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ANEXĂ · 0 · 2020
ANEXE din 30 iunie 2020 pentru modificarea anexelor nr. 2 şi 3 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 227695
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ANEXE din 30 iunie 2020
pentru modificarea anexelor nr. 2 şi 3 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
Publicat în
MONITORUL OFICIAL nr. 596 din 8 iulie 2020
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 în cadrul programelor naţionale de sănătate, în tratamentul ambulatoriu şi spitalicesc, corespunzătoare denumirilor comune internaţionale cuprinse în secţiunea C2 a sublistei C
din HG nr. 720/2008, republicată, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificările şi competarile ulterioare, VALABILĂ ÎNCEPÂND CU 01 IULIE 2020
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
SUBPROGRAMUL DE TRATAMENT SI MONITORIZARE A PERSOANELOR CU INFECTIE HIV/SIDA si TRATAMENTUL POSTEXPUNERE 1 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 2,051666 2,772500 0,000000 2 W63734002 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFASIGMA S.P.A. ITALIA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL A CATE 12 COMPR. FILM. PRF 36 2,015000 2,547777 0,000000 3 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 15,660000 21,160000 0,000000 4 W13742001 D01AC02 MICONAZOLUM MICONAZOL NITRAT 2% CREMA 2% SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5,550000 7,500000 0,000000 5 W00040001 D06BB03 ACICLOVIRUM ZOVIRAX CREMA 5% THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE X 1 TUB X 5G CREMA P-RF 1 4,908000 6,636000 9,584000 6 W55128001 D06BB03 ACICLOVIRUM ACICLOVIR SLAVIA 50 mg/g CREMA 50mg/g SLAVIA PHARM S.R.L. ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA P-RF 1 6,624000 8,952000 3,378000 7 W60557002 D06BB03 ACICLOVIRUM ACICLOVIR-RICHTER 50mg/g CREMA 50mg/g GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 1 TUB AL X 15 G CREMA PRF 1 6,240000 8,440000 0,000000 8 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 4,090000 5,530000 0,000000 9 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 5,520000 7,460000 0,000000 10 W64910001 D06BB03 ACICLOVIRUM ACEVIREX 50 mg/g CREMA 50mg/g GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 TUB DIN AL X 5 G CREMA PRF 1 4,908000 6,636000 9,584000 11 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 5,700000 7,700000 0,000000 12 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 4,908000 6,636000 0,824000 13 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 4,908000 6,636000 5,694000 14 W51339001 G01AF04 MICONAZOLUM GYNOZOL 200 CAPS. VAG. 200mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI P-RF 6 0,818333 1,105000 0,000000 15 W51340001 G01AF04 MICONAZOLUM GYNOZOL 400 CAPS. VAG. 400mg PHARCO IMPEX 93 S.R.L. ROMANIA CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI P-RF 3 1,566666 2,116666 0,000000 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 0,310000 0,419000 0,000000 17 W07274001 J01CF04 OXACILLINUM OXACILINA ATB 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 0,617000 0,834000 0,000000 18 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 0,616500 0,833500 0,000000 19 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 0,594000 0,725160 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 0,617000 0,834000 0,000000 21 W60469002 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 50 8,100000 9,592000 0,000000 22 W60469004 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 10 8,400000 10,621000 0,000000 23 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 8,550000 10,660200 0,899800 24 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 7,800000 8,883500 0,000000 25 W60468002 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 50 5,742000 7,009800 0,000000 26 W60468003 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 5,520000 6,398300 0,000000 27 W60468004 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 10 5,846000 7,392000 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 5,950000 7,677960 0,362040 29 W58901001 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PR, PRF 1 17,100000 21,320400 1,789600 AMPIPLUS 1000 mg/500 mg AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. PULB. PT. SOL. INJ./PERF. 1000mg/500mg 1000mg/500mg ANTIBIOTICE S.A. ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PR, PRF ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PR, PRF 10 25 16,500000 16,200000 20,143000 19,184000 0,000000 0,000000 32 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 15,600000 17,767000 0,000000 33 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 1,346071 1,760714 0,000000 34 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 0,762142 1,030000 0,000000 W58901003 J01CR01 AMPICILLINUM + SULBACTAM W58901004 J01CR01 AMPICILLINUM + SULBACTAM 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 W65088002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0,562285 0,759428 0,213429 36 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 0,562285 0,759428 0,213429 37 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 0,468571 0,632857 0,000000 38 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 0,468571 0,632857 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 0,761904 1,029523 0,000000 40 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 0,762142 1,030000 0,000000 41 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 0,914285 1,235428 0,354572 42 W65089001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0,914285 1,235428 0,354572 43 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0,762142 1,030000 0,000000 44 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 0,762142 1,030000 0,000000 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 AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 14 25 0,562285 14,200000 0,759428 17,004000 0,552714 0,000000 47 W59739001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 1 14,820000 18,704400 1,325600 48 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 13,600000 15,587000 0,000000 49 W59739004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 10 14,300000 17,457000 0,000000 50 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 8,900000 12,030000 0,000000 51 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 10,620000 14,350000 0,000000 52 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 12,744000 17,220000 4,230000 53 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 7,930000 10,720000 0,000000 54 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 7,930000 10,720000 0,000000 55 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 12,744000 17,220000 4,230000 56 W65099003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN ES 600mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CONTINÂND PULB. PENTRU 100 ML SUSPENSIE SI O LINGURITA DOZATOARE DIN POLISTIREN, MARCAT CU GRADATII PT. MASURAREA VOLUMELOR 2,5 ML SI 5,0 ML PRF 1 33,030000 43,200000 0,000000 57 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 33,030000 43,200000 0,000000 58 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 16,190000 21,880000 0,000000 59 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 21,430000 26,932800 2,037200 60 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. PR 10 13,689000 16,711000 0,000000 61 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 13,199000 16,113000 0,000000 62 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 13,680000 18,490000 0,000000 63 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 18,385000 22,444000 0,000000 64 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 19,050000 25,750000 0,000000 65 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. PR 10 20,658000 25,219000 0,000000 66 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 5,090400 67 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 0,175800 68 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 69 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 10,853800 70 W13949009 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5,083200 6,649200 10,853800 71 W13949003 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 17 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5,083200 6,649200 10,853800 72 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 13,430800 73 W13949006 J01DD04 CEFTRIAXONUM CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ./PERF. PR 10 5,083200 6,649200 10,853800 74 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 5,965000 7,542000 0,000000 75 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 5,965000 7,542000 0,000000 76 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 77 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 19,163400 78 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 19,163400 79 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 1,114400 80 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 6,810000 9,210000 0,000000 81 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 7,424400 82 W57455001 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 1,771000 2,394000 0,000000 83 W13701001 J01DD08 CEFIXIMUM EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2,955000 3,865000 0,000000 84 W63367003 J01DD08 CEFIXIMUM CEFIXIMA AUROBINDO 200 mg COMPR. FILM. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 10 COMPR. FILM. PRF 10 2,955000 3,865000 0,000000 85 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 7,033714 9,200570 1,533430 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM W59739005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM 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 5 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 86 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 5,861428 7,667142 0,000000 87 W60256003 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF 10 7,033714 9,200570 0,992430 88 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 60,720000 76,770000 0,000000 89 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 15,719000 19,190000 0,000000 90 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 20,762000 25,346000 0,000000 91 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 3,410000 4,610000 0,000000 92 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 21,520000 29,080000 0,000000 93 W44061001 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 16,250000 21,960000 0,000000 94 W53787004 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 100 23,590000 26,094600 0,000000 95 W53787002 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 10 25,619000 31,276000 0,000000 96 W53787001 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 1 26,550000 31,313520 3,416480 97 W53787003 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF 50 23,890000 26,803200 0,000000 98 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 30,627600 37,389600 48,498400 99 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 19,063200 23,272800 23,940200 100 W58974002 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 30,627600 37,389600 48,498400 101 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 25,523000 31,158000 0,000000 102 W58974005 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 30,627600 37,389600 48,498400 103 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 30,627600 37,389600 64,980400 104 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 30,627600 37,389600 31,573400 105 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 30,627600 37,389600 2,948400 106 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 30,627600 37,389600 32,554400 107 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 30,627600 37,389600 48,498400 108 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 15,886000 19,394000 0,000000 109 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 19,063200 23,272800 13,253200 110 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 19,063200 23,272800 23,943200 111 W65891002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 500 mg PULB. PT. SOL. INJ./PERF. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 19,063200 23,272800 17,241200 112 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 19,063200 23,272800 31,627200 113 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 19,063200 23,272800 23,940200 114 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 19,063200 23,272800 17,241200 115 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 19,907000 24,302000 0,000000 116 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 19,907000 24,302000 0,000000 117 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 23,888400 29,162400 7,285600 118 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 23,888400 29,162400 7,283600 119 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 23,888400 29,162400 10,092600 120 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 20,272000 24,748000 0,000000 121 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 23,888400 29,162400 10,527600 122 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 0,317000 0,428500 0,000000 123 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,317000 0,428500 0,000000 124 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 0,276000 0,373000 0,000000 125 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM 200 mg/40 mg/5 ml SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 7,350000 9,940000 0,000000 126 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 25mg/ml+5mg/ml SUSP. ORALA 25mg/ml+5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 7,810000 10,550000 0,000000 127 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 0,505625 0,683750 0,000000 128 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 0,505625 0,683750 0,000000 129 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 2,099000 2,837000 0,000000 130 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 2,099000 2,837000 0,000000 131 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 2,099000 2,837000 0,000000 132 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 2,099000 2,837000 0,000000 133 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 1,559142 2,107714 0,728286 134 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,728286 135 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 1,559142 2,107714 0,728286 136 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 0,910285 1,230000 0,005000 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 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0,910285 1,230000 0,092857 138 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 0,758571 1,025000 0,000000 139 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,910285 1,230000 0,702857 140 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 0,910285 1,230000 0,702857 141 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 0,862142 1,165714 0,000000 142 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 1,514285 2,047142 0,000000 143 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 1,299285 1,756428 0,000000 144 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1,522857 2,057857 0,000000 145 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 1,559142 2,107714 0,077286 146 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 1,514500 1,981000 0,000000 147 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 1,559142 2,107714 0,496571 148 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 18,516000 25,032000 2,458000 149 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 12,192000 16,476000 4,174000 150 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 10,160000 13,730000 0,000000 151 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 15,430000 20,860000 0,000000 152 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 18,516000 25,032000 2,458000 153 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 12,192000 16,476000 4,174000 154 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 10,160000 13,730000 0,000000 155 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 43,410000 56,780000 0,000000 156 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 26,050000 34,070000 0,000000 157 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 26,050000 34,070000 0,000000 158 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 32,380000 42,350000 0,000000 159 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 2,506000 3,385999 1,470667 160 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 2,506000 3,385999 1,470667 161 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 3,275000 4,426666 0,000000 162 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 3,275000 4,426666 0,000000 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 163 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 2,506000 3,385999 0,140667 164 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 2,088333 2,821666 0,000000 165 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 2,573333 3,476666 0,000000 166 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 3,088000 4,171999 1,808001 167 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 3,088000 4,171999 1,808001 168 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 3,088000 4,171999 1,278001 169 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 3,088000 4,171999 1,524667 170 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 3,088000 4,171999 5,021334 171 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 3,088000 4,171999 1,808001 172 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 11,460000 15,490000 0,000000 173 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 15,320000 20,710000 0,000000 174 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 15,280000 20,650000 0,000000 175 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 34,200000 44,730000 0,000000 176 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 25,600000 33,490000 0,000000 177 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 25,600000 33,490000 0,000000 178 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 34,200000 44,730000 0,000000 179 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 0,786666 1,063333 0,000000 180 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 0,586000 0,792000 0,000000 181 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 0,788000 1,065000 0,000000 182 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 17,140000 23,160000 0,000000 183 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM. P-RF 10 1,120800 1,514400 0,708600 184 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 0,934000 1,262000 0,000000 185 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 0,934000 1,262000 0,000000 186 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 1,120800 1,514400 0,708600 187 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 0,468000 0,632400 0,136600 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 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 188 W01273001 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg 189 W65056001 J01MA02 CIPROFLOXACINUM CIFRAN 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 0,468000 0,632400 0,124600 7 TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0,468000 0,632400 0,136600 190 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 0,390000 0,527000 0,000000 191 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 0,468000 0,632400 0,136600 192 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 0,468000 0,632400 0,136600 193 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 0,468000 0,632400 0,125600 194 W66438003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,390000 0,527000 0,000000 195 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 0,684000 0,924000 0,313000 196 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 0,684000 0,924000 0,544000 197 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 0,684000 0,924000 0,544000 198 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 0,684000 0,924000 0,051000 199 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 0,684000 0,924000 0,544000 200 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 0,684000 0,924000 0,544500 201 W65057001 J01MA02 CIPROFLOXACINUM CIFRAN 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0,684000 0,924000 0,051000 202 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 0,684000 0,924000 0,544000 203 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 0,570000 0,770000 0,000000 204 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 0,684000 0,924000 0,544000 205 W66439003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,570000 0,770000 0,000000 206 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 0,815000 1,102000 0,000000 207 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 2,752000 3,642960 0,077040 208 W01275002 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML PR 50 2,486800 3,035800 0,000000 209 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 2,762000 3,642960 0,089040 210 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 211 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 212 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 213 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 214 W52445001 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 2,291000 3,097000 0,000000 215 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 0,729600 0,985800 0,160700 216 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 0,608000 0,821500 0,000000 217 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 0,729600 0,985800 0,154200 218 W14009001 J01MA06 NORFLOXACINUM NORFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 0,729600 0,985800 0,160200 219 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 0,697500 0,943000 0,000000 220 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 1,225714 1,657142 0,000000 221 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 1,465200 1,980000 0,684000 222 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 1,465200 1,980000 0,678571 223 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 1,238000 1,674000 0,000000 224 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 1,221000 1,650000 0,000000 225 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 1,465200 1,980000 0,702857 226 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 3,505714 4,738571 0,000000 227 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 3,419000 4,472000 0,000000 228 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 3,235714 4,374285 0,000000 229 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 3,504000 4,736000 0,000000 230 W66213001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 3,478000 4,549000 0,000000 231 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 3,649714 4,932000 0,583714 232 W52787004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 3,041428 4,110000 0,000000 233 W56429007 J01MA12 LEVOFLOXACINUM CENOMAR 5 mg/ml SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 PUNGA PEJD X 100 ML SOL. PERF. PR 1 31,728000 41,496000 17,064000 234 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) PR 1 31,728000 41,496000 17,014000 235 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 26,440000 34,580000 0,000000 236 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 237 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 31,728000 41,496000 1,775333 238 W55815004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 31,728000 41,496000 17,064000 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 239 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 31,728000 41,496000 17,064000 240 W54108008 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. PEJD KABIPAC(TIP BOTTLEPACK) A 100 ML CONTINAND 100 ML SOL. PERF. (500MG LEVOFLOXAC PR 10 31,728000 41,496000 8,362000 241 W66200001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,568000 4,822000 0,000000 242 W66200002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 3,294285 4,452857 0,000000 243 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 1,718572 244 W66222001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 2,142572 245 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 3,953142 5,343428 1,364572 246 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 2,536572 247 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 3,953142 5,343428 2,536572 248 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 3,953142 5,343428 2,536572 249 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 3,953142 5,343428 2,142572 250 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 58,522000 67,604000 0,000000 251 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 63,232000 76,554000 0,000000 252 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 60,456000 73,528000 0,000000 253 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 61,550000 77,820000 0,000000 254 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 63,232000 76,554000 0,000000 255 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 62,180000 78,620000 0,000000 256 W66494001 J01XA01 VANCOMYCINUM VANCOTEK 1 g I.V. PULB. PT. SOL. PERF. 1g CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. CE CONTINE 1G PULB. PT. SOL. PERF. PR 1 24,560000 33,200000 0,000000 257 W66495001 J01XA01 VANCOMYCINUM VANCOTEK 500 mg I.V. PULB. PT. SOL. PERF. 500mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. CE CONTINE 500MG PULB. PT. SOL. PERF. PR 1 17,280000 23,360000 0,000000 258 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 22,600000 30,540000 0,000000 259 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 18,610000 25,160000 0,000000 260 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 1 119,900000 146,370000 0,000000 261 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 1 119,900000 146,370000 0,000000 262 W52501003 J01XB01 COLISTINUM COLISTINA ATB 1.000.000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, ÎNCHISE CU DOP DIN CAUCIUC HALOBUTILIC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC FLIP-OFF DIN POLIPROPILENA, CONTINÂND PULB. PENTRU SOL. INJ./PERF. PR 10 27,500000 33,572000 0,000000 263 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 0,292000 0,395000 0,000000 264 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 0,292000 0,395000 0,000000 265 W64585001 J01XD01 METRONIDAZOLUM METRONIDAZOL VIOSER 500 mg/100 ml SOL. PERF. 500mg/100ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 1 FLAC. PEJD X 100 ML SOL. PERF. PRF 1 4,110000 5,550000 0,000000 266 W64585002 J01XD01 METRONIDAZOLUM METRONIDAZOL VIOSER 500 mg/100 ml SOL. PERF. 500mg/100ml VIOSER S.A. PARENTERAL SOLUTION INDUSTRY GRECIA CUTIE CU 10 FLAC. PEJD X 100 ML SOL. PERF. PRF 10 4,094000 5,355000 0,000000 267 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 268 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 269 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 270 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 271 W08927003 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF. S/P-RF 20 4,029000 5,094000 0,000000 272 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 4,101000 5,364000 0,000000 273 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 4,101000 5,364000 0,000000 274 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 63,013000 72,499000 0,000000 275 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200 276 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM. PRF 10 75,615600 86,998800 41,527200 277 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200 278 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000 279 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 1 701,150000 802,400000 0,000000 280 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 281 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 1 119,092800 134,389200 17,890800 282 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000 283 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000 284 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 10 116,403000 130,694000 0,000000 285 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 10 115,254000 129,442000 0,000000 286 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 1 119,092800 134,389200 17,890800 287 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 99,244000 111,991000 0,000000 288 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 1 119,092800 134,389200 16,330800 289 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 2,545714 3,440000 0,000000 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 9 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 290 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 3,054857 4,128000 2,507714 291 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,729500 292 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,000000 293 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,838000 294 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 295 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 5,670000 7,660000 0,000000 296 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 5,670000 7,660000 0,000000 297 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 5,688000 7,692000 3,838000 298 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 5,670000 7,660000 0,000000 299 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 5,670000 7,660000 0,000000 300 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 5,670000 7,660000 0,000000 301 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 5,670000 7,660000 0,000000 302 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 5,670000 7,660000 0,000000 303 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 5,670000 7,660000 0,000000 304 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 305 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 5,670000 7,660000 0,000000 306 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 5,670000 7,660000 0,000000 307 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,000000 308 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 4,778571 6,250000 0,000000 309 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 1,525714 2,062285 0,913429 310 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 311 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 1,525714 2,062285 0,913429 312 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 1,525714 2,062285 0,913429 313 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 1,525714 2,062285 2,403429 314 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 1,525714 2,062285 0,913429 315 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 1,271428 1,718571 0,000000 316 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 317 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,000000 318 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,403429 319 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 23,200000 31,360000 0,000000 320 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,000000 321 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,000000 322 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,000000 323 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. PR 1 19,410000 26,240000 0,000000 324 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. PR 1 38,830000 50,790000 0,000000 325 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. PR 1 9,700000 13,110000 0,000000 326 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,528000 327 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 11,233200 13,713600 8,886900 328 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,000000 329 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 44,482800 53,064000 40,975000 330 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 18,465000 22,542000 0,000000 331 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 22,158000 26,532000 12,745000 332 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1,700000 2,224000 0,000000 333 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 1,700000 2,224000 0,000000 334 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 1,700000 2,224000 0,000000 335 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL 100 mg CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 2,040000 2,668800 0,752533 336 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1,700000 2,224000 0,000000 337 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 1,700000 2,224000 0,000000 338 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 7,989857 9,753857 4,462809 339 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357 340 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 6,658214 8,128214 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 341 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 7,989857 9,753857 4,631143 342 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928 343 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 7,989857 9,753857 58,566500 344 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000 345 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428 346 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357 347 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928 348 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 7,989857 9,753857 65,112143 349 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000 350 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000 351 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000 352 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000 353 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000 354 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 1 310,650000 376,760000 0,000000 355 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 1 310,650000 376,760000 0,000000 356 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000 357 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 1.372,920000 1.534,630000 0,000000 358 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 133,552083 147,161666 0,000000 359 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 24 133,552083 147,161666 0,000000 360 W65818001 J02AC04 POSACONAZOLUM ** POSACONAZOL MSN LABORATORIES 300 mg CONC. PT. SOL. PERF. 300mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU FLAC. DE STICLA INCHIS CU DOP DE CAUCIUC BROMOBUTILIC SI CAPSA DE AL DE CULOARE ROSIE X 20 ML CONC. PT. SOL. PERF. PR 1 891,820000 1.010,230000 0,000000 361 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 1.070,184000 1.212,276000 372,624000 362 W64694001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 16,7ML CONC. PT SOL. PERF. (18MG POSACONAZOL/ML) PR 1 1.070,184000 1.212,276000 372,624000 363 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 2.019,372000 2.246,892000 595,608000 364 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 2.019,372000 2.246,892000 595,608000 365 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 1.682,810000 1.872,410000 0,000000 366 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 367 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 1 877,030000 994,110000 0,000000 368 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 877,030000 994,110000 0,000000 369 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 1 868,440000 984,750000 0,000000 370 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000 371 W65688001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000 372 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 1 813,420000 924,780000 0,000000 373 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 1 868,440000 984,750000 0,000000 374 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 1 877,030000 994,110000 0,000000 375 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 1.135,500000 1.275,850000 0,000000 376 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000 377 W65689001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000 378 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 1.067,080000 1.201,270000 0,000000 379 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 1.124,290000 1.263,630000 0,000000 380 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 1.135,500000 1.275,850000 0,000000 381 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 1.135,500000 1.275,850000 0,000000 382 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 383 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 1.124,290000 1.263,630000 0,000000 384 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 1 877,030000 994,110000 0,000000 385 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 1.135,500000 1.275,850000 0,000000 386 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 1 883,690000 1.001,370000 0,000000 387 W65875001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA ACCORD 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg ACCORD HEALTHCARE POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL CU CAPAC DIN PLASTIC CU PULB. PT. CONC. PT. SOL. PERF. PR 1 968,220000 1.093,510000 0,000000 388 W64932001 J02AX06 ANIDULAFUNGINUM ECALTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC.DIN STICLA A 30ML X 100 MG PULB. PR 1 883,690000 1.001,370000 0,000000 389 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 1 883,690000 1.001,370000 0,000000 390 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 0,122000 0,164800 0,000000 391 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 0,118200 0,144300 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 11 399 W60594001 J04AC01 ISONIAZIDUM BITUB 100 mg/ml SOL INJ. 392 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,118200 0,144300 0,000000 393 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 0,122500 0,165500 0,000000 394 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 0,308000 0,410455 0,005545 395 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 0,307800 0,410455 0,005545 396 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 0,290473 0,342046 0,000000 397 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0,290473 0,342046 0,000000 398 W60582001 J04AC01 ISONIAZIDUM ISONIAZID SIROP 100mg/5ml CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. X 200 ML SIROP PR 1 50,930000 64,390000 0,000000 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 100mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 10 FIOLE X 5 ML SOL. INJ. PR 10 3,359000 4,394000 0,000000 400 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,420000 0,483233 0,000000 401 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 0,239500 0,323500 0,000000 402 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 0,384500 0,497680 0,021820 403 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 0,231893 0,278200 0,000000 404 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 0,357153 0,414733 0,000000 405 W60583001 J04AK02 ETHAMBUTOLUM INBUTOL SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 10 ML SOL. INJ PR 1 29,180000 38,170000 0,000000 406 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0,830000 0,942850 0,000000 407 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 0,660600 0,892800 0,296700 408 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,293700 409 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 0,660600 0,892800 0,296700 410 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 0,660600 0,887590 0,000000 411 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2,186000 2,954000 0,000000 412 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,296700 413 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,060200 414 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 0,568000 0,768000 0,000000 415 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 0,660600 0,892800 0,064700 416 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000 417 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000 418 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2,148000 2,903000 0,000000 419 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 41,032000 50,092000 0,000000 420 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 2,049499 2,502071 5,772429 421 W66449009 J05AB04 RIBAVIRINUM RIBAVIRINA AUROBINDO 200 mg COMPR. FILM. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 168 COMPR. FILM. PRF 168 1,707916 2,085059 0,000000 422 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 1,707916 2,085059 0,000000 423 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 2,978400 4,024800 0,908200 424 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 2,978400 4,024800 0,908200 425 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 2,482000 3,354000 0,000000 426 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 16,006999 18,210600 39,961733 427 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733 428 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 13,339166 15,175500 0,000000 429 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 42,122857 51,422857 0,000000 430 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 1,692400 2,213599 0,592734 431 W64691001 J05AE03 RITONAVIRUM ** NORVIR 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR.FILM. PR 30 1,692400 2,213599 0,592734 432 W64015001 J05AE03 RITONAVIRUM ** RITONAVIR MYLAN 100 mg COMPR. FILM. 100mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 1,410333 1,844666 0,000000 433 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 1,692400 2,213599 0,592734 434 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 20,393666 22,865000 0,000000 435 W65021001 J05AE07 FOSAMPRENAVIRUM ** TELZIR 700mg COMPR. FILM. 700mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII PR 60 20,393666 22,865000 0,000000 436 W62562001 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 17,371000 19,570333 0,000000 437 W62562002 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60X1 CAPS. PR 60 17,371000 19,570333 0,000000 438 W62562003 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 CAPS. PR 60 17,371000 19,570333 0,000000 439 W64332002 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 150 mg CAPS. 150mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 17,549500 19,764833 0,000000 440 W14087002 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 60 CAPS. (BLIST. AL/AL ) P-RF/R 60 20,504200 23,112600 3,777400 441 W65567002 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 60 CAPS. (BLIST. AL/AL 6X1) PR 60 20,504200 23,112600 3,777400 442 W65779001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 150 mg CAPS. 150mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 60 CAPS. PR 60 17,549333 19,764666 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 W64332001 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 150 mg CAPS. 150mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 60 CAPS. PR 60 17,549500 19,764833 0,000000 444 W65631001 J05AE08 ATAZANAVIRUM ATAZANAVIR ALVOGEN 150 mg CAPS. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PERFORATE UNIDOZA OPA-AL-PVC/AL CONTINAND 60X1 CAPS. PR 60 17,086833 19,260500 0,000000 445 W65632002 J05AE08 ATAZANAVIRUM ATAZANAVIR ALVOGEN 200 mg CAPS. 200mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU FLAC. PEID CU CAPAC PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 60 CAPS. PR 60 17,820500 20,060166 0,000000 446 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 21,384600 24,072199 2,817801 447 W65568001 J05AE08 ATAZANAVIRUM REYATAZ 200 mg CAPS. 200mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. PEID CU 1 SISTEM DE INCHIDERE SECURIZAT PT. COPII, DIN POLIPROPILENA X 60 CAPS. PR 60 21,384600 24,072199 2,817801 448 W65780001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 200 mg CAPS. 200mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 60 CAPS. PR 60 18,295166 20,577666 0,000000 449 W64138001 J05AE08 ATAZANAVIRUM ATAZANAVIR MYLAN 300 mg CAPS. 300mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 23,323333 26,694000 0,000000 450 W65633002 J05AE08 ATAZANAVIRUM ATAZANAVIR ALVOGEN 300 mg CAPS. 300mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU FLAC. PEID CU CAPAC PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 CAPS. PR 30 27,988000 32,032800 5,193866 451 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 27,988000 32,032800 21,747200 452 W62564001 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 27,988000 32,032800 4,805866 453 W62564002 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30X1 CAPS. PR 30 27,988000 32,032800 4,805866 454 W62564005 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 27,988000 32,032800 4,805866 455 W65587003 J05AE08 ATAZANAVIRUM ATAZANAVIR SANDOZ 300 mg CAPS. 300mg SANDOZ S.R.L. ROMANIA CUTIE CU FLAC. PEID, CU CAPAC DIN PP PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 CAPS. PR 30 27,988000 32,032800 5,193866 456 W65569001 J05AE08 ATAZANAVIRUM REYATAZ 300 mg CAPS. 300mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. PEID X 30 CAPS. PR 30 27,988000 32,032800 21,747200 457 W65781001 J05AE08 ATAZANAVIRUM ATAZANAVIR KRKA 300 mg CAPS. 300mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII, PLUS DESICANT X 30 CAPS. PR 30 27,988000 32,032800 5,193866 458 W64334001 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 300 mg CAPS. 300mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 27,988000 32,032800 5,193866 459 W64334002 J05AE08 ATAZANAVIRUM ATAZANAVIR ZENTIVA 300 mg CAPS. 300mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 60 CAPS. PR 60 27,988000 32,032800 4,013200 460 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 13,146458 14,488625 0,000000 461 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 462 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 16,945000 19,105833 0,000000 463 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 18,281000 20,562166 0,000000 464 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 17,253833 19,442500 0,000000 465 W63331001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 600 mg COMPR. FILM. 600mg MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 60 COMPR. FILM. PR 60 18,707166 21,026666 0,000000 466 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 20,953333 23,475000 0,000000 467 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 17,605500 19,825833 0,000000 468 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 21,126600 23,791000 6,463666 469 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 21,126600 23,791000 4,115500 470 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 21,126600 23,791000 5,012000 471 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 6,573229 7,244312 0,000000 472 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 28,471999 32,560399 6,324601 473 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 25,804000 29,398000 0,000000 474 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 23,726666 27,133666 0,000000 475 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 25,797666 29,391000 0,000000 476 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 28,471999 32,560399 7,523934 477 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 26,895333 30,587666 0,000000 478 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 28,471999 32,560399 7,523934 479 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 1.738,930000 1.933,590000 0,000000 480 W06151002 J05AF01 ZIDOVUDINUM RETROVIR (R) CAPS. 100mg VIIV HEALTHCARE UK LIMITED UK CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 3,903400 4,636200 0,000000 481 W65176002 J05AF01 ZIDOVUDINUM RETROVIR 100 mg CAPS. 100mg VIIV HEALTHCARE BV OLANDA CUTIE CU 10 BLIST. PVC/AL X 10 CAPS. P-RF 100 3,903400 4,636200 0,000000 482 W65177002 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 1 ML PRF 1 46,960000 61,420000 0,000000 483 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 46,940000 61,400000 0,000000 484 W65177001 J05AF01 ZIDOVUDINUM RETROVIR 10 mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 10 ML PRF 1 46,940000 61,400000 0,000000 485 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 9,929642 11,504642 0,000000 486 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 9,884107 11,455000 0,000000 487 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,248000 5,185999 0,393667 488 W59320003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,540000 4,321666 0,000000 489 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,540000 4,321666 0,000000 490 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 4,248000 5,185999 0,393667 491 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 9,375333 11,445333 0,000000 492 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,141000 11,159333 0,000000 493 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 9,141000 11,159333 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 13 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 494 W65303002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 85,950000 108,670000 0,000000 495 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 85,950000 108,670000 0,000000 496 W65271001 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE X 60 COMPR. FILM. PR 60 14,403666 16,335833 0,000000 497 W61524001 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM. PR 60 14,403666 16,335833 0,000000 498 W65272001 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml VIIV HEALTHCARE BV OLANDA CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE PR 1 258,600000 315,700000 0,000000 499 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 1 258,600000 315,700000 0,000000 500 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 12,458800 15,106000 7,833666 501 W65376001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL GLENMARK 245 mg COMPR. FILM. 245mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. ALB DIN PEID X 30 COMPR. FILM. PR 30 12,458800 15,095333 0,000000 502 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 11,458000 13,761000 0,000000 503 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 10,382333 12,588333 0,000000 504 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 12,458800 15,106000 6,378000 505 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 11,457666 13,760666 0,000000 506 W65812001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ACCORD 245 mg COMPR. FILM. 245mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 12,458800 15,106000 7,537666 507 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 12,458800 15,106000 7,537666 508 W64753001 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 21,315000 24,505000 0,000000 509 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 21,315000 24,505000 0,000000 510 W63028001 J05AG01 NEVIRAPINUM NEVIRAPINA TEVA 200mg COMPR. 200mg TEVA B.V. OLANDA BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP. PR 60 6,016166 7,193500 0,000000 511 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 11,256333 13,541000 0,000000 512 W65798002 J05AG01 NEVIRAPINUM NEVIRAPINA ACCORD 400 mg COMPR. ELIB. PREL. 400mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC/AL X 30X1 COMPR. ELIB. PREL. PR 30 11,256333 13,541000 0,000000 513 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 95,520000 120,770000 0,000000 514 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 9,427333 11,509000 0,000000 515 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 9,427333 11,509000 0,000000 516 W53549001 J05AG04 ETRAVIRINUM INTELENCE 100 mg COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR. PR 120 20,049333 22,171750 0,000000 517 W61898001 J05AG04 ETRAVIRINUM INTELENCE 200 mg COMPR. 200mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 60 COMPR. PR 60 24,217166 27,032666 0,000000 518 W61897001 J05AG04 ETRAVIRINUM INTELENCE 25 mg COMPR. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. PR 120 4,072750 4,757250 0,000000 519 W58157001 J05AG05 RILPIVIRINUM EDURANT COMPR. FILM. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU UN FLACON DIN PEÎD X 30 COMPRIMATE FILMATE PR 30 32,478000 36,672666 0,000000 520 W64953003 J05AP01 RIBAVIRINUM REBETOL 200 mg CAPS. 200mg MERCK SHARP & DOHME OLANDA CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) PR 140 7,341285 8,274500 0,000000 521 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 2,869833 3,503500 0,000000 522 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 3,443800 4,204200 2,747300 523 W66476001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg COMPR. FILM. 150mg/300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 3,443800 4,204200 2,747300 524 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 3,443800 4,204200 2,747300 525 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 3,443800 4,204200 1,022300 526 W65649001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** COMBIVIR 150 mg/300 mg COMPR. FILM. 150mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE X 6 BLIST. X 10 COMPR. FILM. PR 60 3,443800 4,204200 1,022300 527 W64747004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN 600 mg/300 mg COMPR. FILM. 600mg/300mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 17,282000 20,109000 0,000000 528 W65115001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE X 30 COMPR. FILM. ( BLIST.ALB-OPAC PVC/PVDC-AL/HARTIE) PR 30 20,738400 24,130800 1,248533 529 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 20,738400 24,130800 1,248533 530 W65953004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA GLENMARK 600 mg/300 mg COMPR. FILM. 600mg/300mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 20,738400 24,130800 9,050533 531 W63257001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN S.A.S FRANTA CUTIE CU BLIST. X 30 COMPR. FILM. PR 30 9,545200 11,652799 14,608534 532 W62931007 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL TEVA 200 mg/245 mg COMPR. FILM. 200mg/245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEID CU CAPACITATEA DE 100 ML, PREVAZUT CU CAPAC DIN PP CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI RECIPIENT CARE CONTINE 3 G DESICANT X 30 COMPR. FILM. PR 30 7,954333 9,710666 0,000000 533 W64118004 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL SANDOZ 200 mg/245 mg COMPR. FILM. 200mg/245mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID DIN PEID X 30 COMPR. FILM. PR 30 9,545200 11,652799 2,431867 534 W62928001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL 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 535 W63802004 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL 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 20,815867 536 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 29,866166 33,190000 0,000000 537 W65016001 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM ** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. OPACE DIN PCTFE- PVC/ACLAR) PR 60 29,866166 33,190000 0,000000 538 W64590001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL KRKA 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 29,451000 33,373333 0,000000 539 W63863001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg MYLAN S.A.S FRANTA CUTIE CU 1 FLAC. DIN PEID ETICHETAT "DO NOT EAT" (A NU FI INGERAT) X 30 COMPR. FILM. PR 30 29,451000 33,373333 0,000000 540 W64622001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL ZENTIVA 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 29,451000 33,373333 0,000000 541 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 8,316083 9,382500 0,000000 542 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 8,051083 9,093583 0,000000 543 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 7,351666 8,331250 0,000000 544 W64678001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. FILM. PR 120 8,316083 9,382500 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 545 W64677002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA 120 ML (2 FLACOANE X 60 ML) CU 2 SERINGI X 2 ML CU GRADATII DE 0,1 ML PR 2 263,260000 306,030000 0,000000 546 W64677001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML PR 5 254,260000 284,774000 0,000000 547 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 5 254,260000 284,774000 0,000000 548 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 30 112,402666 123,790666 0,000000 549 W65274001 J05AR13 COMBINATII (DOLUTEGRAVIRUM+ABACAVIRUM+LAMIVUDINUM) TRIUMEQ 50 mg/600 mg/300mg COMPR. FILM. 50mg/600mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 112,401333 123,789333 0,000000 550 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 57,524333 63,973333 0,000000 551 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 65,564333 72,737000 0,000000 552 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 65,564333 72,737000 0,000000 553 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 65,564333 72,737000 0,000000 554 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 30 118,376666 130,302333 0,000000 555 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 30 118,376666 130,302333 0,000000 556 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 38,325333 42,410500 0,000000 557 W64644001 J05AX08 RALTEGRAVIRUM ISENTRESS 400 mg COMPR. FILM. 400mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 38,325333 42,410500 0,000000 558 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 38,328000 42,413333 0,000000 559 W64645001 J05AX08 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 38,328000 42,413333 0,000000 560 W61477003 J05AX09 MARAVIROCUM CELSENTRI 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 42,451000 46,907500 0,000000 561 W64977003 J05AX09 MARAVIROCUM CELSENTRI 150 mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL) PR 60 42,451000 46,907500 0,000000 562 W64978003 J05AX09 MARAVIROCUM CELSENTRI 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL) PR 60 42,451000 46,907500 0,000000 563 W61478003 J05AX09 MARAVIROCUM CELSENTRI 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 42,451000 46,907500 0,000000 564 W64581001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg 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 17,656333 20,517000 0,000000 565 W63696001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE 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 17,656333 20,517000 0,000000 566 W63697001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE 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 42,640333 47,749666 0,000000 567 W64582001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg 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 42,640333 47,749666 0,000000 568 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 83,756000 92,565666 0,000000 569 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 83,756000 92,565666 0,000000 570 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,000000 571 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,000000 572 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,000000 573 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,000000 574 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 575 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 576 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 577 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,000000 578 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 579 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 580 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 581 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 582 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000 583 W53030001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. PR 1 923,350000 1.044,600000 0,000000 584 W53030002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. PR 1 1.797,530000 1.997,460000 0,000000 585 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 477,940000 559,100000 0,000000 586 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 3.835,300000 4.218,630000 0,000000 587 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 2.461,260000 2.720,930000 0,000000 588 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 1 245,530000 299,740000 0,000000 589 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 1 637,810000 733,360000 0,000000 590 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 1 539,240000 625,920000 0,000000 591 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 1 224,070000 273,540000 0,000000 592 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,000000 593 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 1.048,500000 1.181,020000 0,000000 594 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 595 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 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 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 596 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF. PR 1 490,690000 573,000000 0,000000 597 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,000000 598 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 599 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,000000 600 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 601 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 602 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 1.245,630000 1.395,890000 0,000000 603 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 62,980000 79,630000 0,000000 604 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 1 102,660000 125,330000 0,000000 605 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000 606 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 59,440000 75,150000 0,000000 607 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000 608 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 97,000000 122,650000 0,000000 609 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 57,502000 70,198000 0,000000 610 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 69,002400 84,237600 41,682400 611 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 57,502000 70,198000 0,000000 612 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 89,638000 105,336000 0,000000 613 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 89,638000 105,336000 0,000000 614 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 1 107,565600 126,403200 53,526800 615 W12757001 S01AA23 NETILMICINUM NETTACIN 3 mg/ml PIC. OFT., SOL 3mg/ml S.I.F.I. SPA ITALIA CUTIE X 1 FLACON X 5ML P-RF 1 11,660000 15,760000 0,000000 616 W41510001 S01AA23 NETILMICINUM NETTACIN 3 mg/ml PICATURI OFT.-SOL. 3mg/ml S.I.F.I. SPA ITALIA CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML P-RF 15 1,586000 2,144000 0,000000 617 W65421001 S01AA23 NETILMICINUM NETTACIN 3 mg/g UNG. OFT. 3mg/g SIFI S.P.A. ITALIA CUTIE CU 1 TUB DIN AL PREVAZUT CU APLICATOR DIN PEJD X 5 G UNG. OFT. PRF 1 13,992000 18,912000 16,028000 618 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 4,340000 5,860000 0,000000 619 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 4,680000 6,320000 0,000000 620 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 4,680000 6,320000 0,000000 P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE 15 SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA 1 W56760001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mg COMPR. 250mg ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 0,374000 0,505500 0,000000 2 W42822002 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE CU 2 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. P6L 20 0,374000 0,505500 0,000000 3 W42822003 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg ARENA GROUP SA ROMANIA CUTIE CU 5 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. P6L 50 0,371000 0,501400 0,000000 4 W56758001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mg/5 ml SOL. INJ. 250mg/5ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF 5 2,552000 3,448000 0,000000 5 W56757001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA, PREVAZUTE CU INEL DE RUPERE SAU PUNCT DE RUPERE SAU CU INEL DE RUPERE SI 2 INELE COLORATE PE GATUL FIOLEI PT. IDENTIFICARE X 2 ML SOL. INJ. P-RF 5 1,716000 2,320000 0,000000 6 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 0,108500 0,146500 0,000000 7 W53341001 H02AB07 PREDNISONUM PREDNISONA-RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0,105500 0,142500 0,000000 8 W13686002 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,108666 0,147000 0,000000 9 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 1,346071 1,760714 0,000000 10 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 0,762142 1,030000 0,000000 11 W65088002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0,562285 0,759428 0,213429 12 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 0,562285 0,759428 0,213429 13 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 0,468571 0,632857 0,000000 14 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 0,468571 0,632857 0,000000 15 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 0,761904 1,029523 0,000000 16 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 0,762142 1,030000 0,000000 17 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 0,914285 1,235428 0,354572 18 W65089001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT PRF 14 0,914285 1,235428 0,354572 19 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 0,762142 1,030000 0,000000 20 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 0,762142 1,030000 0,000000 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 0,562285 0,759428 0,552714 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 W59739005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 25 14,200000 17,004000 0,000000 23 W59739001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 1 14,820000 18,704400 1,325600 24 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 13,600000 15,587000 0,000000 25 W59739004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ. / PERF. PRF 10 14,300000 17,457000 0,000000 26 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 8,900000 12,030000 0,000000 27 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 10,620000 14,350000 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 12,744000 17,220000 4,230000 29 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 7,930000 10,720000 0,000000 30 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 7,930000 10,720000 0,000000 31 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 12,744000 17,220000 4,230000 32 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 16,190000 21,880000 0,000000 33 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 19,907000 24,302000 0,000000 34 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10 19,907000 24,302000 0,000000 35 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 23,888400 29,162400 7,285600 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 23,888400 29,162400 7,283600 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 23,888400 29,162400 10,092600 38 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 20,272000 24,748000 0,000000 39 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 23,888400 29,162400 10,527600 40 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,728286 41 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,728286 42 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 1,559142 2,107714 0,728286 43 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 0,910285 1,230000 0,005000 44 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0,910285 1,230000 0,092857 45 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 0,758571 1,025000 0,000000 46 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,910285 1,230000 0,702857 47 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 0,910285 1,230000 0,702857 48 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 0,862142 1,165714 0,000000 49 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 1,514285 2,047142 0,000000 50 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 1,299285 1,756428 0,000000 51 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1,522857 2,057857 0,000000 52 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 1,559142 2,107714 0,077286 53 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 1,514500 1,981000 0,000000 54 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 1,559142 2,107714 0,496571 55 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 18,516000 25,032000 2,458000 56 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 12,192000 16,476000 4,174000 57 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 10,160000 13,730000 0,000000 58 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 15,430000 20,860000 0,000000 59 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 18,516000 25,032000 2,458000 60 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 12,192000 16,476000 4,174000 61 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 10,160000 13,730000 0,000000 62 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 43,410000 56,780000 0,000000 63 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 26,050000 34,070000 0,000000 64 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 26,050000 34,070000 0,000000 65 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 32,380000 42,350000 0,000000 66 W14119005 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. PR 100 3,088900 3,748400 0,000000 67 W14119004 J01GA01 STREPTOMYCINUM STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. PR 50 3,106200 3,792000 0,000000 68 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 17,140000 23,160000 0,000000 69 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM. P-RF 10 1,120800 1,514400 0,708600 70 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 0,934000 1,262000 0,000000 71 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 0,934000 1,262000 0,000000 72 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 1,120800 1,514400 0,708600 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 17 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 73 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 0,468000 0,632400 0,136600 74 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 0,468000 0,632400 0,124600 75 W65056001 J01MA02 CIPROFLOXACINUM CIFRAN 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0,468000 0,632400 0,136600 76 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 0,390000 0,527000 0,000000 77 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 0,468000 0,632400 0,136600 78 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 0,468000 0,632400 0,136600 79 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 0,468000 0,632400 0,125600 80 W66438003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,390000 0,527000 0,000000 81 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 0,684000 0,924000 0,313000 82 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 0,684000 0,924000 0,544000 83 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 0,684000 0,924000 0,544000 84 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 0,684000 0,924000 0,051000 85 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 0,684000 0,924000 0,544000 86 W54039002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0,684000 0,924000 0,544500 87 W65057001 J01MA02 CIPROFLOXACINUM CIFRAN 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0,684000 0,924000 0,051000 88 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 0,684000 0,924000 0,544000 89 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 0,570000 0,770000 0,000000 90 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 0,684000 0,924000 0,544000 91 W66439003 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 0,570000 0,770000 0,000000 92 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 0,815000 1,102000 0,000000 93 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 2,752000 3,642960 0,077040 94 W01275002 J01MA02 CIPROFLOXACINUM CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML PR 50 2,486800 3,035800 0,000000 95 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 2,762000 3,642960 0,089040 96 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 97 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 98 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 99 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 100 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 1,225714 1,657142 0,000000 101 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 1,465200 1,980000 0,684000 102 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 1,465200 1,980000 0,678571 103 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 1,238000 1,674000 0,000000 104 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 1,221000 1,650000 0,000000 105 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 1,465200 1,980000 0,702857 106 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 3,505714 4,738571 0,000000 107 W60575002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 3,419000 4,472000 0,000000 108 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 3,235714 4,374285 0,000000 109 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 3,504000 4,736000 0,000000 110 W66213001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 3,478000 4,549000 0,000000 111 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 3,649714 4,932000 0,583714 112 W52787004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF 7 3,041428 4,110000 0,000000 113 W56429007 J01MA12 LEVOFLOXACINUM CENOMAR 5 mg/ml SOL. PERF. 5mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 PUNGA PEJD X 100 ML SOL. PERF. PR 1 31,728000 41,496000 17,064000 114 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) PR 1 31,728000 41,496000 17,014000 115 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 26,440000 34,580000 0,000000 116 W62972002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 50 ML SOL. PERF. PRF 50 19,710000 22,247000 0,000000 117 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 31,728000 41,496000 1,775333 118 W55815004 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 31,728000 41,496000 17,064000 119 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 31,728000 41,496000 17,064000 120 W54108008 J01MA12 LEVOFLOXACINUM LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. PEJD KABIPAC(TIP BOTTLEPACK) A 100 ML CONTINAND 100 ML SOL. PERF. (500MG LEVOFLOXAC PR 10 31,728000 41,496000 8,362000 121 W66200001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,568000 4,822000 0,000000 122 W66200002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 3,294285 4,452857 0,000000 123 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 1,718572 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 124 W66222001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 2,142572 125 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 3,953142 5,343428 1,364572 126 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 3,953142 5,343428 2,536572 127 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 3,953142 5,343428 2,536572 128 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 3,953142 5,343428 2,536572 129 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 3,953142 5,343428 2,142572 130 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 58,522000 67,604000 0,000000 131 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 63,232000 76,554000 0,000000 132 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 60,456000 73,528000 0,000000 133 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 61,550000 77,820000 0,000000 134 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 63,232000 76,554000 0,000000 135 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 62,180000 78,620000 0,000000 136 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 63,013000 72,499000 0,000000 137 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200 138 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM. PRF 10 75,615600 86,998800 41,527200 139 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200 140 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000 141 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 1 701,150000 802,400000 0,000000 142 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 143 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 1 119,092800 134,389200 17,890800 144 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000 145 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare 146 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 10 116,403000 130,694000 0,000000 147 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 10 115,254000 129,442000 0,000000 148 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 1 119,092800 134,389200 17,890800 149 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 99,244000 111,991000 0,000000 150 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 1 119,092800 134,389200 16,330800 151 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 5,900000 6,812500 0,000000 152 W41998002 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. PRF 1000 0,181740 0,221870 0,000000 153 W41999002 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. DIN AL/PVC X 10 CAPS. PRF 1000 0,780000 0,888350 0,000000 154 W65849001 J04AB30 CAPREOMYCINUM 4) CAPREOMYCIN-FERANE 1000 mg PULB. PT. SOL. INJ. PT. ADMIN. I.V. SI I.M. 1000mg C.N. UNIFARM S.A. ROMANIA CUTIE 1 CU FLAC. SIGILAT CU DOP DE CAUCIUC, PRESATE CU CAPACE DE AL X 1000 MG PULB. PT. SOL. INJ. PR 1 51,300000 64,860000 0,000000 155 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 0,122000 0,164800 0,000000 156 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 0,118200 0,144300 0,000000 157 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,118200 0,144300 0,000000 158 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 0,122500 0,165500 0,000000 159 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 0,308000 0,410455 0,005545 160 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 0,307800 0,410455 0,005545 161 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 0,290473 0,342046 0,000000 162 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0,290473 0,342046 0,000000 163 W60582001 J04AC01 ISONIAZIDUM ISONIAZID SIROP 100mg/5ml CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. X 200 ML SIROP PR 1 50,930000 64,390000 0,000000 164 W60594001 J04AC01 ISONIAZIDUM BITUB 100 mg/ml SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 10 FIOLE X 5 ML SOL. INJ. PR 10 3,359000 4,394000 0,000000 165 W56079001 J04AD03 ETIONAMIDUM ETIONAMIDA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 BLIST. AL/AL X 10 COMPR. FILM. P-RF 100 1,320000 1,611500 0,000000 166 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,420000 0,483233 0,000000 167 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 0,239500 0,323500 0,000000 168 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 0,384500 0,497680 0,021820 169 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 0,231893 0,278200 0,000000 170 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 0,357153 0,414733 0,000000 171 W60583001 J04AK02 ETHAMBUTOLUM INBUTOL SOL INJ. 100mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 10 ML SOL. INJ PR 1 29,180000 38,170000 0,000000 172 W60621001 J04AK05 BEDAQUILINUM SIRTURO 100 mg COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DIN PEID X 188 COMPR. PR 188 286,646914 312,648457 0,000000 173 W63026001 J04AK06 DELAMANIDUM DELTYBA 50 mg COMPR. FILM. 50mg OTSUKA NOVEL PRODUCTS GMBH GERMANIA CUTIE CU BLISTER AL/AL X 48 COMPRIMATE FILMATE PR 48 130,483958 143,022500 0,000000 174 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0,830000 0,942850 0,000000 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 ica ca decontare / U.T. / U.T. / U.T. - farmacii comunitare P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE SUBPROGRAMUL DE SUPRAVEGHERE SI CONTROL AL BOLILOR TRANSMISIBILE PRIORITATRE PREV-TRAT GRIPEI
1 W66559001 J05AH02 OSELTAMIVIRUM EBILFUMIN 30 mg CAPS. 30mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/PE/PVDC/AL X 10 CAPS. PRF 10 2,315000 3,129000 0,000000 2 W52316001 J05AH02 OSELTAMIVIRUM TAMIFLU 30mg CAPS. 30mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 2,778000 3,754800 0,905200 3 W64406001 J05AH02 OSELTAMIVIRUM TAMIFLU 30 mg CAPS. 30mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 BLISTER PVC/PE/PVDC/AL X 10 CAPSULE PRF 10 2,778000 3,754800 0,905200 4 W66561001 J05AH02 OSELTAMIVIRUM EBILFUMIN 75 mg CAPS. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. DIN PVC/PE/PVDC/AL X 10 CAPS. PRF 10 4,259000 5,571000 0,000000 5 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 5,110800 6,685200 1,452800 6 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 5,110800 6,685200 1,452800
19
P3: PROGRAMUL NATIONAL DE ONCOLOGIE
1 W64041001 G03HA01 CYPROTERONUM ANDROCUR 50 mg COMPR. 50mg BAYER AG GERMANIA CUTIE CU 5 BLIST. AL/PVC X 10 COMPR. PRF 50 1,799600 2,275400 0,000000 2 W58800001 G03HA01 CYPROTERONUM ANDROCUR COMPR. 50mg BAYER PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF 50 1,799600 2,275400 0,000000 3 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 0,971800 1,271000 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 21,000000 28,380000 0,000000 5 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 21,000000 28,380000 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 10,837600 13,230400 0,000000 8 W65219001 L01AA03 MELPHALANUM MELPHALAN RATIOPHARM 50 mg PULB+SOLV. PT. SOL. INJ./PERF. 50mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 50 MG PULB. PT. SOL. INJ./PERF. + 1 FLAC. SOLV. PR 1 137,500000 167,860000 0,000000 9 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. PR 1 134,540000 164,250000 0,000000 10 W65791001 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 58,106400 70,936800 51,193200 11 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 5 218,496000 247,317600 126,716400 12 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 58,106400 70,936800 51,193200 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 5 182,080000 206,098000 0,000000 14 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 48,422000 59,114000 0,000000 15 W65791005 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 5 218,496000 247,317600 126,716400 16 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 10,717100 12,063200 0,000000 17 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 1 728,950000 832,710000 0,000000 18 W65792001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 728,950000 832,710000 0,000000 19 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 8 702,702500 770,715000 0,000000 20 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 8 702,702500 770,715000 0,000000 21 W59709001 L01AD02 LOMUSTINUM 4) CECENU CAPS. 40mg CN UNIFARM S.A. ROMANIA CUTIE X 1 FLACON X 20 CAPSULE PR 20 112,373000 124,394000 0,000000 22 W66250001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 100 mg CAPS. 100mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 39,904000 48,714000 0,000000 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 39,904000 48,714000 0,000000 24 W64828003 L01AX03 TEMOZOLOMIDUM TEMODAL 100 mg CAPS. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 47,884800 58,456800 16,087200 25 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 47,884800 58,456800 16,087200 26 W65711002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 100 mg CAPS. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 39,904000 48,714000 0,000000 27 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 39,904000 48,714000 0,000000 28 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 72,030000 86,142000 0,000000 29 W59615003 L01AX03 TEMOZOLOMIDUM TEMODAL 140mg CAPS. 140mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 73,274400 89,025600 52,040400 30 W65712002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 140 mg CAPS. 140mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 72,030000 86,142000 0,000000 31 W66251001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 140 mg CAPS. 140mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 61,062000 74,188000 0,000000 32 W65713002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 180 mg CAPS. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 94,040000 110,134000 0,000000 33 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 94,040000 110,134000 0,000000 34 W59616003 L01AX03 TEMOZOLOMIDUM TEMODAL 180 mg CAPS. 180mg MERCK SHARP & DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R 5 112,848000 132,160800 46,861200 35 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 8,532000 11,160000 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
