306.440000 1,462.170000 0.000000
480 W61128001 L01XC12 BRENTUXIMAB VEDOTIN **1 ADCETRIS 50 mg 50 mg
PULB. PT. CONC. PT. SOL. PERF. TAKEDA PHARMA A/S DANEMARCA CUTIE CU 1 FLACON X 50MG PULBERE PENTRU CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 12,932.680000 14,134.770000 0.000000
481 W64380001 L01XC15 OBINUTUZUMABUM **1 GAZYVARO 1000 mg CONC. PT. SOL. PERF. 1000mg ROCHE REGISTRATION GMBH GERMANIA FLAC. DIN STICLA DE 50 ML CARE CONTINE 40 ML CONCENTRAT PR 1 11,358.410000 12,418.820000 0.000000
482 W66236001 L01XC16 DINUTUXIMAB BETA **1 QARZIBA 4,5 mg/ml CONC. PT. SOL. PERF. 4,5mg/ml EUSA PHARMA (NETHERLANDS) B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA, PREVAZUT CU DOP DIN CAUCIUC SI SIGILIU DETASABIL DIN AL X 4,5 ML CONC. PT. SOL. PERF. (20 MG DINUTUXIMAB BETA) PR 1 42,556.140000 46,424.340000 0.000000
483 W62507001 L01XC19 BLINATUMOMABUM **1 BLINCYTO 38,5 micrograme PULB. PT. CONC. SI SOL. PT. SOL. PERF. 38,5micrograme AMGEN EUROPE B.V. OLANDA AMBALAJ CU 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. X 38,5 MICROGRAME +1 FLAC. CU SOLUTIE STABILIZATA X 10 ML PR 1 9,864.130000 10,790.050000 0.000000

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Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
484 W66768001 L01XC24 DARATUMUMABUM **1 DARZALEX 1800 mg SOL INJ. 120mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 15 ML SOL. INJ. PR 1 21,629.440000 23,614.240000 0.000000
485 W64817001 L01XC26 INOTUZUMAB OZOGAMICIN **1 BESPONSA 1 mg PULB. PT. CONC. PT.SOL. PERF. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CE CONTINE 1 MG PULBERE PR 1 42,354.620000 46,204.690000 0.000000
486 W65131001 L01XC31 AVELUMABUM **1 BAVENCIO 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MERCK EUROPE B.V. OLANDA 1 FLACON X 10 ML CONC. PT. SOL. PERF. (200 MG AVELUMAB) PR 1 3,230.950000 3,559.890000 0.000000
487 W64125001 L01XC31 AVELUMABUM **1 BAVENCIO 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE 1 FLACON X 10 ML CONC. PT. SOL. PERF. (200 MG AVELUMAB) PR 1 3,230.950000 3,559.890000 0.000000
488 W65131001 L01XC31 AVELUMABUM **1 Ω BAVENCIO 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MERCK EUROPE B.V. OLANDA 1 FLACON X 10 ML CONC. PT. SOL. PERF. (200 MG AVELUMAB) PR 1 3,230.950000 3,559.890000 0.000000
489 W67121001 L01XC37 POLATUZUMAB VEDOTIN **1 POLIVY 30mg PULB. PT. CONC. PT.SOL. PERF. 20mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DIN STICLA DE 6ML CONTINAND 30 MG POLATUZUMAB VEDOTIN PR 1 10,131.740000 11,081.750000 0.000000
490 W66558001 L01XC37 POLATUZUMAB VEDOTIN **1 POLIVY 140mg PULB. PT. CONC. PT.SOL. PERF. 20mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DIN STICLA DE 20ML CONTINAND 140 MG POLATUZUMAB VEDOTIN PR 1 44,676.680000 48,735.730000 0.000000
491 W62995001 L01XE12 VANDETANIBUM **1 Ω CAPRELSA 100mg COMPR. FILM. 100mg GENZYME EUROPE B.V. OLANDA BLISTERE PVC/PVDC/AL, SIGILATE CU FOLIE DE ALUMINIU X 30 COMPRIMATE FILMATE PR 30 212.186333 232.554666 0.000000
492 W62996001 L01XE12 VANDETANIBUM **1 Ω CAPRELSA 300 mg COMPR. FILM. 300mg GENZYME EUROPE B.V. OLANDA BLISTERE PVC/PVDC/AL, SIGILATE CU FOLIE DE ALUMINIU X 30 COMPRIMATE FILMATE PR 30 602.696333 658.210666 0.000000
493 W60260003 L01XE13 AFATINIBUM **1 GIOTRIF 20mg COMPR. FILM. 20mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 272.443928 298.326428 0.000000
494 W60261003 L01XE13 AFATINIBUM **1 GIOTRIF 30mg COMPR. FILM. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 272.443928 298.326428 0.000000
495 W60262003 L01XE13 AFATINIBUM **1 GIOTRIF 40mg COMPR. FILM. 40mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 272.443928 298.326428 0.000000
496 W64833002 L01XE21 REGORAFENIBUM **1 STIVARGA COMPR. FILM. 40mg BAYER AG GERMANIA CUTIE CU 3 FLAC. DIN PEID X 28 COMPR. FILM. (AMBALAJ MULTIPLU) PR 84 123.899523 135.504642 0.000000
497 W64527001 L01XE26 CABOZANTINIBUM **1 Ω CABOMETYX 20 mg COMPR. FILM. 20mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 731.522333 798.631000 0.000000
498 W64528001 L01XE26 CABOZANTINIBUM **1 Ω CABOMETYX 40 mg COMPR. FILM. 40mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 731.522333 798.631000 0.000000
499 W64529001 L01XE26 CABOZANTINIBUM **1 Ω CABOMETYX 60 mg COMPR. FILM. 60mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 731.522333 798.631000 0.000000
500 W66231001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 140 mg COMPR. FILM. 140mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 256.288000 280.625666 0.000000
501 W66232001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 280 mg COMPR. FILM. 280mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 543.576000 593.769666 0.000000
502 W66233001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 420 mg COMPR. FILM. 420mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 814.864666 889.474000 0.000000
503 W66234001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 560 mg COMPR. FILM. 560mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 1,114.337000 1,215.899000 0.000000
504 W64628002 L01XE28 CERITINIBUM **1 ZYKADIA 150 mg CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 90 CAPS. PR 90 138.808444 151.725111 0.000000
505 W62648002 L01XE35 OSIMERTINIB **1 TAGRISSO 40 mg COMPR. FILM. 40mg ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PERFORATE UNIDOZA AL/AL X 28X1 COMPR. FILM. PR 28 816.574642 891.428928 0.000000
506 W62649002 L01XE35 OSIMERTINIB **1 TAGRISSO 80 mg COMPR. FILM. 80mg ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PERFORATE UNIDOZA AL/AL X 28X1 COMPR. FILM. PR 28 816.574642 891.428928 0.000000
507 W67012001 L01XE54 GILTERITINIB **1 XOSPATA 40 mg COMPR. FILM. 40mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU BLIST. DIN OPA/ALUMINIU/PVC/ALUMINIU X 84 COMPR. FILM. PR 84 912.808928 995.415952 0.000000
508 W68328001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB FRESENIUS KABI 2,5 mg PULB. PT. SOL. INJ. 2,5mg FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML, CE CONTINE 2,5 MG BORTEZOMIB PR 1 1,214.148000 1,369.200000 1,058.480000
509 W66756001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB SANDOZ 2,5 mg PULB. PT. SOL. INJ. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA CARE CONTINE PULB. PT. SOL. INJ. PR 1 1,214.148000 1,369.200000 1,244.400000
510 W69254001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB AUROBINDO 3,5 mg PULB. PT. SOL. INJ. 3,5mg EUGIA PHARMA (MALTA) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU SAU FARA INVELIS PROTECTOR DIN PLASTIC, CU CAPACITATE DE 10 ML CU PULB. PT. SOL. INJ. PR 1 796.490000 906.320000 0.000000
511 W61907001 L01XG01 BORTEZOMIBUM **1 VORTEMYEL 3,5 mg PULB. PT. SOL. INJ. 3,5mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA INCOLORA (VOLUM NOMINAL DE 10 ML), CARE CONTINE PULB. PT. SOL. INJ. PR 1 955.788000 1,087.584000 602.026000
512 W65669001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACCORD HEALTHCARE S.L.U. SPANIA FLACON DIN STICLA DE TIP I CU CAPACITATEA DE 10 ML, PREVAZUT CU DOP DIN CAUCIUC CLOROBUTILIC SI O CAPSA DIN ALUMINIU, CU UN CAPAC ROSU, CE CONTINE BORTEZOMIB 3,5 MG PR 1 955.788000 1,087.584000 403.906000
513 W67736001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB AUROBINDO 3,5 mg PULB. PT. SOL. INJ. 3,5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU SAU FARA INVELIS PROTECTOR DIN PLASTIC, CU CAPACITATE DE 10 ML CU PULB. PT. SOL. INJ. PR 1 796.490000 906.320000 0.000000
514 W68199001 L01XG01 BORTEZOMIBUM **1 VORTEMYEL 3,5 mg PULB. PT. SOL. INJ. 3,5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA INCOLORA (VOLUM NOMINAL DE 10 ML), CARE CONTINE PULB. PT. SOL. INJ. PR 1 955.788000 1,087.584000 602.026000
515 W62997001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB DR. REDDY'S 3,5 mg PULB. PT. SOL. INJ. 3,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATE DE 10 ML CARE CONTINE PULB. PT. SOL. INJ. PR 1 955.788000 1,087.584000 3,259.616000
516 W66591001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB FRESENIUS KABI 3,5 mg PULB. PT. SOL. INJ. 3,5mg FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 910.800000 1,030.920000 0.000000
517 W67920003 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 2,5 mg/ml SOL INJ. 2,5mg/ml ACCORD HEALTHCARE S.L.U. SPANIA FLACON DIN STICLA DE TIP I TRANSPARENTA, PREVAZUT CU DOP DIN CAUCIUC BROMOBUTILIC DE CULOARE GRI SI CAPSA DIN ALUMINIU, CU CAPAC ROSU, CE CONTINE 1,4 ML DE SOLUTIE INJECTABILA PR 1 955.788000 1,087.584000 481.476000
518 W67920001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 2,5 mg/ml SOL INJ. 2,5mg/ml ACCORD HEALTHCARE S.L.U. SPANIA FLACON DIN STICLA DE TIP I TRANSPARENTA, PREVAZUT CU DOP DIN CAUCIUC BROMOBUTILIC DE CULOARE GRI SI CAPSA DIN ALUMINIU, CU CAPAC PORTOCALIU, CE CONTINE 1 ML DE SOLUTIE INJECTABILA PR 1 1,011.790000 1,141.000000 0.000000
519 W65545001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB STADA 2,5 mg/ml SOL. INJ. 2,5mg/ml STADA M&D SRL ROMANIA CUTIE CU FLAC. DIN STICLA TIP I PREVAZUT CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL TIP FLIP-OFF, CU CAPAC COLORAT X 1,4 ML SOL. INJ. PR 1 955.788000 1,087.584000 1,139.686000
520 W67085002 L01XJ03 GLASDEGIB **1 DAURISMO 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPRIMATE FILMATE PR 30 1,241.492333 1,354.498333 0.000000
521 W67083002 L01XJ03 GLASDEGIB **1 DAURISMO 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 COMPRIMATE FILMATE PR 60 620.746166 677.249166 0.000000
522 W68167001 L01XX02 ASPARAGINAZUM CRISANTASPASE PORTON BIOPHARMA PULB. PT. SOL. INJ./PERF. 10.000E DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE X 5 FLACOANE (FIECARE A CATE 10.000E) CU PULBERE PENTRU SOLUTIE INJECTABILA/PERFUZABILA PR 5 6,005.992000 6,554.170000 0.000000
523 W03542001 L01XX05 HYDROXYCARBAMIDUM HYDREA 500 mg CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF 100 0.983800 1.243900 0.000000
524 W66770001 L01XX23 MITOTANUM LYSODREN 500mg COMPR. 500mg HRA PHARMA RARE DISEASES FRANTA CUTIE CU 1 FLAC. DIN PEID X 100 COMPR. PR 100 24.589900 27.184500 0.000000
525 W66172001 L01XX24 PEGASPARGASUM **1 ONCASPAR 750 U/ml PULB. PT. SOL. INJ./PERF. 750U/ml LES LABORATOIRES SERVIER FRANTA PR
CUTIE CU 1 FLAC. STICLA MATA DE TIP I CU DOP DIN ELASTOMER CLOROBUTIL SI ACOPERIT CU SIGILIU DE AL X 3750 U PEGASPARGAZA 1 7,078.940000 7,754.190000 0.000000
526 W66541003 L01XX27 ARSENICUM TRIOXIDUM **1 ARSENIC TRIOXIDE ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1 mg/ml ACCORD HEALTHCARE S.L.U. SPANIA PR
CUTIE X 10 FLACOANE DIN STICLA CONTINAND 10ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA 10 738.405000 808.676000 0.000000
527 W62932001 L01XX27 ARSENICUM TRIOXIDUM **1 TRISENOX 1mg/ml CONC. PT. SOL. PERF. 1mg/ml TEVA B.V. OLANDA CUTIE X 10 FIOLE CU CONC. PT. SOL. PERF. X 10 ML PR 10 886.086000 970.411200 158.656800
528 W65972001 L01XX27 ARSENICUM TRIOXIDUM **1 TRISENOX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml TEVA B.V. OLANDA CUTIE CU 10 FLAC. X 6 ML CONC. PT. SOL. PERF. PR 10 793.388000 868.608000 0.000000
529 W67329001 L01XX41 ERIBULINUM **1 Ω HALAVEN SOL INJ. 0,44 mg/ml EISAI GMBH GERMANIA CUTIE CU UN FLACON A 5 ML DIN STICLA DE TIP X 2 ML DE SOLUTIE INJECTABILA PR 1 1,505.170000 1,678.790000 0.000000

Pagina 26 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
530 W66904001 L01XX42 PANOBINOSTATUM **1 FARYDAK 10 mg CAPS. 10mg SECURA BIO LIMITED IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3,097.170000 3,382.273333 0.000000
531 W66905001 L01XX42 PANOBINOSTATUM **1 FARYDAK 15 mg CAPS. 15mg SECURA BIO LIMITED IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3,097.170000 3,382.273333 0.000000
532 W66906001 L01XX42 PANOBINOSTATUM **1 FARYDAK 20 mg CAPS. 20mg SECURA BIO LIMITED IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3,097.170000 3,382.273333 0.000000
533 W69312001 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 25 mg/ml CONC. PT. SOL. PERF. 25mg/ ml SANOFI WINTHROP INDUSTRIE FRANTA CUTIE CU 1 FLACON A 5 ML X 4 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 100 MG AFLIBERCEPT PR 1 1,317.160000 1,473.850000 0.000000
534 W69312003 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 25 mg/ml CONC. PT. SOL. PERF. 25mg/ ml SANOFI WINTHROP INDUSTRIE FRANTA CUTIE CU 1 FLACON A 10 ML X 8 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 200 MG AFLIBERCEPT PR 1 2,604.310000 2,876.850000 0.000000
535 W59956003 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 25 mg/ml CONC. PT. SOL. PERF. 25mg/ ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 10 ML X 8 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 200 MG AFLIBERCEPT PR 1 2,604.310000 2,876.850000 0.000000
536 W59956001 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 25 mg/ml CONC. PT. SOL. PERF. 25mg/ ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 5 ML X 4 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 100 MG AFLIBERCEPT PR 1 1,317.160000 1,473.850000 0.000000
537 W62506001 L01XX45 CARFILZOMIBUM **1 KYPROLIS 60 mg PULB. PT. SOL. PERF. 60mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I PT. UTILIZARE UNICA, DOP ELASTOMERIC LAMINAT CU FLUOROPOLIMERI SI O CAPSA DE ALUMINIU DE TIP FLIP OFF PR 1 4,333.730000 4,761.920000 0.000000
538 W64660001 L01XX46 OLAPARIBUM **1 LYNPARZA 100 mg COMPR. FILM. 100mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 188.033750 205.638214 0.000000
539 W64660001 L01XX46 OLAPARIBUM **1 Ω LYNPARZA 100 mg COMPR. FILM. 100mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 188.033750 205.638214 0.000000
540 W64661001 L01XX46 OLAPARIBUM **1 LYNPARZA 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 188.033750 205.638214 0.000000
541 W64661001 L01XX46 OLAPARIBUM **1 Ω LYNPARZA 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 188.033750 205.638214 0.000000
542 W63372001 L01XX50 IXAZOMIB **1 NINLARO 2,3 mg CAPS. 2,3mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 5,548.316666 6,060.383333 0.000000
543 W63373001 L01XX50 IXAZOMIB **1 NINLARO 3 mg CAPS. 3mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 5,548.316666 6,060.383333 0.000000
544 W63374001 L01XX50 IXAZOMIB **1 NINLARO 4 mg CAPS. 4mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 5,548.316666 6,060.383333 0.000000
545 W64705002 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 183.830714 203.100714 0.000000
546 W64705003 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 112 COMPR. FILM. (4 CUTII X 28 COMPR. FILM.) AMBALAJ MULTIPLU PR 112 181.955357 198.671964 0.000000
547 W64705001 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 185.972857 208.160000 0.000000
548 W64703001 L01XX52 VENETOCLAX **1 VENCLYXTO 10 mg COMPR. FILM. 10mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 19.985000 24.397857 0.000000
549 W64704001 L01XX52 VENETOCLAX **1 VENCLYXTO 50 mg COMPR. FILM. 50mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 95.130000 109.141428 0.000000
550 W65093001 L01XX71 TISAGENLECLEUCEL **1 KYMRIAH DISPERSIE PERF. FARA CONCENTRATIE NOVARTIS EUROPHARM LTD. IRLANDA 1 PANA LA 3 PUNGI DE PERFUZARE (IN FUCTIE DE PACIENT) PR 1 1,353,056.400000 1,474,869.630000 0.000000
551 W67286001 L01XY02 COMBINATII (PERTUZUMABUM+TRASTUZUMABUM) **1 PHESGO 1200 mg/600 mg SOL INJ. 1200mg/600mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DIN STICLA CU 15 ML SOLUTIE CARE CONTINE PERTUZUMAB 1200 MG SI TRASTUZUMAB 600 MG. PR 1 27,459.500000 29,969.010000 0.000000
552 W67296001 L01XY02 COMBINATII (PERTUZUMABUM+TRASTUZUMABUM) **1 PHESGO 600 mg/600 mg SOL INJ. 600mg/600mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DIN STICLA CU 10 ML SOLUTIE CARE CONTINE PERTUZUMAB 600 MG SI TRASTUZUMAB 600 MG. PR 1 15,255.420000 16,666.560000 0.000000
553 W52184001 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF 30 3.175000 4.014333 0.000000
554 W64575001 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. PR 30 3.175000 4.014333 0.000000
555 W61373001 L02AE02 LEUPRORELINUM ** LEPTOPROL 5 mg IMPLANT 5mg SANDOZ SRL ROMANIA CUTIE CU O SERINGA PREUMPLUTA DIN POLICARBONAT CU PISTON DIN COPOLIMER ACRILONITRIL-BUTADIENSTIRENIC SI AC SIGILATE ÎNTR-O PUNGA DIN POLIETILENTEREFTALAT/AL-PE. SERINGA PREUMPLUTA CONTINE UN IMPLANT PR 1 579.880000 670.220000 0.000000
556 W67702006 L02AE02 LEUPRORELINUM ** ELIGARD 22,5 mg PULB+SOLV. PT. SOL. INJ. 22,5mg RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A. ITALIA CUTIE X 1 SET DE 2 CASETE TERMOFORMATATE; O CASETA CONTINE O SERINGA PREUMPLUTA (SERINGA A), PISTON PT SERINGA B SI PLIC DESICANT ; CEALALTA CASETA CONTINE O SERINGA PREUMPLUTA (SERINGA B), AC STERIL SI PLIC DESICANT PR 1 706.690000 808.440000 0.000000
557 W67816001 L02AE02 LEUPRORELINUM ** ELIGARD 45 mg PULB+SOLV.PT.SOL.INJ. 45mg RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A. ITALIA O CUTIE DE CARTON CU DOUA CASETE CE CONTIN 2 SERINGI PREUMPLUTE (1 X SERINGA A; 1 X SERINGA B) PR 1 1,259.550000 1,411.060000 0.000000
558 W68882001 L02AE02 LEUPRORELINUM ** CAMCEVI 42 mg SUSP. INJ. CU ELIB. PREL. 42mg ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU O SERINGA PREUMPLUTA, UN AC STERIL SI UN DISPOZITIV DE PROTECTIE A ACULUI PR 1 1,325.460000 1,482.900000 0.000000
559 W65082001 L02AE03 GOSERELINUM ** ZOLADEX LA 10,8 mg IMPLANT 10,8 mg ASTRAZENECA AB SUEDIA CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROTECTIE PR 1 549.300000 636.890000 0.000000
560 W65081001 L02AE03 GOSERELINUM ** ZOLADEX 3,6 mg IMPLANT 3,6mg ASTRAZENECA AB SUEDIA CUTIE CU 1 PUNGA X 1 SERINGA PREUMPLUTA MONODOZA A 3,6 MG GASORELINA PR/PRF 1 171.450000 209.310000 0.000000
561 W62379001 L02AE03 GOSERELINUM ** RESELIGO 10,8 mg IMPLANT IN SERINGA PREUMPLUTA 10,8mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR 1 494.310000 576.950000 0.000000
562 W68572001 L02AE03 GOSERELINUM ** RESELIGO 10,8 mg IMPLANT IN SERINGA PREUMPLUTA 10,8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR 1 494.310000 576.950000 0.000000
563 W62378001 L02AE03 GOSERELINUM ** RESELIGO 3,6 mg IMPLANT IN SERINGA PREUMPLUTA 3,6mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR/PRF 1 162.170000 197.980000 0.000000
564 W68571001 L02AE03 GOSERELINUM ** RESELIGO 3,6 mg IMPLANT IN SERINGA PREUMPLUTA 3,6mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR/PRF 1 162.170000 197.980000 0.000000
565 W55726002 L02AE04 TRIPTORELINUM DIPHERELINE PR 11,25 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 11,25mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA CU 2 ML SOLV. + 1 BLIST. CU 1 SERINGA DIN PP A 3 ML + 1 BLIST. CU 3 ACE STERILE S/P-RF 1 581.000000 671.440000 0.000000
566 W55727001 L02AE04 TRIPTORELINUM DIPHERELINE 3,75 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 3,75mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU O SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE S/P-RF 1 291.350000 355.680000 0.000000
567 W62618001 L02AE04 TRIPTORELINUM DIPHERELINE 22,5 mg PULB. SI SOLV. PT. SUSP. INJ. CU ELIB. PREL. 22,5mg IPSEN PHARMA FRANTA CUT IE CU 1 FLAC. CU CAPACIT AT EA DE 6 ML DIN ST ICLA USOR COLORAT A CU PULB. PT . SUSP. INJ. CU ELIB. PREL.+1 FIOLA DIN ST ICLA INCOLORA,CU 2 ML SOLV. (APA PT . PREPARAT E INJ.) PT . RECONST . SUSP.INJ.+1BLIST . DIN PVC CARE CONT INE 1 SERINGA DIN PP SI 2 ACE PR 1 2,030.110000 2,250.970000 0.000000
568 W55725001 L02AE04 TRIPTORELINUM DIPHERELINE 0,1 mg PULB+SOLV. PT. SOL. INJ. 0,1mg IPSEN PHARMA FRANTA CUTIE CU 7 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 3 ML CARE CONTIN PULB. PT. SOL. INJ. + 7 FIOLE DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 2 ML CU SOLV. PT. SOL. INJ. S/P-RF 7 12.102857 15.302857 0.000000
569 W53654002 L02BA01 TAMOXIFENUM TAMOXIFEN SANDOZ 10 mg COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF 100 0.328700 0.430000 0.000000
570 W64160002 L02BA03 FULVESTRANTUM FALVAX 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA INCOLORA CU 5 ML SOL. INJ. SI 2 ACE CU SISTEM DE SIGURANTA PRF 2 319.146000 370.758000 151.087000
571 W65414002 L02BA03 FULVESTRANTUM FULVESTRANT SUN 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA INCOLORA TIP I CONTINAND 5 ML SOL. INJ. PR 2 270.290000 313.690000 0.000000
572 W65414001 L02BA03 FULVESTRANTUM FULVESTRANT SUN 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA TIP I CONTINAND 5 ML SOL. INJ. PR 1 280.820000 342.820000 0.000000
573 W65489001 L02BA03 FULVESTRANTUM FULVESTRANT ROMPHARM 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU DOUA BLIST. CU CATE O SERINGA PREUMPLUTA FIECARE SI DOUA ACE STERILE HIPODERMICE, FIECARE CONTINE 5 ML SOL. INJ. PRF 2 319.146000 370.758000 452.147000
574 W62773002 L02BA03 FULVESTRANTUM FULVESTRANT TEVA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA INCOLORA CU PISTON DIN PP, PREVAZUTE CU SISTEM DE INCHIDERE CU SIGILIU SI DOUA ACE, CU CATE 5 ML SOL. INJ. PRF 2 319.146000 370.758000 82.062000
575 W67405002 L02BA03 FULVESTRANTUM IMARSA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA DE TIP I, INCOLORA CU PISTON DE POLISTIREN SI DOP ELASTOMERIC SI 2 ACE CU SISTEM DE SIGURANTA (BD SAFETYGLIDE) PENTRU CONECTAREA LA SERINGA X 5 ML SOL. INJ. PRF 2 319.146000 370.758000 105.217000

Pagina 27 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
576 W64402002 L02BA03 FULVESTRANTUM FASLODEX 250 mg SOL. INJ. 250mg/5ml ASTRAZENECA AB SUEDIA CUTIE X 2 SERINGI PREUMPLUTE DIN STICLA X 5ML SOLUTIE INJECTABILA + 2 ACE CU SISTEM DE SIGURANTA PRF 2 319.146000 370.758000 441.527000
577 W65851002 L02BA03 FULVESTRANTUM FULVESTRANT EVER PHARMA 250 mg SOL. INJ. IN SERINGA PREUMPLUTA 250mg EVER VALINJECT GMBH AUSTRIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA, CU DOP DIN CAUCIUC, PISTON SI STOPPER, PREVAZUTE CU AC X 5 ML SOL. INJ. PRF 2 273.475000 317.165000 0.000000
578 W65873001 L02BA03 FULVESTRANTUM FULVESTRANT ACCORD 250 mg SOL. INJ. IN SERINGA PREUMPLUTA 250mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 2 SERINGI DIN STICLA, CU PISTON DIN CAUCIUC BROMOBUTILIC SI TIJA DIN PLASTIC SI 2 ACE PENTRU INJECTII CU SIGURANTA (BD SAFETYGLIDE) X 5 ML SOL. INJ. PRF 2 265.955000 308.965000 0.000000
579 W03217002 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 2.642400 3.225900 0.000000
580 W68106001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg LABORATOIRES JUVISÉ PHARMACEUTICALS FRANTA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 11.634428 14.203285 1.353857
581 W65075001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 11.634428 14.203285 1.353857
582 W68844001 L02BB03 BICALUTAMIDUM BICALUTAMIDA LABORMED 150 mg COMPR. FILM. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 11.634428 14.203285 10.175286
583 W61109001 L02BB03 BICALUTAMIDUM YONISTIB 150 mg COMPR. FILM. 150mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 9.695357 11.836071 0.000000
584 W64314001 L02BB03 BICALUTAMIDUM BICALUTAMIDA ALVOGEN 150 mg COMPR. FILM. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 11.634428 14.203285 10.175286
585 W68107001 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg LABORATOIRES JUVISÉ PHARMACEUTICALS FRANTA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1.966399 2.572000 3.895500
586 W65076001 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1.966399 2.572000 3.895500
587 W61108001 L02BB03 BICALUTAMIDUM YONISTIB 50 mg COMPR. FILM. 50mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 1.966399 2.572000 0.976571
588 W66317004 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 1.638666 2.143333 0.000000
589 W66581001 L02BB04 ENZALUTAMIDUM **1 XTANDI 40 mg COMPR. FILM. 40mg ASTELLAS PHARMA EUROPE B.V. OLANDA SUPORT DE CARTON CARE CONTINE UN BLIST. DE PVC-PCTFE/AL CU 28 DE COMPRIMATE FILMATE. FIECARE CUTIE CONTINE 112 COMPR.FILM. (4 COMPARTIMENTE X28) PRF 112 108.077053 118.144642 0.000000
590 W66581001 L02BB04 ENZALUTAMIDUM **1 Ω XTANDI 40 mg COMPR. FILM. 40mg ASTELLAS PHARMA EUROPE B.V. OLANDA SUPORT DE CARTON CARE CONTINE UN BLIST. DE PVC-PCTFE/AL CU 28 DE COMPRIMATE FILMATE. FIECARE CUTIE CONTINE 112 COMPR.FILM. (4 COMPARTIMENTE X28) PRF 112 108.077053 118.144642 0.000000
591 W65819001 L02BB05 APALUTAMIDUM **1 ERLEADA 60 mg COMPR. FILM. 60mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. PVC/PCTFE/AL IN AMBALAJ TIP PORTOFEL X 120 COMPR. FILM. PR 120 99.547500 108.824666 0.000000
592 W67720001 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg LABORATOIRES JUVISÉ PHARMACEUTICALS FRANTA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1.883142 2.463000 1.282000
593 W65172001 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1.883142 2.463000 1.282000
594 W61107001 L02BG03 ANASTROZOLUM KYARESTA 1 mg COMPR. FILM. 1mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL A CATE 14 COMPR. FILM. P-6L 28 1.883142 2.463000 0.172357
595 W56267005 L02BG03 ANASTROZOLUM ANASTROZOL TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 1.656333 2.166666 0.000000
596 W53147002 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P6L 28 1.569285 2.052500 0.000000
597 W00468001 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L 28 1.883142 2.463000 1.282000
598 W62173002 L02BG04 LETROZOLUM ZEQUIPRA 2,5 mg COMPR. FILM. 2,5mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM. P6L 30 2.155666 2.725666 0.000000
599 W55787007 L02BG04 LETROZOLUM ELOZORA 2,5 mg COMPR. FILM. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 1.901333 2.404000 0.000000
600 W55646003 L02BG04 LETROZOLUM LETROZOL ALVOGEN 2,5 mg COMPR. FILM. 2,5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 2.030333 2.567000 0.000000
601 W53743003 L02BG04 LETROZOLUM ETRUZIL 2,5 mg COMPR. FILM. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L 30 1.938666 2.451333 0.000000
602 W68740003 L02BG04 LETROZOLUM LETROZOL LABORMED 2,5 mg COMPR. FILM. 2,5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P6L 30 2.030333 2.567000 0.000000
603 W68845002 L02BG06 EXEMESTANUM EXEMESTAN LABORMED 25 mg COMPR. FILM. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 30 2.784666 3.521000 0.000000
604 W56479002 L02BG06 EXEMESTANUM EXEMESTAN ALVOGEN 25 mg COMPR. FILM. 25mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 2.784666 3.521000 0.000000
605 W65803004 L02BG06 EXEMESTANUM EXEMESTAN ACCORD 25 mg COMPR. FILM. 25mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 2.352333 2.974333 0.000000
606 W61219001 L02BG06 EXEMESTANUM XANEPRA 25 mg COMPR. FILM. 25mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM PRF 30 2.822800 3.569200 0.281800
607 W08074001 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. P-RF 30 2.822800 3.569200 0.227466
608 W65092001 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. PRF 30 2.822800 3.569200 0.227466
609 W58139001 L02BX03 ABIRATERONUM **1 Ω ZYTIGA 250 mg COMPR. 250mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU FLACON DIN PEÎD X 120 COMPRIMATE PRF 120 124.223083 135.721083 0.000000
610 W67712005 L02BX03 ABIRATERONUM **1 ABIRATERONA ZENTIVA 500 mg COMPR. FILM. 500 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU UN FLACON DIN PEID CU 60 COMPRIMATE FILMATE PRF 60 48.840000 53.998600 123.391566
611 W67712003 L02BX03 ABIRATERONUM **1 ABIRATERONA ZENTIVA 500 mg COMPR. FILM. 500 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLISTERE DIN PVC-PVDC/AL X 60 COMPRIMATE FILMATE PRF 60 48.840000 53.998600 123.391566
612 W67712004 L02BX03 ABIRATERONUM **1 ABIRATERONA ZENTIVA 500 mg COMPR. FILM. 500 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLISTERE PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PVDC/AL CU 60X1 COMPRIMATE FILMATE PRF 60 48.840000 53.998600 123.391566
613 W68536002 L02BX03 ABIRATERONUM **1 ABIRATERONA PHARMAZAC 500 mg COMPR. FILM. 500mg PHARMAZAC S.A. GRECIA CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 56X1 COMPR. FILM. PR 56 48.840000 53.998600 102.033007
614 W68536003 L02BX03 ABIRATERONUM **1 ABIRATERONA PHARMAZAC 500 mg COMPR. FILM. 500mg PHARMAZAC S.A. GRECIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 48.840000 53.998600 101.948900
615 W68031017 L02BX03 ABIRATERONUM **1 ABIRATERONA STADA 500 mg COMPR. FILM. 500mg STADA M&D SRL ROMANIA CUTIE CU BLIST. PVC/PE/PVDC-AL X 60 COMPR. FILM. PR 60 48.840000 53.998600 76.277733
616 W68537017 L02BX03 ABIRATERONUM **1 BIXODALAN 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 48.840000 53.998600 89.113233
617 W63682002 L02BX03 ABIRATERONUM **1 ZYTIGA 500 mg COMPR. FILM. 500mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. PVDC/PE/PVC X 60 COMPR. FILM. (5 AMBALAJE DE TIP PORTOFEL A CATE 12 COMPRIMATE) PRF 60 48.840000 53.998600 184.376066
618 W68536005 L02BX03 ABIRATERONUM **1 ABIRATERONA PHARMAZAC 500 mg COMPR. FILM. 500mg PHARMAZAC S.A. GRECIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 48.840000 53.998600 101.948900
619 W68589004 L02BX03 ABIRATERONUM **1 TATICA 500 mg COMPR. FILM. 500mg EGIS PHARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. AL-PVC/PE/PVDC X 60 COMPR. FILM. PR 60 48.840000 53.998600 96.032066
620 W68536004 L02BX03 ABIRATERONUM **1 ABIRATERONA PHARMAZAC 500 mg COMPR. FILM. 500mg PHARMAZAC S.A. GRECIA CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 60X1 COMPR. FILM. PR 60 48.840000 53.998600 101.948900
621 W68821001 L02BX03 ABIRATERONUM **1 ABIRATERONE ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PVDC-AL PERFORATE X 60X1 (DOZA UNITARA) COMPR. FILM. PRF 60 48.840000 53.998600 101.949900

