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ANEXĂ · 0 · 2022
ANEXĂ din 28 februarie 2022 pentru modificarea anexei nr. 2 la Ordinul ministrului sănătăţii şi al preşedintelui Casei Naţionale de Asigurări de Sănătate nr. 1.605/875/2014 privind aprobarea modului de calcul, a listei denumirilor comerciale şi a preţurilor de decontare ale medicamentelor care se acordă bolnavilor în cadrul programelor naţionale de sănătate şi a metodologiei de calcul al acestora
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Casa Na?ională de Asigurări de Sănătate · ID sursă 252546
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ANEXĂ din 28 februarie 2022
pentru modificarea anexei nr. 2 la Ordinul ministrului sănătăţii şi al preşedintelui Casei Naţionale de Asigurări de Sănătate nr. 1.605/875/2014 privind aprobarea modului de calcul, a listei denumirilor comerciale şi a preţurilor de decontare ale medicamentelor care se acordă bolnavilor în cadrul programelor naţionale de sănătate şi a metodologiei de calcul al acestora
EMITENT MINISTERUL SĂNĂTĂŢII CASA NAŢIONALĂ DE ASIGURĂRI DE SĂNĂTATE
Publicată în
MONITORUL OFICIAL nr. 224 bis din 7 martie 2022
ANEXĂ din 4 martie 2022
ANEXĂ
(ANEXA nr. 2 la Ordinul 1605/875/2014)
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / 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 1,861666 2,516666 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 2,233999 2,891666 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 GRANUL E PENTRU 60 M L SUSPENSIE ORALA, ÎNSOTIT DE O M ASURA DOZATOARE M ARCATA LA 5 , 10 SI 15 M L. PRF 1 16,170000 21,860000 0,000000 4 W13742001 D01AC02 MICONAZOLUM MICONAZOL SLAVIA 20 mg/g CREMA 20mg/g SLAVIA PHARM SRL ROMANIA CUTIE X 1 TUB X 20 G P-RF 1 5,720000 7,730000 0,000000 5 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 4,160000 5,620000 0,000000 6 W66137001 D06BB03 ACICLOVIRUM ACICLOVIR FITERMAN 50 mg/g CREMA 50mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 7,5 G PRF 1 2,840000 3,840000 0,000000 7 W66137002 D06BB03 ACICLOVIRUM ACICLOVIR FITERMAN 50 mg/g CREMA 50mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB AL X 15 G PRF 1 5,700000 7,700000 0,000000 8 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 6,828000 9,228000 3,472000 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 6,828000 9,228000 1,562000 10 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 6,350000 8,580000 0,000000 11 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 4,992000 6,744000 1,726000 12 W53041001 D06BB03 ACICLOVIRUM ACICLOVIR TIS 50mg/g CREMA 50mg/g TIS FARMACEUTIC SA ROMANIA CUTIE X 1 TUB DIN PEJD X 15 G CREMA P-RF 1 6,828000 9,228000 0,792000 13 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 4,992000 6,744000 8,946000 14 W67305002 D06BB03 ACICLOVIRUM ACICLOVIR ROMPHARM 50 mg/g CREMA 50mg/g ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 TUB DIN AL X 15 G CREMA PRF 1 5,690000 7,690000 0,000000 15 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 0,841666 1,138333 0,000000 16 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 1,610000 2,176666 0,000000 17 W04675002 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,326000 0,440500 0,000000 18 W04675003 J01CF04 OXACILLINUM OXACILINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF 1000 0,314600 0,381060 0,000000 19 W11729001 J01CF04 OXACILLINUM OXACILINA ATB 250 mg CAPS. 250mg ANTIBIOTICE SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,319500 0,431500 0,000000 20 W07274001 J01CF04 OXACILLINUM OXACILINA ATB 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 0,635000 0,858000 0,000000 21 W13743001 J01CF04 OXACILLINUM OXACILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 0,635000 0,858000 0,000000 22 W12910002 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE CU 50 BLIST. PVC/AL CU 10 CAPSULE (AMBALAJ DE UZ SPITALICESC) P-RF/S 500 0,612700 0,744140 0,000000 23 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 0,635000 0,858000 0,000000 24 W12910003 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 0,635000 0,858000 0,000000 25 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 8,326600 9,839000 0,000000 26 W60469003 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 100 8,026700 9,130600 0,000000 27 W60469001 J01CF04 OXACILLINUM OXACILINA ATB 1000 mg PULB. PT. SOL. INJ ./PERF. 1000mg ANTIBIOTICE SA ROMANIA CUT IE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 8,810000 10,956720 0,953280 28 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 8,654000 10,942000 0,000000 29 W60468001 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUT IE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 1 6,130000 7,884360 0,405640 30 W60468004 J01CF04 OXACILLINUM OXACILINA ATB 500 mg PULB. PT. SOL. INJ ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. PRF 10 6,023000 7,616000 0,000000 31 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 5,915600 7,221800 0,000000 32 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 5,677800 6,570300 0,000000 33 W58901002 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PRF 50 16,053400 18,261200 0,000000 34 W58901003 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PRF 10 16,999000 20,752000 0,000000 35 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. PRF 1 17,620000 21,913440 1,896560 36 W58901004 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 25 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PRF 25 16,653200 19,678000 0,000000 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii comunitare . 4 37 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 0,785000 1,060714 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 0,482142 0,651428 0,000000 39 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 COM PR. FILM ., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAM INAT PRF 14 0,578570 0,781714 0,576143 40 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 0,482142 0,651428 0,000000 41 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 0,785000 1,060714 0,000000 42 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 0,784761 1,060952 0,000000 43 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 0,785000 1,060714 0,000000 44 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 0,785000 1,060714 0,000000 45 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 COM PR. FILM ., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAM INAT PRF 14 0,941713 1,272857 0,365000 46 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg CO M PR. PT. DI SPERSI E O RALA/ O RO DI SPERSABI LE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 0,578570 0,781714 0,559714 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 15,260000 19,218240 1,411760 48 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 14,592800 17,432000 0,000000 49 W59739002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 50 13,992800 16,015200 0,000000 50 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 14,732000 17,985000 0,000000 51 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 9,170000 12,400000 0,000000 52 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 10,940000 14,780000 0,000000 53 W67768004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (DE CAPACITATE 147M L) CARE CONTINE PULB. PT 70 M L SUSP. ORALA SI O LINGURITA PRF 1 13,128000 17,736000 2,784000 54 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 13,128000 17,736000 2,784000 55 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 CUTI E CU 1 FLAC. DI N STI CLA TRANSPARENTA CO NTI NÂND PULB. PENTRU 100 M L SUSPENSI E SI O LI NG URI TA DO ZATO ARE DI N PO LI STI REN, M ARCAT CU G RADATI I PT. M ASURAREA VO LUM ELO R 2, 5 M L SI 5, 0 M L PRF 1 34,040000 44,520000 0,000000 56 W67567002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 600 mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600mg/42,9mg/5ml SANDOZ S.R.L. ROMANIA CUTI E CU 1 FLAC. DI N STI CLA BRUNA CU CAPACI TATEA DE 180 M L SI PREVAZUTA CU PI PETA DO ZATO ARE CU PI STO N DI N PO LI STI REN SI CO RP DI N PEJD M ARCATA DE LA 0, 4 M L PANA LA 5 M L CU 33, 10 G PULB. PT. SUSP. O RALA PRF 1 40,848000 53,424000 11,106000 57 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 11,130000 15,040000 0,000000 58 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 24,789600 30,262800 19,707200 59 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 13,684000 16,705000 0,000000 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 16,420800 20,046000 8,314000 61 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 14,180000 19,170000 0,000000 62 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 20,658000 25,219000 0,000000 63 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 21,410000 28,940000 0,000000 64 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24,789600 30,262800 19,707200 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 24,789600 30,262800 6,647200 66 W53779001 J01DD04 CEFTRIAXONUM SEFTRION 1 g PULB. PT. SOL. INJ ./PERF. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUT IE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ PR 1 5,083200 6,649200 14,030800 67 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 11,382800 68 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 0,381800 69 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 11,382800 70 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 11,382800 71 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 11,382800 72 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 73 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 6,145000 7,770000 0,000000 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 6,145000 7,770000 0,000000 75 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 76 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 1,505400 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 20,100400 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 20,100400 79 W53778001 J01DD04 CEFTRIAXONUM SEFTRION 500 mg PULB. PT. SOL. INJ ./PERF. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUT IE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1 7,020000 9,490000 0,000000 80 W56096001 J01DD04 CEFTRIAXONUM SEFTRION 2 g PULB. PT. SOL. PERF. 2g EIPICO MED SRL ROMANIA CUT IE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. P-RF 1 9,361200 11,835600 8,014400 81 W57455001 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 1,825000 2,467000 0,000000 82 W13701001 J01DD08 CEFIXIMUM EFICEF 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 3,044000 3,981000 0,000000 83 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 3,044000 3,981000 0,000000 84 W60256003 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUT IE CU 2 BLISTERE PVC-PVDC/AL A CAT E 5 COMPRIMAT E FILMATE PRF 10 7,813714 10,220570 0,281430 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 7,813714 10,220570 0,837430 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 6,511428 8,517142 0,000000 87 W61965002 J01DD08 CEFIXIMUM XIFIA 100 mg/5 ml GRANULE PT. SUSP. ORALA 100mg/5ml INN-FARM D.O.O. SLOVENIA C U T I E C U 1 F L A C . D I N S T I C L A B R U N A , C U C A P C I T A T E A D E 1 5 0 M L C A R E C O N T I N E 5 3 G G R A N . P T . S U S P . O R A L A + 1 M A S U R A D O Z A T O A R E D I N P P P T . M A S U R A R E A V O L U M U L U I D E S O L V E N T G R A D A T A L A 6 6 M L + 1 S E R I N G A D O Z A T O A R E D I N P L A S T I C A 5 M L , G R A D A T A D E L A PRF 1 65,130000 82,350000 0,000000 88 W13676001 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 16,194000 19,770000 0,000000 89 W13677001 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 21,389000 26,112000 0,000000 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii 1 3,510000 4,750000 0,000000 1 22,160000 29,950000 0,000000 1 16,740000 22,620000 0,000000 comunitare 91 W52795001 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g 92 W44061001 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g 90 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 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 5 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 93 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 27,360000 32,234040 3,555960 94 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 24,601200 27,578400 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 28,181000 32,234040 2,168960 96 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 24,293700 26,861700 0,000000 97 W58974002 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTI E CU 10 FLAC. DI N STI CLA I NCO LO RA, CU CAPACI TATEA DE 20 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N ALUM I NI U PREVAZUTA CU DI SC DI N M ATERI AL PLASTI C PRF 10 39,963600 48,138000 40,131000 98 W58974005 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTI E CU 10 FLAC. DI N STI CLA I NCO LO RA, CU CAPACI TATEA DE 30 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N ALUM I NI U PREVAZUTA CU DI SC DI N M ATERI AL PLASTI C PRF 10 39,963600 48,138000 40,131000 99 W61143002 J01DH02 MEROPENEMUM ARCHIFAR 1000 mg PULB. PT. SOL. INJ ./PERF. 1000mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 M L, DOP DIN CAUCIUC BROM OBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ ./PERF. PR 10 35,591000 42,609000 0,000000 100 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 39,963600 48,138000 57,322000 101 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 39,963600 48,138000 34,378000 102 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 33,303000 40,115000 0,000000 103 W61142002 J01DH02 MEROPENEMUM ARCHIFAR 500 mg PULB. PT. SOL. INJ ./PERF. 500mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 M L, DOP DIN CAUCIUC BROM OBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ ./PERF. PR 10 19,904000 24,299000 0,000000 104 W58973002 J01DH02 MEROPENEMUM MEROPENEM ATB 500 mg PULB. PT. SOL. INJ ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTI E CU 10 FLAC. DI N STI CLA I NCO LO RA, CU CAPACI TATEA DE 20 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N ALUM I NI U PREVAZUTA CU DI SC DI N M ATERI AL PLASTI C PRF 10 23,884800 29,158800 19,270200 105 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 23,884800 29,158800 8,009200 106 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 23,884800 29,158800 27,401200 107 