36 W64827003 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 10,238400 13,392000 2,916000 37 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 10,238400 13,392000 2,916000 38 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 8,532000 11,160000 0,000000 39 W65710002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 20 mg CAPS. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 8,532000 11,160000 0,000000 40 W66249001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE SUN 20 mg CAPS. 20mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU BLIST. AL/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 5X1 CAPS. PR 5 8,532000 11,160000 0,000000 41 W65714002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 250 mg CAPS. 250mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 127,054000 146,118000 0,000000 42 W63024001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 250 mg CAPS. 250mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 152,464800 175,341600 31,488400 43 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 5 127,054000 146,118000 0,000000 44 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 80,915000 92,012000 0,000000 45 W56549001 L01AX04 DACARBAZINUM DACARBAZINE MEDAC 500 mg PULB. PT. SOL. PERF. 500mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. PERF. PR 1 87,310000 110,400000 0,000000 46 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 PR 1 325,580000 393,030000 0,000000 47 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJD PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 ML SOL. ORALA PR 1 633,130000 728,260000 0,000000 48 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 4.010,860000 4.409,990000 0,000000 49 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 50 W58869001 L01BB03 TIOGUANINUM LANVIS COMPR. 40mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. P-RF 25 24,885200 28,650800 0,000000 51 W44114001 L01BB04 CLADRIBINUM LITAK 2 mg/ml SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML PR 1 1.365,440000 1.526,480000 0,000000 52 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 56,978500 64,014000 0,000000 53 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 99,500000 125,810000 0,000000 54 W65817001 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 1 4.205,980000 4.622,670000 0,000000 55 W65817002 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 3 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 3 4.185,970000 4.575,430000 0,000000 56 W65817003 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 4 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 4 4.183,472500 4.569,527500 0,000000 57 W65817005 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 20 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 20 4.177,471500 4.555,357500 0,000000 58 W65817004 L01BB06 CLOFARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 ML CONC. PT. SOL. PERF. PR 10 4.178,972000 4.558,900000 0,000000 59 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 3.887,570000 4.275,610000 0,000000 60 W64498001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 6 FLAC. X 50 ML SOL. PR 6 1.105,498333 1.211,353333 0,000000 61 W61693001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 6 FLAC. X 50 ML S 6 1.105,498333 1.211,353333 0,000000 62 W66325004 L01BC01 CYTARABINUM CITARABINA ACCORD 20 mg/ml SOL INJ./PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ./PERF. PR 1 6,500000 8,780000 0,000000 63 W65373004 L01BC01 CYTARABINUM CITARABINA ACCORD 20 mg/ml SOL INJ./PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ./PERF. PR 1 6,500000 8,780000 0,000000 64 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 44,150000 57,750000 0,000000 65 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 1 105,580000 128,890000 0,000000 66 W66246001 L01BC01 CYTARABINUM KORABIN 1000 mg/20 ml SOL. INJ./PERF. 1000mg/20ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 20 ML SOL. INJ./PERF. PR 1 51,300000 64,860000 0,000000 67 W65007003 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 10 ML, CU DOP DIN CAUCIUC BROMOBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE X 10 ML SOL. INJ./PERF. PR 1 44,150000 57,750000 0,000000 68 W65007004 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML, CU DOP DIN CAUCIUC BROMOBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA X 20 ML SOL. INJ./PERF. PR 1 105,580000 128,890000 0,000000 69 W43451005 L01BC02 FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. PR 1 12,948000 17,508000 0,662000 70 W66308003 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML SOL. INJ. SAU PERF. PR 1 10,790000 14,590000 0,000000 71 W66308004 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML SOL. INJ. SAU PERF. PR 1 33,870000 44,300000 0,000000 72 W66308005 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ. SAU PERF. PR 1 57,250000 72,390000 0,000000 73 W66308002 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML SOL. INJ. SAU PERF. PR 1 6,370000 8,610000 0,000000 74 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 6,370000 8,610000 0,000000 75 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 10,790000 14,590000 0,000000 76 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 33,870000 44,300000 0,000000 77 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 57,250000 72,390000 0,000000 78 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 3,180000 4,300000 0,000000 79 W66308001 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ. SAU PERF. PR 1 3,180000 4,300000 0,000000 80 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 20,700000 27,980000 0,000000 81 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 98,380000 124,390000 0,000000 82 W65796004 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 1 104,140000 127,140000 0,000000 83 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 84,950000 107,410000 0,000000 84 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 1 104,140000 127,140000 0,000000 85 W65796001 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 20,700000 27,980000 0,000000 86 W65796002 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 84,950000 107,410000 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
87 W65796003 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 98,380000 124,390000 0,000000 88 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 23,310000 31,510000 0,000000 89 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 1 101,940000 128,892000 32,618000 90 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 1 124,968000 152,568000 242,632000 91 W65009002 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA 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 1 101,940000 128,892000 32,618000 92 W65009001 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA 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 23,310000 31,510000 0,000000 93 W65009003 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA 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 1 124,968000 152,568000 242,632000 94 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 PR 1 101,940000 128,892000 54,718000 95 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 PR 1 124,968000 152,568000 242,632000 96 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 PR 1 24,840000 33,576000 2,564000 97 W60217002 L01BC06 CAPECITABINUM ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE PR 60 0,952666 1,204500 0,000000 98 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 0,952833 1,204833 0,000000 99 W65664001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 150 mg COMPR. FILM. 150mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 60X1 COMPR. FILM. PR 60 0,952833 1,204833 0,000000 100 W60217005 L01BC06 CAPECITABINUM ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE PR 60 0,952666 1,204500 0,000000 101 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 1,975500 2,411700 0,000133 102 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 1,975500 2,411700 1,270716 103 W60219006 L01BC06 CAPECITABINUM ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 120 COMPRIMATE FILMATE PR 120 1,975500 2,411700 0,000133 104 W60219003 L01BC06 CAPECITABINUM ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 120 COMPRIMATE FILMATE PR 120 1,975500 2,411700 0,000133 105 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 1,975500 2,411700 1,270716 106 W65665001 L01BC06 CAPECITABINUM CAPECITABINE ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 120X1 COMPR. FILM. PR 120 1,646250 2,009750 0,000000 107 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 1,646250 2,009750 0,000000 108 W65073001 L01BC07 AZACITIDINUM **1 VIDAZA 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml CELGENE EUROPE BV OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG PULB. PT. SUSP. INJ. PR 1 1.463,150000 1.632,990000 0,000000 109 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 1.463,150000 1.632,990000 0,000000 110 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 4.640,600000 5.096,410000 0,000000 111 W63841001 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 15 mg/6,14 mg COMPR. FILM. 15 mg/6,14 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 20 COMPRIMATE FILMATE PR 20 118,693500 131,283500 0,000000 112 W63841002 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 15 mg/6,14 mg COMPR. FILM. 15 mg/6,14 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 60 COMPRIMATE FILMATE PR 60 117,692833 128,921166 0,000000 113 W63842001 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 20 mg/8,19 mg COMPR. FILM. 20 mg/8,19 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 20 COMPRIMATE FILMATE PR 20 157,707000 173,808500 0,000000 114 W63842002 L01BC59 COMBINATII (TRIFLURIDINUM+TIPIRACILUM) **1 LONSURF 20 mg/8,19 mg COMPR. FILM. 20 mg/8,19 mg LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST.AL/AL X 60 COMPRIMATE FILMATE PR 60 156,756833 171,501000 0,000000 115 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 32,920000 43,060000 0,000000 116 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 44,500000 58,210000 0,000000 117 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, TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ./PERF. I.V. PR 1 44,500000 58,210000 0,000000 118 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 PR 1 130,020000 158,730000 0,000000 119 W65979001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 20 mg CAPS. MOI 20mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 130,020000 158,730000 0,000000 120 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 PR 1 194,240000 237,130000 0,000000 121 W65980001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 30 mg CAPS. MOI 30mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 194,240000 237,130000 0,000000 122 W65981001 L01CA04 VINORELBINUM VINORELBINA ALVOGEN 80 mg CAPS. MOI 80mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 504,820000 588,410000 0,000000 123 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 1 133,130000 162,530000 0,000000 124 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 25,090000 32,820000 0,000000 125 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 1 121,050000 147,780000 0,000000 126 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 30,108000 39,384000 12,286000 127 W65810001 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR 1 25,090000 32,820000 0,000000 128 W65810002 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 121,050000 147,780000 0,000000 129 W64798001 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. S 1 30,108000 39,384000 12,286000 130 W64798002 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 133,130000 162,530000 0,000000 131 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 23,349000 28,505000 0,000000 132 W66187001 L01CB01 ETOPOSIDUM VEPESID 100 mg CAPS. MOI 100mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 10 23,349000 28,505000 0,000000 133 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 14,677500 17,918500 0,000000 134 W66186001 L01CB01 ETOPOSIDUM VEPESID 50 mg CAPS. MOI 50mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 20 14,677500 17,918500 0,000000 135 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 26,130000 34,180000 0,000000 136 W66198001 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML X 5 ML CONC. PT. SOL. PERF. PR 1 26,130000 34,180000 0,000000 137 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 26,130000 34,180000 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
138 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 54,290000 68,650000 0,000000 139 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. PR 1 56,870000 71,910000 0,000000 140 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. PR 1 54,290000 68,650000 0,000000 141 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 1 140,930000 172,050000 0,000000 142 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 56,450000 71,380000 0,000000 143 W54068001 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 20,328000 27,480000 12,720000 144 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 67,740000 85,656000 45,664000 145 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 67,740000 85,656000 45,664000 146 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 99,828000 126,228000 575,212000 147 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 1 889,490000 1.007,690000 0,000000 148 W54068007 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR 1 83,190000 105,190000 0,000000 149 W54068005 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. PR 1 163,420000 199,500000 0,000000 150 W54068003 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. PR 1 58,540000 74,020000 0,000000 151 W64717004 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. PR 1 889,490000 1.007,690000 0,000000 152 W65807001 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 5 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 30 MG PACLITAXEL PR 1 16,940000 22,900000 0,000000 153 W65807002 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 16,7 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 100 MG PACLITAXEL PR 1 56,450000 71,380000 0,000000 154 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 1 169,116000 206,460000 68,040000 155 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 99,828000 126,228000 575,212000 156 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 1 169,116000 206,460000 68,040000 157 W65807003 L01CD01 PACLITAXELUM PACLITAXEL ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. A 50 ML CONCENTRAT PT. SOL. PERF. CARE CONTINE 300 MG PACLITAXEL PR 1 140,930000 172,050000 0,000000 158 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 20,328000 27,480000 25,620000 159 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 16,940000 22,900000 0,000000 160 W57028001 L01CD02 DOCETAXELUM DOCETAXEL EBEWE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLACON DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE A 2 ML CONC. PT. SOL. PERF. PR 1 45,180000 59,088000 21,122000 161 W57028007 L01CD02 DOCETAXELUM DOCETAXEL EBEWE 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 FLACON DIN STICLA INCOLORA FARA FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE A 8 ML CONC. PT. SOL. PERF. PR 1 174,324000 212,808000 91,462000 162 W64533001 L01CD02 DOCETAXELUM DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 120mg/6ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 6 ML CONCENTRAT CE CONTINE 120 MG DOCETAXEL PR 1 953,700000 1.077,680000 0,000000 163 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 1 141,830000 173,150000 0,000000 164 W65668001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 160 mg/8 ml CONC. PT. SOL. PERF. 160mg/8ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 8 ML PR 1 141,830000 173,150000 0,000000 165 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 1 953,670000 1.077,650000 0,000000 166 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 37,650000 49,240000 0,000000 167 W65666001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 20 mg/1 ml CONC. PT. SOL. PERF. 20mg/1ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 1 ML PR 1 37,650000 49,240000 0,000000 168 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 45,180000 59,088000 11,212000 169 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 45,180000 59,088000 11,212000 170 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 1 174,324000 212,808000 66,972000 171 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 1.159,350000 1.301,840000 0,000000 172 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 1.159,350000 1.301,840000 0,000000 173 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 45,180000 59,088000 41,822000 174 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 175 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 1 145,270000 177,340000 0,000000 176 W64537001 L01CD02 DOCETAXELUM DOCETAXEL KABI 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL PR 1 174,324000 212,808000 66,972000 177 W65667001 L01CD02 DOCETAXELUM DOCETAXEL ACCORD 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 4 ML PR 1 145,270000 177,340000 0,000000 178 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 179 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 1.861,290000 2.066,960000 0,000000 180 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 7.287,150000 7.981,150000 0,000000 181 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 7,780000 10,520000 0,000000 182 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 42,144000 55,128000 79,512000 183 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 18,190000 24,590000 0,000000 184 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 35,120000 45,940000 0,000000 185 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 1 290,730000 354,920000 0,000000 186 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 1 135,580000 165,520000 0,000000 187 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 21,828000 29,508000 58,082000 188 W65789004 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CONTINAND 20 MG DOXORUBICINA PR 1 18,190000 24,590000 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
189 W65789002 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA PR 1 35,120000 45,940000 0,000000 190 W65789001 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA PR 1 7,780000 10,520000 0,000000 191 W65789005 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CONC. PT. SOL. PERF. CONTINAND 100 MG DOXORUBICINA PR 1 70,250000 88,830000 0,000000 192 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 84,300000 106,596000 66,994000 193 W65789003 L01DB01 DOXORUBICINUM DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA PR 1 135,580000 165,520000 0,000000 194 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 9,336000 12,624000 27,216000 195 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 70,250000 88,830000 0,000000 196 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 1 162,696000 198,624000 148,566000 197 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 1.508,010000 1.681,880000 0,000000 198 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 2.033,735000 2.235,850000 0,000000 199 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 9,336000 12,624000 26,886000 200 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 42,144000 55,128000 85,682000 W66199001 L01DB01 DOXORUBICINUM W66199002 L01DB01 DOXORUBICINUM SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICINA S SINDROXOCIN 2mg/ml PULB. PT. SOL. PERF. 2mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA S 1 1 9,336000 42,144000 12,624000 55,128000 26,886000 85,682000 203 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 47,490000 62,120000 0,000000 204 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 47,490000 62,120000 0,000000 205 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 1 127,272000 155,376000 20,904000 206 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 1 127,272000 155,376000 20,904000 207 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 89,840000 113,590000 0,000000 208 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 1 106,060000 129,480000 0,000000 209 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 1 283,850000 346,530000 0,000000 210 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 1 425,230000 501,650000 0,000000 211 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 89,840000 113,590000 0,000000 212 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 1 106,060000 129,480000 0,000000 213 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 1 283,850000 346,530000 0,000000 214 W65097001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1 CAPS. PRF 1 201,620000 246,140000 0,000000 215 W03575001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 201,620000 246,140000 0,000000 216 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 90,372000 114,264000 26,056000 217 W65096001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S 1 90,372000 114,264000 26,056000 218 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 75,310000 95,220000 0,000000 219 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. PR 1 528,420000 614,130000 0,000000 220 W66241001 L01DC01 BLEOMYCINUM SULFAS BLEMISIN 15 mg PULB. PT. SOL. INJ. 15mg C.N. UNIFARM S.A. ROMANIA CUTIE CU 1 FLACON X 15 MG PULB. PT. SOL. INJ. PR 1 109,760000 132,644400 1,355600 221 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 1 106,300000 129,770000 0,000000 222 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 97,910000 110,537000 0,000000 223 W66247001 L01XA01 CISPLATINUM CISPLATIN KOCAK 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 20 ML CONC. PT. SOL. PERF. PR 1 8,724000 11,796000 31,444000 224 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 8,724000 11,796000 2,584000 225 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 25,640000 33,540000 0,000000 226 W66197001 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. PR 1 8,724000 11,796000 2,584000 227 W66197002 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. PR 1 25,640000 33,540000 0,000000 228 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 23,050000 31,160000 0,000000 229 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 20,070000 27,130000 0,000000 230 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 7,270000 9,830000 0,000000 231 W65790003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 50 ML CONC. PT. SOL. PERF. PR 1 23,050000 31,160000 0,000000 232 W65790004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71,490000 90,390000 0,000000 233 W65790001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 10 ML CONC. PT. SOL. PERF. PR 1 7,270000 9,830000 0,000000 234 W65790002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 20,070000 27,130000 0,000000 235 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 71,490000 90,390000 0,000000 236 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 52,740000 66,680000 0,000000 237 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 1 147,610000 180,200000 0,000000 238 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 1 194,290000 237,190000 0,000000 239 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 1 147,610000 180,200000 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
240 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CONC. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 147,610000 180,200000 0,000000 241 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CONC. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 20,000000 27,030000 0,000000 242 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 1 147,610000 180,200000 0,000000 243 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 48,580000 63,540000 0,000000 244 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 51,160000 64,690000 0,000000 245 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA PR 1 194,290000 237,190000 0,000000 246 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA PR 1 51,160000 64,690000 0,000000 247 W65808003 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. X 200 MG OXALIPLATINA PR 1 142,850000 174,390000 0,000000 248 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 1 142,850000 174,390000 0,000000 249 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 1 145,270000 177,340000 0,000000 250 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 66,130000 83,620000 0,000000 251 W65808001 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA PR 1 37,000000 48,400000 0,000000 252 W65808002 L01XA03 OXALIPLATINUM OXALIPLATIN ACCORD 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA PR 1 66,130000 83,620000 0,000000 253 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 37,000000 48,400000 0,000000 254 W65013005 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA PR 1 145,270000 177,340000 0,000000 255 W65013001 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. CONTINAND 50 MG OXALIPLATINA PR 1 34,110000 44,610000 0,000000 256 W65013002 L01XA03 OXALIPLATINUM OXALIPLATIN KABI 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. CONTINAND 100 MG OXALIPLATINA PR 1 63,580000 80,390000 0,000000 257 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 34,110000 44,610000 0,000000 258 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 63,580000 80,390000 0,000000 259 W59766002 L01XB01 PROCARBAZINUM 4) NATULAN CAPS. 50 mg CN UNIFARM S.A. ROMANIA CUTIE CU 5 BLIST X 10 CAPS. PRF 50 27,700000 30,956000 0,000000 260 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 2 679,570000 759,805000 0,000000 261 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 2 602,185000 675,455000 0,000000 262 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 3 674,566666 747,996666 0,000000 263 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 2 722,622000 810,546000 79,419000 264 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 2 722,622000 810,546000 79,419000 265 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 3.404,470000 3.749,030000 0,000000 266 W07200001 L01XC02 RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 3.962,740000 4.357,540000 0,000000 267 W64386001 L01XC02 RITUXIMABUM **1 MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR 1 3.962,740000 4.357,540000 0,000000 268 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 3.389,480000 3.713,615000 0,000000 269 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 3.404,480000 3.749,040000 0,000000 270 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 6.879,540000 7.536,860000 0,000000 271 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 6.879,540000 7.536,860000 0,000000 272 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 1.597,752000 1.787,328000 253,042000 273 W64381001 L01XC03 TRASTUZUMABUM **1 HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. CONTINÂND 150 MG TRASTUZUMAB PR 1 1.597,752000 1.787,328000 253,042000 274 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 1.586,100000 1.767,000000 0,000000 275 W65029001 L01XC03 TRASTUZUMABUM **1 KANJINTI 150 mg PULB. PT. CONC. PT. SOL. PERF. 150mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. CU CAPACITATEA DE 20 ML DIN STICLA TRANSPARENTA CE CONTINE 150 MG TRASTUZUMAB PR 1 1.475,340000 1.646,270000 0,000000 276 W65030001 L01XC03 TRASTUZUMABUM **1 KANJINTI 420 mg PULB. PT. CONC. PT. SOL. PERF. 420mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. CU CAPACITATEA DE 50 ML DIN STICLA TRANSPARENTA CE CONTINE 420 MG TRASTUZUMAB PR 1 4.076,930000 4.482,010000 0,000000 277 W64935001 L01XC03 TRASTUZUMABUM **1 TRAZIMERA 150 mg PULB. PT. CONC. PT.SOL. PERF. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 15 ML CONTINANAD 150 MG TRASTUZUMAB PR 1 1.331,460000 1.489,440000 0,000000 278 W65273001 L01XC03 TRASTUZUMABUM **1 OGIVRI 150 mg PULB. PT. CONC. PT.SOL. PERF. 150mg MYLAN S.A.S. FRANTA CUTIE X 1 FLAC. CU CAPACITATEA DE 15 ML DIN STICLA TRANSPARENTA DE TIP I CU DOP DIN CAUCIUC BUTILIC LAMINAT CU FILM DE FLUORO-REZINA CONTINÂND TRASTUZUMAB 150 MG PR 1 1.510,700000 1.684,810000 0,000000 279 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 5.861,360000 6.427,040000 0,000000 280 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 5.861,360000 6.427,040000 0,000000 281 W65944002 L01XC06 CETUXIMABUM **1 ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. PR 1 725,630000 829,090000 0,000000 282 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 1 725,630000 829,090000 0,000000 283 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 284 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 285 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 286 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 287 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 288 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 289 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 290 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
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
291 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 5.312,400000 5.828,670000 0,000000 292 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 1.350,590000 1.510,300000 0,000000 293 W65565002 L01XC11 IPILIMUMABUM **1 YERVOY 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1FLACON DIN STICLA X 40ML CONCENTRAT PT SOL. PERF. (200MG IPILIMUMAB) PR 1 53.133,180000 57.953,390000 0,000000 294 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 53.133,180000 57.953,390000 0,000000 295 W65565001 L01XC11 IPILIMUMABUM **1 YERVOY 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1FLACON DIN STICLA X 10ML CONCENTRAT PT SOL. PERF. (50MG IPILIMUMAB) PR 1 13.619,620000 14.883,550000 0,000000 296 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 13.619,620000 14.883,550000 0,000000 297 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 13.062,080000 14.275,840000 0,000000 298 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 11.198,800000 12.244,860000 0,000000 299 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 11.198,800000 12.244,860000 0,000000 300 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 7.197,410000 7.883,340000 0,000000 301 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 11.473,780000 12.544,590000 0,000000 302 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 7.197,410000 7.883,340000 0,000000 303 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 11.473,780000 12.544,590000 0,000000 304 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 13.288,270000 14.522,380000 0,000000 305 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 13.288,270000 14.522,380000 0,000000 306 W66236001 L01XC16 DINUTUXIMAB BETA **1 QARZIBA 4,5 mg/ml CONC. PT. SOL. PERF. 4,5mg/ml EUSA PHARMA (NETHERLANDS) B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA, PREVAZUT CU DOP DIN CAUCIUC SI SIGILIU DETASABIL DIN AL X 4,5 ML CONC. PT. SOL. PERF. (20 MG DINUTUXIMAB BETA) PR 1 40.751,810000 44.457,680000 0,000000 307 W65560001 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 2.549,400000 2.817,000000 0,000000 308 W65560001 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 2.549,400000 2.817,000000 0,000000 309 W65560002 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 6.328,500000 6.936,220000 0,000000 310 W65560002 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR 1 6.328,500000 6.936,220000 0,000000 311 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 312 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 313 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 314 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 315 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 316 W64587001 L01XC18 PEMBROLIZUMABUM **1 KEYTRUDA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA FLAC. DIN STICLA DE TIP I CE CONTINE 50 MG PEMBROLIZUMAB PR 1 7.605,870000 8.328,560000 0,000000 317 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 10.522,350000 11.507,530000 0,000000 318 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 319 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 7.455,760000 8.164,940000 0,000000 320 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 1.886,440000 2.094,370000 0,000000 321 W64125001 L01XC31 AVELUMABUM **1 BAVENCIO 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE 1 FLACON X 10 ML CONC. PT. SOL. PERF. (200 MG AVELUMAB) PR 1 4.033,040000 4.434,170000 0,000000 322 W65131001 L01XC31 AVELUMABUM **1 BAVENCIO 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml MERCK EUROPE B.V. OLANDA 1 FLACON X 10 ML CONC. PT. SOL. PERF. (200 MG AVELUMAB) PR 1 4.033,040000 4.434,170000 0,000000 323 W64295001 L01XC32 ATEZOLIZUMAB **1 TECENTRIQ 1200 mg CONC. PT. SOL. PERF. 1200mg/20ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 20 ML SOLUTIE (1200MG) PR 1 17.934,560000 19.586,850000 0,000000 324 W06844004 L01XE01 IMATINIBUM **1 GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS. PR 120 4,219600 4,980900 15,371516 325 W64766004 L01XE01 IMATINIBUM **1 GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/AL X 120 CAPS. PR 120 4,219600 4,980900 15,371516 326 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 4,219600 4,980900 3,232516 327 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 3,516333 4,150750 0,000000 328 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 4,219600 4,980900 21,329683 329 W65673001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 100 mg COMPR. FILM. 100mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PR 60 4,035166 4,926166 0,000000 330 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 4,219600 4,980900 0,001850 331 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 4,035166 4,926166 0,000000 332 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 18,808000 22,026799 64,330201 333 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 18,808000 22,026799 99,043867 334 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 18,808000 22,026799 3,942534 335 W65674001 L01XE01 IMATINIBUM **1 IMATINIB ACCORD 400 mg COMPR. FILM. 400mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30 15,673333 18,355666 0,000000 336 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 18,808000 22,026799 10,451867 337 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 15,673333 18,355666 0,000000 338 W54587001 L01XE02 GEFITINIBUM **1 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 339 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 61,000000 67,761666 0,000000 340 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 73,200000 81,313999 1,353334 341 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 73,200000 81,313999 32,313001
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
342 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 73,200000 81,313999 1,353334 343 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 73,200000 81,313999 34,219001 344 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 73,200000 81,313999 1,353334 345 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 73,200000 81,313999 68,172667 346 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 81,000000 89,561666 0,000000 347 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 97,200000 107,473999 1,801667 348 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 97,200000 107,473999 1,801667 349 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 97,200000 107,473999 35,933667 350 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 97,200000 107,473999 1,801667 351 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 97,200000 107,473999 35,933667 352 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 97,200000 107,473999 76,384001 353 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 30 155,689000 170,973000 0,000000 354 W65026001 L01XE04 SUNITINIBUM **1 SUTENT 12,5 mg CAPS. 12,5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 155,689000 170,973000 0,000000 355 W43556001 L01XE04 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 309,925333 339,090666 0,000000 356 W65027001 L01XE04 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 309,925333 339,090666 0,000000 357 W65028001 L01XE04 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 618,923666 675,899333 0,000000 358 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 30 618,923666 675,899333 0,000000 359 W63886001 L01XE05 SORAFENIBUM **1 NEXAVAR 200 mg COMPR. FILM. 200mg BAYER AG GERMANIA CUTIE CU 4 BLIST. PP/AL X 28 COMPR.FILM. PR 112 119,026428 130,079553 0,000000 360 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 112 119,026428 130,079553 0,000000 361 W65564001 L01XE06 DASATINIBUM **1 SPRYCEL 100 mg COMPR. FILM. 100mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 425,881666 465,483333 0,000000 362 W65561001 L01XE06 DASATINIBUM **1 SPRYCEL 20 mg COMPR. FILM. 20mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 95,670500 104,916833 0,000000 363 W65562001 L01XE06 DASATINIBUM **1 SPRYCEL 50 mg COMPR. FILM. 50mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 212,940833 232,741666 0,000000 364 W65563001 L01XE06 DASATINIBUM **1 SPRYCEL 70 mg COMPR. FILM. 70mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 212,940833 232,741666 0,000000 365 W64592005 L01XE07 LAPATINIBUM **1 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 366 W61702006 L01XE07 LAPATINIBUM **1 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 367 W56489001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) P-RF/R 28 90,579642 100,094285 0,000000 368 W64607001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) (CUTIE DIN CARTON) PR 28 90,579642 100,094285 0,000000 369 W52708003 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 101,186428 111,655714 0,000000 370 W64606001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 101,186428 111,655714 0,000000 371 W64608001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 120(3X40) CAPS. (BLIST. PVC/PVDC/AL) PR 120 37,089000 40,745000 0,000000 372 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 3.017,660000 3.327,400000 0,000000 373 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 3.017,660000 3.327,400000 0,000000 374 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 30 368,306000 402,725666 0,000000 375 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 30 368,306000 402,725666 0,000000 376 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 377 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 378 W64502002 L01XE11 PAZOPANIB **1 VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. PR 90 84,291666 92,301888 0,000000 379 W64502002 L01XE11 PAZOPANIB **1 VOTRIENT 200 mg COMPR. FILM. 200 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. PR 90 84,291666 92,301888 0,000000 380 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 381 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 382 W64503002 L01XE11 PAZOPANIB **1 VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. PR 60 171,197333 187,241166 0,000000 383 W64503002 L01XE11 PAZOPANIB **1 VOTRIENT 400 mg COMPR. FILM. 400 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. PR 60 171,197333 187,241166 0,000000 384 W62995001 L01XE12 VANDETANIBUM **1 CAPRELSA 100mg COMPR. FILM. 100mg GENZYME EUROPE B.V. OLANDA BLISTERE PVC/PVDC/AL, SIGILATE CU FOLIE DE ALUMINIU X 30 COMPRIMATE FILMATE PR 30 221,466666 242,670666 0,000000 385 W60260003 L01XE13 AFATINIBUM **1 GIOTRIF 20mg COMPR. FILM. 20mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 283,532500 310,413214 0,000000 386 W60261003 L01XE13 AFATINIBUM **1 GIOTRIF 30mg COMPR. FILM. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 283,532500 310,413214 0,000000 387 W60262003 L01XE13 AFATINIBUM **1 GIOTRIF 40mg COMPR. FILM. 40mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC/PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28X1 COMPRIMATE FILMATE PR 28 283,532500 310,413214 0,000000 388 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 94,825357 104,722142 0,000000 389 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 94,825357 104,722142 0,000000 390 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 28 469,842142 513,491071 0,000000 391 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 28 469,842142 513,491071 0,000000 392 W58517001 L01XE15 VEMURAFENIBUM **1 ZELBORAF COMPR. FILM. 240mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR.FILM PR 56 99,605000 109,250892 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
27
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