Pagina 28 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
622 W68955002 L02BX03 ABIRATERONUM **1 ABIRATERONA KRKA 500 mg COMPR. FILM. 500mg KRKA ,D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. (PVC/PE/PVDC//HARTIE/AL) X 60 COMPRIMATE FILMATE PRF 60 40.700000 44.998833 0.000000
623 W67868004 L02BX03 ABIRATERONUM **1 ABIRATERONA DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 60X1 COMPR. FILM. PR 60 48.840000 53.998600 96.032066
624 W67870001 L02BX03 ABIRATERONUM **1 ABIRATERONA RICHTER 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. TRANSPARENTE SAU OPACE DIN PVC-PVDC/AL X 60 COMPR. FILM. PRF 60 48.840000 53.998600 94.502566
625 W68732006 L02BX03 ABIRATERONUM **1 ABIRATERONA MYLAN 500 mg COMPR. FILM. 500mg MYLAN IRELAND LIIMTED IRLANDA CUTIE CU BLISTERE DIN AL-PVC/PE/PVDC CONTINÂND 60 COMPRIMATE PRF 60 40.700000 44.998833 0.000000
626 W68536001 L02BX03 ABIRATERONUM **1 ABIRATERONA PHARMAZAC 500 mg COMPR. FILM. 500mg PHARMAZAC S.A. GRECIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. PR 56 48.840000 53.998600 102.033007
627 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 69.190000 87.490000 0.000000
628 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 116.508000 147.312000 0.678000
629 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 116.720000 142.490000 0.000000
630 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 73.620000 93.080000 0.000000
631 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97.090000 122.760000 0.000000
632 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 846.090000 960.390000 0.000000
633 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 75.120000 89.510000 0.000000
634 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 116.508000 145.440000 0.000000
635 W65254001 L03AA13 PEGFILGRASTIMUM ZIEXTENZO 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg SANDOZ GMBH AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 1,310.740000 1,466.860000 0.000000
636 W65705001 L03AA13 PEGFILGRASTIMUM PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 1,306.440000 1,462.170000 0.000000
637 W51563001 L03AA13 PEGFILGRASTIMUM NEULASTA 6mg SOL. INJ. 6mg(10mg/ml) AMGEN EUROPE B.V. OLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML (10 MG/ML) SOL. INJ. PR 1 1,567.728000 1,754.604000 174.966000
638 W66201001 L03AA13 PEGFILGRASTIMUM PELGRAZ 6 mg SOL. INJ. IN INJECTOR PREUMPLUT 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 INJECTOR PREUMPLUT CARE CONTINE 0,6 ML SOL. INJ. PR 1 1,306.440000 1,462.170000 0.000000
639 W66956001 L03AA13 PEGFILGRASTIMUM PELMEG 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml MUNDIPHARMA CORPORATION (IRELAND) LIMITED IRLANDA CUTIE CU AMBALAJ TIP BLISTER CE CONTINE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 1,310.740000 1,466.860000 0.000000
640 W66175001 L03AA13 PEGFILGRASTIMUM GRASUSTEK 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml JUTA PHARMA GMBH GERMANIA CUTIE CU 1 SERINGA PREUMPLUTA CU DOP DIN CAUCIUC SI AC DIN OTEL INOXIDABIL CU GARDA AUTOMATA A ACULUI X 0,6 ML SOL. INJ. (6 MG PEGFILGRASTIM) PR 1 1,459.920000 1,629.460000 0.000000
641 W65757001 L03AB15 ROPEGINTERFERON ALFA-2B **1 BESREMI 250 mcg/0,5 ml SOL. INJ. IN PEN PRE-UMPLUT 250mcg/0,5ml AOP ORPHAN PHARMACEUTICALS AG AUSTRIA CUTIE X 1 PEN PREUMPLUT SI 2 ACE X 0,5 ML SOL. INJ. IN PEN PREUMPLUT PR 1 6,597.620000 7,229.560000 0.000000
642 W67983001 L03AX03 VACCIN BCG **1 ONKO BCG 100 PULB+SOLV.PT.SUSP. INTRAVEZICALA 100mg ANISAPHARM DISTRIBUTION S.R.L. ROMANIA CUTIE CU 1 FIOLA CU PULB.+1 FIOLA CU 1 ML SOLV. PR 1 773.000000 880.720000 0.000000
643 W68371001 L04AX02 TALIDOMIDUM **1 TALIDOMIDA BMS 50 mg CAPS. 50mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE TIP PORTOFEL X 28 CAPS. (14 CAPS. X 2 BLISTERE PCTFE/PVC/AL) PR 28 44.541071 49.912142 0.000000
644 W65072001 L04AX02 TALIDOMIDUM **1 THALIDOMIDE CELGENE 50 mg CAPS. 50mg CELGENE EUROPE BV OLANDA CUTIE TIP PORTOFEL X 28 CAPS. (14 CAPS. X 2 BLISTERE PCTFE/PVC/AL) PR 28 44.541071 49.912142 0.000000
645 W67325001 L04AX02 TALIDOMIDUM **1 TALIDOMIDA ACCORD 50 mg CAPS. 50mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE TIP PORTOFEL CU BLIST. PVC-PCTFE/AL X 28 CAPS. PRF 28 43.869642 49.180357 0.000000
646 W67325002 L04AX02 TALIDOMIDUM **1 TALIDOMIDA ACCORD 50 mg CAPS. 50mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PERFORATE PVC-PCTFE/AL PT. ELIB. UNEI UNITATI DOZATE X 28 CAPS. PRF 28 43.869642 49.180357 0.000000
647 W68338004 L04AX03 METHOTREXATUM METOTREXAT SANDOZ 2,5 mg (vezi L01BA01) COMPR. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PP X 50 COMPR. PR 50 0.759600 0.993600 0.000000
648 W68338006 L04AX03 METHOTREXATUM METOTREXAT SANDOZ 2,5 mg (vezi L01BA01) COMPR. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. PR 50 0.759600 0.993600 0.000000
649 W65684001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 10 mg CAPS. 10mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 119.883428 132.853142 42.549715
650 W68919001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA LABORMED 10 mg CAPS. 10mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 119.883428 132.853142 236.394953
651 W64957001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 10 mg CAPS. 10mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 119.883428 132.853142 236.394953
652 W65248003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 10 mg CAPS. 10mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 119.883428 132.853142 13.902572
653 W68960002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE KRKA 10 mg CAPS. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. (OPA/AL/PVC-PET/AL) TIP CALENDAR, CU 21 X 1 CAPSULA (DOZA UNITARA) PR 21 99.902857 110.710952 0.000000
654 W65249003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 15 mg CAPS. 15mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 119.883428 132.853142 31.547334
655 W68920001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA LABORMED 15 mg CAPS. 15mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 119.883428 132.853142 348.959238
656 W66646002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 15 mg CAPS. 15mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 119.883428 132.853142 268.249715
657 W64958001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 15 mg CAPS. 15mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 119.883428 132.853142 348.959238
658 W65685001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 15 mg CAPS. 15mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 119.883428 132.853142 80.562572
659 W68961002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE KRKA 15 mg CAPS. 15mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. (OPA/AL/PVC-PET/AL) TIP CALENDAR, CU 21 X 1 CAPSULA (DOZA UNITARA) PR 21 99.902857 110.710952 0.000000
660 W66648002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 25 mg CAPS. 25mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 119.883428 132.853142 237.987810
661 W64960001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 25 mg CAPS. 25mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 119.883428 132.853142 508.330667
662 W68963002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE KRKA 25 mg CAPS. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. (OPA/AL/PVC-PET/AL) TIP CALENDAR, CU 21 X 1 CAPSULA (DOZA UNITARA) PR 21 99.902857 110.710952 0.000000
663 W68922001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA LABORMED 25 mg CAPS. 25mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 119.883428 132.853142 508.330667
664 W65687001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 25 mg CAPS. 25mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 119.883428 132.853142 113.799715
665 W65251003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 25 mg CAPS. 25mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 119.883428 132.853142 69.774000
666 W64955002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 5 mg CAPS. 5mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 63.562285 71.462856 454.445239
667 W65246003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 5 mg CAPS. 5mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 63.562285 71.462856 51.777620

Pagina 29 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
668 W65682001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 5 mg CAPS. 5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 63.562285 71.462856 69.341905
669 W66643002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 5 mg CAPS. 5mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 63.562285 71.462856 313.465239
670 W68917002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA LABORMED 5 mg CAPS. 5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 63.562285 71.462856 454.445239
671 W68958002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE KRKA 5 mg CAPS. 5mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. (OPA/AL/PVC-PET/AL) TIP CALENDAR, CU 21 X 1 CAPSULA (DOZA UNITARA) PR 21 52.968571 59.552380 0.000000
672 W68142001 L04AX06 POMALIDOMIDUM **1 IMNOVID 3 mg CAPS. 3mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU BLIST. PVC/PCTFE X 21 CAPS. PR 21 1,693.203809 1,847.409047 0.000000
673 W64986001 L04AX06 POMALIDOMIDUM **1 IMNOVID 4 mg CAPS. 4mg CELGENE EUROPE B.V. OLANDA CUTIE CU BLIST. PVC/PCTFE X 21 CAPS. PR 21 1,611.690476 1,758.559523 0.000000
674 W68143001 L04AX06 POMALIDOMIDUM **1 IMNOVID 4 mg CAPS. 4mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU BLIST. PVC/PCTFE X 21 CAPS. PR 21 1,611.690476 1,758.559523 0.000000
675 W52199001 M05BA02 ACIDUM CLODRONICUM ** SINDRONAT (R) 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 5 ML S 1 40.110000 52.470000 0.000000
676 W64719001 M05BA02 ACIDUM CLODRONICUM ** SINDRONAT 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 40.110000 52.470000 0.000000
677 W68901001 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONATE HOSPIRA 3 mg/ml CONC. PT. SOL. PERF. 3 mg/ml PFIZER ROMANIA S.R.L. ROMANIA CUTIE CU UN FLACON A 10 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 173.850000 212.240000 0.000000
678 W56932004 M05BA06 ACIDUM IBANDRONICUM IASIBON 50 mg COMPR. FILM. 50mg PHARMATHEN S.A. GRECIA CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR 28 7.016785 8.566071 0.000000
679 W65655001 M05BA06 ACIDUM IBANDRONICUM ACID IBANDRONIC ACCORD 6 mg CONC. PT. SOL. PERF. 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 6 ML, DIN STICLA DE TIP I SI FLUOROTEC PR 1 124.730000 152.270000 0.000000
680 W56933001 M05BA06 ACIDUM IBANDRONICUM IASIBON 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml PHARMATHEN S.A. GRECIA CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR 1 149.676000 182.724000 101.816000
681 W68325004 M05BA08 ACIDUM ZOLEDRONICUM ACID ZOLEDRONIC TEVA 4 mg/5 ml CONC. PT. SOL. PERF. 4 mg/5 ml TEVA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 104.880000 132.612000 293.138000
682 W65657001 M05BA08 ACIDUM ZOLEDRONICUM ACID ZOLEDRONIC ACCORD 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 5 ML DIN COPOLIMER CICLOOLEFINIC TRANSPARENT PRF 1 104.880000 132.612000 2.148000
683 W59588001 M05BA08 ACIDUM ZOLEDRONICUM ACID ZOLEDRONIC ACTAVIS 4mg/5ml CONC. PT. SOL. PERF. 4mg/5ml ACTAVIS GROUP PTC EHF. ISLANDA PR
CUTIE X 1 FLACON PLASTIC TRANSPARENT, INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PER 1 87.400000 110.510000 0.000000
684 W59090002 M05BA08 ACIDUM ZOLEDRONICUM ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF. 4 104.880000 132.612000 40.583000
685 W60543001 M05BA08 ACIDUM ZOLEDRONICUM ZERLINDA 4 mg/100 ml SOL. PERF. 4mg/100ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 PUNGA A 100 ML SOL. PERF. PR 1 104.600000 127.690000 0.000000
686 W68080001 M05BA08 ACIDUM ZOLEDRONICUM ZERLINDA 4 mg/100 ml SOL. PERF. 4mg/100ml TEVA B.V. OLANDA CUTIE CU 1 PUNGA A 100 ML SOL. PERF. PR 1 104.600000 127.690000 0.000000
687 W66310001 M05BA08 ACIDUM ZOLEDRONICUM ACID ZOLEDRONIC ACCORD 4 mg/100 ml SOL. PERF. 4mg/100ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 PUNGA DIN PLASTIC POLIOLEFINIC CU 100 ML SOL. PERF. PR 1 91.730000 115.980000 0.000000
688 W57534001 M05BX04 DENOSUMAB ** Ω XGEVA 120mg SOL INJ. 70mg/ml AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA CE CONTINE 120MG DENOSUMAB IN 1,7ML SOL.INJ. PRF 1 1,140.300000 1,281.080000 0.000000
689 W04133001 V03AF01 MESNUM UROMITEXAN 400mg/4ml SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR 15 9.928666 12.120666 0.000000
690 W62525009 V03AF03 CALCII FOLINAS FOLINAT DE CALCIU KABI 10 mg/ml SOL. INJ./PERF. 10mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 10 FLACOANE DIN STICLA BRUNA, PREVAZUTE CU DOP DIN CAUCIUC CLOROBUTILIC SI SIGILATE CU CAPSA DIN AL TIP FLIP-OFF SI DISC DE CULOARE VIOLET, CARE CONTIN 20 ML SOL. INJ./PERF. PR 10 142.336000 158.961000 0.000000
691 W62525006 V03AF03 CALCII FOLINAS FOLINAT DE CALCIU KABI 10 mg/ml SOL. INJ./PERF. 10mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 10 FLACOANE DIN STICLA BRUNA, PREVAZUTE CU DOP DIN CAUCIUC CLOROBUTILIC SI SIGILATE CU CAPSA DIN AL TIP FLIP-OFF SI DISC DE CULOARE GALBENA, CARE CONTIN 10 ML SOL. INJ./PERF. PR 10 74.508000 85.029000 0.000000
692 W64436002 V03AF03 CALCII FOLINAS FOLCASIN 10 mg/ml SOL. INJ./PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SOL. INJ./PERF. PR 1 84.970000 102.034800 5.405200
693 W52218002 V03AF03 CALCII FOLINAS FOLCASIN 10 mg/ml SOL. INJ./PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SOL. INJ./PERF. S/P-RF 1 84.970000 102.034800 5.405200

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE


Subprogramul de tratament al sclerozei multiple

1 W65163001 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK EUROPE B.V. OLANDA CUTIE CU 4 CARTUSE (DIN STICLA DE TIP I), CU DOP CU PISTON (DIN CAUCIUC) SI UN CAPAC FARA FILET (DIN ALUMINIU SI CAUCIUC HALOBUTILIC) CONTINAND 1.5 ML SOLUTIE INJECTABILA PR 4 766.652500 845.187500 0.000000
2 W65147001 L03AB07 INTERFERONUM BETA 1A **1 AVONEX 30µg/0,5ml PEN SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 30µg/0,5ml BIOGEN NETHERLANDS B.V. OLANDA AMBALAJ X 4 CUTII INDIVIDUALE FIECARE CONTINAND 1 STILOU INJECTOR (PEN) DE UNICA FOLOSINTA, 1 AC DE INJECTIE SI 1 CAPAC PENTRU STILOU INJECTOR (PEN) X 0.5ML PR 4 705.150000 778.150000 0.000000
3 W65162003 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 44µg MERCK EUROPE B.V. OLANDA CUTIE CU 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. PR 12 264.155000 291.108333 0.000000
4 W63878007 L03AB08 INTERFERONUM BETA 1-B **1 BETAFERON 250µg/ml PULB. + SOLV. PT. SOL. INJ. 250µg/ml BAYER AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. + ADAPTOR CU AC SI 2 TAMPOANE CU ALCOOL PR 15 160.470666 177.456666 0.000000
5 W64761001 L03AB13 PEGINTERFERON BETA-1A **1 PLEGRIDY 63 micrograme+94 micrograme SOL. INJ. IN PEN PRE-UMPLUT FARA CONCENTRATIE BIOGEN NETHERLANDS B.V. OLANDA PACHET DE INITIERE CONTINE 1 PEN PREUMPLUT DE 63 MICROGRAME (PEN CU ETICHETA PORTOCALIE,PRIMA DOZA) SI 1 PEN PREUMPLUT DE 94 MICROGRAME(PEN CU ETICHETA ALBASTRA,A DOUA DOZA) PRF 1 1,986.850000 2,203.820000 0.000000
6 W65153001 L03AB13 PEGINTERFERON BETA-1A **1 PLEGRIDY 125 micrograme SOL. INJ. IN PEN PRE-UMPLUT FARA CONCENTRATIE BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 2 PEN-URI PREUMPLUTE DE 125 MICROGRAME (PEN-URI CU ETICHETA GRI) PRF 2 1,368.420000 1,510.655000 0.000000
7 W62547002 L03AX13 GLATIRAMER ACETAT **1 COPAXONE 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA PR
CUTIE CU 12 SERINGI PREUMPLUTE A CATE 1 ML SOL. INJ. IN SERINGA PREUMPLUTA 12 189.082500 209.279166 0.000000
8 W68201002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml LABORMED PHARMA S.A. ROMANIA CUTIE CU 12 SERINGI PREUMPLUTE X 1 ML SOL. INJ. PR 12 161.247500 178.939166 0.000000
9 W64563002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 12 SERINGI PREUMPLUTE X 1 ML SOL. INJ. PR 12 161.247500 178.939166 0.000000
10 W63124002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 20 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 20mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG PR
CUTIE CU 28 SERINGI PREUMPLUTE DIN STICLA DE UNICA FOLOSINTA, CU AC INCORPORAT, ACOPERIT CU UN CAPAC PROTECTOR CARE CONTIN SOL. INJ. 28 73.441785 81.413928 0.000000
11 W68309002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 20 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 20mg/ml LABORMED PHARMA S.A. ROMANIA PR
CUTIE CU 28 SERINGI PREUMPLUTE DIN STICLA DE UNICA FOLOSINTA, CU AC INCORPORAT, ACOPERIT CU UN CAPAC PROTECTOR CARE CONTIN SOL. INJ. 28 73.441785 81.413928 0.000000
12 W65148001 L04AA23 NATALIZUMABUM **1 TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. X 15ML CONC. PT. SOL. PERF PR 1 5,372.960000 5,894.680000 0.000000
13 W67544001 L04AA23 NATALIZUMABUM **1 TYSABRI 150mg SOL INJ. IN SERINGA PREUMPLUTA 150mg BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE PR 2 2,777.120000 3,046.135000 0.000000
14 W66496002 L04AA27 FINGOLIMODUM **1 Ω GILENYA 0,25 mg CAPS. 0,25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. DIN PVC/PVDC/AL X 28 CAPS. PR 28 144.042500 158.368928 0.000000
15 W64461005 L04AA27 FINGOLIMODUM **1 Ω GILENYA 0,5 mg CAPS. 0,5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/AL CU 28 CAPSULE PR 28 127.167500 139.975000 0.000000

Pagina 30 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
16 W69302002 L04AA31 TERIFLUNOMIDUM **1 AUBAGIO COMPR. FILM. 14mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE CU 28 COMPR. FILM. PR 28 106.301785 117.231428 0.000000
17 W60449002 L04AA31 TERIFLUNOMIDUM **1 AUBAGIO COMPR. FILM. 14mg SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 28 COMPR. FILM. PR 28 106.301785 117.231428 0.000000
18 W64873001 L04AA34 ALEMTUZUMABUM **1 Ω LEMTRADA 12mg CONC. PT. SOL. PERF. 12mg/1,2ml SANOFI BELGIUM BELGIA CUTIE CU 1 FLACON X 12MG/1,2ML PR 1 25,942.140000 28,315.120000 0.000000
19 W64485001 L04AA36 OCRELIZUMAB **1 Ω OCREVUS 300 mg CONC. PT. SOL. PERF. 300mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 10 ML CONC. PR 1 21,712.990000 23,705.310000 0.000000
20 W64663001 L04AA40 CLADRIBINUM **1 Ω MAVENCLAD 10 mg COMPR. 10mg MERCK EUROPE B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC-AL X 1 COMPR. (AMBALAJ TIP PORTOFEL) PR 1 7,433.380000 8,140.550000 0.000000
21 W64663002 L04AA40 CLADRIBINUM **1 Ω MAVENCLAD 10 mg COMPR. 10mg MERCK EUROPE B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC-AL X 4 COMPR. (AMBALAJ TIP PORTOFEL) PR 4 7,410.882500 8,087.410000 0.000000
22 W66696002 L04AA42 SIPONIMOD **1 MAYZENT 0,25 mg COMPR. FILM. 0,25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST.PA/AL/PVC/A X 120 COMPRIMATE FILMATE PR 120 37.930166 41.661833 0.000000
23 W66696001 L04AA42 SIPONIMOD **1 MAYZENT 0,25 mg COMPR. FILM. 0,25mg NOVARTIS EUROPHARM LTD. IRLANDA PACHETE/KITURI DE TITRARE A CATE 12 COMPRIMATE FILMATE IN BLIST.PA/AL/PVC/AI IN PORTOFEL PR 12 40.180000 46.975000 0.000000
24 W68730001 L04AA42 SIPONIMOD **1 MAYZENT 1 mg COMPR. FILM. 1mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST.PA/AL/PVC/AL X 28 COMPRIMATE FILMATE PR 28 163.643928 179.734285 0.000000
25 W66697001 L04AA42 SIPONIMOD **1 MAYZENT 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST.PA/AL/PVC/A X 28 COMPRIMATE FILMATE PR 28 163.643928 179.734285 0.000000
26 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0.517600 0.654500 0.000000
27 W65150001 L04AX07 DIMETHYL FUMARATE **1 Ω TECFIDERA 120 mg CAPS. GASTROREZ. 120mg BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU BLIST. PVC/PE/PVDC-PVC ALUMINIU X 14 CAPS. GASTROREZ. PR 14 34.135714 39.932857 0.000000
28 W65151001 L04AX07 DIMETHYL FUMARATE **1 Ω TECFIDERA 240 mg CAPS. GASTROREZ. 240mg BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU BLIST. PVC/PE/PVDC-PVC ALUMINIU X 56 CAPS. GASTROREZ. PR 56 63.013571 69.366071 0.000000

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT


Tratamentul medicamentos al bolnavilor cu diabet zaharat

1 W64794002 A10AB01 INSULINE UMANE HUMULIN R KwikPen 100 UI/ml SOL. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SOL. INJ. PRF 6 19.473333 23.773333 0.000000
2 W08452003 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 18.516000 23.412000 0.000000
3 W52999001 A10AB01 INSULINE UMANE HUMULIN R 100 UI/ml SOL. INJ. IN FLACON 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ. P-RF 1 55.630000 70.340000 0.000000
4 W08451001 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 27.696000 33.812000 0.000000
5 W53811003 A10AB01 INSULINE UMANE INSUMAN RAPID 100 UI/ml SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 17.246000 21.806000 0.000000
6 W66676001 A10AB04 INSULINUM LISPRO ** LYUMJEV 100U/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE PREUMPLUTE (KWIKPEN) X 3 ML SOL. INJ. (3,5MG/ML) PRF 5 30.074000 36.714000 0.000000
7 W64009002 A10AB04 INSULINUM LISPRO ** HUMALOG 100 unitati/ml JUNIOR KWIKPEN SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml ELI LILLY NEDERLAND BV OLANDA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE A CATE 3 ML SOL. INJ. PRF 5 30.074000 36.714000 0.000000
8 W66677001 A10AB04 INSULINUM LISPRO ** LYUMJEV 200U/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 200 U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE PREUMPLUTE (KWIKPEN) X 3 ML SOL. INJ. (6,9MG/ML) PRF 5 63.788000 77.160000 0.000000
9 W62269001 A10AB04 INSULINUM LISPRO ** HUMALOG 200 UNITATI/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 200unitati/ml ELI LILLY NEDERLAND BV OLANDA 5 STILOURI INJECTOARE (PEN) PREUMPLUTE A 3 ML (KWIKPEN) PRF 5 60.602000 73.686000 0.000000
10 W52601001 A10AB04 INSULINUM LISPRO ** HUMALOG 100 U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ. P-RF 5 25.062000 30.596000 0.000000
11 W53873001 A10AB04 INSULINUM LISPRO ** HUMALOG KWIKPEN100U/ml SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ. P-RF 5 30.072000 36.712000 0.000000
12 W63977001 A10AB05 INSULINUM ASPART ** FIASP 100 unitati/ml SOL INJ. IN FLAC. 100unitati/ml NOVO NORDISK A/S DANEMARCA 1 FLAC. (STICLA) X 10 ML SOL. PRF 1 77.630000 98.150000 0.000000
13 W63975005 A10AB05 INSULINUM ASPART ** FIASP 100 unitati/ml SOL INJ. IN STILOU INJECTOR PREUMPLUT 100unitati/ml NOVO NORDISK A/S DANEMARCA 5 STILOURI INJECTOARE PREUMPLUTE (STICLA) (FLEXTOUCH) X 3 ML SOL. PRF 5 30.616000 37.376000 0.000000
14 W08932002 A10AB05 INSULINUM ASPART ** NOVORAPID FLEXPEN 100 unitati/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML P-RF 5 26.950000 32.900000 0.000000
15 W07268001 A10AB05 INSULINUM ASPART ** NOVORAPID PENFILL 100 unitati/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 26.180000 31.960000 0.000000
16 W41740004 A10AB06 INSULINUM GLULIZINA ** APIDRA 100U/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 23.222000 28.350000 0.000000
17 W52538004 A10AB06 INSULINUM GLULIZINA ** APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ. P-RF 5 22.848000 27.894000 0.000000
18 W64795002 A10AC01 INSULINE UMANE HUMULIN N KwikPen 100 UI/ml SUSP. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SUSP. INJ. PRF 6 20.697600 26.030000 0.000000
19 W08444003 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 17.394000 21.992000 0.000000
20 W53808003 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SoloStar SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 17.248000 21.808000 0.000000
21 W64796002 A10AD01 INSULINE UMANE HUMULIN M3 KwikPen 100 UI/ml SUSP. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SUSP. INJ. PRF 6 21.182400 26.613333 0.000000
22 W03703002 A10AD01 INSULINE UMANE MIXTARD 30 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 20.162000 24.614000 0.000000
23 W08449003 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 21.182400 26.781600 12.380400
24 W08446003 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 18.582000 23.494000 0.000000
25 W08445002 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF 5 30.414000 37.130000 0.000000
26 W53810003 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SoloStar SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS, DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 17.652000 22.318000 0.000000
27 W52602001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX25 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP.INJ. P-RF 5 26.346000 32.164000 0.000000
28 W03665001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX50 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 26.338000 32.154000 0.000000

