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ANEXĂ · 0 · 2018
ANEXĂ din 27 decembrie 2018 pentru modificarea anexelor nr. 2 şi 4 la Ordinul ministrului sănătăţii şi al preşedintelui Casei Naţionale de Asigurări de Sănătate nr. 1.605/875/2014
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Casa Na?ională de Asigurări de Sănătate · ID sursă 209924
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ANEXĂ din 27 decembrie 2018
pentru modificarea anexelor nr. 2 şi 4 la Ordinul ministrului sănătăţii şi al preşedintelui Casei Naţionale de Asigurări de Sănătate nr. 1.605/875/2014
EMITENT MINISTERUL SĂNĂTĂŢII CASA NAŢIONALĂ DE ASIGURĂRI DE SĂNĂTATE
Publicată în
MONITORUL OFICIAL nr. 4 bis din 3 ianuarie 2019
Anexa nr. 1
(ANEXA nr. 2 la Ordinul 1605/875/2014)
SECŢIUNEA C2 - LISTA denumirilor comerciale şi a preturilor de decontare a medicamentelor care se acordă bolnavilor cuprinşi in cadrul programele nationale de sănătate, in tratamentul ambulatoriu si spitalicesc, corespunzătoare denumirilor comune internaţionale cuprinse în secţiunea C2 a sublistei C
din HG nr. 720/2008, cu modificările şi completările ulterioare, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificarile si competarile ulterioare,
VALABILĂ ÎNCEPÂND CU 01 IANUARIE 2019
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE
3
A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE 1 W05444001 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE CU UN BLISTER DIN PVC-PE-PVDC/ALUMINIUM A 12 COMPRIMATE FILMATE P-RF 12 2,025000 2,737500 0,000000 2 W05444002 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE CU 3 BLISTERE DIN PVC-PE-PVDC/ALUMINIUM A CATE 12 COMPRIMATE FILMATE P-RF 36 1,990000 2,516111 0,000000 3 W63734001 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFASIGMA S.P.A. ITALIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 12 COMPR. FILM. PRF 12 2,025000 2,737500 0,000000 4 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 1,990000 2,516111 0,000000 5 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 15,290000 20,660000 0,000000 6 W13742001 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5,460000 7,380000 0,000000 7 W00040001 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 4,824000 6,528000 9,422000 8 W64229001 D06BB03 ACICLOVIRUM ACEVIREX 50 mg/g CREMA 50mg/g THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU 1 TUB DIN AL X 5 G CREMA PRF 1 4,824000 6,528000 16,472000 9 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 3,660000 4,950000 0,000000 10 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 4,392000 5,940000 1,390000 11 W55128002 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 5 G CREMA P-RF 1 4,360000 5,890000 0,000000 12 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 4,392000 5,940000 1,390000 13 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 4,020000 5,440000 0,000000 14 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 4,824000 6,528000 0,802000 15 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 4,392000 5,940000 2,370000 16 W11729001 J01CF04 OXACILLINUM OXACILINA ATB 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,305000 0,388296 0,023704 17 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 0,286500 0,387500 0,000000 18 W04675003 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0,265060 0,323580 0,000000 19 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 0,435500 0,588500 0,000000 20 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 0,493152 0,602040 0,187960 21 W07274001 J01CF04 OXACILLINUM OXACILINA ATB 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 0,493152 0,602040 0,217960 22 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 0,410960 0,501700 0,000000 23 W43092001 J01CF04 OXACILLINUM OXACILINA SANDOZ 500 mg CAPS. 500mg SANDOZ SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 0,493152 0,602040 0,166960 24 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 0,493152 0,602040 0,073960 25 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 4,081600 4,830400 0,000000 26 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 4,300000 5,796480 0,013520 27 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 3,789200 4,511700 0,000000 28 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 3,970000 5,360000 0,000000 31 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 0,749285 1,012857 0,000000 32 W57628002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 500 mg/125mg COMPR. FILM. 500 mg/125 mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 28 0,460714 0,622500 0,000000 33 W54453002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500mg/125mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0,460000 0,622142 0,000000 34 W64211008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0,425000 0,574285 0,000000 29 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. PR, PRF 50 13,796000 15,800600 0,000000 30 W55354004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU BLIST. AL/PVC-AL-PP X 28 COMPR. ELIB. PREL. P-RF 28 1,322857 1,730357 0,000000 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 35 W55163002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14 0,510000 0,689142 0,267286 36 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 0,742142 1,002857 0,000000 37 W55401002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0,749285 1,012857 0,000000 38 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 0,749285 1,012857 0,000000 39 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 0,748571 1,011904 0,000000 40 W55164001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14 0,890570 1,203428 0,353714 41 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 0,510000 0,689142 0,600858 42 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 7,703200 9,159400 0,000000 43 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 8,070000 10,910000 0,000000 44 W08783002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE P-RF 1 10,430000 14,100000 0,000000 45 W55355005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 7,990000 10,800000 0,000000 46 W55355001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA P-RF 1 7,820000 10,570000 0,000000 47 W55355004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 7,820000 10,570000 0,000000 48 W55355006 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 12,516000 16,920000 4,240000 49 W55342003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN ES 600mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE 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 P-RF 1 28,650000 37,470000 0,000000 50 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 14,800000 20,000000 0,000000 51 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 21,688800 26,478000 5,082000 52 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 13,458000 16,429000 0,000000 53 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 12,977000 15,842000 0,000000 54 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 13,450000 18,180000 0,000000 55 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 18,074000 22,065000 0,000000 56 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 18,730000 25,320000 0,000000 57 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 18,736000 22,873000 0,000000 58 W55618001 J01DD04 CEFTRIAXONUM OFRAMAX 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg TERAPIA SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF. S 50 5,083200 6,649200 4,916400 59 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 5,083200 6,649200 10,558800 60 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 4,236000 5,541000 0,000000 61 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 5,083200 6,649200 10,558800 62 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 5,083200 6,649200 10,558800 63 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 5,083200 6,649200 10,558800 64 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 5,083200 6,649200 0,060800 65 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. S/P-RF 1 5,083200 6,649200 7,800800 66 W55619001 J01DD04 CEFTRIAXONUM OFRAMAX 250 mg PULB. PT. SOL. INJ./PERF. 250mg TERAPIA SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF. S 50 5,377000 6,564200 0,000000 67 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 5,864000 7,415000 0,000000 68 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 5,864000 7,415000 0,000000 69 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 7,801000 9,863000 0,000000 70 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 9,361200 11,835600 18,641400 71 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 9,361200 11,835600 18,641400 72 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 9,361200 11,835600 0,895400 73 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 6,700000 9,060000 0,000000 74 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 9,361200 11,835600 6,574400 75 W57455001 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 1,742000 2,354000 0,000000 76 W13701001 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2,904000 3,799000 0,000000 77 W63368003 J01DD08 CEFIXIMUM CEFIXIMA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 7 COMPR. FILM. PRF 7 6,375714 8,340000 0,000000 78 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 7,650857 10,008000 0,014000 79 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 7,650857 10,008000 0,544000 80 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 61,150000 77,320000 0,000000 81 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 8,856000 11,976000 6,890000 82 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 13,248000 17,904000 7,014000 83 W44045001 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1 3,350000 4,530000 0,000000 84 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 X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 11,040000 14,920000 0,000000 85 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 7,380000 9,980000 0,000000 4 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 86 W53787002 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 10 19,685000 24,032000 0,000000 87 W53787004 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S 100 18,147400 20,162200 0,000000 88 W53787003 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 50 18,497200 20,925000 0,000000 89 W53787001 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 1 20,400000 24,194640 3,375360 90 W60705002 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 1000 mg PULB. PT. SOL. INJ. SAU PERF. 1000 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR 10 27,806400 33,945600 30,726400 91 W60703002 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 500 mg PULB. PT. SOL. INJ. SAU PERF. 500 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR 10 16,683600 20,367600 18,189400 92 W56827001 J01DH02 MEROPENEMUM LODITER 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 27,806400 33,945600 66,694400 93 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 SAU 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 27,806400 33,945600 50,614400 94 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 25,092000 30,632000 0,000000 95 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 27,806400 33,945600 5,829400 96 W62533002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 23,172000 28,288000 0,000000 97 W64244003 J01DH02 MEROPENEMUM MEROPENEM ACCORD 1 g PULB. PT. SOL. INJ./PERF. 1g ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 27,806400 33,945600 31,429400 98 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 16,683600 20,367600 8,238400 99 W62532002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 500 mg PULB. PT. SOL. INJ./PERF. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 13,903000 16,973000 0,000000 100 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 16,683600 20,367600 26,172400 101 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 16,683600 20,367600 33,612400 102 W64243003 J01DH02 MEROPENEMUM MEROPENEM ACCORD 500 mg PULB. PT. SOL. INJ./PERF. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 16,683600 20,367600 15,538400 103 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 15,619000 19,068000 0,000000 104 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 19,372000 23,649000 0,000000 105 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 23,246400 28,378800 7,453200 106 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 23,246400 28,378800 10,279200 107 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 23,246400 28,378800 7,455200 108 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 19,928000 25,198000 0,000000 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 19,572000 23,893000 0,000000 110 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 23,246400 28,378800 10,643200 111 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,271000 0,366500 0,000000 112 W53671001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,312000 0,421500 0,000000 113 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,312000 0,421500 0,000000 114 W12479001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,284500 0,384500 0,000000 115 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM 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 3,670000 4,960000 0,000000 116 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SUSP. ORALA 25mg/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 7,670000 10,370000 0,000000 117 W05561001 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 1,5 Mil. UI COMPR. FILM. 1,5 M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 0,492500 0,665625 0,000000 118 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 0,492500 0,665625 0,000000 119 W13604002 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF 10 2,015000 2,724000 0,000000 120 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 2,015000 2,724000 0,000000 121 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 2,015000 2,724000 0,000000 122 W13604003 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. LABORATOIRES AVENTIS FRANTA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF 10 2,015000 2,724000 0,000000 123 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 1,578000 2,132570 0,653430 124 W62391001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,578000 2,132570 0,653430 125 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 0,786000 1,062857 0,987857 126 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0,786000 1,062857 0,237857 127 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 0,786000 1,062857 0,082857 128 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0,786000 1,062857 0,156428 129 W60253004 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 0,655000 0,885714 0,000000 130 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 1,315000 1,777142 0,000000 131 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1,489285 2,012857 0,000000 132 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 1,489000 1,947500 0,000000 133 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1,497857 2,024285 0,000000 134 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 1,578000 2,132570 0,016001 135 W41838002 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 1,578000 2,132570 0,431715 5 136 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 20,470000 27,670000 0,000000 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat 137 W44092001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 9,990000 13,500000 0,000000 138 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 11,988000 16,200000 4,570000 139 W44091001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 15,804000 21,360000 12,130000 140 W58393002 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF 1 13,170000 17,800000 0,000000 141 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 31,830000 41,630000 0,000000 142 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 2,898000 3,916000 0,857333 143 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 2,898000 3,916000 0,857333 144 W42271001 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF 6 2,565000 3,466666 0,000000 145 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 3,221666 4,353333 0,000000 146 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 3,221666 4,353333 0,000000 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 147 W63094004 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 6 COMPR. FILM. PRF 6 2,448333 3,308333 0,000000 148 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 2,415000 3,263333 0,000000 149 W63095002 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 3 COMPR. FILM. PRF 3 3,055999 4,128000 0,688666 150 W00519001 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 3,055999 4,128000 4,912000 151 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 3,055999 4,128000 1,748666 152 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 3,055999 4,128000 1,468666 153 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 3,055999 4,128000 1,748666 154 W57032001 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 3,055999 4,128000 1,228666 155 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 2,546666 3,440000 0,000000 156 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 3,055999 4,128000 4,912000 157 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 3,055999 4,128000 1,748666 158 W53281001 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN PE CU PULBERE PENTRU 15ML SUSPENSIE ORALA RECONSTITUITA + FLACON CU SOLVENT X 7.5ML SOLVENT + 1 SERINGA PENTRU ADMINISTRAREA ORALA + O LINGURITA DOZATOARE P-RF 1 11,280000 15,240000 0,000000 159 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 15,060000 20,350000 0,000000 160 W42877002 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml 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 (800 MG) SUSP. ORALA P-RF 1 10,860000 14,680000 0,000000 161 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 33,620000 43,970000 0,000000 162 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 33,620000 43,970000 0,000000 163 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 25,460000 33,300000 0,000000 164 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 25,460000 33,300000 0,000000 165 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 0,536666 0,723333 0,000000 166 W03308001 J01GB03 GENTAMICINUM GENTAMICIN KRKA 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 0,576000 0,778000 0,000000 167 W03309001 J01GB03 GENTAMICINUM GENTAMICIN KRKA 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 0,643999 0,868000 0,178000 168 W08121001 J01GB03 GENTAMICINUM PAN - GENTAMICINE SOL.INJ. 80mg/2ml LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 0,643999 0,868000 0,167000 169 W53277001 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 5,620000 7,600000 0,000000 170 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1,100400 1,488000 0,698000 171 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 0,917000 1,240000 0,000000 172 W07914001 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,917000 1,240000 0,000000 173 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 3,117000 4,077000 0,000000 174 W54037002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 2,835500 3,585000 0,000000 175 W01288001 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,459600 0,621600 0,098400 176 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 0,459600 0,621600 0,124400 177 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 0,459600 0,621600 0,096400 178 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 0,459600 0,621600 0,098400 179 W07862001 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 0,459600 0,621600 0,135400 180 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 0,459600 0,621600 0,122400 181 W62110003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,383000 0,518000 0,000000 182 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 0,459600 0,621600 0,050400 183 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 0,673200 0,909600 0,098400 184 W44076001 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 0,673200 0,909600 0,059400 185 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 0,673200 0,909600 0,534400 186 W62111003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,561000 0,758000 0,000000 187 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 0,664000 0,897500 0,000000 6 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat 7 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 188 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 0,673200 0,909600 0,337400 189 W07863001 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 0,673200 0,909600 0,048400 190 W01289001 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,673200 0,909600 0,483400 191 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,673200 0,909600 0,534400 192 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 0,961200 1,299600 2,777400 193 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 0,801000 1,083000 0,000000 194 W57948001 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 10,351428 13,088571 0,000000 195 W63880001 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 10,351428 13,088571 0,000000 196 W57949001 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 0,673200 0,909600 9,050400 197 W63879001 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 0,673200 0,909600 9,050400 198 W01275002 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 2,444800 2,984600 0,000000 199 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML S/P-RF 5 2,706000 3,581520 0,076480 200 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 2,716000 3,581520 0,088480 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 13,824000 16,876000 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 7,343000 9,284000 0,000000 203 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 6,938200 8,325600 0,000000 204 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 13,457666 15,940666 0,000000 205 W52445001 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 2,253000 3,045000 0,000000 206 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 0,686000 0,927000 0,000000 207 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 0,686000 0,927000 0,000000 208 W41800001 J01MA06 NORFLOXACINUM NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0,635500 0,859000 0,000000 209 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 0,615500 0,832000 0,000000 210 W14009001 J01MA06 NORFLOXACINUM NORFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 0,712000 0,963000 0,000000 211 W52786004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 0,842857 1,138571 0,000000 212 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 1,011428 1,366285 0,255715 213 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 1,011428 1,366285 1,248000 214 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 1,011428 1,366285 1,272286 215 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 1,011428 1,366285 0,279715 216 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 3,010285 4,068000 0,593428 217 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 3,010285 4,068000 0,306285 218 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 3,010285 4,068000 1,353428 219 W56993002 J01MA12 LEVOFLOXACINUM LEVOTOR 500 mg COMPR. FILM. 500mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF 7 2,508571 3,390000 0,000000 220 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 2,555714 3,454285 0,000000 221 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 3,010285 4,068000 0,329000 222 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 3,010285 4,068000 0,588000 223 W54108003 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S 1 31,188000 40,800000 16,730000 224 W63747004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA AUROBINDO 5 mg/ml SOL. PERF. 5mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. PR 1 31,188000 40,800000 15,160000 225 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 31,188000 40,800000 2,471333 226 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 25,990000 34,000000 0,000000 227 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 19,710000 22,247000 0,000000 228 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. S 1 31,188000 40,800000 16,770000 229 W60545001 J01MA14 MOXIFLOXACINUM MOFIL 400 mg COMPR. FILM. 400mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM. PRF 5 4,377600 5,916000 1,406000 230 W59332001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,648000 4,930000 0,000000 231 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 4,377600 5,916000 3,826000 232 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 4,377600 5,916000 1,448000 233 W57939001 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg COMPR. FILM. 400mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. P-RF 5 4,377600 5,916000 3,826000 234 W57938004 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER PHARMA AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 62,166000 75,392000 0,000000 235 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 60,500000 76,500000 0,000000 236 W62717001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg/250 ml SOL. PERF. 400mg/250ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 250 ML SOL. PERF. PR 1 61,140000 77,310000 0,000000 237 W60727001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) A 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 1 61,130000 77,290000 0,000000 238 W62717002 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg/250 ml SOL. PERF. 400mg/250ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA A CATE 250 ML SOL. PERF. PR 5 60,048000 73,082000 0,000000 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat 256 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg 257 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg 239 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 59,438000 72,562000 0,000000 240 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 62,166000 75,392000 0,000000 241 W57042001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.SOL. PERF. 1000mg 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 21,430000 28,970000 0,000000 242 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 18,310000 24,750000 0,000000 243 W13105001 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg AVENTIS PHARMA LTD. MAREA BRITANIE 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) P-RF 1 110,100000 134,410000 0,000000 244 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 1 110,100000 134,410000 0,000000 245 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. S 10 18,956000 23,142000 0,000000 246 W53689002 J01XD01 METRONIDAZOLUM METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,186333 0,251666 0,000000 247 W08257001 J01XD01 METRONIDAZOLUM FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg LABORATOIRE AVENTIS FRANTA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 0,223600 0,301999 0,081001 248 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 0,223600 0,301999 0,081001 249 W42139001 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML S/P-RF 1 7,350000 9,940000 0,000000 250 W42138001 J01XD01 METRONIDAZOLUM METRONIDAZOL B 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML S/P-RF 1 7,210000 9,740000 0,000000 251 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 7,220000 9,129166 0,000000 252 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 7,079166 8,950833 0,000000 253 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 4,031000 5,273000 0,000000 254 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 4,031000 5,273000 0,000000 255 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 3,961000 5,008000 0,000000 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 86,731200 99,115200 6,775800 KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 72,276000 82,596000 0,000000 258 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 1 689,840000 790,080000 0,000000 259 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 117,147600 132,268800 17,451200 260 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 114,492000 128,611000 0,000000 261 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 117,147600 132,268800 12,181200 262 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 10 113,362000 127,380000 0,000000 263 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 97,623000 110,224000 0,000000 264 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 110,566000 124,332000 0,000000 265 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 10 114,432000 128,546000 0,000000 266 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR 1 112,480000 132,268800 5,051200 267 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 1 117,147600 132,268800 15,921200 268 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,478571 3,350000 0,000000 269 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,974285 4,020000 2,720000 270 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 2,974285 4,020000 0,741428 271 W58226001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,660000 6,300000 0,000000 272 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 273 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 5,570000 7,530000 0,000000 274 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 5,590000 7,550000 0,000000 275 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 5,590000 7,550000 0,000000 276 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 277 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 5,570000 7,530000 0,000000 278 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 5,570000 7,530000 0,000000 279 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 5,570000 7,530000 0,000000 280 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 281 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 4,930000 6,660000 0,000000 282 W60221001 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 283 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 5,592000 7,560000 4,060000 284 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 4,698571 6,145714 0,000000 285 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 1,532570 2,070857 2,433428 286 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 1,532570 2,070857 0,449143 287 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,277142 1,725714 0,000000 288 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,854857 289 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 1,532570 2,070857 0,856285 8 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 290 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg 291 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285 TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1,532570 2,070857 0,000571 292 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285 293 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 22,810000 30,830000 0,000000 294 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. S 10 37,499000 44,689000 0,000000 295 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. S 20 9,211000 11,244500 0,000000 296 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. S 20 18,749500 22,344500 0,000000 297 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10 18,885000 23,055000 0,000000 298 W58456001 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 50 ML SOL. PERF. PR 20 11,053200 13,493400 9,107100 299 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 22,499400 26,813400 12,463600 300 W55502017 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 38,180000 49,940000 0,000000 301 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 44,998800 53,626800 40,412200 302 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. S 1 22,499400 26,813400 31,246600 303 W55502001 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 9,540000 12,900000 0,000000 304 W55502009 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 19,080000 25,790000 0,000000 305 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1,671333 2,186000 0,000000 306 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF 15 1,671333 2,186000 0,000000 307 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1,671333 2,186000 0,000000 308 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1,671333 2,186000 0,000000 309 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 1,671333 2,186000 0,000000 310 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 2,005600 2,623200 0,740800 311 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 52,854714 312 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 11,761714 14,358857 60,507143 313 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 11,761714 14,358857 71,690428 314 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 69,160071 315 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 11,761714 14,358857 67,894893 316 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 11,761714 14,358857 43,581143 317 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 9,801428 11,965714 0,000000 318 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 9,801666 11,966000 0,000000 319 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 9,801428 11,965714 0,000000 320 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,530000 27,282857 0,000000 321 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,554285 24,856785 0,000000 322 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,018571 23,591607 0,000000 323 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1 270,192000 329,844000 83,166000 324 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 325 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 270,192000 329,844000 21,646000 326 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 327 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 1 270,192000 329,844000 41,206000 328 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 1 270,192000 329,844000 41,206000 329 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 270,192000 329,844000 41,206000 330 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 1.383,700000 1.546,390000 0,000000 331 W60913001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE PR 24 131,322916 144,731666 0,000000 332 W61578001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU UN FL X 16,7ML CONC. PT SOL PERF (18MG POSACONAZOL/ML) PR 1 1.333,540000 1.491,710000 0,000000 333 W58194001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2.529,930000 2.795,780000 0,000000 334 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 1 854,310000 969,350000 0,000000 335 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 854,310000 969,350000 0,000000 336 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 1 854,310000 969,350000 0,000000 ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 854,310000 969,350000 0,000000 MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 854,310000 969,350000 0,000000 ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 854,310000 969,350000 0,000000 ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 810,730000 921,850000 0,000000 337 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg 338 W06665001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg 339 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg 9 340 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 341 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 1.105,850000 1.243,530000 0,000000 342 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 1.105,850000 1.243,530000 0,000000 343 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 1.105,860000 1.243,540000 0,000000 344 W06670001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1.105,860000 1.243,540000 0,000000 345 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.105,850000 1.243,530000 0,000000 346 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.051,440000 1.184,220000 0,000000 347 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.105,850000 1.243,530000 0,000000 348 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 1 854,310000 969,350000 0,000000 349 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 1.105,810000 1.243,480000 0,000000 350 W55841001 J02AX06 ANIDULAFUNGINUM ECALTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB. S 1 1.068,696000 1.210,656000 406,994000 351 W64659001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA TEVA 100 mg PULB. PT. CONC. PT.SOL. PERF. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 890,580000 1.008,880000 0,000000 352 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,116200 0,141860 0,000000 353 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 0,120000 0,162500 0,000000 354 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 0,119800 0,162000 0,000000 355 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 0,115020 0,140413 0,000000 356 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 0,300000 0,400960 0,004640 357 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0,285913 0,337080 0,000000 358 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 0,283213 0,334133 0,000000 359 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 0,299500 0,400960 0,004040 360 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,314746 0,368506 0,000000 361 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 0,194000 0,262000 0,000000 362 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 0,302500 0,409000 0,000000 363 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 0,228320 0,274300 0,000000 364 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. PRF 1500 0,351473 0,408540 0,000000 365 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0,631030 0,725970 0,000000 366 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 0,670200 0,873850 0,000000 367 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,670200 0,906000 0,198000 368 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 0,670200 0,906000 0,263500 369 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 0,670200 0,906000 0,222000 370 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 1,574000 2,128000 0,000000 371 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,670200 0,906000 0,035500 372 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,670200 0,906000 0,035500 373 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 0,558500 0,755000 0,000000 374 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,670200 0,906000 0,031000 375 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 1,888800 2,553600 0,350400 376 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 40,340000 49,248000 0,000000 377 W60057003 J05AB04 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R 140 2,035786 2,485285 5,789215 378 W53326004 J05AB04 RIBAVIRINUM COPEGUS 200mg COMPR. FILM. 200mg ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R 168 2,035786 2,485285 5,451084 379 W61374009 J05AB04 RIBAVIRINUM RIBAVIRINA AUROBINDO 200 mg COMPR. FILM. 200mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/AL X 168 COMPR. FILM. PRF 168 1,696488 2,071071 0,000000 380 W61213001 J05AB06 GANCICLOVIRUM CYMEVENE 500 mg PULB. PT. SOL. PERF. 500mg ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. MULTIDOZA DIN STICLA INCOLORA CONTINAND 10 ML PULB. PT. SOL. PERF. PR 1 91,450000 115,630000 0,000000 381 W58707001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 2,926800 3,956400 0,929600 382 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 2,439000 3,297000 0,000000 383 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 0,775566 384 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 25,394566 385 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 17,207000 19,391500 0,000000 386 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 15,644566 387 W60756001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF 60 14,422500 16,356333 0,000000 388 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 41,412857 50,557142 0,000000 389 W59955001 J05AE03 RITONAVIRUM ** NORVIR 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR.FILM. P-RF/R 30 2,182000 2,759000 0,000000 390 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 2,072000 2,620000 0,000000 391 W63507001 J05AE03 RITONAVIRUM ** RITONAVIR ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 2,160333 2,731333 0,000000 10 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat 11 392 W61527001 J05AE07 FOSAMPRENAVIRUM ** TELZIR 700mg COMPR. FILM. 700mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII PR 60 20,058333 22,499500 0,000000 393 W61526001 J05AE07 FOSAMPRENAVIRUM ** TELZIR 50mg/ml SUSP. ORALA 50mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII + O SERINGA PT. ADM. ORALA DIN POLIPROPILENA X 10 ML + 1 ADAPTOR DIN POLIETILENA PR 1 370,250000 441,720000 0,000000 394 W14087002 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 60 CAPS. (BLIST. AL/AL 6X1) P-RF/R 60 26,287666 29,289500 0,000000 395 W14088001 J05AE08 ATAZANAVIRUM REYATAZ 200 mg CAPS. 200mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. PEID CU 1 SISTEM DE INCHIDERE SECURIZAT PT. COPII, DIN POLIPROPILENA X 60 CAPS. P-RF/R 60 27,416166 30,519500 0,000000 396 W53181001 J05AE08 ATAZANAVIRUM REYATAZ 300 mg CAPS. 300mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 CAPS. P-RF/R 30 49,380666 55,096666 0,000000 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 397 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 12,554791 13,843708 0,000000 398 W53878001 J05AE10 DARUNAVIRUM ** PREZISTA 400mg COMPR. FILM. 400mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 20,051800 22,619599 6,394567 399 W63664001 J05AE10 DARUNAVIRUM ** DARUNAVIR ALVOGEN 400 mg COMPR. FILM. 400mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 16,709833 18,849666 0,000000 400 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 17,804000 20,042166 0,000000 401 W63851007 J05AE10 DARUNAVIRUM ** DARUNAVIR SANDOZ 400 mg COMPR. FILM. 400mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 17,365500 19,564166 0,000000 402 W63958001 J05AE10 DARUNAVIRUM ** DARUNAVIR ZENTIVA 400 mg COMPR. FILM. 400mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 16,971500 19,134833 0,000000 403 W63331001 J05AE10 DARUNAVIRUM ** 404 W53877001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 600 mg PREZISTA 600mg COMPR. FILM. 600mg COMPR. FILM. 600mg MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 60 COMPR. FILM. PR JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 60 26,457666 29,021800 29,474666 32,396800 0,000000 10,536533 405 W63665001 J05AE10 DARUNAVIRUM ** DARUNAVIR ALVOGEN 600 mg COMPR. FILM. 600mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 25,019000 27,906500 0,000000 406 W63424025 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 600 mg COMPR. FILM. 600mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU UN FLACON DIN PEÎD, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI DESICANT X 60 COMPR. FILM. PR 60 26,457666 29,474666 0,000000 407 W63852007 J05AE10 DARUNAVIRUM ** DARUNAVIR SANDOZ 600 mg COMPR. FILM. 600mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 24,184833 26,997333 0,000000 408 W63959001 J05AE10 DARUNAVIRUM ** DARUNAVIR ZENTIVA 600 mg COMPR. FILM. 600mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 25,414500 28,337666 0,000000 409 W64532001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 FLAC. DIN PEID A CATE 30 COMPR. FILM. PR 60 26,457833 29,474833 0,000000 410 W61894001 J05AE10 DARUNAVIRUM ** PREZISTA 75 mg COMPR. FILM. 75mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. CU CAPACITATEA DE 160 ML DIN PEID X 480 COMPR. FILM. PRF 480 6,277395 6,921854 0,000000 411 W64415010 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. PEID, CU DESICANT X 30 COMPR. FILM. PR 30 33,293599 37,816000 2,268333 412 W64415013 J05AE10 DARUNAVIRUM ** DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. PEID, FARA DESICANT X 30 COMPR. FILM. PR 30 33,293599 37,816000 2,268333 413 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 33,293599 37,816000 1,905666 414 W63666001 J05AE10 DARUNAVIRUM ** DARUNAVIR ALVOGEN 800 mg COMPR. FILM. 800mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 27,744666 31,513333 0,000000 415 W63853007 J05AE10 DARUNAVIRUM ** DARUNAVIR SANDOZ 800 mg COMPR. FILM. 800mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 32,577666 36,781333 0,000000 416 W63960001 J05AE10 DARUNAVIRUM ** DARUNAVIR ZENTIVA 800 mg COMPR. FILM. 800mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 33,293599 37,816000 0,453666 417 W61896001 J05AE10 DARUNAVIRUM ** PREZISTA 800 mg COMPR. FILM. 800mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. CU CAPACITATEA DE 75 ML DIN PEID X 30 COMPR. FILM. PRF 30 33,293599 37,816000 20,212333 418 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 33,293599 37,816000 2,268333 419 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 1.687,330000 1.877,340000 0,000000 420 W06151002 J05AF01 ZIDOVUDINUM RETROVIR (R) CAPS. 100mg VIIV HEALTHCARE UK LIMITED UK CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 3,842600 4,569900 0,000000 421 W60312001 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE 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 46,870000 61,300000 0,000000 422 W12057001 J05AF04 STAVUDINUM ZERIT 30 mg CAPS. 30mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 9,461964 10,994821 0,000000 423 W12056001 J05AF04 STAVUDINUM ZERIT 40 mg CAPS. 40mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS. P-RF/R 56 9,726607 11,283214 0,000000 424 W59320003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,480333 4,248833 0,000000 425 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 4,176400 5,098600 0,387066 426 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 6,215000 7,587333 0,000000 427 W61530002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR 30 7,458000 9,104800 1,866533 428 W61531002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 84,870000 107,310000 0,000000 429 W61524001 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM. PR 60 14,169500 16,080666 0,000000 430 W61525001 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE PR 1 229,390000 280,040000 0,000000 431 W63292001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ZENTIVA 245 mg COMPR. FILM. 245 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. X 30 COMPR. FILM. PR 30 12,252000 14,880799 6,280867 432 W63769001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ACCORD 245 mg COMPR. FILM. 245mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 12,252000 14,880799 7,592201 433 W60828015 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL TEVA 245 mg COMPR. FILM. 245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA 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. PR 30 12,252000 14,880799 7,711867 434 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 10,210000 12,400666 0,000000 435 W60828017 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL TEVA 245 mg COMPR. FILM. 245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEÎD CU PERETII ÎNGROSATI CU CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM. PR 30 12,252000 14,880799 7,711867 436 W63499004 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL SANDOZ 245 mg COMPR. FILM. 245mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 12,252000 14,880799 7,592201 437 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 12,252000 14,880799 12,594534 438 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 12,252000 14,880799 6,280867 439 W51482001 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 CAPS. P-RF/R 30 20,972333 24,131666 0,000000 440 W64753001 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 20,972333 24,131666 0,000000 441 W59667002 J05AG01 NEVIRAPINUM NEVIRAPINA SANDOZ 200 mg COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. PR 60 5,923000 7,091833 0,000000 442 W63028001 J05AG01 NEVIRAPINUM NEVIRAPINA TEVA 200mg COMPR. 200mg TEVA B.V. OLANDA BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP. PR 60 5,665833 6,811666 0,000000 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 443 W57323001 J05AG01 NEVIRAPINUM VIRAMUNE 400mg COMPR. ELIB. PREL. 400mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU UN FLACON DIN PEID X 30 COMPR. CU ELIB. PRELUNGITA PR 30 11,722666 14,049333 0,000000 444 W63761002 J05AG01 NEVIRAPINUM NEVIRAPINA ACCORD 400 mg COMPR. ELIB. PREL. 400mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30X1 COMPR. ELIB. PREL. PR 30 11,345000 13,637666 0,000000 445 W13091001 J05AG01 NEVIRAPINUM VIRAMUNE 50mg/5ml SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON PR 1 93,900000 118,730000 0,000000 446 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 2,457000 3,106666 0,000000 447 W12025001 J05AG03 EFAVIRENZUM STOCRIN 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII P-RF/R 30 2,457000 3,106666 0,000000 448 W53549001 J05AG04 ETRAVIRINUM INTELENCE COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR. PR 120 13,129333 14,628916 0,000000 449 W61898001 J05AG04 ETRAVIRINUM INTELENCE 200 mg COMPR. 200mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 60 COMPR. PR 60 27,362666 30,461166 0,000000 450 W61897001 J05AG04 ETRAVIRINUM INTELENCE 25 mg COMPR. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. PR 120 4,008416 4,687083 0,000000 451 W58157001 J05AG05 RILPIVIRINUM EDURANT COMPR. FILM. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU UN FLACON DIN PEÎD X 30 COMPRIMATE FILMATE PR 30 32,383666 36,570000 0,000000 452 W64934001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA ACCORD 150 mg/300 mg COMPR. FILM. 150mg/300mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM PR 60 3,404400 4,156000 2,698333 453 W59832001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg COMPR. FILM. 150mg/300mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 3,404400 4,156000 2,698333 454 W63025001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA TEVA COMPR. FILM. 150mg/300mg TEVA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE P-RF 60 2,837000 3,463333 0,000000 455 W61532001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** COMBIVIR 150mg/300mg COMPR. FILM. 150mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-RF/R 60 3,404400 4,156000 0,982500 456 W61528001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL ) PR 30 45,918333 51,322666 0,000000 457 W63257001 J05AR03 COMBINATII (EMTRICITABINUM+TENOFOVIRUM) 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 9,545200 11,652799 15,214201 458 W63802004 J05AR03 COMBINATII (EMTRICITABINUM+TENOFOVIRUM) EMTRICITABINA/TENOFOVIR DISOPROXIL ACCORD 200 mg/245 mg COMPR. FILM. 200mg/245mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1COMPR. FILM. PR 30 9,545200 11,652799 20,308534 459 W62931007 J05AR03 COMBINATII (EMTRICITABINUM+TENOFOVIRUM) 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 7,954333 9,710666 0,000000 460 W62928001 J05AR03 COMBINATII (EMTRICITABINUM+TENOFOVIRUM) DUNOTRISIN 200 mg/245 mg COMPR. FILM. 200mg/245mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,545200 11,652799 19,100534 461 W61529004 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM ** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. OPACE DIN PVC/ACLAR) PR 60 29,371333 32,650666 0,000000 462 W59948001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. PR 120 8,180250 9,234416 0,000000 463 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 7,779416 8,797500 0,000000 464 W63612002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR ACCORD 200 mg/50 mg COMPR. FILM. 200mg/50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PR 120 8,099833 9,146750 0,000000 465 W59947002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE LTD. MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML PR 5 250,074000 280,212000 0,000000 466 W62601001 J05AR13 COMBINATII (DOLUTEGRAVIRUM+ABACAVIRUM+LAMIVUDINUM) TRIUMEQ 50 mg/600 mg/300mg COMPR. FILM. 50mg/600mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 112,416000 123,805333 0,000000 467 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 59,985666 66,656000 0,000000 468 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 64,721000 71,817666 0,000000 469 W62913001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/10 mg COMPR. FILM. 200mg/10mg GILEAD SCIENCES INTERNATIONAL LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 64,721000 71,817666 0,000000 470 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 64,721000 71,817666 0,000000 471 W62914001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/25 mg COMPR. FILM. 200mg/25mg GILEAD SCIENCES INTERNATIONAL LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 64,721000 71,817666 0,000000 472 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 30 122,037000 134,292000 0,000000 473 W62792001 J05AR18 ELVITEGRAVIR+COBICISTAT+EMTRICITABINE+TENOFOVIR GENVOYA 150 mg/150 mg/200 mg/10 mg COMPR. FILM. 150mg/150mg/200mg/10mg GILEAD SCIENCES INTERNATIONAL LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 122,037000 134,292000 0,000000 474 W52764001 J05AX08 RALTEGRAVIRUM ISENTRESS 400mg COMPR. FILM. 400 mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE P-RF/R 60 37,689333 41,717333 0,000000 475 W64644001 J05AX08 RALTEGRAVIRUM ISENTRESS 400 mg COMPR. FILM. 400mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 37,689333 41,717333 0,000000 476 W64645001 J05AX08 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 42,402000 46,854000 0,000000 477 W63820001 J05AX08 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 42,402000 46,854000 0,000000 478 W61477003 J05AX09 MARAVIROCUM CELSENTRI 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 41,744333 46,137166 0,000000 479 W61478003 J05AX09 MARAVIROCUM CELSENTRI 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 41,744333 46,137166 0,000000 480 W64583001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50 mg COMPR. FILM. 50mg VIIV HEALTHCARE BV OLANDA FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 82,717333 91,433666 0,000000 481 W60635001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50mg COMPR. FILM. 50mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLACOANE PEID X 30 COMPRIMATE FILMATE, INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 82,717333 91,433666 0,000000 482 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 10 1.466,208000 1.601,984000 0,000000 483 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 1 396,840000 470,710000 0,000000 484 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 10 360,762000 397,046000 0,000000 485 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR 10 186,420000 207,013000 0,000000 486 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 1 763,680000 870,560000 0,000000 487 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 10 736,680000 806,797000 0,000000 488 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 1 1.497,410000 1.670,330000 0,000000 489 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 10 612,682000 671,639000 0,000000 490 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 1 641,400000 737,280000 0,000000 491 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000 492 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 493 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR 1 3.674,450000 4.043,310000 0,000000 12 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 494 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000 495 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000 496 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 2.028,690000 2.249,430000 0,000000 497 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 219,860000 268,400000 0,000000 498 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 1 529,670000 615,490000 0,000000 499 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 1 205,730000 251,160000 0,000000 500 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 1.040,030000 1.171,780000 0,000000 501 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 1.900,320000 2.109,500000 0,000000 502 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 1 523,800000 609,090000 0,000000 503 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,000000 504 W63860002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 50 ML PR 1 803,040000 913,460000 0,000000 505 W63860001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 100 ML PR 1 1.565,740000 1.744,810000 0,000000 506 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 1.859,420000 2.064,920000 0,000000 507 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 0,000000 508 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 1.029,340000 1.160,130000 0,000000 509 W59944001 J06BB16 PALIVIZUMABUM ** SYNAGIS 50 mg PULB. + SOLV. PT. SOL. INJ. 50mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. P-RF 1 2.306,260000 2.551,980000 0,000000 510 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 69,700000 88,130000 0,000000 511 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 1 107,407200 126,230400 27,419600 512 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 66,110000 83,590000 0,000000 513 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 105,780000 126,230400 2,909600 514 W62176005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,220000 87,520000 0,000000 515 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 65,892000 79,452000 0,000000 516 W55757002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 65,892000 79,452000 0,000000 517 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 89,506000 105,192000 0,000000 518 W55758002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 89,506000 105,192000 0,000000 519 W62177005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,407200 126,230400 8,839600 520 W12757001 S01AA23 NETILMICINUM NETTACIN (R) PIC. OFT., SOL 0,3% S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 11,470000 15,500000 0,000000 521 W41510001 S01AA23 NETILMICINUM NETTACIN (R) PICATURI OFT.-SOL. 0,3% S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 1,559333 2,108000 0,000000 522 W43512001 S01AA23 NETILMICINUM NETTAVISC 3mg/g UNG. OFT. 3mg/g S.I.F.I. SPA ITALIA CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU APLICATOR P-RF 1 13,764000 18,600000 15,760000 523 W55648002 S01BA01 DEXAMETHASONUM DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF 1 7,880000 10,650000 0,000000 524 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 4,260000 5,760000 0,000000 525 W02427001 S01BA01 DEXAMETHASONUM MAXIDEX (R) PICATURI OFT.-SUSP. 0,1% ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 4,240000 5,730000 0,000000 526 W63597001 S01BA01 DEXAMETHASONUM MAXIDEX 1 mg/ml PICATURI OFT.-SUSP. 1 mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF 1 4,240000 5,730000 0,000000 P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE 13 B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA 1 W42822001 A11HA02 PYRIDOXINUM VITAMINA B6 250 mg COMPR. 250 mg ARENA GROUP SA ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L 20 0,367500 0,497000 0,000000 2 W56760001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 0,367500 0,497000 0,000000 3 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 1,670000 2,258000 0,000000 4 W56757001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF 5 1,126000 1,522000 0,000000 5 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 0,058260 0,076212 0,067788 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 0,048550 0,063510 0,000000 7 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 0,058260 0,076212 0,018788 8 W13686002 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,058260 0,076212 0,054121 9 W53341001 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0,058260 0,076212 0,063788 10 W55354004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU BLIST. AL/PVC-AL-PP X 28 COMPR. ELIB. PREL. P-RF 28 1,322857 1,730357 0,000000 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 0,749285 1,012857 0,000000 12 W57628002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 500 mg/125mg COMPR. FILM. 500 mg/125 mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF 28 0,460714 0,622500 0,000000 13 W54453002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 500mg/125mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0,460000 0,622142 0,000000 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 14 W64211008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0,425000 0,574285 0,000000 15 W55163002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14 0,510000 0,689142 0,267286 16 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 0,742142 1,002857 0,000000 17 W55401002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0,749285 1,012857 0,000000 18 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 0,749285 1,012857 0,000000 19 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 0,748571 1,011904 0,000000 20 W55164001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14 0,890570 1,203428 0,353714 21 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 0,510000 0,689142 0,600858 22 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 7,703200 9,159400 0,000000 23 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 8,070000 10,910000 0,000000 24 W08783002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE P-RF 1 10,430000 14,100000 0,000000 25 W55355005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 7,990000 10,800000 0,000000 26 W55355001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA P-RF 1 7,820000 10,570000 0,000000 27 W55355004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 7,820000 10,570000 0,000000 28 W55355006 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1 12,516000 16,920000 4,240000 29 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 14,800000 20,000000 0,000000 30 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 19,372000 23,649000 0,000000 31 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 23,246400 28,378800 7,453200 32 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 23,246400 28,378800 10,279200 33 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 23,246400 28,378800 7,455200 34 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 19,928000 25,198000 0,000000 35 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 19,572000 23,893000 0,000000 36 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 23,246400 28,378800 10,643200 37 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 1,578000 2,132570 0,653430 38 W62391001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,578000 2,132570 0,653430 39 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 0,786000 1,062857 0,987857 40 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0,786000 1,062857 0,237857 41 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 0,786000 1,062857 0,082857 42 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0,786000 1,062857 0,156428 43 W60253004 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 0,655000 0,885714 0,000000 44 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 1,315000 1,777142 0,000000 45 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1,489285 2,012857 0,000000 46 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 1,489000 1,947500 0,000000 47 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1,497857 2,024285 0,000000 48 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 1,578000 2,132570 0,016001 49 W41838002 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 1,578000 2,132570 0,431715 50 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 20,470000 27,670000 0,000000 51 W44092001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 9,990000 13,500000 0,000000 52 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 11,988000 16,200000 4,570000 53 W44091001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 15,804000 21,360000 12,130000 54 W58393002 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF 1 13,170000 17,800000 0,000000 55 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 31,830000 41,630000 0,000000 56 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. S 50 3,053800 3,728200 0,000000 57 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. S 100 3,036900 3,691700 0,000000 58 W53277001 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 5,620000 7,600000 0,000000 59 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1,100400 1,488000 0,698000 60 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 0,917000 1,240000 0,000000 61 W07914001 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,917000 1,240000 0,000000 62 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 3,117000 4,077000 0,000000 63 W54037002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 2,835500 3,585000 0,000000 64 W01288001 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,459600 0,621600 0,098400 14 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat 15 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 65 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 0,459600 0,621600 0,124400 66 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 0,459600 0,621600 0,096400 67 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 0,459600 0,621600 0,098400 68 W07862001 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 0,459600 0,621600 0,135400 69 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 0,459600 0,621600 0,122400 70 W62110003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,383000 0,518000 0,000000 71 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 0,459600 0,621600 0,050400 72 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 0,673200 0,909600 0,098400 73 W44076001 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 0,673200 0,909600 0,059400 74 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 0,673200 0,909600 0,534400 75 W62111003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,561000 0,758000 0,000000 76 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 0,664000 0,897500 0,000000 77 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 0,673200 0,909600 0,337400 78 W07863001 J01MA02 CIPROFLOXACINUM CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF 10 0,673200 0,909600 0,048400 79 W01289001 J01MA02 CIPROFLOXACINUM CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,673200 0,909600 0,483400 80 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,673200 0,909600 0,534400 81 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 0,961200 1,299600 2,777400 82 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 0,801000 1,083000 0,000000 83 W57948001 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 10,351428 13,088571 0,000000 84 W63880001 J01MA02 CIPROFLOXACINUM CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 10,351428 13,088571 0,000000 85 W57949001 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 0,673200 0,909600 9,050400 86 W63879001 J01MA02 CIPROFLOXACINUM CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF 3 0,673200 0,909600 9,050400 87 W01275002 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S 50 2,444800 2,984600 0,000000 88 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML S/P-RF 5 2,706000 3,581520 0,076480 89 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 2,716000 3,581520 0,088480 90 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 13,824000 16,876000 0,000000 91 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 7,343000 9,284000 0,000000 92 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 6,938200 8,325600 0,000000 93 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 13,457666 15,940666 0,000000 94 W52786004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 0,842857 1,138571 0,000000 95 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 1,011428 1,366285 0,255715 96 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 1,011428 1,366285 1,248000 97 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 1,011428 1,366285 1,272286 98 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 1,011428 1,366285 0,279715 99 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 3,010285 4,068000 0,593428 100 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 3,010285 4,068000 0,306285 101 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 3,010285 4,068000 1,353428 102 W56993002 J01MA12 LEVOFLOXACINUM LEVOTOR 500 mg COMPR. FILM. 500mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF 7 2,508571 3,390000 0,000000 103 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 2,555714 3,454285 0,000000 104 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 3,010285 4,068000 0,329000 105 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 3,010285 4,068000 0,588000 106 W54108003 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S 1 31,188000 40,800000 16,730000 107 W63747004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA AUROBINDO 5 mg/ml SOL. PERF. 5mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. PR 1 31,188000 40,800000 15,160000 108 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 31,188000 40,800000 2,471333 109 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 25,990000 34,000000 0,000000 110 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 19,710000 22,247000 0,000000 111 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. S 1 31,188000 40,800000 16,770000 112 W60545001 J01MA14 MOXIFLOXACINUM MOFIL 400 mg COMPR. FILM. 400mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM. PRF 5 4,377600 5,916000 1,406000 113 W59332001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,648000 4,930000 0,000000 114 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 4,377600 5,916000 3,826000 115 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 4,377600 5,916000 1,448000 Nr. Grupa Forma Concentr cant/a Pret cu ridicata contribuţie crt Cod CIM terapeut Denumire generica Denumire comerciala farmaceuti atie / U.T. Firma Tara Ambalaj Prescriptie mbalaj maximal de Pret de decontare maximă asigurat ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 116 W57939001 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg COMPR. FILM. 400mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. P-RF 5 4,377600 5,916000 3,826000 117 W57938004 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER PHARMA AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S 5 62,166000 75,392000 0,000000 118 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 60,500000 76,500000 0,000000 119 W62717001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg/250 ml SOL. PERF. 400mg/250ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 250 ML SOL. PERF. PR 1 61,140000 77,310000 0,000000 120 W60727001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) A 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 1 61,130000 77,290000 0,000000 121 W62717002 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg/250 ml SOL. PERF. 400mg/250ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA A CATE 250 ML SOL. PERF. PR 5 60,048000 73,082000 0,000000 122 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 59,438000 72,562000 0,000000 123 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 62,166000 75,392000 0,000000 124 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 86,731200 99,115200 6,775800 125 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 72,276000 82,596000 0,000000 126 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 1 689,840000 790,080000 0,000000 127 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 117,147600 132,268800 17,451200 128 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 114,492000 128,611000 0,000000 129 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 117,147600 132,268800 12,181200 130 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 10 113,362000 127,380000 0,000000 131 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 97,623000 110,224000 0,000000 132 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 110,566000 124,332000 0,000000 133 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 10 114,432000 128,546000 0,000000 134 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR 1 112,480000 132,268800 5,051200 135 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 1 117,147600 132,268800 15,921200 136 W52079002 J04AB01 CYCLOSERINUM CICLOSERINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF 100 4,573400 5,366500 0,000000 137 W41998002 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. PRF 1000 0,178690 0,218140 0,000000 138 W60378001 J04AB02 RIFAMPICINUM RIFAMPICINA ARENA 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. S/P-RF 10 0,214428 0,261768 0,159232 139 W41999002 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. PRF 1000 0,576390 0,666420 0,000000 140 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,116200 0,141860 0,000000 141 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 0,120000 0,162500 0,000000 142 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 0,119800 0,162000 0,000000 143 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 0,115020 0,140413 0,000000 144 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 0,300000 0,400960 0,004640 145 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0,285913 0,337080 0,000000 146 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 0,283213 0,334133 0,000000 147 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 0,299500 0,400960 0,004040 148 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 0,969200 1,225400 0,000000 149 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,314746 0,368506 0,000000 150 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 0,194000 0,262000 0,000000 151 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 0,302500 0,409000 0,000000 152 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 0,228320 0,274300 0,000000 153 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. PRF 1500 0,351473 0,408540 0,000000 154 W60621001 J04AK05 BEDAQUILINUM SIRTURO 100 mg COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DIN PEID X 188 COMPR. PR 188 281,820691 307,387872 0,000000 155 W63026001 J04AK06 DELAMANIDUM DELTYBA 50 mg COMPR. FILM. 50mg OTSUKA NOVEL PRODUCTS GMBH GERMANIA CUTIE CU BLISTER AL/AL X 48 COMPRIMATE FILMATE PR 48 128,295416 140,637083 0,000000 156 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0,631030 0,725970 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 3,502000 4,581000 0,000000 2 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 3,502000 4,581000 0,000000 3 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 6,328000 8,001000 0,000000 4 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 6,328000 8,001000 0,000000