393 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 99,605000 109,250892 0,000000 394 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 395 W64867001 L01XE16 CRIZOTINIBUM **1 O XALKORI CAPS. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 308,732833 337,155000 0,000000 396 W64866001 L01XE16 CRIZOTINIBUM **1 O XALKORI CAPS. 250 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 350,990166 383,215666 0,000000 397 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 398 W64813002 L01XE17 AXITINIBUM **1 O INLYTA COMPR. FILM. 1 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 55,562142 61,244107 0,000000 399 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 400 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 401 W64814002 L01XE17 AXITINIBUM **1 O INLYTA COMPR. FILM. 5 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 268,187321 293,005714 0,000000 402 W64596001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 237,928928 260,024107 0,000000 403 W64594001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 237,928928 260,024107 0,000000 404 W59310002 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR 56 237,928928 260,024107 0,000000 405 W64595001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 237,928928 260,024107 0,000000 406 W59311002 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR 56 237,928928 260,024107 0,000000 407 W59309002 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR 56 120,838392 132,395178 0,000000 408 W64593001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 120,838392 132,395178 0,000000 409 W60442002 L01XE21 REGORAFENIBUM **1 STIVARGA COMPR. FILM. 40mg BAYER PHARMA AG GERMANIA CUTIE CU 3 FLACOANE DIN PEID DE CULOARE ALBA OPACA INCHIS CU CAPAC CU FILET DIN PP/PP CU FOLIE DE SIGILARE SI DESICANT SITA MOLECULARA A CATE 28 COMPRIMATE FILMATE (AMBALAJ MULTIPLU) PR 84 118,197142 129,289166 0,000000 410 W64833002 L01XE21 REGORAFENIBUM **1 STIVARGA COMPR. FILM. 40mg BAYER AG GERMANIA CUTIE CU 3 FLAC. DIN PEID X 28 COMPR. FILM. (AMBALAJ MULTIPLU) PR 84 118,197142 129,289166 0,000000 411 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 412 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 413 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 414 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 415 W64971001 L01XE24 PONATINIBUM **1 ICLUSIG 15 mg COMPR. FILM. 15mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 60 COMPR. FILM. PR 60 424,208833 463,024000 0,000000 416 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 60 424,208833 463,024000 0,000000 417 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 30 848,417666 926,048000 0,000000 418 W64973001 L01XE24 PONATINIBUM **1 ICLUSIG 45 mg COMPR. FILM. 45mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 30 COMPR. FILM. PR 30 848,417666 926,048000 0,000000 419 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 420 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 421 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 422 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 423 W64527001 L01XE26 CABOZANTINIBUM **1 O CABOMETYX 20 mg COMPR. FILM. 20mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 787,454333 859,598000 0,000000 424 W64528001 L01XE26 CABOZANTINIBUM **1 O CABOMETYX 40 mg COMPR. FILM. 40mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 787,454333 859,598000 0,000000 425 W64529001 L01XE26 CABOZANTINIBUM **1 O CABOMETYX 60 mg COMPR. FILM. 60mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 787,454333 859,598000 0,000000 426 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. PR 120 266,666666 290,984916 0,000000 427 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. PR 90 272,034000 296,941333 0,000000 428 W63339001 L01XE28 CERITINIBUM **1 ZYKADIA 150 mg CAPS. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PCTFE/AL X 150 (3 AMBALAJE X 50) CAPS. (AMBALAJ COLECTIV) PR 150 138,035533 150,713266 0,000000 429 W64628001 L01XE28 CERITINIBUM **1 ZYKADIA 150 mg CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 150 (3 AMBALAJE X 50) CAPS. (AMBALAJ COLECTIV) PR 150 138,035533 150,713266 0,000000 430 W64628002 L01XE28 CERITINIBUM **1 ZYKADIA 150 mg CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 90 CAPS. PR 90 140,531777 153,603666 0,000000 431 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 21 495,227619 541,615714 0,000000 432 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 21 495,227619 541,615714 0,000000 433 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 21 495,227619 541,615714 0,000000 434 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 21 495,227619 541,615714 0,000000 435 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 21 495,227619 541,615714 0,000000 436 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 21 495,227619 541,615714 0,000000 437 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 28 901,398214 983,887857 0,000000 438 W64294001 L01XE36 ALECTINIB **1 O ALECENSA 150mg CAPS. 150mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ MULTIPLU X 224 CAPSULE PR 224 112,506071 122,802098 0,000000 439 W64447001 L01XE39 MIDOSTAURINUM **1 RYDAPT 25 mg CAPS. MOI 25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA-AL-PVC/AL X 112 (4X28) CAPS. MOI PR 112 541,001160 590,032678 0,000000 440 W64447001 L01XE39 MIDOSTAURINUM **1 O RYDAPT 25 mg CAPS. MOI 25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA-AL-PVC/AL X 112 (4X28) CAPS. MOI PR 112 541,001160 590,032678 0,000000 441 W64450001 L01XE42 RIBOCICLIBUM **1 O KISQALI 200 mg COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PCTFE/PVC X 63 COMPR. FILM. PR 63 241,746507 264,109523 0,000000 442 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 2.783,756000 3.041,928000 0,000000 443 W64278001 L01XX02 ASPARAGINAZUM KIDROLASE 10000 U.I. PULB. PT. SOL. INJ. 10000U.I. DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 10 FLAC. CU PULB. PT. SOL. INJ. PR 10 410,833000 451,624000 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
444 W03542001 L01XX05 HYDROXYCARBAMIDUM HYDREA 500 mg CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF 100 0,978400 1,237100 0,000000 445 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 446 W61694001 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF 10 112,782000 126,748000 0,000000 447 W64499001 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 10 CAPS. PR 10 112,782000 126,748000 0,000000 448 W65809003 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PERF. (4 MG TOPOTECAN) PR 1 189,828000 231,744000 105,196000 449 W65809001 L01XX17 TOPOTECAMUM TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, CU CAPACITATEA DE 2 ML CARE CONTINE CONC. PT. SOL. PERF. (1 MG TOPOTECAN) PR 1 72,230000 91,330000 0,000000 450 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 72,230000 91,330000 0,000000 451 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 1 189,828000 231,744000 105,196000 452 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 1 158,190000 193,120000 0,000000 453 W65011002 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 5 ML CONC. PT. SOL. PERF. PR 1 52,060000 65,830000 0,000000 454 W65011001 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 2 ML CONC. PT. SOL. PERF. PR 1 23,720000 32,060000 0,000000 455 W65011003 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 20 ML CARE CONTINE 15 ML CONC. PT. SOL. PERF. PR 1 154,950000 189,160000 0,000000 456 W65011004 L01XX19 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 30 ML CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 242,110000 295,570000 0,000000 457 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 1 154,950000 189,160000 0,000000 458 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 52,060000 65,830000 0,000000 459 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 23,720000 32,060000 0,000000 460 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 28,380000 38,352000 21,488000 461 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 61,630000 77,920000 0,000000 462 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 1 290,532000 354,684000 13,346000 463 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 28,380000 38,352000 21,488000 464 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 62,472000 78,996000 55,734000 465 W65797001 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 23,650000 31,960000 0,000000 466 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 1 185,940000 226,992000 404,278000 467 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 1 290,532000 354,684000 276,586000 468 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 1 290,532000 354,684000 276,586000 469 W65797002 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 61,630000 77,920000 0,000000 470 W65797003 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 1 181,580000 221,670000 0,000000 471 W65797004 L01XX19 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA 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 1 290,532000 354,684000 13,346000 472 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 23,650000 31,960000 0,000000 473 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 1 181,580000 221,670000 0,000000 474 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 62,472000 78,996000 55,734000 475 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 1 185,940000 226,992000 404,278000 476 W51535001 L01XX23 MITOTANUM LYSODREN 500mg COMPR. 500mg LABORATOIRE HRA PHARMA FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-RF/R 100 22,887700 25,329100 0,000000 477 W62932001 L01XX27 ARSENICUM TRIOXIDUM **1 TRISENOX 1mg/ml CONC. PT. SOL. PERF. 1mg/ml TEVA B.V. OLANDA CUTIE X 10 FIOLE CU CONC. PT. SOL. PERF. X 10 ML PR 10 1.348,506000 1.473,688000 0,000000 478 W64092001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB TEVA 2,5 mg PULB. PT. SOL. INJ. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATE DE 8 ML CARE CONTINE PULB. PT. SOL. INJ. PR 1 658,488000 763,536000 1.103,384000 479 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 1 658,488000 763,536000 2.276,994000 480 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 1 658,488000 763,536000 398,904000 481 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 1 613,230000 706,570000 0,000000 482 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 1 658,488000 763,536000 1.158,934000 483 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 1 658,488000 763,536000 22,364000 484 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 1 658,488000 763,536000 1.357,274000 485 W65718001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB MSN 3,5 mg PULB. PT. SOL. INJ. 3,5mg VIVANTA GENERICS S.R.O., CEHIA CUTIE CU FLAC. DIN STICLA TIP I, CU CAPACITATE DE 10 ML, CU DOP DIN CAUCIUC BROMOBUTILIC DE CULOARE GRI INCHIS ETANSAT CU CAPSA AL CU DISC PP ALBASTRA, CU PULB. PT. SOL. INJ. PR 1 548,740000 636,280000 0,000000 486 W65669001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACCORD HEALTHCARE S.L.U. SPANIA FLACON DIN STICLA DE TIP I CU CAPACITATEA DE 10 ML, PREVAZUT CU DOP DIN CAUCIUC CLOROBUTILIC SI O CAPSA DIN ALUMINIU, CU UN CAPAC ROSU, CE CONTINE BORTEZOMIB 3,5 MG PR 1 658,488000 763,536000 506,864000 487 W64573001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB PHARMAZAC 3,5 mg PULB. PT. SOL. INJ. 3,5mg PHARMAZAC SA GRECIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 653,500000 750,470000 0,000000 488 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 1 613,230000 706,570000 0,000000 489 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 1 658,488000 763,536000 506,864000 490 W65545001 L01XX32 BORTEZOMIBUM **1 BORTEZOMIB STADA 2,5 mg/ml SOL. INJ. 2,5mg/ml STADA M&D SRL ROMANIA CUTIE CU FLAC. DIN STICLA TIP I PREVAZUT CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPSA DIN AL TIP FLIP-OFF, CU CAPAC COLORAT X 1,4 ML SOL. INJ. PR 1 658,488000 763,536000 1.270,084000 491 W62215001 L01XX42 PANOBINOSTATUM **1 FARYDAK 10 mg CAPS. 10mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000 492 W64437001 L01XX42 PANOBINOSTATUM **1 FARYDAK 10 mg CAPS. 10mg NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000 493 W62216001 L01XX42 PANOBINOSTATUM **1 FARYDAK 15 mg CAPS. 15mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000 494 W64438001 L01XX42 PANOBINOSTATUM **1 FARYDAK 15 mg CAPS. 15mg NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 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
495 W64439001 L01XX42 PANOBINOSTATUM **1 FARYDAK 20 mg CAPS. 20mg NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000 496 W62217001 L01XX42 PANOBINOSTATUM **1 FARYDAK 20 mg CAPS. 20mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 2.965,973333 3.239,273333 0,000000 497 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 1.396,870000 1.560,740000 0,000000 498 W59956003 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 25 mg/ml CONC. PT. SOL. PERF. 25mg/ ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 10 ML X 8 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 200 MG AFLIBERCEPT PR 1 2.768,930000 3.056,290000 0,000000 499 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 4.499,880000 4.943,030000 0,000000 500 W61522002 L01XX46 OLAPARIBUM **1 LYNPARZA CAPS. 50mg ASTRA ZENECA AB SUEDIA CUTIE X 448 CAPSULE (4 FLACOANE X112 CAPSULE) PR 448 45,532544 49,715691 0,000000 501 W63372001 L01XX50 IXAZOMIB **1 NINLARO 2,3 mg CAPS. 2,3mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 6.126,113333 6.690,190000 0,000000 502 W63373001 L01XX50 IXAZOMIB **1 NINLARO 3 mg CAPS. 3mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 6.126,113333 6.690,190000 0,000000 503 W63374001 L01XX50 IXAZOMIB **1 NINLARO 4 mg CAPS. 4mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 6.126,113333 6.690,190000 0,000000 504 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 112 216,138660 235,932053 0,000000 505 W64705001 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 215,694285 240,557142 0,000000 506 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 7 215,694285 240,557142 0,000000 507 W64705003 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 112 COMPR. FILM. (4 CUTII X 28 COMPR. FILM.) AMBALAJ MULTIPLU PR 112 216,138660 235,932053 0,000000 508 W64705002 L01XX52 VENETOCLAX **1 VENCLYXTO 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 215,431428 237,545714 0,000000 509 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 14 215,431428 237,545714 0,000000 510 W64703001 L01XX52 VENETOCLAX **1 VENCLYXTO 10 mg COMPR. FILM. 10mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR 14 22,225714 26,950714 0,000000 511 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 22,225714 26,950714 0,000000 512 W64704001 L01XX52 VENETOCLAX **1 VENCLYXTO 50 mg COMPR. FILM. 50mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR 7 108,620000 123,845714 0,000000 513 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 7 108,620000 123,845714 0,000000 514 W52184001 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF 30 3,040333 3,844333 0,000000 515 W64575001 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. PR 30 3,040333 3,844333 0,000000 516 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 1 557,030000 645,310000 0,000000 517 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 PR 1 639,530000 735,240000 0,000000 518 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) PR 1 1.180,150000 1.324,510000 0,000000 519 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 1 527,270000 612,870000 0,000000 520 W65082001 L02AE03 GOSERELINUM ** ZOLADEX LA 10,8 mg IMPLANT 10,8 mg ASTRAZENECA AB SUEDIA CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROTECTIE PR 1 527,270000 612,870000 0,000000 521 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 1 164,190000 200,440000 0,000000 522 W65081001 L02AE03 GOSERELINUM ** ZOLADEX 3,6 mg IMPLANT 3,6mg ASTRAZENECA AB SUEDIA CUTIE CU 1 PUNGA X 1 SERINGA PREUMPLUTA MONODOZA A 3,6 MG GASORELINA PR/PRF 1 164,190000 200,440000 0,000000 523 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 1 501,410000 584,690000 0,000000 524 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 1 172,850000 211,020000 0,000000 525 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 11,588571 14,652857 0,000000 526 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 1 600,060000 692,220000 0,000000 527 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 1 302,640000 368,030000 0,000000 528 W62618001 L02AE04 TRIPTORELINUM ** DIPHERELINE 22,5 mg PULB. SI SOLV. PT. SUSP. INJ. CU ELIB. PREL. 22,5mg IPSEN PHARMA FRANTA CUTIE CU 1 FLAC. CU CAPACITATEA DE 6 ML DIN STICLA USOR COLORATA CU PULB. PT. SUSP. INJ. CU ELIB. PREL.+1 FIOLA DIN STICLA INCOLORA,CU 2 ML SOLV. (APA PT. PREPARATE INJ.) PT. RECONST. SUSP.INJ.+1BLIST. DIN PVC CARE CONTINE 1 SERINGA DIN PP SI 2 ACE PR 1 2.090,010000 2.316,260000 0,000000 529 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 13,906285 17,583428 9,139429 530 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 0,216300 0,292400 0,000000 531 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 1.079,320000 1.195,535000 0,000000 532 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 1.079,320000 1.195,535000 0,000000 533 W03217002 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 2,530300 3,089000 0,000000 534 W65075001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 11,024142 13,458428 3,078000 535 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 9,186785 11,215357 0,000000 536 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 11,024142 13,458428 3,078000 537 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 9,186785 11,215357 0,000000 538 W66317003 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P6L 28 0,761785 1,029642 0,000000 539 W66317004 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,761666 1,029333 0,000000 540 W65076001 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 0,913999 1,235200 4,517657 541 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 0,761785 1,029642 0,000000 542 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 0,913999 1,235200 1,116228 543 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 0,913999 1,235200 4,517657 544 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 0,761666 1,029333 0,000000 545 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) PRF 112 109,667142 119,877946 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
546 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 1,205466 1,524266 0,319305 547 W53147007 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 1,205466 1,524266 1,158234 548 W53147002 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P6L 28 1,205466 1,524266 0,301448 549 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 1,019666 1,333666 0,000000 550 W53147004 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P6L 50 1,205466 1,524266 1,206734 551 W65172001 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1,205466 1,524266 2,100019 552 W53147001 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P6L 20 1,205466 1,524266 1,454234 553 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 1,022333 1,337000 0,000000 554 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 1,004555 1,270222 0,000000 555 W53147006 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P6L 98 1,205466 1,524266 1,158182 556 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 1,205466 1,524266 2,100019 557 W53147008 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM. P6L 300 1,205466 1,524266 0,889234 558 W53147005 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P6L 84 1,205466 1,524266 1,158472 559 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 1,856800 2,428800 0,030533 560 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 1,856800 2,428800 0,012533 561 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 1,547333 2,024000 0,000000 562 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 1,856800 2,428800 0,138200 563 W55787007 L02BG04 LETROZOLUM ELOZORA 2,5 mg COMPR. FILM. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 1,856800 2,428800 0,182200 564 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 1,856800 2,428800 0,182200 565 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 1,856800 2,428800 0,181533 566 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 1,765666 2,232333 0,000000 567 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 2,252333 2,848000 0,000000 568 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 2,252333 2,848000 0,000000 569 W65803004 L02BG06 EXEMESTANUM EXEMESTAN ACCORD 25 mg COMPR. FILM. 25mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF 30 2,252333 2,848000 0,000000 570 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 2,252333 2,848000 0,000000 571 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 2,702800 3,417600 0,384066 572 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 2,702333 3,417000 0,000000 573 W65092001 L02BG06 EXEMESTANUM AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. PRF 30 2,702800 3,417600 0,218066 574 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 2,702800 3,417600 0,218066 575 W58139001 L02BX03 ABIRATERONUM **1 O ZYTIGA COMPR. 250mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU FLACON DIN PEÎD X 120 COMPRIMATE PRF 120 113,265250 123,777166 0,000000 576 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 62,980000 79,630000 0,000000 577 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 1 102,660000 125,330000 0,000000 578 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000 579 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 59,440000 75,150000 0,000000 580 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000 581 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 97,000000 122,650000 0,000000 582 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 57,502000 70,198000 0,000000 583 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 69,002400 84,237600 41,682400 584 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 57,502000 70,198000 0,000000 585 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 89,638000 105,336000 0,000000 586 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 89,638000 105,336000 0,000000 587 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 1 107,565600 126,403200 53,526800 588 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 2.103,500000 2.330,970000 0,000000 589 W65254001 L03AA13 PEGFILGRASTIMUM ** ZIEXTENZO 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg SANDOZ GMBH AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 1.900,850000 2.110,080000 0,000000 590 W65705001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR 1 2.103,500000 2.330,970000 0,000000 591 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 2.103,500000 2.330,970000 0,000000 592 W66201001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL. INJ. IN INJECTOR PREUMPLUT 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 INJECTOR PREUMPLUT CARE CONTINE 0,6 ML SOL. INJ. PR 1 2.265,516000 2.515,200000 406,270000 593 W66175001 L03AA13 PEGFILGRASTIMUM ** GRASUSTEK 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml JUTA PHARMA GMBH GERMANIA CUTIE CU 1 SERINGA PREUMPLUTA CU DOP DIN CAUCIUC SI AC DIN OTEL INOXIDABIL CU GARDA AUTOMATA A ACULUI X 0,6 ML SOL. INJ. (6 MG PEGFILGRASTIM) PR 1 2.265,516000 2.515,200000 332,000000 594 W66405001 L03AA13 PEGFILGRASTIMUM ** PELMEG 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml MUNDIPHARMA BIOLOGICS S.L. SPANIA CUTIE CU AMBALAJ TIP BLISTER CE CONTINE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 1.887,930000 2.096,000000 0,000000 595 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 1 149,980000 183,090000 0,000000 596 W64968001 L03AB05 INTERFERONUM ALFA 2B ** INTRON A 10 milioane U.I./ml SOL. INJ./PERF. 10 milioane U.I./ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 1 ML SOL. INJ/PERF. PR 1 215,950000 263,630000 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
31
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
597 W64967001 L03AB05 INTERFERONUM ALFA 2B ** INTRON A 18 milioane U.I./3 ml SOL. INJ./PERF. 18 milioane U.I./3ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 3 ML SOL. INJ/PERF. PR 1 383,370000 456,020000 0,000000 598 W65072001 L04AX02 TALIDOMIDUM **1 THALIDOMIDE CELGENE 50 mg CAPS. 50mg CELGENE EUROPE BV OLANDA CUTIE TIP PORTOFEL X 28 CAPS. (14 CAPS. X 2 BLISTERE PCTFE/PVC/AL) PR 28 55,176071 61,504642 0,000000 599 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 55,176071 61,504642 0,000000 600 W64986001 L04AX06 POMALIDOMIDUM **1 IMNOVID 4 mg CAPS. 4mg CELGENE EUROPE B.V. OLANDA CUTIE CU BLIST. PVC/PCTFE X 21 CAPS. PR 21 1.748,192380 1.907,349047 0,000000 601 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 11,854166 13,556833 0,000000 602 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 37,490000 49,040000 0,000000 603 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 37,490000 49,040000 0,000000 604 W66277001 M05BA03 ACIDUM PAMIDRONICUM ** PAMIFOS-30 PULB. SI SOLV. PT. SOL. PERF. 30mg CN UNIFARM S.A. ROMANIA CUTIE CE CONTINE 2 FLAC. CU PULB. PT. SOL. PERF. + 2 FIOLE CU SOLVENT PRF 2 144,210000 176,050000 0,000000 605 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 9,692142 11,832000 0,313714 606 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 8,076785 9,860000 0,000000 607 W65655001 M05BA06 ACIDUM IBANDRONICUM ** ACID IBANDRONIC ACCORD 6 mg CONC. PT. SOL. PERF. 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 6 ML, DIN STICLA DE TIP I SI FLUOROTEC PR 1 282,610000 345,010000 0,000000 608 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 1 282,610000 345,010000 0,000000 609 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 1 235,950000 288,050000 0,000000 610 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 59,640000 78,012000 20,888000 611 W65657001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACCORD 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 5 ML DIN COPOLIMER CICLOOLEFINIC TRANSPARENT PRF 1 49,700000 65,010000 0,000000 612 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 59,640000 78,012000 16,678000 613 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 49,700000 65,010000 0,000000 614 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 59,640000 78,012000 57,418000 615 W65420001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACCORD 4 mg/100 ml SOL. PERF. 4mg/100ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 PUNGA DIN PLASTIC POLIOLEFINIC CU 100 ML SOL. PERF. PR 1 59,640000 78,012000 319,958000 616 W04133001 V03AF01 MESNUM UROMITEXAN 400mg/4ml SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR 15 5,282000 6,678666 0,000000 617 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 30,921000 37,519000 0,000000 618 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 32,050000 41,920000 0,000000 619 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 32,050000 41,920000 0,000000 P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE Subprogramul de tratament al sclerozei multiple 1 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 4 781,642500 861,530000 0,000000 2 W65163001 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK EUROPE B.V. OLANDA CUTIE CU 4 CARTUSE (DIN STICLA DE TIP I), CU DOP CU PISTON (DIN CAUCIUC) SI UN CAPAC FARA FILET (DIN ALUMINIU SI CAUCIUC HALOBUTILIC) CONTINAND 1.5 ML SOLUTIE INJECTABILA PR 4 781,642500 861,530000 0,000000 3 W65147001 L03AB07 INTERFERONUM BETA 1A **1 AVONEX 30μg/0,5ml PEN SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 30μg/0,5ml BIOGEN NETHERLANDS B.V. OLANDA AMBALAJ X 4 CUTII INDIVIDUALE FIECARE CONTINAND 1 STILOU INJECTOR (PEN) DE UNICA FOLOSINTA, 1 AC DE INJECTIE SI 1 CAPAC PENTRU STILOU INJECTOR (PEN) X 0.5ML PR 4 702,100000 774,827500 0,000000 4 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 12 276,725000 304,810000 0,000000 5 W65162003 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 44μg MERCK EUROPE B.V. OLANDA CUTIE CU 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. PR 12 276,725000 304,810000 0,000000 6 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 4 702,100000 774,827500 0,000000 7 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 15 173,956666 192,156000 0,000000 8 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 15 173,956666 192,156000 0,000000 9 W65153001 L03AB13 PEGINTERFERON BETA-1A **1 PLEGRIDY 125 micrograme SOL. INJ. IN PEN PRE-UMPLUT FARA CONCENTRATIE BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 2 PEN-URI PREUMPLUTE DE 125 MICROGRAME (PEN-URI CU ETICHETA GRI) PRF 2 1.414,810000 1.561,220000 0,000000 10 W64761001 L03AB13 PEGINTERFERON BETA-1A **1 PLEGRIDY 63 micrograme+94 micrograme SOL. INJ. IN PEN PRE-UMPLUT FARA CONCENTRATIE BIOGEN NETHERLANDS B.V. OLANDA PACHET DE INITIERE CONTINE 1 PEN PREUMPLUT DE 63 MICROGRAME (PEN CU ETICHETA PORTOCALIE,PRIMA DOZA) SI 1 PEN PREUMPLUT DE 94 MICROGRAME(PEN CU ETICHETA ALBASTRA,A DOUA DOZA) PRF 1 2.173,500000 2.407,270000 0,000000 11 W64563002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 12 SERINGI PREUMPLUTE X 1 ML SOL. INJ. PR 12 161,577500 179,299166 0,000000 12 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 12 181,166666 200,650833 0,000000 13 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 64,293928 71,442857 0,000000 14 W65148001 L04AA23 NATALIZUMABUM **1 TYSABRI 300mg CONC. PT. SOL. PERF. 20mg/ml BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. X 15ML CONC. PT. SOL. PERF PR 1 5.536,530000 6.072,980000 0,000000 15 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 5.536,530000 6.072,980000 0,000000 16 W57766001 L04AA27 FINGOLIMODUM **1 O GILENYA 0,5 mg CAPS. 0,5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST.PVC/PVDC/AL CU 28 CAPSULE PR 28 243,070357 266,309642 0,000000 17 W64461005 L04AA27 FINGOLIMODUM **1 O GILENYA 0,5 mg CAPS. 0,5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/AL CU 28 CAPSULE PR 28 243,070357 266,309642 0,000000 18 W60449002 L04AA31 TERIFLUNOMIDUM **1 AUBAGIO COMPR. FILM. 14mg SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 28 COMPR. FILM. PR 28 105,195000 116,025357 0,000000 19 W64873001 L04AA34 ALEMTUZUMABUM **1 O LEMTRADA 12mg CONC. PT. SOL. PERF. 12mg/1,2ml SANOFI BELGIUM BELGIA CUTIE CU 1 FLACON X 12MG/1,2ML PR 1 30.894,820000 33.713,550000 0,000000 20 W60450001 L04AA34 ALEMTUZUMABUM **1 O LEMTRADA 12mg CONC. PT. SOL. PERF. 12mg/1,2ml GENZYME THERAPEUTICS LTD MAREA BRITANIE CUTIE CU 1 FLACON X 12MG/1,2ML PR 1 30.894,820000 33.713,550000 0,000000 21 W64485001 L04AA36 OCRELIZUMAB **1 O OCREVUS 300 mg CONC. PT. SOL. PERF. 300mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 10 ML CONC. PR 1 29.101,550000 31.758,880000 0,000000 22 W64232001 L04AA36 OCRELIZUMAB **1 O OCREVUS 300 mg CONC. PT. SOL. PERF. 300mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU 1 FLAC. X 10 ML CONC. PR 1 29.101,550000 31.758,880000 0,000000 23 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 0,497200 0,650400 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
P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT
Tratamentul medicamentos al bolnavilor cu diabet zaharat
1 W52999001 A10AB01 INSULINE UMANE HUMULIN R 100 UI/ml SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ. P-RF 1 46,410000 60,700000 0,000000 2 W64794002 A10AB01 INSULINE UMANE HUMULIN R KwikPen 100 UI/ml SOL. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SOL. INJ. PRF 6 20,174400 25,501666 0,000000 3 W52999002 A10AB01 INSULINE UMANE HUMULIN R 100 UI/ml SOL. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 17,830000 22,544000 0,000000 4 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 17,416000 22,020000 0,000000 5 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 22,232000 27,140000 0,000000 6 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 16,812000 21,256000 0,000000 7 W64009002 A10AB04 INSULINUM LISPRO ** HUMALOG 100 unitati/ml JUNIOR KWIKPEN SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml ELI LILLY NEDERLAND BV OLANDA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE A CATE 3 ML SOL. INJ. PRF 5 29,126000 35,556000 0,000000 8 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 58,232000 71,090000 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 29,574000 36,104000 0,000000 10 W52601001 A10AB04 INSULINUM LISPRO ** HUMALOG 100 U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ. P-RF 5 24,772000 30,242000 0,000000 11 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 82,280000 104,040000 0,000000 12 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 28,990000 35,392000 0,000000 13 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 28,778000 35,132000 0,000000 14 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 24,862000 30,352000 0,000000 15 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 22,508000 27,478000 0,000000 16 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 22,508000 27,478000 0,000000 17 W64795002 A10AC01 INSULINE UMANE HUMULIN N KwikPen 100 UI/ml SUSP. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SUSP. INJ. PRF 6 20,491200 25,501666 0,000000 18 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 17,076000 21,590000 0,000000 19 W52986002 A10AC01 INSULINE UMANE HUMULIN N 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml LILLY FRANCE SAS FRANTA CUTIE CU 5 CARTUSE A CATE 3 ML SUSP. INJ. P-RF 5 17,898000 22,630000 0,000000 20 W53808003 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SoloStar SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 17,076000 21,590000 0,000000 21 W53106002 A10AD01 INSULINE UMANE HUMULIN M3 100 UI/ml 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 17,898000 22,630000 0,000000 22 W64796002 A10AD01 INSULINE UMANE HUMULIN M3 KwikPen 100 UI/ml SUSP. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SUSP. INJ. PRF 6 20,890000 25,501666 0,000000 23 W08449003 A10AD01 INSULINE UMANE INSUMAN COMB 50 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 17,416000 22,020000 0,000000 24 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 20,468000 24,988000 0,000000 25 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 17,416000 22,020000 0,000000 26 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 34,564000 42,196000 0,000000 27 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 17,416000 22,020000 0,000000 28 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 29,390000 35,880000 0,000000 29 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 25,858000 31,568000 0,000000 30 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 29,390000 35,880000 0,000000 31 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 25,614000 31,270000 0,000000 32 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 31,022000 37,872000 0,000000 33 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 25,992000 31,730000 0,000000 34 W65160002 A10AE04 INSULINUM GLARGINE ** ABASAGLAR SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100UI/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ X10 STILOURI PRE-UMPLUTE/PEN (2 CUTII X 5 PEN) A 3ML DOZAJ 80U PRF 10 34,391000 41,301000 0,000000 35 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 38,292000 46,748000 0,000000 36 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 1 128,330000 156,670000 0,000000 37 W61744003 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 unitati/ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 5 STILOURI INJECTAOARE PRF 5 53,928000 65,836000 0,000000 38 W65691001 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 Unitati/ml DOUBLESTAR SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 3 STILOURI INJECTOARE PREUMPLUTE X 3 ML SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT DOUBLESTAR PRF 3 111,690000 134,460000 0,000000 39 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 38,298000 46,754000 0,000000 40 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 46,676000 56,982000 0,000000 41 W41732002 A10AE05 INSULINUM DETEMIR ** LEVEMIR PENFILL 100 unitati/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF 5 45,166000 55,138000 0,000000 42 W65194001 A10AE06 INSULINUM DEGLUDEC ** TRESIBA 100 unitati/ml SOL INJ. 100 UI/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 5 CARTUSE X 3ML PRF 5 47,954000 58,542000 0,000000 43 W66105004 A10AE06 INSULINUM DEGLUDEC ** TRESIBA 100 unitati/ml SOL INJ. IN STILOU INJECTOR PREUMPLUT 100 UI/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 5 STILOURI INJECTOARE PREUMPLUTE (FLEXTOUCH) X 3 ML SOL. INJ. PRF 5 53,708000 65,568000 0,000000 44 W63476001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+33 micrograme/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+33micrograme/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 93,324000 109,354000 0,000000 45 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 5 129,576000 148,868000 0,000000 46 W53953002 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. PRF 200 0,139850 0,182900 0,000000
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
33
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
47 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 0,140200 0,189600 0,000000 48 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 0,154399 0,208800 0,032533 49 W53952003 A10BA02 METFORMINUM METFORMIN ARENA 850 mg COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 6 BLIST. PVC/AL X 10 COMPRIMATE PRF 60 0,090333 0,122166 0,000000 50 W53952001 A10BA02 METFORMINUM METFORMIN ARENA 850 MG COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR. PRF 15 0,090000 0,122000 0,000000 51 W65728002 A10BA02 METFORMINUM SIOFOR 500 mg COMPR. CU ELIB. PREL. 500mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0,154399 0,208800 0,108200 52 W63931003 A10BA02 METFORMINUM GLUCOPHAGE XR 1000 mg COMPR. ELIB. PREL. 1000mg MERCK SANTE S.A.S. FRANTA CUTIE CU 6 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. PRF 60 0,151999 0,205200 0,616966 53 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 0,151999 0,205200 0,619800 54 W65799009 A10BA02 METFORMINUM METFORMIN ACCORD 500 mg COMPR. ELIB. PREL. 500mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P6L 30 0,154399 0,208800 0,108200 55 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 0,154399 0,208800 0,108200 56 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 0,154399 0,208800 0,092533 57 W63930003 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 4 BLIST. PVC/AL X 15 COMPR. ELIB. PREL. PRF 60 0,471166 0,616333 0,000000 58 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 0,453000 0,612333 0,000000 59 W13583011 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL, X 60 COMPR. FILM. P-6L 60 0,151999 0,205200 0,091633 60 W43828002 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH & CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM P6L 120 0,146583 0,198083 0,000000 61 W65995002 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,126666 0,171000 0,000000 62 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 0,126666 0,171000 0,000000 63 W42349002 A10BA02 METFORMINUM SIOFOR 1000 mg COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. P6L 60 0,146500 0,198000 0,000000 64 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 0,154399 0,208800 0,034700 65 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 0,128666 0,174000 0,000000 66 W65992003 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,128666 0,174000 0,000000 67 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 0,090666 0,122333 0,000000 68 W65994003 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,090666 0,122333 0,000000 69 W53679003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P6L 30 0,157000 0,212000 0,000000 70 W65039001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. CU ELIB. MODIF. PRF 30 1,309333 1,712666 0,000000 71 W03348001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. ELIB. MODIF. P-RF 30 1,309333 1,712666 0,000000 72 W03352001 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 0,323500 0,437333 0,000000 73 W42334001 A10BB09 GLICLAZIDUM ESQUEL (R) 80 mg COMPR. 80mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR. P6L 30 0,359666 0,486333 0,000000 74 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 0,358333 0,484333 0,000000 75 W59674006 A10BB09 GLICLAZIDUM GLYCLADA 60 mg COMPR. CU ELIB. MODIF. 60mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. CU ELIB. MODIF. PRF 60 0,358333 0,484333 0,000000 76 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 0,358333 0,468666 0,000000 77 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 0,380500 0,514333 0,000000 78 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 0,200333 0,270666 0,000000 79 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 0,200333 0,270666 0,000000 80 W62433005 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,135000 0,182333 0,000000 81 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 0,221333 0,299000 0,000000 82 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 0,221333 0,299000 0,000000 83 W62435004 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,378000 0,511000 0,000000 84 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 0,378000 0,511000 0,000000 85 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 0,412000 0,556666 0,000000 86 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 0,412000 0,556666 0,000000 87 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 0,707000 0,955666 0,000000 88 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 0,707000 0,955666 0,000000 89 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 0,194960 0,246520 0,000000 90 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 0,198500 0,268000 0,000000 91 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 0,233952 0,295824 0,128342 92 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 0,431833 0,564833 0,000000 93 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 0,431833 0,564833 0,000000 94 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 2,452142 3,100357 0,000000 95 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 2,452142 3,100357 0,000000 96 W64669003 A10BD07 COMBINATII ( SITAGLIPTINUM+METFORMINUM) ** JANUMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PE/PVDC/AL X 56 COMPR. FILM. PRF 56 2,135535 2,607142 0,000000 97 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 1,522000 1,924500 0,000000