Pagina 31 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
29 W53874001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX25 KWIKPEN 100U/ml 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3 ML, SUSP. INJ.
SUSP. INJ. IN STILOU INJECTOR PREUMPLUT P-RF 5 31.280000 38.186000 0.000000
30 W53875001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX50 KWIKPEN 100U/ml 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3 ML, SUSP. INJ.
SUSP. INJ. IN STILOU INJECTOR PREUMPLUT P-RF 5 31.106000 37.974000 0.000000
31 W08973001 A10AD05 INSULINUM ASPART ** NOVOMIX 30 FLEXPEN SUSP. INJ. 100UIml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML P-RF 5 32.262000 39.386000 0.000000
32 W08254001 A10AD05 INSULINUM ASPART ** NOVOMIX 30 PENFILL 100 U/ml SUSP. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 27.186000 33.188000 0.000000
33 W67111004 A10AD06 COMBINATII (INSULINUM DEGLUDEC + INSULINUM ASPART) ** RYZODEG 100 unitati/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 5 STILOURI INJECTOARE (FLEXTOUCH) PREUMPLUTE A 3 ML
SOL INJ. IN STILOU INJECTOR PREUMPLUT 100 unitati/ml (2,56mg+ 1,05mg PRF 5 41.634000 50.826000 0.000000
34 W65160002 A10AE04 INSULINUM GLARGINE ** ABASAGLAR 100UI/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ X10 STILOURI PRE-UMPLUTE/PEN (2 CUTII X 5 PEN) A 3ML DOZAJ 80U
SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT PRF 10 36.052000 43.112000 0.000000
35 W08054002 A10AE04 INSULINUM GLARGINE ** LANTUS 100UI/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. P-RF 5 37.014000 45.186000 0.000000
36 W65691001 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 Unitati/ml DOUBLESTAR SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 3 STILOURI INJECTOARE PREUMPLUTE X 3 ML SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT DOUBLESTAR PRF 3 113.723333 136.676666 0.000000
37 W61744003 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 unitati/ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 5 STILOURI INJECTOARE PREUMPLUTE X 1,5 ML SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT SOLOSTAR PRF 5 54.672000 66.744000 0.000000
38 W52628008 A10AE04 INSULINUM GLARGINE ** LANTUS SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 37.014000 45.186000 0.000000
39 W41731002 A10AE05 INSULINUM DETEMIR ** LEVEMIR FLEXPEN 100 unitati/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 46.626000 56.922000 0.000000
40 W41732002 A10AE05 INSULINUM DETEMIR ** LEVEMIR PENFILL 100 unitati/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF 5 43.104000 52.622000 0.000000
41 W66105004 A10AE06 INSULINUM DEGLUDEC ** TRESIBA 100 unitati/ml SOL INJ. IN STILOU INJECTOR PREUMPLUT 100 UI/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 5 STILOURI INJECTOARE PREUMPLUTE (FLEXTOUCH) X 3 ML SOL. INJ. PRF 5 50.900000 62.138000 0.000000
42 W63476001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+33 micrograme/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+33micrograme/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 69.740000 83.646000 0.000000
43 W63475001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+50 micrograme/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+50micrograme/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 134.172000 153.878000 0.000000
44 W69321001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+33 micrograme/ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+33micrograme/ml SANOFI WINTHROP INDUSTRIE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 69.740000 83.646000 0.000000
45 W69320001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+50 micrograme/ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+50micrograme/ml SANOFI WINTHROP INDUSTRIE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 134.172000 153.878000 0.000000
46 W66240003 A10AE56 COMBINATII (INSULINUM DEGLUDEC + LIRAGLUTIDUM) ** XULTOPHY 100 unitati/ml + 3,6 mg/ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100U/ml+3,6mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML SOL. INJ. IN CARTUS PRF 5 150.094000 171.232000 0.000000
47 W53953002 A10BA02 METFORMINUM METFORMINA ARENA 1000 mg COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. PRF 200 0.183400 0.247999 0.105951
48 W53953004 A10BA02 METFORMINUM METFORMINA ARENA 1000 mg COMPR. 1000mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. DIN PE X 180 COMPR. PRF 180 0.183400 0.247999 0.141667
49 W53951003 A10BA02 METFORMINUM METFORMINA ARENA 500 mg COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. P-RF 60 0.133200 0.180000 0.322333
50 W65730002 A10BA02 METFORMINUM SIOFOR 1000 mg COMPR. CU ELIB. PREL. 1000mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0.183400 0.247999 0.562334
51 W65728002 A10BA02 METFORMINUM SIOFOR 500 mg COMPR. CU ELIB. PREL. 500mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0.133200 0.180000 0.258666
52 W65729002 A10BA02 METFORMINUM SIOFOR 750 mg COMPR. CU ELIB. PREL. 750mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0.467000 0.631333 0.000000
53 W63931004 A10BA02 METFORMINUM GLUCOPHAGE XR 1000 mg COMPR. ELIB. PREL. 1000mg MERCK SANTE S.A.S. FRANTA CUTIE CU 6 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. PRF 60 0.183400 0.247999 0.699167
54 W43318002 A10BA02 METFORMINUM GLUCOPHAGE XR 500 mg COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P6L 30 0.133200 0.180000 0.364000
55 W63930004 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 4 BLIST. PVC/PVDC/AL X 15 COMPR. ELIB. PREL. PRF 60 0.560400 0.747333 0.000000
56 W63930002 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 2 BLIST. PVC/PVDC/AL X 15 COMPR. ELIB. PREL. PRF 30 0.560400 0.757600 0.027066
57 W69016005 A10BA02 METFORMINUM ZENOFOR 1000 mg COMPR. FILM. 1000mg ZENTIVA, K.S. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P6L 60 0.177833 0.240333 0.000000
58 W42349002 A10BA02 METFORMINUM SIOFOR 1000 mg COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. P6L 60 0.183400 0.247999 0.086334
59 W65995002 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.176333 0.238333 0.000000
60 W43828002 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM P6L 120 0.156166 0.211083 0.000000
61 W13583011 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL, X 60 COMPR. FILM. P-6L 60 0.183400 0.247999 0.134167
62 W68292011 A10BA02 METFORMINUM BROTMIN 1000 mg COMPR. FILM. 1000mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P6L 60 0.152833 0.206666 0.000000
63 W13955002 A10BA02 METFORMINUM MEGUAN 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 30 0.133200 0.180000 0.171333
64 W68290008 A10BA02 METFORMINUM BROTMIN 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM. P6L 60 0.111000 0.150000 0.000000
65 W41858003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P6L 30 0.062666 0.084666 0.000000
66 W41858002 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P6L 100 0.063300 0.085500 0.000000
67 W41858004 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P6L 1000 0.075199 0.101599 0.028291
68 W41859003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P6L 30 0.045000 0.061000 0.000000
69 W41859002 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P6L 100 0.045300 0.061200 0.000000
70 W41859004 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P6L 1000 0.054000 0.073200 0.023800
71 W53679003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P6L 30 0.332333 0.449000 0.000000
72 W65039001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. CU ELIB. MODIF. PRF 30 1.463333 1.914000 0.000000
73 W03348001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. ELIB. MODIF. P-RF 30 1.463333 1.914000 0.000000
74 W03352001 A10BB08 GLIQUIDONUM GLURENORM 30 mg COMPR. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 0.734000 0.960000 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
75 W59674006 A10BB09 GLICLAZIDUM GLYCLADA 60 mg COMPR. CU ELIB. MODIF. 60mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. CU ELIB. MODIF. PRF 60 0.474666 0.620833 0.000000
76 W54001011 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. CU ELIB. PREL. 30mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 4 BLISTERE DIN OPA-AL-PVC/AL X 15 COMPR. CU ELIB. PREL. P6L 60 0.230666 0.311833 0.000000
77 W54001012 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. CU ELIB. PREL. 30mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 6 BLISTERE DIN OPA-AL-PVC/AL X 10 COMPR. CU ELIB. PREL. P6L 60 0.230666 0.311833 0.000000
78 W55137009 A10BB09 GLICLAZIDUM DIAPREL MR 60 mg COMPR. ELIB. MODIF. 60mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF. P-RF 60 0.569599 0.745000 0.101500
79 W54001004 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-6L 60 0.255666 0.345666 0.000000
80 W54001003 A10BB09 GLICLAZIDUM GLYCLADA 30 mg COMPR. ELIB. PREL. 30mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL. P-6L 60 0.255666 0.345666 0.000000
81 W62433005 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.161000 0.217666 0.000000
82 W62434004 A10BB12 GLIMEPIRIDUM AMARYL 2 mg COMPR. 2mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.263333 0.356000 0.000000
83 W62435004 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.450000 0.608000 0.000000
84 W62436004 A10BB12 GLIMEPIRIDUM AMARYL 4 mg COMPR. 4mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.490333 0.662666 0.000000
85 W62437004 A10BB12 GLIMEPIRIDUM AMARYL 6 mg COMPR. 6mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0.841666 1.101000 0.000000
86 W42117001 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS.
P-RF 20 0.374500 0.458040 0.047960
87 W42117002 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS.
P-RF/S 500 0.312660 0.381700 0.000000
88 W10546002 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLIBOMET 400 mg/2,5mg COMPR. FILM. 400mg/2,5mg LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM.
P6L 60 0.373833 0.458040 0.047126
89 W13594006 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE FRANTA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P6L 60 0.508333 0.664833 0.000000
90 W13595006 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/5 mg COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P6L 60 0.508333 0.664833 0.000000
91 W68796004 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** SITAGLIPTIN/METFORMIN TEVA 50 mg/1000 mg COMPR. FILM. 50mg/1000 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. PRF 56 1.331785 1.683928 0.000000
92 W68474001 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** JUZIMETTE 50 mg/1000 mg COMPR. FILM. 50mg/1000mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. ALBE, OPACE PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 1.439642 1.866642 0.016572
93 W67780008 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** EPROCLIV 50 mg/1000 mg COMPR. FILM. 50mg/1000mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. FILM. PRF 56 1.230178 1.555535 0.000000
94 W67718005 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. PRF 56 1.331785 1.683928 0.000000
95 W68835003 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** JAMESI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg ZENIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. PRF 56 1.331785 1.683928 0.000000
96 W69327001 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** SITAGLIPTIN/METFORMIN HYDROCHLORIDE ACCORD 50 mg/1000 mg COMPR. FILM. 50mg/1000mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 56 COMPR. FILM. PRF 56 1.331785 1.683928 0.000000
97 W69327002 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** SITAGLIPTIN/METFORMIN HYDROCHLORIDE ACCORD 50 mg/1000 mg COMPR. FILM. 50mg/1000mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (ALU/ALU) X 56 COMPR. FILM. PRF 56 1.331785 1.683928 0.000000
98 W67718025 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. TIP CALENDAR PVC-PE-PVDC-PE-PVC/AL X 56 COMPR. FILM. PRF 56 1.331785 1.683928 0.000000
99 W64669003 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** JANUMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PE/PVDC/AL X 56 COMPR. FILM. PRF 56 1.331785 1.683928 0.000000
100 W69160003 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** LONAMO DUO 50 mg/1000 mg COMPR. FILM. 50mg/1000mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 56 COMPR. FILM. PRF 56 1.331785 1.683928 0.000000
101 W68403003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** IPINZAN 50 mg/1000 mg COMPR. FILM. 50 mg/1000 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL X 60 COMPRIMATE FILMATE PRF 60 1.267200 1.602199 0.477467
102 W68403007 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** IPINZAN 50 mg/1000 mg COMPR. FILM. 50 mg/1000 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLISTERE DIN PVC-PE-PCTFE/AL X 60 COMPRIMATE FILMATE PRF 60 1.267200 1.602199 0.477467
103 W68421003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** IPINZAN 50 mg/850 mg COMPR. FILM. 50 mg/850 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL X 60 COMPRIMATE FILMATE PRF 60 1.443199 1.824799 0.393367
104 W68421007 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** IPINZAN 50 mg/850 mg COMPR. FILM. 50 mg/850 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLISTERE DIN PVC-PE-PCTFE/AL X 60 COMPRIMATE FILMATE PRF 60 1.443199 1.824799 0.394034
105 W67394004 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** GLUAMET 50 mg/850 mg COMPR. FILM. 50 mg/850 mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL X 60 COMPRIMATE FILMATE PRF 60 1.443199 1.824799 0.584701
106 W64469003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/1000mg COMPR. FILM. 50mg/1000mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) PRF 60 1.267200 1.602199 0.690967
107 W67492002 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** AGARTHA DUO 50 mg/1000 mg COMPR. FILM. 50mg/1000mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC//AL X 60 COMPR. FILM. PRF 60 1.267200 1.602199 0.132301
108 W67437005 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** MELKART DUO 50 mg/1000 mg COMPR. FILM. 50mg/1000mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1.056000 1.335166 0.000000
109 W64184003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** DALTEX 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1.267200 1.602199 0.077301
110 W67399004 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** GLUAMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL X 60 COMPRIMATE FILMATE PRF 60 1.267200 1.602199 0.759967
111 W67491002 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** AGARTHA DUO 50 mg/850 mg COMPR. FILM. 50mg/850mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC//AL X 60 COMPR. FILM. PRF 60 1.371833 1.734500 0.000000
112 W64470003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/850mg COMPR. FILM. 50mg/850mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) PRF 60 1.443199 1.824799 0.468367
113 W64183003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** DALTEX 50 mg/850 mg COMPR. FILM. 50mg/850mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1.308666 1.654666 0.000000
114 W67436005 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** MELKART DUO 50 mg/850 mg COMPR. FILM. 50mg/850mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1.202666 1.520666 0.000000
115 W62325004 A10BD15 COMBINATII (DAPAGLIFLOZINUM+METFORMINUM) ** XIGDUO 5 mg/1000 mg COMPR. FILM. 5mg/1000mg ASTRAZENECA AB SUEDIA BLIST. PVC/PCTFE/AL X 60 COMPR. FILM. PRF 60 2.963666 3.618000 0.000000
116 W62325003 A10BD15 COMBINATII (DAPAGLIFLOZINUM+METFORMINUM) ** XIGDUO 5 mg/1000 mg COMPR. FILM. 5mg/1000mg ASTRAZENECA AB SUEDIA BLIST. PVC/PCTFE/AL X 56 COMPR. FILM. PRF 56 2.963571 3.617857 0.000000
117 W64837005 A10BD20 COMBINATII (EMPAGLIFLOZINUM+METFORMINUM) ** SYNJARDY 12,5 mg/1000 mg COMPR. FILM. 12,5mg/1000mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PERFORATE DIN PVC/PVDC/AL PT. ELIBERAREA UNEI UNITATI DOZATE X 60X1 COMPR. FILM. PRF 60 2.962666 3.616833 0.000000
118 W64835005 A10BD20 COMBINATII (EMPAGLIFLOZINUM+METFORMINUM) ** SYNJARDY 5 mg/1000 mg COMPR. FILM. 5mg/1000mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PERFORATE DIN PVC/PVDC/AL PT. ELIBERAREA UNEI UNITATI DOZATE X 60X1 COMPR. FILM. PRF 60 2.962666 3.616833 0.000000
119 W63069001 A10BD21 COMBINATII (SAXAGLIPTINUM+DAPAGLIFLOZINUM) ** QTERN 5 mg/10 mg COMPR. FILM. 5mg/10mg ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PA/ALU/PVC-ALU X 30 COMPR. FILM. PRF 30 10.878666 13.129333 0.000000
120 W66528001 A10BD24 ERTUGLIFLOZINUM + SITAGLIPTINUM ** STEGLUJAN 15 mg/100mg COMPR. FILM. 15 mg+100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. X 28 COMPRIMATE FILMATE PRF 28 9.825714 11.995357 0.000000

Pagina 33 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
121 W66527001 A10BD24 ERTUGLIFLOZINUM + SITAGLIPTINUM ** STEGLUJAN 5 mg/100mg COMPR. FILM. 5 mg+100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. X 28 COMPRIMATE FILMATE PRF 28 9.825714 11.995357 0.000000
122 W63883002 A10BF01 ACARBOSUM GLUCOBAY 100 COMPR. 100mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0.488333 0.617416 0.000000
123 W63882002 A10BF01 ACARBOSUM GLUCOBAY 50 COMPR. 50mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0.295583 0.386666 0.000000
124 W65698002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1.144333 1.496666 0.000000
125 W65699002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1.190000 1.556666 0.000000
126 W65700002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1.190000 1.556666 0.000000
127 W68393001 A10BH01 SITAGLIPTINUM ** SITAGLIPTIN SUN 100 mg COMPR. FILM 100mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. PA/AL/PE X 28 COMPR. FILM. PRF 28 2.518285 3.184285 0.183572
128 W68392001 A10BH01 SITAGLIPTINUM ** SITAGLIPTIN SUN 50 mg COMPR. FILM 50mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. PA/AL/PE X 28 COMPR. FILM. PRF 28 1.605428 2.100000 0.676785
129 W69315003 A10BH01 SITAGLIPTINUM ** SITAGLIPTINA WORWAG 100 mg COMPR. FILM. 100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF 28 2.518285 3.184285 0.183215
130 W64831002 A10BH01 SITAGLIPTINUM ** JANUVIA 100 mg COMPR. FILM. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) PRF 28 2.518285 3.184285 0.183572
131 W68879001 A10BH01 SITAGLIPTINUM ** LONAMO 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 2.518285 3.184285 0.183572
132 W68861002 A10BH01 SITAGLIPTINUM ** JIDINUM 100 mg COMPR. FILM. 100mg MEDOCHEMIE LIMITED CIPRU CUTIE CU BLIST. DIN POLIAMIDA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 2.518285 3.184285 0.183572
133 W67106002 A10BH01 SITAGLIPTINUM ** MAYSIGLU 100 mg COMPR. FILM. 100mg KRKA, D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 2.098571 2.653571 0.000000
134 W68885001 A10BH01 SITAGLIPTINUM ** SITAGLIPTIN ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 2.518285 3.184285 0.183572
135 W68032001 A10BH01 SITAGLIPTINUM ** JUZINA 100 mg COMPR. FILM. 100mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 2.126428 2.688571 0.000000
136 W67914004 A10BH01 SITAGLIPTINUM ** ADIMUPLAN 100 mg COMPR. FILM. 100mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 2.421428 3.061428 0.000000
137 W68475002 A10BH01 SITAGLIPTINUM ** JAZETA 100 mg COMPR. FILM. 100mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. PRF 28 2.518285 3.184285 0.183572
138 W68475003 A10BH01 SITAGLIPTINUM ** JAZETA 100 mg COMPR. FILM. 100mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PRF 30 2.518285 3.184285 0.183715
139 W68481004 A10BH01 SITAGLIPTINUM ** JANSITIN 100 mg COMPR. FILM. 100mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PRF 30 2.518285 3.184285 0.183381
140 W64964002 A10BH01 SITAGLIPTINUM ** JANUVIA 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) PRF 28 1.605428 2.100000 0.676785
141 W68884001 A10BH01 SITAGLIPTINUM ** SITAGLIPTIN ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 1.605428 2.100000 0.676785
142 W67105002 A10BH01 SITAGLIPTINUM ** MAYSIGLU 50 mg COMPR. FILM. 50mg KRKA, D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 1.337857 1.750000 0.000000
143 W69198001 A10BH01 SITAGLIPTINUM ** JAZETA 25 mg/ml SOL. ORALA 25mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DE STICLA CU CAPACITATEA DE 100 ML, CU O SERINGA DE 5 ML DIN PLASTIC PENTRU ADMINISTRARE ORALA GRADATA LA FIECARE 0,5 ML PRF 1 65.840000 83.250000 0.000000
144 W66805004 A10BH02 VILDAGLIPTINUM ** GLUADDA 50 mg COMPR. 50mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 1.161799 1.468999 1.022334
145 W66814002 A10BH02 VILDAGLIPTINUM ** AGARTHA 50 mg COMPR. 50mg GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 1.161799 1.468999 0.428667
146 W64467005 A10BH02 VILDAGLIPTINUM ** GALVUS 50 mg COMPR. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC//AL X 56 COMPR. PRF 56 1.161799 1.468999 0.844393
147 W67312006 A10BH02 VILDAGLIPTINUM ** MELKART 50 mg COMPR. 50mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. PRF 60 0.968166 1.224166 0.000000
148 W64117005 A10BH02 VILDAGLIPTINUM ** DALMEVIN 50 mg COMPR. 50mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. PA-AL-PVC/AL X 56 COMPR. PRF 56 1.161799 1.468999 0.861001
149 W62289009 A10BH03 SAXAGLIPTINUM ** ONGLYZA COMPR. FILM. 5 mg ASTRAZENECA AB SUEDIA CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM. P-RF 30 4.980333 6.080000 0.000000
150 W61682001 A10BJ01 EXENATIDUM ** BYETTA 10µg/doza 10µg/doza
SOL. INJ. IN STILOU INJECTOR PREUMPLUT ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 346.870000 416.240000 0.000000
151 W61681001 A10BJ01 EXENATIDUM ** BYETTA 5µg/doza 5µg/doza
SOL. INJ. IN STILOU INJECTOR PREUMPLUT ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 232.550000 283.900000 0.000000
152 W64922001 A10BJ01 EXENATIDUM ** BYDUREON 2 mg 2mg
SUSP. INJ. CU ELIB. PREL. IN STILOU INJECOTR (PEN) ASTRAZENECA AB SUEDIA AMBALAJ X 4 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE CU DOZA UNICA (BCISE) PRF 4 98.485000 116.885000 0.000000
153 W54586003 A10BJ02 LIRAGLUTIDUM ** VICTOZA 6 mg/ml 6 mg/ml
SOL. INJ. IN STILOU INJECTOR PREUMPLUT NOVO NORDISK A/S DANEMARCA CUTIE X 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML SOLUTIE INJECTABILA/STILOU P-RF 3 197.880000 228.406666 0.000000
154 W61462002 A10BJ05 DULAGLUTIDUM ** TRULICITY 1,5 mg/0,5ml SOL INJ. 1,5 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ MULTIPLU X 12 (3 PACHETE A CÂTE 4) STILOURI INJECTOARE (PENURI) PREUMPLUTE CU 0,5 ML SOLUTIE INJECTABILA (FIECARE CU 1,5MG DULAGLUTID) PRF 12 85.734166 96.629166 0.000000
155 W67148001 A10BJ05 DULAGLUTIDUM ** TRULICITY 3 mg/0,5ml SOL INJ. 3 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ MULTIPLU X 12 (3 PACHETE A CÂTE 4) STILOURI INJECTOARE (PENURI) PREUMPLUTE CU 0,5 ML SOLUTIE INJECTABILA (FIECARE CU 3MG DULAGLUTID) PRF 12 85.734166 96.629166 0.000000
156 W67149001 A10BJ05 DULAGLUTIDUM ** TRULICITY 4,5 mg/0,5ml SOL INJ. 4,5 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ MULTIPLU X 12 (3 PACHETE A CÂTE 4) STILOURI INJECTOARE (PENURI) PREUMPLUTE CU 0,5 ML SOLUTIE INJECTABILA (FIECARE CU 4,5MG DULAGLUTID) PRF 12 85.734166 96.629166 0.000000
157 W66743003 A10BJ06 SEMAGLUTIDUM ** RYBELSUS 14 mg COMPR. 14 mg NOVO NORDISK A/S DANEMARCA CUTIE CU BLIST. AL/AL X 90 COMPRIMATE PRF 90 13.898555 15.573333 0.000000
158 W66741002 A10BJ06 SEMAGLUTIDUM ** RYBELSUS 3 mg COMPR. 3 mg NOVO NORDISK A/S DANEMARCA CUTIE CU BLIST. AL/AL X 30 COMPRIMATE PRF 30 14.565333 17.148000 0.000000
159 W66742004 A10BJ06 SEMAGLUTIDUM ** RYBELSUS 7 mg COMPR. 7 mg NOVO NORDISK A/S DANEMARCA CUTIE CU BLIST. AL/AL X 90 COMPRIMATE PRF 90 13.898555 15.573333 0.000000
160 W65785001 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,25 mg 1,34mg/ml
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT + 4 ACE X 0,25 MG SEMAGLUTIDA PRF 1 351.070000 420.820000 0.000000
161 W65787002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 1 mg 1,34mg/ml
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 1 MG SEMAGLUTIDA PRF 3 369.183333 415.126666 0.000000
162 W65786002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,5 mg 1,34mg/ml
SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 0,5 MG SEMAGLUTIDA PRF 3 369.183333 415.126666 0.000000
163 W62286004 A10BK01 DAPAGLIFLOZINUM ** FORXIGA 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNITATE DOZATA) PRF 30 5.557666 6.785000 0.000000
164 W62286005 A10BK01 DAPAGLIFLOZINUM ** FORXIGA 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. DIN ALU/ALU X 90X1 COMPR. FILM. (UNITATE DOZATA PRF 90 5.385888 6.294555 0.000000
165 W60940002 A10BK03 EMPAGLIFLOZINUM ** JARDIANCE 10mg COMPR. FILM. 10mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 90X1 COMPR. FILM. PRF 90 5.503777 6.423000 0.000000
166 W60941002 A10BK03 EMPAGLIFLOZINUM ** JARDIANCE 25mg COMPR. FILM. 25mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 90X1 COMPR. FILM. PRF 90 5.896333 6.850888 0.000000

Pagina 34 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
167 W56718002 A10BX02 REPAGLINIDUM RENEOS 0,5 mg COMPR. 0,5 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF 90 0.137866 0.186400 0.202155
168 W64096003 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF 120 0.137866 0.186400 0.178266
169 W64096005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0.137866 0.186400 0.202000
170 W64096004 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF 270 0.137866 0.186400 0.137266
171 W64096002 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF 90 0.137866 0.186400 0.202155
172 W65706002 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 0,5 mg COMPR. 0,5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0.114888 0.155333 0.000000
173 W64096001 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF 30 0.137866 0.186400 0.215266
174 W56719002 A10BX02 REPAGLINIDUM RENEOS 1 mg COMPR. 1 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF 90 0.270932 0.366133 0.022422
175 W64097005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0.270932 0.366133 0.022267
176 W64097004 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF 270 0.256000 0.323666 0.000000
177 W64097002 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF 90 0.270932 0.366133 0.022422
178 W65707001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0.225777 0.305111 0.000000
179 W64097003 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF 120 0.270932 0.364666 0.000000
180 W64097001 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF 30 0.270932 0.366133 0.035533
181 W56720002 A10BX02 REPAGLINIDUM RENEOS 2 mg COMPR. 2 mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR. PRF 90 0.297111 0.388399 0.000156
182 W64098003 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF 120 0.278833 0.364666 0.000000
183 W64098002 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF 90 0.297111 0.388399 0.000156
184 W64098004 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF 270 0.256000 0.323666 0.000000
185 W64098005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0.296900 0.388399 0.000001
186 W64098001 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF 30 0.297333 0.388399 0.013267
187 W65708001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0.297111 0.388399 0.000156
188 T0001 FARA DCI
FARA ATC Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat FARA FORMA FARA CONCENTRATIE FARA PRODUCATOR ROMANIAFARA FORMA AMB X 1 0.000000 1.200000 0.000000
189 W66520001 H04AA01 GLUCAGONUM BAQSIMI 3 mg PULB. NAZALA UNIDOZA 3mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLACON CU DOZA UNICA PRF 1 275.660000 336.530000 0.000000
190 W69266001 H04AA01 GLUCAGONUM GLUCAGEN HYPOKIT 1 mg PULB+SOLV. PT. SOL. INJ. 1mg NOVO NORDISK FARMA SRL ROMANIA KIT CE CUPRINDE 1 FLAC. CU PULB. COMPACTA CU GLUCAGEN SI O SERINGA PREUMPLUTA CU SOLVENT PR 1 60.290000 76.230000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE

1 W62683001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 2,502.450000 2,765.820000 0.000000
2 W62684001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 1500 UI PULB+SOLV. PT. SOL. INJ. 1500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 3,738.680000 4,113.310000 0.000000
3 W62685001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 4,974.900000 5,460.790000 0.000000
4 W62680001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 250 UI PULB+SOLV. PT. SOL. INJ. 250UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 648.110000 744.590000 0.000000
5 W62686001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 3000 UI PULB+SOLV. PT. SOL. INJ. 3000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 7,447.350000 8,155.760000 0.000000
6 W62681001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 500 UI PULB+SOLV. PT. SOL. INJ. 500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB., 3 ML DE SOLV. IN SERINGA PREUMPLUTA, 1 TIJA A PISTONULUI, 1 ADAPTOR PT. FLAC., 1 SET DE PERFUZIE, 2 TAMPOANE CU ALCOOL, 2 PLASTURI, 1 COMPRESA PR 1 1,266.230000 1,418.340000 0.000000
7 W65354001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 100 UI/ml PULB. + SOLV. PT. SOL. INJ. 100UI/ml OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1FLAC. DIN ST ICLA INCOLORA CU PULB.PT .SOL. INJ.(100UI/ML)+CUT IE CU 1 SET PT . RECONST IT UIRE SI ADM.:1FLAC. DIN ST ICLA CU 10ML APA PT . PREPARAT E INJ.(1000UI/FLAC)+1SERINGA+1SET T RANSFERMIX2VIAL+1AC PT . INJECT IE T IP FLUT URE+2 T AMPOANE CU ALCOOL PR 1 1,388.860000 1,552.010000 0.000000
8 W65353001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50UI/ml OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ.(50UI/ML)+CUT IE CU SET DE RECONST IT UIRE SI ADM.:1FLAC. DIN ST ICLA CU 5 ML APA PT . PREPARAT E INJ(250UI/FLAC.)+1SERINGA+1SET T RANSFERMIX2VIAL+1AC PT . INJECT IE T IP FLUT URE+2 T AMPOANE CU ALCOOL PR 1 418.680000 494.510000 0.000000
9 W65353002 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50UI/ml OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ.(50UI/ML)+CUT IE CU SET DE RECONST IT UIRE SI ADM.:1FLAC. DIN ST ICLA CU 10 ML APA PT . PREPARAT E INJ(500UI/FLAC.)+1SERINGA+1SET T RANSFERMIX2VIAL+1AC PT . INJECT IE T IP FLUT URE+2 T AMPOANE CU ALCOOL PR 1 706.580000 808.320000 0.000000
10 W13336001 B02BD02 FACTOR VIII DE COAGULARE EMOCLOT 500 UI PULB.+SOLV. SOL. PERF. 500 UI KEDRION SPA ITALIA CUTIE X 1 FLACON DIN STICLA NEUTRA TIP I DIN ELASTOMER TIP I CONTINAND PULBERE, 1 FLACON DIN STICLA NEUTRA TIP I CU DOP DIN ELASTOMER TIP I CONTINAND SOLVENT, 1 SET PENTRU RECONST. SI ADM. PR 1 847.896000 969.984000 91.896000
11 W56025001 B02BD02 FACTOR VIII DE COAGULARE HAEMOCTIN SDH 1000 PULB+SOLV. PT. SOL. INJ. 100UI/ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR 1 1,666.632000 1,862.412000 796.188000
12 W56024001 B02BD02 FACTOR VIII DE COAGULARE HAEMOCTIN SDH 500 PULB+SOLV. PT. SOL. INJ. 50UI/ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR 1 847.896000 969.984000 397.746000
13 W61672001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 1000 UI PULB+SOLV. PT. SOL. INJ./PERF. 1000UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 10ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 10 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 1,666.632000 1,862.412000 206.768000
14 W61673001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 2000 UI PULB+SOLV. PT. SOL. INJ./PERF. 2000UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 10 ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 10 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 5,328.380000 5,846.080000 0.000000
15 W61670001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 250 UI PULB+SOLV. PT. SOL. INJ./PERF. 250UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 2,5ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 5 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 502.416000 593.412000 256.178000
16 W61671001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 500 UI PULB+SOLV. PT. SOL. INJ./PERF. 500UI CSL BEHRING GMBH GERMANIA CUT IE CU1 FLAC.DIN ST ICLA INCOLORA CU PULB.PT .SOL.INJ/PERF+1FLAC.DIN ST ICLA CU SOLV. CU 5ML APA PT . PREPARAT E INJ. SI CUT IE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE T RANSFER CU FILT RU 20/20,1SERINGA DE 5 ML,1SET PT . PUNCT IE VENOASA,2T AMP+PLAST URE PR 1 847.896000 969.984000 33.096000
17 W43393001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 1000 UI PULB+SOLV.PT.SOL.INJ 1000ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL PR 1 1,611.160000 1,794.310000 0.000000

Pagina 35 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
18 W43391001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 250 UI PULB+SOLV.PT.SOL.INJ 250ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL PR 1 436.340000 513.760000 0.000000
19 W43392001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 500 UI PULB+SOLV.PT.SOL.INJ 500ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL PR 1 821.250000 933.310000 0.000000
20 W61061001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 1000UI PULB. + SOL. PT. SOL. INJ. 1000 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 2,547.390000 2,814.810000 0.000000
21 W61062001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 2000UI PULB. + SOL. PT. SOL. INJ. 2000 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 5,768.760000 6,326.100000 0.000000
22 W61059001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 250UI PULB. + SOL. PT. SOL. INJ. 250 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 659.360000 756.850000 0.000000
23 W61060001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500UI PULB. + SOL. PT. SOL. INJ. 500 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 1,260.720000 1,412.330000 0.000000
24 W64776001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 1000 UI PULB. + SOLV. PT. SOL. INJ. 1000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 2,547.390000 2,814.810000 0.000000
25 W64777001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 2000UI PULB. + SOLV. PT. SOL. INJ. 2000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 5,768.760000 6,326.100000 0.000000
26 W64774001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 250 UI PULB. + SOLV. PT. SOL. INJ. 250UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 659.360000 756.850000 0.000000
27 W64775001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB. + SOLV. PT. SOL. INJ. 500UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 1,260.720000 1,412.330000 0.000000
28 W64779001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB+SOLV. PT. SOL. INJ. IN SERINGA PREUMPLUTA 500UI PFIZER EUROPE MA EEIG BELGIA 1 SERINGA PREUMPLUTA+1 TIJA A PISTONULUI+ 1 SET DE PERFUZIE STERIL+2 TAMPOANE CU ALCOOL MEDICINAL+1 PLASTURE+1 BUCATA DE TIFON+1 CAPAC STERIL PT AERISIRE PR 1 1,260.720000 1,412.330000 0.000000
29 W62271001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB+SOLV. PT. SOL. INJ. IN SERINGA PREUMPLUTA 500UI PFIZER LIMITED MAREA BRITANIE 1 SERINGA PREUMPLUTA+1 TIJA A PISTONULUI+ 1 SET DE PERFUZIE STERIL+2 TAMPOANE CU ALCOOL MEDICINAL+1 PLASTURE+1 BUCATA DE TIFON+1 CAPAC STERIL PT AERISIRE PR 1 1,260.720000 1,412.330000 0.000000
30 W64715001 B02BD02 OCTOCOG ALFA ** KOVALTRY 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 2,612.870000 2,886.180000 0.000000
31 W69205001 B02BD02 OCTOCOG ALFA ** ADVATE 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI/2ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III PR 1 2,748.800000 3,034.340000 0.000000
32 W69206001 B02BD02 OCTOCOG ALFA ** ADVATE 1500 UI PULB+SOLV. PT. SOL. INJ. 1500UI/2ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III PR 1 4,118.050000 4,526.820000 0.000000
33 W64716001 B02BD02 OCTOCOG ALFA ** KOVALTRY 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 5,195.740000 5,701.510000 0.000000
34 W64713001 B02BD02 OCTOCOG ALFA ** KOVALTRY 250 UI PULB+SOLV. PT. SOL. INJ. 250UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 675.710000 774.670000 0.000000
35 W69203001 B02BD02 OCTOCOG ALFA ** ADVATE 250 UI PULB+SOLV. PT. SOL. INJ. 250UI/2ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III PR 1 709.680000 811.700000 0.000000
36 W64714001 B02BD02 OCTOCOG ALFA ** KOVALTRY 500 UI PULB+SOLV. PT. SOL. INJ. 500UI BAYER AG GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR 1 1,320.920000 1,477.950000 0.000000
37 W69204001 B02BD02 OCTOCOG ALFA ** ADVATE 500 UI PULB+SOLV. PT. SOL. INJ. 500UI/2ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III PR 1 1,262.780000 1,414.580000 0.000000
38 W51449001 B02BD02 OCTOCOG ALFA ** ADVATE 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 2,657.340000 2,934.650000 0.000000
39 W66732001 B02BD02 OCTOCOG ALFA ** ADVATE 1000UI PULB+SOLV.PT.SOL.INJ 1000UI/5ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 2,657.340000 2,934.650000 0.000000
40 W51450001 B02BD02 OCTOCOG ALFA ** ADVATE 1500UI PULB+SOLV.PT.SOL.INJ 1500UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 3,971.010000 4,366.550000 0.000000
41 W66733001 B02BD02 OCTOCOG ALFA ** ADVATE 1500UI PULB+SOLV.PT.SOL.INJ 1500UI/5ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 3,971.010000 4,366.550000 0.000000
42 W51448001 B02BD02 OCTOCOG ALFA ** ADVATE 500UI PULB+SOLV.PT.SOL.INJ 500 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 1,343.670000 1,502.750000 0.000000
43 W66730001 B02BD02 OCTOCOG ALFA ** ADVATE 500UI PULB+SOLV.PT.SOL.INJ 500UI/5ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 1,343.670000 1,502.750000 0.000000
44 W53183001 B02BD02 OCTOCOG ALFA ** ADVATE 2000UI PULB+SOLV.PT.SOL.INJ. 2000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R 1 5,284.680000 5,798.450000 0.000000
45 W66734001 B02BD02 OCTOCOG ALFA ** ADVATE 2000UI PULB+SOLV.PT.SOL.INJ. 2000UI/5ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II PR 1 5,284.680000 5,798.450000 0.000000
46 W51447001 B02BD02 OCTOCOG ALFA ** ADVATE 250UI PULB+SOLV.PT.SOL.INJ. 250 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 686.830000 786.790000 0.000000
47 W66731001 B02BD02 OCTOCOG ALFA ** ADVATE 250UI PULB+SOLV.PT.SOL.INJ. 250UI/5ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR 1 686.830000 786.790000 0.000000
48 W53185001 B02BD02 OCTOCOG ALFA ** ADVATE 3000UI PULB+SOLV.PT.SOL.INJ. 3000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R 1 7,912.020000 8,662.250000 0.000000
49 W66735001 B02BD02 OCTOCOG ALFA ** ADVATE 3000UI PULB+SOLV.PT.SOL.INJ. 3000UI/5ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II PR 1 7,912.020000 8,662.250000 0.000000
50 W61474001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 1000UI PULB+SOLV. PT. SOL. INJ. 1000 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUMPLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAMPOANE ÎMBIBATE CU ALCOOL PR 1 2,571.520000 2,841.110000 0.000000
51 W61475001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 2000UI PULB+SOLV. PT. SOL. INJ. 2000 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUMPLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAMPOANE ÎMBIBATE CU ALCOOL PR 1 5,334.450000 5,852.700000 0.000000
52 W61472001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 250UI PULB+SOLV. PT. SOL. INJ. 250 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUMPLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAMPOANE ÎMBIBATE CU ALCOOL PR 1 665.110000 763.120000 0.000000
53 W61473001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 500UI PULB+SOLV. PT. SOL. INJ. 500 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUMPLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAMPOANE ÎMBIBATE CU ALCOOL PR 1 1,280.800000 1,434.220000 0.000000
54 W65190001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 1000 UI PULB+SOLV. PT. SOL. INJ. 1000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 2,492.020000 2,754.450000 0.000000
55 W65191001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 1500 UI PULB+SOLV. PT. SOL. INJ. 1500 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 3,731.680000 4,105.680000 0.000000
56 W65192001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 2000 UI PULB+SOLV. PT. SOL. INJ. 2000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 4,965.570000 5,450.620000 0.000000
57 W65188001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 250 UI PULB+SOLV. PT. SOL. INJ. 250 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 645.640000 741.900000 0.000000
58 W65193001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 3000 UI PULB+SOLV. PT. SOL. INJ. 3000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 7,433.350000 8,140.500000 0.000000
59 W65189001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 500 UI PULB+SOLV. PT. SOL. INJ. 500 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 1,261.280000 1,412.950000 0.000000
60 W62498002 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII ** FEIBA 25 U/ml PULB+SOLV. PT. SOL. PERF. 25U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA,CU CAPAC. DE 50 ML CARE CONTINE 500 U FEIBA PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA INCOLORA, CU CAPAC. DE 20 ML CARE CONTINE 20 ML APA PURIFICATA PT. PREPARATE INJ.,1 DISPOZ.BAXJECT II HIFLOW PR 1 1,702.270000 1,893.620000 0.000000
61 W62499005 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII ** FEIBA 50 U/ml PULB+SOLV. PT. SOL. PERF. 50U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA,CU CAPAC. DE 20 ML CARE CONTINE 500 U FEIBA PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA INCOLORA, CU CAPAC. DE 10 ML CARE CONTINE 10 ML APA PURIFICATA PT. PREPARATE INJ.,1 DISPOZ.BAXJECT II HIFLOW PR 1 1,721.680000 1,914.780000 0.000000
62 W63107001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 4,167.790000 4,581.040000 0.000000
63 W63108001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 8,305.590000 9,091.240000 0.000000