16
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
17
1 W58800001 G03HA01 CYPROTERONUM ANDROCUR COMPR. 50mg 2 W64041001 G03HA01 CYPROTERONUM ANDROCUR 50 mg COMPR. 50mg 3 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg
BAYER PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF BAYER AG GERMANIA CUTIE CU 5 BLIST. AL/PVC X 10 COMPR. PRF 50 50 1,769600 1,769600 2,237400 2,237400 0,000000 0,000000
P3: PROGRAMUL NATIONAL DE ONCOLOGIE
BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0,422800 0,571400 0,000000 4 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 12,380000 16,730000 0,000000 5 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 12,380000 16,730000 0,000000 6 W58866002 L01AA02 CHLORAMBUCILUM LEUKERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF 25 10,050800 12,270000 0,000000 7 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 10,654800 13,007600 0,000000 8 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 100,840000 123,110000 0,000000 9 W62432002 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ZENTIVA 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ZENTIVA, K.S. REPUBLICA CEHA 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 PR 5 145,226000 165,926000 0,000000 10 W62548005 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 100 MG BENDAMUSTINA PR 5 493,614000 545,670000 0,000000 11 W63064002 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA MYLAN 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml MYLAN S.A.S. FRANTA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CAPACITATEA DE 20 ML CARE CONTINE 25 MG CLORHIDRAT DE BENDAMUSTINA PR 5 153,484800 176,455200 8,302800 12 W63064006 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA MYLAN 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml MYLAN S.A.S. FRANTA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CAPACITATEA DE 50 ML CARE CONTINE 100 MG CLORHIDRAT DE BENDAMUSTINA PR 5 592,336800 654,804000 13,880000 13 W62432006 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ZENTIVA 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ZENTIVA, K.S. REPUBLICA CEHA 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 PR 5 562,900000 621,192000 0,000000 14 W62548001 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 25 MG BENDAMUSTINA PR 5 127,904000 147,046000 0,000000 15 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 10,538800 11,868800 0,000000 16 W62395001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC. X10ML) PR 8 690,921250 757,873750 0,000000 17 W64538001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC.) X 10 ML PR 8 690,921250 757,873750 0,000000 18 W62979001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 710,200000 812,270000 0,000000 19 W59709001 L01AD02 LOMUSTINUM 4) CECENU CAPS. 40mg CN UNIFARM S.A. ROMANIA CUTIE X 1 FLACON X 20 CAPSULE PR 20 117,090000 129,536000 0,000000 20 W61245002 L01AX03 TEMOZOLOMIDUM BRASTORYN 100 mg CAPS. 100mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS. PR 5 39,230000 47,892000 0,000000 21 W64828003 L01AX03 TEMOZOLOMIDUM TEMODAL 100 mg CAPS. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 46,598400 56,887200 16,520800 22 W59614003 L01AX03 TEMOZOLOMIDUM TEMODAL 100 mg CAPS. 100mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 46,598400 56,887200 16,520800 23 W61812002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 100 mg CAPS. 100mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 38,832000 47,406000 0,000000 24 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 39,230000 47,892000 0,000000 25 W61246002 L01AX03 TEMOZOLOMIDUM BRASTORYN 140 mg CAPS. 140mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS. PR 5 82,006000 97,016000 0,000000 26 W59615003 L01AX03 TEMOZOLOMIDUM TEMODAL 140mg CAPS. 140mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 97,480800 115,411200 23,508800 27 W61813002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 140 mg CAPS. 140mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 81,234000 96,176000 0,000000 28 W61246001 L01AX03 TEMOZOLOMIDUM BRASTORYN 140 mg CAPS. 140mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS. PR 5 82,006000 97,016000 0,000000 29 W59616003 L01AX03 TEMOZOLOMIDUM TEMODAL 180 mg CAPS. 180mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 122,001600 142,137600 34,104400 30 W61814002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 180 mg CAPS. 180mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 101,668000 118,448000 0,000000 31 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 8,388000 10,972000 0,000000 32 W64827003 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 9,967200 13,036800 2,991200 33 W61811002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 20 mg CAPS. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 8,306000 10,864000 0,000000 34 W59617003 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 9,967200 13,036800 2,991200 35 W61244002 L01AX03 TEMOZOLOMIDUM BRASTORYN 20 mg CAPS. 20mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS. PR 5 8,390000 10,974000 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 5 179,772000 203,582000 0,000000 37 W61815002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 171,990000 195,100000 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 79,602000 90,581000 0,000000 39 W62602001 L01BA01 METHOTREXATUM METHOTREXATE 2,5 mg COMPR. FILM. 2,5mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLIST. X 10 COMPR. FILM. PR 100 0,285000 0,372800 0,000000 40 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 324,600000 391,960000 0,000000 41 W42003001 L01BA04 PEMETREXEDUM **1 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 3.943,770000 4.336,860000 0,000000 42 W58868001 L01BB02 MERCAPTOPURINUM PURI - NETHOL COMPR. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF 25 10,480400 12,794400 0,000000 43 W58869001 L01BB03 TIOGUANINUM LANVIS COMPR. 40mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. P-RF 25 24,486000 28,215600 0,000000 44 W44114001 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML S 1 1.342,920000 1.501,940000 0,000000 45 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 56,044000 62,995500 0,000000 46 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 71,490000 90,390000 0,000000 47 W53700001 L01BB05 FLUDARABINUM FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA S 1 71,480000 90,380000 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
48 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 4.135,590000 4.545,950000 0,000000 49 W61693001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 6 FLAC. X 50 ML S 6 1.118,798333 1.225,850000 0,000000 50 W59016003 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ. SAU PERF. 100mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE X 10 ML SOL. INJ. SAU PERF. PR 1 43,410000 56,780000 0,000000 51 W59016004 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ. SAU PERF. 100mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA X 20 ML SOL. INJ. SAU PERF. PR 1 103,800000 126,720000 0,000000 52 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. S 1 12,720000 17,196000 0,664000 53 W60103001 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ. SAU PERF. PR 1 3,120000 4,220000 0,000000 54 W60103002 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML SOL. INJ. SAU PERF. PR 1 6,270000 8,470000 0,000000 55 W60103003 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML SOL. INJ. SAU PERF. PR 1 10,600000 14,330000 0,000000 56 W60103005 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ. SAU PERF. PR 1 42,870000 56,070000 0,000000 57 W60103004 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML SOL. INJ. SAU PERF. PR 1 34,280000 44,840000 0,000000 58 W61039004 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE 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. PR 1 102,390000 125,000000 0,000000 59 W61039002 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE 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. PR 1 83,520000 105,600000 0,000000 60 W61039003 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE 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. PR 1 96,730000 122,300000 0,000000 61 W61039001 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE 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. PR 1 20,950000 28,320000 0,000000 62 W61569001 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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. PR 1 22,930000 30,990000 0,000000 63 W61569002 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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. PR 1 93,564000 118,296000 40,484000 64 W61569003 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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. PR 1 122,868000 150,000000 171,140000 65 W56425002 L01BC05 GEMCITABINUM GITRABIN 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA PR 1 93,564000 118,296000 17,794000 66 W56425003 L01BC05 GEMCITABINUM GITRABIN 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA PR 1 122,868000 150,000000 117,310000 67 W56425001 L01BC05 GEMCITABINUM GITRABIN 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA PR 1 22,700000 30,680000 0,000000 68 W56371001 L01BC05 GEMCITABINUM GEMCITABINA ATB 1000 mg PULB. PT. SOL. PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT. SOL. PERF. PR 1 93,564000 118,296000 120,564000 69 W56370001 L01BC05 GEMCITABINUM GEMCITABINA ATB 200 mg PULB. PT. SOL. PERF. 200mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT. SOL. PERF. PR 1 25,140000 33,984000 23,246000 70 W54381001 L01BC05 GEMCITABINUM GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA S 1 21,580000 29,170000 0,000000 71 W55531003 L01BC05 GEMCITABINUM GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 1000MG GEMCITABINA S 1 93,564000 118,296000 39,494000 72 W54381002 L01BC05 GEMCITABINUM GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG GEMCITABINA S 1 77,970000 98,580000 0,000000 73 W54381004 L01BC05 GEMCITABINUM GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA S 1 122,868000 150,000000 22,000000 74 W55531004 L01BC05 GEMCITABINUM GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 2000MG GEMCITABINA S 1 122,868000 150,000000 188,890000 75 W55531002 L01BC05 GEMCITABINUM GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA S 1 22,510000 30,420000 0,000000 76 W59086001 L01BC06 CAPECITABINUM CAPECITABINA FRESENIUS KABI 150 mg COMPR. FILM. 150mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 6 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10 COMPR. FILM. PR 60 0,937000 1,184666 0,000000 77 W60217005 L01BC06 CAPECITABINUM ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE PR 60 0,936500 1,184166 0,000000 78 W60217002 L01BC06 CAPECITABINUM ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE PR 60 0,936500 1,184166 0,000000 79 W61795001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 150 mg COMPR. FILM. 150mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 60X1 COMPR. FILM. PR 60 0,937000 1,184666 0,000000 80 W60219006 L01BC06 CAPECITABINUM ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 120 COMPRIMATE FILMATE PR 120 1,942200 2,371000 0,000166 81 W58926006 L01BC06 CAPECITABINUM CAPECITABINA GLENMARK 500 mg COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 12 BLIST. PVC/PVDC-AL X 120 (12X10) COMPR. FILM. PR 120 1,942200 2,371000 0,000083 82 W60255001 L01BC06 CAPECITABINUM CAPECITABINA DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL-PET-HARTIE X 120 COMPRIMATE FILMATE PR 120 1,942200 2,371000 0,000166 83 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 1,942200 2,371000 1,259333 84 W61796001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 120X1 COMPR. FILM. PR 120 1,618500 1,975833 0,000000 85 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 1,942200 2,371000 1,259333 86 W59087001 L01BC06 CAPECITABINUM CAPECITABINA FRESENIUS KABI 500 mg COMPR. FILM. 500mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 12 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10 COMPR. FILM. PR 120 1,942200 2,371000 1,221666 87 W60219003 L01BC06 CAPECITABINUM ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 120 COMPRIMATE FILMATE PR 120 1,942200 2,371000 0,000166 88 W53879001 L01BC07 AZACITIDINUM **1 VIDAZA PULB. PT. SUSP. INJ. 25mg/ml CELGENE EUROPE LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 100MG PULB. PT. SUSP. INJ. S 1 1.439,000000 1.606,660000 0,000000 89 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 4.562,900000 5.011,720000 0,000000 90 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 32,380000 42,350000 0,000000 91 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 27,900000 36,490000 0,000000 92 W64718001 L01CA02 VINCRISTINUM SINDOVIN 1 mg PULB. PT. SOL. INJ./PERF. I V 1mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.V. PR 1 27,900000 36,490000 0,000000 93 W42512002 L01CA04 VINORELBINUM NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF 1 196,660000 240,080000 0,000000 94 W42513002 L01CA04 VINORELBINUM NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF 1 293,770000 358,640000 0,000000 95 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 1 130,890000 159,790000 0,000000 96 W63584001 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR 1 25,400000 33,220000 0,000000 97 W63584002 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 122,520000 149,570000 0,000000 98 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 30,480000 39,864000 2,196000
18
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
19
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
99 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 22,957000 28,026000 0,000000 100 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 11,536000 14,083000 0,000000 101 W52210001 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 18,910000 25,560000 0,000000 102 W60599002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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 53,380000 67,500000 0,000000 103 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 22,692000 30,672000 2,918000 104 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S 1 56,710000 71,700000 0,000000 105 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. S 1 60,690000 76,740000 0,000000 106 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 67,368000 85,176000 46,144000 107 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 1 104,040000 131,544000 569,896000 108 W56078002 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL S 1 56,140000 70,980000 0,000000 109 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 1 893,700000 1.012,280000 0,000000 110 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 20,568000 27,804000 17,036000 111 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 1 166,272000 202,980000 196,950000 112 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. S 1 20,568000 27,804000 13,706000 113 W56078003 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL S 1 138,560000 169,150000 0,000000 114 W52212004 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S 1 166,272000 202,980000 196,950000 115 W52212005 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. S 1 893,700000 1.012,280000 0,000000 116 W52212003 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X, 25 ML CONC. PT. SOL. PERF. S 1 104,040000 131,544000 569,896000 117 W52212002 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. S 1 67,368000 85,176000 46,144000 118 W52212001 L01CD01 PACLITAXELUM SINDAXEL CONC. PT. SOL. PERF. 6mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 20,568000 27,804000 17,036000 119 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. S 1 166,272000 202,980000 4,940000 120 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. S 1 86,700000 109,620000 0,000000 121 W56078001 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL S 1 17,140000 23,170000 0,000000 122 W55670001 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/0,5 ml CONC. + SOLV. PT. SOL. PERF. 20mg/0,5ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLISTER DIN POLIESTER TERMOFORMAT X 1 FLACON DIN STICLA INCOLORA X 0,5ML CONCENTRAT PT. SOL. PERFUZABILA + 1 FLACON DIN STICLA INCOLORA X 1,5ML SOLVENT PT. CONCENTRAT PT. SOL. PERFUZABILA S 1 45,708000 59,784000 409,846000 123 W55671001 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 80 mg/2 ml CONC. + SOLV. PT. SOL. PERF. 80mg/2ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLISTER DIN POLIESTER TERMOFORMAT X 1 FLACON DIN STICLA INCOLORA X 2ML CONCENTRAT PT. SOLUTIE PERFUZABILA + 1 FLACON DIN STICLA INCOLORA X 6ML SOLVENT PT. CONCENTRAT PT. SOLUTIE PERFUZABILA S 1 176,436000 215,388000 1.450,942000 124 W61799001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 160 mg/8 ml CONC. PT. SOL. PERF. 160mg/8ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 8 ML PR 1 139,460000 170,250000 0,000000 125 W59570001 L01CD02 DOCETAXELUM DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 20 mg/1 ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FL DIN STICLA INCOLORA X 6 ML CONCENTRAT PENTRU SOL. PERFUZABILA PR 1 938,100000 1.060,680000 0,000000 126 W61797001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 20 mg/1 ml CONC. PT. SOL. PERF. 20mg/1ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 1 ML PR 1 38,090000 49,820000 0,000000 127 W64533001 L01CD02 DOCETAXELUM DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 20mg/1ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 6 ML CONCENTRAT CE CONTINE 120 MG DOCETAXEL PR 1 938,100000 1.060,680000 0,000000 128 W59573001 L01CD02 DOCETAXELUM DOCETAXEL KABI 80 mg/4 ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FL DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL PR 1 176,436000 215,388000 59,672000 129 W55902003 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA PR 1 1.140,320000 1.281,100000 0,000000 130 W55902002 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX PR 1 162,850000 198,810000 0,000000 131 W55902001 L01CD02 DOCETAXELUM DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX PR 1 45,708000 59,784000 41,126000 132 W61077003 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU 1 FLAC. UNIDOZA X 7 ML CONC. PT. SOL. PERF. PR 1 961,350000 1.086,020000 0,000000 133 W64537001 L01CD02 DOCETAXELUM DOCETAXEL KABI 80 mg/4 ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL PR 1 176,436000 215,388000 59,672000 134 W64536001 L01CD02 DOCETAXELUM DOCETAXEL KABI 20mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 20 MG DOCETAXEL PR 1 45,708000 59,784000 9,316000 135 W59826001 L01CD02 DOCETAXELUM DOCETAXEL KABI 20mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 20MG DOCETAXEL PR 1 45,708000 59,784000 9,316000 136 W61798001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 4 ML PR 1 147,030000 179,490000 0,000000 137 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 15.707,210000 17.159,030000 0,000000 138 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 1.879,910000 2.087,260000 0,000000 139 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 7.271,870000 7.964,500000 0,000000 140 W59712001 L01DA01 DACTINOMICINUM 4) COSMEGEN LYOVAC 0,5mg PULB. PT. SOL. INJ. 0,5mg CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. CU PULB. PT SOL INJ. PR 1 363,620000 434,500000 0,000000 141 W56397002 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA PR 1 35,560000 46,510000 0,000000 142 W58281001 L01DB01 DOXORUBICINUM CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML S 1 1.487,110000 1.659,100000 0,000000 143 W56397003 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA PR 1 137,220000 167,520000 0,000000 144 W58172005 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 25 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG DOXORUBICINA PR 1 42,672000 55,812000 34,178000 145 W58172007 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 75 ML CONC. PT. SOL. PERF. CARE CONTINE 150 MG DOXORUBICINA PR 1 285,840000 348,950000 0,000000 146 W58172003 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOXORUBICINA PR 1 22,692000 30,672000 55,438000 147 W58172006 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 50 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG DOXORUBICINA PR 1 92,160000 116,520000 54,150000 148 W56397005 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CONC. PT. SOL. PERF. CONTINAND 100 MG DOXORUBICINA PR 1 76,800000 97,100000 0,000000 149 W58172001 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 5 ML CONC. PT. SOL. PERF. CARE CONTINE 10 MG DOXORUBICINA PR 1 10,224000 13,812000 5,758000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
150 W56397004 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CONTINAND 20 MG DOXORUBICINA PR 1 18,910000 25,560000 0,000000 151 W58172008 L01DB01 DOXORUBICINUM DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 100 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG DOXORUBICINA PR 1 164,664000 201,024000 140,306000 152 W56397001 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA PR 1 8,520000 11,510000 0,000000 153 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 2.048,095000 2.251,500000 0,000000 154 W52903001 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN S 1 10,224000 13,812000 25,028000 155 W52903002 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml ACTAVIS S.R.L ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA S 1 42,672000 55,812000 82,628000 156 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 25,212000 34,080000 27,000000 157 W52209001 L01DB03 EPIRUBICINUM EPISINDAN 10 mg PULB. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE UMPLERE 8ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 10MG CLORHIDRAT DE EPIRUBICINA S 1 25,212000 34,080000 27,000000 158 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 1 111,084000 140,448000 0,772000 159 W52208001 L01DB03 EPIRUBICINUM EPISINDAN 50 mg PULB. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE UMPLERE 50ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 50MG CLORHIDRAT DE EPIRUBICINA S 1 111,084000 140,448000 0,772000 160 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 92,570000 117,040000 0,000000 161 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 47,870000 62,610000 0,000000 162 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 92,570000 117,040000 0,000000 163 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 1 224,320000 273,850000 0,000000 164 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 1 409,720000 484,740000 0,000000 165 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 1 224,320000 273,850000 0,000000 166 W53325001 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML) S 1 21,010000 28,400000 0,000000 167 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 47,870000 62,610000 0,000000 168 W03575001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 198,220000 241,990000 0,000000 169 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 88,848000 112,344000 25,606000 170 W63523001 L01DB06 IDARUBICINUM IDARUBICINA ACCORD 5 mg/5 ml SOL. INJ. 5mg/5ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. INCOLOR CARE CONTINE 5 ML SOL. INJ. PR 1 74,040000 93,620000 0,000000 171 W42735002 L01DB07 MITOXANTRONUM ** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S 1 337,250000 405,750000 0,000000 172 W58249002 L01DC01 BLEOMYCINUM SULFAS BLEOMYCIN MEDAC 15000 UI PULB. PT. SOL. INJ. 15000UI MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 104,510000 127,580000 0,000000 173 W63065002 L01DC01 BLEOMYCINUM SULFAS BLEOMICINA ACCORD 15000UI PULB. PT. SOL. INJ./PERF. 15000UI ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 6 ML CU PULB. PT. SOL. INJ./PERF PR 10 96,308000 108,791000 0,000000 174 W63065001 L01DC01 BLEOMYCINUM SULFAS BLEOMICINA ACCORD 15000UI PULB. PT. SOL. INJ./PERF. 15000UI ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 6 ML CU PULB. PT. SOL. INJ./PERF PR 1 104,510000 127,580000 0,000000 175 W52187001 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S 1 8,832000 11,940000 2,190000 176 W52187002 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S 1 25,210000 32,970000 0,000000 177 W56390004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 45,310000 59,270000 0,000000 178 W56390002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLACON X 30ML (PENTRU 25ML) DIN STICLA BRUNA CU CONCENTRAT PENTRU SOLUTIE PERFUZABILA S 1 20,320000 27,460000 0,000000 179 W56390001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 7,360000 9,950000 0,000000 180 W56390003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 22,650000 30,620000 0,000000 181 W53000003 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. S 1 141,600000 172,860000 0,000000 182 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 47,750000 62,460000 0,000000 183 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 1 141,600000 172,860000 0,000000 184 W58740001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 19,650000 26,560000 0,000000 185 W58740004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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 1 191,010000 233,190000 0,000000 186 W58740003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 144,170000 176,000000 0,000000 187 W58740002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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 50,310000 63,610000 0,000000 188 W53000002 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. S 1 47,750000 62,460000 0,000000 189 W55804002 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA S 1 65,000000 82,190000 0,000000 190 W56696001 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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 33,880000 44,320000 0,000000 191 W55804003 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. X 200 MG OXALIPLATINA PR 1 144,570000 176,490000 0,000000 192 W55804001 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA S 1 33,880000 44,320000 0,000000 193 W56696002 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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 64,280000 81,270000 0,000000 194 W56696005 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA PR 1 130,780000 159,660000 0,000000 195 W52195002 L01XA03 OXALIPLATINUM OXALIPLATIN ACTAVIS 5 mg/ml LIOF. PT. SOL. PERF. 5mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF. S 1 77,136000 97,524000 203,426000 196 W52468003 L01XA03 OXALIPLATINUM OXALIPLATIN EBEWE 5mg/ml PULB. PT. SOL. PERF. 5mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT PR 1 1.753,000000 1.948,920000 0,000000 197 W59766001 L01XB01 PROCARBAZINUM 4) NATULAN CAPS. 50 mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 50 CAPSULE PRF 50 22,220000 24,982800 0,000000 198 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 2 758,615000 845,965000 0,000000 199 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 3 753,616666 834,160000 0,000000 200 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 2 702,450000 784,745000 0,000000
20
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
21
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
201 W07200001 L01XC02 RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 4.161,468000 4.581,792000 681,968000 202 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 2 842,940000 941,694000 127,131000 203 W64386001 L01XC02 RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR 1 4.161,468000 4.581,792000 681,968000 204 W07199001 L01XC02 RITUXIMABUM **1 MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 842,940000 941,694000 127,131000 205 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 3.771,750000 4.149,360000 0,000000 206 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 3.756,745000 4.113,935000 0,000000 207 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 3.467,890000 3.818,160000 0,000000 208 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 6.764,110000 7.411,040000 0,000000 209 W62893001 L01XC02 RITUXIMABUM **1 MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML PR 1 6.764,110000 7.411,040000 0,000000 210 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 1.716,670000 1.909,320000 0,000000 211 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 2.005,630000 2.224,290000 0,000000 212 W07881001 L01XC03 TRASTUZUMABUM **1 HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. PR 1 2.005,630000 2.224,290000 0,000000 213 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 6.421,850000 7.037,980000 0,000000 214 W60341001 L01XC03 TRASTUZUMABUM **1 HERCEPTIN 600mg/5ml SOL. INJ. 600mg/5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB) S 1 6.421,850000 7.037,980000 0,000000 215 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 1 767,710000 874,960000 0,000000 216 W42165002 L01XC07 BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. S 1 4.372,950000 4.804,670000 0,000000 217 W42165002 L01XC07 BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. S 1 4.372,950000 4.804,670000 0,000000 218 W64373001 L01XC07 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 1.130,890000 1.270,820000 0,000000 219 W64373001 L01XC07 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 1.130,890000 1.270,820000 0,000000 220 W64373002 L01XC07 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 4.372,950000 4.804,670000 0,000000 221 W64373002 L01XC07 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 4.372,950000 4.804,670000 0,000000 222 W42165001 L01XC07 BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. S 1 1.130,890000 1.270,820000 0,000000 223 W42165001 L01XC07 BEVACIZUMABUM **1 AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. S 1 1.130,890000 1.270,820000 0,000000 224 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 1.366,560000 1.527,700000 0,000000 225 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 5.376,230000 5.898,250000 0,000000 226 W61692001 L01XC10 OFATUMUMAB **1 ARZERRA 1000mg CONC. PT. SOL. PERF. 20mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA X 50 ML (20 MG/ML) CONCENTRAT PT. SOL. PERF. +2 SETURI DE EXTENSIE S 1 9.234,990000 10.104,300000 0,000000 227 W61691002 L01XC10 OFATUMUMAB **1 ARZERRA 100mg CONC. PT. SOL. PERF. 20mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 3 FLACOANE DIN STICLA X 5 ML CONCENTRAT PT. SOL. PERF. (100MG OFATUMUMAB) S 3 957,156666 1.056,020000 0,000000 228 W57560002 L01XC11 IPILIMUMABUM **1 YERVOY 5mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE CU 1FLACON DIN STICLA X 40ML CONCENTRAT PT SOL. PERF. (200MG IPILIMUMAB) PR 1 61.909,920000 67.520,050000 0,000000 229 W57560001 L01XC11 IPILIMUMABUM **1 YERVOY 5mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE CU 1FLACON DIN STICLA X 10ML CONCENTRAT PT SOL. PERF. (50MG IPILIMUMAB) PR 1 15.499,980000 16.933,150000 0,000000 230 W61128001 L01XC12 BRENTUXIMAB VEDOTIN **1 ADCETRIS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50 mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 1 FLACON X 50MG PULBERE PENTRU CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 13.355,590000 14.595,760000 0,000000 231 W60245001 L01XC13 PERTUZUMABUM **1 PERJETA 420mg CONC. PT. SOL. PERF. 420mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 14ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 420MG PERTUZUMAB PR 1 11.010,660000 12.039,790000 0,000000 232 W64394001 L01XC13 PERTUZUMABUM **1 PERJETA 420mg CONC. PT. SOL. PERF. 420mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 14ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 420MG PERTUZUMAB PR 1 11.010,660000 12.039,790000 0,000000 233 W60860001 L01XC14 TRASTUZUMABUM EMTANSINUM **1 KADCYLA 100mg PULB. CONC. PT. SOL. PERF. 100mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU UN FLACON A 15ML X100 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 7.155,000000 7.837,110000 0,000000 234 W60861001 L01XC14 TRASTUZUMABUM EMTANSINUM **1 KADCYLA 160mg PULB. CONC. PT. SOL. PERF. 160mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU UN FLACON A 20ML X160 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 11.423,510000 12.489,790000 0,000000 235 W64383001 L01XC14 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 7.155,000000 7.837,110000 0,000000 236 W64384001 L01XC14 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 11.423,510000 12.489,790000 0,000000 237 W62831001 L01XC15 OBINUTUZUMABUM **1 GAZYVARO 1000 mg CONC. PT. SOL. PERF. 1000mg ROCHE REGISTRATION LTD. MAREA BRITANIE FLAC. DIN STICLA DE 50 ML CARE CONTINE 40 ML CONCENTRAT PR 1 14.664,280000 16.022,240000 0,000000 238 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 14.664,280000 16.022,240000 0,000000 239 W61901002 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 6.328,500000 6.936,220000 0,000000 240 W61901001 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 2.549,400000 2.817,000000 0,000000 241 W62021001 L01XC18 PEMBROLIZUMABUM **1 KEYTRUDA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE FLAC. DIN STICLA DE TIP I CE CONTINE 50 MG PEMBROLIZUMAB PR 1 7.605,870000 8.328,560000 0,000000 242 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 10.345,620000 11.314,890000 0,000000 243 W61463001 L01XC21 RAMUCIRUMABUM **1 CYRAMZA CONC. PT. SOL. PERF. 10 mg/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ CU 2 FLACOANE A 10ML PR 2 2.651,965000 2.909,720000 0,000000 244 W62902001 L01XC24 DARATUMUMABUM **1 DARZALEX 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. PR 1 1.989,880000 2.207,120000 0,000000 245 W62902002 L01XC24 DARATUMUMABUM **1 DARZALEX 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR 1 7.869,520000 8.615,940000 0,000000 246 W63494002 L01XC27 OLARATUMAB **1 LARTRUVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ELI LILLY NEDERLAND BV OLANDA CUTIE CU 2 FLAC. DE 19 ML CE CONTIN 190 MG OLARATUMAB PR 2 2.160,815000 2.374,365000 0,000000 247 W06844004 L01XE01 IMATINIBUM **1 GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS. PR 120 4,153500 4,908799 15,112701 248 W59679004 L01XE01 IMATINIBUM **1 NIBIX 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS. PR 120 4,153500 4,908799 47,544617 249 W61684004 L01XE01 IMATINIBUM **1 IMATINIB FRESENIUS KABI 100 mg COMPR. FILM. 100mg FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. PR 60 4,153500 4,908799 16,811867 250 W59852011 L01XE01 IMATINIBUM **1 MEAXIN 100 mg COMPR. FILM. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 3,461250 4,090666 0,000000 251 W59500004 L01XE01 IMATINIBUM **1 IMATINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 12 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PR 120 4,153500 4,908799 20,968367