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crt Cod CIM
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Denumire generica Denumire comerciala
farmaceuti atie / U.T. Firma Tara Ambalaj
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maximal de
Pret de decontare maximă asigurat
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
98 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 1,826400 2,246666 0,000000 99 W64469003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/1000mg COMPR. FILM. 50mg/1000mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) PRF 60 1,826400 2,246666 0,000000 100 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 1,890000 2,307333 0,000000 101 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 1,840333 2,246666 0,000000 102 W64470003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/850mg COMPR. FILM. 50mg/850mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) PRF 60 1,840333 2,246666 0,000000 103 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 104 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 10,417000 12,626333 0,000000 105 W57947002 A10BF01 ACARBOSUM GLUCOBAY® 100 COMPR. 100mg BAYER PHARMA AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P6L 120 0,463416 0,585916 0,000000 106 W63883002 A10BF01 ACARBOSUM GLUCOBAY 100 COMPR. 100mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0,463416 0,585916 0,000000 107 W63882002 A10BF01 ACARBOSUM GLUCOBAY 50 COMPR. 50mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0,264500 0,345916 0,000000 108 W57946002 A10BF01 ACARBOSUM GLUCOBAY® 50 COMPR. 50mg BAYER PHARMA AG GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR. P6L 120 0,264500 0,345916 0,000000 109 W61804002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,024333 1,339666 0,000000 110 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 0,993333 1,299333 0,000000 111 W65698002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1,024333 1,339666 0,000000 112 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 0,993333 1,299333 0,000000 113 W61805002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,106666 1,447333 0,000000 114 W65699002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1,106666 1,447333 0,000000 115 W61806002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,106666 1,447333 0,000000 116 W65700002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1,106666 1,447333 0,000000 117 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 4,271428 5,214642 0,000000 118 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 4,271428 5,214642 0,000000 119 W64117005 A10BH02 VILDAGLIPTINUM ** DALMEVIN 50 mg COMPR. 50mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. PA-AL-PVC/AL X 56 COMPR. PRF 56 1,886785 2,303392 0,000000 120 W64467005 A10BH02 VILDAGLIPTINUM ** GALVUS 50 mg COMPR. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC//AL X 56 COMPR. PRF 56 1,873750 2,287500 0,000000 121 W52375005 A10BH02 VILDAGLIPTINUM ** GALVUS 50mg COMPR. 50mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X, 56 COMPR. (BLISTER PA/AL/PVC//AL) P-RF 56 1,873750 2,287500 0,000000 122 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 123 W61955001 A10BJ01 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 124 W61682001 A10BJ01 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 1 333,410000 401,570000 0,000000 125 W61681001 A10BJ01 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 1 222,670000 271,830000 0,000000 126 W64922001 A10BJ01 EXENATIDUM ** BYDUREON 2 mg SUSP. INJ. CU ELIB. PREL. IN STILOU INJECOTR (PEN) 2mg ASTRAZENECA AB SUEDIA AMBALAJ X 4 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE CU DOZA UNICA (BCISE) PRF 4 94,755000 112,820000 0,000000 127 W54586003 A10BJ02 LIRAGLUTIDUM ** VICTOZA 6 mg/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 6 mg/ml NOVO NORDISK A/S DANEMARCA CUTIE X 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML SOLUTIE INJECTABILA/STILOU P-RF 3 198,570000 229,160000 0,000000 128 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 91,650000 103,077500 0,000000 129 W65785001 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,25 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT + 4 ACE X 0,25 MG SEMAGLUTIDA PRF 1 394,040000 467,650000 0,000000 130 W65786002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,5 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 0,5 MG SEMAGLUTIDA PRF 3 374,036666 420,416666 0,000000 131 W65787002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 1 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 1 MG SEMAGLUTIDA PRF 3 412,956666 462,840000 0,000000 132 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 5,878666 7,176666 0,000000 133 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 5,878666 7,176666 0,000000 134 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 0,123066 0,166266 0,170845 135 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 0,123066 0,166266 0,170734 136 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 0,123066 0,166266 0,170845 137 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 0,123066 0,166266 0,159900 138 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 0,123066 0,166266 0,143548 139 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 0,102555 0,138555 0,000000 140 W65706002 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 0,5 mg COMPR. 0,5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,102555 0,138555 0,000000 141 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 0,123066 0,166266 0,170834 142 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 0,234666 0,317200 0,019911 143 W61808001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,195555 0,264333 0,000000 144 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 0,234666 0,312916 0,000000 145 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 0,234666 0,297185 0,000000 146 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 0,234666 0,317200 0,006466 147 W64097005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0,234666 0,317200 0,006100 148 W65707001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 1 mg COMPR. 1mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,195555 0,264333 0,000000
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
149 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 0,234666 0,317200 0,006244 150 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 0,249444 0,337111 0,000000 151 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 0,239333 0,323666 0,000000 152 W61809001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,244111 0,329888 0,000000 153 W64098005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0,239200 0,323300 0,000000 154 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 0,239250 0,312916 0,000000 155 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 0,235037 0,297185 0,000000 156 W65708001 A10BX02 REPAGLINIDUM REPAGLINIDE ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. AL/AL X 90 COMPR. PRF 90 0,244111 0,329888 0,000000 157 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 0,239333 0,323444 0,000000 158 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 159 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 1 156,270000 190,770000 0,000000 160 W62898002 A11DA03 BENFOTIAMINUM NEUROSSEN 300 mg COMPR. FILM. 300mg AAA-PHARMA GMBH GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 30 2,174333 2,749333 0,000000 161 W66482006 A11DA03 BENFOTIAMINUM TIAVELLA 300 mg COMPR. FILM. 300mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 2,209666 2,794000 0,000000 162 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 0,788400 1,031200 0,000000 163 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 0,302300 0,395400 0,000000 164 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 0,359000 0,474480 0,011020 165 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 1,317833 1,666333 0,000000 166 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 0,796600 1,042000 0,000000 167 W41647001 A11DBN1 COMBINATII ** MILGAMMA 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 3,046000 4,118000 0,000000 168 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 66,020000 83,480000 0,000000 169 W66520001 H04AA01 GLUCAGONUM BAQSIMI 3 mg PULB. NAZALA UNIDOZA 3mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLACON CU DOZA UNICA PRF 1 432,480000 509,550000 0,000000 170 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
35
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 1.599,756000 1.789,512000 867,088000 2 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 1 816,432000 935,688000 430,462000 3 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 1 435,948000 520,968000 127,772000 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 1.599,756000 1.789,512000 158,468000 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 5.595,170000 6.136,890000 0,000000 6 W61670001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 250 UI PULB+SOLV. PT. SOL. INJ./PERF. 250UI CSL BEHRING GMBH GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 2,5ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 5 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR 1 435,948000 520,968000 72,502000 7 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 1 816,432000 935,688000 45,932000 8 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 PR 1 1.485,540000 1.657,390000 0,000000 9 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 PR 1 396,390000 470,220000 0,000000 10 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 PR 1 758,420000 864,830000 0,000000 11 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 1.333,130000 1.491,260000 0,000000 12 W65354001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 100 UI/ml PULB. + SOLV. PT. SOL. INJ. 100UI/ml OCTAPHARMA (IP) SPRL BELGIA 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 1.333,130000 1.491,260000 0,000000 13 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 1 680,360000 779,740000 0,000000 14 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 1 363,290000 434,140000 0,000000 15 W65353002 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50UI/ml OCTAPHARMA (IP) SPRL BELGIA 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 1 680,360000 779,740000 0,000000 16 W65353001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ. 50UI/ml OCTAPHARMA (IP) SPRL BELGIA 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 1 363,290000 434,140000 0,000000 17 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 1 816,432000 935,688000 68,162000 18 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 1.243,570000 1.393,640000 0,000000 19 W64779001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB+SOLV. PT. SOL. INJ. IN SERINGA PREUMPLUTA 500UI PFIZER EUROPE MA EEIG BELGIA 1 SERINGA PREUMPLUTA+1 TIJA A PISTONULUI+ 1 SET DE PERFUZIE STERIL+2 TAMPOANE CU ALCOOL MEDICINAL+1 PLASTURE+1 BUCATA DE TIFON+1 CAPAC STERIL PT AERISIRE PR 1 1.243,570000 1.393,640000 0,000000 20 W61061001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 1000UI PULB. + SOL. PT. SOL. INJ. 1000 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 2.442,990000 2.701,010000 0,000000 21 W61062001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 2000UI PULB. + SOL. PT. SOL. INJ. 2000 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 4.855,980000 5.331,170000 0,000000 22 W61059001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 250UI PULB. + SOL. PT. SOL. INJ. 250 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 640,700000 736,510000 0,000000 23 W61060001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500UI PULB. + SOL. PT. SOL. INJ. 500 UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 1.243,570000 1.393,640000 0,000000 24 W64776001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 1000 UI PULB. + SOLV. PT. SOL. INJ. 1000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 2.442,990000 2.701,010000 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
25 W64777001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 2000UI PULB. + SOLV. PT. SOL. INJ. 2000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 4.855,980000 5.331,170000 0,000000 26 W64774001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 250 UI PULB. + SOLV. PT. SOL. INJ. 250UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 640,700000 736,510000 0,000000 27 W64775001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB. + SOLV. PT. SOL. INJ. 500UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 1.243,570000 1.393,640000 0,000000 28 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 2.728,770000 3.012,510000 0,000000 29 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 5.473,850000 6.004,650000 0,000000 30 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 1 706,840000 808,610000 0,000000 31 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 1.375,810000 1.537,780000 0,000000 32 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 2.664,890000 2.942,880000 0,000000 33 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 2.573,020000 2.842,750000 0,000000 34 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 2.573,020000 2.842,750000 0,000000 35 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 4.096,020000 4.502,820000 0,000000 36 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 5.764,560000 6.321,530000 0,000000 37 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 5.764,560000 6.321,530000 0,000000 38 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 1 709,910000 811,950000 0,000000 39 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 1 709,910000 811,950000 0,000000 40 W51448001 B02BD02 OCTOCOG ALFA ** ADVATE 500UI PULB+SOLV.PT.SOL.INJ 500 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R 1 1.343,900000 1.503,000000 0,000000 41 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 1.366,480000 1.527,610000 0,000000 42 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 1.366,480000 1.527,610000 0,000000 43 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 5.749,670000 6.305,300000 0,000000 44 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 1 720,280000 823,260000 0,000000 45 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 8.609,510000 9.422,530000 0,000000 46 W65190001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 1000 UI PULB+SOLV. PT. SOL. INJ. 1000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 2.481,310000 2.742,780000 0,000000 47 W65191001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 1500 UI PULB+SOLV. PT. SOL. INJ. 1500 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 3.706,970000 4.078,750000 0,000000 48 W65192001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 2000 UI PULB+SOLV. PT. SOL. INJ. 2000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 4.932,620000 5.414,710000 0,000000 49 W65188001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 250 UI PULB+SOLV. PT. SOL. INJ. 250 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 642,820000 738,830000 0,000000 50 W65193001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 3000 UI PULB+SOLV. PT. SOL. INJ. 3000 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 7.383,920000 8.086,630000 0,000000 51 W65189001 B02BD02 TUROCTOCOG ALFA ** NOVOEIGHT 500 UI PULB+SOLV. PT. SOL. INJ. 500 UI NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLACON CU PULBERE, 1 SERINGA PREUMPLUTA CU 4 ML SOLVENT, 1 TIJA PISTON SI UN ADAPTOR PENTRU FLACON PR 1 1.255,660000 1.406,820000 0,000000 52 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 1.536,130000 1.712,530000 0,000000 53 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 3.130,950000 3.450,890000 0,000000 54 W63107001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 4.516,670000 4.961,330000 0,000000 55 W63108001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 9.003,340000 9.851,800000 0,000000 56 W63105001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 250 UI PULB+SOLV. PT. SOL. INJ. 250UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 1.151,670000 1.293,470000 0,000000 57 W63109001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 3000 UI PULB+SOLV. PT. SOL. INJ. 3000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 13.490,010000 14.742,280000 0,000000 58 W63106001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 500 UI PULB+SOLV. PT. SOL. INJ. 500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DIN STICLA DE TIP I CU PULBERE +5 ML SOLV. INTR-O SERINGA PREUMPLUTA DIN STICLA DE TIP I +1 TIJA A PISTONULUI +1 ADAPTOR STERIL PT. FLAC.+ 1 SET DE PERFUZIE STERIL+ 2 TAMPOANE CU ALCOOL+ 2 PLASTURI + 1COMPRESA DIN TIFON PR 1 2.273,340000 2.516,090000 0,000000 59 W65356001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 1000 UI PULB. + SOLV. PT. SOL. PERF. 1000UI OCTAPHARMA (IP) SPRL BELGIA 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 1SET TRANSFER MIX2VIAL TM +1SET DE PERFUZARE(TIP FLUTURE)+1SERINGA DE UNICA FOLOSINTA+2 TAMPOANE ALCOOL MED PR 1 1.333,130000 1.491,260000 0,000000 60 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 1.333,130000 1.491,260000 0,000000 61 W65355001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 500 UI PULB. + SOLV. PT. SOL. PERF. 500 UI OCTAPHARMA (IP) SPRL BELGIA 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:1SET TRANSEFER MIX2VIALTM+1SET DE PERFUZARE(TIP FLUTURE)+1SERINGA DE UNICA FOLOSINTA+2 TAMPOANE ALCOOL MEDICINAL PR 1 828,700000 941,430000 0,000000 62 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 1 828,700000 941,430000 0,000000 63 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 1.823,060000 2.025,290000 0,000000 64 W64927001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 1.599,756000 1.789,512000 641,338000 65 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 1.599,756000 1.789,512000 641,338000 66 W64928001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 4.360,260000 4.790,840000 0,000000 67 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 4.360,260000 4.790,840000 0,000000 68 W64925001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 571,280000 660,850000 0,000000 69 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 1 571,280000 660,850000 0,000000 70 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 1 994,440000 1.129,716000 121,134000 71 W64926001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR 1 994,440000 1.129,716000 121,134000 72 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 1.894,310000 2.102,950000 0,000000 73 W65362001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 1000 1000 UI FVW/1000 UI FVIII PULB+SOLV. PT. SOL. INJ 1000 UI FVW/1000 UI FVIII OCTAPHARMA (IP) SPRL BELGIA 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 1.894,310000 2.102,950000 0,000000 74 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 1 962,150000 1.086,900000 0,000000 75 W65361001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** WILATE 500 500 UI FVW/500 UI FVIII PULB+SOLV. PT. SOL. INJ 500 UI FVW/500 UI FVIII OCTAPHARMA (IP) SPRL BELGIA 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 1 962,150000 1.086,900000 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
76 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 1.333,510000 1.491,680000 0,000000 77 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 1 349,420000 419,020000 0,000000 78 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 1 641,260000 737,120000 0,000000 79 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 1 936,370000 1.058,790000 0,000000 80 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 2.419,840000 2.675,780000 0,000000 81 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 11,433000 13,957000 0,000000 82 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 26,812500 30,588214 0,000000 83 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 26,812500 30,588214 0,000000 84 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 52,553571 58,646071 0,000000 85 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 52,553571 58,646071 0,000000 86 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 91,558571 101,161428 0,000000 87 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 91,558571 101,161428 0,000000 88 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 46,243666 51,677333 0,000000 89 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 46,243666 51,677333 0,000000 90 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 91,486666 100,992333 0,000000 91 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 91,486666 100,992333 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.2: EPIDERMOLIZA BULOASA
1 W54946001 D06AA04 TETRACYCLINUM TETRACICLINA ATB 30 mg/g UNGUENT 30mg/g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 TUB AL X 12 G UNGUENT P-RF 1 11,470000 15,500000 0,000000 2 W54309001 D06BA01 SULFADIAZINUM FLAMMAZINE CREMA 1% CN UNIFARM ROMANIA CUTIE X 500 G CREMA PRF 1 95,200000 120,370000 0,000000 3 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 16,670000 22,530000 0,000000 4 W57219001 D07CC01 COMBINATII TRIDERM 0,5 mg+10 mg+1 mg/gram CREMA 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB AL X 15 G P-RF 1 8,140000 11,000000 0,000000 5 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 10,270000 13,880000 0,000000 6 W57224001 D07CC01 COMBINATII TRIDERM 0,5 mg+10 mg+1 mg/gram UNGUENT 0,5mg+10mg+1mg/g MERCK SHARP & DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF 1 9,768000 13,200000 3,460000 7 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 10,270000 13,880000 0,000000 8 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 22,280000 30,120000 0,000000 9 W56910001 J01AA07 TETRACYCLINUM TETRACICLINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0,266500 0,360000 0,000000 10 W12143001 N03AB02 PHENYTOINUM FENITOINA RICHTER 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0,113500 0,153500 0,000000 11 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 11,698000 14,790000 0,000000 12 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 11,698000 14,790000 0,000000 13 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 11,698000 14,790000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
37
P6.3: HIPERTENSIUNE PULMONARA
1 W63291002 C02KX01 BOSENTANUM ** BOPAHO 125 mg COMPR. FILM. 125mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 26,083035 29,111785 0,000000 2 W65305001 C02KX01 BOSENTANUM ** TRACLEER 125 mg COMPR. FILM. 125mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. PR 56 31,299642 34,934142 53,923000 3 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 31,299642 34,934142 53,923000 4 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 30 263,027333 287,971666 0,000000 5 W65300001 C02KX04 MACITENTANUM ** OPSUMIT 10 mg COMPR. FILM. 10mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. ALBE DIN FOLIE OPACA PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 263,027333 287,971666 0,000000 6 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 42 107,689761 118,290238 0,000000 7 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 42 107,689761 118,290238 0,000000 8 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 42 107,689761 118,290238 0,000000 9 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 42 107,689761 118,290238 0,000000 10 W63714001 C02KX05 RIOCIGUAT ** ADEMPAS 1mg COMPR. FILM. 1mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,000000 11 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 42 107,689761 118,290238 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
12 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 42 107,689761 118,290238 0,000000 13 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 42 107,689761 118,290238 0,000000 14 W63716001 C02KX05 RIOCIGUAT ** ADEMPAS 2mg COMPR. FILM. 2mg BAYER AG GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE PR 42 107,689761 118,290238 0,000000 15 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 42 107,689761 118,290238 0,000000 16 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 9,604933 10,978000 0,716111 17 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 8,886888 10,110666 0,000000 18 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 8,582444 9,778777 0,000000 19 W64746001 G04BE03 SILDENAFILUM ** REVATIO 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 8,004111 9,148333 0,000000 20 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 8,886888 10,110666 0,000000 21 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 9,604933 10,978000 4,762555 22 W65670002 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 90X1 COMPR. FILM. PR 90 8,886888 10,110666 0,000000 23 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 8,004111 9,148333 0,000000 24 W65670001 G04BE03 SILDENAFILUM ** GRANPIDAM 20 mg COMPR. FILM. 20mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 8,886888 10,110666 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.4: MUCOVISCIDOZA
1 W65830001 A09AA02 PANCREATINUM ** PANCREATINA FORTE MYLAN 35000 CAPS. GASTROREZ. 420mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU CAPAC DIN PP X 50 CAPS. GASTROREZ. P6L 50 2,223200 2,714200 0,000000 2 W66550001 A09AA02 PANCREATINUM ** PANKREAL 35000 CAPS. GASTROREZ. 420mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID INCHIS CU CAPAC DIN PP X 50 CAPS. GASTROREZ. P6L 50 2,223200 2,714200 0,000000 3 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 1,559142 2,107714 0,728286 4 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 1,559142 2,107714 0,728286 5 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 1,559142 2,107714 0,728286 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 0,910285 1,230000 0,005000 7 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 0,910285 1,230000 0,092857 8 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 0,758571 1,025000 0,000000 9 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,910285 1,230000 0,702857 10 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 0,910285 1,230000 0,702857 11 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 0,862142 1,165714 0,000000 12 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 1,514285 2,047142 0,000000 13 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 1,299285 1,756428 0,000000 14 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1,522857 2,057857 0,000000 15 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 1,559142 2,107714 0,077286 16 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 1,514500 1,981000 0,000000 17 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 1,559142 2,107714 0,496571 18 W65821002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 18,516000 25,032000 2,458000 19 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 12,192000 16,476000 4,174000 20 W66370001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 10,160000 13,730000 0,000000 21 W66370002 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 15,430000 20,860000 0,000000 22 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 18,516000 25,032000 2,458000 23 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 12,192000 16,476000 4,174000 24 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 10,160000 13,730000 0,000000 25 W66369002 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 70 G GRAN. PT. 100 ML SUSP . ORALA PRF 1 43,410000 56,780000 0,000000 26 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 26,050000 34,070000 0,000000 27 W66369001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. DIN PEID, CU CAPAC DIN PP CU 42 G GRAN. PT. 60 ML SUSP . ORALA PRF 1 26,050000 34,070000 0,000000 28 W62343001 J01FA09 CLARITHROMYCINUM KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF 1 32,380000 42,350000 0,000000 29 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 5ML SOLUTIE DE INHALAT PRIN NEBULIZATOR P-RF 56 62,182857 68,460714 0,000000 30 W66587001 J01GB01 TOBRAMYCINUM ** TOBI 300 mg/5 ml SOL. PT. INHALARE PRIN NEBULIZATOR 300mg/5ml MYLAN IRE HEALTHCARE LIMITED IRLANDA CUTIE CU 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD A 5 ML SOL. DE INHALAT PRIN NEBULIZATOR PRF 56 62,182857 68,460714 0,000000 31 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 61,557678 67,779285 0,000000 32 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 73,196666 86,143333 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
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 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,000000 2 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,000000 3 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,000000 4 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,000000 5 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 6 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 7 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 8 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,000000 9 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 10 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 12 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 13 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000 14 W53030001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. PR 1 923,350000 1.044,600000 0,000000 15 W53030002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. PR 1 1.797,530000 1.997,460000 0,000000 16 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 477,940000 559,100000 0,000000 17 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 3.835,300000 4.218,630000 0,000000 18 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 2.461,260000 2.720,930000 0,000000 19 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 1 245,530000 299,740000 0,000000 20 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 1 637,810000 733,360000 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 1 539,240000 625,920000 0,000000 22 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 1 224,070000 273,540000 0,000000 23 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,000000 24 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 1.048,500000 1.181,020000 0,000000 25 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 26 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF. PR 1 490,690000 573,000000 0,000000 27 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,000000 28 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,000000 29 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 30 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 31 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 1.245,630000 1.395,890000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE
39
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. FILM. PR 56 6,110535 7,341785 0,000000 2 W66040001 N07XX02 RILUZOLUM ** RILUTEK 50 mg COMPR. FILM. 50mg SANOFI MATURE IP FRANTA CUTIE CU BLIST. X 56 COMPR. FILM. PR 56 6,189464 7,427678 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
P6.5.3: Tratamentul medicamentos al bolnavilor cu polineuropatie familială amiloidă cu transtiretină
1 W59336001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 1.241,659333 1.354,682000 0,000000 2 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 1.241,659333 1.354,682000 0,000000 3 W64784003 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PA/AL/PVC-AL/PET/HARTIE X 30X1 CAPS. MOI PR 30 1.241,659333 1.354,682000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.6: OSTEOGENEZA IMPERFECTA
1 W66277001 M05BA03 ACIDUM PAMIDRONICUM PAMIFOS-30 PULB. SI SOLV. PT. SOL. PERF. 30mg CN UNIFARM S.A. ROMANIA CUTIE CE CONTINE 2 FLAC. CU PULB. PT. SOL. PERF. + 2 FIOLE CU SOLVENT PRF 2 144,210000 176,050000 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 1 339,490000 408,190000 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 1 339,490000 408,190000 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 1 395,600000 469,350000 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 1 640,500000 736,300000 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 1 330,690000 398,600000 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 1 339,300000 407,990000 0,000000 7 W66036001 H01AC01 SOMATROPINUM ** SAIZEN 5,83 mg/ml SOL. INJ. 5,83mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 1,03 ML SOL. INJ. (6 MG SOMATROPINA) PR/PRF 1 527,190000 612,790000 0,000000 8 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 1 660,810000 758,430000 0,000000 9 W66037001 H01AC01 SOMATROPINUM ** SAIZEN 8 mg/ml SOL. INJ. 8mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 1,50 ML SOL. INJ. (12 MG SOMATROPINA) PR/PRF 1 1.024,370000 1.154,710000 0,000000 10 W66037003 H01AC01 SOMATROPINUM ** SAIZEN 8 mg/ml SOL. INJ. 8mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 2,50 ML SOL. INJ. (20 MG SOMATROPINA) PR/PRF 1 1.687,290000 1.877,300000 0,000000 11 W54046001 H01AC01 SOMATROPINUM ** NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF 1 768,600000 883,560000 276,310000
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 12.054,770000 13.177,870000 0,000000 2 W64982001 A16AX14 MIGALASTATUM ** GALAFOLD 123 mg CAPS. 123mg AMICUS THERAPEUTICS UK LTD MAREA BRITANIE CUTIE CU BLIST. PVC/PCTFE/PVC/AL X 14 CAPS. PR 14 4.905,396428 5.349,614285 0,000000 3 W65913001 A16AX14 MIGALASTATUM ** GALAFOLD 123 mg CAPS. 123mg AMICUS THERAPEUTICS EUROPE LIMITED IRLANDA CUTIE CU BLIST. PVC/PCTFE/PVC/AL X 14 CAPS. PR 14 4.905,396428 5.349,614285 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.9: BOALA POMPE
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 1.944,230000 2.157,360000 0,000000
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
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.10: 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 60 133,148200 145,894800 27,885366 2 W65523001 A16AX04 NITISINONUM NITISINONE MENDELIKABS 10 mg CAPS. 10mg MENDELIKABS EUROPE LIMITED MAREA BRITANIE FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE CONTINE 60 DE CAPS. PR 60 110,956833 121,579000 0,000000 3 W65521001 A16AX04 NITISINONUM NITISINONE MENDELIKABS 2 mg CAPS. 2mg MENDELIKABS EUROPE LIMITED MAREA BRITANIE FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE CONTINE 60 DE CAPS. PR 60 22,591333 25,260500 0,000000 4 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 27,109600 30,312600 17,150733 5 W65522001 A16AX04 NITISINONUM NITISINONE MENDELIKABS 5 mg CAPS. 5mg MENDELIKABS EUROPE LIMITED MAREA BRITANIE FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE CONTINE 60 DE CAPS. PR 60 55,728500 61,380000 0,000000 6 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 66,874200 73,656000 23,337666
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. PR 4 11.185,067500 12.201,277500 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 PR 1 2.344,690000 2.593,870000 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 1.735,220000 1.929,540000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
41
P6.15: Sindrom de imunodeficienţă primară
1 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,000000 2 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,000000 3 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,000000 4 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,000000 5 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 6 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 7 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 8 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,000000 9 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 10 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 12 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 13 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000 14 W53030001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. PR 1 923,350000 1.044,600000 0,000000 15 W53030002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. PR 1 1.797,530000 1.997,460000 0,000000 16 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 477,940000 559,100000 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
17 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 3.835,300000 4.218,630000 0,000000 18 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 2.461,260000 2.720,930000 0,000000 19 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 1 245,530000 299,740000 0,000000 20 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 1 637,810000 733,360000 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 1 539,240000 625,920000 0,000000 22 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 1 224,070000 273,540000 0,000000 23 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,000000 24 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 1.048,500000 1.181,020000 0,000000 25 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 26 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF. PR 1 490,690000 573,000000 0,000000 27 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,000000 28 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,000000 29 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 30 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 31 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 1.245,630000 1.395,890000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.16: Scleroza sistemică şi ulcere digitale evolutive
1 W63291002 C02KX01 BOSENTANUM ** BOPAHO 125 mg COMPR. FILM. 125mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 26,083035 29,111785 0,000000 2 W65305001 C02KX01 BOSENTANUM ** TRACLEER 125 mg COMPR. FILM. 125mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. PR 56 31,299642 34,934142 53,923000 3 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 31,299642 34,934142 53,923000
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 2.433,480000 2.690,650000 0,000000 2 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 3 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 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 91,873416 100,460083 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 30 163,767000 179,778000 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 30 163,767000 179,778000 0,000000 3 W57285001 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PR 30 326,533000 357,193000 0,000000 4 W64601001 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 326,533000 357,193000 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
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
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 30 131,213666 144,294666 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 30 131,213666 144,294666 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 30 196,319333 215,260000 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 30 196,319333 215,260000 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 30 326,533000 357,193000 0,000000 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 30 326,533000 357,193000 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 80,344833 88,211833 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 60 158,076166 172,939166 0,000000 3 W64377001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg CAPS. 267mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. X 63 CAPSULE PR 63 35,549682 39,354761 0,000000 4 W61951001 L04AX05 PIRFENIDONUM **1 ESBRIET 267mg CAPS. 267mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU BLIST. X 63 CAPSULE PR 63 35,549682 39,354761 0,000000 5 W64064001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg COMPR. FILM. 267mg ROCHE REGISTRATION LTD. MAREA BRITANIE AMBALAJ CU 252 COMPR. FILM. PR 252 36,051150 39,447182 0,000000 6 W64378001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg COMPR. FILM. 267mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 252 COMPR. FILM. PR 252 36,051150 39,447182 0,000000 7 W64065001 L04AX05 PIRFENIDONUM **1 ESBRIET 801 mg COMPR. FILM. 801mg ROCHE REGISTRATION LTD. MAREA BRITANIE AMBALAJ CU 84 COMPR. FILM PR 84 108,756071 118,998452 0,000000 8 W64379001 L04AX05 PIRFENIDONUM **1 ESBRIET 801 mg COMPR. FILM. 801mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 84 COMPR. FILM PR 84 108,756071 118,998452 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 3.650,052333 3.979,834000 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 30 457,131666 499,545666 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 30 913,263000 996,729666 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 6.825,470000 7.477,920000 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 95,569055 104,382333 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.24: Amiotrofia spinală musculară
43
1 W65220001 M09AX07 NUSINERSENUM **1 SPINRAZA 12 mg SOL INJ. 2,4mg/ml BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. DE 5 ML CONTINE 12 MG NUSINERSEN PR 1 331.280,070000 361.133,900000 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
P6.25: Boala Castelman
1 W61750001 L04AC11 SILTUXIMABUM **1 SYLVANT 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DE STICLA TIP 1 DE 8 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 100 MG DE SILTUXIMAB PRF 1 2.188,060000 2.423,140000 0,000000 2 W66521001 L04AC11 SILTUXIMABUM **1 SYLVANT 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 8 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 100 MG DE SILTUXIMAB PRF 1 2.188,070000 2.423,150000 0,000000 3 W61751001 L04AC11 SILTUXIMABUM **1 SYLVANT 400 mg PULB. PT. CONC. PT. SOL. PERF. 400mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DE STICLA TIP 1 DE 30 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 400 MG DE SILTUXIMAB PRF 1 8.662,310000 9.480,080000 0,000000 4 W66522001 L04AC11 SILTUXIMABUM **1 SYLVANT 400 mg PULB. PT. CONC. PT. SOL. PERF. 400mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 30 ML CU ÎNCHIDERE ELASTOMERICA SI SIGILIU DE ALUMINIU CU CAPAC FLIP-OFF CE CONTINE 400 MG DE SILTUXIMAB PRF 1 8.662,310000 9.480,080000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.26: Mucopolizaharidoza Tip IVA