Pagina 36 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
64 W63105001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 250 UI PULB+SOLV. PT. SOL. INJ. 250UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 1,064.450000 1,198.400000 0.000000
65 W63109001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 3000 UI PULB+SOLV. PT. SOL. INJ. 3000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 12,443.380000 13,601.430000 0.000000
66 W63106001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 500 UI PULB+SOLV. PT. SOL. INJ. 500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 2,098.900000 2,325.950000 0.000000
67 W65356001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 1000 UI PULB. + SOLV. PT. SOL. PERF. 1000UI OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1 FLAC. DIN ST ICLA CU PULB. PT . SOL. PERF. +1 FLAC. DIN ST ICLA CU 10 ML SOLV. PT . SOL. PERF.+ DISPOZIT IV PT . RECONST IT UIRE SI ADM. CU 1SET T RANSFER MIX2VIAL T M +1SET DE PERFUZARE(T IP FLUT URE)+1SERINGA DE UNICA FOLOSINT A+2 T AMPOANE ALCOOL MED PR 1 1,706.900000 1,898.670000 0.000000
68 W65355001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 500 UI PULB. + SOLV. PT. SOL. PERF. 500 UI OCTAPHARMA (IP) SPRL BELGIA CUT IE CU 1 FLAC. DIN ST ICLA CU PULB. PT . SOL. PERF. +1 FLAC. DIN ST ICLA CU 5 ML SOLV. PT . SOL. PERF.+DISPOZIT IV PT . RECONST IT UIRE SI ADM:1SET T RANSEFER MIX2VIALT M+1SET DE PERFUZARE(T IP FLUT URE)+1SERINGA DE UNICA FOLOSINT A+2 T AMPOANE ALCOOL MEDICINAL PR 1 862.370000 978.130000 0.000000
69 W62890001 B02BD04 FACTOR IX DE COAGULARE ** IMMUNINE 1200 UI PULB.+SOLV. PT. SOL. INJ./PERF. 1200UI BAXALTA INNOVATIONS GMBH AUSTRIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ./ PERF. + 1 FLAC. UNIDOZA DIN ST ICLA INCOLORA CU 10 ML SOLV. +1 AC PT . T RANSFER+1 AC PT . AERARE+1 AC PT . FILT RARE+1 AC DE UNICA FOLOSINT A+1 SERINGA DE UNICA FOLOSINT A+1 SET DE T RANSFER PR 1 1,851.420000 2,056.200000 0.000000
70 W62889001 B02BD04 FACTOR IX DE COAGULARE ** IMMUNINE 600 UI PULB.+SOLV. PT. SOL. INJ./PERF. 600UI BAXALTA INNOVATIONS GMBH AUSTRIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ./ PERF. + 1 FLAC. UNIDOZA DIN ST ICLA INCOLORA CU 5 ML SOLV. +1 AC PT . T RANSFER+1 AC PT . AERARE+1 AC PT . FILT RARE+1 AC DE UNICA FOLOSINT A+1 SERINGA DE UNICA FOLOSINT A+1 SET DE T RANSFER PR 1 977.370000 1,103.480000 0.000000
71 W64927001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 2,720.310000 3,003.290000 0.000000
72 W60173002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 2,720.310000 3,003.290000 0.000000
73 W60172002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 5,410.600000 5,935.700000 0.000000
74 W64928001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 5,410.600000 5,935.700000 0.000000
75 W60175002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 809.450000 920.450000 0.000000
76 W64925001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 809.450000 920.450000 0.000000
77 W64926001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 1,272.750000 1,425.450000 0.000000
78 W60174001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 1,272.750000 1,425.450000 0.000000
79 W62888001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** IMMUNATE 1000 UI FVIII/750 UI FVW PULB.+SOLV. PT. SOL. INJ. 1000 UI /750 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR 1 1,359.340000 1,519.830000 0.000000
80 W62886001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** IMMUNATE 250 UI FVIII/190 UI FVW PULB.+SOLV. PT. SOL. INJ. 250 UI /190 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR 1 361.650000 432.350000 0.000000
81 W62887001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** IMMUNATE 500 UI FVIII/375 UI FVW PULB.+SOLV. PT. SOL. INJ. 500 UI /375 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR 1 664.220000 762.150000 0.000000
82 W52389001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** HAEMATE P 500UI FVIII/1200 UI FVW PULB.+SOLV. PT. SOL. INJ. SAU PERF. 500UI+1200UI CSL BEHRING GMBH GERMANIA PACHET DE 500 UI CONT INE:1 CUT IE CU 1 FL.PULB+1 FL. CU 10ML APA PT PREP.INJ. 1 CUT IE CU DIZPOZ. DE ADMINIST RARE CONT INE:1DISPOZ. DE T RANSFER CU FILT RU 20/20+1SERINGA CU CAPAC. 10 ML+1SET PT PUNCT IE VENOASA+2 T AMPOANE ALCOOL+1PANSAMENT NEST ERIL P-RF 1 1,047.340000 1,179.750000 0.000000
83 W65362001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 1000 1000 UI FVW/1000 UI FVIII PULB+SOLV. PT. SOL. INJ 1000 UI FVW/1000 UI FVIII OCTAPHARMA (IP) SPRL BELGIA PR
CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) 1 1,881.510000 2,089.000000 0.000000
84 W65361001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 500 500 UI FVW/500 UI FVIII PULB+SOLV. PT. SOL. INJ 500 UI FVW/500 UI FVIII OCTAPHARMA (IP) SPRL BELGIA PR
CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) 1 1,016.020000 1,145.610000 0.000000
85 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA PR
CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON 1 2,229.340000 2,468.130000 0.000000
86 W66930001 B02BD14 SUSOCTOCOG ALFA ** OBIZUR 500 U PULB+SOLV. PT. SOL. INJ. 500U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. PR 1 5,049.570000 5,542.180000 0.000000
87 W67355001 B03XA06 LUSPATERCEPT ** REBLOZYL 25 mg PULB. PT. SOL. INJ. 50mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA PR
1 FLAC. DE 3 ML DIN STICLA DE TIP I, CU CAPAC DETASABIL GALBEN DIN PP X 0,5 ML DE LUSPATERCEPT 1 5,297.110000 5,812.000000 0.000000
88 W67356001 B03XA06 LUSPATERCEPT ** REBLOZYL 75 mg PULB. PT. SOL. INJ. 50mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA PR
1 FLAC. DE 3 ML DIN STICLA DE TIP I, CU CAPAC DETASABIL PORTOCALIU DIN PP X 1,5 ML DE LUSPATERCEPT 1 15,831.280000 17,294.250000 0.000000
89 W02408001 V03AC01 DEFEROXAMINUM ** (3) DESFERAL 500 mg PULB. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. PR 10 12.199000 14.893000 0.000000
90 W68284001 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA PR
CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. 30 4.830400 5.896800 29.611533
91 W68284003 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM.
REPUBLICA CEHA PR 30 4.830400 5.896800 29.611533
92 W66803001 V03AC03 DEFERASIROXUM **1 REDITENS 180 mg COMPR. FILM. 180mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 4.286666 5.233333 0.000000
93 W66841001 V03AC03 DEFERASIROXUM **1 DEFERASIROX STADA 180 mg COMPR. FILM. 180mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 4.025333 4.914000 0.000000
94 W68284005 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 4.830400 5.896800 29.611533
95 W68284007 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 4.830400 5.896800 29.611533
96 W68074001 V03AC03 DEFERASIROXUM **1 DEFERASIROX ACCORD 180 mg COMPR. FILM. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 4.830400 5.896800 16.497866
97 W64443001 V03AC03 DEFERASIROXUM **1 EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 4.830400 5.896800 19.054866
98 W64444001 V03AC03 DEFERASIROXUM **1 EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 12.271200 14.901600 29.387400
99 W68283005 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 12.271200 14.901600 54.411066
100 W68283007 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 12.271200 14.901600 54.411066
101 W68283001 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 12.271200 14.901600 54.411066
102 W68283003 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 12.271200 14.901600 54.411066
103 W66804001 V03AC03 DEFERASIROXUM **1 REDITENS 360 mg COMPR. FILM. 360mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 12.271200 14.901600 54.411066
104 W68075001 V03AC03 DEFERASIROXUM **1 DEFERASIROX ACCORD 360 mg COMPR. FILM. 360mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 12.271200 14.901600 30.422733
105 W66842001 V03AC03 DEFERASIROXUM **1 DEFERASIROX STADA 360 mg COMPR. FILM. 360mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 10.226000 12.418000 0.000000
106 W66802001 V03AC03 DEFERASIROXUM **1 REDITENS 90 mg COMPR. FILM. 90mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 2.637666 3.335000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

Pagina 37 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
P6.2: EPIDERMOLIZA BULOASA

1 W54946001 D06AA04 TETRACYCLINUM TETRACICLINA ATB 30 mg/g UNGUENT 30mg/g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 TUB AL X 12 G UNGUENT P-RF 1 17.100000 23.110000 0.000000
2 W60525001 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA 20mg/g+10mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 19.840000 26.810000 0.000000
3 W59725001 D07CC01 BETAMETHASONUM+GENTAMICINUM+CLOTRIMAZOLUM TRESYL CREMA FARA CONCENTRATIE FITERMAN PHARMA S.R.L. ROMANIA CUTIE CU 1 TUB DIN AL FILMAT LA INTERIOR CU LAC EPOXIFENOLIC X 15 G CREMA P6L 1 8.490000 11.480000 0.000000
4 W59984002 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMA A/S DANEMARCA CUTIE CU 1 TUB DIN AL X 20 G CREMA PRF 1 26.020000 34.030000 0.000000
5 W57219001 D07CC01 COMBINATII (BETAMETHASONUM+CLOTRIMAZOLUM+GENTAMICINUM) TRIDERM 0,5 mg+10 mg+1 mg/gram CREMA 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 9.690000 13.100000 0.000000
6 W68122001 D07CC01 COMBINATII (BETAMETHASONUM+CLOTRIMAZOLUM+GENTAMICINUM) TRIDERM 0,5 mg+10 mg+1 mg/gram CREMA 0,5mg+10mg+1mg/gram ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 TUB DE AL CU 15 G CREMA PRF 1 9.690000 13.100000 0.000000
7 W57224001 D07CC01 COMBINATII (BETAMETHASONUM+CLOTRIMAZOLUM+GENTAMICINUM) TRIDERM 0,5 mg+10 mg+1 mg/gram UNGUENT 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 11.628000 15.720000 6.080000
8 W68123001 D07CC01 COMBINATII (BETAMETHASONUM+CLOTRIMAZOLUM+GENTAMICINUM) TRIDERM 0,5 mg+10 mg+1 mg/gram UNGUENT 0,5mg+10mg+1mg/gram ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 TUB DE AL CU 15 G UNGUENT PRF 1 11.628000 15.720000 6.080000
9 W57648001 D07CC01 COMBINATII (BETAMETHASONUM+GENTAMICINUM) DIPROGENTA 0,5 mg/1 mg pe gram CREMA 0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 12.230000 16.530000 0.000000
10 W68116001 D07CC01 COMBINATII (BETAMETHASONUM+GENTAMICINUM) DIPROGENTA 0,5 mg/1 mg pe gram CREMA 0,5mg/1mg/g ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 12.230000 16.530000 0.000000
11 W57649001 D07CC01 COMBINATII (BETAMETHASONUM+GENTAMICINUM) DIPROGENTA 0,5 mg/1 mg pe gram UNGUENT 0,5mg/1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 12.230000 16.530000 0.000000
12 W68115001 D07CC01 COMBINATII (BETAMETHASONUM+GENTAMICINUM) DIPROGENTA 0,5 mg/1 mg pe gram UNGUENT 0,5mg/1mg/g ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 12.230000 16.530000 0.000000
13 W56910001 J01AA07 TETRACYCLINUM TETRACICLINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0.322080 0.393192 0.377308
14 W12701002 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 50 BLIST., AL/PVC X 10 CAPS. P-RF 500 0.268400 0.327660 0.000000
15 W12701001 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST., AL/PVC X 10 CAPS. P-RF 20 0.317000 0.393192 0.035308
16 W12143001 N03AB02 PHENYTOINUM FENITOINA RICHTER 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0.419000 0.566500 0.000000
17 W55235001 N03AB02 PHENYTOINUM PHENHYDAN 250 mg/5 ml SOL. INJ. 250mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 20.358000 24.854000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.3: HIPERTENSIUNE PULMONARA

1 W66826001 B01AC21 TREPROSTINILUM ** Ω TREPULMIX 10 mg/ml SOL. PERF. 10mg/ml SCIPHARM SÀRL LUXEMBURG 1 FLAC. DE 10 ML DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC SI PREVAZUT CU UN CAPAC ROSU X 100 MG TREPROSTINIL PR 1 38,466.750000 41,966.960000 0.000000
2 W66824001 B01AC21 TREPROSTINILUM ** Ω TREPULMIX 2,5 mg/ml SOL. PERF. 2,5mg/ml SCIPHARM SÀRL LUXEMBURG 1 FLAC. DE 10 ML DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC SI PREVAZUT CU UN CAPAC ALBASTRU X 25 MG TREPROSTINIL PR 1 11,989.390000 13,106.600000 0.000000
3 W66880001 B01AC21 TREPROSTINILUM ** Ω TRESUVI 2,5 mg/ml SOL. PERF. 2,5mg/ml AMOMED PHARMA GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE 10 ML CARE CONTINE 10 ML SOL. PERF. PR 1 6,016.430000 6,596.070000 0.000000
4 W66825001 B01AC21 TREPROSTINILUM ** Ω TREPULMIX 5 mg/ml SOL. PERF. 5mg/ml SCIPHARM SÀRL LUXEMBURG 1 FLAC. DE 10 ML DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC SI PREVAZUT CU UN CAPAC VERDE X 50 MG TREPROSTINIL PR 1 22,964.920000 25,069.950000 0.000000
5 W66881001 B01AC21 TREPROSTINILUM ** Ω TRESUVI 5 mg/ml SOL. PERF. 5mg/ml AMOMED PHARMA GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE 10 ML CARE CONTINE 10 ML SOL. PERF. PR 1 12,002.860000 13,121.280000 0.000000
6 W67362001 B01AC27 SELEXIPAGUM ** UPTRAVI 1000 micrograme COMPR. FILM. 1000micrograme JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. (PA/ALU/HDPE/PE/ALU) X 60 COMPR. FILM. PR 60 201.310666 220.064500 0.000000
7 W67363001 B01AC27 SELEXIPAGUM ** UPTRAVI 1200 micrograme COMPR. FILM. 1200micrograme JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. (PA/ALU/HDPE/PE/ALU) X 60 COMPR. FILM. PR 60 201.310666 220.064500 0.000000
8 W67364001 B01AC27 SELEXIPAGUM ** UPTRAVI 1400 micrograme COMPR. FILM. 1400micrograme JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. (PA/ALU/HDPE/PE/ALU) X 60 COMPR. FILM. PR 60 201.310666 220.064500 0.000000
9 W67365001 B01AC27 SELEXIPAGUM ** UPTRAVI 1600 micrograme COMPR. FILM. 1600micrograme JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. (PA/ALU/HDPE/PE/ALU) X 60 COMPR. FILM. PR 60 201.310666 220.064500 0.000000
10 W67358002 B01AC27 SELEXIPAGUM ** UPTRAVI 200 micrograme COMPR. FILM. 200micrograme JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. (PA/ALU/HDPE/PE/ALU) X 60 COMPR. FILM. PR 60 187.517166 205.029500 0.000000
11 W67358003 B01AC27 SELEXIPAGUM ** UPTRAVI 200 micrograme COMPR. FILM. 200micrograme JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. (PA/ALU/HDPE/PE/ALU) X 140 COMPR. FILM. PR 140 178.704714 195.060642 0.000000
12 W67359001 B01AC27 SELEXIPAGUM ** UPTRAVI 400 micrograme COMPR. FILM. 400micrograme JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. (PA/ALU/HDPE/PE/ALU) X 60 COMPR. FILM. PR 60 201.310666 220.064500 0.000000
13 W67360001 B01AC27 SELEXIPAGUM ** UPTRAVI 600 micrograme COMPR. FILM. 600micrograme JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. (PA/ALU/HDPE/PE/ALU) X 60 COMPR. FILM. PR 60 201.310666 220.064500 0.000000
14 W67361001 B01AC27 SELEXIPAGUM ** UPTRAVI 800 micrograme COMPR. FILM. 800micrograme JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. (PA/ALU/HDPE/PE/ALU) X 60 COMPR. FILM. PR 60 187.517166 205.029500 0.000000
15 W63291002 C02KX01 BOSENTANUM ** BOPAHO 125 mg COMPR. FILM. 125mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 14.781785 16.793392 0.000000
16 W68793002 C02KX01 BOSENTANUM ** BOSENTAN TERAPIA 125 mg COMPR. FILM. 125mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 17.738142 20.152070 4.975072
17 W68793004 C02KX01 BOSENTANUM ** BOSENTAN TERAPIA 125 mg COMPR. FILM. 125mg TERAPIA SA ROMANIA CUTIE CU FLAC. PEID DE CULOARE ALBA OPACA X 56 COMPR. FILM. PR 56 17.738142 20.152070 4.975072
18 W67433001 C02KX02 AMBRISENTANUM ** AMBRISENTAN AOP 5 mg COMPR. FILM. 5mg AOP ORPHAN PHARMACEUTICALS GMBH AUSTRIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PVDC/AL X 30X1 COMPR. FILM. PR 30 77.217333 85.438666 0.000000
19 W65300001 C02KX04 MACITENTANUM ** OPSUMIT 10 mg COMPR. FILM. 10mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. ALBE DIN FOLIE OPACA PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 256.204666 280.534666 0.000000
20 W63713001 C02KX05 RIOCIGUAT ** ADEMPAS 0,5mg COMPR. FILM. 0,5mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 69.967619 77.173095 0.000000
21 W63715001 C02KX05 RIOCIGUAT ** ADEMPAS 1,5mg COMPR. FILM. 1,5mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 69.967619 77.173095 0.000000
22 W63714001 C02KX05 RIOCIGUAT ** ADEMPAS 1mg COMPR. FILM. 1mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 69.967619 77.173095 0.000000

Pagina 38 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
23 W63717001 C02KX05 RIOCIGUAT ** ADEMPAS 2,5mg COMPR. FILM. 2,5mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 69.967619 77.173095 0.000000
24 W63716001 C02KX05 RIOCIGUAT ** ADEMPAS 2mg COMPR. FILM. 2mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 69.967619 77.173095 0.000000
25 W66755001 G04BE03 SILDENAFILUM ** REVATIO 20 mg COMPR. FILM. 20mg UPJOHN EESV OLANDA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 7.444111 8.538000 0.000000
26 W65670001 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 8.211888 9.374888 0.000000
27 W65670002 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 90X1 COMPR. FILM. PR 90 8.211888 9.374888 0.000000
28 W68188001 G04BE03 SILDENAFILUM ** MYSILDECARD 20 mg COMPR. FILM. 20mg VIATRIS LIMITED IRLANDA CUTIE CU BLIST. PVC-AL X 90 COMPR. FILM. PR 90 7.476000 8.572777 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.4: MUCOVISCIDOZA

1 W68661001 A09AA02 PANCREATINUM ** PANKREAL 35000 CAPS. GASTROREZ. 420mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PEID INCHIS CU CAPAC DIN PP X 50 CAPS. GASTROREZ. P6L 50 1.919000 2.426400 0.000000
2 W66550001 A09AA02 PANCREATINUM ** PANKREAL 35000 CAPS. GASTROREZ. 420mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU CAPAC DIN PP X 50 CAPS. GASTROREZ. P6L 50 1.919000 2.426400 0.000000
3 W68970001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. CU ELIB. PREL. 500mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.717714 2.322000 1.056000
4 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg COMPR. CU ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 7 COMPR. ELIB. PREL. P-RF 7 1.717714 2.322000 0.783714
5 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.717714 2.322000 1.056000
6 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1.717714 2.322000 1.056000
7 W44093001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 1.192857 1.612142 0.000000
8 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.305428 1.764857 0.290143
9 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.087857 1.470714 0.000000
10 W68967002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.305428 1.764857 0.290143
11 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.165714 1.575714 0.000000
12 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.305428 1.764857 0.290143
13 W54044001 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 1.692000 2.213000 0.000000
14 W44087001 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 1.713571 2.315714 0.000000
15 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.717714 2.322000 0.080857
16 W60254003 J01FA09 CLARITHROMYCINUM LEKOKLAR 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 1.431428 1.935000 0.000000
17 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.717714 2.322000 0.037285
18 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 22.056000 29.808000 3.812000
19 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 22.056000 29.808000 3.812000
20 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14.520000 19.620000 3.080000
21 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14.520000 19.620000 3.080000
22 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 41,66 - 46,04 G GRANULE PENTRU PREPARAREA A 60 ML DE SUSPENSIE ORALA PRF 1 12.100000 16.350000 0.000000
23 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 69,44 - 76,75 G GRANULE PENTRU PREPARAREA A 100 ML DE SUSPENSIE ORALA PRF 1 18.380000 24.840000 0.000000
24 W68969001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 14.520000 19.620000 3.080000
25 W68969002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 22.056000 29.808000 3.812000
26 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 69,44 - 76,75 G GRANULE PENTRU PREPARAREA A 100 ML DE SUSPENSIE ORALA PRF 1 48.510000 63.450000 0.000000
27 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLACON CU 41,66 - 46,04 G GRANULE PENTRU PREPARAREA A 60 ML DE SUSPENSIE ORALA PRF 1 31.010000 40.560000 0.000000
28 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 36.190000 47.340000 0.000000
29 W68968001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 36.190000 47.340000 0.000000
30 W63762001 J01GB01 TOBRAMYCINUM ** TOBRAMICINA SUN 300 mg SOL. DE INHALAT PRIN NEBULIZATOR 300mg/5ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 56 FIOLE AMBALATE IN PUNGI DE FOLIE LAMINATA DIN PEJD A CATE 5 ML SOL. DE INHALAT PRIN NEBULIZATOR, DISPUSE IN 14 PUNGI SIGILATE CU CATE 4 FIOLE PRF 56 51.821250 57.166428 0.000000
31 W66587001 J01GB01 TOBRAMYCINUM ** TOBI 300 mg/5 ml SOL. PT. INHALARE PRIN NEBULIZATOR 300mg/5ml MYLAN IRE HEALTHCARE LIMITED IRLANDA CUTIE CU 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD A 5 ML SOL. DE INHALAT PRIN NEBULIZATOR PRF 56 61.660714 67.891428 0.000000
32 W68686001 J01GB01 TOBRAMYCINUM ** TOBI 300 mg/5 ml SOL. PT. INHALARE PRIN NEBULIZATOR 300mg/5ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD A 5 ML SOL. DE INHALAT PRIN NEBULIZATOR PRF 56 61.660714 67.891428 0.000000
33 W63371003 J01XB01 COLISTIMETAT DE SODIU ** Ω COLOBREATHE CAPS. CU PULB. DE INHAL. 1662500 UI TEVA B.V. OLANDA CUTIE CU 7 BLIST. OPA/AL/PVC X 8 CAPSULE + INHALATOR DE PULBERE TURBOSPIN PRF 56 74.049285 81.395000 0.000000
34 W61214001 R05CB13 DORNAZA ALFA ** PULMOZYME 2500 U/2,5 ml SOL. DE INHALAT PRIN NEBULIZATOR 2500U/2,5ml ROCHE ROMANIA S.R.L. ROMANIA PR
CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL 6 76.220000 89.438333 0.000000
35 W65612002 R07AX02 IVACAFTORUM ** KALYDECO 150 mg COMPR. FILM. 150mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. PCTFE/AL X 56 COMPR. PR 56 971.295535 1,059.393392 0.000000

Pagina 39 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
36 W65612003 R07AX02 IVACAFTORUM ** KALYDECO 150 mg COMPR. FILM. 150mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CARD CU BLIST. PCTFE/AL X 28 COMPR. PR 28 954.448571 1,041.711428 0.000000
37 W65612001 R07AX02 IVACAFTORUM ** KALYDECO 150 mg COMPR. FILM. 150mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU 1 FLAC. HDPE X 56 COMPR. PR 56 971.295535 1,059.393392 0.000000
38 W67343001 R07AX02 IVACAFTORUM ** KALYDECO 75 mg COMPR. FILM. 75mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CARD CU BLIST. PCTFE/AL X 28 COMPR. PR 28 954.448571 1,041.711428 0.000000
39 W65613001 R07AX02 IVACAFTORUM ** KALYDECO 50 mg GRANULE 50mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA AMBALAJ CU 56 PLICURI (4X14) PLICURI DIN BOPET/PE/FOLIE ALUMINIU/PE) PR 56 971.834107 1,059.980357 0.000000
40 W65614001 R07AX02 IVACAFTORUM ** KALYDECO 75 mg GRANULE 75mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA AMBALAJ CU 56 PLICURI (4X14) PLICURI DIN BOPET/PE/FOLIE ALUMINIU/PE) PR 56 971.834107 1,059.980357 0.000000
41 W65262001 R07AX30 LUMACAFTORUM+IVACAFTORUM **1 ORKAMBI 100 mg/125 mg COMPR. FILM. 100mg/125mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA PACHET CARE CONTINE 112 COMPR. FILM. (4 PACHETE DE 28 COMPR.FILM.) PR 112 433.320982 472.660535 0.000000
42 W65261001 R07AX30 LUMACAFTORUM+IVACAFTORUM **1 ORKAMBI 200 mg/125 mg COMPR. FILM. 200mg/125mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. ACLAR/PVC/AL X 112 (4X28) COMPR. FILM (AMBALAJ GRUPAT) PR 112 433.388125 472.733660 0.000000
43 W67227001 R07AX30 LUMACAFTORUM+IVACAFTORUM **1 ORKAMBI 100 mg/125 mg GRANULE 100 mg/125 mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA AMBALAJ CU 56 PLICURI (4X14) PLICURI DIN BOPET/PE/FOLIE ALUMINIU/PE) PR 56 853.737142 931.254821 0.000000
44 W67228001 R07AX30 LUMACAFTORUM+IVACAFTORUM **1 ORKAMBI 150 mg/188 mg GRANULE 150 mg/188 mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA AMBALAJ CU 56 PLICURI (4X14) PLICURI DIN BOPET/PE/FOLIE ALUMINIU/PE) PR 56 853.737142 931.254821 0.000000
45 W68420001 R07AX32 IVACAFTORUM+TEZACAFTORUM+ELEXACAFTORUM **1 KAFTRIO 37,5 mg/25 mg/50 mg COMPR. FILM. 37,5mg/25mg/50mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. PCTFE/PVC/HARTIE/AL X 56 (4X14) COMPR. FILM. PR 56 867.586785 946.350892 0.000000
46 W67255001 R07AX32 IVACAFTORUM+TEZACAFTORUM+ELEXACAFTORUM **1 KAFTRIO 75 mg/ 50 mg/100 mg COMPR. FILM. 75 mg/ 50 mg/100 mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU BLIST.PCTFE/PVC/ HARTIE/AL X 56 (4X14)COMPRIMATE FILMATE PR 56 834.010892 909.753035 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE

1 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,990.970000 3,298.310000 0.000000
2 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 390.940000 464.270000 0.000000
3 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 751.860000 857.680000 0.000000
4 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,473.710000 1,644.490000 0.000000
5 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 621.050000 715.090000 0.000000
6 W69115001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 100 mg/ml SOL. PERF. 100mg/ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. INJ. (20G) PR 1 8,929.990000 9,771.850000 0.000000
7 W65358007 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML, CU 200 ML SOL. PERF. PR 1 7,616.970000 8,340.650000 0.000000
8 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 1,926.740000 2,138.300000 0.000000
9 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,230.310000 1,379.190000 0.000000
10 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,417.300000 2,673.010000 0.000000
11 W65358005 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML, CU 100 ML SOL. PERF. PR 1 3,823.480000 4,205.740000 0.000000
12 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 269.350000 328.820000 0.000000
13 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 632.570000 727.650000 0.000000
14 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,607.940000 2,880.800000 0.000000
15 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET PT. PERFUZARE PR 1 283.570000 346.180000 0.000000
16 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 674.480000 773.330000 0.000000
17 W68738001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
18 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,396.500000 1,560.340000 0.000000
19 W68982003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 100 ML SOL. PERF. PR 1 2,250.000000 2,490.650000 0.000000
20 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 713.250000 815.590000 0.000000
21 W69207001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
22 W69207002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 4,667.000000 5,125.180000 0.000000
23 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,762.990000 3,049.810000 0.000000
24 W68982002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 50 ML SOL. PERF. PR 1 1,125.000000 1,264.400000 0.000000
25 W68982001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. PERF. PR 1 4,500.000000 4,943.150000 0.000000
26 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 355.870000 426.050000 0.000000
27 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,318.970000 1,475.830000 0.000000
28 W69340001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KEDRIGAMMA 6g/120ml SOL. PERF. 6g/120ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE X 1 FLAC. 120 ML SOL. PERF. PR 1 2,700.000000 2,981.150000 0.000000

Pagina 40 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.2: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE DEGENERATIVE-SCLEROZA LATERALA AMIOTROFICA

1 W66040001 N07XX02 RILUZOLUM ** RILUTEK 50 mg COMPR. FILM. 50mg SANOFI MATURE IP FRANTA CUTIE CU BLIST. X 56 COMPR. FILM. PR 56 7.472678 8.826428 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.3: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU AMILOIDOZĂ CU TRANSTIRETINĂ

1 W64784001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER EUROPE MA EEIG BELGIA PR
CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI 30 1,118.895333 1,220.867666 0.000000
2 W64784003 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER EUROPE MA EEIG BELGIA PR
CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PA/AL/PVC-AL/PET/HARTIE X 30X1 CAPS. MOI 30 1,118.895333 1,220.867666 0.000000
3 W59336001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 1,118.895333 1,220.867666 0.000000
4 W66576001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 61mg PFIZER EUROPE MA EEIG BELGIA PR
CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PA/AL/PVC-AL/PET/HARTIE X 30X1 CAPS. MOI 30 1,484.470000 1,619.344000 0.000000
5 W64892001 N07XX12 PATISIRANUM ** ONPATTRO 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ALNYLAM NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA CU 5 ML CONC. PR 1 35,674.470000 38,923.320000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.6: OSTEOGENEZĂ IMPERFECTĂ

1 W68901001 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONATE HOSPIRA 3 mg/ml CONC. PT. SOL. PERF. 3 mg/ml PFIZER ROMANIA S.R.L. ROMANIA CUTIE CU UN FLACON A 10 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 173.850000 212.240000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.7: SINDROM PRADER WILLI