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
252 W64730003 L01XE01 IMATINIBUM **1 IMATINIB KOANAA 100 mg COMPR. FILM. 100mg KOANAA HEALTHCARE GMBH AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PR 120 3,915083 4,585333 0,000000 253 W59486006 L01XE01 IMATINIBUM **1 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 4,153500 4,908799 37,679201 254 W59589001 L01XE01 IMATINIBUM **1 IMATINIB TEVA 100 mg COMPR. FILM. 100mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 120 X 1 COMPRIMAT PR 120 4,153500 4,908799 1,751867 255 W59541007 L01XE01 IMATINIBUM **1 IMATINIB GLENMARK 100 mg COMPR. FILM. 100mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 4,153500 4,908799 1,327534 256 W61800001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PR 60 3,942333 4,812833 0,000000 257 W59590001 L01XE01 IMATINIBUM **1 IMATINIB TEVA 400 mg COMPR. FILM. 400 mg TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 30 X 1 COMPRIMAT PR 30 19,020799 22,258800 4,383866 258 W59542002 L01XE01 IMATINIBUM **1 IMATINIB GLENMARK 400 mg COMPR. FILM. 400mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 19,020799 22,258800 11,490533 259 W61686003 L01XE01 IMATINIBUM **1 IMATINIB FRESENIUS KABI 400 mg COMPR. FILM. 400mg FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 19,020799 22,258800 133,007866 260 W59501001 L01XE01 IMATINIBUM **1 IMATINIB ZENTIVA 400 mg COMPR. FILM. 400mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PR 30 19,020799 22,258800 96,811200 261 W61801001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 400 mg COMPR. FILM. 400mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 15,850666 18,549000 0,000000 262 W59853006 L01XE01 IMATINIBUM **1 MEAXIN 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 19,020799 22,258800 19,761533 263 W59487003 L01XE01 IMATINIBUM **1 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 19,020799 22,258800 148,093200 264 W64731002 L01XE01 IMATINIBUM **1 IMATINIB KOANAA 400 mg COMPR. FILM. 400mg KOANAA HEALTHCARE GMBH AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 19,020799 22,258800 4,072533 265 W54587001 L01XE02 GEFITINIBUM **1 O IRESSA COMPR. FILM. 250 mg ASTRAZENECA AB SUEDIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/R 30 250,999666 274,861666 0,000000 266 W63901001 L01XE03 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 30 121,985000 134,235666 0,000000 267 W63228001 L01XE03 ERLOTINIBUM **1 VARLOTA 100 mg COMPR. FILM. 100mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 103,078000 113,627000 0,000000 268 W64299002 L01XE03 ERLOTINIBUM **1 ERLOTINIB HEATON 100 mg COMPR. FILM. 100mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 123,693600 136,352400 10,654933 269 W64328001 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR 30 123,693600 136,352400 0,010933 270 W64328002 L01XE03 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 30 123,693600 136,352400 0,010933 271 W63790001 L01XE03 ERLOTINIBUM **1 ERLOTINIB GLENMARK 100 mg COMPR. FILM. 100mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 123,693600 136,352400 9,187600 272 W64000001 L01XE03 ERLOTINIBUM **1 ERLOTINIB SANDOZ 100 mg COMPR. FILM. 100mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 103,080666 113,629666 0,000000 273 W42501001 L01XE03 ERLOTINIBUM **1 TARCEVA 100 mg COMPR. FILM. 100mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM., (BLIST. AL/PVC) P-RF/R 30 123,693600 136,352400 77,293933 274 W64407001 L01XE03 ERLOTINIBUM **1 TARCEVA 100 mg COMPR. FILM. 100mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST PVC/AL X 30 COMPR. FILM. PR 30 123,693600 136,352400 77,293933 275 W63902001 L01XE03 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 30 151,678000 166,601000 0,000000 276 W63229001 L01XE03 ERLOTINIBUM **1 VARLOTA 150 mg COMPR. FILM. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 153,868399 169,242799 2,537534 277 W64300002 L01XE03 ERLOTINIBUM **1 ERLOTINIB HEATON 150 mg COMPR. FILM. 150mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 153,868399 169,242799 11,556201 278 W64329001 L01XE03 ERLOTINIBUM **1 ERLOTINIB ZENTIVA 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR 30 153,868399 169,242799 0,007534 279 W64329002 L01XE03 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 30 153,868399 169,242799 0,007534 280 W63791001 L01XE03 ERLOTINIBUM **1 ERLOTINIB GLENMARK 150 mg COMPR. FILM. 150mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 153,868399 169,242799 9,746534 281 W64001001 L01XE03 ERLOTINIBUM **1 ERLOTINIB SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 128,223666 141,035666 0,000000 282 W42502001 L01XE03 ERLOTINIBUM **1 TARCEVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF/R 30 153,868399 169,242799 93,763201 283 W64408001 L01XE03 ERLOTINIBUM **1 TARCEVA 150 mg COMPR. FILM. 150mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST PVC/AL X 30 COMPR. FILM. PR 30 153,868399 169,242799 93,763201 284 W43546001 L01XE04 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 30 155,388333 170,645000 0,000000 285 W43556001 L01XE04 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 309,592666 338,728000 0,000000 286 W43557001 L01XE04 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 617,321333 674,152666 0,000000 287 W61565001 L01XE05 SORAFENIBUM **1 NEXAVAR 200 mg COMPR. FILM. 200mg BAYER PHARMA AG GERMANIA CUTIE X 4 BLIST. PP/ AL X 28 COMPR.FILM. PR 112 117,022232 127,895000 0,000000 288 W63886001 L01XE05 SORAFENIBUM **1 NEXAVAR 200 mg COMPR. FILM. 200mg BAYER AG GERMANIA CUTIE CU 4 BLIST. PP/AL X 28 COMPR.FILM. PR 112 117,022232 127,895000 0,000000 289 W54613001 L01XE06 DASATINIBUM **1 SPRYCEL 100mg COMPR. FILM. 100 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-RF/R 30 427,907000 467,691000 0,000000 290 W51768001 L01XE06 DASATINIBUM **1 SPRYCEL 20mg COMPR. FILM. 20 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 96,137500 105,425833 0,000000 291 W51769001 L01XE06 DASATINIBUM **1 SPRYCEL 50mg COMPR. FILM. 50 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 213,953500 233,845500 0,000000 292 W51770001 L01XE06 DASATINIBUM **1 SPRYCEL 70mg COMPR. FILM. 70 mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R 60 213,953500 233,845500 0,000000 293 W64592005 L01XE07 LAPATINIBUM **1 O TYVERB COMPR. FILM. 250mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT X 140 COMPR. FILM. PR 140 53,302214 58,372000 0,000000 294 W61702006 L01XE07 LAPATINIBUM **1 O TYVERB COMPR. FILM. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT X 140 COMPR. FILM. PR 140 53,302214 58,372000 0,000000 295 W56489001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) P-RF/R 28 90,312857 99,803571 0,000000 296 W64607001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) (CUTIE DIN CARTON) PR 28 90,312857 99,803571 0,000000 297 W64606001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 102,396428 112,974642 0,000000 298 W52708003 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 102,396428 112,974642 0,000000 299 W64608001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 120(3X40) CAPS. (BLIST. PVC/PVDC/AL) PR 120 41,912583 46,002666 0,000000 300 W64785001 L01XE09 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 3.254,920000 3.586,020000 0,000000 301 W61483001 L01XE09 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 3.254,920000 3.586,020000 0,000000 302 W54589001 L01XE10 EVEROLIMUS **1 AFINITOR 10 mg COMPR. 10 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PA/PVC/AL X 10 COMPR. P-RF 30 436,079333 476,598666 0,000000
22
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
23
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
303 W64505001 L01XE10 EVEROLIMUS **1 AFINITOR 10 mg COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 436,079333 476,598666 0,000000 304 W61703002 L01XE11 PAZOPANIB **1 VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. S 90 84,291666 92,301888 0,000000 305 W61703002 L01XE11 PAZOPANIB **1 O VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. S 90 84,291666 92,301888 0,000000 306 W61704002 L01XE11 PAZOPANIB **1 VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. S 60 171,197333 187,241166 0,000000 307 W61704002 L01XE11 PAZOPANIB **1 O VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. S 60 171,197333 187,241166 0,000000 308 W60260003 L01XE13 AFATINIBUM **1 O GIOTRIF 20mg COMPR. FILM. 20mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC / PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28 X1 COMPRIMATE PR 28 284,348928 311,303214 0,000000 309 W60261003 L01XE13 AFATINIBUM **1 O GIOTRIF 30mg COMPR. FILM. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC / PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28 X1 COMPRIMATE PR 28 284,348928 311,303214 0,000000 310 W60262003 L01XE13 AFATINIBUM **1 O GIOTRIF 40mg COMPR. FILM. 40mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC / PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28 X1 COMPRIMATE PR 28 284,348928 311,303214 0,000000 311 W64815001 L01XE14 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 93,245357 103,000000 0,000000 312 W60984001 L01XE14 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 93,245357 103,000000 0,000000 313 W64816001 L01XE14 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 28 495,548214 541,510714 0,000000 314 W60985001 L01XE14 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 28 495,548214 541,510714 0,000000 315 W64409001 L01XE15 VEMURAFENIBUM **1 O ZELBORAF COMPR. FILM. 240mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR. FILM PR 56 118,691607 130,055357 0,000000 316 W58517001 L01XE15 VEMURAFENIBUM **1 O ZELBORAF COMPR. FILM. 240mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR.FILM PR 56 118,691607 130,055357 0,000000 317 W59306001 L01XE16 CRIZOTINIBUM **1 O XALKORI CAPS. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 308,732833 337,155000 0,000000 318 W59307001 L01XE16 CRIZOTINIBUM **1 O XALKORI CAPS. 250 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 350,990166 383,215666 0,000000 319 W59304002 L01XE17 AXITINIBUM **1 O INLYTA COMPR. FILM. 1 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 55,562142 61,244107 0,000000 320 W59305002 L01XE17 AXITINIBUM **1 O INLYTA COMPR. FILM. 5 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 268,187321 293,005714 0,000000 321 W64596001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 239,060714 261,257678 0,000000 322 W64594001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 239,060714 261,257678 0,000000 323 W59310002 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR 56 239,060714 261,257678 0,000000 324 W59311002 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR 56 239,060714 261,257678 0,000000 325 W64595001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 239,060714 261,257678 0,000000 326 W59309002 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR 56 121,411785 133,020178 0,000000 327 W64593001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 121,411785 133,020178 0,000000 328 W64724002 L01XE23 DABRAFENIBUM **1 O 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 120 154,485916 168,707750 0,000000 329 W61700002 L01XE23 DABRAFENIBUM **1 O TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 154,485916 168,707750 0,000000 330 W64725002 L01XE23 DABRAFENIBUM **1 O 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 120 231,603916 252,766500 0,000000 331 W61701002 L01XE23 DABRAFENIBUM **1 O TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 231,603916 252,766500 0,000000 332 W63164001 L01XE24 PONATINIBUM **1 ICLUSIG 15 mg COMPR. FILM. 15mg INCYTE BIOSCIENCES UK LTD. MAREA BRITANIE FLAC. DIN PEID CU DOP CU FILET X 60 COMPR. FILM. PR 60 412,912833 450,711333 0,000000 333 W63165001 L01XE24 PONATINIBUM **1 ICLUSIG 45 mg COMPR. FILM. 45mg INCYTE BIOSCIENCES UK LTD. MAREA BRITANIE FLAC. DIN PEID CU DOP CU FILET X 30 COMPR. FILM. PR 30 825,825666 901,422666 0,000000 334 W62208002 L01XE25 TRAMETINIBUM **1 O MEKINIST 0,5 mg COMPR. FILM. 0,5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 269,036000 294,521333 0,000000 335 W64448002 L01XE25 TRAMETINIBUM **1 O MEKINIST 0,5 mg COMPR. FILM. 0,5mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM PR 30 269,036000 294,521333 0,000000 336 W62210002 L01XE25 TRAMETINIBUM **1 O MEKINIST 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 1.073,143333 1.170,999333 0,000000 337 W64449002 L01XE25 TRAMETINIBUM **1 O MEKINIST 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 1.073,143333 1.170,999333 0,000000 338 W61749001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 140 mg CAPS. 140mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PT. COPII DIN POLIPROPILENA X 90 CAPS. X 90 268,068666 292,619111 0,000000 339 W61749002 L01XE27 IBRUTINIBUM **1 IMBRUVICA 140 mg CAPS. 140mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PT. COPII DIN POLIPROPILENA X 120 CAPS. X 120 267,985166 292,422166 0,000000 340 W64763001 L01XE33 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 486,909523 532,548571 0,000000 341 W63120001 L01XE33 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 486,909523 532,548571 0,000000 342 W64764001 L01XE33 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 486,909523 532,548571 0,000000 343 W63121001 L01XE33 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 486,909523 532,548571 0,000000 344 W64762001 L01XE33 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 486,909523 532,548571 0,000000 345 W63119001 L01XE33 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 486,909523 532,548571 0,000000 346 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 28 917,878571 1.001,851428 0,000000 347 W64278001 L01XX02 ASPARAGINAZUM KIDROLASE 10000 U.I. PULB+SOLV. PT. SOL. INJ. 10000U.I. DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 10 FLAC. CU PULB. PT. SOL. INJ. PR 10 328,870000 362,284000 0,000000 348 W64915001 L01XX02 ASPARAGINAZUM ERWINASE PULB. PT. SOL. INJ. 10000 unitati/flacon DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA NEUTRA CU 10000UI/FLACON PULB. PT. SOL. INJ. PR 5 3.013,256000 3.292,084000 0,000000 349 W03542001 L01XX05 HYDROXYCARBAMIDUM HYDREA CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF 100 0,717900 0,907700 0,000000 350 W62137001 L01XX14 TRETINOINUM 4) VESANOID 10mg CAPS. MOI 10mg CN Unifarm SA ROMANIA CUTIE X 100 CAPSULE MOI PR 100 11,059200 12,436000 0,000000 351 W61694001 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF 10 110,933000 124,732000 0,000000 352 W63037001 L01XX17 TOPOTECAMUM TOPOTECAN TEVA 1 mg/1ml CONC. PT. SOL. PERF. 1mg/1ml TEVA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML PR 1 85,212000 107,736000 22,004000 353 W58988001 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE CAPACITATE 2 ML, DIN STICLA BRUNA PREVAZUT CU SIGILIU DIN AL FLIP-OFF A 1 ML CONC. PT. SOL. PERF. CARE CONTINE 1 MG TOPOTECAN PR 1 71,010000 89,780000 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
354 W58988003 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE CAPACITATE 5 ML, DIN STICLA BRUNA PREVAZUT CU SIGILIU DIN AL FLIP-OFF A 4 ML CONC. PT. SOL. PERF. CARE CONTINE 4 MG TOPOTECAN PR 1 186,040000 227,120000 0,000000 355 W56744001 L01XX17 TOPOTECAMUM POTACTASOL 4mg PULB. PT. CONC. PT. SOL. PERF. 4mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA PR 1 155,520000 189,860000 0,000000 356 W56597001 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF. PR 1 27,900000 37,704000 20,616000 357 W56597002 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF. PR 1 74,844000 94,632000 39,048000 358 W56597003 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF. PR 1 220,524000 269,220000 120,640000 359 W56597004 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 30 ML X 25 ML CONC. PT. SOL. PERF. PR 1 367,548000 446,412000 157,328000 360 W52206004 L01XX19 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 1 220,524000 269,220000 362,050000 361 W62980003 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE 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. PR 1 183,770000 224,350000 0,000000 362 W64574001 L01XX19 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 27,900000 37,704000 22,136000 363 W64574002 L01XX19 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 74,844000 94,632000 40,098000 364 W64574003 L01XX19 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 1 367,548000 446,412000 184,858000 365 W64574004 L01XX19 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 1 220,524000 269,220000 362,050000 366 W52206002 L01XX19 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 74,844000 94,632000 40,098000 367 W52206003 L01XX19 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 1 367,548000 446,412000 184,858000 368 W62980001 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE 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. PR 1 23,250000 31,420000 0,000000 369 W62980002 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE 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. PR 1 62,370000 78,860000 0,000000 370 W52206001 L01XX19 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 27,900000 37,704000 22,136000 371 W62980004 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE 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. PR 1 306,290000 372,010000 0,000000 372 W51535001 L01XX23 MITOTANUM LYSODREN 500mg COMPR. 500mg LABORATOIRE HRA PHARMA FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-RF/R 100 22,760000 25,189900 0,000000 373 W61990001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB ACTAVIS 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. PR 1 667,944000 773,844000 1.143,106000 374 W62045001 L01XX32 BORTEZOMIBUM **1 BORTEGA 3,5 mg PULB. PT. SOL. INJ. 3,5mg HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 8 ML, PREVAZUT CU CAPSA DIN AL TIP FLIP-OFF SI DISC ALB DE PP PR 1 667,944000 773,844000 2.216,636000 375 W62997001 L01XX32 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 1 556,620000 644,870000 0,000000 376 W61926001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE 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 1 667,944000 773,844000 1.225,226000 377 W64104001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB ZENTIVA 3,5 mg PULB. PT. SOL. INJ. 3,5mg ZENTIVA K.S. CEHIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 652,890000 749,800000 0,000000 378 W64875001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB HOSPIRA 3,5 mg PULB. PT. SOL. INJ. 3,5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA CE CONTINE 3,5 MG PULB. PENTRU SOL. INJ. PR 1 603,400000 695,860000 0,000000 379 W61907001 L01XX32 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 1 667,944000 773,844000 1.347,056000 380 W63461001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB HOSPIRA 3,5 mg PULB. PT. SOL. INJ. 3,5mg HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA CE CONTINE 3,5 MG PULB. PENTRU SOL. INJ. PR 1 603,400000 695,860000 0,000000 381 W61918001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB GLENMARK 3,5 mg PULB. PT. SOL. INJ. 3,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CU CAPACITATE DE 10 ML PR 1 667,944000 773,844000 1.612,186000 382 W64673001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB SUN 3,5 mg PULB. PT. SOL. INJ. 3,5mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE 10ML CE CONTINE 3,5 BORTEZOMIB PR 1 667,944000 773,844000 2.113,786000 383 W64437001 L01XX42 PANOBINOSTATUM **1 O FARYDAK 10 mg CAPS. 10mg NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3.142,553333 3.431,746666 0,000000 384 W62215001 L01XX42 PANOBINOSTATUM **1 O FARYDAK 10 mg CAPS. 10mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3.142,553333 3.431,746666 0,000000 385 W64438001 L01XX42 PANOBINOSTATUM **1 O FARYDAK 15 mg CAPS. 15mg NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3.142,553333 3.431,746666 0,000000 386 W62216001 L01XX42 PANOBINOSTATUM **1 O FARYDAK 15 mg CAPS. 15mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3.142,553333 3.431,746666 0,000000 387 W62217001 L01XX42 PANOBINOSTATUM **1 O FARYDAK 20 mg CAPS. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3.142,553333 3.431,746666 0,000000 388 W64439001 L01XX42 PANOBINOSTATUM **1 O FARYDAK 20 mg CAPS. 20mg NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3.142,553333 3.431,746666 0,000000 389 W59956003 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 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 2.722,790000 3.005,990000 0,000000 390 W59956001 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 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 1.376,400000 1.538,430000 0,000000 391 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 4.428,220000 4.864,920000 0,000000 392 W61522002 L01XX46 OLAPARIBUM **1 LYNPARZA CAPS. 50mg ASTRA ZENECA AB SUEDIA CUTIE X 448 CAPSULE (4 FLACOANE X112 CAPSULE) PR 448 46,188794 50,431004 0,000000 393 W63379001 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 223,550000 249,120000 0,000000 394 W63379002 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 221,406428 244,058571 0,000000 395 W63379003 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 112 COMPR. FILM. (4 CUTII X 28 COMPR. FILM.) AMBALAJ MULTIPLU PR 112 219,531785 239,630625 0,000000 396 W63377002 L01XX52 VENETOCLAX **1 VENCLYXTO 10 mg COMPR. FILM. 10mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 24,069285 28,960714 0,000000 397 W63378002 L01XX52 VENETOCLAX **1 VENCLYXTO 50 mg COMPR. FILM. 50mg ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 113,918571 129,621428 0,000000 398 W64575001 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF 30 2,989000 3,779333 0,000000 399 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 2,989000 3,779333 0,000000 400 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 1 563,400000 652,260000 0,000000 401 W43179004 L02AE02 LEUPRORELINUM ** ELIGARD 22,5 mg PULB+SOLV.PT.SOL.INJ 22,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP/COPOLIMER ACID OLEFINIC CICLIC PREUMPLUTE (O SERINGA A SI O SERINGA B) IN TAVI TERMOFORMATE S 1 646,950000 743,330000 0,000000 402 W52321002 L02AE02 LEUPRORELINUM ** ELIGARD 45 mg PULB+SOLV.PT.SOL.INJ 45mg ASTELLAS PHARMA EUROPE BV OLANDA O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B) S 1 1.194,100000 1.339,720000 0,000000 403 W10731001 L02AE03 GOSERELINUM ** ZOLADEX LA 10,8 mg IMPLANT 10,8 mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT S 1 518,890000 603,740000 0,000000 404 W10173001 L02AE03 GOSERELINUM ** ZOLADEX (R) IMPLANT 3,6mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF 1 161,400000 197,040000 0,000000
24
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
25
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
405 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 1 493,470000 576,030000 0,000000 406 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 1 161,400000 197,040000 0,000000 407 W55725001 L02AE04 TRIPTORELINUM ** DIPHERELINE 0,1 mg PULB+SOLV. PT. SOL. INJ. 0,1mg IPSEN PHARMA FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF 7 11,392857 14,405714 0,000000 408 W55726001 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 X 2 ML SOLV. + 1 BLIST. CU 1 SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE S/P-RF 1 606,950000 699,730000 0,000000 409 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 1 312,420000 378,690000 0,000000 410 W58059001 L02AE04 TRIPTORELINUM ** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING GMBH GERMANIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 7 13,671428 17,286857 8,987428 411 W58059002 L02AE04 TRIPTORELINUM ** GONAPEPTYL ZILNIC 0,1 mg/ml SOL. INJ. 0,1mg/ml FERRING GMBH GERMANIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF 28 13,671428 17,286857 5,931714 412 W53654002 L02BA01 TAMOXIFENUM TAMOXIFEN SANDOZ 10 mg COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF/S 100 0,397800 0,520300 0,000000 413 W51514002 L02BA03 FULVESTRANTUM ** FASLODEX 250mg SOL. INJ. 250mg/5ml ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 SERINGI PREUMPLUTE DIN STICLA X 5ML SOLUTIE INJECTABILA + 2 ACE CU SISTEM DE SIGURANTA P-RF 2 1.061,395000 1.175,995000 0,000000 414 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 1.061,395000 1.175,995000 0,000000 415 W03217002 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 1,245300 1,520300 0,000000 416 W53572001 L02BB03 BICALUTAMIDUM BICALUTAMID TERAPIA 150 mg COMPR. FILM. 150mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L 28 9,032500 11,026785 0,000000 417 W12048001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L 28 10,291285 12,563570 3,736430 418 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 9,032500 11,026785 0,000000 419 W58040001 L02BB03 BICALUTAMIDUM BICALUTAMIDA ALVOGEN 150 mg COMPR. FILM. 150mg ALVOGEN ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM P6L 28 8,576071 10,469642 0,000000 420 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 8,576071 10,469642 0,000000 421 W56707002 L02BB03 BICALUTAMIDUM BICALUTAMIDA KABI 50 mg COMPR. FILM. 50 mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM. P6L 28 0,924857 1,250142 2,625929 422 W56123003 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L 28 0,770714 1,041785 0,000000 423 W54851001 L02BB03 BICALUTAMIDUM CALUMID COMPR. FILM. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM. P-6L 30 0,924857 1,250142 2,625858 424 W56123004 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L 30 0,771000 1,042000 0,000000 425 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 0,924857 1,250142 1,062358 426 W10174001 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L 28 0,924857 1,250142 4,405215 427 W60465001 L02BB04 ENZALUTAMIDUM **1 O XTANDI 40 mg CAPS. MOI 40mg ASTELLAS PHARMA EUROPE BV OLANDA COMPARTIMENT EXTERIOR CARE CONTINE UN BLISTER DE ALUMINIU/PVC/PCTFE CU 28 CAPS. MOI. FIECARE CUTIE ARE 4 COMPARTIMENTE EXTERIOARE (112 CPAS. MOI) PR 112 109,667142 119,877946 0,000000 428 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 1,185332 1,498666 0,314191 429 W53147002 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P6L 28 1,185332 1,498666 0,295976 430 W53147004 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P6L 50 1,185332 1,498666 1,186334 431 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 1,185332 1,498666 2,779548 432 W53266005 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU, BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. PR 30 1,005000 1,314666 0,000000 433 W53147001 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P6L 20 1,185332 1,498666 1,429834 434 W53147008 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM. P6L 300 1,185332 1,498666 0,878167 435 W53266010 L02BG03 ANASTROZOLUM EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU, BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. PR 90 0,987777 1,248888 0,000000 436 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 1,185332 1,498666 0,314000 437 W53147007 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 1,185332 1,498666 1,138634 438 W57886001 L02BG03 ANASTROZOLUM ANASTROZOL KABI 1 mg COMPR. FILM. 1mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM. P6L 14 1,185332 1,498666 1,429191 439 W53147006 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P6L 98 1,185332 1,498666 1,138578 440 W53147005 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P6L 84 1,185332 1,498666 1,138834 441 W56632005 L02BG04 LETROZOLUM LETROZOL TERAPIA 2,5 mg COMPR. FILM. 2,5 mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC - AL X 30 COMPR. FILM. P6L 30 2,030333 2,567000 0,000000 442 W51409001 L02BG04 LETROZOLUM FEMARA 2,5 mg COMPR. FILM. 2,5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 2,030333 2,567000 0,000000 443 W56911001 L02BG04 LETROZOLUM LETROZOL ATB 2,5 mg COMPR. FILM. 2,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVDC-PE-PVC/AL X 10 COMPR. FILM. P6L 30 2,030333 2,567000 0,000000 444 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 1,911666 2,417000 0,000000 445 W57606001 L02BG04 LETROZOLUM LETROZOL KABI 2,5 mg COMPR. FILM. 2,5mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P6L 10 2,063200 2,608800 0,183200 446 W59547004 L02BG04 LETROZOLUM LORTANDA 2,5 mg COMPR. FILM. 2,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 1,719333 2,174000 0,000000 447 W58106004 L02BG04 LETROZOLUM TROZEL 2,5 mg COMPR. FILM. 2,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 2,030333 2,567333 0,000000 448 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 1,928000 2,437666 0,000000 449 W55449003 L02BG04 LETROZOLUM LEZRA 2,5 mg COMPR. FILM. 2,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 2,030333 2,567333 0,000000 450 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 2,030333 2,567333 0,000000 451 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 2,029333 2,566000 0,000000 452 W59268003 L02BG06 EXEMESTANUM ESCEPRAN 25 mg COMPR. FILM. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 2,367333 2,993333 0,000000 453 W55888004 L02BG06 EXEMESTANUM EXEMESTAN ACCORD 25 mg COMPR. FILM. 25mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 2,438333 3,083000 0,000000 454 W55874002 L02BG06 EXEMESTANUM EXEMESTAN GLENMARK 25mg COMPR. FILM. 25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 2,657200 3,359599 0,378067 455 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 2,657200 3,359599 0,378067
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
456 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 2,214333 2,799666 0,000000 457 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 2,657200 3,359599 0,214734 458 W58139001 L02BX03 ABIRATERONUM **1 O ZYTIGA COMPR. 250mg JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE CU FLACON DIN PEÎD X 120 COMPRIMATE PRF 120 113,265250 123,777166 0,000000 459 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 69,700000 88,130000 0,000000 460 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 1 107,407200 126,230400 27,419600 461 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 66,110000 83,590000 0,000000 462 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 105,780000 126,230400 2,909600 463 W62176005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,220000 87,520000 0,000000 464 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 65,892000 79,452000 0,000000 465 W55757002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 65,892000 79,452000 0,000000 466 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 89,506000 105,192000 0,000000 467 W55758002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 89,506000 105,192000 0,000000 468 W62177005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,407200 126,230400 8,839600 469 W64949001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 2.601,180000 2.873,440000 0,000000 470 W51563001 L03AA13 PEGFILGRASTIMUM ** NEULASTA 6mg SOL. INJ. 6mg AMGEN EUROPE B.V. OLANDA CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR 1 3.121,416000 3.448,128000 88,042000 471 W51329001 L03AB04 INTERFERONUM ALFA 2A ** ROFERON A SOL. INJ. 9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL PR 1 151,790000 185,300000 0,000000 472 W59599002 L03AB05 INTERFERONUM ALFA 2B ** INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 339,350000 408,040000 0,000000 473 W59600001 L03AB05 INTERFERONUM ALFA 2B ** INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R 1 541,150000 628,000000 0,000000 474 W61952001 L04AX02 TALIDOMIDUM **1 THALIDOMIDE CELGENE 50 mg CAPS. 50mg CELGENE EUROPE LIMITED MAREA BRITANIE CUTIE TIP PORTOFEL X 28 CAPS. (14 CAPS. X 2 BLISTERE PVC/PE/ACLAR/AL) P-RF/R 28 55,194285 61,524285 0,000000 475 W57665001 M05BA02 ACIDUM CLODRONICUM ** BONEFOS® 800 mg COMPR. FILM. 800mg BAYER OY FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 60 6,440166 7,655666 0,000000 476 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 21,840000 29,520000 0,000000 477 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 21,840000 29,520000 0,000000 478 W58123006 M05BA03 ACIDUM PAMIDRONICUM ** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML PR 1 146,810000 179,220000 0,000000 479 W58123007 M05BA03 ACIDUM PAMIDRONICUM ** PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML PR 1 281,810000 344,030000 0,000000 480 W63020001 M05BA06 ACIDUM IBANDRONICUM ** ACID IBANDRONIC TEVA 50 mg COMPR. FILM. 50mg TEVA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 28 COMPRIMATE FILMATE PR 28 9,781714 11,941285 0,882286 481 W59829025 M05BA06 ACIDUM IBANDRONICUM ** ACID IBANDRONIC GLENMARK 50 mg COMPR. FILM. 50mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM. P6L 28 9,781714 11,941285 0,882286 482 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 8,151428 9,951071 0,000000 483 W61790001 M05BA06 ACIDUM IBANDRONICUM ** ACID IBANDRONIC ACCORD 6 mg CONC. PT. SOL. PERF. 6mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. CU CAPACITATEA DE 6 ML, DIN STICLA DE TIP I SI FLUOROTEC PR 1 269,990000 329,610000 0,000000 484 W58937001 M05BA06 ACIDUM IBANDRONICUM ** ACID IBANDRONIC TEVA 6 mg CONC. PT. SOL. PERF. 6mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC SI CAPSA DE CULOARE TURCOAZ (ALBASTRU VERZUI) X 6 ML CONC. PT. SOL. PERF. PR 1 278,376000 339,840000 45,480000 485 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 1 231,980000 283,200000 0,000000 486 W59588001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACTAVIS 4mg/5ml CONC. PT. SOL. PERF. 4mg/5ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLACON PLASTIC TRANSPARENT, INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PER PR 1 58,644000 76,704000 22,196000 487 W59090002 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF. PR 4 58,644000 76,704000 16,548500 488 W61792001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACCORD 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. CU CAPACITATEA DE 5 ML DIN COPOLIMER CICLOOLEFINIC TRANSPARENT PRF 1 48,870000 63,920000 0,000000 489 W59191004 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC TERAPIA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA CU CAPACITATEA DE 6 ML INCHIS CU DOP DIN CAUCIUC DE CULOARE GRI SI SIGILAT CU CAPAC DIN AL, TIP "FLIP OFF" DE CULOARE GRI CARE CONTINE CONC. PT. SOL. PERF. PR 1 58,644000 76,704000 314,396000 490 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 58,644000 76,704000 57,906000 491 W04133001 V03AF01 MESNUM UROMITEXAN (R) 400 mg 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 3,268666 4,275333 0,000000 492 W54980002 V03AF03 CALCII FOLINAS FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 10 ML SOL. INJ. P-RF/S 1 19,520000 26,390000 0,000000 493 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 23,424000 31,668000 3,583000 494 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 23,424000 31,668000 9,542000 495 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 23,424000 31,668000 9,542000 P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE Subprogramul de tratament al sclerozei multiple 1 W42705001 L03AB07 INTERFERONUM BETA 1A **1 AVONEX 30 mcg BIO-SET PULB. + SOLV. PT. SOL. INJ. 30mcg (6 mil. UI) BIOGEN IDEC LIMITED MAREA BRITANIE CUTIE X (1 FLAC. DIN STICLA X 30 G PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUTE CU DISPOZITIV BIO-SET + 4 SERINGI PRE-UMPLUTE) PR 4 671,897500 741,907500 0,000000 2 W62420001 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 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 4 792,382500 873,235000 0,000000 3 W08473003 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 44mcg MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. P-RF/R 12 276,040000 304,063333 0,000000 4 W59967001 L03AB07 INTERFERONUM BETA 1A **1 AVONEX 30μg/0,5ml PEN SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 30μg/0,5ml BIOGEN IDEC LIMITED MAREA BRITANIE 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 4 690,407500 762,082500 0,000000 5 W61580007 L03AB08 INTERFERONUM BETA 1-B **1 BETAFERON 250μg/ml PULB. + SOLV. PT. SOL. INJ. 250μg/ml BAYER PHARMA 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 15 175,341333 193,665333 0,000000 6 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 15 175,341333 193,665333 0,000000