1 W63017001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN EUROPE LIMITED MAREA BRITANIE FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3.557,650000 3.915,990000 0,000000 2 W66181001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN INTERNATIONAL LIMITED IRLANDA FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3.557,650000 3.915,990000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.27: Boli rare - medicamente incluse condiţionat utilizate în tratamentul spitalicesc
1 W65240002 A16AB15 VELMANAZA ALFA **1 O LAMZEDE 10 mg PULB. PT. SOL. PERF. 10 mg CHIESI FARMACEUTICI S.P.A. ITALIA FLACON DE 10 ML (STICLA DE TIP I) CU DOP DIN CAUCIUC BROMOBUTILIC, SIGILIU DIN ALUMINIU SI UN CAPAC FARA FILET, DETASABIL, DIN POLIPROPILENA PR 1 4.638,750000 5.094,390000 0,000000 2 W64486001 A16AB17 CERLIPONASUM ALFA **1 O BRINEURA 150 mg SOL. PERF. 150mg BIOMARIN INTERNATIONAL LIMITED IRLANDA DIMENSIUNEA AMBALAJULUI CU 3 FLAC.: 2 FLAC. X 150 MG DE CERLIPONAZA ALFA IN 5 ML SOLUTIE + 1 FLAC. X 5 ML SOLUTIE DE SPALARE PR 1 94.926,400000 103.508,060000 0,000000
3 W64494001 L04AX08 DARVADSTROCELUM **1 O ALOFISEL 5 milioane celule/ml SUSP. INJ. 30milioane celule/6ml TAKEDA PHARMA A/S DANEMARCA CUTIE CU 4 FLAC. DIN STICLA X 6 ML SUSP. PR 1 279.347,640000 304.527,470000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.28: Limfangioleiomiomatoză
1 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000 2 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000
P7: PROGRAM NATIONAL DE BOLI ENDOCRINE
Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne
1 W00231001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 0,460000 0,621800 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 0,552000 0,746160 0,074173 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 0,928333 1,214333 0,000000 4 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOI PRF 30 0,928333 1,214333 0,000000 5 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 0,928333 1,214333 0,000000 6 W55847001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 11,755000 14,350000 0,000000 7 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 22,421000 27,372000 0,000000 8 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 1 37,240000 48,710000 0,000000 9 W12902001 G03CX01 TIBOLONUM LIVIAL (R) 2,5 mg COMPR. 2,5mg ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF 28 1,299285 1,699285 0,000000 10 W63437001 G03CX01 TIBOLONUM LIVIAL 2,5 mg COMPR. 2,5mg MERCK SHARP & DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 28 COMPR. PRF 28 1,299285 1,699285 0,000000 11 W62041003 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 84 1,268690 1,548809 0,000000 12 W62041001 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 14 1,291428 1,745714 0,000000 13 W62041002 G03XC01 RALOXIFENUM RALOXIFEN ARENA 60 mg COMPR. FILM. 60mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P6L 28 1,291428 1,689285 0,000000 14 W53455002 G03XC01 RALOXIFENUM EVISTA 60mg COMPR. FILM. 60mg DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF 28 1,291428 1,689285 0,000000 15 W42160002 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S 2 1.471,885000 1.623,430000 0,000000
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
45
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
16 W65156001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 5 BLIST. AL-PVC/PVC X 10 COMPR. PRF 50 0,424600 0,573800 0,000000 17 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0,424600 0,573800 0,000000 18 W65157001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. PRF 20 0,964500 1,303500 0,000000 19 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 0,964500 1,303500 0,000000 20 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 14,250000 19,260000 0,000000 21 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 46,170000 60,390000 0,000000 22 W57399003 H03AA01 LEVOTHYROXINUM EUTHYROX 100μg COMPR. 100μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,098800 0,133600 0,000000 23 W66292003 H03AA01 LEVOTHYROXINUM EUTHYROX 100μg COMPR. 100μg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,098800 0,133600 0,000000 24 W57396003 H03AA01 LEVOTHYROXINUM EUTHYROX 25μg COMPR. 25μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,068100 0,092000 0,000000 25 W66291003 H03AA01 LEVOTHYROXINUM EUTHYROX 25μg COMPR. 25μg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,068100 0,092000 0,000000 26 W66293002 H03AA01 LEVOTHYROXINUM EUTHYROX 50μg COMPR. 50μg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,070200 0,094900 0,000000 27 W57398002 H03AA01 LEVOTHYROXINUM EUTHYROX 50μg COMPR. 50μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,070200 0,094900 0,000000 28 W61162002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 100 micrograme/5 ml SOL. ORALA 100micrograme/5ml GALENICA S.A. GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L 2 16,055000 21,000000 0,000000 29 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 14,715000 19,245000 0,000000 30 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 14,715000 19,245000 0,000000 31 W66144003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. (2 BLIST. X 25 COMPR. FILM.) P6L 50 0,345400 0,466800 0,000000 32 W54546003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0,345400 0,466800 0,000000 33 W54545003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0,420000 0,567600 0,000000 34 W66145003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. (2 BLIST. X 25 COMPR. FILM.) P6L 50 0,420000 0,567600 0,000000 35 W66143004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. (4 BLIST. X 25 COMPR. FILM.) P6L 100 0,258000 0,337400 0,000000 36 W54547004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 0,258000 0,337400 0,000000 37 W03843004 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 0,101400 0,137100 0,000000 38 W66151004 H03CA01 KALII IODIDUM JODID 100 micrograme COMPR. 100micrograme MERCK ROMANIA SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. PRF 100 0,101400 0,137100 0,000000 39 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 2,145000 2,900000 0,000000 40 W66435002 M05BA04 ACIDUM ALENDRONICUM ** ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 4 COMPR. P6L 4 2,574000 3,480000 5,690000 41 W60296004 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2,574000 3,480000 5,775000 42 W60296002 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2,574000 3,480000 5,475000 43 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 2,574000 3,480000 5,690000 44 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 2,574000 3,480000 5,995000 45 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 2,574000 3,480000 1,680000 46 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 2,574000 3,480000 5,690000 47 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 2,574000 3,480000 5,229166 48 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 3,528000 4,770000 6,977500 49 W66431003 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 35 mg COMPR. FILM. 35mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L 4 3,528000 4,770000 2,970000 50 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 2,940000 3,975000 0,000000 51 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 3,528000 4,770000 2,970000 52 W66497003 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 3,528000 4,770000 6,977500 53 W66432001 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 12,978000 17,544000 5,166000 54 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 12,978000 17,544000 6,366000 55 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 10,815000 14,620000 0,000000 56 W66214001 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 75 mg COMPR. FILM. 75mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 12,978000 17,544000 6,366000 57 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 1 829,330000 942,120000 0,000000 58 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 1 829,330000 942,120000 0,000000 59 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 4,845000 6,547500 0,000000 60 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 5,814000 7,857000 4,158000 61 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 5,814000 7,857000 1,328000 62 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 5,814000 7,857000 1,328000 63 W62143001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. P6L 4 6,156000 8,319000 3,983500 64 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 5,130000 6,932500 0,000000 65 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 6,156000 8,319000 3,543500 66 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 6,156000 8,319000 3,983500
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
67 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 6,156000 8,319000 1,171000 68 W62143003 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR P6L 4 6,156000 8,319000 3,983500 69 W65841001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ACCORD 70 mg/5600 UI COMPR. 70mg/5600UI ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 6,156000 8,319000 2,731000 70 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 6,156000 8,319000 1,171000 71 W62143002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4X1 COMPR. P6L 4 6,156000 8,319000 3,983500 72 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 1 340,900000 409,730000 0,000000 73 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 1.081,760000 1.217,270000 0,000000 74 W66155002 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 1.85 GBQ PR 1 572,160000 661,800000 0,000000 75 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 1 340,910000 409,740000 0,000000 76 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 1 856,840000 972,110000 0,000000 77 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 1 360,740000 431,360000 0,000000 78 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 1 552,560000 640,440000 0,000000 79 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 1 275,420000 336,230000 0,000000 80 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 1 572,160000 661,800000 0,000000 81 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 1 233,270000 284,780000 0,000000 82 W66155001 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 1.11 GBQ PR 1 552,560000 640,440000 0,000000 83 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 1 251,930000 307,560000 0,000000 84 W66155003 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 111 MBQ PR 1 340,910000 409,740000 0,000000 85 W66155004 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 185 MBQ PR 1 251,930000 307,560000 0,000000 86 W66155005 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 2.59 GBQ PR 1 856,840000 972,110000 0,000000 87 W66155006 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 259 MBQ PR 1 360,740000 431,360000 0,000000 88 W66155007 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 3.7 GBQ PR 1 1.081,760000 1.217,270000 0,000000 89 W66155008 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 370 MBQ PR 1 275,420000 336,230000 0,000000 90 W66155009 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 37 MBQ PR 1 233,270000 284,780000 0,000000 91 W66155010 V10XA01 NATRII IODIDUM (131I) THERACAP 131 37MBq-5,55GBq CAPS. 37MBq-5,55GBq GE HEALTHCARE BUCHLER GMBH&CO. KG GERMANIA CONTAINER DIN PLUMB X 1 CAPSULA 74 MBQ PR 1 340,900000 409,730000 0,000000 92 W62679009 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 5550 MBQ PR 1 2.474,760000 2.735,640000 0,000000 93 W62679001 V10XA01 NATRII IODIDUM (131I) THYROTOP-131 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTRU-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PENTRU UZ TERAPEUTIC 7400 MBQ PR 1 2.808,170000 3.099,060000 0,000000 94 W62679010 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 259 MBQ PR 1 432,888000 517,632000 363,888000 95 W62679002 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 111 MBQ PR 1 409,092000 491,688000 366,502000 96 W62679008 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 3700 MBQ PR 1 1.252,350000 1.403,210000 0,000000 97 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 1 686,592000 794,160000 185,140000 98 W62679003 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 185 MBQ PR 1 302,316000 369,072000 501,218000 99 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 1 887,700000 1.005,740000 0,000000 100 W62679004 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 370 MBQ PR 1 330,504000 403,476000 491,014000 101 W62679005 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 1110 MBQ PR 1 663,072000 768,528000 271,322000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.1: TRANSPLANT MEDULAR
1 W56153001 A04AA01 ONDANSETRONUM ** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF 10 1,566000 2,116000 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 2,737000 3,580000 0,000000 3 W63617002 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 2 ML SOL. INJ./PERF. PR 5 3,870000 5,232000 0,000000 4 W63617005 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 4 ML SOL. INJ./PERF. PR 5 7,358000 9,624000 0,000000 5 W57423001 A04AA01 ONDANSETRONUM ** OSETRON 4 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF 5 3,912000 5,288000 0,000000 6 W57424001 A04AA01 ONDANSETRONUM ** OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 7,436000 9,726000 0,000000 7 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,976400 1,234600 0,000000 8 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,993800 1,300000 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 2,379800 2,905300 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 84,590000 106,950000 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 3,910000 5,286000 0,000000
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
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 2.419,840000 2.675,780000 0,000000 13 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 21,430000 26,932800 2,037200 14 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. PR 10 13,689000 16,711000 0,000000 15 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 13,199000 16,113000 0,000000 16 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 13,680000 18,490000 0,000000 17 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 18,385000 22,444000 0,000000 18 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 19,050000 25,750000 0,000000 19 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. PR 10 20,658000 25,219000 0,000000 20 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 30,627600 37,389600 48,498400 21 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 19,063200 23,272800 23,940200 22 W58974002 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 30,627600 37,389600 48,498400 23 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 25,523000 31,158000 0,000000 24 W58974005 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF 10 30,627600 37,389600 48,498400 25 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 30,627600 37,389600 64,980400 26 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 30,627600 37,389600 31,573400 27 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 30,627600 37,389600 2,948400 28 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 30,627600 37,389600 32,554400 29 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 30,627600 37,389600 48,498400 30 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 15,886000 19,394000 0,000000 31 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 19,063200 23,272800 13,253200 32 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 19,063200 23,272800 23,943200 33 W65891002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 500 mg PULB. PT. SOL. INJ./PERF. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 19,063200 23,272800 17,241200 34 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 19,063200 23,272800 31,627200 35 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 19,063200 23,272800 23,940200 36 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 19,063200 23,272800 17,241200 37 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 19,907000 24,302000 0,000000 38 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 19,907000 24,302000 0,000000 39 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 23,888400 29,162400 7,285600 40 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 23,888400 29,162400 7,283600 41 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 23,888400 29,162400 10,092600 42 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 20,272000 24,748000 0,000000 43 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 23,888400 29,162400 10,527600 44 W66494001 J01XA01 VANCOMYCINUM VANCOTEK 1 g I.V. PULB. PT. SOL. PERF. 1g CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. CE CONTINE 1G PULB. PT. SOL. PERF. PR 1 24,560000 33,200000 0,000000 45 W66495001 J01XA01 VANCOMYCINUM VANCOTEK 500 mg I.V. PULB. PT. SOL. PERF. 500mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. CE CONTINE 500MG PULB. PT. SOL. PERF. PR 1 17,280000 23,360000 0,000000 46 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 22,600000 30,540000 0,000000 47 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 18,610000 25,160000 0,000000 48 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 1 119,900000 146,370000 0,000000 49 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 1 119,900000 146,370000 0,000000 50 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 63,013000 72,499000 0,000000 51 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200 52 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM. PRF 10 75,615600 86,998800 41,527200 53 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200 54 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000 55 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 1 701,150000 802,400000 0,000000 56 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 57 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 1 119,092800 134,389200 17,890800 58 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000 59 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000 60 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 10 116,403000 130,694000 0,000000 61 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 10 115,254000 129,442000 0,000000 62 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 1 119,092800 134,389200 17,890800
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
63 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 99,244000 111,991000 0,000000 64 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 1 119,092800 134,389200 16,330800 65 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 2,545714 3,440000 0,000000 66 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 3,054857 4,128000 2,507714 67 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,729500 68 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,000000 69 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,838000 70 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 71 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 5,670000 7,660000 0,000000 72 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 5,670000 7,660000 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 5,688000 7,692000 3,838000 74 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 5,670000 7,660000 0,000000 75 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 76 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 77 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 5,670000 7,660000 0,000000 78 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 5,670000 7,660000 0,000000 79 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 5,670000 7,660000 0,000000 80 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 81 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 5,670000 7,660000 0,000000 82 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 5,670000 7,660000 0,000000 83 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,000000 84 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4,778571 6,250000 0,000000 85 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 86 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 87 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 1,525714 2,062285 0,913429 88 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 89 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 1,525714 2,062285 2,403429 90 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 1,525714 2,062285 0,913429 91 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 1,271428 1,718571 0,000000 92 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 93 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,000000 94 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,403429 95 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 23,200000 31,360000 0,000000 96 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,000000 97 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,000000 98 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,000000 99 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. PR 1 19,410000 26,240000 0,000000 100 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. PR 1 38,830000 50,790000 0,000000 101 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. PR 1 9,700000 13,110000 0,000000 102 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,528000 103 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 11,233200 13,713600 8,886900 104 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,000000 105 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 44,482800 53,064000 40,975000 106 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 18,465000 22,542000 0,000000 107 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 22,158000 26,532000 12,745000 108 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 7,989857 9,753857 4,462809 109 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357 110 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 6,658214 8,128214 0,000000 111 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 7,989857 9,753857 4,631143 112 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928 113 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 7,989857 9,753857 58,566500
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
114 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000 115 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428 116 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357 117 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928 118 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 7,989857 9,753857 65,112143 119 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000 120 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000 121 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000 122 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000 123 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000 124 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 1 310,650000 376,760000 0,000000 125 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 1 310,650000 376,760000 0,000000 126 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000 127 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 1.372,920000 1.534,630000 0,000000 128 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 133,552083 147,161666 0,000000 129 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 24 133,552083 147,161666 0,000000 130 W65818001 J02AC04 POSACONAZOLUM ** POSACONAZOL MSN LABORATORIES 300 mg CONC. PT. SOL. PERF. 300mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU FLAC. DE STICLA INCHIS CU DOP DE CAUCIUC BROMOBUTILIC SI CAPSA DE AL DE CULOARE ROSIE X 20 ML CONC. PT. SOL. PERF. PR 1 891,820000 1.010,230000 0,000000 131 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 1.070,184000 1.212,276000 372,624000 132 W64694001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 16,7ML CONC. PT SOL. PERF. (18MG POSACONAZOL/ML) PR 1 1.070,184000 1.212,276000 372,624000 133 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 2.019,372000 2.246,892000 595,608000 134 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 2.019,372000 2.246,892000 595,608000 135 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 1.682,810000 1.872,410000 0,000000 136 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 137 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 1 877,030000 994,110000 0,000000 138 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 877,030000 994,110000 0,000000 139 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 1 868,440000 984,750000 0,000000 140 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000 141 W65688001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000 142 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 1 813,420000 924,780000 0,000000 143 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 1 868,440000 984,750000 0,000000 144 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 1 877,030000 994,110000 0,000000 145 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 1.135,500000 1.275,850000 0,000000 146 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000 147 W65689001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000 148 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 1.067,080000 1.201,270000 0,000000 149 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 1.124,290000 1.263,630000 0,000000 150 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 1.135,500000 1.275,850000 0,000000 151 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 1.135,500000 1.275,850000 0,000000 152 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 153 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 1.124,290000 1.263,630000 0,000000 154 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 1 877,030000 994,110000 0,000000 155 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 1.135,500000 1.275,850000 0,000000 156 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 0,660600 0,892800 0,296700 157 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,293700 158 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 0,660600 0,892800 0,296700 159 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 0,660600 0,887590 0,000000 160 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2,186000 2,954000 0,000000 161 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,296700 162 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,060200 163 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 0,568000 0,768000 0,000000 164 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 0,660600 0,892800 0,064700
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Grupa
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cant/a
Pret cu ridicata
contribuţie
crt Cod CIM
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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
165 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000 166 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000 167 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2,148000 2,903000 0,000000 168 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 41,032000 50,092000 0,000000 169 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 2,978400 4,024800 0,908200 170 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 2,978400 4,024800 0,908200 171 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 2,482000 3,354000 0,000000 172 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 16,006999 18,210600 39,961733 173 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733 174 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 13,339166 15,175500 0,000000 175 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,000000 176 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,000000 177 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,000000 178 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,000000 179 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 180 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 181 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 182 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,000000 183 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 184 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 185 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 186 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 187 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000 188 W53030001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. PR 1 923,350000 1.044,600000 0,000000 189 W53030002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. PR 1 1.797,530000 1.997,460000 0,000000 190 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 477,940000 559,100000 0,000000 191 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 3.835,300000 4.218,630000 0,000000 192 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 2.461,260000 2.720,930000 0,000000 193 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 1 245,530000 299,740000 0,000000 194 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 1 637,810000 733,360000 0,000000 195 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 1 539,240000 625,920000 0,000000 196 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 1 224,070000 273,540000 0,000000 197 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,000000 198 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 1.048,500000 1.181,020000 0,000000 199 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 200 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 201 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF. PR 1 490,690000 573,000000 0,000000 202 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,000000 203 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 204 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,000000 205 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 206 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 207 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 1.245,630000 1.395,890000 0,000000 208 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 0,971800 1,271000 0,000000 209 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 21,000000 28,380000 0,000000 210 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 21,000000 28,380000 0,000000 211 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 10,837600 13,230400 0,000000 212 W65219001 L01AA03 MELPHALANUM MELPHALAN RATIOPHARM 50 mg PULB+SOLV. PT. SOL. INJ./PERF. 50mg CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 50 MG PULB. PT. SOL. INJ./PERF. + 1 FLAC. SOLV. PR 1 137,500000 167,860000 0,000000 213 W12497001 L01AA06 IFOSFAMIDUM HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. PR 1 134,540000 164,250000 0,000000 214 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 10,717100 12,063200 0,000000 215 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 1 728,950000 832,710000 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
51
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
216 W65792001 L01AB01 BUSULFANUM BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR 1 728,950000 832,710000 0,000000 217 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 8 702,702500 770,715000 0,000000 218 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 8 702,702500 770,715000 0,000000 219 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 PR 1 325,580000 393,030000 0,000000 220 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJD PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 ML SOL. ORALA PR 1 633,130000 728,260000 0,000000 221 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 56,978500 64,014000 0,000000 222 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 99,500000 125,810000 0,000000 223 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 23,349000 28,505000 0,000000 224 W66187001 L01CB01 ETOPOSIDUM VEPESID 100 mg CAPS. MOI 100mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 10 23,349000 28,505000 0,000000 225 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 14,677500 17,918500 0,000000 226 W66186001 L01CB01 ETOPOSIDUM VEPESID 50 mg CAPS. MOI 50mg CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI PRF 20 14,677500 17,918500 0,000000 227 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 26,130000 34,180000 0,000000 228 W66198001 L01CB01 ETOPOSIDUM SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML X 5 ML CONC. PT. SOL. PERF. PR 1 26,130000 34,180000 0,000000 229 W52574001 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 26,130000 34,180000 0,000000 230 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 54,290000 68,650000 0,000000 231 W52574002 L01CB01 ETOPOSIDUM ETOPOSIDE-TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. PR 1 56,870000 71,910000 0,000000 232 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF. PR 1 54,290000 68,650000 0,000000 233 W65097001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1 CAPS. PRF 1 201,620000 246,140000 0,000000 234 W03575001 L01DB06 IDARUBICINUM ZAVEDOS CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 201,620000 246,140000 0,000000 235 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 90,372000 114,264000 26,056000 236 W65096001 L01DB06 IDARUBICINUM ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. S 1 90,372000 114,264000 26,056000 237 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 75,310000 95,220000 0,000000 238 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. PR 1 528,420000 614,130000 0,000000 239 W66247001 L01XA01 CISPLATINUM CISPLATIN KOCAK 10 mg/20 ml CONC. PT. SOL. PERF. 10mg/20ml CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 20 ML CONC. PT. SOL. PERF. PR 1 8,724000 11,796000 31,444000 240 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 8,724000 11,796000 2,584000 241 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 25,640000 33,540000 0,000000 242 W66197001 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. PR 1 8,724000 11,796000 2,584000 243 W66197002 L01XA01 CISPLATINUM SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. PR 1 25,640000 33,540000 0,000000 244 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 23,050000 31,160000 0,000000 245 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 20,070000 27,130000 0,000000 246 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 7,270000 9,830000 0,000000 247 W65790003 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 50 ML CONC. PT. SOL. PERF. PR 1 23,050000 31,160000 0,000000 248 W65790004 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR 1 71,490000 90,390000 0,000000 249 W65790001 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 10 ML CONC. PT. SOL. PERF. PR 1 7,270000 9,830000 0,000000 250 W65790002 L01XA01 CISPLATINUM CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 20,070000 27,130000 0,000000 251 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 71,490000 90,390000 0,000000 252 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 52,740000 66,680000 0,000000 253 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 1 147,610000 180,200000 0,000000 254 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 1 194,290000 237,190000 0,000000 255 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 1 147,610000 180,200000 0,000000 256 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CONC. PT. SOL. PERF. X 450 MG CARBOPLATINA PR 1 147,610000 180,200000 0,000000 257 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CONC. PT. SOL. PERF. X 50 MG CARBOPLATINA PR 1 20,000000 27,030000 0,000000 258 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 1 147,610000 180,200000 0,000000 259 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 48,580000 63,540000 0,000000 260 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 51,160000 64,690000 0,000000 261 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA PR 1 194,290000 237,190000 0,000000 262 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA PR 1 51,160000 64,690000 0,000000 263 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 2 679,570000 759,805000 0,000000 264 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 2 602,185000 675,455000 0,000000 265 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 3 674,566666 747,996666 0,000000 266 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 2 722,622000 810,546000 79,419000
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
267 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 2 722,622000 810,546000 79,419000 268 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 3.404,470000 3.749,030000 0,000000 269 W07200001 L01XC02 RITUXIMABUM ** MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S 1 3.962,740000 4.357,540000 0,000000 270 W64386001 L01XC02 RITUXIMABUM ** MABTHERA 500 mg CONC. PT. SOL. PERF. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR 1 3.962,740000 4.357,540000 0,000000 271 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 3.389,480000 3.713,615000 0,000000 272 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 3.404,480000 3.749,040000 0,000000 273 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 6.879,540000 7.536,860000 0,000000 274 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 6.879,540000 7.536,860000 0,000000 275 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 62,980000 79,630000 0,000000 276 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 1 102,660000 125,330000 0,000000 277 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000 278 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 59,440000 75,150000 0,000000 279 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000 280 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 97,000000 122,650000 0,000000 281 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 57,502000 70,198000 0,000000 282 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 69,002400 84,237600 41,682400 283 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 57,502000 70,198000 0,000000 284 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 89,638000 105,336000 0,000000 285 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 89,638000 105,336000 0,000000 286 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 1 107,565600 126,403200 53,526800 287 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 22.346,690000 24.396,070000 0,000000 288 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 1.306,970000 1.462,750000 0,000000 289 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 2,522416 3,067333 0,000000 290 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000 291 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000 292 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000 293 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 1,602400 2,026000 0,000000 294 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 2,784000 3,398800 0,000000 295 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 2,784000 3,398800 0,000000 296 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000 297 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000 298 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 4 384,545000 428,692500 0,000000 299 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 4 384,545000 428,692500 0,000000 300 W65221001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL INJ. 50mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 4 SERINGI PREUMPLUTE A CATE 50 MG PR 4 585,085000 647,280000 0,000000 301 W63832001 L04AB01 ETANERCEPTUM ** ERELZI 50 mg SOL INJ. 50mg SANDOZ GMBH AUSTRIA CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE PR 4 523,270000 579,902500 0,000000 302 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 4 585,085000 647,280000 0,000000 303 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 4 384,545000 428,692500 0,000000 304 W65222001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL. INJ. 50mg SAMSUNG BIOEPIS NL B.V. OLANDA CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE A CATE 50 MG PR 4 585,085000 647,280000 0,000000 305 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 4 760,785000 838,795000 0,000000 306 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 4 760,785000 838,795000 0,000000 307 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 4 384,545000 428,692500 0,000000 308 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 4 760,785000 838,795000 0,000000 309 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 4 585,085000 647,280000 0,000000 310 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 4 760,785000 838,795000 0,000000 311 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000 W51398001 L04AD01 CICLOSPORINUM W55262007 L04AD02 TACROLIMUSUM ** SANDIMMUN NEORAL 50 mg TACROLIMUS SANDOZ 0,5 mg CAPS. MOI CAPS. 50mg 0,5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 50 2,292400 1,323600 2,798600 1,673600 0,000000 0,000000 314 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1,842600 2,329800 0,000000 315 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3,822000 4,666000 0,000000 316 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 2,600400 3,174600 0,000000 317 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18,782400 21,235800 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
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