1 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 1 374.910000 446.800000 0.000000
2 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 1 374.910000 446.800000 0.000000
3 W07530001 H01AC01 SOMATROPINUM ** ZOMACTON 4 mg (12 UI) 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 1 393.010000 466.530000 0.000000
4 W63194001 H01AC01 SOMATROPINUM ** OMNITROPE 10 mg/1,5 ml SOL INJ. IN CARTUS 10mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. (PENTRU SUREPAL 10) PR/PRF 1 625.670000 720.130000 0.000000
5 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 1 327.620000 395.260000 0.000000
6 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 1 327.620000 395.260000 0.000000
7 W52346001 H01AC01 SOMATROPINUM ** OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 625.670000 720.130000 0.000000
8 W66036001 H01AC01 SOMATROPINUM ** SAIZEN 5,83 mg/ml SOL. INJ. IN CARTUS 5,83mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 1,03 ML SOL. INJ. (6 MG SOMATROPINA) PR/PRF 1 543.730000 630.820000 0.000000
9 W66037003 H01AC01 SOMATROPINUM ** SAIZEN 8 mg/ml SOL. INJ. IN CARTUS 8mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 2,50 ML SOL. INJ. (20 MG SOMATROPINA) PR/PRF 1 1,030.400000 1,161.290000 0.000000
10 W66430001 H01AC01 SOMATROPINUM ** NORDITROPIN NORDIFLEX 10 mg/1,5 ml SOL. INJ. IN STILOU INJ. PREUMPLUT 6,7mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJ. PREUMPLUT MULTIDOZA X 1,5 ML SOL. INJ. PRF 1 750.804000 864.156000 90.004000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.8: BOALA FABRY

Pagina 41 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
1 W08961001 A16AB04 AGALSIDASUM BETA ** FABRAZYME 35 mg PULB. PT. CONC. PT. SOL. PERF. 35mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. PR 1 11,232.640000 12,281.730000 0.000000
2 W69541001 A16AB04 AGALSIDASUM BETA ** FABRAZYME 35 mg PULB. PT. CONC. PT. SOL. PERF. 35mg SANOFI B.V. TARILE DE JOS PR
CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. 1 11,232.640000 12,281.730000 0.000000
3 W65913001 A16AX14 MIGALASTATUM ** GALAFOLD 123 mg CAPS. 123mg AMICUS THERAPEUTICS EUROPE LIMITED IRLANDA CUTIE CU BLIST. PVC/PCTFE/PVC/AL X 14 CAPS. PR 14 4,544.739285 4,956.490714 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.9: BOALA POMPE

1 W51536001 A16AB07 ALGLUCOSIDASUM ALFA ** MYOZYME 50mg PULB. PT. CONC. PT. SOL. PERF. 50mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1,893.600000 2,102.170000 0.000000
2 W69546001 A16AB07 ALGLUCOSIDASUM ALFA ** MYOZYME 50mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANOFI B.V. TARILE DE JOS CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1,893.600000 2,102.170000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.10: TIROZINEMIE

1 W51629001 A16AX04 NITISINONUM ORFADIN 10mg CAPS. 10mg SWEDISH ORPHAN BIOVITRUM INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 95.645666 104.889666 0.000000
2 W51622001 A16AX04 NITISINONUM ORFADIN 2mg CAPS. 2mg SWEDISH ORPHAN BIOVITRUM INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 21.232166 23.778833 0.000000
3 W51627001 A16AX04 NITISINONUM ORFADIN 5mg CAPS. 5mg SWEDISH ORPHAN BIOVITRUM INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 52.355333 57.703166 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.12: MUCOPOLIZAHARIDOZĂ TIP II (SINDROM HUNTER)

1 W68717002 A16AB09 IDURSULFASUM ** ELAPRASE 2mg/ml CONC. PT. SOL. PERF. 2mg/ml TAKEDA PHARMACEUTICALS INTERNATIONAL AG IRELAND BR IRLANDA CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF. PR 4 10,250.910000 11,183.030000 0.000000
2 W51481002 A16AB09 IDURSULFASUM ** ELAPRASE 2mg/ml CONC. PT. SOL. PERF. 2mg/ml SHIRE HUMAN GENETIC THERAPIES AB SUEDIA CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF. PR 4 10,250.910000 11,183.030000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.13: MUCOPOLIZAHARIDOZĂ TIP I (SINDROM HURLER)

1 W42203001 A16AB05 LARONIDAZUM ** ALDURAZYME 100U/ml CONC. PT. SOL. PERF. 100U/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML PR 1 2,299.940000 2,545.080000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.14: Afibrinogenemie congenitală

1 W13381003 B02BB01 FIBRINOGEN UMAN ** HAEMOCOMPLETTAN P 1 g PULB. PT. SOL. INJ./PERF. 1g CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ/PERF. PR 1 1,909.520000 2,119.530000 0.000000
2 W67066001 B02BB01 FIBRINOGEN UMAN ** FIBRYGA 1 g PULB+SOLV. PT. SOL. INJ./PERF. 1g OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1 G FIBRINOGEN UMAN+1 FLAC. CU SOLV. DIN STICLA (50 ML APA PT. PREPARATE INJECTABILE)+1 DISPOZITIV DE TRANSFER OCTAJET+1 FILTRU DE PARTICULE PR 1 1,890.570000 2,098.870000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.15: Sindrom de imunodeficienţă primară

1 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,990.970000 3,298.310000 0.000000
2 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 390.940000 464.270000 0.000000
3 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 751.860000 857.680000 0.000000

Pagina 42 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
4 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,473.710000 1,644.490000 0.000000
5 W66174003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** HYQVIA 100 mg/ml SOL. PERF. SUBCUTANA 100mg/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA PREVAZUT CU DOP X 100 ML SOLUTIE IMUNOGLOBULINA UMANA NORMALA (IG 10%) + 1 FLAC. DIN STICLA PREVAZUT CU DOP X 5 ML SOLUTIE HIALURONIDAZA UMANA RECOMBINATA (RHUPH20) PR 1 2,878.820000 3,176.060000 0.000000
6 W66174002 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** HYQVIA 100 mg/ml SOL. PERF. SUBCUTANA 100mg/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA PREVAZUT CU DOP X 50 ML SOLUTIE IMUNOGLOBULINA UMANA NORMALA (IG 10%) + 1 FLAC. DIN STICLA PREVAZUT CU DOP X 2,5 ML SOLUTIE HIALURONIDAZA UMANA RECOMBINATA (RHUPH20) PR 1 1,455.580000 1,624.730000 0.000000
7 W66174001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** HYQVIA 100 mg/ml SOL. PERF. SUBCUTANA 100mg/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA PREVAZUT CU DOP X 25 ML SOLUTIE IMUNOGLOBULINA UMANA NORMALA (IG 10%) + 1 FLAC. DIN STICLA PREVAZUT CU DOP X 1,25 ML SOLUTIE HIALURONIDAZA UMANA RECOMBINATA (RHUPH20) PR 1 739.820000 844.550000 0.000000
8 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 621.050000 715.090000 0.000000
9 W69115001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 100 mg/ml SOL. PERF. 100mg/ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. INJ. (20G) PR 1 8,929.990000 9,771.850000 0.000000
10 W65358007 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML, CU 200 ML SOL. PERF. PR 1 7,616.970000 8,340.650000 0.000000
11 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 1,926.740000 2,138.300000 0.000000
12 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,230.310000 1,379.190000 0.000000
13 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,417.300000 2,673.010000 0.000000
14 W65358005 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML, CU 100 ML SOL. PERF. PR 1 3,823.480000 4,205.740000 0.000000
15 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 269.350000 328.820000 0.000000
16 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 632.570000 727.650000 0.000000
17 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,607.940000 2,880.800000 0.000000
18 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET PT. PERFUZARE PR 1 283.570000 346.180000 0.000000
19 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 674.480000 773.330000 0.000000
20 W68738001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
21 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,396.500000 1,560.340000 0.000000
22 W68982003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 100 ML SOL. PERF. PR 1 2,250.000000 2,490.650000 0.000000
23 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 713.250000 815.590000 0.000000
24 W69207001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
25 W69207002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 4,667.000000 5,125.180000 0.000000
26 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,762.990000 3,049.810000 0.000000
27 W68982002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 50 ML SOL. PERF. PR 1 1,125.000000 1,264.400000 0.000000
28 W68982001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. PERF. PR 1 4,500.000000 4,943.150000 0.000000
29 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 355.870000 426.050000 0.000000
30 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,318.970000 1,475.830000 0.000000
31 W69340001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KEDRIGAMMA 6g/120ml SOL. PERF. 6g/120ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE X 1 FLAC. 120 ML SOL. PERF. PR 1 2,700.000000 2,981.150000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.16: Scleroza sistemică şi ulcere digitale evolutive

1 W63291002 C02KX01 BOSENTANUM ** BOPAHO 125 mg COMPR. FILM. 125mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 14.781785 16.793392 0.000000
2 W68793002 C02KX01 BOSENTANUM ** BOSENTAN TERAPIA 125 mg COMPR. FILM. 125mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 17.738142 20.152070 4.975072
3 W68793004 C02KX01 BOSENTANUM ** BOSENTAN TERAPIA 125 mg COMPR. FILM. 125mg TERAPIA SA ROMANIA CUTIE CU FLAC. PEID DE CULOARE ALBA OPACA X 56 COMPR. FILM. PR 56 17.738142 20.152070 4.975072

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.17: Purpura trombocitopenică imună idiopatică cronică

1 W53894001 B02BX04 ROMIPLOSTIMUM **1 NPLATE 250mcg PULB. PT. SOL. INJ. 250mcg AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC X 250MCG PULB. PT. SOL. INJ. S 1 2,353.360000 2,603.310000 0.000000
2 W64445002 B02BX05 ELTROMBOPAG **1 REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 111.251071 122.626071 0.000000
3 W64446002 B02BX05 ELTROMBOPAG **1 REVOLADE 50 mg COMPR. FILM. 50 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 221.430357 242.721428 0.000000

Pagina 43 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.18: Pacienţi adulţi şi copii cu hiperfenilalaninemie diagnosticaţi cu fenilcetonurie sau deficit de tetrahidrobiopterină (BH4)

1 W62473002 A16AX07 SAPROPTERINUM **1 KUVAN 100 mg COMPR. SOLUBILE 100 mg BIOMARIN INTERNATIONAL LIMITED IRLANDA CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE PR 120 95.934333 104.886333 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.19: Scleroză tuberoasă

1 W64600002 L01EG02 EVEROLIMUS **1 VOTUBIA COMPR. 2,5 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 81.181666 89.759666 0.000000
2 W64601001 L01EG02 EVEROLIMUS **1 VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 161.361333 177.155666 0.000000
3 W64603001 L01EG02 EVEROLIMUS **1 VOTUBIA 2 mg COMPR. PT. DISP. ORALA 2mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 65.145333 72.280000 0.000000
4 W64604001 L01EG02 EVEROLIMUS **1 VOTUBIA 3 mg COMPR. PT. DISP. ORALA 3mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 97.216333 107.237333 0.000000
5 W64605001 L01EG02 EVEROLIMUS **1 VOTUBIA 5 mg COMPR. PT. DISP. ORALA 5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 161.361333 177.155666 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.20: Fibroza pulmonară idiopatică

1 W61689002 L01XE31 NINTEDANIBUM **1 OFEV 100 mg CAPS. MOI 100mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA AMBALAJ CU 60X1 CAPSULE MOI ÎN BLISTERE PERFORATE DIN ALUMINIU PENTRU ELIBERAREA UNUI UNITATII DOZATE PR 60 83.883333 92.068666 0.000000
2 W61690002 L01XE31 NINTEDANIBUM **1 OFEV 150 mg CAPS. MOI 150mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA AMBALAJ CU 60X1 CAPSULE MOI ÎN BLISTERE PERFORATE DIN ALUMINIU PENTRU ELIBERAREA UNUI UNITATII DOZATE PR 60 152.963666 167.366166 0.000000
3 W64378001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg COMPR. FILM. 267mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 252 COMPR. FILM. PR 252 27.344722 29.957142 0.000000
4 W64379001 L04AX05 PIRFENIDONUM **1 ESBRIET 801 mg COMPR. FILM. 801mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 84 COMPR. FILM PR 84 82.034166 89.871428 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.21: Distrofia musculară Duchenne

1 W62140001 M09AX03 ATALURENUM **1 TRANSLARNA 1000 mg GRANULE PT. SUSP. ORALA 1000mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI PRF 30 3,706.806000 4,041.690333 0.000000
2 W62138001 M09AX03 ATALURENUM **1 TRANSLARNA 125 mg GRANULE PT. SUSP. ORALA 125mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI PRF 30 464.225666 507.277666 0.000000
3 W62139001 M09AX03 ATALURENUM **1 TRANSLARNA 250 mg GRANULE PT. SUSP. ORALA 250mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI PRF 30 927.451333 1,012.193666 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.22: Angioedem ereditar

1 W66129001 B06AC01 INHIBITOR DE ESTERAZA C1, UMANA **1 CINRYZE 500 UI PULB. SI SOLV. PT. SOL. INJ. 500UI SHIRE SERVICES BVBA BELGIA CUTIE CU 2 FLAC. CU PULB. PT SOL. INJ. + 2 FLAC. CU SOLVENT + 2 DISPOZITIVE DE TRANSFER CU FILTRU + 2 SERINGI DE UNICA FOLOSINTA + 2 SETURI PT. PUNCTIE VENOASA + 2 MATERIALE IMPLETITE CU ROL PROTECTOR PR 2 2,621.628000 2,903.352000 231.533000
2 W68875001 B06AC01 INHIBITOR DE ESTERAZA C1, UMANA **1 CINRYZE 500 UI PULB. SI SOLV. PT. SOL. INJ. 500UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE CU 2 FLAC. CU PULB. PT SOL. INJ. + 2 FLAC. CU SOLVENT + 2 DISPOZITIVE DE TRANSFER CU FILTRU + 2 SERINGI DE UNICA FOLOSINTA + 2 SETURI PT. PUNCTIE VENOASA + 2 MATERIALE IMPLETITE CU ROL PROTECTOR PR 2 2,621.628000 2,903.352000 231.533000
3 W58531001 B06AC01 INHIBITOR DE ESTERAZA C1, UMANA **1 BERINERT 500 PULB+SOLV. PT. SOL. INJ./PERF. 500UI CSL BEHRING GMBH GERMANIA CUT IE CU 1 FLAC. DIN ST ICLA INCOLORA CU PULB. PT . SOL. INJ/PERFUZ.+1 FLAC. DIN ST ICLA CU 10ML APA PT . PREPARAT E INJ. SI DISPOZIT IV DE ADM. (DISPOZ DE T RANSFER CU FILT RU 20/20,1 SERINGA DE UNICA FOLOSINT A,1 SET PT . PUNCT IE VENOASA,2 T AMPOANE,1PLAST URE PR 1 2,184.690000 2,419.460000 0.000000
4 W68280001 B06AC02 ICATIBANTUM **1 ICATIBANT ZENTIVA 30 mg SOL INJ. IN SERINGA PREUMPLUTA 10mg/ml ZENIVA K.S. REPUBLICA CEHA CUTIE CU O SERINGA PREUMPLUTA, DE CAPACITATE 3 ML, CU PISTON, DOP GRI SI CAPAC ALB , PREVAZUTA CU UN AC, CONTINAND SOLUTIE INJECTABILA PR 1 2,055.300000 2,286.060000 1,505.620000
5 W67881001 B06AC02 ICATIBANTUM **1 ICATIBANT ACCORD 30 mg SOL INJ. IN SERINGA PREUMPLUTA 10mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC PR 1 1,712.750000 1,905.050000 0.000000
6 W68362001 B06AC02 ICATIBANTUM **1 ICATIBANT TERAPIA 30 mg SOL INJ. IN SERINGA PREUMPLUTA 30 mg TERAPIA S.A. ROMANIA CUTIE CU O SERINGA PREUMPLUTA DE 3 ML, DIN STICLA TRANSPARENTA, CU PISTON, DOP DE CAUCIUC CLOROBUTILIC GRI SI CAPAC ALB DIN PP PREVAZUTA CU UN AC, CU SOLUTIE INJECTABILA PR 1 2,055.300000 2,286.060000 0.000000
7 W68417001 B06AC02 ICATIBANTUM **1 ICATIBANT STADA 30 mg SOL INJ. IN SERINGA PREUMPLUTA 30mg STADA M&D S.R.L. ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA TRANSPARENTA, DE CAPACITATE 3 ML, PREVAZUTA CU UN AC CONTINAND SOL. INJ. PR 1 2,055.300000 2,286.060000 1,613.520000
8 W66736001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml Shire Pharmaceuticals Ireland Limited IRLANDA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC PR 1 2,055.300000 2,286.060000 1,031.200000
9 W68202001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml TAKEDA PHARM. INTERNATIONAL AG IRELAND BRANCH IRLANDA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC PR 1 2,055.300000 2,286.060000 1,031.200000
10 W62758001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml SHIRE ORPHAN THERAPIES GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC P-RF 1 2,055.300000 2,286.060000 1,031.200000

Pagina 44 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
11 W67417001 B06AC04 CONESTAT ALFA **1 RUCONEST PULB+SOLV. PT. SOL. INJ 2100 U PHARMING GROUP N.V. OLANDA CUTIE CU1 FLACON PULBERE X 2100 UNITATI+1 FLACON X 20ML SOLVENT + KIT DE ADMINISTRARE PR 1 3,664.660000 4,032.630000 0.000000
12 W68151001 B06AC05 LANADELUMABUM **1 TAKHZYRO 300 mg SOL INJ. IN SERINGA PREUMPLUTA 300mg TAKEDA PHARMACEUTICALS INTERNATIONAL AG IRELAND BR IRLANDA 2 SERINGI PREUMPLUTE X 2 ML SOL. PR 2 56,782.450000 61,911.945000 0.000000
13 W66795001 B06AC05 LANADELUMABUM **1 TAKHZYRO 300 mg SOL INJ. IN SERINGA PREUMPLUTA 300mg Shire Pharmaceuticals Ireland Limited IRLANDA 2 SERINGI PREUMPLUTE X 2 ML SOL. PR 2 56,782.450000 61,911.945000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.23: Neuropatia optică ereditară Leber

1 W62508001 N06BX13 IDEBENONUM **1 RAXONE 150 mg COMPR. FILM. 150mg SANTHERA PHARMACEUTICALS (DEUTSCHLAND) GMBH GERMANIA CUTIE CU FLAC. PEID X 180 COMPR. FILM. PR 180 101.774222 111.145833 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.24: Amiotrofia spinală musculară

1 W65220001 M09AX07 NUSINERSENUM **1 SPINRAZA 12 mg SOL INJ. 2,4mg/ml BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. DE 5 ML CONTINE 12 MG NUSINERSEN PR 1 320,203.700000 349,060.180000 0.000000
2 W69208023 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 8 PR 1 9,617,860.500000 10,483,506.100000 0.000000
3 W69208024 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 9 PR 1 9,617,860.500000 10,483,506.100000 0.000000
4 W69208029 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 10 PR 1 9,617,860.500000 10,483,506.100000 0.000000
5 W69208030 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 11 PR 1 9,617,860.500000 10,483,506.100000 0.000000
6 W69208031 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 12 PR 1 9,617,860.500000 10,483,506.100000 0.000000
7 W69208032 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 11 PR 1 9,617,860.500000 10,483,506.100000 0.000000
8 W69208033 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 12 PR 1 9,617,860.500000 10,483,506.100000 0.000000
9 W69208034 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 13 PR 1 9,617,860.500000 10,483,506.100000 0.000000
10 W69208035 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 12 PR 1 9,617,860.500000 10,483,506.100000 0.000000
11 W69208036 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 13 PR 1 9,617,860.500000 10,483,506.100000 0.000000
12 W69208015 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 6 PR 1 9,617,860.500000 10,483,506.100000 0.000000
13 W69208016 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 7 PR 1 9,617,860.500000 10,483,506.100000 0.000000
14 W69208017 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 6 PR 1 9,617,860.500000 10,483,506.100000 0.000000
15 W69208018 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 7 PR 1 9,617,860.500000 10,483,506.100000 0.000000
16 W69208010 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 5 PR 1 9,617,860.500000 10,483,506.100000 0.000000
17 W69208011 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 4 PR 1 9,617,860.500000 10,483,506.100000 0.000000
18 W69208012 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 5 PR 1 9,617,860.500000 10,483,506.100000 0.000000
19 W69208019 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 8 PR 1 9,617,860.500000 10,483,506.100000 0.000000
20 W69208020 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 7 PR 1 9,617,860.500000 10,483,506.100000 0.000000
21 W69208021 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 8 PR 1 9,617,860.500000 10,483,506.100000 0.000000
22 W69208022 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 9 PR 1 9,617,860.500000 10,483,506.100000 0.000000
23 W69208013 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 6 PR 1 9,617,860.500000 10,483,506.100000 0.000000
24 W69208014 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 5 PR 1 9,617,860.500000 10,483,506.100000 0.000000
25 W69208025 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 10 PR 1 9,617,860.500000 10,483,506.100000 0.000000
26 W69208026 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 9 PR 1 9,617,860.500000 10,483,506.100000 0.000000
27 W69208027 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 10 PR 1 9,617,860.500000 10,483,506.100000 0.000000
28 W69208037 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 14 PR 1 9,617,860.500000 10,483,506.100000 0.000000
29 W69208006 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 3 PR 1 9,617,860.500000 10,483,506.100000 0.000000
30 W69208007 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 4 PR 1 9,617,860.500000 10,483,506.100000 0.000000
31 W69208008 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 3 PR 1 9,617,860.500000 10,483,506.100000 0.000000
32 W69208009 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 4 PR 1 9,617,860.500000 10,483,506.100000 0.000000

Pagina 45 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
33 W69208028 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 11 PR 1 9,617,860.500000 10,483,506.100000 0.000000
34 W69208001 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 2 PR 1 9,617,860.500000 10,483,506.100000 0.000000
35 W69208002 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 1 PR 1 9,617,860.500000 10,483,506.100000 0.000000
36 W69208003 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 1, FLACON DE 8,3 ML X 2 PR 1 9,617,860.500000 10,483,506.100000 0.000000
37 W69208004 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 8,3 ML X 3 PR 1 9,617,860.500000 10,483,506.100000 0.000000
38 W69208005 M09AX09 ONASEMNOGEN ABEPARVOVEC **1 ZOLGENSMA SOL. PERF. 2x10^13genomuri vector/ml NOVARTIS EUROPHARM LTD. IRLANDA FLACON DE 5,5 ML X 2, FLACON DE 8,3 ML X 2 PR 1 9,617,860.500000 10,483,506.100000 0.000000
39 W67547001 M09AX10 RISDIPLAMUM **1 EVRYSDI 0,75 mg/ml PULB. PT. SOL. ORALA 0,75 mg/ml ROCHE REGISTRATION GMBH GERMANIA PR
CUTIE CU UN FLACON DIN STICLA +ADAPTOR+ SERINGI REUTILIZABILE PENTRU ADMINISTRARE ORALA (2 DE 6ML+2DE12ML) 1 37,004.060000 40,372.580000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.25: Boala Castelman

1 W66521001 L04AC11 SILTUXIMABUM **1 SYLVANT 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 8 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 100 MG DE SILTUXIMAB PRF 1 2,283.690000 2,527.370000 0.000000
2 W66522001 L04AC11 SILTUXIMABUM **1 SYLVANT 400 mg PULB. PT. CONC. PT. SOL. PERF. 400mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 30 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 400 MG DE SILTUXIMAB PRF 1 9,044.800000 9,896.980000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.26: Mucopolizaharidoza Tip IVA

1 W66181001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN INTERNATIONAL LIMITED IRLANDA FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3,318.360000 3,655.160000 0.000000
2 W63017001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN EUROPE LIMITED MAREA BRITANIE FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3,318.360000 3,655.160000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.27: Boli rare - medicamente incluse condiţionat

1 W66425001 A16AA04 MERCAPTAMINUM **1 Ω PROCYSBI 25 mg CAPS. GASTROREZ. 25mg CHIESI FARMACEUTICI S.P.A. ITALIA CUTIE CU 1 FLAC. DIN PEID X 60 CAPS. GASTROREZ. PR 60 38.834000 42.964833 0.000000
2 W66426001 A16AA04 MERCAPTAMINUM **1 Ω PROCYSBI 75 mg CAPS. GASTROREZ. 75mg CHIESI FARMACEUTICI S.P.A. ITALIA CUTIE CU 1 FLAC. DIN PEID X 250 CAPS. GASTROREZ. PR 250 92.510720 100.989280 0.000000
3 W08891006 A16AB03 AGALSIDASUM ALFA ** Ω REPLAGAL 1mg/ml CONC. PT. SOL. PERF. 1mg/ml SHIRE HUMAN GENETIC THERAPIES AB SUEDIA CUTIE X 4 FLACON X 3,5 ML CONC.PT.SOL.PERF. INTR-UN FLC. DE 5ML PR 4 6,188.790000 6,755.327500 0.000000
4 W68716002 A16AB03 AGALSIDASUM ALFA ** Ω REPLAGAL 1mg/ml CONC. PT. SOL. PERF. 1mg/ml TAKEDA PHARMACEUTICALS INTERNATIONAL AG IRELAND BR IRLANDA CUTIE X 4 FLACON X 3,5 ML CONC.PT.SOL.PERF. INTR-UN FLC. DE 5ML PR 4 6,188.790000 6,755.327500 0.000000
5 W65240002 A16AB15 VELMANAZA ALFA **1 Ω LAMZEDE 10 mg PULB. PT. SOL. PERF. 10 mg CHIESI FARMACEUTICI S.P.A. ITALIA FLACON DE 10 ML CARE CONTINE 10MG VELMANAZA ALFA PR 1 4,381.210000 4,813.680000 0.000000
6 W65588001 B01AX07 CAPLACIZUMABUM ** Ω CABLIVI 10 mg PULB+SOLV. PT. SOL. INJ 10mg ABLYNX NV BELGIA 1 FLAC+1 SERINGA PREUMPLUTA CU SOLV.+1 ADAPTOR +2 TAMPOANE PR 1 16,880.490000 18,437.880000 0.000000
7 W66507001 B02BD02 RURIOCTOCOG ALFA PEGOL ** Ω ADYNOVI 250 UI/2 ml PULB. SI SOLV. PT. SOL. INJ. 125UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA PR
CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III 1 738.360000 842.960000 0.000000
8 W66508001 B02BD02 RURIOCTOCOG ALFA PEGOL ** Ω ADYNOVI 500 UI/2 ml PULB. SI SOLV. PT. SOL. INJ. 250UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA PR
CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III 1 1,412.370000 1,577.630000 0.000000
9 W66276002 B02BD02 RURIOCTOCOG ALFA PEGOL ** Ω ADYNOVI 2000 UI/5 ml PULB. SI SOLV. PT. SOL. INJ. 400UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA PR
CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 5 ML SOLVENT, PREASAMBLATE IN SISTEM BAXJECT III 1 5,559.490000 6,097.990000 0.000000
10 W66509001 B02BD02 RURIOCTOCOG ALFA PEGOL ** Ω ADYNOVI 1000 UI/2 ml PULB. SI SOLV. PT. SOL. INJ. 500UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA PR
CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III 1 2,794.740000 3,084.420000 0.000000
11 W68368001 B02BD02 RURIOCTOCOG ALFA PEGOL ** Ω ADYNOVI 3000 UI/5 ml PULB+SOLV. PT. SOL. INJ. 3000UI/5ml BAXALTA INNOVATIONS GMBH AUSTRIA PR
CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 5 ML SOLVENT, PREASAMBLATE IN SISTEM BAXJECT III 1 7,798.100000 8,538.080000 0.000000
12 W66808001 B02BD02 TUROCTOCOG ALFA PEGOL ** Ω ESPEROCT 1000 UI PULB+SOLV. PT. SOL. INJ. 1000 UI NOVO NORDISK A/S DANEMARCA PR
CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PENTRU RECONSTITUIRE 1 2,766.010000 3,053.110000 0.000000
13 W66809001 B02BD02 TUROCTOCOG ALFA PEGOL ** Ω ESPEROCT 1500 UI PULB+SOLV. PT. SOL. INJ. 1500 UI NOVO NORDISK A/S DANEMARCA PR
CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PENTRU RECONSTITUIRE 1 4,134.020000 4,544.240000 0.000000
14 W66810001 B02BD02 TUROCTOCOG ALFA PEGOL ** Ω ESPEROCT 2000 UI PULB+SOLV. PT. SOL. INJ. 2000 UI NOVO NORDISK A/S DANEMARCA PR
CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PENTRU RECONSTITUIRE 1 5,501.870000 6,035.200000 0.000000
15 W66811001 B02BD02 TUROCTOCOG ALFA PEGOL ** Ω ESPEROCT 3000 UI PULB+SOLV. PT. SOL. INJ. 3000 UI NOVO NORDISK A/S DANEMARCA PR
CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PENTRU RECONSTITUIRE 1 8,238.050000 9,017.640000 0.000000
16 W66807001 B02BD02 TUROCTOCOG ALFA PEGOL ** Ω ESPEROCT 500 UI PULB+SOLV. PT. SOL. INJ. 500 UI NOVO NORDISK A/S DANEMARCA PR
CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PENTRU RECONSTITUIRE 1 1,397.980000 1,561.950000 0.000000
17 W64641003 B02BX06 EMICIZUMABUM ** Ω HEMLIBRA 150 mg/1 ml SOL INJ. 150mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 1 ML SOL. INJ. (CONTINE 150 MG EMICIZUMAB) PR 1 38,457.400000 41,956.720000 0.000000
18 W64641001 B02BX06 EMICIZUMABUM ** Ω HEMLIBRA 150 mg/ml SOL INJ. 150mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 0,4 ML SOL. INJ. (CONTINE 60 MG EMICIZUMAB) PR 1 15,400.940000 16,825.170000 0.000000
19 W64641002 B02BX06 EMICIZUMABUM ** Ω HEMLIBRA 150 mg/1 ml SOL INJ. 150mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 0,7 ML SOL. INJ. (CONTINE 105 MG EMICIZUMAB) PR 1 26,929.150000 29,390.920000 0.000000
20 W64640001 B02BX06 EMICIZUMABUM ** Ω HEMLIBRA 30 mg/1 ml SOL INJ. 30mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 1 ML SOL. INJ. (CONTINE 30 MG EMICIZUMAB) PR 1 7,715.500000 8,448.050000 0.000000
21 W64494001 L04AX08 DARVADSTROCELUM **1 Ω ALOFISEL 5 milioane celule/ml SUSP. INJ. 30milioane celule/6ml TAKEDA PHARMA A/S DANEMARCA CUTIE CU 4 FLAC. DIN STICLA X 6 ML SUSP. PR 1 279,347.640000 304,527.470000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

Pagina 46 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
P6.28: Limfangioleiomiomatoză

1 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR
MAREA BRITANIE 30 15.837666 18.534666 0.000000
2 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15.837666 18.534666 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.29: Lipofuscinoza Ceroidă TIP2 (Deficit de tripeptidil peptidaza - TPP1)

1 W64486001 A16AB17 CERLIPONASUM ALFA **1 BRINEURA 150 mg SOL. PERF. 150mg BIOMARIN INTERNATIONAL LIMITED IRLANDA DIMENSIUNEA AMBALAJULUI CU 3 FLAC.: 2 FLAC. X 150 MG DE CERLIPONAZA ALFA IN 5 ML SOLUTIE + 1 FLAC. X 5 ML SOLUTIE DE SPALARE PR 1 95,124.230000 103,723.560000 0.000000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.30: Sindrom hemolitic uremic atipic (SHUa) şi hemoglobinurie paroxistică nocturnă (HPN)

1 W68259001 L04AA25 ECULIZUMABUM **1 SOLIRIS 300 mg CONC. PT. SOL. PERF. 300mg ALEXION EUROPE SAS FRANTA CUTIE CU 1 FLAC. X 30 ML CONC. PT. SOL. PERF. PR 1 15,652.970000 17,099.890000 0.000000

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE


Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

1 W00231001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 0.677600 0.886400 0.000000
2 W67321001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 micrograme CAPS. MOI 0,25micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 50 CAPS. MOI PRF 50 0.677600 0.886400 0.000000
3 W44042001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 1.037333 1.357000 0.000000
4 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOI PRF 30 1.037333 1.357000 0.000000
5 W67770001 A11CC03 ALFACALCIDOLUM MEDIRAZIN 0,5 micrograme CAPS. MOI 0,50micrograme ZENIVA K.S. REPUBLICA CEHA CUTIE CU UN FLACON ALB OPAC DIN PEÎD X 30 CAPSULE MOI PRF 30 1.037333 1.357000 0.000000
6 W67323001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 micrograme CAPS. MOI 0,50micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 30 CAPS. MOI PRF 30 1.037333 1.357000 0.000000
7 W55847001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 11.387000 13.901000 0.000000
8 W68102002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 22.774000 27.803000 0.000000
9 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 22.774000 27.803000 0.000000
10 W68102001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 11.387000 13.901000 0.000000
11 W66776001 G03CA03 ESTRADIOLUM ESTRADIOL BESINS 0,75 mg/doza GEL TRANSDERMIC 0,75mg/doza BESINS HEALTHCARE SA BELGIA CUTIE CU 1 RECIPIENT MULTIDOZA, FORMAT DINTR-UN FLAC. DIN PP SI O POMPA DOZATOARE DIN PP CU 80 G GEL PRF 1 29.950000 39.170000 0.000000
12 W62058002 G03CA03 ESTRADIOLUM LENZETTO 1,53 mg/doza SPRAY TRANSDERMIC, SOL. 1,53mg/doza GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU UN FLAC. DIN STICLA CARE CONTINE 6,5 ML SOL., PREVAZUT CU O POMPA DOZATOARE P6L 1 41.090000 53.740000 0.000000
13 W63437001 G03CX01 TIBOLONUM LIVIAL 2,5 mg COMPR. 2,5mg MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 28 COMPR. PRF 28 1.451428 1.898571 0.000000
14 W68214001 G03CX01 TIBOLONUM LIVIAL 2,5 mg COMPR. 2,5mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 28 COMPR. PRF 28 1.451428 1.898571 0.000000
15 W62041002 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 28 1.443214 1.887857 0.000000
16 W62041001 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 14 1.537142 1.941143 0.136714
17 W62041003 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 84 1.325000 1.617619 0.000000
18 W42160002 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S 2 1,346.515000 1,486.775000 0.000000
19 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0.620200 0.811200 0.000000
20 W65156001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 5 BLIST. AL-PVC/PVC X 10 COMPR. PRF 50 0.620200 0.811200 0.000000
21 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 2.633000 3.329000 0.000000
22 W65157001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. PRF 20 2.633000 3.329000 0.000000
23 W08307001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg PULB+SOLV. PT. SOL. INJ./PERF. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML PRF 1 27.740000 36.290000 0.000000
24 W08310001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg PULB+SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML PRF 1 77.510000 98.000000 0.000000
25 W67515002 H03AA01 LEVOTHYROXINUM EUTHYROX 125 µg COMPR 125 µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLISTERE DIN PVC/AL A CÂTE 25 COMPRIMATE P6L 100 0.171100 0.231300 0.000000
26 W66292003 H03AA01 LEVOTHYROXINUM EUTHYROX 100µg COMPR. 100µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0.134700 0.182000 0.000000
27 W66294002 H03AA01 LEVOTHYROXINUM EUTHYROX 150µg COMPR. 150µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0.188100 0.254200 0.000000