26
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
7 W61550002 L03AX13 GLATIRAMER ACETAT **1 COPAXONE 20 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 28 SERINGI PREUMPLUTE CARE CONTIN SOL. INJ. PR 28 63,228571 70,281785 0,000000 8 W62547002 L03AX13 GLATIRAMER ACETAT **1 COPAXONE 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 12 SERINGI PREUMPLUTE A CATE 1 ML SOL. INJ. IN SERINGA PREUMPLUTA PR 12 178,155833 197,369166 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 12 171,966666 190,623333 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 CUTIE CU 28 SERINGI PREUMPLUTE DIN STICLA DE UNICA FOLOSINTA, CU AC INCORPORAT, ACOPERIT CU UN CAPAC PROTECTOR CARE CONTIN SOL. INJ. PR 28 60,087142 66,857500 0,000000 11 W61577001 L04AA23 NATALIZUMABUM **1 TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml BIOGEN IDEC LTD INNOVATION HOUSE MAREA BRITANIE CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF PR 1 5.468,520000 5.998,840000 0,000000 12 W60449002 L04AA31 TERIFLUNOMIDUM **1 AUBAGIO COMPR. FILM. 14mg SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 28 COMPR. FILM. PR 28 112,011428 123,455000 0,000000 13 W60846001 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,542900 0,686400 0,000000
P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT
27
Tratamentul medicamentos al bolnavilor cu diabet zaharat
1 W52999002 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 17,688000 22,366000 0,000000 2 W52999001 A10AB01 INSULINE UMANE HUMULIN R SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ. P-RF 1 45,620000 59,670000 0,000000 3 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 17,364000 21,956000 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 22,254000 27,168000 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 16,526000 20,896000 0,000000 6 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 29,740800 36,307200 0,148800 7 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 58,520000 71,442000 0,000000 8 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 24,784000 30,256000 0,000000 9 W53873001 A10AB04 INSULINUM LISPRO ** HUMALOG KWIKPEN100U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ. P-RF 5 29,076000 35,496000 0,000000 10 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 84,590000 106,950000 0,000000 11 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 29,748000 36,316800 0,069200 12 W08932002 A10AB05 INSULINUM ASPART ** NOVORAPID FLEXPEN 100U/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML P-RF 5 29,748000 36,316800 1,015200 13 W07268001 A10AB05 INSULINUM ASPART ** NOVORAPID PENFILL 100 U/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 24,790000 30,264000 0,000000 14 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 22,306000 27,230000 0,000000 15 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 22,326000 27,256000 0,000000 16 W52986002 A10AC01 INSULINE UMANE HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 17,840000 22,556000 0,000000 17 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 17,364000 21,956000 0,000000 18 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 17,358000 21,948000 0,000000 19 W53106002 A10AD01 INSULINE UMANE HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 17,840000 22,556000 0,000000 20 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 17,364000 21,956000 0,000000 21 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 20,406000 24,912000 0,000000 22 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 17,364000 21,956000 0,000000 23 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 30,056000 36,692000 0,000000 24 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 17,358000 21,948000 0,000000 25 W53874001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX25 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3 ML, SUSP. INJ. P-RF 5 28,894000 35,274000 0,000000 26 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 25,986000 31,724000 0,000000 27 W53875001 A10AD04 INSULINUM LISPRO ** HUMALOG MIX50 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3 ML, SUSP. INJ. P-RF 5 28,894000 35,274000 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 25,184000 30,744000 0,000000 29 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 31,266000 38,170000 0,000000 30 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 26,532000 32,390000 0,000000 31 W62014001 A10AE04 INSULINUM GLARGINE ** ABASAGLAR SOL INJ. 100UI/ml ELI LILLY REGIONAL OPERATIONS GMBH AUSTRIA AMBALAJ X10 CARTUSE (2 CUTII X5 CARTUSE) A 3ML PRF 10 34,321000 41,225000 0,000000 32 W62015002 A10AE04 INSULINUM GLARGINE ** ABASAGLAR SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100UI/ml ELI LILLY REGIONAL OPERATIONS GMBH AUSTRIA AMBALAJ X10 STILOURI PRE-UMPLUTE/PEN (2 CUTII X 5 PEN) A 3ML DOZAJ 80U PRF 10 33,862000 40,725000 0,000000 33 W64292003 A10AE04 INSULINUM GLARGINE ** SEMGLEE 100 unitati/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml MYLAN S.A.S. FRANTA CUTIE X 5 STILOURI INJECTOARE PREUMPLUTE (PEN) - 3ML PRF 5 32,232000 39,350000 0,000000 34 W08054002 A10AE04 INSULINUM GLARGINE ** LANTUS 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. P-RF 5 37,646000 45,958000 0,000000 35 W10010005 A10AE04 INSULINUM GLARGINE ** LANTUS 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ. P-RF 1 126,170000 154,030000 0,000000 36 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 INJECTAOARE PRF 5 54,580000 66,632000 0,000000 37 W52628008 A10AE04 INSULINUM GLARGINE ** LANTUS SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 37,652000 45,966000 0,000000 38 W41731002 A10AE05 INSULINUM DETEMIR ** LEVEMIR FLEXPEN 100 U/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 48,664000 59,410000 0,000000 39 W41732002 A10AE05 INSULINUM DETEMIR ** LEVEMIR PENFILL 100 U/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF 5 45,714000 55,808000 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
40 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 5 130,110000 149,450000 0,000000 41 W53953001 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA CUTIE X 10 BLIST. AL/PVC X 5 COMPR. P-RF 50 0,138000 0,186400 0,000000 42 W53953002 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. P-RF/S 200 0,137500 0,179850 0,000000 43 W53951003 A10BA02 METFORMINUM METFORMIN ARENA 500 MG COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. P-RF 60 0,065166 0,088166 0,000000 44 W63931002 A10BA02 METFORMINUM GLUCOPHAGE XR 1000 mg COMPR. ELIB. PREL. 1000mg MERCK SANTE S.A.S. FRANTA CUTIE CU 3 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. PRF 30 0,146400 0,198000 0,585666 45 W63799009 A10BA02 METFORMINUM METFORMIN ACCORD 500 mg COMPR. ELIB. PREL. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P6L 30 0,078199 0,105799 0,203534 46 W43318002 A10BA02 METFORMINUM GLUCOPHAGE XR COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P6L 30 0,078199 0,105799 0,311201 47 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 0,432666 0,585000 0,000000 48 W42349002 A10BA02 METFORMINUM SIOFOR 1000 COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. P-RF 60 0,144000 0,194666 0,000000 49 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 0,144083 0,194750 0,000000 50 W59641002 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,122000 0,165000 0,000000 51 W13583011 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL, X 60 COMPR. FILM. P-6L 60 0,146400 0,198000 0,101666 52 W13955001 A10BA02 METFORMINUM MEGUAN (R) 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 20 0,078199 0,105799 0,133701 53 W59639003 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,078199 0,105799 0,008867 54 W59640003 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,085000 0,115000 0,000000 55 W14102001 A10BA02 METFORMINUM MEGUAN (R) 850 mg COMPR. FILM. 850mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 20 0,089000 0,120000 0,000000 56 W41858002 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100 0,051800 0,070000 0,000000 57 W41858003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,051666 0,070000 0,000000 58 W41858004 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 0,051760 0,065440 0,000000 59 W41859002 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S 100 0,037400 0,050500 0,000000 60 W41859003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,037666 0,051000 0,000000 61 W41859004 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 0,037330 0,048830 0,000000 62 W53679003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,154333 0,208666 0,000000 63 W03348001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E P-RF 30 1,287333 1,684000 0,000000 64 W03349001 A10BB07 GLIPIZIDUM GLUCOTROL XL 5mg COMPR. FILM. ELIB. MODIF. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL P-RF 30 0,607000 0,820333 0,000000 65 W03352001 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 0,322500 0,436000 0,000000 66 W42334001 A10BB09 GLICLAZIDUM ESQUEL (R) 80 mg COMPR. 80mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P6L 30 0,354000 0,478333 0,000000 67 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 0,283466 0,383200 0,092966 68 W59674016 A10BB09 GLICLAZIDUM GLYCLADA 60 mg COMPR. CU ELIB. MODIF. 60mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. CU ELIB. MODIF. PRF 60 0,283466 0,383200 0,092966 69 W62197002 A10BB09 GLICLAZIDUM GLICLAZIDA TERAPIA 60 mg COMPR. ELIB. MOD. 60mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA/AL/PVC/AL X 60 COMPR. ELIB. MODIF. P6L 60 0,283466 0,383200 0,092966 70 W62197005 A10BB09 GLICLAZIDUM GLICLAZIDA TERAPIA 60 mg COMPR. ELIB. MOD. 60mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 60 COMPR. ELIB. MODIF. P6L 60 0,283466 0,383200 0,092966 71 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 0,283466 0,383200 0,122466 72 W61093002 A10BB09 GLICLAZIDUM GLICLAZIDA ZENTIVA 60 mg COMPR. ELIB. MODIF. 60mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 90 COMPR. ELIB. MODIF. PRF 90 0,236222 0,319333 0,000000 73 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 0,196833 0,266000 0,000000 74 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 0,196833 0,266000 0,000000 75 W57489005 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,132666 0,179333 0,000000 76 W62433005 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,132666 0,179333 0,000000 77 W57490004 A10BB12 GLIMEPIRIDUM AMARYL 2 mg COMPR. 2mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,172800 0,233599 0,062401 78 W44007003 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 2 mg COMPR. 2mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 0,144000 0,194666 0,000000 79 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 0,172800 0,233599 0,062401 80 W44010003 A10BB12 GLIMEPIRIDUM GLIMEPIRIDE 3 mg COMPR. 3mg ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR. P-RF 30 0,258666 0,349666 0,000000 81 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 0,310399 0,419599 0,082734 82 W57492004 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,310399 0,419599 0,082734 83 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 0,406333 0,549000 0,000000 84 W57494004 A10BB12 GLIMEPIRIDUM AMARYL 4 mg COMPR. 4mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,406333 0,549000 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 0,695000 0,939333 0,000000 86 W57495004 A10BB12 GLIMEPIRIDUM AMARYL 6 mg COMPR. 6mg SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,695000 0,939333 0,000000 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 0,191700 0,242380 0,000000 88 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 0,195000 0,263500 0,000000 89 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 0,230040 0,290856 0,126144 90 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 0,370666 0,501000 0,000000
28
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
29
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
91 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 0,370666 0,501000 0,000000 92 W64669002 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 28 COMPR. FILM. PRF 28 2,476785 3,131785 0,000000 93 W53295002 A10BD07 COMBINATII ( SITAGLIPTINUM+METFORMINUM) ** JANUMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-RF 28 2,476785 3,131785 0,000000 94 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 2,099333 2,562833 0,000000 95 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 1,854666 2,264166 0,000000 96 W52552003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/1000mg COMPR. FILM. 50mg/1000mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) P-RF 60 2,099333 2,562833 0,000000 97 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 1,858000 2,268333 0,000000 98 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 2,229600 2,722000 0,768000 99 W52551003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/850mg COMPR. FILM. 50mg/850mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) P-RF 60 2,229600 2,722000 0,768000 100 W62421003 A10BD10 COMBINATII (SAXAGLIPTINUM + METFORMINUM) ** Komboglyze 2,5 mg/1000 mg COMPR. FILM. 2,5mg/1000mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL NEPERFORATE CU 60 COMPR. FILM. PRF 60 2,099333 2,562833 0,000000 101 W63069001 A10BD21 COMBINATII (SAXAGLIPTIN+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 10,241666 12,435000 0,000000 102 W63883002 A10BF01 ACARBOSUM GLUCOBAY 100 COMPR. 100mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0,457333 0,578250 0,000000 103 W57947002 A10BF01 ACARBOSUM GLUCOBAY® 100 COMPR. 100mg BAYER PHARMA AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P6L 120 0,457333 0,578250 0,000000 104 W63882002 A10BF01 ACARBOSUM GLUCOBAY 50 COMPR. 50mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0,257916 0,337333 0,000000 105 W57946002 A10BF01 ACARBOSUM GLUCOBAY® 50 COMPR. 50mg BAYER PHARMA AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P6L 120 0,257916 0,337333 0,000000 106 W61804002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,006666 1,316666 0,000000 107 W58030002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONA TORRENT 15 mg COMPR. 15mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR. PRF 30 0,976666 1,277333 0,000000 108 W58030008 A10BG03 PIOGLITAZONUM ** PIOGLITAZONA TORRENT 15 mg COMPR. 15mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 0,976666 1,277333 0,000000 109 W61805002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,088000 1,423000 0,000000 110 W58031002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONA TORRENT 30 mg COMPR. 30mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR. PRF 30 1,052333 1,376666 0,000000 111 W58031008 A10BG03 PIOGLITAZONUM ** PIOGLITAZONA TORRENT 30 mg COMPR. 30mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 1,052333 1,376666 0,000000 112 W58032002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONA TORRENT 45 mg COMPR. 45mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR. PRF 30 1,305600 1,707600 0,771066 113 W61806002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,088000 1,423000 0,000000 114 W58032008 A10BG03 PIOGLITAZONUM ** PIOGLITAZONA TORRENT 45 mg COMPR. 45mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 1,305600 1,707600 0,771066 115 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 4,608928 5,626785 0,000000 116 W51928002 A10BH01 SITAGLIPTINUM ** JANUVIA 100mg COMPR. FILM. 100mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) P-RF 28 4,608928 5,626785 0,000000 117 W64467005 A10BH02 VILDAGLIPTINUM ** GALVUS 50 mg COMPR. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC//AL X 56 COMPR. PRF 56 1,855000 2,264642 0,000000 118 W64117005 A10BH02 VILDAGLIPTINUM ** DALMEVIN 50 mg COMPR. 50mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. PA-AL-PVC/AL X 56 COMPR. PRF 56 1,789642 2,184821 0,000000 119 W52375005 A10BH02 VILDAGLIPTINUM ** GALVUS 50mg COMPR. 50mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X, 56 COMPR. (BLISTER PA/AL/PVC//AL) P-RF 56 1,855000 2,264642 0,000000 120 W62289009 A10BH03 SAXAGLIPTIN ** ONGLYZA COMPR. FILM. 5 mg ASTRAZENECA AB SUEDIA CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM. P-RF 30 4,893666 5,974333 0,000000 121 W61462002 A10BJ05 DULAGLUTIDUM ** TRULICITY 1,5 mg/0,5ml SOL INJ. IN PEN PREUMPLUT 1,5 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ MULTIPLU: 12 (3 PACHETE A CÂTE 4) PENURI PREUMPLUTE CU 0,5 ML SOL. PRF 12 92,358333 103,850000 0,000000 122 W60940001 A10BK03 EMPAGLIFLOZINUM ** JARDIANCE 10mg COMPR. FILM. 10mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X BLISTERE PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 30 COMPRIMATE FILMATE (30X1) PRF 30 5,810666 7,093666 0,000000 123 W60941001 A10BK03 EMPAGLIFLOZINUM ** JARDIANCE 25mg COMPR. FILM. 25mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X BLISTERE PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 30 COMPRIMATE FILMATE (30X1) PRF 30 5,810666 7,093666 0,000000 124 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 0,119732 0,161866 0,169578 125 W61807002 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 0,5 mg COMPR. 0,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,099777 0,134888 0,000000 126 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 0,119732 0,161866 0,169534 127 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 0,119732 0,161866 0,169467 128 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 0,119732 0,161866 0,169578 129 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 0,119732 0,161866 0,158884 130 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 0,119732 0,161866 0,142763 131 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 0,228266 0,308533 0,022911 132 W64097005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0,228266 0,308533 0,022867 133 W61808001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,190222 0,257111 0,000000 134 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 0,228266 0,308533 0,022911 135 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 0,228266 0,308533 0,022800 136 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 0,228266 0,308533 0,012217 137 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 0,228266 0,304629 0,000000 138 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 0,245222 0,331444 0,000000 139 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 0,245000 0,331333 0,000000 140 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 0,245222 0,331444 0,000000 141 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 0,245250 0,320750 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
142 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 0,240925 0,304629 0,000000 143 W64098005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0,245200 0,331400 0,000000 144 W61809001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,240000 0,324444 0,000000 145 W61955001 A10BX04 EXENATIDUM ** BYDUREON 2 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 2mg ASTRAZENECA AB SUEDIA AMBALAJ X 4 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE CU DOZA UNICA PRF 4 93,285000 111,217500 0,000000 146 W61682001 A10BX04 EXENATIDUM ** BYETTA 10μg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10μg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 328,500000 396,220000 0,000000 147 W61681001 A10BX04 EXENATIDUM ** BYETTA 5μg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5μg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 218,910000 267,250000 0,000000 148 W62286004 A10BX09 DAPAGLIFLOZINUM ** FORXIGA 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNITATE DOZATA) PRF 30 5,544000 6,768000 0,000000 149 W59970001 A10BX10 LIXISENATIDUM ** LYXUMIA 10 micrograme SOL INJ. 50 μg/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT X 3ML (1X14 DOZE) PRF 1 155,820000 190,220000 0,000000 150 W41932004 A11DA03 BENFOTIAMINUM BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L 50 0,411800 0,556600 0,000000 151 W62898002 A11DAN1 BENFOTIAMINUM NEUROSSEN 300 mg COMPR. FILM. 300mg AAA-PHARMA GMBH GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 30 2,137666 2,703000 0,000000 152 W01610002 A11DBN1 COMBINATII ** MILGAMMA N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L 50 0,775200 1,014000 0,000000 153 W56297001 A11DBN1 COMBINATII ** NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 20 0,353000 0,466440 0,010560 154 W56297002 A11DBN1 COMBINATII ** NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 5 BLIST. PVC/AL X 20 COMPR. FILM. P-6L 100 0,297200 0,388700 0,000000 155 W42092002 A11DBN1 COMBINATII ** MILGAMMA (R) 100+100mg DRAJ. 100mg+100mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L 60 1,295666 1,638166 0,000000 156 W01731002 A11DBN1 COMBINATII ** MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L 50 0,783200 1,024400 0,000000 157 W62895003 A11DBN1 COMBINATII ** NEUROSSEN INJEKT SOL. INJ. FARA CONCENTRATIE AAA-PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML SOL. INJ. PRF 10 2,660000 3,479000 0,000000 158 W41647001 A11DBN1 COMBINATII ** MILGAMMA (R) NA SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML P-RF 5 2,994000 4,046000 0,000000 159 W64733001 H04AA01 GLUCAGONUM GLUCAGEN HYPOKIT 1 mg/ml PULB+SOLV. PT. SOL. INJ. 1mg/ml CN UNIFARM S.A. ROMANIA CUTIE X 1 FLACON CU PULBERE +1 SERINGA PREUMPLUTA CU SOLVENT PT. SOL. INJ. PR 1 59,760000 75,560000 0,000000 160 T0001 FARA ATC FARA DCI Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat FARA FORMA FARA CONCENTRATIE FARA PRODUCATOR ROMANIA FARA FORMA AMB X 1 0,000000 1,200000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE
1 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 1.573,380000 1.760,772000 608,178000 2 W56023001 B02BD02 FACTOR VIII DE COAGULARE HAEMOCTIN SDH 250 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 5 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR 1 430,416000 514,932000 133,808000 3 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 1 804,828000 923,040000 306,430000 4 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 1.573,380000 1.760,772000 176,508000 5 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 4.632,460000 5.087,540000 0,000000 6 W61671001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 500 UI PULB+SOLV. PT. SOL. INJ./PERF. 500UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 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 1 804,828000 923,040000 25,760000 7 W43393001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 100ui/ml 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 S 1 1.493,730000 1.666,320000 0,000000 8 W43391001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 25 ui/ml 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 S 1 396,320000 470,140000 0,000000 9 W43392001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 50 ui/ml 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 S 1 762,180000 868,930000 0,000000 10 W56663001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 100 UI/ml PULB. + SOLV. PT. SOL. INJ. 100 UI/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1FLAC. DIN STICLA INCOLORA CU PULB.PT.SOL. INJ.(100UI/ML)+CUTIE CU 1 SET PT. RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 10ML APA PT. PREPARATE INJ.(1000UI/FLAC)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR 1 1.311,150000 1.467,310000 0,000000 11 W56662002 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50 UI/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.(50UI/ML)+CUTIE CU SET DE RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 10 ML APA PT. PREPARATE INJ(500UI/FLAC.)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR 1 670,690000 769,200000 0,000000 12 W56662001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50 UI/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.(50UI/ML)+CUTIE CU SET DE RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 5 ML APA PT. PREPARATE INJ(250UI/FLAC.)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR 1 358,680000 429,110000 0,000000 13 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 1 804,828000 923,040000 80,810000 14 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 1.223,120000 1.371,350000 0,000000 15 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 2.406,890000 2.661,660000 0,000000 16 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 4.878,980000 5.356,240000 0,000000 17 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 1 638,880000 734,530000 0,000000 18 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 1.223,120000 1.371,350000 0,000000 19 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 2.731,750000 3.015,760000 0,000000 20 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 5.433,540000 5.960,720000 0,000000 21 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 1 705,480000 807,120000 0,000000 22 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 1.377,000000 1.539,080000 0,000000 23 W61172001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 2.530,170000 2.796,040000 0,000000 24 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 2.709,920000 2.991,970000 0,000000 25 W63909001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 1000UI PULB+SOLV.PT.SOL.INJ 1000UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 2.530,170000 2.796,040000 0,000000 26 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 4.253,650000 4.674,640000 0,000000 27 W61175001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 2000UI PULB+SOLV.PT.SOL.INJ 2000UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. P-RF/R 1 5.344,660000 5.863,840000 0,000000
30
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
28 W63910001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 2000UI PULB+SOLV.PT.SOL.INJ 2000UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 5.344,660000 5.863,840000 0,000000 29 W63907001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 250UI PULB+SOLV.PT.SOL.INJ 250UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 705,540000 807,190000 0,000000 30 W61168001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 250UI PULB+SOLV.PT.SOL.INJ 250UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. P-RF/R 1 705,540000 807,190000 0,000000 31 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 1.364,070000 1.524,990000 0,000000 32 W61170001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 500UI PULB+SOLV.PT.SOL.INJ 500UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. P-RF/R 1 1.357,690000 1.518,030000 0,000000 33 W63908001 B02BD02 OCTOCOG ALFA ** KOGENATE BAYER 500UI PULB+SOLV.PT.SOL.INJ 500UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR 1 1.357,690000 1.518,030000 0,000000 34 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 5.732,630000 6.286,730000 0,000000 35 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 1 710,280000 812,360000 0,000000 36 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 8.583,950000 9.394,670000 0,000000 37 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 1.533,740000 1.709,930000 0,000000 38 W62499002 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 50 ML CARE CONTINE 1000 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 3.121,060000 3.440,110000 0,000000 39 W56231001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 1000 UI PULB. + SOLV. PT. SOL. PERF. 1000UI OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT. RECONSTITUIRE SI ADM. CU 1 SET TRANSFER MIX2VIAL TM +1 SET DE PERFUZARE+1 SERINGA+2 TAMP. CU ALCOOL S 1 1.415,030000 1.580,540000 0,000000 40 W56230001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 500 UI PULB. + SOLV. SOL. PERF. 500 UI OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT. RECONSTITUIRE SI ADM. CU 1 AC CU CAP DUBLU+1 FILTRU PT. AC+1 SET DE PERFUZARE+1 SERINGA+2 TAMP. CU ALCOOL S 1 819,290000 931,180000 0,000000 41 W62890001 B02BD04 FACTOR IX DE COAGULARE ** IMMUNINE 1200 UI PULB.+SOLV. PT. SOL. INJ./PERF. 1200UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./ PERF. + 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 10 ML SOLV. +1 AC PT. TRANSFER+1 AC PT. AERARE+1 AC PT. FILTRARE+1 AC DE UNICA FOLOSINTA+1 SERINGA DE UNICA FOLOSINTA+1 SET DE TRANSFER PR 1 1.818,520000 2.020,340000 0,000000 42 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 1.698,036000 1.896,648000 545,452000 43 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 5.470,470000 6.000,970000 0,000000 44 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 1 573,860000 663,660000 0,000000 45 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 1 983,148000 1.117,416000 139,064000 46 W58455001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 1000 1000 UI FVIII/1000 UI FVW PULB+SOLV. PT. SOL. INJ 1000 UI FVIII/1000 UI FVW OCTAPHARMA (IP) LTD. MAREA BRITANIE 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) PR 1 1.862,890000 2.068,700000 0,000000 47 W58454001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 500 500 UI FVIII/500 UI FVW PULB+SOLV. PT. SOL. INJ 500 UI FVIII/500 UI FVW OCTAPHARMA (IP) LTD. MAREA BRITANIE 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) PR 1 943,580000 1.066,650000 0,000000 48 W61007001 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 BAXTER AG 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 1.326,310000 1.483,830000 0,000000 49 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 1.326,310000 1.483,830000 0,000000 50 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 1 352,180000 422,030000 0,000000 51 W61005001 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 BAXTER AG 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 1 352,180000 422,030000 0,000000 52 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 1 640,540000 736,340000 0,000000 53 W61006001 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 BAXTER AG 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 1 640,540000 736,340000 0,000000 54 W52389001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** HAEMATE P 500 UI PULB.+SOLV. PT. SOL. INJ. SAU PERF. 500UI+1200UI CSL BEHRING GMBH GERMANIA PACHET DE 500 UI CONTINE:1 CUTIE CU 1 FL.PULB+1 FL. CU 10ML APA PT PREP.INJ. 1 CUTIE CU DIZPOZ. DE ADMINISTRARE CONTINE:1DISPOZ. DE TRANSFER CU FILTRU 20/20+1SERINGA CU CAPAC. 10 ML+1SET PT PUNCTIE VENOASA+2 TAMPOANE ALCOOL+1PANSAMENT NESTERIL P-RF 1 982,470000 1.109,040000 0,000000 55 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 2.459,210000 2.718,690000 0,000000 56 W53034001 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE PR 1 2.431,230000 2.688,190000 0,000000 57 W02408001 V03AC01 DEFEROXAMINUM ** 3) DESFERAL 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 11,240000 13,722000 0,000000 58 W64440001 V03AC03 DEFERASIROXUM **1 EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 25,252142 28,887500 0,000000 59 W51484001 V03AC03 DEFERASIROXUM **1 EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 25,252142 28,887500 0,000000 60 W51485001 V03AC03 DEFERASIROXUM **1 EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 46,320714 51,852142 0,000000 61 W64441001 V03AC03 DEFERASIROXUM **1 EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 46,320714 51,852142 0,000000 62 W64442001 V03AC03 DEFERASIROXUM **1 EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 91,288928 100,867500 0,000000 63 W51486001 V03AC03 DEFERASIROXUM **1 EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 91,288928 100,867500 0,000000 64 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 46,439666 51,891000 0,000000 65 W63463001 V03AC03 DEFERASIROXUM **1 EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 46,439666 51,891000 0,000000 66 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 91,878666 101,419666 0,000000 67 W63464001 V03AC03 DEFERASIROXUM **1 EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 91,878666 101,419666 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
31
P6.2: EPIDERMOLIZA BULOASA
1 W53799002 D05BB02 ACITRETINUM NEOTIGASON 10 mg CAPS. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS. P-RF 30 1,253666 1,639666 0,000000 2 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 6,220000 8,410000 0,000000 3 W59985001 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g CREMA 20mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 8,350000 11,290000 0,000000 4 W59986001 D06AX01 ACIDUM FUSIDICUM FUCIDIN 20 mg/g UNGUENT 20mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 8,430000 11,400000 0,000000 5 W54309001 D06BA01 SULFADIAZINUM FLAMMAZINE CREMA 1% CN UNIFARM ROMANIA CUTIE X 500 G CREMA PRF 1 83,630000 105,740000 0,000000 6 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 16,400000 22,160000 0,000000
Nr.