318 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 1,842600 2,329800 0,000000 319 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 3,822000 4,666000 0,000000 320 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 19,252600 21,748400 0,000000 321 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML PR 10 162,464000 180,901000 0,000000 322 W12691002 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,238000 0,321500 0,000000 323 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,285600 0,385800 0,114200 324 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 0,285600 0,385800 0,039200 325 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,285600 0,385800 0,041200 326 W42957001 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,285600 0,385800 0,114200 327 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 0,510400 0,689599 0,011401 328 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 0,510400 0,689599 0,011401 329 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 0,425333 0,574666 0,000000 330 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 0,510400 0,689599 0,011067 331 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 0,510400 0,689599 0,011067 332 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 0,649333 0,877666 0,000000 333 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 0,630000 0,851000 0,000000 334 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 0,755599 1,021200 0,070800 335 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST. PP/AL X 10 COMPR. ELIB. PREL. P-RF 10 0,755599 1,021200 0,070800 336 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 0,706666 0,955333 0,000000 337 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 0,629666 0,851000 0,000000 338 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 0,630000 0,851000 0,000000 339 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 0,865333 1,131666 0,000000 340 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 0,809666 1,094333 0,000000 341 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 0,755599 1,021200 0,308466 342 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 0,971599 1,313200 0,442800 343 W64091001 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU O TAVITA DIN PVC CU 5 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 5 1,748400 2,362800 0,425200 344 W64091002 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 20 DE TAVITE DIN PVC CU 100 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 100 1,748400 2,362800 0,068800 345 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 1,457000 1,969000 0,000000 346 W05961001 N02AX02 TRAMADOLUM MABRON 100 mg/2 ml SOL. INJ. 100mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1,488000 2,012000 0,000000 347 W05967001 N02AX02 TRAMADOLUM TRAMADOL 100 mg/2 ml SOL. INJ. 100mg/2ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 1,748400 2,362800 0,109200 348 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0,810000 1,094000 0,000000 349 W05969001 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ. P-RF 5 0,916000 1,238000 0,000000 350 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 73,196666 86,143333 0,000000 351 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 26,812500 30,588214 0,000000 352 W64440001 V03AC03 DEFERASIROXUM ** EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR 28 26,812500 30,588214 0,000000 353 W51485001 V03AC03 DEFERASIROXUM ** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 52,553571 58,646071 0,000000 354 W64441001 V03AC03 DEFERASIROXUM ** EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 52,553571 58,646071 0,000000 355 W51486001 V03AC03 DEFERASIROXUM ** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR 28 91,558571 101,161428 0,000000 356 W64442001 V03AC03 DEFERASIROXUM ** EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR 28 91,558571 101,161428 0,000000 357 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 46,243666 51,677333 0,000000 358 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 46,243666 51,677333 0,000000 359 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 91,486666 100,992333 0,000000 360 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 91,486666 100,992333 0,000000 361 W04133001 V03AF01 MESNUM UROMITEXAN 400mg/4ml SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR 15 5,282000 6,678666 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
53
P9.2: TRANSPLANT DE CORD
1 W66039002 C01CA24 EPINEPHRINUM ADRENALINA HYPERICUM 0,1 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 0,1mg/ml S.C. HYPERICUM S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE DIN PP, FARA AC, AMBALATE INDIVIDUAL INTR-UN BLIST. TRANSPARENT A 10 ML SOL. INJ. PR 10 2,017320 2,462760 76,542240 2 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 1,742000 2,354000 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
35 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 10 116,403000 130,694000 0,000000 36 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 10 115,254000 129,442000 0,000000 37 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 1 119,092800 134,389200 17,890800 38 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 99,244000 111,991000 0,000000 39 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 1 119,092800 134,389200 16,330800 40 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 2,545714 3,440000 0,000000 41 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 3,054857 4,128000 2,507714 42 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,729500 43 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,000000 44 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,838000 45 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 46 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 5,670000 7,660000 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 5,670000 7,660000 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 5,688000 7,692000 3,838000 49 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 5,670000 7,660000 0,000000 50 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 5,670000 7,660000 0,000000 51 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 5,670000 7,660000 0,000000 52 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 5,670000 7,660000 0,000000 53 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 5,670000 7,660000 0,000000
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
3 W02947001 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML PR 100 1,681100 2,052300 0,000000 4 W60389001 C01CA24 EPINEPHRINUM EPIPEN 150 micrograme SOL. INJ. IN STILOU PREUMPLUT 150mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 146,250000 178,540000 0,000000 5 W60390001 C01CA24 EPINEPHRINUM EPIPEN 300 micrograme SOL. INJ. IN STILOU PREUMPLUT 300mcg MEDA PHARMA GMBH & CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR 1 151,480000 184,930000 0,000000 6 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 21,430000 26,932800 2,037200 7 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. PR 10 13,689000 16,711000 0,000000 8 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 13,199000 16,113000 0,000000 9 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 13,680000 18,490000 0,000000 10 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 18,385000 22,444000 0,000000 11 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 19,050000 25,750000 0,000000 12 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. PR 10 20,658000 25,219000 0,000000 13 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 15,719000 19,190000 0,000000 14 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 20,762000 25,346000 0,000000 15 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 3,410000 4,610000 0,000000 16 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 21,520000 29,080000 0,000000 17 W44061001 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 16,250000 21,960000 0,000000 18 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 19,907000 24,302000 0,000000 19 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 19,907000 24,302000 0,000000 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 23,888400 29,162400 7,285600 21 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 23,888400 29,162400 7,283600 22 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 23,888400 29,162400 10,092600 23 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 20,272000 24,748000 0,000000 24 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 23,888400 29,162400 10,527600 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 63,013000 72,499000 0,000000 26 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200 27 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM. PRF 10 75,615600 86,998800 41,527200 28 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200 29 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000 30 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 701,150000 802,400000 0,000000 31 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 32 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 1 119,092800 134,389200 17,890800 33 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000 34 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000
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
55
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
54 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 5,670000 7,660000 0,000000 55 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 56 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 5,670000 7,660000 0,000000 57 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 5,670000 7,660000 0,000000 58 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,000000 59 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 4,778571 6,250000 0,000000 60 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 1,525714 2,062285 0,913429 61 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 62 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 1,525714 2,062285 0,913429 63 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 1,525714 2,062285 0,913429 64 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 1,525714 2,062285 2,403429 65 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 1,525714 2,062285 0,913429 66 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 1,271428 1,718571 0,000000 67 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 68 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,000000 69 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,403429 70 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 23,200000 31,360000 0,000000 71 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,000000 72 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,000000 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. PR 20 9,361000 11,428000 0,000000 74 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. PR 1 19,410000 26,240000 0,000000 75 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. PR 1 38,830000 50,790000 0,000000 76 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. PR 1 9,700000 13,110000 0,000000 77 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,528000 78 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 11,233200 13,713600 8,886900 79 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,000000 80 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 44,482800 53,064000 40,975000 81 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 18,465000 22,542000 0,000000 82 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 22,158000 26,532000 12,745000 83 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 7,989857 9,753857 4,462809 84 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357 85 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 6,658214 8,128214 0,000000 86 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 7,989857 9,753857 4,631143 87 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928 88 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 7,989857 9,753857 58,566500 89 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000 90 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428 91 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357 92 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928 93 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 7,989857 9,753857 65,112143 94 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000 95 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000 96 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000 97 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000 98 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000 99 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 1 310,650000 376,760000 0,000000 100 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 1 310,650000 376,760000 0,000000 101 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000 102 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 1.372,920000 1.534,630000 0,000000 103 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 16,006999 18,210600 39,961733 104 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733
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
105 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 13,339166 15,175500 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 1.306,970000 1.462,750000 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 2,522416 3,067333 0,000000 108 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 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 1,392000 1,699400 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 1,392000 1,699400 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 1,602400 2,026000 0,000000 112 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 2,784000 3,398800 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 2,784000 3,398800 0,000000 114 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000 115 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000 116 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 1,323600 1,673600 0,000000 117 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1,842600 2,329800 0,000000 118 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3,822000 4,666000 0,000000 119 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 2,600400 3,174600 0,000000 120 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18,782400 21,235800 0,000000 121 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 1,842600 2,329800 0,000000 122 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 3,822000 4,666000 0,000000 123 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 19,252600 21,748400 0,000000 124 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML PR 10 162,464000 180,901000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.3: TRANSPLANT HEPATIC
1 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,976400 1,234600 0,000000 2 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,993800 1,300000 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 2,379800 2,905300 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 84,590000 106,950000 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 5,446000 6,886000 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 5,446000 6,886000 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 9,741000 12,317000 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 9,741000 12,317000 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 13,307000 16,245000 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 13,307000 16,245000 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 16,756666 20,456666 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 16,756666 20,456666 0,000000 13 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 5,446000 6,886000 0,000000 14 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 9,741000 12,317000 0,000000 15 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 13,307000 16,245000 0,000000 16 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 16,756666 20,456666 0,000000 17 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 5 138,942000 159,076000 0,000000 18 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 5 138,942000 159,076000 0,000000 19 W00257001 B01AD02 ALTEPLASUM ** ACTILYSE 50 mg PULB+SOLV. PT. SOL. INJ 50mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. INJ./PERF. + 1 FLAC. STICLA INCOLORA X 50 ML SOLV. + CANULA DE TRANSFER S 1 1.526,260000 1.701,780000 0,000000 20 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 3,910000 5,286000 0,000000 21 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 2.419,840000 2.675,780000 0,000000 22 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 0,863000 1,128666 0,000000 23 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 0,958000 1,295000 0,000000 24 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 0,958000 1,295000 0,000000 25 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 0,957666 1,252666 0,000000 26 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 5,358333 6,541333 0,000000
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
27 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 2,736333 3,460000 0,000000 28 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 21,430000 26,932800 2,037200 29 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. PR 10 13,689000 16,711000 0,000000 30 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 13,199000 16,113000 0,000000 31 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 13,680000 18,490000 0,000000 32 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 18,385000 22,444000 0,000000 33 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 19,050000 25,750000 0,000000 34 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. PR 10 20,658000 25,219000 0,000000 35 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,000000 36 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200 37 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM. PRF 10 75,615600 86,998800 41,527200 38 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200 39 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000 40 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 1 701,150000 802,400000 0,000000 41 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,000000 42 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 1 119,092800 134,389200 17,890800 43 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000 44 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000 45 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 10 116,403000 130,694000 0,000000 46 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,000000 47 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 1 119,092800 134,389200 17,890800 48 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 99,244000 111,991000 0,000000 49 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 1 119,092800 134,389200 16,330800 50 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 7,989857 9,753857 4,462809 51 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357 52 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 6,658214 8,128214 0,000000 53 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 7,989857 9,753857 4,631143 54 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928 55 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 7,989857 9,753857 58,566500 56 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000 57 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428 58 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357 59 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928 60 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 7,989857 9,753857 65,112143 61 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000 62 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000 63 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000 64 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000 65 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000 66 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 1 310,650000 376,760000 0,000000 67 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 1 310,650000 376,760000 0,000000 68 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000 69 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 1.372,920000 1.534,630000 0,000000 70 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 71 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 1 877,030000 994,110000 0,000000 72 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 877,030000 994,110000 0,000000 73 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 1 868,440000 984,750000 0,000000 74 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000 75 W65688001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000 76 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 1 813,420000 924,780000 0,000000 77 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 1 868,440000 984,750000 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
78 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 1 877,030000 994,110000 0,000000 79 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 1.135,500000 1.275,850000 0,000000 80 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000 81 W65689001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000 82 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 1.067,080000 1.201,270000 0,000000 83 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 1.124,290000 1.263,630000 0,000000 84 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 1.135,500000 1.275,850000 0,000000 85 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 1.135,500000 1.275,850000 0,000000 86 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 87 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 1.124,290000 1.263,630000 0,000000 88 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 1 877,030000 994,110000 0,000000 89 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 1.135,500000 1.275,850000 0,000000 90 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 16,006999 18,210600 39,961733 91 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733 92 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 13,339166 15,175500 0,000000 93 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 5 892,930000 980,926000 0,000000 94 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 3.191,450000 3.516,840000 0,000000 95 W54188001 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 2 ML SOL. PERF. (100UI) PR 1 214,580000 261,960000 0,000000 96 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 62,980000 79,630000 0,000000 97 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 1 102,660000 125,330000 0,000000 98 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000 99 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 59,440000 75,150000 0,000000 100 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000 101 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 97,000000 122,650000 0,000000 102 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 57,502000 70,198000 0,000000 103 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 69,002400 84,237600 41,682400 104 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 57,502000 70,198000 0,000000 105 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 89,638000 105,336000 0,000000 106 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 89,638000 105,336000 0,000000 107 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 1 107,565600 126,403200 53,526800 108 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 2,522416 3,067333 0,000000 109 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000 110 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000 111 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000 112 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 1,602400 2,026000 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 2,784000 3,398800 0,000000 114 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 2,784000 3,398800 0,000000 115 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000 116 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000 117 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000 118 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000 119 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 1,323600 1,673600 0,000000 120 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1,842600 2,329800 0,000000 121 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3,822000 4,666000 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 2,600400 3,174600 0,000000 123 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18,782400 21,235800 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 1,842600 2,329800 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 3,822000 4,666000 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 19,252600 21,748400 0,000000 127 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML PR 10 162,464000 180,901000 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
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
59
P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
1 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,976400 1,234600 0,000000 2 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,993800 1,300000 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 2,379800 2,905300 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 84,590000 106,950000 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 0,460000 0,621800 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 0,552000 0,746160 0,074173 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 0,928333 1,214333 0,000000 8 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOI PRF 30 0,928333 1,214333 0,000000 9 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 0,928333 1,214333 0,000000 10 W55847001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 11,755000 14,350000 0,000000 11 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 22,421000 27,372000 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 9,567000 12,097000 0,000000 13 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 9,567000 12,097000 0,000000 14 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 5,446000 6,886000 0,000000 15 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 5,446000 6,886000 0,000000 16 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 9,741000 12,317000 0,000000 17 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 9,741000 12,317000 0,000000 18 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 13,307000 16,245000 0,000000 19 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 13,307000 16,245000 0,000000 20 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 16,756666 20,456666 0,000000 21 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 16,756666 20,456666 0,000000 22 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 5,446000 6,886000 0,000000 23 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 9,741000 12,317000 0,000000 24 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 13,307000 16,245000 0,000000 25 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 16,756666 20,456666 0,000000 26 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 1 766,510000 873,650000 0,000000 27 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 1.526,710000 1.702,270000 0,000000 28 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 2.263,210000 2.505,050000 0,000000 29 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 7,232000 9,460000 0,000000 30 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 21,430000 26,932800 2,037200 31 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. PR 10 13,689000 16,711000 0,000000 32 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 13,199000 16,113000 0,000000 33 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 13,680000 18,490000 0,000000 34 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 18,385000 22,444000 0,000000 35 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 19,050000 25,750000 0,000000 36 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. PR 10 20,658000 25,219000 0,000000 37 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 1 119,900000 146,370000 0,000000 38 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 1 119,900000 146,370000 0,000000 39 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 63,013000 72,499000 0,000000 40 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200 41 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM. PRF 10 75,615600 86,998800 41,527200 42 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200 43 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000 44 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 1 701,150000 802,400000 0,000000 45 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 46 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 1 119,092800 134,389200 17,890800 47 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 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 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000 49 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 10 116,403000 130,694000 0,000000 50 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 10 115,254000 129,442000 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 1 119,092800 134,389200 17,890800 52 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 99,244000 111,991000 0,000000 53 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 1 119,092800 134,389200 16,330800 54 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 2,545714 3,440000 0,000000 55 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 3,054857 4,128000 2,507714 56 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,729500 57 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,000000 58 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,838000 59 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 60 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 5,670000 7,660000 0,000000 61 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 5,670000 7,660000 0,000000 62 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 5,688000 7,692000 3,838000 63 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 5,670000 7,660000 0,000000 64 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 5,670000 7,660000 0,000000 65 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 5,670000 7,660000 0,000000 66 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 5,670000 7,660000 0,000000 67 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 5,670000 7,660000 0,000000 68 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 5,670000 7,660000 0,000000 69 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 70 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 5,670000 7,660000 0,000000 71 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 5,670000 7,660000 0,000000 72 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,000000 73 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 4,778571 6,250000 0,000000 74 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 1,525714 2,062285 0,913429 75 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 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 1,525714 2,062285 0,913429 77 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 1,525714 2,062285 0,913429 78 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 1,525714 2,062285 2,403429 79 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 1,525714 2,062285 0,913429 80 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 1,271428 1,718571 0,000000 81 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 82 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,000000 83 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,403429 84 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 23,200000 31,360000 0,000000 85 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,000000 86 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,000000 87 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,000000 88 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. PR 1 19,410000 26,240000 0,000000 89 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. PR 1 38,830000 50,790000 0,000000 90 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. PR 1 9,700000 13,110000 0,000000 91 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,528000 92 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 11,233200 13,713600 8,886900 93 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,000000 94 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 44,482800 53,064000 40,975000 95 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 18,465000 22,542000 0,000000 96 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 22,158000 26,532000 12,745000 97 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1,700000 2,224000 0,000000 98 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 1,700000 2,224000 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
61
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
99 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 1,700000 2,224000 0,000000 100 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL 100 mg CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 2,040000 2,668800 0,752533 101 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1,700000 2,224000 0,000000 102 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 1,700000 2,224000 0,000000 103 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 7,989857 9,753857 4,462809 104 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357 105 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 6,658214 8,128214 0,000000 106 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 7,989857 9,753857 4,631143 107 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928 108 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 7,989857 9,753857 58,566500 109 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000 110 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428 111 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357 112 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928 113 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 7,989857 9,753857 65,112143 114 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000 115 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000 116 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000 117 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000 118 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000 119 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 1 310,650000 376,760000 0,000000 120 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 1 310,650000 376,760000 0,000000 121 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000 122 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 1.372,920000 1.534,630000 0,000000 123 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 124 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 1 877,030000 994,110000 0,000000 125 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 877,030000 994,110000 0,000000 126 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 1 868,440000 984,750000 0,000000 127 W65379001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 868,440000 984,750000 0,000000 128 W65688001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 813,420000 924,780000 0,000000 129 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 1 813,420000 924,780000 0,000000 130 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 1 868,440000 984,750000 0,000000 131 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 1 877,030000 994,110000 0,000000 132 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 1.135,500000 1.275,850000 0,000000 133 W65380001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA SANDOZ 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (TIP I) CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.124,290000 1.263,630000 0,000000 134 W65689001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.067,080000 1.201,270000 0,000000 135 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 1.067,080000 1.201,270000 0,000000 136 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 1.124,290000 1.263,630000 0,000000 137 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 1.135,500000 1.275,850000 0,000000 138 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 1.135,500000 1.275,850000 0,000000 139 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 140 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 1.124,290000 1.263,630000 0,000000 141 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 1 877,030000 994,110000 0,000000 142 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 1.135,500000 1.275,850000 0,000000 143 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 0,660600 0,892800 0,296700 144 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,293700 145 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 0,660600 0,892800 0,296700 146 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 0,660600 0,887590 0,000000 147 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2,186000 2,954000 0,000000 148 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,296700 149 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,060200
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 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 0,568000 0,768000 0,000000 151 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 0,660600 0,892800 0,064700 152 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000 153 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000 154 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2,148000 2,903000 0,000000 155 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 41,032000 50,092000 0,000000 156 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 2,978400 4,024800 0,908200 157 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 2,978400 4,024800 0,908200 158 W60087001 J05AB11 VALACYCLOVIRUM VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 2,482000 3,354000 0,000000 159 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 16,006999 18,210600 39,961733 160 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733 161 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 13,339166 15,175500 0,000000 162 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 399,350000 473,440000 0,000000 163 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 768,770000 876,110000 0,000000 164 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.507,540000 1.681,370000 0,000000 165 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.985,080000 3.291,890000 0,000000 166 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 167 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 168 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 169 W65903004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 250 ML X 200 ML SOL. PERF. PR 1 3.736,920000 4.111,400000 0,000000 170 W65903001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1 408,030000 482,900000 0,000000 171 W65903002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 172 W65903003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) SPRL BELGIA 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 173 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 174 W65358003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1 966,910000 1.092,080000 0,000000 175 W53030001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 50 ML SOL. PERF. PR 1 923,350000 1.044,600000 0,000000 176 W53030002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 100 ML SOL. PERF. PR 1 1.797,530000 1.997,460000 0,000000 177 W53030004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 25 ML SOL. PERF. PR 1 477,940000 559,100000 0,000000 178 W53030003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100mg/ml SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC.X 200 ML SOL. PERF. PR 1 3.835,300000 4.218,630000 0,000000 179 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 2.461,260000 2.720,930000 0,000000 180 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 1 245,530000 299,740000 0,000000 181 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 1 637,810000 733,360000 0,000000 182 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 1 539,240000 625,920000 0,000000 183 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 1 224,070000 273,540000 0,000000 184 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1 2.066,990000 2.291,170000 0,000000 185 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 1.048,500000 1.181,020000 0,000000 186 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 187 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 188 W65624002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML SOL. PERF. PR 1 490,690000 573,000000 0,000000 189 W65624003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. PR 1 949,870000 1.073,510000 0,000000 190 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 191 W65624004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA X 200 ML SOL. PERF. PR 1 1.859,420000 2.064,920000 0,000000 192 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 193 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 194 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 1.245,630000 1.395,890000 0,000000 195 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 0,971800 1,271000 0,000000 196 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 21,000000 28,380000 0,000000 197 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 21,000000 28,380000 0,000000 198 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 62,980000 79,630000 0,000000 199 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 1 102,660000 125,330000 0,000000 200 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 59,440000 75,150000 0,000000
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Nr.