Pagina 47 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
28 W66291003 H03AA01 LEVOTHYROXINUM EUTHYROX 25µg COMPR. 25µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0.084500 0.114200 0.000000
29 W66293002 H03AA01 LEVOTHYROXINUM EUTHYROX 50µg COMPR. 50µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0.106800 0.144400 0.000000
30 W67516002 H03AA01 LEVOTHYROXINUM EUTHYROX 75 µg COMPR. 75 µg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLISTERE DIN PVC/AL A CÂTE 25 COMPRIMATE P6L 100 0.134500 0.181800 0.000000
31 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 16.485000 21.560000 0.000000
32 W61160002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 25 micrograme/5 ml SOL. ORALA 25micrograme/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 15.355000 20.085000 0.000000
33 W61161002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 50 micrograme/5 ml SOL. ORALA 50micrograme/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 15.355000 20.085000 0.000000
34 W66144003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. (2 BLIST. X 25 COMPR. FILM.) P6L 50 0.372200 0.503000 0.000000
35 W54546003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0.372200 0.503000 0.000000
36 W54545003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0.500000 0.654000 0.000000
37 W66145003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. (2 BLIST. X 25 COMPR. FILM.) P6L 50 0.500000 0.654000 0.000000
38 W66143004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. (4 BLIST. X 25 COMPR. FILM.) P6L 100 0.307300 0.401900 0.000000
39 W54547004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 0.307300 0.401900 0.000000
40 W66151004 H03CA01 KALII IODIDUM JODID 100 micrograme COMPR. 100micrograme MERCK ROMANIA SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. PRF 100 0.154300 0.208500 0.000000
41 W54297001 M05BA04 ACIDUM ALENDRONICUM ** TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 2.777500 3.752500 0.000000
42 W68213004 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 3.210000 4.338000 6.102000
43 W68213002 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 3.210000 4.338000 5.767000
44 W60296002 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 3.210000 4.338000 5.767000
45 W60296004 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 3.210000 4.338000 6.102000
46 W63265001 M05BA04 ACIDUM ALENDRONICUM ** BINOSTO 70 mg COMPR. EFF. 70 mg GALENICA SA GRECIA CUTIE CU 2 BENZI DIN HARTIE/PE/AL/ZN-IONOMER X 2 COMPR. EFF. P6L 4 3.210000 4.338000 12.484500
47 W56763003 M05BA04 ACIDUM ALENDRONICUM ** ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 3.210000 4.338000 5.907000
48 W56763002 M05BA04 ACIDUM ALENDRONICUM ** ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 3.210000 4.338000 6.942000
49 W52948001 M05BA04 ACIDUM ALENDRONICUM ** ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 2.675000 3.615000 0.000000
50 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 3.210000 4.338000 4.753666
51 W66497003 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 4.116000 5.565000 7.315000
52 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 4.116000 5.565000 7.315000
53 W66431003 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 35 mg COMPR. FILM. 35mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L 4 4.116000 5.565000 2.517500
54 W60074002 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT SODIC ZENTIVA 35mg COMPR. FILM. 35mg ZENTIVA KS REPUBLICA CEHA CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE P-6L 4 3.430000 4.637500 0.000000
55 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 20.425000 26.715000 0.000000
56 W66432001 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 19.090000 24.970000 0.000000
57 W66214001 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 75 mg COMPR. FILM. 75mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 20.425000 26.715000 0.000000
58 W66935003 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 35 mg COMPR. GASTROREZ. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU BLIST. PVC/AL X 4 COMPR. GASTROREZ. P6L 4 4.116000 5.565000 15.515000
59 W64472001 M05BA08 ACIDUM ZOLEDRONICUM ** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. PR 1 768.090000 875.370000 0.000000
60 W42407001 M05BA08 ACIDUM ZOLEDRONICUM ** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLACON PLASTIC (POLIMER CICLOOLEFINIC) X 100ML SOLUTIE PERFUZABILA INCHIS CU UN DOP DIN CAUCIUC BROMOBUTILIC ACOPERIT CU FLUORO-POLIMER + 1 CAPAC ALUMINIU/POLIPROPILENA CU COMPONENTA FLIP PR 1 768.090000 875.370000 0.000000
61 W67694002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI N.V. ORGANON OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L 4 8.002500 10.467500 0.000000
62 W64728002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L 4 8.002500 10.467500 0.000000
63 W63922002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/2800 UI COMPR. 70mg/2800UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 9.603000 12.561000 0.871500
64 W62143003 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR P6L 4 6.290000 8.227500 0.000000
65 W62143001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. P6L 4 6.290000 8.227500 0.000000
66 W67697001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI N.V. ORGANON OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 7.548000 9.873000 1.052000
67 W64729001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 7.548000 9.873000 1.052000
68 W63923002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/5600 UI COMPR. 70mg/5600UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 7.548000 9.873000 3.872000
69 W62143002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4X1 COMPR. P6L 4 6.290000 8.227500 0.000000
70 W62679010 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 259 MBQ PR 1 748.180000 853.670000 0.000000
71 W62679002 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 111 MBQ PR 1 757.190000 863.490000 0.000000
72 W62679005 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 1110 MBQ PR 1 888.440000 1,006.550000 0.000000
73 W62679008 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 3700 MBQ PR 1 1,210.360000 1,357.440000 0.000000

Pagina 48 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
74 W62679001 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTRU-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PENTRU UZ TERAPEUTIC 7400 MBQ PR 1 2,826.900000 3,119.470000 0.000000
75 W62679004 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 370 MBQ PR 1 759.680000 866.200000 0.000000
76 W62679006 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 1850 MBQ PR 1 834.810000 948.090000 0.000000
77 W62679007 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 2590 MBQ PR 1 858.240000 973.630000 0.000000
78 W62679009 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 5550 MBQ PR 1 2,390.770000 2,644.090000 0.000000
79 W62679003 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 185 MBQ PR 1 738.230000 842.820000 0.000000
80 W66052005 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 259 MBQ + APLICATOR SEPARAT DIN PP PR 1 897.816000 1,024.404000 298.566000
81 W66052008 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 1850 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,001.772000 1,137.708000 640.582000
82 W66052007 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 1110 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,066.128000 1,207.860000 285.870000
83 W66052009 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 2590 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,029.888000 1,168.356000 723.764000
84 W66052001 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 37-56 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,074.310000 1,209.150000 0.000000
85 W66052002 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 74 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,074.310000 1,209.150000 0.000000
86 W66052003 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 111 MBQ + APLICATOR SEPARAT DIN PP PR 1 908.628000 1,036.188000 184.952000
87 W66052004 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 185 MBQ + APLICATOR SEPARAT DIN PP PR 1 885.876000 1,011.384000 311.586000
88 W66052006 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 370 MBQ + APLICATOR SEPARAT DIN PP PR 1 911.616000 1,039.440000 397.370000
89 W66052010 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 3700 MBQ + APLICATOR SEPARAT DIN PP PR 1 1,452.432000 1,628.928000 490.862000
90 W66052011 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CONTAINER DIN PB ACOPERIT CU UN CAPAC DE PB CE CONTINE O INSERTIE DE PP CU FILTRU PT. IOD CE CONTINE 1 FLAC. X 1 CAPS. 5500 MBQ + APLICATOR SEPARAT DIN PP PR 1 2,536.340000 2,802.760000 0.000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.1: TRANSPLANT MEDULAR

1 W56153001 A04AA01 ONDANSETRONUM ** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 BLIST. AL-PVDC/PVC X 10 COMPR. FILM. P-RF 10 2.599000 3.400000 0.000000
2 W56154001 A04AA01 ONDANSETRONUM ** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 BLIST. AL-PVDC/PVC X 10 COMPR. FILM. P-RF 10 3.904000 5.106000 0.000000
3 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 11.839200 15.484800 3.483200
4 W68355001 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 2 ML SOLUTIE INJ./PERF. PR 5 5.589600 7.555200 3.126800
5 W57423001 A04AA01 ONDANSETRONUM ** OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 5.530000 7.234000 0.000000
6 W57424001 A04AA01 ONDANSETRONUM ** OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 9.866000 12.904000 0.000000
7 W68620001 A04AA01 ONDANSETRONUM ** ONDASAN 2 mg/ml SOL. INJ. 2mg/ml MESFARMA SRL ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA, TIP I, INTRODUSE IN SUPORT AL-PVC A CATE 2 ML SOL. INJ. PR 5 4.658000 6.296000 0.000000
8 W66895001 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVC/AL X 10 CAPS. P6L 50 0.722000 0.944400 0.000000
9 W66895002 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 10 BLIST. PVC-PVDC/AL X 10 CAPS. P6L 100 0.662700 0.837900 0.000000
10 W66895003 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVDC/AL X 20 CAPS. P6L 100 0.662700 0.837900 0.000000
11 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0.795240 1.005480 0.147120
12 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0.795240 1.005480 0.286520
13 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 2.121900 2.590400 0.000000
14 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 88.330000 111.690000 0.000000
15 W68079001 B02AA02 ACIDUM TRANEXAMICUM (4) UGUROL 500 mg/5ml SOL. INJ. PT. ADM. I.V., ORALA SI CUT. 500mg/5ml BGP PRODUCTS S.R.L. ROMANIA CUTIE CU 6 FIOLE A CATE 5 ML SOL. INJ. PR 6 3.552000 4.800000 1.480000
16 W69217001 B02AA02 ACIDUM TRANEXAMICUM (4) ACIDO TRANEXAMICO BIOINDUSTRIA L.I.M. 500 mg/5 ml SOL. INJ. PT. ADM. I.V.SI ORALA 500mg/5ml CN UNIFARM S.A. ROMANIA CUTIE CU 5 FIOLE X 5 ML SOL. INJ. PR 5 2.960000 4.000000 0.000000
17 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR 1 2,229.340000 2,468.130000 0.000000
18 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 33.000000 40.286400 18.743600
19 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 17.100000 23.110000 0.000000
20 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 19.800000 24.171600 4.067400
21 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 16.500000 20.143000 0.000000
22 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 27.500000 33.572000 0.000000
23 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 28.500000 37.280000 0.000000
24 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 33.000000 40.286400 18.743600

Pagina 49 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
25 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 30.778000 37.363000 0.000000
26 W61143002 J01DH02 MEROPENEMUM ARCHIFAR 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 36.037000 43.095000 0.000000
27 W58974002 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 39.038400 47.130000 42.250000
28 W58974005 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 39.038400 47.130000 42.250000
29 W69121002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g EUGIA PHARMA (MALTA) LTD. MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 39.038400 47.130000 50.473000
30 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 39.038400 47.130000 50.473000
31 W68533002 J01DH02 MEROPENEMUM MEROPENEM ANTIBIOTICE 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP CAUCIUC BUTILIC, SIGILAT CU CAPSA DIN AL CU PULB. PT. SOL. INJ/PERF. PR 10 39.038400 47.130000 42.250000
32 W56125002 J01DH02 MEROPENEMUM MEROPENEM KABI 1 g PULB. PT. SOL. INJ./PERF. 1g FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 10 32.532000 39.275000 0.000000
33 W58973002 J01DH02 MEROPENEMUM MEROPENEM ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 24.211200 29.557200 19.492800
34 W68532002 J01DH02 MEROPENEMUM MEROPENEM ANTIBIOTICE 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. STICLA INCOLORA, CU CAPACITATEA DE 10 ML CU DOP CAUCIUC BUTILIC, SIGILAT CU CAPSA DIN AL CU PULB. PT. SOL. INJ/PERF. PR 10 24.211200 29.557200 19.492800
35 W61142002 J01DH02 MEROPENEMUM ARCHIFAR 500 mg PULB. PT. SOL. INJ./PERF. 500mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR 10 20.176000 24.631000 0.000000
36 W56826001 J01DH02 MEROPENEMUM LODITER 500 mg PULB. PT. SOL. INJ./PERF. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 24.211200 29.557200 27.772800
37 W56124002 J01DH02 MEROPENEMUM MEROPENEM KABI 500 mg PULB. PT. SOL. INJ./PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. PR 10 24.211200 29.557200 7.829800
38 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20.785000 25.374000 0.000000
39 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 7.613200
40 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24.942000 30.448800 7.348200
41 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 21.909000 26.747000 0.000000
42 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 7.613200
43 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24.942000 30.448800 10.281200
44 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 11.001200
45 W68721001 J01XA01 VANCOMYCINUM LEVOVANOX 250 mg CAPS. 250mg ALLIANCE HEALTHCARE ROMANIA SRL ROMANIA CUTIE CU 4 CAPS. PR 4 47.575000 58.080000 0.000000
46 W68992001 J01XA01 VANCOMYCINUM VANCOMICINA ATB 1000 mg 1000mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, DE TIP I, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 73.770000 93.280000 0.000000
47 W68992002 J01XA01 VANCOMYCINUM VANCOMICINA ATB 1000 mg 1000mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, DE TIP I, CU PULB. PT. CONC. PT. SOL. PERF. PR 10 68.868000 78.881000 0.000000
48 W67482001 J01XA01 VANCOMYCINUM VANCOMICINA ROMPHARM 1000mg 1000mg
PULB. PT. CONC. PT. SOL. PERF. ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE 1000 MG PULBERE PT. CONC. PT. SOL. PERF. PR 1 73.770000 93.280000 0.000000
49 W68991002 J01XA01 VANCOMYCINUM VANCOMICINA ATB 500 mg 500mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, DE TIP I, CU PULB. PT. CONC. PT. SOL. PERF. PR 10 38.330000 45.595000 0.000000
50 W68991001 J01XA01 VANCOMYCINUM VANCOMICINA ATB 500 mg 500mg
PULB. PT. CONC. PT. SOL. PERF. ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, DE TIP I, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 41.664000 54.504000 1.856000
51 W67245004 J01XA01 VANCOMYCINUM VANCOMICINA MIP 1000 mg PULB. PT. SOL. PERF. 1000mg MIP PHARMA GMBH GERMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 25 ML, INCHISE CU DOP GRI DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA METALICA PREVAZUTA CU DISC DIN PLASTIC TIP FLIP-OFF PR 5 71.864000 85.962000 0.000000
52 W67244002 J01XA01 VANCOMYCINUM VANCOMICINA MIP 500 mg PULB. PT. SOL. PERF. 500mg MIP PHARMA GMBH GERMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML, INCHISE CU DOP GRI DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA METALICA PREVAZUTA CU DISC DIN PLASTIC TIP FLIP-OFF PR 5 38.858000 47.438000 0.000000
53 W57042001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg 1000mg
PULB. PT.CONC. PT.SOL. PERF. FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 63.540000 80.340000 0.000000
54 W57041001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 500 mg 500mg
PULB. PT.CONC. PT.SOL. PERF. FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 34.720000 45.420000 0.000000
55 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg 400mg
PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF 1 121.080000 147.810000 0.000000
56 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 62.878000 72.352000 0.000000
57 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 35.632600
58 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75.453600 86.822400 35.632600
59 W61133001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 11.442600
60 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 996.460000 1,124.290000 0.000000
61 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 996.460000 1,124.290000 0.000000
62 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 136.718000 152.838000 0.000000
63 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 145.712400 163.404000 8.466000
64 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 141.592000 158.150000 0.000000
65 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 121.427000 136.170000 0.000000
66 W61561004 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN PEJD A CATE 300 ML SOL. PERF. PR 10 145.712400 163.404000 6.367000
67 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 145.712400 163.404000 19.875000
68 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 145.712400 163.404000 98.576000
69 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 121.427000 136.170000 0.000000
70 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.670000 7.415714 0.000000

Pagina 50 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
71 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 6.040000 8.162500 0.000000
72 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
73 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
74 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
75 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
76 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
77 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
78 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
79 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.750000 9.120000 0.000000
80 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 8.100000 10.944000 1.566000
81 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.100000 10.944000 1.566000
82 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
83 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
84 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.338571 6.982857 0.000000
85 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
86 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
87 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 3.147428 4.253142 0.514000
88 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
89 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
90 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
91 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
92 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 3.147428 4.253142 0.514000
93 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
94 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
95 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 43.588200 49.800000 14.010000
96 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 87.736000 99.447000 0.000000
97 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 76.778000 87.503000 0.000000
98 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
99 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
100 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 12.075500 14.741500 0.000000
101 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
REPUBLICA CEHA PRF 28 16.732142 19.600714 0.000000
102 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 19.993600 23.319199 6.767229
103 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 19.993600 23.319199 16.420801
104 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 16.661333 19.432666 0.000000
105 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 19.993600 23.319199 2.974372
106 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 52.899372
107 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 4.235443
108 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 19.993600 23.319199 52.899372
109 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.810357 26.225714 0.000000
110 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.899285 28.775000 0.000000
111 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 22.292857 24.980535 0.000000
112 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 324.410000 391.760000 0.000000
113 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 389.292000 470.112000 357.478000
114 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 324.410000 391.760000 0.000000
115 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 389.292000 470.112000 38.608000
116 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 324.410000 391.760000 0.000000

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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
117 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml 40mg/ml
PULB. PT. SUSP. ORALA PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,740.030000 1,934.780000 0.000000
118 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml 40mg/ml
PULB. PT. SUSP. ORALA PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,740.030000 1,934.780000 0.000000
119 W66421009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.709166 40.512500 0.000000
120 W66225002 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL PERFORAT PENTRU ELIBERAREA UNEI DOZE X 24X1 COMPR. GASTROREZ PR 24 29.901666 34.182500 0.000000
121 W66832009 J02AC04 POSACONAZOLUM ** POSACONAZOL STADA 100 mg COMPR. GASTROREZ. 100mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 29.901666 34.182500 0.000000
122 W66364009 J02AC04 POSACONAZOLUM ** POSACONAZOL ZENTIVA 100 mg COMPR. GASTROREZ. 100mg ZENTIVA K.S. REP. CEHA CUTIE CU BLIST. OPAC NEPERFORAT DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.881999 41.019000 11.502666
123 W68234009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.709166 40.512500 0.000000
124 W66225001 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 24 COMPR. GASTROREZ PR 24 29.901666 34.182500 0.000000
125 W69004001 J02AC04 POSACONAZOLUM ** POSACONAZOL VIATRIS 40 mg/ml SUSP. ORALA 40mg/ml VIATRIS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 668.220000 766.510000 0.000000
126 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 668.220000 766.510000 0.000000
127 W66224001 J02AC04 POSACONAZOLUM ** POSACONAZOLE AHCL 40 mg/ml SUSP. ORALA 40mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PP + 1 LINGURITA DOZATOARE X 105 ML SUSP. ORALA PR 1 668.220000 766.510000 0.000000
128 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 180.646428 199.629285 0.000000
129 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 180.646428 199.629285 0.000000
130 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
131 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
132 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
133 W68343001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA M&D 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
134 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
135 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
136 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
137 W69111001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ROMPHARM 50 mg 50mg
PULB. PT. CONC. PT. SOL. PERF. ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPAC. DE 10 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
138 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
139 W68342001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA M&D 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
140 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
141 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
142 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg 70mg
PULB. PT. CONC. PT. SOL. PERF. MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
143 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg 50mg
PULB. PT.CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
144 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg 70mg
PULB. PT.CONC. PT. SOL. PERF. STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
145 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
146 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
147 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.836500 0.949940 0.000000
148 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
149 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.602000 3.403000 0.000000
150 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 1.003800 1.139928 0.277072
151 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
152 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
153 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2.328000 3.146000 0.000000
154 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.852000 52.314000 0.000000
155 W69293002 J05AB01 ACICLOVIRUM ACICLOVIR ROMPHARM 250 mg PULB. PT. SOL. PERF. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 43.184000 52.718000 0.000000
156 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 41.340000 50.468000 0.000000
157 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 3.408000 4.458000 0.000000
158 W60087001 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 2.920000 3.820000 0.000000
159 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 18.988333 21.333166 0.000000
160 W65648001 J05AX18 LETERMOVIRUM ** PREVYMIS 240 mg COMPR. FILM. 240mg MERCK SHARP & DOHME OLANDA CUTIE X 4 BLIST. PA-AL-PVC/AL TIP CARD X 7 COMPR. FILM. PR 28 684.878571 747.880000 0.000000
161 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,990.970000 3,298.310000 0.000000
162 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 390.940000 464.270000 0.000000

Pagina 52 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
163 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 751.860000 857.680000 0.000000
164 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,473.710000 1,644.490000 0.000000
165 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 621.050000 715.090000 0.000000
166 W69115001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 100 mg/ml SOL. PERF. 100mg/ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. INJ. (20G) PR 1 8,929.990000 9,771.850000 0.000000
167 W65358007 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML, CU 200 ML SOL. PERF. PR 1 7,616.970000 8,340.650000 0.000000
168 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 1,926.740000 2,138.300000 0.000000
169 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,230.310000 1,379.190000 0.000000
170 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,417.300000 2,673.010000 0.000000
171 W65358005 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML, CU 100 ML SOL. PERF. PR 1 3,823.480000 4,205.740000 0.000000
172 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 269.350000 328.820000 0.000000
173 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 632.570000 727.650000 0.000000
174 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,607.940000 2,880.800000 0.000000
175 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET PT. PERFUZARE PR 1 283.570000 346.180000 0.000000
176 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 674.480000 773.330000 0.000000
177 W68738001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
178 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,396.500000 1,560.340000 0.000000
179 W68982003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 100 ML SOL. PERF. PR 1 2,250.000000 2,490.650000 0.000000
180 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 713.250000 815.590000 0.000000
181 W69207001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
182 W69207002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 4,667.000000 5,125.180000 0.000000
183 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,762.990000 3,049.810000 0.000000
184 W68982002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 50 ML SOL. PERF. PR 1 1,125.000000 1,264.400000 0.000000
185 W68982001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. PERF. PR 1 4,500.000000 4,943.150000 0.000000
186 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 355.870000 426.050000 0.000000
187 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,318.970000 1,475.830000 0.000000
188 W69340001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KEDRIGAMMA 6g/120ml SOL. PERF. 6g/120ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE X 1 FLAC. 120 ML SOL. PERF. PR 1 2,700.000000 2,981.150000 0.000000
189 W68692001 L01AA01 CYCLOPHOSPHAMIDUM CICLOFOSFAMIDA DR. REDDY'S 1000 mg/2ml CONC. PT. SOL. INJ./PERF. 1000mg/2ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TUBULARA, INCOLORA, CU CAPACITATE DE 2 ML, CU CONC. PT. SOL. PERF./INJ. PR 1 430.000000 506.850000 0.000000
190 W68693001 L01AA01 CYCLOPHOSPHAMIDUM CICLOFOSFAMIDA DR. REDDY'S 2000 mg/4ml CONC. PT. SOL. INJ./PERF. 2000mg/4ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TUBULARA, INCOLORA, CU CAPACITATE DE 5 ML, CU CONC. PT. SOL. PERF./INJ. PR 1 630.000000 724.850000 0.000000
191 W68691001 L01AA01 CYCLOPHOSPHAMIDUM CICLOFOSFAMIDA DR. REDDY'S 500 mg/ml CONC. PT. SOL. INJ./PERF. 500mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TUBULARA, INCOLORA, CU CAPACITATE DE 2 ML, CU CONC. PT. SOL. PERF./INJ. PR 1 220.000000 268.580000 0.000000
192 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0.948400 1.240400 0.000000
193 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 45.310000 59.270000 0.000000
194 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 45.310000 59.270000 0.000000
195 W58865001 L01AA03 MELPHALANUM ALKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF 25 3.437200 4.346000 0.000000
196 W68111001 L01AA03 MELPHALANUM MELPHALAN-RATIOPHARM 50 mg PULB+SOLV. PT. SOL. INJ./PERF. 50mg TEVA PHARMACEUTICALS S.R.L. PR
ROMANIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 10 ML SOLV. 1 1,095.400000 1,232.140000 0.000000
197 W67923001 L01AA03 MELPHALANUM PHELINUN 200 mg PULB+SOLV. PT. SOL. PERF. 200mg ADIENNE S.R.L. S.U. ITALIA PR
CUTIE CU 1 FLACON X 200MG PULBERE + 1 FLACON X 40ML SOLVENT 1 4,490.550000 4,932.850000 0.000000
198 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. PR 1 135.610000 165.550000 0.000000
199 W58856002 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF 100 2.758900 3.368100 0.000000
200 W65792001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 1,037.000000 1,168.480000 0.000000
201 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg/50 ml CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML PR 1 372.270000 443.920000 0.000000
202 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJD PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 ML SOL. ORALA PR 1 763.650000 870.530000 0.000000
203 W56210002 L01BB05 FLUDARABINUM FLUDARA ORAL 10 mg COMPR. FILM. 10mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20 78.248500 87.198500 0.000000
204 W64515001 L01BB05 FLUDARABINUM FLUDARABINA TEVA 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDARABINA PR 1 143.850000 175.610000 0.000000
205 W08035001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 100mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 10 180.238000 200.274000 0.000000
206 W66187001 L01CB01 ETOPOSIDUM VEPESID 100 mg CAPS. MOI 100mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU BLIST. PVC-PCTFE-PVC/AL-PVDC X 10 CAPS. MOI PRF 10 180.238000 200.274000 0.000000
207 W08036001 L01CB01 ETOPOSIDUM VEPESID CAPS. MOI 50mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF 20 77.669000 86.566500 0.000000
208 W66186001 L01CB01 ETOPOSIDUM VEPESID 50 mg CAPS. MOI 50mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 20 77.669000 86.566500 0.000000

Pagina 53 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
209 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. PR 1 120.756000 147.420000 2.980000
210 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 39.670000 51.890000 0.000000
211 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. PR 1 100.630000 122.850000 0.000000
212 W65097001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1 CAPS. PRF 1 210.550000 257.040000 0.000000
213 W03575001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 210.550000 257.040000 0.000000
214 W03581001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S 1 120.040000 146.540000 0.000000
215 W65096001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 120.040000 146.540000 0.000000
216 W42735002 L01DB07 MITOXANTRONUM ** ONKOTRONE 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. PR 1 543.480000 630.540000 0.000000
217 W65790001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 10 ML CONC. PT. SOL. PERF. PR 1 10.600000 14.330000 0.000000
218 W65790003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 50 ML CONC. PT. SOL. PERF. PR 1 39.490000 51.650000 0.000000
219 W65790004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71.770000 90.750000 0.000000
220 W65790002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 20.820000 28.140000 0.000000
221 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA 1 443.740000 521.830000 0.000000
222 W64519002 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. PR 1 97.176000 122.868000 6.202000
223 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA 1 80.980000 102.390000 0.000000
224 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CONC. PT. SOL. PERF. X 450 MG CARBOPLATINA 1 188.330000 229.910000 0.000000
225 W64519003 L01XA02 CARBOPLATINUM CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. PR 1 214.880000 262.320000 0.000000
226 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA PR
CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CONC. PT. SOL. PERF. X 50 MG CARBOPLATINA 1 42.780000 55.950000 0.000000
227 W64422001 L01XC02 RITUXIMABUM ** BLITZIMA 100 mg CONC. PT. SOL. PERF. 100mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 FLAC. DIN STICLA X 10 ML (100 MG RITUXIMAB IN 10 ML-10MG/ML) PR 2 579.583999 647.008000 22.507000
228 W64512001 L01XC02 RITUXIMABUM ** 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 2 487.990000 550.985000 0.000000
229 W64512002 L01XC02 RITUXIMABUM ** 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 3 482.986666 539.173333 0.000000
230 W64385001 L01XC02 RITUXIMABUM ** 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 2 579.583999 647.008000 170.307000
231 W64513001 L01XC02 RITUXIMABUM ** 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 2,399.640000 2,653.760000 0.000000
232 W64421001 L01XC02 RITUXIMABUM ** BLITZIMA 500 mg CONC. PT. SOL. PERF. 500mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML (500 MG RITUXIMAB IN 50 ML-10MG/ML) PR 1 2,861.568000 3,142.002000 158.208000
233 W64386001 L01XC02 RITUXIMABUM ** MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR 1 2,861.568000 3,142.002000 838.288000
234 W64513002 L01XC02 RITUXIMABUM ** 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 2,384.640000 2,618.335000 0.000000
235 W66651001 L01XC02 RITUXIMABUM ** MABTHERA 1600 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA(1600 MG RITUXIMAB /13,4ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 7,696.420000 8,427.250000 0.000000
236 W64387001 L01XC02 RITUXIMABUM ** MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 6,726.140000 7,369.640000 0.000000
237 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 69.190000 87.490000 0.000000
238 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 116.508000 147.312000 0.678000
239 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 116.720000 142.490000 0.000000
240 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 73.620000 93.080000 0.000000
241 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97.090000 122.760000 0.000000
242 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 846.090000 960.390000 0.000000
243 W64857002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 75.120000 89.510000 0.000000
244 W64858002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 116.508000 145.440000 0.000000
245 W54580001 L03AX16 PLERIXAFOR ** MOZOBIL 20mg/ml SOL. INJ. 20 mg/ml GENZYME EUROPE B.V. OLANDA FLACON CU 1,2 ML SOL. X 20 MG/ML S 1 18,602.200000 20,314.550000 0.000000
246 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE (DE IEPURE) ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1,717.630000 1,910.370000 0.000000
247 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA CU 12 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. S/P-RF 120 2.634333 3.189333 0.000000
248 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.039416 5.810916 0.000000
249 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.166500 1.424100 0.000000
250 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.333000 2.848200 0.000000
251 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.548800 1.958200 0.000000
252 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15.837666 18.534666 0.000000
253 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15.837666 18.534666 0.000000
254 W64809001 L04AB01 ETANERCEPTUM ** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PT. FLAC. + 8 TAMPOANE CU ALCOOL MEDICINAL PR 4 337.607500 377.530000 0.000000

Pagina 54 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
255 W61297001 L04AB01 ETANERCEPTUM ** ENBREL 25mg 25mg
PULB. + SOLV. PT. SOL. INJ. PFIZER LIMITED MAREA BRITANIE CUTIE X 4 FLACOANE + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PENTRU FLACOANE + 8 TAMPOANE CU ALCOOL P-RF/R 4 337.607500 377.530000 0.000000
256 W63832001 L04AB01 ETANERCEPTUM ** ERELZI 50 mg SOL INJ. 50mg SANDOZ GMBH AUSTRIA CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE PR 4 482.840000 535.832500 0.000000
257 W65221001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL INJ. 50mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 4 SERINGI PREUMPLUTE A CATE 50 MG PR 4 555.257500 614.767500 0.000000
258 W64810001 L04AB01 ETANERCEPTUM ** ENBREL 25mg SOL. INJ. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL MEDICINAL PR 4 331.025000 370.355000 0.000000
259 W65222001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL. INJ. 50mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE A CATE 50 MG PR 4 555.257500 614.767500 0.000000
260 W64812002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL MEDICINAL PR 4 668.107500 737.775000 0.000000
261 W64811002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL MEDICINAL PR 4 668.107500 737.775000 0.000000
262 W61299001 L04AB01 ETANERCEPTUM ** ENBREL 25mg 25mg
SOL. INJ. (INSERINGA PREUMPLUTA) PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 331.025000 370.355000 0.000000
263 W61300002 L04AB01 ETANERCEPTUM ** ENBREL 50mg 50mg
SOL. INJ. (INSERINGA PREUMPLUTA) PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 668.107500 737.775000 0.000000
264 W61303002 L04AB01 ETANERCEPTUM ** ENBREL 50mg 50mg
SOL. INJ. IN STILOU INJECTOR PREUMPLUT PFIZER LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL P-RF/R 4 668.107500 737.775000 0.000000
265 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.415600 1.789800 0.000000
266 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.687800 3.281200 0.000000
267 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.143800 1.446200 0.000000
268 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.649800 2.086000 0.000000
269 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.471400 3.017000 0.000000
270 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.414400 4.168200 0.000000
271 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 17.447800 19.781200 0.000000
272 W51974004 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. CU ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.650000 2.086200 0.000000
273 W57352005 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. CU ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
274 W51976004 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. CU ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000
275 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.649800 2.086000 0.000000
276 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
277 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000
278 W68338004 L04AX03 METHOTREXATUM METOTREXAT SANDOZ 2,5 mg (vezi L01BA01) COMPR. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PP X 50 COMPR. PR 50 0.759600 0.993600 0.000000
279 W68338006 L04AX03 METHOTREXATUM METOTREXAT SANDOZ 2,5 mg (vezi L01BA01) COMPR. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. PR 50 0.759600 0.993600 0.000000
280 W12691002 N02AX02 TRAMADOLUM TRAMADOL 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.332000 0.449000 0.000000
281 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.398400 0.538800 0.056700
282 W60291001 N02AX02 TRAMADOLUM TRAMACALM 50 mg CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 0.398400 0.538800 0.056200
283 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.398400 0.538800 0.056700
284 W42957001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.398400 0.538800 0.056700
285 W68093001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 0.398400 0.538800 0.056700
286 W43360001 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. CU ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-RF 30 0.899599 1.216000 0.086333
287 W43361001 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. CU ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-RF 30 1.156800 1.513200 0.115466
288 W61448003 N02AX02 TRAMADOLUM MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.506666 0.684666 0.000000
289 W58072001 N02AX02 TRAMADOLUM TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF 30 0.607999 0.821599 0.012067
290 W61449011 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0.756000 1.022000 0.000000
291 W61449001 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0.756000 1.022000 0.000000
292 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST. PP/AL X 10 COMPR. ELIB. PREL. P-RF 10 0.899599 1.216000 0.169000
293 W61449003 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.749666 1.013333 0.000000
294 W63389001 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0.899599 1.216000 0.169000
295 W61450003 N02AX02 TRAMADOLUM MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.964000 1.261000 0.000000
296 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS 50 mg/ml SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 10 1.735000 2.345000 0.000000
297 W05967001 N02AX02 TRAMADOLUM TRAMADOL 100 mg/2 ml SOL. INJ. 100mg/2ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML PRF 5 2.082000 2.814000 0.816000
298 W05961001 N02AX02 TRAMADOLUM MABRON 100 mg/2 ml SOL. INJ. 100mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1.760000 2.380000 0.000000
299 W05966001 N02AX02 TRAMADOLUM TRAMADOL 50 mg/1 ml SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML PRF 5 0.964000 1.304000 0.000000
300 W61214001 R05CB13 DORNAZA ALFA ** PULMOZYME 2500 U/2,5 ml 2500U/2,5ml
SOL. DE INHALAT PRIN NEBULIZATOR ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL PR 6 76.220000 89.438333 0.000000