Grupa
Forma
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cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
7 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 7,800000 10,540000 0,000000 8 W57219001 D07CC01 COMBINATII TRIDERM® CREMA 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 7,170000 9,690000 0,000000 9 W57648001 D07CC01 COMBINATII 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 5,100000 6,900000 0,340000 10 W57224001 D07CC01 COMBINATII TRIDERM UNGUENT 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 8,604000 11,628000 5,032000 11 W57649001 D07CC01 COMBINATII 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 4,250000 5,750000 0,000000 12 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 21,920000 29,630000 0,000000 13 W59984001 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 16,870000 22,800000 0,000000 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/S 500 0,112120 0,141760 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 0,121000 0,163500 0,000000 16 W56910001 J01AA07 TETRACYCLINUM TETRACICLINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0,134544 0,170112 0,183388 17 W12143001 N03AB02 PHENYTOINUM FENITOINA RICHTER 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0,111500 0,151000 0,000000 18 W64010002 N03AB02 PHENYTOINUM FENITOINA SODICA ACCORD 50 mg/ml SOL INJ./PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FIOLE IN TAVITA DIN POLISTIREN, DIN STICLA TRANSPARENTA CU CAPACITATEA DE 5 ML X 5 ML SOL. INJ./PERF. PRF 5 10,292000 13,014000 0,000000 19 W64010005 N03AB02 PHENYTOINUM FENITOINA SODICA ACCORD 50 mg/ml SOL INJ./PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FIOLE IN BLISTER DIN PVC/HARTIE, DIN STICLA TRANSPARENTA CU CAPACITATEA DE 5 ML X 5 ML SOL. INJ./PERF. PRF 5 10,292000 13,014000 0,000000 20 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 11,502000 14,544000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.3: HIPERTENSIUNE PULMONARA
1 W43049001 C02KX01 BOSENTANUM ** TRACLEER 125 mg COMPR. FILM. 125mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. P-RF/R 56 32,556000 36,303642 53,258500 2 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 27,130000 30,253035 0,000000 3 W60937001 C02KX04 MACITENTANUM ** OPSUMIT COMPR. FILM. 10mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X BLISTERE ALBE DIN FOLIE OPACA PVC-PE-PVDC/AL X 30 COMPRIMATE FILMATE PR 30 290,522000 317,941000 0,000000 4 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 42 105,886666 116,325000 0,000000 5 W60680001 C02KX05 RIOCIGUAT ** ADEMPAS 0,5mg COMPR. FILM. 0,5mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 105,886666 116,325000 0,000000 6 W60682001 C02KX05 RIOCIGUAT ** ADEMPAS 1,5mg COMPR. FILM. 1,5mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 105,886666 116,325000 0,000000 7 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 42 105,886666 116,325000 0,000000 8 W63714001 C02KX05 RIOCIGUAT ** ADEMPAS 1mg COMPR. FILM. 1mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 105,886666 116,325000 0,000000 9 W60681001 C02KX05 RIOCIGUAT ** ADEMPAS 1mg COMPR. FILM. 1mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 105,886666 116,325000 0,000000 10 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 42 105,886666 116,325000 0,000000 11 W60684001 C02KX05 RIOCIGUAT ** ADEMPAS 2,5mg COMPR. FILM. 2,5mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 105,886666 116,325000 0,000000 12 W63716001 C02KX05 RIOCIGUAT ** ADEMPAS 2mg COMPR. FILM. 2mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 105,886666 116,325000 0,000000 13 W60683001 C02KX05 RIOCIGUAT ** ADEMPAS 2mg COMPR. FILM. 2mg BAYER PHARMA AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 105,886666 116,325000 0,000000 14 W63139001 G04BE03 SILDENAFILUM ** MYSILDECARD 20 mg COMPR. FILM. 20mg MYLAN S.A.S FRANTA CUTIE CU BLIST. PVC-AL X 90 COMPR. FILM. PR 90 10,491466 11,944399 3,526489 15 W63429002 G04BE03 SILDENAFILUM ** BALCOGA 20 mg COMPR. FILM. 20mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 90 COMPR. FILM. PRF 90 10,171000 11,510333 0,000000 16 W63675002 G04BE03 SILDENAFILUM ** SILDENAFIL TEVA 20 mg COMPR. FILM. 20mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 90 COMPR. FILM. PR 90 9,241111 10,496666 0,000000 17 W42831001 G04BE03 SILDENAFILUM ** REVATIO 20 mg COMPR. FILM. 20mg PFIZER LIMITED MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM. PR 90 10,265666 11,613444 0,000000 18 W63626001 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 8,742888 9,953666 0,000000 19 W63626002 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 90X1 COMPR. FILM. PR 90 8,742888 9,953666 0,000000 20 W60083001 G04BE03 SILDENAFILUM ** REVATIO 10mg/ml SUSP. ORALA 10mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE CU UN FLACON DIN STICLA BRUNA CE CONTINE 32,27 G DE PULBERE PENTRU SUSP. ORALA PR 1 1.004,570000 1.133,130000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.4: MUCOVISCIDOZA
1 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 1,578000 2,132570 0,653430 2 W62391001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,578000 2,132570 0,653430 3 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 0,786000 1,062857 0,987857 4 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0,786000 1,062857 0,237857 5 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 0,786000 1,062857 0,082857 6 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0,786000 1,062857 0,156428
32
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
7 W60253004 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF 14 0,655000 0,885714 0,000000 8 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 1,315000 1,777142 0,000000 9 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1,489285 2,012857 0,000000 10 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 1,489000 1,947500 0,000000 11 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1,497857 2,024285 0,000000 12 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 1,578000 2,132570 0,016001 13 W41838002 J01FA09 CLARITHROMYCINUM FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 1,578000 2,132570 0,431715 14 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 20,470000 27,670000 0,000000 15 W44092001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 9,990000 13,500000 0,000000 16 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 11,988000 16,200000 4,570000 17 W44091001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1 15,804000 21,360000 12,130000 18 W58393002 J01FA09 CLARITHROMYCINUM LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF 1 13,170000 17,800000 0,000000 19 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 31,830000 41,630000 0,000000 20 W63722001 J01GB01 TOBRAMYCINUM ** TOBRAMICINA VIA PHARMA 300 mg/5 ml SOL. DE INHALAT PRIN NEBULIZ. 300mg/5ml UAB VIA PHARMA LITUANIA CUTIE CU 56 DE FIOLE DE UNICA FOLOSINTA DIN PJD A CATE 5 ML SOL. DE INHALAT PRIN NEBULIZATOR, DISPUSE IN 8 PUNGI SIGILATE CU CATE 7 FIOLE PRF 56 60,529464 66,658392 0,000000 21 W52060001 J01GB01 TOBRAMYCINUM ** TOBI (R) SOL. INHAL. 300mg/5ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N P-RF 56 58,080892 63,989464 0,000000 22 W63762001 J01GB01 TOBRAMYCINUM ** TOBRAMICINA SUN 300 mg SOL. PT. NEBULIZATOR 300mg 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 60,529464 66,658392 0,000000 23 W61214001 R05CB13 DORNAZA ALFA ** PULMOZYME 2500 U/2,5 ml SOL. DE INHALAT PRIN NEBULIZATOR 2500U/2,5ml 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 72,890000 85,808333 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE
33
P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE
1 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 10 1.466,208000 1.601,984000 0,000000 2 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 1 396,840000 470,710000 0,000000 3 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 10 360,762000 397,046000 0,000000 4 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR 10 186,420000 207,013000 0,000000 5 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 1 763,680000 870,560000 0,000000 6 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 10 736,680000 806,797000 0,000000 7 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 1 1.497,410000 1.670,330000 0,000000 8 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 10 612,682000 671,639000 0,000000 9 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 1 641,400000 737,280000 0,000000 10 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000 11 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 12 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR 1 3.674,450000 4.043,310000 0,000000 13 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000 14 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000 15 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 2.028,690000 2.249,430000 0,000000 16 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 219,860000 268,400000 0,000000 17 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 1 529,670000 615,490000 0,000000 18 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 1 205,730000 251,160000 0,000000 19 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 1.040,030000 1.171,780000 0,000000 20 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 1.900,320000 2.109,500000 0,000000 21 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 1 523,800000 609,090000 0,000000 22 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,000000 23 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 1.859,420000 2.064,920000 0,000000 24 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 0,000000 25 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 1.029,340000 1.160,130000 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii 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 W12590001 N07XX02 RILUZOLUM ** RILUTEK 50 mg COMPR. FILM. 50mg AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR. PR 56 6,094107 7,323750 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 polineuropatie familială amiloidă cu transtiretină
1 W64784001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 1.248,817000 1.362,484000 0,000000 2 W59336001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 1.248,817000 1.362,484000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.6: OSTEOGENEZA IMPERFECTA
1 W58123006 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML PR 1 146,810000 179,220000 0,000000 2 W58123007 M05BA03 ACIDUM PAMIDRONICUM PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML PR 1 281,810000 344,030000 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 1 334,270000 402,500000 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 1 334,270000 402,500000 0,000000 3 W07530001 H01AC01 SOMATROPINUM ** ZOMACTON PULB. + SOLV. PT. SOL. INJ. 4mg (12ui) FERRING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. PR/PRF 1 394,140000 467,760000 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 1 632,710000 727,810000 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 1 325,180000 392,600000 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 1 334,090000 402,310000 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 1 650,180000 746,850000 0,000000 8 W54046001 H01AC01 SOMATROPINUM ** NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF 1 759,252000 873,372000 286,498000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.8: BOALA FABRY
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 11.852,200000 12.957,070000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.9: BOALA POMPE
34
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
1 W51536001 A16AB07 ALGLUCOSIDASUM ALPHA ** 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 1.911,990000 2.122,220000 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 INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 199,600833 218,201000 0,000000 2 W51622001 A16AX04 NITISINONUM ORFADIN 2mg CAPS. 2mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 43,474166 48,022666 0,000000 3 W51627001 A16AX04 NITISINONUM ORFADIN 5mg CAPS. 5mg SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS. P-RF/R 60 103,423833 113,368000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.12: MUCOPOLIZAHARIDOZĂ TIP II (SINDROM HUNTER)
1 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. S 4 11.059,400000 12.064,300000 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 100UI/ml CONC. PT. SOL. PERF. 100UI/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML S 1 2.186,500000 2.421,440000 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 1.713,130000 1.905,460000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
35
P6.15: Sindrom de imunodeficienţă primară
1 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 10 1.466,208000 1.601,984000 0,000000 2 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 1 396,840000 470,710000 0,000000 3 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 10 360,762000 397,046000 0,000000 4 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR 10 186,420000 207,013000 0,000000 5 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 1 763,680000 870,560000 0,000000 6 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 10 736,680000 806,797000 0,000000 7 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 1 1.497,410000 1.670,330000 0,000000 8 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 10 612,682000 671,639000 0,000000 9 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 1 641,400000 737,280000 0,000000 10 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000 11 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 12 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR 1 3.674,450000 4.043,310000 0,000000 13 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000 14 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
15 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 2.028,690000 2.249,430000 0,000000 16 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 219,860000 268,400000 0,000000 17 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 1 529,670000 615,490000 0,000000 18 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 1 205,730000 251,160000 0,000000 19 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 1.040,030000 1.171,780000 0,000000 20 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 1.900,320000 2.109,500000 0,000000 21 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 1 523,800000 609,090000 0,000000 22 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,000000 23 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 1.859,420000 2.064,920000 0,000000 24 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 0,000000 25 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 1.029,340000 1.160,130000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.16: Scleroza sistemică şi ulcere digitale evolutive
1 W43049001 C02KX01 BOSENTANUM ** TRACLEER 125 mg COMPR. FILM. 125mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. P-RF/R 56 32,556000 36,303642 53,258500 2 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 27,130000 30,253035 0,000000
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 2.414,010000 2.669,420000 0,000000 2 W61698002 B02BX05 ELTROMBOPAG **1 O REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. P-RF/R 28 129,108214 142,090714 0,000000 3 W64445002 B02BX05 ELTROMBOPAG **1 O REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 129,108214 142,090714 0,000000 4 W64446002 B02BX05 ELTROMBOPAG **1 O REVOLADE 50 mg COMPR. FILM. 50 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 257,206428 281,717857 0,000000 5 W61699002 B02BX05 ELTROMBOPAG **1 O REVOLADE 50 mg COMPR. FILM. 50 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. P-RF/R 28 257,206428 281,717857 0,000000
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 COMPR. SOLUBILE 100 mg BIOMARIN INTERNATIONAL LIMITED IRLANDA CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE PR 120 94,444083 103,262083 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.19: Scleroză tuberoasă
1 W64600002 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 2,5 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 191,971000 210,520333 0,000000 2 W57284002 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 2,5 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PR 30 191,971000 210,520333 0,000000 3 W64601001 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 375,798000 410,892000 0,000000 4 W57285001 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PR 30 375,798000 410,892000 0,000000 5 W64603001 L01XE10 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 30 154,139333 169,283666 0,000000 6 W63465001 L01XE10 EVEROLIMUS **1 VOTUBIA 2 mg COMPR. PT. DISP. ORALA 2mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 154,139333 169,283666 0,000000 7 W64604001 L01XE10 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 30 227,408666 249,147333 0,000000 8 W63466001 L01XE10 EVEROLIMUS **1 VOTUBIA 3 mg COMPR. PT. DISP. ORALA 3mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 227,408666 249,147333 0,000000 9 W64605001 L01XE10 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 30 375,797333 410,891333 0,000000
36
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
10 W63467001 L01XE10 EVEROLIMUS **1 VOTUBIA 5 mg COMPR. PT. DISP. ORALA 5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 375,797333 410,891333 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 78,999333 86,745166 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 60 157,498500 172,309500 0,000000 3 W61951001 L04AX05 PIRFENIDONUM **1 ESBRIET 267mg CAPS. 267mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU BLIST. X 63 CAPSULE PR 63 35,952698 39,794126 0,000000 4 W64377001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg CAPS. 267mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. X 63 CAPSULE PR 63 35,952698 39,794126 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 3.409,177666 3.717,280333 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 30 427,023000 466,727333 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 30 853,044333 931,091333 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.22: Angioedem ereditar
1 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 6.885,520000 7.543,380000 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 95,709888 104,535833 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.24: Amiotrofia spinală musculară
1 W64093001 M09AX07 NUSINERSENUM **1 SPINRAZA 12 mg SOL INJ. 2,4mg/ml BIOGEN IDEC LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 5 ML CONTINE 12 MG NUSINERSEN PR 1 325.900,580000 355.270,240000 0,000000
P7: PROGRAM NATIONAL DE BOLI ENDOCRINE
37
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 0,459000 0,620400 0,000000 2 W58167002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0,550800 0,744480 0,061853 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 0,846666 1,107333 0,000000 4 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0,913000 1,194000 0,000000 5 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. S 10 11,558000 14,110000 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
10 22,044000 26,911000 0,000000 100 0,565500 0,715000 0,000000 1 10,770000 14,560000 0,000000 1 36,610000 47,890000 0,000000 28 1,264285 1,653571 0,000000 28 1,264285 1,653571 0,000000 28 1,953928 2,470357 0,000000 2 1.362,240000 1.503,920000 0,000000
6 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. S 7 W51334002 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI. P6L 8 W55402001 G03CA03 ESTRADIOLUM OESTROGEL 0,6 mg/g GEL 0,6mg/g LABORATOIRES BESINS INTERNATIONAL FRANTA CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN P-6L 10 W63437001 G03CX01 TIBOLONUM LIVIAL 2,5 mg COMPR. 2,5mg 11 W12902001 G03CX01 TIBOLONUM LIVIAL (R) 2,5 mg COMPR. 2,5mg 9 W62058001 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 8,1 ML SOL., PREVAZUT CU O POMPA DOZATOARE P6L
12 W53455002 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg 13 W42160002 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg 14 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg
MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 28 COMPR. PRF ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF
GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S
PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0,423400 0,572200 0,000000 15 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 0,961500 1,299500 0,000000 16 W04237001 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV P-RF 1 15,960000 21,570000 0,000000 17 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 6,870000 9,280000 0,000000 18 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 24,170000 32,670000 0,000000 19 W57399003 H03AA01 LEVOTHYROXINUM EUTHYROX 100μg COMPR. 100μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,094600 0,127900 0,000000 20 W57396003 H03AA01 LEVOTHYROXINUM EUTHYROX 25μg COMPR. 25μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,066900 0,090400 0,000000 21 W57398002 H03AA01 LEVOTHYROXINUM EUTHYROX 50μg COMPR. 50μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,066900 0,090400 0,000000 22 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 15,785000 20,650000 0,000000 23 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 14,460000 18,915000 0,000000 24 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 14,460000 18,915000 0,000000 25 W54546003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0,334200 0,451800 0,000000 26 W54545003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0,412400 0,557400 0,000000 27 W54547004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 0,249600 0,337300 0,000000 28 W03843004 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 0,099200 0,134100 0,000000 29 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 2,107500 2,847500 0,000000 30 W58352002 M05BA04 ACIDUM ALENDRONICUM ** ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR. P6L 4 1,937500 2,620000 0,000000 31 W60296004 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2,325000 3,144000 6,176000 32 W60296002 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2,325000 3,144000 5,878500 33 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 2,325000 3,144000 2,011000 34 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 2,325000 3,144000 6,176000 35 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 2,325000 3,144000 5,425166 36 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 2,325000 3,144000 5,878500 37 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 2,892500 3,910000 0,000000 38 W54377002 M05BA07 ACIDUM RISEDRONICUM ** LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4 3,471000 4,692000 2,915500 39 W59460003 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 35 mg COMPR. FILM. 35mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L 4 2,892500 3,910000 0,000000 40 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 3,471000 4,692000 6,633000 41 W55565003 M05BA07 ACIDUM RISEDRONICUM ** OSODENS 35 mg COMPR. FILM. 35mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 3,471000 4,692000 2,913000 42 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 17,975000 23,510000 0,000000 43 W62565001 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 17,070000 22,330000 0,000000 44 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 1 815,860000 927,440000 0,000000 45 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 1 815,860000 927,440000 0,000000 46 W42702002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P-6L 4 6,060000 8,190000 0,832500 47 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 6,060000 8,190000 0,832500 48 W63914002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/2800 UI COMPR. 70mg/2800UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,050000 6,825000 0,000000 49 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 6,060000 8,190000 4,670000 50 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 4,622500 6,247500 0,000000 51 W63074002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL SANDOZ 70 mg/5600 UI COMPR. 70mg/5600UI SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. P6L 4 5,547000 7,497000 0,058000 52 W62143001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. P6L 4 5,547000 7,497000 0,118000 53 W62143002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4X1 COMPR. P6L 4 5,547000 7,497000 0,118000 54 W64729001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 5,547000 7,497000 1,823000 55 W63915002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/5600 UI COMPR. 70mg/5600UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,050000 6,825000 0,000000 56 W63923002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/5600 UI COMPR. 70mg/5600UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,447500 7,362500 0,000000
38
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
57 W52559001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P-6L 2 5,547000 7,497000 1,823000 58 W62746005 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 2.59 GBQ S 1 58,212000 76,140000 880,780000 59 W62746008 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 370 MBQ S 1 270,770000 330,560000 0,000000 60 W62746006 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 259 MBQ S 1 355,170000 425,290000 0,000000 61 W62746002 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 1.85 GBQ S 1 25,824000 34,908000 616,932000 62 W62746007 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 3.7 GBQ S 1 1.064,030000 1.197,940000 0,000000 63 W62746010 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 74 MBQ S 1 335,670000 404,030000 0,000000 64 W62746004 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 185 MBQ S 1 247,690000 302,380000 0,000000 65 W62746001 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 1.11 GBQ S 1 543,750000 630,840000 0,000000 66 W62746003 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 111 MBQ S 1 335,670000 404,030000 0,000000 67 W62746009 V10XA01 NATRII IODIDUM (131I) THERACAP 131 CAPS. 37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 37 MBQ S 1 229,350000 279,990000 0,000000 68 W62679007 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 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 48,510000 63,450000 0,000000 69 W62679006 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 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 21,520000 29,090000 0,000000 70 W58679006 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 25 MCI PR 1 248,460000 303,320000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
39
P9.1: TRANSPLANT MEDULAR
1 W56153001 A04AA01 ONDANSETRONUM ** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 1,539000 2,080000 0,000000 2 W56154001 A04AA01 ONDANSETRONUM ** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 2,692000 3,521000 0,000000 3 W63617005 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 4 ML SOL. INJ./PERF. PR 5 7,236000 9,466000 0,000000 4 W63617002 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 2 ML SOL. INJ./PERF. PR 5 3,808000 5,146000 0,000000 5 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 7,310000 9,562000 0,000000 6 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 3,846000 5,198000 0,000000 7 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,937200 1,225800 0,000000 8 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,920800 1,164200 0,000000 9 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 2,219100 2,709100 0,000000 10 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 81,200000 102,670000 0,000000 11 W64629001 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 2,728000 3,686000 0,000000 12 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 2.459,210000 2.718,690000 0,000000 13 W53034001 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE PR 1 2.431,230000 2.688,190000 0,000000 14 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 21,688800 26,478000 5,082000 15 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 13,458000 16,429000 0,000000 16 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 12,977000 15,842000 0,000000 17 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 13,450000 18,180000 0,000000 18 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 18,074000 22,065000 0,000000 19 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 18,730000 25,320000 0,000000 20 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 18,736000 22,873000 0,000000 21 W60705002 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 1000 mg PULB. PT. SOL. INJ. SAU PERF. 1000 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR 10 27,806400 33,945600 30,726400 22 W60703002 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 500 mg PULB. PT. SOL. INJ. SAU PERF. 500 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR 10 16,683600 20,367600 18,189400 23 W56827001 J01DH02 MEROPENEMUM LODITER 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 1 27,806400 33,945600 66,694400 24 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 SAU 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 27,806400 33,945600 50,614400 25 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 25,092000 30,632000 0,000000 26 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 27,806400 33,945600 5,829400 27 W62533002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 23,172000 28,288000 0,000000 28 W64244003 J01DH02 MEROPENEMUM MEROPENEM ACCORD 1 g PULB. PT. SOL. INJ./PERF. 1g ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 27,806400 33,945600 31,429400 29 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 16,683600 20,367600 8,238400 30 W62532002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 500 mg PULB. PT. SOL. INJ./PERF. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 13,903000 16,973000 0,000000 31 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 16,683600 20,367600 26,172400 32 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 16,683600 20,367600 33,612400
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
33 W64243003 J01DH02 MEROPENEMUM MEROPENEM ACCORD 500 mg PULB. PT. SOL. INJ./PERF. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 16,683600 20,367600 15,538400 34 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 15,619000 19,068000 0,000000 35 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 19,372000 23,649000 0,000000 36 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 23,246400 28,378800 7,453200 37 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 23,246400 28,378800 10,279200 38 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 23,246400 28,378800 7,455200 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 19,928000 25,198000 0,000000 40 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 19,572000 23,893000 0,000000 41 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 23,246400 28,378800 10,643200 42 W57042001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.SOL. PERF. 1000mg 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 21,430000 28,970000 0,000000 43 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 18,310000 24,750000 0,000000 44 W13105001 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg AVENTIS PHARMA LTD. MAREA BRITANIE 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) P-RF 1 110,100000 134,410000 0,000000 45 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 1 110,100000 134,410000 0,000000 46 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 86,731200 99,115200 6,775800 47 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 72,276000 82,596000 0,000000 48 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 1 689,840000 790,080000 0,000000 49 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 117,147600 132,268800 17,451200 50 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 114,492000 128,611000 0,000000 51 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 117,147600 132,268800 12,181200 52 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 10 113,362000 127,380000 0,000000 53 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 97,623000 110,224000 0,000000 54 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 110,566000 124,332000 0,000000 55 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 10 114,432000 128,546000 0,000000 56 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR 1 112,480000 132,268800 5,051200 57 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 1 117,147600 132,268800 15,921200 58 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,478571 3,350000 0,000000 59 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,974285 4,020000 2,720000 60 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 2,974285 4,020000 0,741428 61 W58226001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,660000 6,300000 0,000000 62 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 63 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 5,570000 7,530000 0,000000 64 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 5,590000 7,550000 0,000000 65 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 5,590000 7,550000 0,000000 66 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 67 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 5,570000 7,530000 0,000000 68 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 5,570000 7,530000 0,000000 69 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 5,570000 7,530000 0,000000 70 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 71 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 4,930000 6,660000 0,000000 72 W60221001 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 73 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 5,592000 7,560000 4,060000 74 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 4,698571 6,145714 0,000000 75 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 1,532570 2,070857 2,433428 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 1,532570 2,070857 0,449143 77 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,277142 1,725714 0,000000 78 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,854857 79 W44098001 J02AC01 FLUCONAZOLUM 80 W53942002 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. FLUCONAZOL ARENA 50 MG CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285 81 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 1,532570 2,070857 0,000571
7 1,532570 2,070857 0,856285 1 22,810000 30,830000 0,000000
82 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 83 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
40
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
41
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
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. S 10 37,499000 44,689000 0,000000 85 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. S 20 9,211000 11,244500 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. S 20 18,749500 22,344500 0,000000 87 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10 18,885000 23,055000 0,000000 88 W58456001 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 50 ML SOL. PERF. PR 20 11,053200 13,493400 9,107100 89 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 22,499400 26,813400 12,463600 90 W55502017 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 38,180000 49,940000 0,000000 91 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 44,998800 53,626800 40,412200 92 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. S 1 22,499400 26,813400 31,246600 93 W55502001 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 9,540000 12,900000 0,000000 94 W55502009 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 19,080000 25,790000 0,000000 95 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 52,854714 96 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 11,761714 14,358857 60,507143 97 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 11,761714 14,358857 71,690428 98 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 69,160071 99 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 11,761714 14,358857 67,894893 100 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 11,761714 14,358857 43,581143 101 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 9,801428 11,965714 0,000000 102 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 9,801666 11,966000 0,000000 103 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 9,801428 11,965714 0,000000 104 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,530000 27,282857 0,000000 105 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,554285 24,856785 0,000000 106 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,018571 23,591607 0,000000 107 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1 270,192000 329,844000 83,166000 108 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 109 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 270,192000 329,844000 21,646000 110 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 111 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 1 270,192000 329,844000 41,206000 112 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 1 270,192000 329,844000 41,206000 113 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 270,192000 329,844000 41,206000 114 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 1.383,700000 1.546,390000 0,000000 115 W60913001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE PR 24 131,322916 144,731666 0,000000 116 W61578001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU UN FL X 16,7ML CONC. PT SOL PERF (18MG POSACONAZOL/ML) PR 1 1.333,540000 1.491,710000 0,000000 117 W58194001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2.529,930000 2.795,780000 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 1 854,310000 969,350000 0,000000 119 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 854,310000 969,350000 0,000000 120 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 1 854,310000 969,350000 0,000000 121 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 854,310000 969,350000 0,000000 122 W06665001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 854,310000 969,350000 0,000000 123 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 854,310000 969,350000 0,000000 124 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 810,730000 921,850000 0,000000 125 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 1.105,850000 1.243,530000 0,000000 126 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 1.105,850000 1.243,530000 0,000000 127 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 1.105,860000 1.243,540000 0,000000 128 W06670001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1.105,860000 1.243,540000 0,000000 129 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.105,850000 1.243,530000 0,000000 130 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.051,440000 1.184,220000 0,000000 131 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.105,850000 1.243,530000 0,000000 132 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 1 854,310000 969,350000 0,000000 133 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 1.105,810000 1.243,480000 0,000000 134 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 0,670200 0,873850 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
135 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,670200 0,906000 0,198000 136 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 0,670200 0,906000 0,263500 137 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 0,670200 0,906000 0,222000 138 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 1,574000 2,128000 0,000000 139 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,670200 0,906000 0,035500 140 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,670200 0,906000 0,035500 141 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 0,558500 0,755000 0,000000 142 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,670200 0,906000 0,031000 143 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 1,888800 2,553600 0,350400 144 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 40,340000 49,248000 0,000000 145 W58707001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 2,926800 3,956400 0,929600 146 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 2,439000 3,297000 0,000000 147 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 0,775566 148 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 25,394566 149 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 17,207000 19,391500 0,000000 150 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 15,644566 151 W60756001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF 60 14,422500 16,356333 0,000000 152 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 10 1.466,208000 1.601,984000 0,000000 153 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 1 396,840000 470,710000 0,000000 154 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 10 360,762000 397,046000 0,000000 155 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR 10 186,420000 207,013000 0,000000 156 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 1 763,680000 870,560000 0,000000 157 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 10 736,680000 806,797000 0,000000 158 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 1 1.497,410000 1.670,330000 0,000000 159 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 10 612,682000 671,639000 0,000000 160 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 1 641,400000 737,280000 0,000000 161 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000 162 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 163 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR 1 3.674,450000 4.043,310000 0,000000 164 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000 165 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000 166 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 2.028,690000 2.249,430000 0,000000 167 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 219,860000 268,400000 0,000000 168 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 1 529,670000 615,490000 0,000000 169 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 1 205,730000 251,160000 0,000000 170 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 1.040,030000 1.171,780000 0,000000 171 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 1.900,320000 2.109,500000 0,000000 172 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 1 523,800000 609,090000 0,000000 173 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,000000 174 W63860002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 50 ML PR 1 803,040000 913,460000 0,000000 175 W63860001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 100 ML PR 1 1.565,740000 1.744,810000 0,000000 176 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 1.859,420000 2.064,920000 0,000000 177 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 0,000000 178 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 1.029,340000 1.160,130000 0,000000 179 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0,422800 0,571400 0,000000 180 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 12,380000 16,730000 0,000000 181 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 12,380000 16,730000 0,000000 182 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 10,654800 13,007600 0,000000 183 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S 1 100,840000 123,110000 0,000000 184 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 10,538800 11,868800 0,000000 185 W62395001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC. X10ML) PR 8 690,921250 757,873750 0,000000
42
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
43
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
186 W64538001 L01AB01 BUSULFANUM BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC.) X 10 ML PR 8 690,921250 757,873750 0,000000 187 W62979001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 710,200000 812,270000 0,000000 188 W62602001 L01BA01 METHOTREXATUM METHOTREXATE 2,5 mg COMPR. FILM. 2,5mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLIST. X 10 COMPR. FILM. PR 100 0,285000 0,372800 0,000000 189 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1 324,600000 391,960000 0,000000 190 W62233002 L01BA01 METHOTREXATUM NAMAXIR 10 mg SOL INJ. IN SERINGA PREUMPLUTA 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,40 ML SOL. INJ. PR 4 29,200000 35,647500 0,000000 191 W63589010 L01BA01 METHOTREXATUM METORTHRIT 10 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 10mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. DIN PVC/AL CU O SERINGA PREUMPLUTA DIN STICLA INCOLORA, CU CAPACITATEA DE 2,25 ML, CARE CONTINE 2 ML SOL. INJ. SI UN AC STERIL PENTRU INJECTIE, PENTRU ADMINISTRARE SUBCUTANATA PR 1 55,281000 67,488000 65,012000 192 W63589001 L01BA01 METHOTREXATUM METORTHRIT 10 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 10mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. DIN PVC/AL CU O SERINGA PREUMPLUTA DIN STICLA INCOLORA, CU CAPACITATEA DE 1 ML, CARE CONTINE 0,75 ML SOL. INJ. SI UN AC STERIL PENTRU INJECTIE, PENTRU ADMINISTRARE SUBCUTANATA PR 1 26,670000 33,720000 30,800000 193 W63589004 L01BA01 METHOTREXATUM METORTHRIT 10 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 10mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. DIN PVC/AL CU O SERINGA PREUMPLUTA DIN STICLA INCOLORA, CU CAPACITATEA DE 1 ML, CARE CONTINE 1 ML SOL. INJ. SI UN AC STERIL PENTRU INJECTIE, PENTRU ADMINISTRARE SUBCUTANATA PR 1 35,040000 42,777000 5,933000 194 W63589007 L01BA01 METHOTREXATUM METORTHRIT 10 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 10mg/ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. DIN PVC/AL CU O SERINGA PREUMPLUTA DIN STICLA INCOLORA, CU CAPACITATEA DE 2,25 ML, CARE CONTINE 1,5 ML SOL. INJ. SI UN AC STERIL PENTRU INJECTIE, PENTRU ADMINISTRARE SUBCUTANATA PR 1 41,463000 50,619000 32,461000 195 W62235002 L01BA01 METHOTREXATUM NAMAXIR 15 mg SOL INJ. IN SERINGA PREUMPLUTA 15mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,38 ML SOL. INJ. PR 4 34,552500 42,182500 0,000000 196 W62237002 L01BA01 METHOTREXATUM NAMAXIR 20 mg SOL INJ. IN SERINGA PREUMPLUTA 20mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,50 ML SOL. INJ. PR 4 46,067500 56,240000 0,000000 197 W62239002 L01BA01 METHOTREXATUM NAMAXIR 25 mg SOL INJ. IN SERINGA PREUMPLUTA 25mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,63 ML SOL. INJ. PR 4 57,592500 70,310000 0,000000 198 W62232002 L01BA01 METHOTREXATUM NAMAXIR 7,5 mg SOL INJ. IN SERINGA PREUMPLUTA 7,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,30 ML SOL. INJ. PR 4 22,225000 28,100000 0,000000 199 W58316001 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ PR 1 26,670000 33,720000 31,440000 200 W58316004 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 35,040000 42,777000 6,443000 201 W58316010 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 55,281000 67,488000 66,372000 202 W58316007 L01BA01 METHOTREXATUM METOTREXAT EBEWE 10 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE PR 1 41,463000 50,619000 33,311000 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 56,044000 62,995500 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 71,490000 90,390000 0,000000 205 W53700001 L01BB05 FLUDARABINUM FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA S 1 71,480000 90,380000 0,000000 206 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 22,957000 28,026000 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 11,536000 14,083000 0,000000 208 W52210001 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S 1 18,910000 25,560000 0,000000 209 W60599002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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 53,380000 67,500000 0,000000 210 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 22,692000 30,672000 2,918000 211 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE - TEVA CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S 1 56,710000 71,700000 0,000000 212 W03575001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 198,220000 241,990000 0,000000 213 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 88,848000 112,344000 25,606000 214 W63523001 L01DB06 IDARUBICINUM IDARUBICINA ACCORD 5 mg/5 ml SOL. INJ. 5mg/5ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. INCOLOR CARE CONTINE 5 ML SOL. INJ. PR 1 74,040000 93,620000 0,000000 215 W42735002 L01DB07 MITOXANTRONUM ** ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S 1 337,250000 405,750000 0,000000 216 W52187001 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S 1 8,832000 11,940000 2,190000 217 W52187002 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S 1 25,210000 32,970000 0,000000 218 W56390004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 45,310000 59,270000 0,000000 219 W56390002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLACON X 30ML (PENTRU 25ML) DIN STICLA BRUNA CU CONCENTRAT PENTRU SOLUTIE PERFUZABILA S 1 20,320000 27,460000 0,000000 220 W56390001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 7,360000 9,950000 0,000000 221 W56390003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S 1 22,650000 30,620000 0,000000 222 W53000003 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. S 1 141,600000 172,860000 0,000000 223 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 47,750000 62,460000 0,000000 224 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 1 141,600000 172,860000 0,000000 225 W58740001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 19,650000 26,560000 0,000000 226 W58740004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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 1 191,010000 233,190000 0,000000 227 W58740003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 144,170000 176,000000 0,000000 228 W58740002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE 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 50,310000 63,610000 0,000000 229 W53000002 L01XA02 CARBOPLATINUM CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. S 1 47,750000 62,460000 0,000000 230 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 2 758,615000 845,965000 0,000000 231 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 3 753,616666 834,160000 0,000000 232 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 2 702,450000 784,745000 0,000000 233 W07200001 L01XC02 RITUXIMABUM ** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 4.161,468000 4.581,792000 681,968000 234 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 2 842,940000 941,694000 127,131000 235 W64386001 L01XC02 RITUXIMABUM ** MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR 1 4.161,468000 4.581,792000 681,968000 236 W07199001 L01XC02 RITUXIMABUM ** MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S 2 842,940000 941,694000 127,131000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
237 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 3.771,750000 4.149,360000 0,000000 238 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 3.756,745000 4.113,935000 0,000000 239 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 3.467,890000 3.818,160000 0,000000 240 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 6.764,110000 7.411,040000 0,000000 241 W62893001 L01XC02 RITUXIMABUM ** MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML PR 1 6.764,110000 7.411,040000 0,000000 242 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 69,700000 88,130000 0,000000 243 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 1 107,407200 126,230400 27,419600 244 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 66,110000 83,590000 0,000000 245 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 105,780000 126,230400 2,909600 246 W62176005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,220000 87,520000 0,000000 247 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 65,892000 79,452000 0,000000 248 W55757002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 65,892000 79,452000 0,000000 249 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 89,506000 105,192000 0,000000 250 W55758002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 89,506000 105,192000 0,000000 251 W62177005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,407200 126,230400 8,839600 252 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 21.970,790000 23.986,340000 0,000000 253 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** 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 1.300,620000 1.455,830000 0,000000 254 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2,479916 3,027500 0,000000 255 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,758916 5,505166 0,000000 256 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,470200 1,794800 0,000000 257 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,470200 1,794800 0,000000 258 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 1,746600 2,208400 0,000000 259 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 2,940400 3,589600 0,000000 260 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,940400 3,589600 0,000000 261 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,278666 17,925333 0,000000 262 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 4 383,505000 427,557500 0,000000 263 W61297001 L04AB01 ETANERCEPTUM ** ENBREL 25mg PULB. + SOLV. PT. SOL. INJ. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 FLACOANE + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PENTRU FLACOANE + 8 TAMPOANE CU ALCOOL P-RF/R 4 383,505000 427,557500 0,000000 264 W62832001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL INJ. IN SERINGA PREUMPLUTA 50mg SAMSUNG BIOEPIS UK LIMITED MAREA BRITANIE CUTIE CU 4 SERINGI PREUMPLUTE A CATE 50 MG PR 4 669,842500 739,667500 0,000000 265 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 4 395,275000 440,387500 0,000000 266 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 4 748,100000 824,967500 0,000000 267 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 4 748,100000 824,967500 0,000000 268 W61299001 L04AB01 ETANERCEPTUM ** ENBREL 25mg SOL. INJ. (INSERINGA PREUMPLUTA) 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 395,275000 440,387500 0,000000 269 W61300002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. (INSERINGA PREUMPLUTA) 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 748,100000 824,967500 0,000000 270 W62833001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 50mg SAMSUNG BIOEPIS UK LIMITED MAREA BRITANIE CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE A CATE 50 MG PR 4 669,842500 739,667500 0,000000 271 W61303002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ. IN STILOU INJECTOR PREUMPLUT 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL P-RF/R 4 748,100000 824,967500 0,000000 272 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 1,413000 1,786600 0,000000 273 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 2,703600 3,300600 0,000000 274 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 1,864800 2,357800 0,000000 275 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 1,301200 1,645200 0,000000 276 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 3,879800 4,736400 0,000000 277 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 2,556600 3,121200 0,000000 278 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 18,476000 20,901800 0,000000 279 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) P-RF/R 50 1,864800 2,357800 0,000000 280 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3,879800 4,736400 0,000000 281 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) P-RF/R 50 19,668600 22,201800 0,000000 282 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 156,564000 174,470000 0,000000 283 W60291001 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 0,280800 0,379200 0,025800 284 W12691002 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,234000 0,316000 0,000000 285 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,280800 0,379200 0,112300 286 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,280800 0,379200 0,040800 287 W42957001 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,280800 0,379200 0,025300
44
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