Grupa
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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
201 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 59,440000 75,150000 0,000000 202 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 97,000000 122,650000 0,000000 203 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 97,000000 122,650000 0,000000 204 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 57,502000 70,198000 0,000000 205 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 69,002400 84,237600 41,682400 206 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 57,502000 70,198000 0,000000 207 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 89,638000 105,336000 0,000000 208 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 89,638000 105,336000 0,000000 209 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 1 107,565600 126,403200 53,526800 210 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 1.306,970000 1.462,750000 0,000000 211 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 2,522416 3,067333 0,000000 212 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000 213 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000 214 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000 215 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 1,602400 2,026000 0,000000 216 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 2,784000 3,398800 0,000000 217 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 2,784000 3,398800 0,000000 218 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000 219 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000 220 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 3.858,460000 4.243,880000 0,000000 221 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 3.858,460000 4.243,880000 0,000000 222 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000 223 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000 224 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 1,323600 1,673600 0,000000 225 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1,842600 2,329800 0,000000 226 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3,822000 4,666000 0,000000 227 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 2,600400 3,174600 0,000000 228 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18,782400 21,235800 0,000000 229 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 1,842600 2,329800 0,000000 230 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 3,822000 4,666000 0,000000 231 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 19,252600 21,748400 0,000000 232 W53732001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML PR 10 162,464000 180,901000 0,000000 233 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 0,497200 0,650400 0,000000 234 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 2,145000 2,900000 0,000000 235 W66435002 M05BA04 ACIDUM ALENDRONICUM ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 4 COMPR. P6L 4 2,574000 3,480000 5,690000 236 W60296004 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2,574000 3,480000 5,775000 237 W60296002 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2,574000 3,480000 5,475000 238 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 2,574000 3,480000 5,690000 239 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 2,574000 3,480000 5,995000 240 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 2,574000 3,480000 1,680000 241 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 2,574000 3,480000 5,690000 242 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 2,574000 3,480000 5,229166 243 W42905002 N02AB02 PETHIDINUM MIALGIN 100 mg/2 ml SOL. INJ. 50mg/ml ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML PS 5 2,306000 3,116000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
63
P9.5: TRANSPLANT CELULE PANCREATICE
1 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,000000 2 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200 3 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM. PRF 10 75,615600 86,998800 41,527200
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
4 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200 5 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000 6 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 1 701,150000 802,400000 0,000000 7 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,000000 8 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 1 119,092800 134,389200 17,890800 9 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000 10 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000 11 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 10 116,403000 130,694000 0,000000 12 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,000000 13 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 1 119,092800 134,389200 17,890800 14 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 99,244000 111,991000 0,000000 15 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 1 119,092800 134,389200 16,330800 16 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 7,989857 9,753857 4,462809 17 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357 18 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 6,658214 8,128214 0,000000 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 7,989857 9,753857 4,631143 20 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928 21 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 7,989857 9,753857 58,566500 22 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000 23 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428 24 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357 25 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928 26 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 7,989857 9,753857 65,112143 27 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000 28 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000 29 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000 30 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000 31 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000 32 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 1 310,650000 376,760000 0,000000 33 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 1 310,650000 376,760000 0,000000 34 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000 35 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 1.372,920000 1.534,630000 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 16,006999 18,210600 39,961733 37 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733 38 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 13,339166 15,175500 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 5,446000 6,886000 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 5,446000 6,886000 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 9,741000 12,317000 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 9,741000 12,317000 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 13,307000 16,245000 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 13,307000 16,245000 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 16,756666 20,456666 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 16,756666 20,456666 0,000000 9 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 5,446000 6,886000 0,000000 10 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 9,741000 12,317000 0,000000 11 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 13,307000 16,245000 0,000000
64
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
65
12 W63593009 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 16,756666 20,456666 0,000000 13 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 3,910000 5,286000 0,000000 14 W66039002 C01CA24 EPINEPHRINUM ADRENALINA HYPERICUM 0,1 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 0,1mg/ml S.C. HYPERICUM S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE DIN PP, FARA AC, AMBALATE INDIVIDUAL INTR-UN BLIST. TRANSPARENT A 10 ML SOL. INJ. PR 10 2,017320 2,462760 76,542240 15 W02947002 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR 10 1,742000 2,354000 0,000000 16 W02947001 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML PR 100 1,681100 2,052300 0,000000 17 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 1 146,250000 178,540000 0,000000 18 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 1 151,480000 184,930000 0,000000 19 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 21,430000 26,932800 2,037200 20 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. PR 10 13,689000 16,711000 0,000000 21 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10 13,199000 16,113000 0,000000 22 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 13,680000 18,490000 0,000000 23 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 18,385000 22,444000 0,000000 24 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 19,050000 25,750000 0,000000 25 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. PR 10 20,658000 25,219000 0,000000 26 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 63,013000 72,499000 0,000000 27 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 75,615600 86,998800 20,586200 28 W63985002 J01XX08 LINEZOLIDUM LINEZOLID FRESENIUS KABI 600 mg COMPR. FILM. 600mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU BLIST. AL/AL X 10 (1X10) COMPR. FILM. PRF 10 75,615600 86,998800 41,527200 29 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 75,615600 86,998800 20,586200 30 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 ML SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML PRF 1 701,150000 802,400000 0,000000 31 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 1 701,150000 802,400000 0,000000 32 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR 10 114,432000 128,546000 0,000000 33 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 1 119,092800 134,389200 17,890800 34 W65054001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 PUNGI (EXCEL SAU FREEFLEX) DE UNICA FOLOSINTA GATA DE UTILIZARE, FARA LATEX X 300 ML SOL. PERF. PR 10 116,403000 130,694000 0,000000 35 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 116,403000 130,694000 0,000000
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
36 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 10 116,403000 130,694000 0,000000 37 W63515002 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF 10 115,254000 129,442000 0,000000 38 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 1 119,092800 134,389200 17,890800 39 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 99,244000 111,991000 0,000000 40 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 1 119,092800 134,389200 16,330800 41 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 2,545714 3,440000 0,000000 42 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 3,054857 4,128000 2,507714 43 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,729500 44 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,000000 45 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,838000 46 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 47 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 5,670000 7,660000 0,000000 48 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 5,670000 7,660000 0,000000 49 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 5,688000 7,692000 3,838000 50 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 5,670000 7,660000 0,000000 51 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 5,670000 7,660000 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 5,670000 7,660000 0,000000 53 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 5,670000 7,660000 0,000000 54 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 5,670000 7,660000 0,000000 55 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 5,670000 7,660000 0,000000 56 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 57 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 5,670000 7,660000 0,000000 58 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 5,670000 7,660000 0,000000 59 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,000000 60 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 4,778571 6,250000 0,000000 61 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 1,525714 2,062285 0,913429 62 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429
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
63 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 1,525714 2,062285 0,913429 64 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 1,525714 2,062285 0,913429 65 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 1,525714 2,062285 2,403429 66 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 1,525714 2,062285 0,913429 67 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 1,271428 1,718571 0,000000 68 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 69 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,000000 70 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,403429 71 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 23,200000 31,360000 0,000000 72 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,000000 73 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,000000 74 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,000000 75 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. PR 1 19,410000 26,240000 0,000000 76 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. PR 1 38,830000 50,790000 0,000000 77 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. PR 1 9,700000 13,110000 0,000000 78 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,528000 79 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 11,233200 13,713600 8,886900 80 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,000000 81 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 44,482800 53,064000 40,975000 82 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 18,465000 22,542000 0,000000 83 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 22,158000 26,532000 12,745000 84 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 7,989857 9,753857 4,462809 85 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357 86 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 6,658214 8,128214 0,000000 87 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 7,989857 9,753857 4,631143 88 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928 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 7,989857 9,753857 58,566500 90 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000 91 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428 92 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357 93 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928 94 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 7,989857 9,753857 65,112143 95 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000 96 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000 97 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000 98 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000 99 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000 100 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 1 310,650000 376,760000 0,000000 101 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 1 310,650000 376,760000 0,000000 102 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000 103 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 1.372,920000 1.534,630000 0,000000 104 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 0,660600 0,892800 0,296700 105 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,293700 106 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 0,660600 0,892800 0,296700 107 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 0,660600 0,887590 0,000000 108 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 2,186000 2,954000 0,000000 109 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,296700 110 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,060200 111 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 0,568000 0,768000 0,000000 112 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 0,660600 0,892800 0,064700 113 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000
66
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
114 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000 115 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2,148000 2,903000 0,000000 116 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 41,032000 50,092000 0,000000 117 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 16,006999 18,210600 39,961733 118 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733 119 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 13,339166 15,175500 0,000000 120 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 1.306,970000 1.462,750000 0,000000 121 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 2,522416 3,067333 0,000000 122 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000 123 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000 124 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000 125 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 1,602400 2,026000 0,000000 126 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 2,784000 3,398800 0,000000 127 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 2,784000 3,398800 0,000000 128 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 3.858,460000 4.243,880000 0,000000 129 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 3.858,460000 4.243,880000 0,000000 130 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000 131 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000 132 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 0,497200 0,650400 0,000000 133 W12691002 N02AX02 TRAMADOLUM TRAMADOL CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,238000 0,321500 0,000000 134 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,285600 0,385800 0,114200 135 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 0,285600 0,385800 0,039200 136 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,285600 0,385800 0,041200 137 W42957001 N02AX02 TRAMADOLUM TRAMADOL EEL COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,285600 0,385800 0,114200 138 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 0,510400 0,689599 0,011401 139 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 0,510400 0,689599 0,011401 140 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 0,425333 0,574666 0,000000 141 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 0,510400 0,689599 0,011067 142 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 0,510400 0,689599 0,011067 143 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 0,649333 0,877666 0,000000 144 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 0,630000 0,851000 0,000000 145 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 0,755599 1,021200 0,070800 146 W63389002 N02AX02 TRAMADOLUM TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST. PP/AL X 10 COMPR. ELIB. PREL. P-RF 10 0,755599 1,021200 0,070800 147 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 0,706666 0,955333 0,000000 148 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 0,629666 0,851000 0,000000 149 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 0,630000 0,851000 0,000000 150 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 0,865333 1,131666 0,000000 151 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 0,809666 1,094333 0,000000 152 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 0,755599 1,021200 0,308466 153 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 0,971599 1,313200 0,442800 154 W64091001 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU O TAVITA DIN PVC CU 5 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 5 1,748400 2,362800 0,425200 155 W64091002 N02AX02 TRAMADOLUM TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 20 DE TAVITE DIN PVC CU 100 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 100 1,748400 2,362800 0,068800 156 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 1,457000 1,969000 0,000000 157 W05961001 N02AX02 TRAMADOLUM MABRON 100 mg/2 ml SOL. INJ. 100mg/2ml MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF 5 1,488000 2,012000 0,000000 158 W05967001 N02AX02 TRAMADOLUM TRAMADOL 100 mg/2 ml SOL. INJ. 100mg/2ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF 5 1,748400 2,362800 0,109200 159 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0,810000 1,094000 0,000000 160 W05969001 N02AX02 TRAMADOLUM TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ. P-RF 5 0,916000 1,238000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
67
P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI
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 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L 100 0,976400 1,234600 0,000000 2 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,993800 1,300000 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 2,379800 2,905300 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 84,590000 106,950000 0,000000 5 W65156001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 5 BLIST. AL-PVC/PVC X 10 COMPR. PRF 50 0,424600 0,573800 0,000000 6 W04224001 H02AB04 METHYLPREDNISOLONUM MEDROL A 16 mg COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF 50 0,424600 0,573800 0,000000 7 W65157001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. PRF 20 0,964500 1,303500 0,000000 8 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 0,964500 1,303500 0,000000 9 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 14,250000 19,260000 0,000000 10 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 46,170000 60,390000 0,000000 11 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 0,108500 0,146500 0,000000 12 W53341001 H02AB07 PREDNISONUM PREDNISONA-RICHTER 5 mg COMPR. 5mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF 20 0,105500 0,142500 0,000000 13 W13686002 H02AB07 PREDNISONUM PREDNISON 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,108666 0,147000 0,000000 14 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 0,317000 0,428500 0,000000 15 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,317000 0,428500 0,000000 16 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 0,276000 0,373000 0,000000 17 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM 200 mg/40 mg/5 ml SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF 1 7,350000 9,940000 0,000000 18 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 25mg/ml+5mg/ml SUSP. ORALA 25mg/ml+5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1 7,810000 10,550000 0,000000 19 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 2,545714 3,440000 0,000000 20 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 3,054857 4,128000 2,507714 21 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 3,054857 4,128000 2,729500 22 W66461007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 2,545714 3,440000 0,000000 23 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,688000 7,692000 3,838000 24 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 25 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 5,670000 7,660000 0,000000 26 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 5,670000 7,660000 0,000000 27 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 5,688000 7,692000 3,838000 28 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 5,670000 7,660000 0,000000 29 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 30 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 31 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 5,670000 7,660000 0,000000 32 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 5,670000 7,660000 0,000000 33 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 5,670000 7,660000 0,000000 34 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 5,670000 7,660000 0,000000 35 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 5,670000 7,660000 0,000000 36 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 5,670000 7,660000 0,000000 37 W66462001 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 150 mg CAPS. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF 1 4,740000 6,410000 0,000000 38 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4,778571 6,250000 0,000000 39 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 40 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 41 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 1,525714 2,062285 0,913429 42 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 43 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 1,525714 2,062285 2,403429 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 1,525714 2,062285 0,913429 45 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 1,271428 1,718571 0,000000 46 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,525714 2,062285 0,913429 47 W66460007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7 1,298571 1,754285 0,000000 48 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,525714 2,062285 2,403429 49 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 23,200000 31,360000 0,000000 50 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF 1 23,200000 31,360000 0,000000
68
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
69
ica ca
decontare / U.T.
/ U.T.
/ U.T. - farmacii comunitare
51 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 37,069000 44,220000 0,000000 52 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,361000 11,428000 0,000000 53 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. PR 1 19,410000 26,240000 0,000000 54 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. PR 1 38,830000 50,790000 0,000000 55 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. PR 1 9,700000 13,110000 0,000000 56 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. PR 1 22,158000 26,532000 32,528000 57 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 11,233200 13,713600 8,886900 58 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 18,534500 22,110000 0,000000 59 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 44,482800 53,064000 40,975000 60 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 18,465000 22,542000 0,000000 61 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 22,158000 26,532000 12,745000 62 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 7,989857 9,753857 4,462809 63 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 7,989857 9,753857 15,474357 64 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF 28 6,658214 8,128214 0,000000 65 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 7,989857 9,753857 4,631143 66 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 47,922928 67 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 7,989857 9,753857 58,566500 68 W65715001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF 28 6,658214 8,128214 0,000000 69 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 7,989857 9,753857 19,270428 70 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 7,989857 9,753857 16,739357 71 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 7,989857 9,753857 47,922928 72 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 7,989857 9,753857 65,112143 73 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 22,916428 27,704285 0,000000 74 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 21,905357 25,239285 0,000000 75 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,369642 23,974285 0,000000 76 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 310,650000 376,760000 0,000000 77 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 310,650000 376,760000 0,000000 78 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 1 310,650000 376,760000 0,000000 79 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 1 310,650000 376,760000 0,000000 80 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR PRF 1 1.372,920000 1.534,630000 0,000000 81 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 1.372,920000 1.534,630000 0,000000 82 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 133,552083 147,161666 0,000000 83 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 24 133,552083 147,161666 0,000000 84 W65818001 J02AC04 POSACONAZOLUM ** POSACONAZOL MSN LABORATORIES 300 mg CONC. PT. SOL. PERF. 300mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU FLAC. DE STICLA INCHIS CU DOP DE CAUCIUC BROMOBUTILIC SI CAPSA DE AL DE CULOARE ROSIE X 20 ML CONC. PT. SOL. PERF. PR 1 891,820000 1.010,230000 0,000000 85 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 1.070,184000 1.212,276000 372,624000 86 W64694001 J02AC04 POSACONAZOLUM ** NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 16,7ML CONC. PT SOL. PERF. (18MG POSACONAZOL/ML) PR 1 1.070,184000 1.212,276000 372,624000 87 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 2.019,372000 2.246,892000 595,608000 88 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 2.019,372000 2.246,892000 595,608000 89 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MYLAN IRELAND LIIMTED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU CAPAC DIN PE CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII SI O LINGURITA DE MASURARE A DOZELOR X 105 ML SUSP. ORALA PR 1 1.682,810000 1.872,410000 0,000000 90 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 0,660600 0,892800 0,296700 91 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,660600 0,892800 0,293700 92 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 0,660600 0,892800 0,296700 93 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 0,660600 0,887590 0,000000 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 2,186000 2,954000 0,000000 95 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,660600 0,892800 0,296700 96 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,660600 0,892800 0,060200 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 0,568000 0,768000 0,000000 98 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 0,660600 0,892800 0,064700 99 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0,550500 0,744000 0,000000 100 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1,867000 2,524000 0,000000 101 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 2,148000 2,903000 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
102 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 41,032000 50,092000 0,000000 103 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 16,006999 18,210600 39,961733 104 W66450001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 16,006999 18,210600 39,961733 105 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 13,339166 15,175500 0,000000 106 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 2,402666 3,038000 0,000000 107 W65306001 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) PR 28 2,883199 3,645600 0,786542 108 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 2,883199 3,645600 0,786542 109 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,248000 5,185999 0,393667 110 W59320003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,540000 4,321666 0,000000 111 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,540000 4,321666 0,000000 112 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 4,248000 5,185999 0,393667 113 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 9,375333 11,445333 0,000000 114 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,141000 11,159333 0,000000 115 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 9,141000 11,159333 0,000000 116 W65303002 J05AF05 LAMIVUDINUM EPIVIR 10mg/ml SOL. ORALA 10mg/ml VIIV HEALTHCARE BV OLANDA CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR 1 85,950000 108,670000 0,000000 117 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 85,950000 108,670000 0,000000 118 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 2,522416 3,067333 0,000000 119 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 4,836250 5,589416 0,000000 120 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000 121 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R 100 1,392000 1,699400 0,000000 122 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000 123 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,392000 1,699400 0,000000 124 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 1,602400 2,026000 0,000000 125 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 1,602400 2,026000 0,000000 126 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 2,784000 3,398800 0,000000 127 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 2,784000 3,398800 0,000000 128 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 2,784000 3,398800 0,000000 129 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 2,784000 3,398800 0,000000 130 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000 131 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 15,523333 18,192000 0,000000 132 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL (R) CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,425400 1,802400 0,000000 133 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,292400 2,798600 0,000000 134 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 1,323600 1,673600 0,000000 135 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 1,842600 2,329800 0,000000 136 W53730001 L04AD02 TACROLIMUSUM ** PROGRAF 1 mg CAPS. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 3,822000 4,666000 0,000000 137 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 2,600400 3,174600 0,000000 138 W53731001 L04AD02 TACROLIMUSUM ** PROGRAF 5 mg CAPS. 5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT PR 50 18,782400 21,235800 0,000000 139 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 1,842600 2,329800 0,000000 140 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 3,822000 4,666000 0,000000 141 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 19,252600 21,748400 0,000000 142 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 0,497200 0,650400 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 5 892,930000 980,926000 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 3.191,450000 3.516,840000 0,000000 3 W54188001 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 2 ML SOL. PERF. (100UI) PR 1 214,580000 261,960000 0,000000
70
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
71
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 0,460000 0,621800 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 0,552000 0,746160 0,074173 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 0,928333 1,214333 0,000000 4 W65339001 A11CC03 ALFACALCIDOLUM ALFACALCIDOL HEATON 0,50 micrograme CAPS. MOI 0,50micrograme HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. MOI PRF 30 0,928333 1,214333 0,000000 5 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 0,928333 1,214333 0,000000 6 W55847001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 11,755000 14,350000 0,000000 7 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 22,421000 27,372000 0,000000 8 W66221001 B01AB01 HEPARINUM ** HEPARIN-BELMED 5000 UI/ml SOL. INJ. 5000UI/ml C.N. UNIFARM S.A. ROMANIA CUTIE CU 5 FLAC. X 5 ML SOL. INJ. PR 5 13,750800 16,786800 19,815200 9 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 3,512000 4,746000 0,000000 10 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 11,459000 13,989000 0,000000 11 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 11,459000 13,989000 0,000000 12 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 5,446000 6,886000 0,000000 13 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 5,446000 6,886000 0,000000 14 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 9,741000 12,317000 0,000000 15 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 9,741000 12,317000 0,000000 16 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 13,307000 16,245000 0,000000 17 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 13,307000 16,245000 0,000000 18 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 16,756666 20,456666 0,000000 19 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 16,756666 20,456666 0,000000 20 W63590012 B01AB05 ENOXAPARINUM ** CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 5,446000 6,886000 0,000000 21 W63591012 B01AB05 ENOXAPARINUM ** CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 9,741000 12,317000 0,000000 22 W63592012 B01AB05 ENOXAPARINUM ** CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 10 13,307000 16,245000 0,000000 23 W63593009 B01AB05 ENOXAPARINUM ** CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (STICLA TIP I) ASAMBLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROMOBUTILIC) SI AC DE INJECTIE PR/PRF 6 16,756666 20,456666 0,000000 24 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 7,202000 9,106000 0,000000 25 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 11,128000 13,585000 0,000000 26 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 14,255000 17,402000 0,000000 27 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. PR 10 95,202000 107,585000 0,000000 28 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 47,485000 55,574000 0,000000 29 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 10 105,930000 119,279000 0,000000 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 47,324000 57,774000 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 39,715000 48,485000 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 1 399,830000 473,960000 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. PR 1 633,384000 736,164000 420,066000 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 1 527,820000 613,470000 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 77,801666 91,161666 0,000000 36 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 6 253,690000 282,881666 0,000000 37 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 6 253,690000 282,881666 0,000000 38 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 40,643333 49,616666 0,000000 39 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 40,643333 49,616666 0,000000 40 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 1 796,930000 906,800000 0,000000 41 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 1 796,930000 906,800000 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 77,801666 91,161666 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 77,801666 91,161666 0,000000 44 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 6 112,761666 129,268333 0,000000 45 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 6 112,761666 129,268333 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 1 192,880000 235,470000 0,000000 47 W64987001 B03XA01 EPOETINUM ZETA ** RETACRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 192,880000 235,470000 0,000000 48 W64990001 B03XA01 EPOETINUM ZETA ** RETACRIT 2000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,6ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 41,620000 54,440000 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
49 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 41,620000 54,440000 0,000000 50 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 1 436,560000 514,000000 0,000000 51 W64991001 B03XA01 EPOETINUM ZETA ** RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75 ML SOL. INJ. PR 1 436,560000 514,000000 0,000000 52 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 61,330000 77,550000 0,000000 53 W64992001 B03XA01 EPOETINUM ZETA ** RETACRIT 3000UI/0,9ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,9ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,9 ML SOL. INJ. PR 1 61,330000 77,550000 0,000000 54 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 1 522,370000 607,530000 0,000000 55 W64993001 B03XA01 EPOETINUM ZETA ** RETACRIT 40000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 40000UI/1,0ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR 1 522,370000 607,530000 0,000000 56 W64994001 B03XA01 EPOETINUM ZETA ** RETACRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,4 ML SOL. INJ. PR 1 81,770000 103,390000 0,000000 57 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 81,770000 103,390000 0,000000 58 W64995001 B03XA01 EPOETINUM ZETA ** RETACRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. PR 1 102,240000 124,810000 0,000000 59 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 1 102,240000 124,810000 0,000000 60 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 1 120,490000 147,090000 0,000000 61 W64996001 B03XA01 EPOETINUM ZETA ** RETACRIT 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 120,490000 147,090000 0,000000 62 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 1 171,990000 209,970000 0,000000 63 W64997001 B03XA01 EPOETINUM ZETA ** RETACRIT 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. PR 1 171,990000 209,970000 0,000000 64 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 4 582,172500 644,105000 0,000000 65 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 64,377500 78,592500 0,000000 66 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 4 122,372500 142,922500 0,000000 67 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 1.753,900000 1.949,900000 0,000000 68 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 4 179,890000 205,617500 0,000000 69 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 4 237,342500 268,240000 0,000000 70 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 2.902,590000 3.201,980000 0,000000 71 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 4 294,815000 330,885000 0,000000 72 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 4 352,250000 393,490000 0,000000 73 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 4 467,195000 518,780000 0,000000 74 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 1 715,960000 818,550000 0,000000 75 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 1 715,960000 818,550000 0,000000 76 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 1.054,280000 1.187,320000 0,000000 77 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 1.054,280000 1.187,320000 0,000000 78 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 1 372,480000 444,150000 0,000000 79 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 1 372,480000 444,150000 0,000000 80 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 1 543,320000 630,370000 0,000000 81 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 1 543,320000 630,370000 0,000000 82 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 83 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 84 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 85 W53458003 B05DB COMBINATII CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM SLEEP-SAFE PR 2 23,025000 30,115000 0,000000 86 W53456003 B05DB COMBINATII CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE PR 2 23,025000 30,115000 0,000000 87 W53457003 B05DB COMBINATII CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE PR 2 23,025000 30,115000 0,000000 88 W53457002 B05DB COMBINATII CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE PR 4 19,397500 24,525000 0,000000 89 W13998003 B05DB COMBINATII BALANCE 4,25% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE CONTINAND CATE 2000 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 40,247500 49,135000 0,000000 90 W13989004 B05DB COMBINATII BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2500 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 40,235000 49,120000 0,000000 91 W13989003 B05DB COMBINATII BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2000 ML SOL. PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 40,235000 49,120000 0,000000 92 W13997003 B05DB COMBINATII BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2000 ML SOL PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 39,377500 48,072500 0,000000 93 W13997004 B05DB COMBINATII BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2500 ML SOL PT. DIALIZA PERITONEALA ("STAY SAFE") PR 4 39,377500 48,072500 0,000000 94 W53456002 B05DB COMBINATII CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE PR 4 19,397500 24,525000 0,000000 95 W53458002 B05DB COMBINATII CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNG DIN PVC X 2000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM STAY-STAFE PR 4 19,397500 24,525000 0,000000 96 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 12,862500 15,382500 0,000000 97 W66319002 H05BX01 CINACALCETUM ** CINACALCET ACCORD 30 mg COMPR. FILM 30mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF 28 12,862500 15,382500 0,000000 98 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 15,435000 18,300714 0,000000 99 W64166002 H05BX01 CINACALCETUM ** CINACALCET HEATON 30 mgA COMPR. FILM. 30mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 13,600714 16,187142 0,000000
72
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
100 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 44,953571 50,362142 0,000000 101 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 66,011785 73,315357 0,000000 102 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 7,669642 9,363214 0,000000 103 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 43,218000 52,760000 0,000000 104 W08985002 V03AE02 SEVELAMER ** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 2,043055 2,438888 0,000000 105 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 1,752111 2,121777 0,000000 P11: PROGRAM NATIONAL DE SANATATE MINTAL SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR 1 W64547003 N07BB04 NALTREXONUM NALTREXONA TORREX 50 mg COMPR. FILM. 50mg AMOMED PHARMA GMBH AUSTRIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 28 6,761785 8,255000 0,000000 2 W66185003 N07BB04 NALTREXONUM NALTREXONA AMOMED 50 mg COMPR. FILM. 50mg AMOMED PHARMA GMBH AUSTRIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 28 8,114142 9,906000 0,054357 3 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 0,401400 0,542400 0,000000 4 W55532002 N07BC02 METHADONUM METADON BIOEEL 20 mg COMPR. 20mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 1,500200 1,896800 0,000000 5 W55533002 N07BC02 METHADONUM METADON BIOEEL 5 mg COMPR. 5mg BIO EEL SRL ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS 50 0,400000 0,540600 0,000000 6 W63213001 N07BC02 METHADONUM METHASAN 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. ORALA, SERINGA GRADATA PT. ADMINISTRARE ORALA SI UN ADAPTOR PT. FLAC. PS 1 35,190000 46,030000 0,000000 7 W60166003 N07BC02 METHADONUM MISYO 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 CU SIGILIU DIN PE A 1000 ML CONC. PT. SOL. ORAL PS 1 337,430000 405,950000 0,000000 8 W60166004 N07BC02 METHADONUM MISYO 10 mg/ml CONC. PT. SOL. ORALA 10mg/ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, A 1000 ML CONC. PT. SOL. ORALA PS 1 337,430000 405,950000 0,000000 9 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 2,837142 3,834285 0,000000 10 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 8,454285 10,690000 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; 73 Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (Q) se efectuează în baza contractelor cost-volum încheiate.
74
Anexa nr 2
(ANEXA nr. 3 la Ordinul 1605/875/2014)
SECŢIUNEA C2 - LISTA denumirilor comerciale şi a preţurilor de decontare ale OTC-urilor care se acordă bolnavilor incluşi în cadrul programelor naţionale de sănătate, în tratamentul ambulatoriu şi spitalicesc, conform denumirilor comune internaţionale cuprinse în secţiunea C2 a sublistei C
Prescriptie
din HG nr. 720/2008, republicată, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificările şi competările ulterioare, VALABILĂ ÎNCEPÂND CU 01 IULIE 2020
Nr.
Grupa terapeut
Denumire generica Denumire comerciala
Forma farmaceuti
Concentr
Firma Tara Ambalaj
cant/a mbala
Pret cu ridicata maximal de
contribuţie Pret de decontare / maximă asigurat /
crt
Cod CIM
ica
ca atie / U.T.
j decontare / U.T.
U.T.
U.T. - farmacii
comunitare
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.4: MUCOVISCIDOZA
W62199002 A09AA02 PANCREATINUM ** KREON 10000 CAPS. GASTROREZ. 150mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID X 20 CAPS. GASTROREZ. OTC 20 0,374500 0,506000 0,000000 W62199001 A09AA02 PANCREATINUM ** KREON 10000 CAPS. GASTROREZ. 150mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 2 BLIST. DIN AL-AL A CÂTE 10 CAPS. GASTROREZ. OTC 20 0,374500 0,506000 0,000000 W62200001 A09AA02 PANCREATINUM ** KREON 25000 CAPS. GASTROREZ. 300mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 2 BLIST. DIN AL-AL A CÂTE 10 CAPS. GASTROREZ. OTC 20 1,099500 1,486000 0,000000 W62200002 A09AA02 PANCREATINUM ** KREON 25000 CAPS. GASTROREZ. 300mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 FLAC. DIN PEID X 20 CAPS. GASTROREZ. OTC 20 1,099500 1,486000 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. Preluat: 2026-09-24T14:16:19.720101+00:00 · SHA256: 3db421d6233529f893154a523375e07a466cec6c7c45f50fcc8f8d0c667527fd