Pagina 55 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
301 W68284001 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 4.830400 5.896800 29.611533
302 W68284003 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 4.830400 5.896800 29.611533
303 W66803001 V03AC03 DEFERASIROXUM ** REDITENS 180 mg COMPR. FILM. 180mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 4.286666 5.233333 0.000000
304 W66841001 V03AC03 DEFERASIROXUM ** DEFERASIROX STADA 180 mg COMPR. FILM. 180mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 4.025333 4.914000 0.000000
305 W68284005 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 4.830400 5.896800 29.611533
306 W68284007 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 4.830400 5.896800 29.611533
307 W68074001 V03AC03 DEFERASIROXUM ** DEFERASIROX ACCORD 180 mg COMPR. FILM. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 4.830400 5.896800 16.497866
308 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 4.830400 5.896800 19.054866
309 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 12.271200 14.901600 29.387400
310 W68283005 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 12.271200 14.901600 54.411066
311 W68283007 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 12.271200 14.901600 54.411066
312 W68283001 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 12.271200 14.901600 54.411066
313 W68283003 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 12.271200 14.901600 54.411066
314 W66804001 V03AC03 DEFERASIROXUM ** REDITENS 360 mg COMPR. FILM. 360mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 12.271200 14.901600 54.411066
315 W68075001 V03AC03 DEFERASIROXUM ** DEFERASIROX ACCORD 360 mg COMPR. FILM. 360mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 12.271200 14.901600 30.422733
316 W66842001 V03AC03 DEFERASIROXUM ** DEFERASIROX STADA 360 mg COMPR. FILM. 360mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 10.226000 12.418000 0.000000
317 W66802001 V03AC03 DEFERASIROXUM ** REDITENS 90 mg COMPR. FILM. 90mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 2.637666 3.335000 0.000000
318 W04133001 V03AF01 MESNUM UROMITEXAN 400mg/4ml SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR 15 9.928666 12.120666 0.000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.2: TRANSPLANT DE CORD

1 W68719001 C01CA24 EPINEPHRINUM EPIPEN 150 micrograme SOL INJ. IN STILOU PREUMPLUT 150mcg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2 ML PENTRU O DOZA UNICA DE 0,3ML PR 1 158.300000 193.250000 0.000000
2 W68720001 C01CA24 EPINEPHRINUM EPIPEN 300 micrograme SOL INJ. IN STILOU PREUMPLUT 300mcg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2 ML PENTRU O DOZA UNICA DE 0,3ML PR 1 166.400000 203.140000 0.000000
3 W02947002 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR 10 4.966000 6.495000 0.000000
4 W60389001 C01CA24 EPINEPHRINUM EPIPEN 150 micrograme SOL. INJ. IN STILOU PREUMPLUT 150mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 158.300000 193.250000 0.000000
5 W60390001 C01CA24 EPINEPHRINUM EPIPEN 300 micrograme SOL. INJ. IN STILOU PREUMPLUT 300mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 166.400000 203.140000 0.000000
6 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 33.000000 40.286400 18.743600
7 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 17.100000 23.110000 0.000000
8 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 19.800000 24.171600 4.067400
9 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 16.500000 20.143000 0.000000
10 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 27.500000 33.572000 0.000000
11 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 28.500000 37.280000 0.000000
12 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 33.000000 40.286400 18.743600
13 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 30.778000 37.363000 0.000000
14 W13676001 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 16.415000 20.040000 0.000000
15 W13677001 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 21.683000 26.470000 0.000000
16 W44045001 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU 500 MG PULB. PT. SOL. INJ. S/P-RF 1 3.560000 4.810000 0.000000
17 W52795001 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 24 ML CU 2G PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 22.450000 30.350000 0.000000
18 W44061001 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 16.970000 22.930000 0.000000
19 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20.785000 25.374000 0.000000
20 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 7.613200
21 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24.942000 30.448800 7.348200
22 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 21.909000 26.747000 0.000000
23 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 7.613200

Pagina 56 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
24 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24.942000 30.448800 10.281200
25 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24.942000 30.448800 11.001200
26 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 62.878000 72.352000 0.000000
27 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 35.632600
28 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75.453600 86.822400 35.632600
29 W61133001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 11.442600
30 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 996.460000 1,124.290000 0.000000
31 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 996.460000 1,124.290000 0.000000
32 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 136.718000 152.838000 0.000000
33 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 145.712400 163.404000 8.466000
34 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 141.592000 158.150000 0.000000
35 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 121.427000 136.170000 0.000000
36 W61561004 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN PEJD A CATE 300 ML SOL. PERF. PR 10 145.712400 163.404000 6.367000
37 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 145.712400 163.404000 19.875000
38 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 145.712400 163.404000 98.576000
39 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 121.427000 136.170000 0.000000
40 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.670000 7.415714 0.000000
41 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 6.040000 8.162500 0.000000
42 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
43 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
44 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
45 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
46 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
47 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
48 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
49 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.750000 9.120000 0.000000
50 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 8.100000 10.944000 1.566000
51 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.100000 10.944000 1.566000
52 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
53 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
54 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.338571 6.982857 0.000000
55 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
56 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
57 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 3.147428 4.253142 0.514000
58 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
59 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
60 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
61 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
62 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 3.147428 4.253142 0.514000
63 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
64 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
65 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 43.588200 49.800000 14.010000
66 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 87.736000 99.447000 0.000000
67 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 76.778000 87.503000 0.000000
68 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
69 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000

Pagina 57 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
70 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 12.075500 14.741500 0.000000
71 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
REPUBLICA CEHA PRF 28 16.732142 19.600714 0.000000
72 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 19.993600 23.319199 6.767229
73 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 19.993600 23.319199 16.420801
74 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 16.661333 19.432666 0.000000
75 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 19.993600 23.319199 2.974372
76 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 52.899372
77 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 4.235443
78 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 19.993600 23.319199 52.899372
79 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.810357 26.225714 0.000000
80 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.899285 28.775000 0.000000
81 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 22.292857 24.980535 0.000000
82 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 324.410000 391.760000 0.000000
83 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg 200mg
PULB. PT. SOL. PERF. ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 389.292000 470.112000 357.478000
84 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 324.410000 391.760000 0.000000
85 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 389.292000 470.112000 38.608000
86 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 324.410000 391.760000 0.000000
87 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,740.030000 1,934.780000 0.000000
88 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,740.030000 1,934.780000 0.000000
89 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 180.646428 199.629285 0.000000
90 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 180.646428 199.629285 0.000000
91 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
92 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
93 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 18.988333 21.333166 0.000000
94 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE (DE IEPURE) ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1,717.630000 1,910.370000 0.000000
95 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA CU 12 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. S/P-RF 120 2.634333 3.189333 0.000000
96 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.039416 5.810916 0.000000
97 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.166500 1.424100 0.000000
98 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.333000 2.848200 0.000000
99 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.548800 1.958200 0.000000
100 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.415600 1.789800 0.000000
101 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.687800 3.281200 0.000000
102 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.143800 1.446200 0.000000
103 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.649800 2.086000 0.000000
104 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.471400 3.017000 0.000000
105 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.414400 4.168200 0.000000
106 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 17.447800 19.781200 0.000000
107 W51974004 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. CU ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.650000 2.086200 0.000000
108 W57352005 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. CU ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
109 W51976004 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. CU ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000
110 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.649800 2.086000 0.000000
111 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
112 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

Pagina 58 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
P9.3: TRANSPLANT HEPATIC

1 W66895001 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVC/AL X 10 CAPS. P6L 50 0.722000 0.944400 0.000000
2 W66895002 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 10 BLIST. PVC-PVDC/AL X 10 CAPS. P6L 100 0.662700 0.837900 0.000000
3 W66895003 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVDC/AL X 20 CAPS. P6L 100 0.662700 0.837900 0.000000
4 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0.795240 1.005480 0.147120
5 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0.795240 1.005480 0.286520
6 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 2.121900 2.590400 0.000000
7 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 88.330000 111.690000 0.000000
8 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 6.537000 8.265000 0.000000
9 W63591022 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA ERIS® PR/PRF 50 14.359200 17.529600 1.390000
10 W63591021 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 14.359200 17.529600 1.390000
11 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 11.966000 14.608000 0.000000
12 W63591023 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA PREVENTIS® PR/PRF 50 14.359200 17.529600 1.390000
13 W63592028 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA ERIS® PR/PRF 50 17.533200 21.404400 8.743600
14 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 14.611000 17.837000 0.000000
15 W63592029 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIECU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA PREVENTIS® PR/PRF 50 17.533200 21.404400 8.743600
16 W63592027 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 17.533200 21.404400 8.743600
17 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 18.831666 22.990000 0.000000
18 W63884001 B01AC11 ILOPROSTUM ** ILOMEDIN 20 CONC. PT. SOL. PERF. 20µg/ml BAYER AG PR
GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. 5 144.834000 165.500000 0.000000
19 W00257001 B01AD02 ALTEPLASUM ** ACTILYSE 50 mg PULB.+SOLV. PT. SOL. INJ./PERF. 50mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA S
CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. INJ./PERF. + 1 FLAC. STICLA INCOLORA X 50 ML SOLV. + CANULA DE TRANSFER 1 1,592.590000 1,774.070000 0.000000
20 W68079001 B02AA02 ACIDUM TRANEXAMICUM (4) UGUROL 500 mg/5ml SOL. INJ. PT. ADM. I.V., ORALA SI CUT. 500mg/5ml BGP PRODUCTS S.R.L. ROMANIA CUTIE CU 6 FIOLE A CATE 5 ML SOL. INJ. PR 6 3.552000 4.800000 1.480000
21 W69217001 B02AA02 ACIDUM TRANEXAMICUM (4) ACIDO TRANEXAMICO BIOINDUSTRIA L.I.M. 500 mg/5 ml SOL. INJ. PT. ADM. I.V.SI ORALA 500mg/5ml CN UNIFARM S.A. ROMANIA CUTIE CU 5 FIOLE X 5 ML SOL. INJ. PR 5 2.960000 4.000000 0.000000
22 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA PR
CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON 1 2,229.340000 2,468.130000 0.000000
23 W58726003 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUROCARD 50 mg/20 mg CAPS. 50mg/20 mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 1.071000 1.400666 0.000000
24 W07005001 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 mg/20 mg CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-6L 20 1.141000 1.542500 0.000000
25 W53992002 H01BA02 DESMOPRESSINUM MINIRIN MELT 120 mcg LIOF. ORAL 120mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 5.441000 6.642333 0.000000
26 W53991002 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 30 2.769666 3.502000 0.000000
27 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 33.000000 40.286400 18.743600
28 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 17.100000 23.110000 0.000000
29 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 19.800000 24.171600 4.067400
30 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 16.500000 20.143000 0.000000
31 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 27.500000 33.572000 0.000000
32 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 28.500000 37.280000 0.000000
33 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 33.000000 40.286400 18.743600
34 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 30.778000 37.363000 0.000000
35 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 62.878000 72.352000 0.000000
36 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 35.632600
37 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75.453600 86.822400 35.632600
38 W61133001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 11.442600
39 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 996.460000 1,124.290000 0.000000
40 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 996.460000 1,124.290000 0.000000
41 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 136.718000 152.838000 0.000000
42 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 145.712400 163.404000 8.466000
43 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 141.592000 158.150000 0.000000
44 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 121.427000 136.170000 0.000000

Pagina 59 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
45 W61561004 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN PEJD A CATE 300 ML SOL. PERF. PR 10 145.712400 163.404000 6.367000
46 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 145.712400 163.404000 19.875000
47 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 145.712400 163.404000 98.576000
48 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 121.427000 136.170000 0.000000
49 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
REPUBLICA CEHA PRF 28 16.732142 19.600714 0.000000
50 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 19.993600 23.319199 6.767229
51 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 19.993600 23.319199 16.420801
52 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 16.661333 19.432666 0.000000
53 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 19.993600 23.319199 2.974372
54 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 52.899372
55 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 4.235443
56 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 19.993600 23.319199 52.899372
57 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.810357 26.225714 0.000000
58 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.899285 28.775000 0.000000
59 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 22.292857 24.980535 0.000000
60 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 324.410000 391.760000 0.000000
61 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 389.292000 470.112000 357.478000
62 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 324.410000 391.760000 0.000000
63 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 389.292000 470.112000 38.608000
64 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 324.410000 391.760000 0.000000
65 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,740.030000 1,934.780000 0.000000
66 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,740.030000 1,934.780000 0.000000
67 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 180.646428 199.629285 0.000000
68 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 180.646428 199.629285 0.000000
69 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
70 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
71 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
72 W68343001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA M&D 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
73 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
74 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
75 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
76 W69111001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ROMPHARM 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPAC. DE 10 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
77 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
78 W68342001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA M&D 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
79 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
80 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
81 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
82 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
83 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
84 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 18.988333 21.333166 0.000000
85 W69361001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ImmunoHBs 1000UI/3mL SOL INJ. 1000UI/3ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA CU 3 ML SOL. CONTINAND 1000 UI PR 1 1,648.320000 1,834.820000 0.000000
86 W69359001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ImmunoHBs 180UI/1mL SOL INJ. 180UI/1ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. DE STICLA TIP I, TRANSPARENT CU 1 ML SOL. CONTINAND 180 UI PR 1 357.840000 428.200000 0.000000
87 W69360001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ImmunoHBs 540UI/3mL SOL INJ. 540UI/3ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. DE STICLA TIP I, TRANSPARENT CU 3 ML SOL. CONTINAND 540 UI PR 1 1,178.260000 1,322.450000 0.000000
88 W56595001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ZUTECTRA 500 UI
SOL INJ. IN SERINGA PRE-UMPLUTA BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF 5 958.144000 1,052.006000 0.000000
89 W54188003 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR 1 3,698.800000 4,069.840000 0.000000
90 W54188001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML SOL. PERF. (100UI) PR 1 226.520000 276.530000 0.000000

Pagina 60 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
91 W54188004 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. (5000UI) PR 1 8,114.910000 8,883.400000 0.000000
92 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 69.190000 87.490000 0.000000
93 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 116.508000 147.312000 0.678000
94 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 116.720000 142.490000 0.000000
95 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 73.620000 93.080000 0.000000
96 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97.090000 122.760000 0.000000
97 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 846.090000 960.390000 0.000000
98 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 75.120000 89.510000 0.000000
99 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 116.508000 145.440000 0.000000
100 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. GASTROREZ.180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA CU 12 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. S/P-RF 120 2.634333 3.189333 0.000000
101 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.039416 5.810916 0.000000
102 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.166500 1.424100 0.000000
103 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.333000 2.848200 0.000000
104 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.548800 1.958200 0.000000
105 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15.837666 18.534666 0.000000
106 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15.837666 18.534666 0.000000
107 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.415600 1.789800 0.000000
108 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.687800 3.281200 0.000000
109 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.143800 1.446200 0.000000
110 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.649800 2.086000 0.000000
111 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.471400 3.017000 0.000000
112 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.414400 4.168200 0.000000
113 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 17.447800 19.781200 0.000000
114 W51974004 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. CU ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.650000 2.086200 0.000000
115 W57352005 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. CU ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
116 W51976004 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. CU ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000
117 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.649800 2.086000 0.000000
118 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
119 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

1 W66895001 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVC/AL X 10 CAPS. P6L 50 0.722000 0.944400 0.000000
2 W66895002 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 10 BLIST. PVC-PVDC/AL X 10 CAPS. P6L 100 0.662700 0.837900 0.000000
3 W66895003 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVDC/AL X 20 CAPS. P6L 100 0.662700 0.837900 0.000000
4 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0.795240 1.005480 0.147120
5 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0.795240 1.005480 0.286520
6 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 2.121900 2.590400 0.000000
7 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 88.330000 111.690000 0.000000
8 W00231001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 0.677600 0.886400 0.000000
9 W67321001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 micrograme CAPS. MOI 0,25micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 50 CAPS. MOI PRF 50 0.677600 0.886400 0.000000
10 W44042001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 1.037333 1.357000 0.000000
11 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOI
REPUBLICA CEHA PRF 30 1.037333 1.357000 0.000000
12 W67770001 A11CC03 ALFACALCIDOLUM MEDIRAZIN 0,5 micrograme CAPS. MOI 0,50micrograme ZENIVA K.S. CUTIE CU UN FLACON ALB OPAC DIN PEÎD X 30 CAPSULE MOI
REPUBLICA CEHA PRF 30 1.037333 1.357000 0.000000

Pagina 61 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
13 W67323001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 micrograme CAPS. MOI 0,50micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 30 CAPS. MOI PRF 30 1.037333 1.357000 0.000000
14 W55847001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 11.387000 13.901000 0.000000
15 W68102002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 22.774000 27.803000 0.000000
16 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 22.774000 27.803000 0.000000
17 W68102001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 11.387000 13.901000 0.000000
18 W64849001 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000UI/0,2ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA PR/PRF 10 14.685000 17.927000 0.000000
19 W52808004 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA S/P-RF 10 14.685000 17.927000 0.000000
20 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 6.537000 8.265000 0.000000
21 W63591022 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA ERIS® PR/PRF 50 14.359200 17.529600 1.390000
22 W63591021 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 14.359200 17.529600 1.390000
23 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 11.966000 14.608000 0.000000
24 W63591023 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA PREVENTIS® PR/PRF 50 14.359200 17.529600 1.390000
25 W63592028 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA ERIS® PR/PRF 50 17.533200 21.404400 8.743600
26 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 14.611000 17.837000 0.000000
27 W63592029 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIECU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA PREVENTIS® PR/PRF 50 17.533200 21.404400 8.743600
28 W63592027 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 17.533200 21.404400 8.743600
29 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 18.831666 22.990000 0.000000
30 W42954002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 10 mg PULB. SI SOLV. PT. SUSP. INJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. CU PULBERE (MICROSFERE) + 1 SERINGA PREUMPLUTA CU 2 ML SOLVENT + ADAPTOR PT. FLACON+1 AC PT. INJECTARE CU SISTEM DE SIGURANTA PR 1 498.540000 581.560000 0.000000
31 W42955002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 20 mg PULB. SI SOLV. PT. SUSP. INJ. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. CU PULBERE (MICROSFERE) + 1 SERINGA PREUMPLUTA CU 2 ML SOLVENT + ADAPTOR PT. FLACON+1 AC PT. INJECTARE CU SISTEM DE SIGURANTA PR 1 982.160000 1,108.700000 0.000000
32 W42956002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 30 mg PULB. SI SOLV. PT. SUSP. INJ. 30mg NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. CU PULBERE (MICROSFERE) + 1 SERINGA PREUMPLUTA CU 2 ML SOLVENT + ADAPTOR PT. FLACON+1 AC PT. INJECTARE CU SISTEM DE SIGURANTA PR 1 608.520000 701.440000 0.000000
33 W59079001 H01CB02 OCTREOTIDUM ** SANDOSTATIN 100 micrograme/ml SOL. INJ./PERF. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ./PERF. PR 5 6.912000 9.040000 0.000000
34 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 33.000000 40.286400 18.743600
35 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 17.100000 23.110000 0.000000
36 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 19.800000 24.171600 4.067400
37 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 16.500000 20.143000 0.000000
38 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 27.500000 33.572000 0.000000
39 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 28.500000 37.280000 0.000000
40 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 33.000000 40.286400 18.743600
41 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 30.778000 37.363000 0.000000
42 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF 1 121.080000 147.810000 0.000000
43 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 62.878000 72.352000 0.000000
44 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 35.632600
45 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75.453600 86.822400 35.632600
46 W61133001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 11.442600
47 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 996.460000 1,124.290000 0.000000
48 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 996.460000 1,124.290000 0.000000
49 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 136.718000 152.838000 0.000000
50 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 145.712400 163.404000 8.466000
51 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 141.592000 158.150000 0.000000
52 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 121.427000 136.170000 0.000000
53 W61561004 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN PEJD A CATE 300 ML SOL. PERF. PR 10 145.712400 163.404000 6.367000
54 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 145.712400 163.404000 19.875000
55 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 145.712400 163.404000 98.576000
56 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 121.427000 136.170000 0.000000
57 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.670000 7.415714 0.000000
58 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 6.040000 8.162500 0.000000

Pagina 62 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
59 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
60 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
61 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
62 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
63 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
64 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
65 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
66 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.750000 9.120000 0.000000
67 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 8.100000 10.944000 1.566000
68 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.100000 10.944000 1.566000
69 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
70 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
71 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.338571 6.982857 0.000000
72 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
73 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
74 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 3.147428 4.253142 0.514000
75 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
76 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
77 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
78 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
79 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 3.147428 4.253142 0.514000
80 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
81 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
82 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 43.588200 49.800000 14.010000
83 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 87.736000 99.447000 0.000000
84 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 76.778000 87.503000 0.000000
85 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
86 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
87 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 12.075500 14.741500 0.000000
88 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 2.024666 2.648000 0.000000
89 W67015006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg BAUSCH HEALTH IRELAND LIMITED IRLANDA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 2.024666 2.648000 0.000000
90 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL SLAVIA 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 2.024666 2.648000 0.000000
91 W59235001 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 2.024666 2.648000 0.000000
92 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL 100 mg CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 2.098666 2.744666 0.000000
93 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
REPUBLICA CEHA PRF 28 16.732142 19.600714 0.000000
94 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 19.993600 23.319199 6.767229
95 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 19.993600 23.319199 16.420801
96 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 16.661333 19.432666 0.000000
97 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 19.993600 23.319199 2.974372
98 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 52.899372
99 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 4.235443
100 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 19.993600 23.319199 52.899372
101 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.810357 26.225714 0.000000
102 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.899285 28.775000 0.000000
103 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 22.292857 24.980535 0.000000
104 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 324.410000 391.760000 0.000000

Pagina 63 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
105 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 389.292000 470.112000 357.478000
106 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 324.410000 391.760000 0.000000
107 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 389.292000 470.112000 38.608000
108 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 324.410000 391.760000 0.000000
109 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,740.030000 1,934.780000 0.000000
110 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,740.030000 1,934.780000 0.000000
111 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 180.646428 199.629285 0.000000
112 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 180.646428 199.629285 0.000000
113 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
114 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
115 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
116 W68343001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA M&D 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
117 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
118 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
119 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
120 W69111001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ROMPHARM 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPAC. DE 10 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
121 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
122 W68342001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA M&D 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
123 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
124 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
125 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
126 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 914.560000 1,035.020000 0.000000
127 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1,184.480000 1,329.230000 0.000000
128 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
129 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
130 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.836500 0.949940 0.000000
131 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
132 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.602000 3.403000 0.000000
133 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 1.003800 1.139928 0.277072
134 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
135 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
136 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2.328000 3.146000 0.000000
137 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.852000 52.314000 0.000000
138 W69293002 J05AB01 ACICLOVIRUM ACICLOVIR ROMPHARM 250 mg PULB. PT. SOL. PERF. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 43.184000 52.718000 0.000000
139 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 41.340000 50.468000 0.000000
140 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 3.408000 4.458000 0.000000
141 W60087001 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 2.920000 3.820000 0.000000
142 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 18.988333 21.333166 0.000000
143 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2,990.970000 3,298.310000 0.000000
144 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 390.940000 464.270000 0.000000
145 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 751.860000 857.680000 0.000000
146 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1,473.710000 1,644.490000 0.000000
147 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 621.050000 715.090000 0.000000
148 W69115001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 100 mg/ml SOL. PERF. 100mg/ml ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. INJ. (20G) PR 1 8,929.990000 9,771.850000 0.000000
149 W65358007 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML, CU 200 ML SOL. PERF. PR 1 7,616.970000 8,340.650000 0.000000
150 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 1,926.740000 2,138.300000 0.000000

Pagina 64 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
151 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1,230.310000 1,379.190000 0.000000
152 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2,417.300000 2,673.010000 0.000000
153 W65358005 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML, CU 100 ML SOL. PERF. PR 1 3,823.480000 4,205.740000 0.000000
154 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 269.350000 328.820000 0.000000
155 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 632.570000 727.650000 0.000000
156 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2,607.940000 2,880.800000 0.000000
157 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET PT. PERFUZARE PR 1 283.570000 346.180000 0.000000
158 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 674.480000 773.330000 0.000000
159 W68738001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
160 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 1,396.500000 1,560.340000 0.000000
161 W68982003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 100 ML SOL. PERF. PR 1 2,250.000000 2,490.650000 0.000000
162 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 713.250000 815.590000 0.000000
163 W69207001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1 2,348.500000 2,598.020000 0.000000
164 W69207002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l PRISUM HEALTHCARE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 4,667.000000 5,125.180000 0.000000
165 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2,762.990000 3,049.810000 0.000000
166 W68982002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 50 ML SOL. PERF. PR 1 1,125.000000 1,264.400000 0.000000
167 W68982001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 50 g/l SOL. PERF. 50g/l BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. A 200 ML SOL. PERF. PR 1 4,500.000000 4,943.150000 0.000000
168 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1 355.870000 426.050000 0.000000
169 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 1,318.970000 1,475.830000 0.000000
170 W69340001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KEDRIGAMMA 6g/120ml SOL. PERF. 6g/120ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE X 1 FLAC. 120 ML SOL. PERF. PR 1 2,700.000000 2,981.150000 0.000000
171 W68692001 L01AA01 CYCLOPHOSPHAMIDUM CICLOFOSFAMIDA DR. REDDY'S 1000 mg/2ml CONC. PT. SOL. INJ./PERF. 1000mg/2ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TUBULARA, INCOLORA, CU CAPACITATE DE 2 ML, CU CONC. PT. SOL. PERF./INJ. PR 1 430.000000 506.850000 0.000000
172 W68693001 L01AA01 CYCLOPHOSPHAMIDUM CICLOFOSFAMIDA DR. REDDY'S 2000 mg/4ml CONC. PT. SOL. INJ./PERF. 2000mg/4ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TUBULARA, INCOLORA, CU CAPACITATE DE 5 ML, CU CONC. PT. SOL. PERF./INJ. PR 1 630.000000 724.850000 0.000000
173 W68691001 L01AA01 CYCLOPHOSPHAMIDUM CICLOFOSFAMIDA DR. REDDY'S 500 mg/ml CONC. PT. SOL. INJ./PERF. 500mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TUBULARA, INCOLORA, CU CAPACITATE DE 2 ML, CU CONC. PT. SOL. PERF./INJ. PR 1 220.000000 268.580000 0.000000
174 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0.948400 1.240400 0.000000
175 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1 45.310000 59.270000 0.000000
176 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 45.310000 59.270000 0.000000
177 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 69.190000 87.490000 0.000000
178 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 116.508000 147.312000 0.678000
179 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 12 MU/0,2 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 116.720000 142.490000 0.000000
180 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 73.620000 93.080000 0.000000
181 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97.090000 122.760000 0.000000
182 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 70 MU/0,73 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 846.090000 960.390000 0.000000
183 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 75.120000 89.510000 0.000000
184 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480µg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 116.508000 145.440000 0.000000
185 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE (DE IEPURE) ** GRAFALON 20mg/ml
CONC. PT. SOL. PERF. NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1,717.630000 1,910.370000 0.000000
186 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA CU 12 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. S/P-RF 120 2.634333 3.189333 0.000000
187 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.039416 5.810916 0.000000
188 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.166500 1.424100 0.000000
189 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.333000 2.848200 0.000000
190 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.548800 1.958200 0.000000
191 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15.837666 18.534666 0.000000
192 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15.837666 18.534666 0.000000
193 W64598001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg 20mg
PULB. + SOLV. PT. SOL. INJ. SAU PERF. NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR 1 3,895.770000 4,284.540000 0.000000
194 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.415600 1.789800 0.000000
195 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.687800 3.281200 0.000000
196 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.143800 1.446200 0.000000

Pagina 65 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
197 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.649800 2.086000 0.000000
198 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.471400 3.017000 0.000000
199 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.414400 4.168200 0.000000
200 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 17.447800 19.781200 0.000000
201 W51974004 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. CU ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.650000 2.086200 0.000000
202 W57352005 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. CU ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
203 W51976004 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. CU ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000
204 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.649800 2.086000 0.000000
205 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
206 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000
207 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0.517600 0.654500 0.000000
208 W54297001 M05BA04 ACIDUM ALENDRONICUM TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 2.777500 3.752500 0.000000
209 W68213004 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 3.210000 4.338000 6.102000
210 W68213002 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 3.210000 4.338000 5.767000
211 W60296002 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 3.210000 4.338000 5.767000
212 W60296004 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 3.210000 4.338000 6.102000
213 W63265001 M05BA04 ACIDUM ALENDRONICUM BINOSTO 70 mg COMPR. EFF. 70 mg GALENICA SA GRECIA CUTIE CU 2 BENZI DIN HARTIE/PE/AL/ZN-IONOMER X 2 COMPR. EFF. P6L 4 3.210000 4.338000 12.484500
214 W56763003 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L 4 3.210000 4.338000 5.907000
215 W56763002 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L 2 3.210000 4.338000 6.942000
216 W52948001 M05BA04 ACIDUM ALENDRONICUM ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 2.675000 3.615000 0.000000
217 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 3.210000 4.338000 4.753666
218 W42905002 N02AB02 PETHIDINUM MIALGIN 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML PS 5 9.220000 12.060000 0.000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.5: TRANSPLANT CELULE PANCREATICE

1 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 62.878000 72.352000 0.000000
2 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 35.632600
3 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75.453600 86.822400 35.632600
4 W61133001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 11.442600
5 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 996.460000 1,124.290000 0.000000
6 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 996.460000 1,124.290000 0.000000
7 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 136.718000 152.838000 0.000000
8 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 145.712400 163.404000 8.466000
9 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 141.592000 158.150000 0.000000
10 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 121.427000 136.170000 0.000000
11 W61561004 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN PEJD A CATE 300 ML SOL. PERF. PR 10 145.712400 163.404000 6.367000
12 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 145.712400 163.404000 19.875000
13 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 145.712400 163.404000 98.576000
14 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 121.427000 136.170000 0.000000
15 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
REPUBLICA CEHA PRF 28 16.732142 19.600714 0.000000
16 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 19.993600 23.319199 6.767229
17 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 19.993600 23.319199 16.420801
18 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 16.661333 19.432666 0.000000
19 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 19.993600 23.319199 2.974372

Pagina 66 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
20 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 52.899372
21 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 4.235443
22 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 19.993600 23.319199 52.899372
23 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.810357 26.225714 0.000000
24 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.899285 28.775000 0.000000
25 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 22.292857 24.980535 0.000000
26 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 324.410000 391.760000 0.000000
27 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 389.292000 470.112000 357.478000
28 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 324.410000 391.760000 0.000000
29 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 389.292000 470.112000 38.608000
30 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 324.410000 391.760000 0.000000
31 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,740.030000 1,934.780000 0.000000
32 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,740.030000 1,934.780000 0.000000
33 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 180.646428 199.629285 0.000000
34 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 180.646428 199.629285 0.000000
35 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
36 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.SOL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
37 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60 18.988333 21.333166 0.000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.6: TRANSPLANT PULMONAR