288 W63391001 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 0,493999 0,667600 0,002400 289 W63391003 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0,493999 0,667600 0,002400 290 W60236002 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 100 mg COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 0,491000 0,663666 0,000000 291 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 0,493999 0,667600 0,021066 292 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 0,411666 0,556333 0,000000 293 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 0,617000 0,834000 0,000000 294 W61449013 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 0,616666 0,833666 0,000000 295 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 0,639000 0,864000 0,000000 296 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PP/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0,639000 0,864000 0,000000 297 W58893002 N02AX02 TRAMADOLUM TRADOLAN RETARD 150 mg COMPR. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,638666 0,863000 0,000000 298 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 0,617000 0,834000 0,000000 299 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 0,616666 0,833666 0,000000 300 W60237002 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 0,705000 0,952666 0,000000 301 W58894002 N02AX02 TRAMADOLUM TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,851000 1,113000 0,000000 302 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 0,796000 1,076000 0,000000 303 W43360001 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 0,739999 1,000399 0,306934 304 W43361001 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR., FILM. ELIB. PREL. P-RF 30 0,955200 1,291200 0,435133 305 W64091001 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 5 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 5 1,754400 2,371200 0,416800 306 W64091002 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 100 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 100 1,754400 2,371200 0,060400 307 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS 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 1,754400 2,371200 0,418800 308 W05961001 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1,462000 1,976000 0,000000 309 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0,796000 1,076000 0,000000 310 W05967001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 1,754400 2,371200 0,490800 311 W05969001 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ. P-RF 5 0,902000 1,218000 0,000000 312 W61214001 R05CB13 DORNAZA ALFA ** PULMOZYME 2500 U/2,5 ml SOL. DE INHALAT PRIN NEBULIZATOR 2500U/2,5ml 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 72,890000 85,808333 0,000000 313 W64440001 V03AC03 DEFERASIROXUM ** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 25,252142 28,887500 0,000000 314 W51484001 V03AC03 DEFERASIROXUM ** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 25,252142 28,887500 0,000000 315 W51485001 V03AC03 DEFERASIROXUM ** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 46,320714 51,852142 0,000000 316 W64441001 V03AC03 DEFERASIROXUM ** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 46,320714 51,852142 0,000000 317 W64442001 V03AC03 DEFERASIROXUM ** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 91,288928 100,867500 0,000000 318 W51486001 V03AC03 DEFERASIROXUM ** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 91,288928 100,867500 0,000000 319 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 46,439666 51,891000 0,000000 320 W63463001 V03AC03 DEFERASIROXUM ** EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 46,439666 51,891000 0,000000 321 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 91,878666 101,419666 0,000000 322 W63464001 V03AC03 DEFERASIROXUM ** EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR 30 91,878666 101,419666 0,000000 323 W04133001 V03AF01 MESNUM UROMITEXAN (R) 400 mg 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 3,268666 4,275333 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
45
P9.2: TRANSPLANT DE CORD
1 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 1,712000 2,314000 0,000000 2 W02947001 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML PR 100 1,652800 2,017700 0,000000 3 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 1 146,350000 178,670000 0,000000 4 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 1 142,980000 174,550000 0,000000 5 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 21,688800 26,478000 5,082000 6 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 13,458000 16,429000 0,000000 7 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 12,977000 15,842000 0,000000 8 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 13,450000 18,180000 0,000000 9 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 18,074000 22,065000 0,000000 10 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 18,730000 25,320000 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
11 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 18,736000 22,873000 0,000000 12 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 8,856000 11,976000 6,890000 13 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 13,248000 17,904000 7,014000 14 W44045001 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1 3,350000 4,530000 0,000000 15 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 X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1 11,040000 14,920000 0,000000 16 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 7,380000 9,980000 0,000000 17 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 19,372000 23,649000 0,000000 18 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 23,246400 28,378800 7,453200 19 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 23,246400 28,378800 10,279200 20 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 23,246400 28,378800 7,455200 21 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 19,928000 25,198000 0,000000 22 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 19,572000 23,893000 0,000000 23 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 23,246400 28,378800 10,643200 24 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 86,731200 99,115200 6,775800 25 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 72,276000 82,596000 0,000000 26 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 1 689,840000 790,080000 0,000000 27 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 117,147600 132,268800 17,451200 28 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 114,492000 128,611000 0,000000 29 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 117,147600 132,268800 12,181200 30 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 10 113,362000 127,380000 0,000000 31 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 97,623000 110,224000 0,000000 32 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 110,566000 124,332000 0,000000 33 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 10 114,432000 128,546000 0,000000 34 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR 1 112,480000 132,268800 5,051200 35 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 1 117,147600 132,268800 15,921200 36 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,478571 3,350000 0,000000 37 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,974285 4,020000 2,720000 38 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 2,974285 4,020000 0,741428 39 W58226001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,660000 6,300000 0,000000 40 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 41 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 5,570000 7,530000 0,000000 42 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 5,590000 7,550000 0,000000 43 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 5,590000 7,550000 0,000000 44 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 45 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 5,570000 7,530000 0,000000 46 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 5,570000 7,530000 0,000000 47 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 5,570000 7,530000 0,000000 48 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 49 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 4,930000 6,660000 0,000000 50 W60221001 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 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 5,592000 7,560000 4,060000 52 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 4,698571 6,145714 0,000000 53 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 1,532570 2,070857 2,433428 54 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 1,532570 2,070857 0,449143 55 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,277142 1,725714 0,000000 56 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,854857 57 W44098001 J02AC01 FLUCONAZOLUM 58 W53942002 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. FLUCONAZOL ARENA 50 MG CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285 59 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 1,532570 2,070857 0,000571
7 1,532570 2,070857 0,856285 1 22,810000 30,830000 0,000000
60 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 61 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
46
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
47
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
62 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. S 10 37,499000 44,689000 0,000000 63 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. S 20 9,211000 11,244500 0,000000 64 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. S 20 18,749500 22,344500 0,000000 65 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10 18,885000 23,055000 0,000000 66 W58456001 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 50 ML SOL. PERF. PR 20 11,053200 13,493400 9,107100 67 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 22,499400 26,813400 12,463600 68 W55502017 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 38,180000 49,940000 0,000000 69 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 44,998800 53,626800 40,412200 70 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. S 1 22,499400 26,813400 31,246600 71 W55502001 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 9,540000 12,900000 0,000000 72 W55502009 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 19,080000 25,790000 0,000000 73 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 52,854714 74 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 11,761714 14,358857 60,507143 75 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 11,761714 14,358857 71,690428 76 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 69,160071 77 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 11,761714 14,358857 67,894893 78 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 11,761714 14,358857 43,581143 79 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 9,801428 11,965714 0,000000 80 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 9,801666 11,966000 0,000000 81 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 9,801428 11,965714 0,000000 82 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,530000 27,282857 0,000000 83 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,554285 24,856785 0,000000 84 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,018571 23,591607 0,000000 85 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1 270,192000 329,844000 83,166000 86 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 87 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 270,192000 329,844000 21,646000 88 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 89 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 1 270,192000 329,844000 41,206000 90 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 1 270,192000 329,844000 41,206000 91 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 270,192000 329,844000 41,206000 92 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 1.383,700000 1.546,390000 0,000000 93 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 0,775566 94 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 25,394566 95 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 17,207000 19,391500 0,000000 96 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 15,644566 97 W60756001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF 60 14,422500 16,356333 0,000000 98 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** 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 1.300,620000 1.455,830000 0,000000 99 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2,479916 3,027500 0,000000 100 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,758916 5,505166 0,000000 101 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,470200 1,794800 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 1,470200 1,794800 0,000000 103 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 1,746600 2,208400 0,000000 104 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 2,940400 3,589600 0,000000 105 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,940400 3,589600 0,000000 106 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 1,413000 1,786600 0,000000 107 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 2,703600 3,300600 0,000000 108 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 1,864800 2,357800 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 1,301200 1,645200 0,000000 110 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 3,879800 4,736400 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 2,556600 3,121200 0,000000 112 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 18,476000 20,901800 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
113 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) P-RF/R 50 1,864800 2,357800 0,000000 114 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3,879800 4,736400 0,000000 115 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) P-RF/R 50 19,668600 22,201800 0,000000 116 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 156,564000 174,470000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.3: TRANSPLANT HEPATIC
1 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,937200 1,225800 0,000000 2 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,920800 1,164200 0,000000 3 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 2,219100 2,709100 0,000000 4 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 81,200000 102,670000 0,000000 5 W62441002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,300000 6,701000 0,000000 6 W63590002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,300000 6,701000 0,000000 7 W62442002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,614000 12,156000 0,000000 8 W63591002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,614000 12,156000 0,000000 9 W63592002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 12,800000 15,626000 0,000000 10 W62443002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 12,800000 15,626000 0,000000 11 W62444002 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,310000 20,621666 0,000000 12 W63593002 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,310000 20,621666 0,000000 13 W58879001 B01AC11 ILOPROSTUM ** ILOMEDIN 20 CONC. PT. SOL. PERF. 20μg/ml BAYER PHARMA AG GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S/P-RF 5 136,698000 156,630000 0,000000 14 W63884001 B01AC11 ILOPROSTUM ** ILOMEDIN 20 CONC. PT. SOL. PERF. 20μg/ml BAYER AG GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR 5 136,698000 156,630000 0,000000 15 W00257001 B01AD02 ALTEPLASUM ** ACTILYSE PULB+SOLV. PT. SOL. INJ 50mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER S 1 1.501,060000 1.674,310000 0,000000 16 W64629001 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 2,728000 3,686000 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 2.459,210000 2.718,690000 0,000000 18 W53034001 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE PR 1 2.431,230000 2.688,190000 0,000000 19 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 0,848666 1,110000 0,000000 20 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 0,942000 1,273500 0,000000 21 W60585001 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P6L 20 0,908500 1,228000 0,000000 22 W60585002 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L 30 0,817666 1,105333 0,000000 23 W53832002 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,2mg COMPR. 0,2mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF 30 2,082000 2,632666 0,000000 24 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 5,216666 6,368666 0,000000 25 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 2,639666 3,337666 0,000000 26 W53991001 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 1 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF 10 2,687000 3,515000 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 21,688800 26,478000 5,082000 28 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 13,458000 16,429000 0,000000 29 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 12,977000 15,842000 0,000000 30 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 13,450000 18,180000 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 18,074000 22,065000 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 18,730000 25,320000 0,000000 33 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 18,736000 22,873000 0,000000 34 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 86,731200 99,115200 6,775800 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 72,276000 82,596000 0,000000 36 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 1 689,840000 790,080000 0,000000 37 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 117,147600 132,268800 17,451200 38 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 114,492000 128,611000 0,000000 39 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 117,147600 132,268800 12,181200 40 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 10 113,362000 127,380000 0,000000 41 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 97,623000 110,224000 0,000000 42 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 110,566000 124,332000 0,000000
48
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
49
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
43 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 10 114,432000 128,546000 0,000000 44 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR 1 112,480000 132,268800 5,051200 45 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 1 117,147600 132,268800 15,921200 46 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 52,854714 47 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 11,761714 14,358857 60,507143 48 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 11,761714 14,358857 71,690428 49 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 69,160071 50 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 11,761714 14,358857 67,894893 51 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 11,761714 14,358857 43,581143 52 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 9,801428 11,965714 0,000000 53 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 9,801666 11,966000 0,000000 54 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 9,801428 11,965714 0,000000 55 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,530000 27,282857 0,000000 56 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,554285 24,856785 0,000000 57 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,018571 23,591607 0,000000 58 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1 270,192000 329,844000 83,166000 59 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 60 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 270,192000 329,844000 21,646000 61 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 62 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 1 270,192000 329,844000 41,206000 63 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 1 270,192000 329,844000 41,206000 64 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 270,192000 329,844000 41,206000 65 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 1.383,700000 1.546,390000 0,000000 66 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 1 854,310000 969,350000 0,000000 67 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 854,310000 969,350000 0,000000 68 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 1 854,310000 969,350000 0,000000 69 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 854,310000 969,350000 0,000000 70 W06665001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 854,310000 969,350000 0,000000 71 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 854,310000 969,350000 0,000000 72 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 810,730000 921,850000 0,000000 73 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 1.105,850000 1.243,530000 0,000000 74 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 1.105,850000 1.243,530000 0,000000 75 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 1.105,860000 1.243,540000 0,000000 76 W06670001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1.105,860000 1.243,540000 0,000000 77 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.105,850000 1.243,530000 0,000000 78 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.051,440000 1.184,220000 0,000000 79 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.105,850000 1.243,530000 0,000000 80 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 1 854,310000 969,350000 0,000000 81 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 1.105,810000 1.243,480000 0,000000 82 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 0,775566 83 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 25,394566 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 17,207000 19,391500 0,000000 85 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 15,644566 86 W60756001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF 60 14,422500 16,356333 0,000000 87 W56595001 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B ** ZUTECTRA SOL INJ. IN SERINGA PRE-UMPLUTA 500 UI BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF 5 915,086000 1.005,076000 0,000000 88 W54188003 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA 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 3.234,390000 3.563,640000 0,000000 89 W54188004 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA 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 7.804,340000 8.544,890000 0,000000 90 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 69,700000 88,130000 0,000000 91 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 1 107,407200 126,230400 27,419600 92 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 66,110000 83,590000 0,000000 93 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 105,780000 126,230400 2,909600
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
94 W62176005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,220000 87,520000 0,000000 95 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 65,892000 79,452000 0,000000 96 W55757002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 65,892000 79,452000 0,000000 97 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 89,506000 105,192000 0,000000 98 W55758002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 89,506000 105,192000 0,000000 99 W62177005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,407200 126,230400 8,839600 100 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2,479916 3,027500 0,000000 101 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,758916 5,505166 0,000000 102 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,470200 1,794800 0,000000 103 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,470200 1,794800 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 1,746600 2,208400 0,000000 105 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 2,940400 3,589600 0,000000 106 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,940400 3,589600 0,000000 107 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,278666 17,925333 0,000000 108 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 1,413000 1,786600 0,000000 109 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 2,703600 3,300600 0,000000 110 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 1,864800 2,357800 0,000000 111 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 1,301200 1,645200 0,000000 112 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 3,879800 4,736400 0,000000 113 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 2,556600 3,121200 0,000000 114 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 18,476000 20,901800 0,000000 115 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) P-RF/R 50 1,864800 2,357800 0,000000 116 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3,879800 4,736400 0,000000 117 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) P-RF/R 50 19,668600 22,201800 0,000000 118 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 156,564000 174,470000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
1 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,937200 1,225800 0,000000 2 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,920800 1,164200 0,000000 3 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 2,219100 2,709100 0,000000 4 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 81,200000 102,670000 0,000000 5 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 0,459000 0,620400 0,000000 6 W58167002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0,550800 0,744480 0,061853 7 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 0,846666 1,107333 0,000000 8 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0,913000 1,194000 0,000000 9 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. S 10 11,558000 14,110000 0,000000 10 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. S 10 22,044000 26,911000 0,000000 11 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 9,538000 12,060000 0,000000 12 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 9,538000 12,060000 0,000000 13 W62441002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,300000 6,701000 0,000000 14 W63590002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,300000 6,701000 0,000000 15 W62442002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,614000 12,156000 0,000000 16 W63591002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,614000 12,156000 0,000000 17 W63592002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 12,800000 15,626000 0,000000 18 W62443002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 12,800000 15,626000 0,000000 19 W62444002 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,310000 20,621666 0,000000 20 W63593002 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,310000 20,621666 0,000000 21 W42954002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 10 mg PULB.+SOLV. PT. SOL. INJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR 1 838,600000 952,230000 0,000000
50
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
22 W42955002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 20 mg PULB.+SOLV. PT. SOL. INJ. 20mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR 1 1.647,200000 1.833,600000 0,000000 23 W42956002 H01CB02 OCTREOTIDUM ** SANDOSTATIN LAR 30 mg PULB.+SOLV. PT. SOL. INJ. 30mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR 1 2.455,820000 2.715,000000 0,000000 24 W59079001 H01CB02 OCTREOTIDUM ** SANDOSTATIN 0,1 mg/ml SOL. INJ. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. PR 5 7,108000 9,298000 0,000000 25 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 21,688800 26,478000 5,082000 26 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 13,458000 16,429000 0,000000 27 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 12,977000 15,842000 0,000000 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 13,450000 18,180000 0,000000 29 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 18,074000 22,065000 0,000000 30 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 18,730000 25,320000 0,000000 31 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 18,736000 22,873000 0,000000 32 W13105001 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg AVENTIS PHARMA LTD. MAREA BRITANIE 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) P-RF 1 110,100000 134,410000 0,000000 33 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 1 110,100000 134,410000 0,000000 34 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 86,731200 99,115200 6,775800 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 72,276000 82,596000 0,000000 36 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 1 689,840000 790,080000 0,000000 37 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 117,147600 132,268800 17,451200 38 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 114,492000 128,611000 0,000000 39 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 117,147600 132,268800 12,181200 40 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 10 113,362000 127,380000 0,000000 41 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 97,623000 110,224000 0,000000 42 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 110,566000 124,332000 0,000000 43 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 10 114,432000 128,546000 0,000000 44 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR 1 112,480000 132,268800 5,051200 45 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 1 117,147600 132,268800 15,921200 46 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,478571 3,350000 0,000000 47 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,974285 4,020000 2,720000 48 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 2,974285 4,020000 0,741428 49 W58226001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,660000 6,300000 0,000000 50 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 51 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 5,570000 7,530000 0,000000 52 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 5,590000 7,550000 0,000000 53 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 5,590000 7,550000 0,000000 54 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 55 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 5,570000 7,530000 0,000000 56 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 5,570000 7,530000 0,000000 57 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 5,570000 7,530000 0,000000 58 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 59 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 4,930000 6,660000 0,000000 60 W60221001 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 61 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 5,592000 7,560000 4,060000 62 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 4,698571 6,145714 0,000000 63 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 1,532570 2,070857 2,433428 64 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 1,532570 2,070857 0,449143 65 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,277142 1,725714 0,000000 66 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,854857 67 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 1,532570 2,070857 0,856285 68 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 1,532570 2,070857 0,856285 69 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 1,532570 2,070857 0,000571
VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285 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 22,810000 30,830000 0,000000 FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 10 37,499000 44,689000 0,000000
70 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg 71 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml 51 72 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
73 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. S 20 9,211000 11,244500 0,000000 74 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. S 20 18,749500 22,344500 0,000000 75 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10 18,885000 23,055000 0,000000 76 W58456001 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 50 ML SOL. PERF. PR 20 11,053200 13,493400 9,107100 77 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 22,499400 26,813400 12,463600 78 W55502017 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 38,180000 49,940000 0,000000 79 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 44,998800 53,626800 40,412200 80 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. S 1 22,499400 26,813400 31,246600 81 W55502001 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 9,540000 12,900000 0,000000 82 W55502009 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 19,080000 25,790000 0,000000 83 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1,671333 2,186000 0,000000 84 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF 15 1,671333 2,186000 0,000000 85 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1,671333 2,186000 0,000000 86 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1,671333 2,186000 0,000000 87 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 1,671333 2,186000 0,000000 88 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 2,005600 2,623200 0,740800 89 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 52,854714 90 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 11,761714 14,358857 60,507143 91 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 11,761714 14,358857 71,690428 92 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 69,160071 93 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 11,761714 14,358857 67,894893 94 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 11,761714 14,358857 43,581143 95 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 9,801428 11,965714 0,000000 96 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 9,801666 11,966000 0,000000 97 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 9,801428 11,965714 0,000000 98 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,530000 27,282857 0,000000 99 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,554285 24,856785 0,000000 100 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,018571 23,591607 0,000000 101 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1 270,192000 329,844000 83,166000 102 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 103 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 270,192000 329,844000 21,646000 104 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 105 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 1 270,192000 329,844000 41,206000 106 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 1 270,192000 329,844000 41,206000 107 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 270,192000 329,844000 41,206000 108 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 1.383,700000 1.546,390000 0,000000 109 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 1 854,310000 969,350000 0,000000 110 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 854,310000 969,350000 0,000000 111 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 1 854,310000 969,350000 0,000000 112 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 854,310000 969,350000 0,000000 113 W06665001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 854,310000 969,350000 0,000000 114 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 854,310000 969,350000 0,000000 115 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 810,730000 921,850000 0,000000 116 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 1.105,850000 1.243,530000 0,000000 117 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 1.105,850000 1.243,530000 0,000000 118 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 1.105,860000 1.243,540000 0,000000 119 W06670001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S 1 1.105,860000 1.243,540000 0,000000 120 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.105,850000 1.243,530000 0,000000 121 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.051,440000 1.184,220000 0,000000 122 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.105,850000 1.243,530000 0,000000 123 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 1 854,310000 969,350000 0,000000
52
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
53
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
124 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 1.105,810000 1.243,480000 0,000000 125 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 0,670200 0,873850 0,000000 126 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,670200 0,906000 0,198000 127 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 0,670200 0,906000 0,263500 128 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 0,670200 0,906000 0,222000 129 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 1,574000 2,128000 0,000000 130 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,670200 0,906000 0,035500 131 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,670200 0,906000 0,035500 132 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 0,558500 0,755000 0,000000 133 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,670200 0,906000 0,031000 134 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 1,888800 2,553600 0,350400 135 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 40,340000 49,248000 0,000000 136 W58707001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 2,926800 3,956400 0,929600 137 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 2,439000 3,297000 0,000000 138 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 0,775566 139 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 25,394566 140 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 17,207000 19,391500 0,000000 141 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 15,644566 142 W60756001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF 60 14,422500 16,356333 0,000000 143 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 10 1.466,208000 1.601,984000 0,000000 144 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 1 396,840000 470,710000 0,000000 145 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 10 360,762000 397,046000 0,000000 146 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR 10 186,420000 207,013000 0,000000 147 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 1 763,680000 870,560000 0,000000 148 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 10 736,680000 806,797000 0,000000 149 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 1 1.497,410000 1.670,330000 0,000000 150 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 10 612,682000 671,639000 0,000000 151 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 1 641,400000 737,280000 0,000000 152 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1 932,550000 1.054,630000 0,000000 153 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 154 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR 1 3.674,450000 4.043,310000 0,000000 155 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1 1.835,250000 2.038,570000 0,000000 156 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000 157 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 2.028,690000 2.249,430000 0,000000 158 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 219,860000 268,400000 0,000000 159 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 1 529,670000 615,490000 0,000000 160 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 1 205,730000 251,160000 0,000000 161 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 1.040,030000 1.171,780000 0,000000 162 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 1.900,320000 2.109,500000 0,000000 163 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 1 523,800000 609,090000 0,000000 164 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1 490,690000 573,000000 0,000000 165 W63860002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 50 ML PR 1 803,040000 913,460000 0,000000 166 W63860001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 100 ML PR 1 1.565,740000 1.744,810000 0,000000 167 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1 1.859,420000 2.064,920000 0,000000 168 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1 949,870000 1.073,510000 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 1.029,340000 1.160,130000 0,000000 170 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0,422800 0,571400 0,000000 171 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 12,380000 16,730000 0,000000 172 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 12,380000 16,730000 0,000000 173 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 69,700000 88,130000 0,000000 174 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 1 107,407200 126,230400 27,419600
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
175 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 66,110000 83,590000 0,000000 176 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 105,780000 126,230400 2,909600 177 W62176005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 69,220000 87,520000 0,000000 178 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 65,892000 79,452000 0,000000 179 W55757002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 65,892000 79,452000 0,000000 180 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 89,506000 105,192000 0,000000 181 W55758002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 89,506000 105,192000 0,000000 182 W62177005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR 1 107,407200 126,230400 8,839600 183 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** 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 1.300,620000 1.455,830000 0,000000 184 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2,479916 3,027500 0,000000 185 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,758916 5,505166 0,000000 186 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,470200 1,794800 0,000000 187 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,470200 1,794800 0,000000 188 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 1,746600 2,208400 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 2,940400 3,589600 0,000000 190 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,940400 3,589600 0,000000 191 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,278666 17,925333 0,000000 192 W13098001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S 1 4.227,320000 4.645,930000 0,000000 193 W64598001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg PULB. + SOLV. PT. SOL. INJ. SAU PERF. 20mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR 1 4.227,320000 4.645,930000 0,000000 194 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 1,413000 1,786600 0,000000 195 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 2,703600 3,300600 0,000000 196 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 1,864800 2,357800 0,000000 197 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 1,301200 1,645200 0,000000 198 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 3,879800 4,736400 0,000000 199 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 2,556600 3,121200 0,000000 200 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 18,476000 20,901800 0,000000 201 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) P-RF/R 50 1,864800 2,357800 0,000000 202 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3,879800 4,736400 0,000000 203 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) P-RF/R 50 19,668600 22,201800 0,000000 204 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S 10 156,564000 174,470000 0,000000 205 W60846001 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,542900 0,686400 0,000000 206 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 2,107500 2,847500 0,000000 207 W58352002 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR. P6L 4 1,937500 2,620000 0,000000 208 W60296004 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2,325000 3,144000 6,176000 209 W60296002 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2,325000 3,144000 5,878500 210 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 2,325000 3,144000 2,011000 211 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 2,325000 3,144000 6,176000 212 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 2,325000 3,144000 5,425166 213 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 2,325000 3,144000 5,878500 214 W42905002 N02AB02 PETHIDINUM MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML P-TS 5 1,512000 2,044000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.5: TRANSPLANT CELULE PANCREATICE
1 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 86,731200 99,115200 6,775800 2 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 72,276000 82,596000 0,000000 3 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 1 689,840000 790,080000 0,000000 4 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 117,147600 132,268800 17,451200 5 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 114,492000 128,611000 0,000000 6 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 117,147600 132,268800 12,181200
54
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
7 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 10 113,362000 127,380000 0,000000 8 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 97,623000 110,224000 0,000000 9 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 110,566000 124,332000 0,000000 10 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 10 114,432000 128,546000 0,000000 11 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR 1 112,480000 132,268800 5,051200 12 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 1 117,147600 132,268800 15,921200 13 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 52,854714 14 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 11,761714 14,358857 60,507143 15 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 11,761714 14,358857 71,690428 16 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 69,160071 17 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 11,761714 14,358857 67,894893 18 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 11,761714 14,358857 43,581143 19 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 9,801428 11,965714 0,000000 20 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 9,801666 11,966000 0,000000 21 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 9,801428 11,965714 0,000000 22 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,530000 27,282857 0,000000 23 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,554285 24,856785 0,000000 24 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,018571 23,591607 0,000000 25 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1 270,192000 329,844000 83,166000 26 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 27 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 270,192000 329,844000 21,646000 28 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 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 1 270,192000 329,844000 41,206000 30 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 1 270,192000 329,844000 41,206000 31 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 270,192000 329,844000 41,206000 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 1.383,700000 1.546,390000 0,000000 33 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 0,775566 34 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 25,394566 35 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 17,207000 19,391500 0,000000 36 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 15,644566 37 W60756001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF 60 14,422500 16,356333 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.6: TRANSPLANT PULMONAR
1 W62441002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,300000 6,701000 0,000000 2 W63590002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,300000 6,701000 0,000000 3 W62442002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,614000 12,156000 0,000000 4 W63591002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,614000 12,156000 0,000000 5 W63592002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 12,800000 15,626000 0,000000 6 W62443002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 12,800000 15,626000 0,000000 7 W62444002 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,310000 20,621666 0,000000 8 W63593002 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,310000 20,621666 0,000000 9 W64629001 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 2,728000 3,686000 0,000000 10 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 1,712000 2,314000 0,000000 11 W02947001 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML PR 100 1,652800 2,017700 0,000000 12 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 1 146,350000 178,670000 0,000000 13 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 1 142,980000 174,550000 0,000000 14 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 21,688800 26,478000 5,082000
55
15 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 13,458000 16,429000 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
57 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285 58 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 22,810000 30,830000 0,000000 59 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. S 10 37,499000 44,689000 0,000000 60 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. S 20 9,211000 11,244500 0,000000 61 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. S 20 18,749500 22,344500 0,000000 62 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10 18,885000 23,055000 0,000000 63 W58456001 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 50 ML SOL. PERF. PR 20 11,053200 13,493400 9,107100 64 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 22,499400 26,813400 12,463600 65 W55502017 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 38,180000 49,940000 0,000000 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 44,998800 53,626800 40,412200
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
16 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 12,977000 15,842000 0,000000 17 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 13,450000 18,180000 0,000000 18 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 18,074000 22,065000 0,000000 19 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 18,730000 25,320000 0,000000 20 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 18,736000 22,873000 0,000000 21 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10 86,731200 99,115200 6,775800 22 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 72,276000 82,596000 0,000000 23 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 1 689,840000 790,080000 0,000000 24 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1 117,147600 132,268800 17,451200 25 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 114,492000 128,611000 0,000000 26 W64055001 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR 1 117,147600 132,268800 12,181200 27 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 10 113,362000 127,380000 0,000000 28 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 97,623000 110,224000 0,000000 29 W64206001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 110,566000 124,332000 0,000000 30 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 10 114,432000 128,546000 0,000000 31 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR 1 112,480000 132,268800 5,051200 32 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 1 117,147600 132,268800 15,921200 33 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,478571 3,350000 0,000000 34 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,974285 4,020000 2,720000 35 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 2,974285 4,020000 0,741428 36 W58226001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,660000 6,300000 0,000000 37 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 38 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 5,570000 7,530000 0,000000 39 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 5,590000 7,550000 0,000000 40 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 5,590000 7,550000 0,000000 41 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 42 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 5,570000 7,530000 0,000000 43 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 5,570000 7,530000 0,000000 44 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 5,570000 7,530000 0,000000 45 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 46 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 4,930000 6,660000 0,000000 47 W60221001 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 48 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 5,592000 7,560000 4,060000 49 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 4,698571 6,145714 0,000000 50 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 1,532570 2,070857 2,433428 51 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 1,532570 2,070857 0,449143 52 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,277142 1,725714 0,000000 53 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,854857 54 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 1,532570 2,070857 0,856285 55 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 1,532570 2,070857 0,856285 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 1,532570 2,070857 0,000571
56
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
57
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
67 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. S 1 22,499400 26,813400 31,246600 68 W55502001 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 9,540000 12,900000 0,000000 69 W55502009 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 19,080000 25,790000 0,000000 70 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 52,854714 71 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 11,761714 14,358857 60,507143 72 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 11,761714 14,358857 71,690428 73 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 69,160071 74 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 11,761714 14,358857 67,894893 75 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 11,761714 14,358857 43,581143 76 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 9,801428 11,965714 0,000000 77 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 9,801666 11,966000 0,000000 78 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 9,801428 11,965714 0,000000 79 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,530000 27,282857 0,000000 80 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,554285 24,856785 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 21,018571 23,591607 0,000000 82 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1 270,192000 329,844000 83,166000 83 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 84 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 270,192000 329,844000 21,646000 85 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 86 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 1 270,192000 329,844000 41,206000 87 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 1 270,192000 329,844000 41,206000 88 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 270,192000 329,844000 41,206000 89 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 1.383,700000 1.546,390000 0,000000 90 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 0,670200 0,873850 0,000000 91 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,670200 0,906000 0,198000 92 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 0,670200 0,906000 0,263500 93 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 0,670200 0,906000 0,222000 94 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 1,574000 2,128000 0,000000 95 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,670200 0,906000 0,035500 96 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,670200 0,906000 0,035500 97 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 0,558500 0,755000 0,000000 98 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,670200 0,906000 0,031000 99 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 1,888800 2,553600 0,350400 100 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 40,340000 49,248000 0,000000 101 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 0,775566 102 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 25,394566 103 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 17,207000 19,391500 0,000000 104 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 15,644566 105 W60756001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF 60 14,422500 16,356333 0,000000 106 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** 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 1.300,620000 1.455,830000 0,000000 107 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2,479916 3,027500 0,000000 108 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,758916 5,505166 0,000000 109 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,470200 1,794800 0,000000 110 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,470200 1,794800 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 1,746600 2,208400 0,000000 112 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 2,940400 3,589600 0,000000 113 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,940400 3,589600 0,000000 114 W13098001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S 1 4.227,320000 4.645,930000 0,000000 115 W64598001 L04AC02 BASILIXIMABUM ** SIMULECT 20 mg PULB. + SOLV. PT. SOL. INJ. SAU PERF. 20mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR 1 4.227,320000 4.645,930000 0,000000 116 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 1,413000 1,786600 0,000000 117 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 2,703600 3,300600 0,000000
Nr.