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20,509000 25,037000 0,000000 108 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 20,509000 25,037000 0,000000 109 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24,610800 30,044400 7,505600 110 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24,610800 30,044400 10,845600 111 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24,610800 30,044400 10,232600 112 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24,610800 30,044400 7,294600 113 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 20,882000 25,492000 0,000000 114 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,326500 0,441500 0,000000 115 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 400 mg/80 mg COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,326500 0,441500 0,000000 116 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 7,570000 10,230000 0,000000 117 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 7,990000 10,800000 0,000000 118 W63533001 J01FA02 SPIRAMYCINUM ROVAMYCINE® 1,5 Mil. UI COMPR. FILM. 1,5 Mil.U.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 0,831250 1,123125 0,000000 119 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 1,925000 2,602000 0,000000 120 W63534001 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 5 COMPR. FILM. PRF 10 1,925000 2,602000 0,000000 121 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 1,521428 2,056285 0,859715 122 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 1,521428 2,056285 0,859715 123 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 0,772142 1,043571 0,000000 124 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 0,926570 1,252285 0,143429 125 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0,926570 1,252285 0,019857 126 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 0,926570 1,252285 0,111286 127 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 0,926570 1,252285 0,632715 128 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 0,926570 1,252285 0,632715 129 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1,521428 2,056285 0,053715 130 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 1,521428 2,056285 0,064429 131 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 1,521428 2,056285 0,544429 132 W54044001 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 1,521428 2,040500 0,000000 133 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 1,267857 1,713571 0,000000 134 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg 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 1,521428 2,056285 0,629429 135 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 15,900000 21,490000 0,000000 136 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 19,080000 25,788000 0,962000 137 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 10,460000 14,140000 0,000000 138 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 11,870000 16,040000 0,000000 139 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 11,870000 16,040000 0,000000 140 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 19,080000 25,788000 0,962000 141 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 44,720000 58,500000 0,000000 142 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 26,830000 35,100000 0,000000 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii comunitare 143 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 33,370000 43,650000 0,000000 144 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 2,446000 3,306000 1,129000 145 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 2,446000 3,306000 1,129000 146 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 3,375000 4,561666 0,000000 147 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 3,375000 4,561666 0,000000 148 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 2,446000 3,306000 0,325666 149 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 2,038333 2,755000 0,000000 150 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 3,172000 4,288000 1,868666 151 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 3,172000 4,288000 1,868666 152 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 3,172000 4,288000 1,868666 153 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 3,172000 4,288000 4,582000 154 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 2,643333 3,573333 0,000000 155 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 3,172000 4,288000 1,868666 156 W60406001 J01FA10 AZITHROMYCINUM AZITROMICINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM. PRF 3 3,172000 4,288000 1,868666 157 W57032001 J01FA10 AZITHROMYCINUM AZITROX 500 mg COMPR. FILM. 500mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF 3 3,172000 4,288000 0,945333 158 W53281001 J01FA10 AZITHROMYCINUM AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A. ROMANIA CUTI E X 1 FLACO N DI N PE CU PULBERE PENTRU 15M L SUSPENSI E O RALA RECO NSTI TUI TA + FLACO N CU SO LVENT X 7. 