1 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 6.537000 8.265000 0.000000
2 W63591022 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA ERIS® PR/PRF 50 14.359200 17.529600 1.390000
3 W63591021 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 14.359200 17.529600 1.390000
4 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 11.966000 14.608000 0.000000
5 W63591023 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA PREVENTIS® PR/PRF 50 14.359200 17.529600 1.390000
6 W63592028 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA ERIS® PR/PRF 50 17.533200 21.404400 8.743600
7 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 14.611000 17.837000 0.000000
8 W63592029 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIECU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA PREVENTIS® PR/PRF 50 17.533200 21.404400 8.743600
9 W63592027 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 17.533200 21.404400 8.743600
10 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 18.831666 22.990000 0.000000
11 W68079001 B02AA02 ACIDUM TRANEXAMICUM (4) UGUROL 500 mg/5ml SOL. INJ. PT. ADM. I.V., ORALA SI CUT. 500mg/5ml BGP PRODUCTS S.R.L. ROMANIA CUTIE CU 6 FIOLE A CATE 5 ML SOL. INJ. PR 6 3.552000 4.800000 1.480000
12 W69217001 B02AA02 ACIDUM TRANEXAMICUM (4) ACIDO TRANEXAMICO BIOINDUSTRIA L.I.M. 500 mg/5 ml SOL. INJ. PT. ADM. I.V.SI ORALA 500mg/5ml CN UNIFARM S.A. ROMANIA CUTIE CU 5 FIOLE X 5 ML SOL. INJ. PR 5 2.960000 4.000000 0.000000
13 W68719001 C01CA24 EPINEPHRINUM EPIPEN 150 micrograme SOL INJ. IN STILOU PREUMPLUT 150mcg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2 ML PENTRU O DOZA UNICA DE 0,3ML PR 1 158.300000 193.250000 0.000000
14 W68720001 C01CA24 EPINEPHRINUM EPIPEN 300 micrograme SOL INJ. IN STILOU PREUMPLUT 300mcg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2 ML PENTRU O DOZA UNICA DE 0,3ML PR 1 166.400000 203.140000 0.000000
15 W02947002 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR 10 4.966000 6.495000 0.000000
16 W60389001 C01CA24 EPINEPHRINUM EPIPEN 150 micrograme SOL. INJ. IN STILOU PREUMPLUT 150mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 158.300000 193.250000 0.000000
17 W60390001 C01CA24 EPINEPHRINUM EPIPEN 300 micrograme SOL. INJ. IN STILOU PREUMPLUT 300mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 166.400000 203.140000 0.000000
18 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 33.000000 40.286400 18.743600
19 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 17.100000 23.110000 0.000000
20 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 19.800000 24.171600 4.067400
21 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 16.500000 20.143000 0.000000
22 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 27.500000 33.572000 0.000000
23 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 28.500000 37.280000 0.000000

Pagina 67 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
24 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 33.000000 40.286400 18.743600
25 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g FRESENIUS KABI ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 30.778000 37.363000 0.000000
26 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 62.878000 72.352000 0.000000
27 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 35.632600
28 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75.453600 86.822400 35.632600
29 W61133001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 75.453600 86.822400 11.442600
30 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 996.460000 1,124.290000 0.000000
31 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 996.460000 1,124.290000 0.000000
32 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 136.718000 152.838000 0.000000
33 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 145.712400 163.404000 8.466000
34 W61561001 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR 10 141.592000 158.150000 0.000000
35 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 121.427000 136.170000 0.000000
36 W61561004 J01XX08 LINEZOLIDUM LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN PEJD A CATE 300 ML SOL. PERF. PR 10 145.712400 163.404000 6.367000
37 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 145.712400 163.404000 19.875000
38 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 1 145.712400 163.404000 98.576000
39 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 121.427000 136.170000 0.000000
40 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.670000 7.415714 0.000000
41 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 6.040000 8.162500 0.000000
42 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
43 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
44 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
45 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
46 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
47 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
48 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
49 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.750000 9.120000 0.000000
50 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 8.100000 10.944000 1.566000
51 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.100000 10.944000 1.566000
52 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
53 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
54 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.338571 6.982857 0.000000
55 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
56 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
57 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 3.147428 4.253142 0.514000
58 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
59 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
60 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
61 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
62 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 3.147428 4.253142 0.514000
63 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
64 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
65 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 43.588200 49.800000 14.010000
66 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 87.736000 99.447000 0.000000
67 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 76.778000 87.503000 0.000000
68 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
69 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000

Pagina 68 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
70 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 12.075500 14.741500 0.000000
71 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
REPUBLICA CEHA PRF 28 16.732142 19.600714 0.000000
72 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 19.993600 23.319199 6.767229
73 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 19.993600 23.319199 16.420801
74 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 16.661333 19.432666 0.000000
75 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 19.993600 23.319199 2.974372
76 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 52.899372
77 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 4.235443
78 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 19.993600 23.319199 52.899372
79 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.810357 26.225714 0.000000
80 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.899285 28.775000 0.000000
81 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 22.292857 24.980535 0.000000
82 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 324.410000 391.760000 0.000000
83 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 389.292000 470.112000 357.478000
84 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 324.410000 391.760000 0.000000
85 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 389.292000 470.112000 38.608000
86 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 324.410000 391.760000 0.000000
87 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,740.030000 1,934.780000 0.000000
88 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,740.030000 1,934.780000 0.000000
89 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 180.646428 199.629285 0.000000
90 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 180.646428 199.629285 0.000000
91 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
92 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg 200mg
PULB. PT. CONC. PT.SOL. PERF. BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1,532.750000 1,708.850000 0.000000
93 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
94 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
95 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.836500 0.949940 0.000000
96 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
97 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.602000 3.403000 0.000000
98 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 1.003800 1.139928 0.277072
99 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
100 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
101 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2.328000 3.146000 0.000000
102 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.852000 52.314000 0.000000
103 W69293002 J05AB01 ACICLOVIRUM ACICLOVIR ROMPHARM 250 mg PULB. PT. SOL. PERF. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 43.184000 52.718000 0.000000
104 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 41.340000 50.468000 0.000000
105 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
REPUBLICA CEHA PRF 60 18.988333 21.333166 0.000000
106 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE (DE IEPURE) ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1,717.630000 1,910.370000 0.000000
107 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA CU 12 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. S/P-RF 120 2.634333 3.189333 0.000000
108 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.039416 5.810916 0.000000
109 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.166500 1.424100 0.000000
110 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.333000 2.848200 0.000000
111 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.548800 1.958200 0.000000
112 W64598001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg 20mg
PULB. + SOLV. PT. SOL. INJ. SAU PERF. NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR 1 3,895.770000 4,284.540000 0.000000
113 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.415600 1.789800 0.000000
114 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.687800 3.281200 0.000000
115 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0.517600 0.654500 0.000000

Pagina 69 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
116 W12691002 N02AX02 TRAMADOLUM TRAMADOL 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.332000 0.449000 0.000000
117 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.398400 0.538800 0.056700
118 W60291001 N02AX02 TRAMADOLUM TRAMACALM 50 mg CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 0.398400 0.538800 0.056200
119 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.398400 0.538800 0.056700
120 W42957001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.398400 0.538800 0.056700
121 W68093001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 0.398400 0.538800 0.056700
122 W43360001 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. CU ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-RF 30 0.899599 1.216000 0.086333
123 W43361001 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. CU ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. P-RF 30 1.156800 1.513200 0.115466
124 W61448003 N02AX02 TRAMADOLUM MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.506666 0.684666 0.000000
125 W58072001 N02AX02 TRAMADOLUM TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF 30 0.607999 0.821599 0.012067
126 W61449011 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0.756000 1.022000 0.000000
127 W61449001 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 10 0.756000 1.022000 0.000000
128 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST. PP/AL X 10 COMPR. ELIB. PREL. P-RF 10 0.899599 1.216000 0.169000
129 W61449003 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.749666 1.013333 0.000000
130 W63389001 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0.899599 1.216000 0.169000
131 W61450003 N02AX02 TRAMADOLUM MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0.964000 1.261000 0.000000
132 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS 50 mg/ml SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 10 1.735000 2.345000 0.000000
133 W05967001 N02AX02 TRAMADOLUM TRAMADOL 100 mg/2 ml SOL. INJ. 100mg/2ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML PRF 5 2.082000 2.814000 0.816000
134 W05961001 N02AX02 TRAMADOLUM MABRON 100 mg/2 ml SOL. INJ. 100mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1.760000 2.380000 0.000000
135 W05966001 N02AX02 TRAMADOLUM TRAMADOL 50 mg/1 ml SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML PRF 5 0.964000 1.304000 0.000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

1 W66895001 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVC/AL X 10 CAPS. P6L 50 0.722000 0.944400 0.000000
2 W66895002 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 10 BLIST. PVC-PVDC/AL X 10 CAPS. P6L 100 0.662700 0.837900 0.000000
3 W66895003 A05AA02 ACIDUM URSODEOXYCHOLICUM ACID URSODEOXICOLIC POLISANO 250 mg CAPS. 250mg POLISANO PHARMACEUTICALS S.A. ROMANIA CUTIE CU 5 BLIST. PVC-PVDC/AL X 20 CAPS. P6L 100 0.662700 0.837900 0.000000
4 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0.795240 1.005480 0.147120
5 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0.795240 1.005480 0.286520
6 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 500 mg COMPR. FILM. 500mg DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L 100 2.121900 2.590400 0.000000
7 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L 1 88.330000 111.690000 0.000000
8 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0.620200 0.811200 0.000000
9 W65156001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 5 BLIST. AL-PVC/PVC X 10 COMPR. PRF 50 0.620200 0.811200 0.000000
10 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 2.633000 3.329000 0.000000
11 W65157001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. PRF 20 2.633000 3.329000 0.000000
12 W08307001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg PULB+SOLV. PT. SOL. INJ./PERF. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML PRF 1 27.740000 36.290000 0.000000
13 W08310001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg PULB+SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML PRF 1 77.510000 98.000000 0.000000
14 W12565003 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 0.111440 0.136050 0.000000
15 W13686002 H02AB07 PREDNISONUM PREDNISON SINTOFARM 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0.129333 0.163260 0.011740
16 W53341001 H02AB07 PREDNISONUM PREDNISONA-RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0.129500 0.163260 0.011740
17 W05242001 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.129500 0.163260 0.011740
18 W12565002 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0.129333 0.163260 0.011740
19 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.377500 0.510000 0.000000
20 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 400 mg/80 mg COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.377500 0.510000 0.000000
21 W68734001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SEVATRIM SOL. INJ. 400mg/80mg DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 50 FIOLE X 5 ML SOL. INJ. PR 50 54.600000 60.277000 0.000000

Pagina 70 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
22 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM 200 mg/40 mg/5 ml SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 13.000000 17.570000 0.000000
23 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 25mg/ml+5mg/ml SUSP. ORALA 25mg/ml+5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 10.430000 14.100000 0.000000
24 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.670000 7.415714 0.000000
25 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 6.040000 8.162500 0.000000
26 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
27 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
28 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
29 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
30 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
31 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
32 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 6.750000 9.120000 0.000000
33 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 6.750000 9.120000 0.000000
34 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 8.100000 10.944000 1.566000
35 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 8.100000 10.944000 1.566000
36 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
37 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 6.750000 9.120000 0.000000
38 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 5.338571 6.982857 0.000000
39 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
40 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
41 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 3.147428 4.253142 0.514000
42 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
43 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
44 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
45 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 2.622857 3.544285 0.000000
46 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 3.147428 4.253142 0.514000
47 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
48 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 30.900000 40.420000 0.000000
49 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 43.588200 49.800000 14.010000
50 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR 10 87.736000 99.447000 0.000000
51 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 76.778000 87.503000 0.000000
52 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
53 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 36.323500 41.500000 0.000000
54 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 12.075500 14.741500 0.000000
55 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM.
REPUBLICA CEHA PRF 28 16.732142 19.600714 0.000000
56 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 19.993600 23.319199 6.767229
57 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 19.993600 23.319199 16.420801
58 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.
REPUBLICA CEHA PRF 30 16.661333 19.432666 0.000000
59 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 19.993600 23.319199 2.974372
60 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 52.899372
61 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 19.993600 23.319199 4.235443
62 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 19.993600 23.319199 52.899372
63 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22.810357 26.225714 0.000000
64 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23.899285 28.775000 0.000000
65 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 22.292857 24.980535 0.000000
66 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 324.410000 391.760000 0.000000
67 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 389.292000 470.112000 357.478000

Pagina 71 din 76
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Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
68 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 324.410000 391.760000 0.000000
69 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 389.292000 470.112000 38.608000
70 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 324.410000 391.760000 0.000000
71 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1,740.030000 1,934.780000 0.000000
72 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF 1 1,740.030000 1,934.780000 0.000000
73 W66421009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.709166 40.512500 0.000000
74 W66225002 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL PERFORAT PENTRU ELIBERAREA UNEI DOZE X 24X1 COMPR. GASTROREZ PR 24 29.901666 34.182500 0.000000
75 W66832009 J02AC04 POSACONAZOLUM ** POSACONAZOL STADA 100 mg COMPR. GASTROREZ. 100mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 29.901666 34.182500 0.000000
76 W66364009 J02AC04 POSACONAZOLUM ** POSACONAZOL ZENTIVA 100 mg COMPR. GASTROREZ. 100mg ZENTIVA K.S. REP. CEHA CUTIE CU BLIST. OPAC NEPERFORAT DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.881999 41.019000 11.502666
77 W68234009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35.709166 40.512500 0.000000
78 W66225001 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 24 COMPR. GASTROREZ PR 24 29.901666 34.182500 0.000000
79 W69004001 J02AC04 POSACONAZOLUM ** POSACONAZOL VIATRIS 40 mg/ml SUSP. ORALA 40mg/ml VIATRIS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 668.220000 766.510000 0.000000
80 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 668.220000 766.510000 0.000000
81 W66224001 J02AC04 POSACONAZOLUM ** POSACONAZOLE AHCL 40 mg/ml SUSP. ORALA 40mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PP + 1 LINGURITA DOZATOARE X 105 ML SUSP. ORALA PR 1 668.220000 766.510000 0.000000
82 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 180.646428 199.629285 0.000000
83 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 180.646428 199.629285 0.000000
84 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
85 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
86 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0.836500 0.949940 0.000000
87 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 1.003800 1.139928 0.277072
88 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2.602000 3.403000 0.000000
89 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 1.003800 1.139928 0.277072
90 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
91 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 1.003800 1.139928 0.277072
92 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2.328000 3.146000 0.000000
93 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42.852000 52.314000 0.000000
94 W69293002 J05AB01 ACICLOVIRUM ACICLOVIR ROMPHARM 250 mg PULB. PT. SOL. PERF. 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 43.184000 52.718000 0.000000
95 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 41.340000 50.468000 0.000000
96 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM.
REPUBLICA CEHA PRF 60 18.988333 21.333166 0.000000
97 W62522002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA 100 mg COMPR. FILM. 100 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF 30 3.841000 4.689000 0.000000
98 W65306001 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) PR 28 3.759285 4.589285 0.000000
99 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4.376400 5.342800 0.288200
100 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4.376400 5.342800 0.288200
101 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3.647000 4.452333 0.000000
102 W62523002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 11.233200 13.713600 1.902400
103 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9.361000 11.428000 0.000000
104 W65303002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 88.410000 111.790000 0.000000
105 W65648001 J05AX18 LETERMOVIRUM ** PREVYMIS 240 mg COMPR. FILM. 240mg MERCK SHARP & DOHME OLANDA CUTIE X 4 BLIST. PA-AL-PVC/AL TIP CARD X 7 COMPR. FILM. PR 28 684.878571 747.880000 0.000000
106 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA CU 12 BLIST. PA-AL-PVC/AL X 10 COMPR. GASTROREZ. S/P-RF 120 2.634333 3.189333 0.000000
107 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5.039416 5.810916 0.000000
108 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1.166500 1.424100 0.000000
109 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2.333000 2.848200 0.000000
110 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1.548800 1.958200 0.000000
111 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15.837666 18.534666 0.000000
112 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15.837666 18.534666 0.000000
113 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1.415600 1.789800 0.000000

Pagina 72 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
114 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2.687800 3.281200 0.000000
115 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1.143800 1.446200 0.000000
116 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1.649800 2.086000 0.000000
117 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2.471400 3.017000 0.000000
118 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3.414400 4.168200 0.000000
119 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 17.447800 19.781200 0.000000
120 W51974004 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. CU ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.650000 2.086200 0.000000
121 W57352005 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. CU ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
122 W51976004 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. CU ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE CU 50 X1 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000
123 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 1.649800 2.086000 0.000000
124 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 3.414600 4.168600 0.000000
125 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) PR 50 17.448000 19.781400 0.000000
126 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0.517600 0.654500 0.000000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA


P9.8: Tratamentul recidivei hepatitei cronice VHB la pacienţii cu transplant hepatic

1 W69361001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ImmunoHBs 1000UI/3mL SOL INJ. 1000UI/3ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 SERINGA PREUMPLUTA CU 3 ML SOL. CONTINAND 1000 UI PR 1 1,648.320000 1,834.820000 0.000000
2 W69359001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ImmunoHBs 180UI/1mL SOL INJ. 180UI/1ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. DE STICLA TIP I, TRANSPARENT CU 1 ML SOL. CONTINAND 180 UI PR 1 357.840000 428.200000 0.000000
3 W69360001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ImmunoHBs 540UI/3mL SOL INJ. 540UI/3ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. DE STICLA TIP I, TRANSPARENT CU 3 ML SOL. CONTINAND 540 UI PR 1 1,178.260000 1,322.450000 0.000000
4 W56595001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** ZUTECTRA 500 UI
SOL INJ. IN SERINGA PRE-UMPLUTA BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF 5 958.144000 1,052.006000 0.000000
5 W54188003 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR 1 3,698.800000 4,069.840000 0.000000
6 W54188001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML SOL. PERF. (100UI) PR 1 226.520000 276.530000 0.000000
7 W54188004 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. (5000UI) PR 1 8,114.910000 8,883.400000 0.000000

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA

1 W00231001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 0.677600 0.886400 0.000000
2 W67321001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 micrograme CAPS. MOI 0,25micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 50 CAPS. MOI PRF 50 0.677600 0.886400 0.000000
3 W44042001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF 30 1.037333 1.357000 0.000000
4 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOI PRF 30 1.037333 1.357000 0.000000
5 W67770001 A11CC03 ALFACALCIDOLUM MEDIRAZIN 0,5 micrograme CAPS. MOI 0,50micrograme ZENIVA K.S. REPUBLICA CEHA CUTIE CU UN FLACON ALB OPAC DIN PEÎD X 30 CAPSULE MOI PRF 30 1.037333 1.357000 0.000000
6 W67323001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 micrograme CAPS. MOI 0,50micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 30 CAPS. MOI PRF 30 1.037333 1.357000 0.000000
7 W55847001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 11.387000 13.901000 0.000000
8 W68102002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 22.774000 27.803000 0.000000
9 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 22.774000 27.803000 0.000000
10 W68102001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 11.387000 13.901000 0.000000
11 W62870002 B01AB01 HEPARINUM ** HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml MESFARMA SRL ROMANIA CUTIE CU 10 FIOLE DIN STICLA INCOLORA X 5 ML SOLUTIE INJECTABILA PR 10 30.087000 36.610000 0.000000
12 W62870001 B01AB01 HEPARINUM ** HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml MESFARMA SRL ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOLUTIE INJECTABILA PR 5 6.672000 8.726000 0.000000
13 W66221001 B01AB01 HEPARINUM ** HEPARIN-BELMED 5000 UI/ml SOL. INJ. 5000UI/ml C.N. UNIFARM S.A. ROMANIA CUTIE CU 5 FLAC. X 5 ML SOL. INJ. PR 5 29.982000 36.602000 0.000000
14 W61666001 B01AB01 HEPARINUM ** HEPARINA SODICA PANPHARMA 5000 UI/ml SOL. INJ. 5000UI/ml PANPHARMA FRANTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 5 ML SOL. INJ. PR 10 28.449000 34.730000 0.000000
15 W69100001 B01AB01 HEPARINUM ** HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml GALENIKA INTERNATIONAL KFT. UNGARIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. PR 5 6.672000 8.726000 0.000000
16 W69100002 B01AB01 HEPARINUM ** HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml GALENIKA INTERNATIONAL KFT. UNGARIA CUTIE CU 10 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. PR 10 30.087000 36.610000 0.000000
17 W63590012 B01AB05 ENOXAPARINUM ** CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 6.537000 8.265000 0.000000

Pagina 73 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
18 W63591022 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA ERIS® PR/PRF 50 14.359200 17.529600 1.390000
19 W63591021 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 14.359200 17.529600 1.390000
20 W63591012 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 11.966000 14.608000 0.000000
21 W63591023 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA PREVENTIS® PR/PRF 50 14.359200 17.529600 1.390000
22 W63592028 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA ERIS® PR/PRF 50 17.533200 21.404400 8.743600
23 W63592012 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 14.611000 17.837000 0.000000
24 W63592029 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIECU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE CU SISTEM AUTOMAT DE SIGURANTA PREVENTIS® PR/PRF 50 17.533200 21.404400 8.743600
25 W63592027 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 50 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 50 17.533200 21.404400 8.743600
26 W63593009 B01AB05 ENOXAPARINUM ** CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 18.831666 22.990000 0.000000
27 W59473001 B01AB10 TINZAPARINUM ** INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN FLACON 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA PR/PRF
CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT IN AURIU SI CAPSA DE SIGURANTA DIN PP DE CULOARE PORTOCALIE 10 49.459000 57.725000 0.000000
28 W51230001 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER 100 mg fer/5 ml SOL. INJ./PERF. 100mg/5ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 48.508000 59.218000 0.000000
29 W52283002 B03XA01 EPOETINUM ALFA ** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. PR 6 47.475000 57.956666 0.000000
30 W55046001 B03XA01 EPOETINUM ALFA ** BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. PR 1 562.560000 651.340000 0.000000
31 W57497004 B03XA01 EPOETINUM ALFA ** EPREX 40000 UI/ml SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI/ml JOHNSON & JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 896.220000 1,022.664000 262.556000
32 W55048001 B03XA01 EPOETINUM ALFA ** BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR 1 746.850000 852.220000 0.000000
33 W52285002 B03XA01 EPOETINUM ALFA ** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. PR 6 91.143333 105.705000 0.000000
34 W64395002 B03XA01 EPOETINUM BETA ** NEORECORMON 10000 UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE PR 6 293.470000 326.240000 0.000000
35 W64396002 B03XA01 EPOETINUM BETA ** NEORECORMON 2000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE PR 6 46.086666 56.261666 0.000000
36 W64397001 B03XA01 EPOETINUM BETA ** NEORECORMON 30000 UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC PR 1 1,032.460000 1,163.530000 0.000000
37 W64398002 B03XA01 EPOETINUM BETA ** NEORECORMON 4000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE PR 6 88.208333 102.505000 0.000000
38 W64399002 B03XA01 EPOETINUM BETA ** NEORECORMON 5000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE PR 6 126.713333 144.476666 0.000000
39 W60969001 B03XA01 EPOETINUM ZETA ** RETACRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR 1 201.430000 245.910000 0.000000
40 W64987001 B03XA01 EPOETINUM ZETA ** RETACRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 201.430000 245.910000 0.000000
41 W60964001 B03XA01 EPOETINUM ZETA ** RETACRIT 2000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR 1 46.510000 60.840000 0.000000
42 W64990001 B03XA01 EPOETINUM ZETA ** RETACRIT 2000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,6ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 46.510000 60.840000 0.000000
43 W60967001 B03XA01 EPOETINUM ZETA ** RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. PR 1 569.780000 659.210000 0.000000
44 W64991001 B03XA01 EPOETINUM ZETA ** RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75 ML SOL. INJ. PR 1 569.780000 659.210000 0.000000
45 W60965001 B03XA01 EPOETINUM ZETA ** RETACRIT 3000UI/0,9ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,9ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ. PR 1 64.050000 80.990000 0.000000
46 W64992001 B03XA01 EPOETINUM ZETA ** RETACRIT 3000UI/0,9ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,9ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,9 ML SOL. INJ. PR 1 64.050000 80.990000 0.000000
47 W64993001 B03XA01 EPOETINUM ZETA ** RETACRIT 40000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 40000UI/1,0ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 769.210000 876.590000 0.000000
48 W60966001 B03XA01 EPOETINUM ZETA ** RETACRIT 40000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 40000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR 1 769.210000 876.590000 0.000000
49 W60973001 B03XA01 EPOETINUM ZETA ** RETACRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,4ML SOL. INJ. PR 1 85.390000 107.970000 0.000000
50 W64994001 B03XA01 EPOETINUM ZETA ** RETACRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. PR 1 85.390000 107.970000 0.000000
51 W60972001 B03XA01 EPOETINUM ZETA ** RETACRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ. PR 1 109.080000 133.170000 0.000000
52 W64995001 B03XA01 EPOETINUM ZETA ** RETACRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. PR 1 109.080000 133.170000 0.000000
53 W64996001 B03XA01 EPOETINUM ZETA ** RETACRIT 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 125.810000 153.590000 0.000000
54 W60971001 B03XA01 EPOETINUM ZETA ** RETACRIT 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR 1 125.810000 153.590000 0.000000
55 W64997001 B03XA01 EPOETINUM ZETA ** RETACRIT 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. PR 1 249.680000 304.810000 0.000000
56 W60970001 B03XA01 EPOETINUM ZETA ** RETACRIT 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,8ML SOL. INJ. PR 1 249.680000 304.810000 0.000000
57 W41530002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 578.512500 640.115000 0.000000
58 W41522002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 65.460000 79.912500 0.000000
59 W41524002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 118.182500 138.357500 0.000000
60 W41525002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 191.637500 218.422500 0.000000
61 W41526002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 235.702500 266.452500 0.000000
62 W41533001 B03XA02 DARBEPOETINUM ALFA ** ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R 1 2,743.810000 3,028.900000 0.000000
63 W41527002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R 4 314.397500 352.230000 0.000000

Pagina 74 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
64 W41528002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R 4 339.677500 379.785000 0.000000
65 W41529002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R 4 450.420000 500.495000 0.000000
66 W64391001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 100 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 100µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 677.490000 776.610000 0.000000
67 W64392001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 150 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 987.340000 1,114.350000 0.000000
68 W64389001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 50 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 50 µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 347.120000 416.510000 0.000000
69 W64390001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 75 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 75µg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR 1 515.440000 599.980000 0.000000
70 W13989003 B05DB COMBINATII BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2000 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 89.065000 106.617500 0.000000
71 W53458002 B05DB COMBINATII CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNG DIN PVC X 2000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM STAY-STAFE PR 4 72.247500 88.200000 0.000000
72 W53457002 B05DB COMBINATII CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE PR 4 72.247500 88.200000 0.000000
73 W13989004 B05DB COMBINATII BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2500 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 103.160000 121.982500 0.000000
74 W13998003 B05DB COMBINATII BALANCE 4,25% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE CONTINAND CATE 2000 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 89.065000 106.617500 0.000000
75 W13997004 B05DB COMBINATII BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2500 ML SOL PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 103.160000 121.982500 0.000000
76 W53456002 B05DB COMBINATII CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE PR 4 72.247500 88.200000 0.000000
77 W53457003 B05DB COMBINATII CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE PR 2 179.200000 214.405000 0.000000
78 W13997003 B05DB COMBINATII BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2000 ML SOL PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 89.065000 106.617500 0.000000
79 W53456003 B05DB COMBINATII CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE PR 2 179.200000 214.405000 0.000000
80 W53458003 B05DB COMBINATII CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM SLEEP-SAFE PR 2 179.200000 214.405000 0.000000
81 W66319002 H05BX01 CINACALCETUM ** CINACALCET ACCORD 30 mg COMPR. FILM 30mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 28 4.953571 6.047142 0.000000
82 W43185002 H05BX01 CINACALCETUM ** MIMPARA 30 mg COMPR. FILM. 30mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 5.944285 7.256570 11.091287
83 W64166002 H05BX01 CINACALCETUM ** CINACALCET HEATON 30 mg COMPR. FILM. 30mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 5.944285 7.256570 2.023072
84 W66608001 H05BX01 CINACALCETUM ** CINACALCET ACCORDPHARMA 30 mg COMPR. FILM. 30mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. DIN AL/PVC TRANSPARENT X 28 COMPR. FILM. PRF 28 4.953571 6.047142 0.000000
85 W43186002 H05BX01 CINACALCETUM ** MIMPARA 60 mg COMPR. FILM. 60mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 29.893214 33.946071 0.000000
86 W63199002 H05BX02 PARICALCITOLUM ** ZEMPLAR 1 microgram CAPS. MOI 1micrograme ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI PRF 28 8.009642 9.778214 0.000000
87 W63198003 H05BX02 PARICALCITOLUM ** ZEMPLAR 5 micrograme/ml SOL. INJ. 5micrograme/ml ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA TIP I X 1 ML SOL. INJ. PR 5 52.730000 64.372000 0.000000
88 W63198001 H05BX02 PARICALCITOLUM ** ZEMPLAR 5 micrograme/ml SOL. INJ. 5micrograme/ml ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I X 1 ML SOL. INJ. PR 5 52.730000 64.372000 0.000000
89 W08985002 V03AE02 SEVELAMER ** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 1.770500 2.141777 0.000000
90 W62911004 V03AE02 SEVELAMER ** CARBONAT DE SEVELAMER HEATON 800 mg COMPR. FILM. 800mg HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN PEÎD CU CAPAC DIN PP PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI DESICANT CU 180 COMPRIMATE FILMATE PRF 180 1.729444 2.097055 0.000000

P11: PROGRAMUL NAŢIONAL DE SĂNĂTATE MINTALĂ


P11.1: SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENŢELOR

1 W66185003 N07BB04 NALTREXONUM NALTREXONA AMOMED 50 mg COMPR. FILM. 50mg AMOMED PHARMA GMBH AUSTRIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 28 7.061428 8.620714 0.000000
2 W51921003 N07BC02 METHADONUM SINTALGON 2,5 mg COMPR. 2,5mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-TS 50 0.518200 0.677800 0.000000
3 W68464002 N07BC02 METHADONUM METADON BIOEEL 20 mg COMPR. 20mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC-PVDC X 10 COMPR. PS 50 1.699800 2.149200 0.000000
4 W55532002 N07BC02 METHADONUM METADON BIOEEL 20 mg COMPR. 20mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 1.699800 2.149200 0.000000
5 W55533002 N07BC02 METHADONUM METADON BIOEEL 5 mg COMPR. 5mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 0.892200 1.167000 0.000000
6 W68465002 N07BC02 METHADONUM METADON BIOEEL 5 mg COMPR. 5mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC-PVDC X 10 COMPR. PS 50 0.892200 1.167000 0.000000
7 W60166003 N07BC02 METHADONUM MISYO 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 CU SIGILIU DIN PE A 1000 ML CONC. PT. SOL. ORAL PS 1 355.570000 425.720000 0.000000
8 W60166004 N07BC02 METHADONUM MISYO 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, A 1000 ML CONC. PT. SOL. ORALA PS 1 355.570000 425.720000 0.000000
9 W63213001 N07BC02 METHADONUM METHASAN 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. ORALA, SERINGA GRADATA PT. ADMINISTRARE ORALA SI UN ADAPTOR PT. FLAC. PS 1 43.180000 56.480000 0.000000
10 W67747001 N07BC51 COMBINATII (BUPRENORPHINUM+NALAXONE) ZUBSOLV 1,4 mg/0,36 mg COMPR. SUBLING. 1,4mg/0,36mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU PVC-OPA-AL-PVC/AL-PET-HÂRTIE X 7 COMPR. SUBLINGUALE PS/PR 7 8.175714 10.337142 0.000000
11 W67748001 N07BC51 COMBINATII (BUPRENORPHINUM+NALAXONE) ZUBSOLV 5,7 mg/1,4 mg COMPR. SUBLING. 5,7mg/1,4mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU PVC-OPA-AL-PVC/AL-PET-HÂRTIE X 7 COMPR. SUBLINGUALE PS/PR 7 24.090000 29.408571 0.000000

P11: PROGRAMUL NAŢIONAL DE SĂNĂTATE MINTALĂ


P11.2: TULBURARE DEPRESIVĂ MAJORĂ

Pagina 75 din 76
contribuție

Prescriptie
Grupa Forma Pret cu ridicata maximă
Nr. Concentr cant/a Pret de decontare
Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti Firma Tara Ambalaj maximal de asigurat / U.T. -
crt atie / U.T. mbalaj
decontare / U.T.
/ U.T.
farmacii
ica ca
comunitare
1 W66532001 N06AX27 ESKETAMINUM ** Ω SPRAVATO 28 mg SPRAY NAZAL, SOLUTIE 28mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 DISPOZITIV DE SPRAY NAZAL PS,PR 1 1,065.700000 1,199.760000 0.000000
2 W66532002 N06AX27 ESKETAMINUM ** Ω SPRAVATO 28 mg SPRAY NAZAL, SOLUTIE 28mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 2 DISPOZITIVE DE SPRAY NAZAL PS,PR 2 893.070000 992.525000 0.000000
3 W66532003 N06AX27 ESKETAMINUM ** Ω SPRAVATO 28 mg SPRAY NAZAL, SOLUTIE 28mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 DISPOZITIVE DE SPRAY NAZAL PS,PR 3 888.076666 980.720000 0.000000

NOTĂ:

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu ** se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii.
- Medicamentul corespunzător DCI-ului notat cu (3) se livrează împreună cu solvent.
- Medicamentele corespunzătoare DCI-urilor notate cu (4) se importă cu avizul Agenţiei Naţionale a Medicamentului şi a Dispozitivelor Medicale.
- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu Ω se efectuează în baza contractelor cost-volum încheiate.
- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu **1 se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii şi pot fi
administrate şi în regim de spitalizare de zi.

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