Grupa
Forma
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cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
118 W60846001 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,542900 0,686400 0,000000 119 W60291001 N02AX02 TRAMADOLUM TRAMACALM CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 0,280800 0,379200 0,025800 120 W12691002 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,234000 0,316000 0,000000 121 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,280800 0,379200 0,112300 122 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,280800 0,379200 0,040800 123 W42957001 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,280800 0,379200 0,025300 124 W63391001 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF 10 0,493999 0,667600 0,002400 125 W63391003 N02AX02 TRAMADOLUM TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0,493999 0,667600 0,002400 126 W60236002 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 100 mg COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 0,491000 0,663666 0,000000 127 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 0,493999 0,667600 0,021066 128 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 0,411666 0,556333 0,000000 129 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 0,617000 0,834000 0,000000 130 W61449013 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 0,616666 0,833666 0,000000 131 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 0,639000 0,864000 0,000000 132 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PP/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF 10 0,639000 0,864000 0,000000 133 W58893002 N02AX02 TRAMADOLUM TRADOLAN RETARD 150 mg COMPR. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,638666 0,863000 0,000000 134 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 0,617000 0,834000 0,000000 135 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 0,616666 0,833666 0,000000 136 W60237002 N02AX02 TRAMADOLUM TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF 30 0,705000 0,952666 0,000000 137 W58894002 N02AX02 TRAMADOLUM TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,851000 1,113000 0,000000 138 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 0,796000 1,076000 0,000000 139 W43360001 N02AX02 TRAMADOLUM TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF 30 0,739999 1,000399 0,306934 140 W43361001 N02AX02 TRAMADOLUM TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR., FILM. ELIB. PREL. P-RF 30 0,955200 1,291200 0,435133 141 W64091001 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 5 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 5 1,754400 2,371200 0,416800 142 W64091002 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 100 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 100 1,754400 2,371200 0,060400 143 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS 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 1,754400 2,371200 0,418800 144 W05961001 N02AX02 TRAMADOLUM MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1,462000 1,976000 0,000000 145 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0,796000 1,076000 0,000000 146 W05967001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 1,754400 2,371200 0,490800 147 W05969001 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ. P-RF 5 0,902000 1,218000 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 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,937200 1,225800 0,000000 2 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK (R) CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,920800 1,164200 0,000000 3 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 2,219100 2,709100 0,000000 4 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 81,200000 102,670000 0,000000 5 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0,423400 0,572200 0,000000 6 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 0,961500 1,299500 0,000000 7 W04237001 H02AB04 METHYLPREDNISOLONUM SOLU - MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV P-RF 1 15,960000 21,570000 0,000000 8 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 6,870000 9,280000 0,000000 9 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 24,170000 32,670000 0,000000 10 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 0,058260 0,076212 0,067788 11 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 0,048550 0,063510 0,000000 12 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 0,058260 0,076212 0,018788 13 W13686002 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,058260 0,076212 0,054121 14 W53341001 H02AB07 PREDNISONUM PREDNISON - RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0,058260 0,076212 0,063788 15 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,271000 0,366500 0,000000 16 W53671001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,312000 0,421500 0,000000
58
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
59
45 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285 46 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 22,810000 30,830000 0,000000 47 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. S 10 37,499000 44,689000 0,000000 48 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. S 20 9,211000 11,244500 0,000000 49 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. S 20 18,749500 22,344500 0,000000 50 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10 18,885000 23,055000 0,000000 51 W58456001 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 50 ML SOL. PERF. PR 20 11,053200 13,493400 9,107100 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 22,499400 26,813400 12,463600 53 W55502017 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 1 38,180000 49,940000 0,000000 54 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 44,998800 53,626800 40,412200 55 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. S 1 22,499400 26,813400 31,246600 56 W55502001 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S 1 9,540000 12,900000 0,000000 57 W55502009 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S 1 19,080000 25,790000 0,000000 58 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 52,854714 59 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 11,761714 14,358857 60,507143 60 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 11,761714 14,358857 71,690428 61 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 11,761714 14,358857 69,160071 62 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 11,761714 14,358857 67,894893 63 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 11,761714 14,358857 43,581143 64 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 9,801428 11,965714 0,000000 65 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 9,801666 11,966000 0,000000 66 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 9,801428 11,965714 0,000000 67 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,530000 27,282857 0,000000
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
17 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,312000 0,421500 0,000000 18 W12479001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO - TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,284500 0,384500 0,000000 19 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM 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 3,670000 4,960000 0,000000 20 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SUSP. ORALA 25mg/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 7,670000 10,370000 0,000000 21 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,478571 3,350000 0,000000 22 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,974285 4,020000 2,720000 23 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 2,974285 4,020000 0,741428 24 W58226001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,660000 6,300000 0,000000 25 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 26 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 5,570000 7,530000 0,000000 27 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 5,590000 7,550000 0,000000 28 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 5,590000 7,550000 0,000000 29 W60221003 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 30 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 5,570000 7,530000 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 5,570000 7,530000 0,000000 32 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 5,570000 7,530000 0,000000 33 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 34 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 4,930000 6,660000 0,000000 35 W60221001 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 150 mg CAPS. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,590000 7,550000 0,000000 36 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 5,592000 7,560000 4,060000 37 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 4,698571 6,145714 0,000000 38 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 1,532570 2,070857 2,433428 39 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 1,532570 2,070857 0,449143 40 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,277142 1,725714 0,000000 41 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,854857 42 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 1,532570 2,070857 0,856285 43 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 1,532570 2,070857 0,856285 44 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 1,532570 2,070857 0,000571
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
68 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,554285 24,856785 0,000000 69 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,018571 23,591607 0,000000 70 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1 270,192000 329,844000 83,166000 71 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 72 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 270,192000 329,844000 21,646000 73 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF 1 225,160000 274,870000 0,000000 74 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 1 270,192000 329,844000 41,206000 75 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 1 270,192000 329,844000 41,206000 76 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 270,192000 329,844000 41,206000 77 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 1.383,700000 1.546,390000 0,000000 78 W60913001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE PR 24 131,322916 144,731666 0,000000 79 W61578001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME LTD. MAREA BRITANIE CUTIE CU UN FL X 16,7ML CONC. PT SOL PERF (18MG POSACONAZOL/ML) PR 1 1.333,540000 1.491,710000 0,000000 80 W58194001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R 1 2.529,930000 2.795,780000 0,000000 81 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 0,670200 0,873850 0,000000 82 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,670200 0,906000 0,198000 83 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 0,670200 0,906000 0,263500 84 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 0,670200 0,906000 0,222000 85 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 1,574000 2,128000 0,000000 86 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0,670200 0,906000 0,035500 87 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,670200 0,906000 0,035500 88 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 0,558500 0,755000 0,000000 89 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,670200 0,906000 0,031000 90 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 1,888800 2,553600 0,350400 91 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 40,340000 49,248000 0,000000 92 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 0,775566 93 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 25,394566 94 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 17,207000 19,391500 0,000000 95 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 17,307000 19,627600 15,644566 96 W60756001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF 60 14,422500 16,356333 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 2,333333 2,950333 0,000000 98 W07518002 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R 28 2,800000 3,540400 0,839957 99 W59320003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,480333 4,248833 0,000000 100 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 4,176400 5,098600 0,387066 101 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 6,215000 7,587333 0,000000 102 W61530002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR 30 7,458000 9,104800 1,866533 103 W61531002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 84,870000 107,310000 0,000000 104 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2,479916 3,027500 0,000000 105 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,758916 5,505166 0,000000 106 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,470200 1,794800 0,000000 107 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,470200 1,794800 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 1,470200 1,794800 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 1,470200 1,794800 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 1,746600 2,208400 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 1,746600 2,208400 0,000000 112 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 2,940400 3,589600 0,000000 113 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 2,940400 3,589600 0,000000 114 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,940400 3,589600 0,000000 115 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50 2,940400 3,589600 0,000000 116 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,278666 17,925333 0,000000 117 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 1,413000 1,786600 0,000000 118 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF 50 2,703600 3,300600 0,000000
60
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
119 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 1,864800 2,357800 0,000000 120 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 1,301200 1,645200 0,000000 121 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 3,879800 4,736400 0,000000 122 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 2,556600 3,121200 0,000000 123 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 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 S/P-RF 50 18,476000 20,901800 0,000000 124 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) P-RF/R 50 1,864800 2,357800 0,000000 125 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3,879800 4,736400 0,000000 126 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) P-RF/R 50 19,668600 22,201800 0,000000 127 W60846001 L04AX01 AZATHIOPRINUM IMURAN® COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,542900 0,686400 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 W56595001 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B ** ZUTECTRA SOL INJ. IN SERINGA PRE-UMPLUTA 500 UI BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF 5 915,086000 1.005,076000 0,000000 2 W54188003 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA 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 3.234,390000 3.563,640000 0,000000 3 W54188004 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA 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 7.804,340000 8.544,890000 0,000000
61
P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONIC
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 0,459000 0,620400 0,000000 2 W58167002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0,550800 0,744480 0,061853 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 0,846666 1,107333 0,000000 4 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0,913000 1,194000 0,000000 5 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. S 10 11,558000 14,110000 0,000000 6 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. S 10 22,044000 26,911000 0,000000 7 W51334002 A11CC04 CALCITRIOLUM ** ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI. P6L 100 0,565500 0,715000 0,000000 8 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 3,452000 4,666000 0,000000 9 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 11,152000 13,614000 0,000000 10 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 11,265000 13,752000 0,000000 11 W62441002 B01AB05 ENOXAPARINUM ** CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,300000 6,701000 0,000000 12 W63590002 B01AB05 ENOXAPARINUM ** CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF 10 5,300000 6,701000 0,000000 13 W62442002 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,614000 12,156000 0,000000 14 W63591002 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF 10 9,614000 12,156000 0,000000 15 W63592002 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 12,800000 15,626000 0,000000 16 W62443002 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF 10 12,800000 15,626000 0,000000 17 W62444002 B01AB05 ENOXAPARINUM ** CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,310000 20,621666 0,000000 18 W63593002 B01AB05 ENOXAPARINUM ** CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF 6 16,310000 20,621666 0,000000 19 W61293001 B01AB06 NADROPARINUM ** FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. S/P-RF 10 7,078000 8,949000 0,000000 20 W61291001 B01AB06 NADROPARINUM ** FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. S/P-RF 10 10,965000 13,386000 0,000000 21 W61292001 B01AB06 NADROPARINUM ** FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. S/P-RF 10 13,820000 16,871000 0,000000 22 W61289002 B01AB06 NADROPARINUM ** FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza SOL. INJ. 9500 UI AFXa/1 ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ. S 10 82,726000 93,986000 0,000000 23 W59473001 B01AB10 TINZAPARINUM ** INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN FLACOANE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT IN AURIU SI CAPSA DE SIGURANTA DIN PP DE CULOARE PORTOCALIE PR/PRF 10 46,737000 54,758000 0,000000 24 W59475001 B01AB10 TINZAPARINUM ** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN FLACOANE 20000 UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT CU LAC DE CULOARE VERDE SI CAPSA DE SIGURANTA DIN PP DE CULOARE VERDE INCHIS PR/PRF 10 104,198000 117,391000 0,000000 25 W59472004 B01AB10 TINZAPARINUM ** INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN SERINGI PREUMPLUTE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU PR/PRF 10 7,729000 9,773000 0,000000 26 W59472003 B01AB10 TINZAPARINUM ** INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN SERINGI PREUMPLUTE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE PR/PRF 10 10,528000 12,853000 0,000000 27 W59474001 B01AB10 TINZAPARINUM ** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ROSU PR/PRF 2 30,495000 38,560000 0,000000 28 W59474003 B01AB10 TINZAPARINUM ** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU PR/PRF 2 49,285000 62,315000 0,000000 29 W59474002 B01AB10 TINZAPARINUM ** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC GALBEN PR/PRF 2 41,575000 52,565000 0,000000
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
30 W51230001 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 26,814000 32,734000 0,000000 31 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 39,156666 47,801666 0,000000 32 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. P-RF/R 1 415,600000 491,150000 0,000000 33 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. S/P-RF 1 658,632000 763,692000 299,058000 34 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. P-RF/R 1 548,860000 636,410000 0,000000 35 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 78,615000 92,048333 0,000000 36 W07740002 B03XA01 EPOETINUM BETA ** NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R 6 258,858333 288,515000 0,000000 37 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 6 258,858333 288,515000 0,000000 38 W07741002 B03XA01 EPOETINUM BETA ** NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R 6 51,675000 62,685000 0,000000 39 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 51,675000 62,685000 0,000000 40 W42097001 B03XA01 EPOETINUM BETA ** NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R 1 882,060000 999,600000 0,000000 41 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 1 882,060000 999,600000 0,000000 42 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 98,175000 113,368333 0,000000 43 W07742002 B03XA01 EPOETINUM BETA ** NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 98,175000 113,368333 0,000000 44 W07744002 B03XA01 EPOETINUM BETA ** NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R 6 139,755000 158,691666 0,000000 45 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 6 139,755000 158,691666 0,000000 46 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 1 189,630000 231,500000 0,000000 47 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 40,930000 53,530000 0,000000 48 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 1 429,710000 506,530000 0,000000 49 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 60,300000 76,240000 0,000000 50 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 1 529,710000 615,530000 0,000000 51 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 80,390000 101,650000 0,000000 52 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 1 100,510000 122,700000 0,000000 53 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 1 118,450000 144,600000 0,000000 54 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 1 169,090000 206,430000 0,000000 55 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 4 551,552500 610,730000 0,000000 56 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 63,295000 77,270000 0,000000 57 W41531002 B03XA02 DARBEPOETINUM ALFA ** ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE, A 1 ML X 0,3 ML P-RF/R 4 854,897500 941,377500 0,000000 58 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 4 120,437500 140,815000 0,000000 59 W41532001 B03XA02 DARBEPOETINUM ALFA ** ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R 1 1.724,850000 1.918,240000 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 4 176,987500 202,455000 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 4 233,467500 264,017500 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 2.854,180000 3.149,210000 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 4 289,972500 325,607500 0,000000 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 4 346,440000 387,157500 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 4 459,447500 510,335000 0,000000 66 W52309001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 100mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R 1 705,040000 806,640000 0,000000 67 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 1 705,040000 806,640000 0,000000 68 W52310001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R 1 1.042,000000 1.173,930000 0,000000 69 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 1.042,000000 1.173,930000 0,000000 70 W52307001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 50 mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 50 mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R 1 367,360000 438,570000 0,000000 71 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 1 367,360000 438,570000 0,000000 72 W52308001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA ** MIRCERA 75mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 75mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R 1 536,320000 622,740000 0,000000 73 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 1 536,320000 622,740000 0,000000 74 W57701001 B05DB COMBINATII CAPD PERILINE 1,5% F 100 SOL. DIAL. PERIT. 1,5% INFOMED FLUID S.R.L. ROMANIA CUTIE CU 4 PUNGI DIN PE/PP CONTINAND FIECARE 1 PUNGA DIN PVC X 2000 ML SOL. PT. DIALIZA PERITONEALA PREVAZUTA CU TUBULATURA SI DISP. DE ADM. (SETUL PERILINE) S 4 20,642500 26,100000 0,000000 75 W57702001 B05DB COMBINATII CAPD PERILINE 2,5% F 200 SOL. DIAL. PERIT. 2,5% INFOMED FLUID S.R.L. ROMANIA CUTIE CU 4 PUNGI DIN PE/PP CONTINAND FIECARE 1 PUNGA DIN PVC X 2000 ML SOL. PT. DIALIZA PERITONEALA PREVAZUTA CU TUBULATURA SI DISP. DE ADM. (SETUL PERILINE) S 4 20,935000 26,470000 0,000000 76 W57703001 B05DB COMBINATII CAPD PERILINE 4% F 400 SOL. DIAL. PERIT. 4% INFOMED FLUID S.R.L. ROMANIA CUTIE CU 4 PUNGI DIN PE/PP CONTINAND FIECARE 1 PUNGA DIN PVC X 2000 ML SOL. PT. DIALIZA PERITONEALA PREVAZUTA CU TUBULATURA SI DISP. DE ADM. (SETUL PERILINE) S 4 21,230000 26,842500 0,000000 77 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") S 4 21,705000 27,445000 0,000000 78 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 S 2 21,815000 28,535000 0,000000 79 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 S 2 21,815000 28,535000 0,000000 80 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") S 4 21,155000 26,747500 0,000000
62
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
81 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") S 4 21,705000 27,445000 0,000000 82 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 S 2 21,815000 28,535000 0,000000 83 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 S 4 15,625000 19,757500 0,000000 84 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") S 4 21,355000 27,002500 0,000000 85 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 S 4 17,335000 21,917500 0,000000 86 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") S 4 21,907500 27,700000 0,000000 87 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 S 4 17,687500 22,365000 0,000000 88 W64166002 H05BX01 CINACALCETUM ** CINACALCET HEATON 30 mg COMPR. 30mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 13,467857 16,042500 0,000000 89 W63577002 H05BX01 CINACALCETUM ** CINACALCET ACCORD 30 mg COMPR. FILM 30mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 28 11,658928 14,070714 0,000000 90 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 13,990714 16,884857 9,485500 91 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 43,711428 49,008214 0,000000 92 W43187002 H05BX01 CINACALCETUM ** MIMPARA 90 mg COMPR. FILM. 90mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 63,814285 70,920357 0,000000 93 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 7,575000 9,247500 0,000000 94 W60920002 H05BX02 PARICALCITOLUM ** ZEMPLAR 1μg CAPS. MOI 1μg ABBVIE FARMACEUTICA S.L.U. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF 28 7,575000 9,247500 0,000000 95 W60961001 H05BX02 PARICALCITOLUM ** ZEMPLAR SOL. INJ. 5 μg/ml ABBVIE FARMACEUTICA S.L.U. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S 5 40,722000 49,714000 0,000000 96 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 40,722000 49,714000 0,000000 97 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 1,722555 2,089555 0,000000 98 W08985002 V03AE02 SEVELAMER ** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 2,067066 2,507466 0,071645
P11: PROGRAM NATIONAL DE SANATATE MINTAL
SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR
1 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 0,394400 0,533200 0,000000 2 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 1,017000 1,286000 0,000000 3 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 0,253800 0,343000 0,000000 4 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 1 336,510000 404,950000 0,000000 5 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 1 336,510000 404,950000 0,000000 6 W62865001 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 2mg/0,5mg COMPR. SUBLING. 2mg/0,5mg INDIVIOR UK LIMITED MAREA BRITANIE CUTIE X 7 COMPR. SUBLING. (BLIST. DE HARTIE/AL/NYLON/AL/PVC) PS/PR 7 2,788571 3,770000 0,000000 7 W62866001 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE) SUBOXONE 8mg/2mg COMPR. SUBLING. 8mg/2mg INDIVIOR UK LIMITED MAREA BRITANIE CUTIE X 7 COMPR. SUBLING. (BLIST. DE HARTIE/AL/NYLON/AL/PVC) PS/PR 7 8,312857 10,510000 0,000000
NOTA:
- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii; - Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**)l 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; - 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; 63 - Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (Q) se efectuează în baza contractelor cost-volum încheiate.
64
Anexa nr. 2
(ANEXA nr. 4 la Ordinul MS/CNAS nr. 1605/875/2014)
SECŢIUNEA C2 - LISTA denumirilor comerciale şi a preturilor de decontare ale medicamentelor prevăzute la art. 1 alin.3 lit a) din Ordonanţa de Urgenţă a Guvernului nr. 19/2018 pentru încredinţarea către Compania Naţională "Unifarm" - S.A. a serviciului de interes economic general în vederea realizării activităţii de aprovizionare cu medicamente necesare asigurării activităţii de prevenire a deceselor şi agravării bolilor generate de lipsa imunoglobulinei umane şi suplimentarea bugetului Ministerului Sănătăţii din Fondul de rezervă bugetară la dispoziţia Guvernului, prevăzut în bugetul de stat pe anul 2018, corespunzătoare denumirilor comune internaţionale cuprinse în secţiunea C2 a sublistei C
din HG nr. 720/2008, cu modificările şi completările ulterioare, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificarile si competarile ulterioare,
VALABILĂ ÎNCEPÂND CU 01 IANUARIE 2019
Nr.
Grupa
Forma
Concentr
cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
terapeut
Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
Prescriptie
mbalaj
maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE
A) SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE
1 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR 1 865,370000 0,000000 0,000000 2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S 1 1.159,090000 0,000000 0,000000 3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S 1 1.443,140000 0,000000 0,000000 4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S 1 721,570000 0,000000 0,000000 5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR 1 1.168,260000 0,000000 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 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR 1 865,370000 0,000000 0,000000 2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S 1 1.159,090000 0,000000 0,000000 3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S 1 1.443,140000 0,000000 0,000000 4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S 1 721,570000 0,000000 0,000000 5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR 1 1.168,260000 0,000000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.15: Sindrom de imunodeficienţă primară
1 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR 1 865,370000 0,000000 0,000000 2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S 1 1.159,090000 0,000000 0,000000 3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S 1 1.443,140000 0,000000 0,000000 4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S 1 721,570000 0,000000 0,000000 5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR 1 1.168,260000 0,000000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.1: TRANSPLANT MEDULAR
1 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR 1 865,370000 0,000000 0,000000 2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S 1 1.159,090000 0,000000 0,000000 3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S 1 1.443,140000 0,000000 0,000000 4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S 1 721,570000 0,000000 0,000000 5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR 1 1.168,260000 0,000000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
1 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR 1 865,370000 0,000000 0,000000 2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S 1 1.159,090000 0,000000 0,000000 3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S 1 1.443,140000 0,000000 0,000000 4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S 1 721,570000 0,000000 0,000000 5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR 1 1.168,260000 0,000000 0,000000
NOTA:
65
- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii;. Preluat: 2026-09-24T21:22:25.694302+00:00 · SHA256: 4d97bf7b60f3fcb73ab67e18a68a98d07c7793a8573d113b586b443e3c7e4172