5M L SO LVENT + 1 SERI NG A PENTRU ADM I NI STRAREA O RALA + O LI NG URI TA DO ZATO ARE P-RF 1 11,800000 15,950000 0,000000 159 W66687002 J01FA10 AZITHROMYCINUM AZITROMICINA ROMPHARM 500 mg PULB. PT. SOL. PERF. 500mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA PRF 5 29,392000 35,882000 0,000000 160 W66687001 J01FA10 AZITHROMYCINUM AZITROMICINA ROMPHARM 500 mg PULB. PT. SOL. PERF. 500mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA PRF 1 30,460000 39,840000 0,000000 161 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 M L) GRADATA IN DIVIZIUNI DE 0,25 M L CONTINAND PULB. PT 20 M L (400 M G) SUSP. ORALA P-RF 1 15,790000 21,340000 0,000000 162 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 M L) GRADATA IN DIVIZIUNI DE 0,25 M L CONTINAND PULB. PT 20 M L (800 M G) SUSP. ORALA P-RF 1 15,280000 20,650000 0,000000 163 W64358002 J01FA10 AZITHROMYCINUM SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 30 M L SUSP. ORALA, O SERINGA PT. ADM INISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE PRF 1 28,360000 37,100000 0,000000 164 W00520001 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1 28,360000 37,100000 0,000000 165 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 35,240000 46,090000 0,000000 166 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 M L SUSP. ORALA, O SERINGA PT. ADM INISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE PRF 1 35,240000 46,090000 0,000000 167 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 0,810000 1,093333 0,000000 168 W03308001 J01GB03 GENTAMICINUM GENTAMICIN KRKA 40 mg/1 ml SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF 10 0,604000 0,817000 0,000000 169 W03309001 J01GB03 GENTAMICINUM GENTAMICIN KRKA 80 mg/2 ml SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF 10 0,812000 1,097000 0,000000 170 W53277001 J01GB06 AMIKACINUM AMIKOZIT 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 34,270000 44,820000 0,000000 171 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 1,695000 2,291000 0,000000 172 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 mg COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1,695000 2,291000 0,000000 173 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 1,695000 2,291000 0,000000 174 W54037001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3,266000 4,272000 0,000000 175 W54038001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,481200 0,650400 0,141600 176 W54038002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0,481200 0,650400 0,141600 177 W01288001 J01MA02 CIPROFLOXACINUM CIPROLEN 250 mg COMPR. FILM. 250mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,481200 0,650400 0,141600 178 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 0,481200 0,650400 0,141600 179 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 0,481200 0,650400 0,141600 180 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 0,481200 0,650400 0,119600 181 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 0,401000 0,542000 0,000000 182 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 0,481200 0,650400 0,129600 183 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 0,588000 0,795000 0,000000 184 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 0,705600 0,954000 0,559000 185 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 0,705600 0,954000 0,559000 186 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 0,705600 0,954000 0,539000 187 W54039002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0,705600 0,954000 0,559000 188 W01289001 J01MA02 CIPROFLOXACINUM CIPROLEN 500 mg COMPR. FILM. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,705600 0,954000 0,559000 189 W54039001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,705600 0,954000 0,559000 190 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 0,705600 0,954000 0,252000 191 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 0,705600 0,954000 0,559000 192 W54040001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3,266000 4,272000 0,000000 193 W42772001 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 2,893000 3,784000 0,000000 194 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 2,838000 3,836000 0,000000 195 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 2,846000 3,846000 0,000000 6 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii 7 231 W65324001 J01MA14 MOXIFLOXACINUM KIMOKS 400 mg COMPR. FILM. 400mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM. PRF 5 5,458000 7,140000 0,000000 232 W60943001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF 5 5,282000 6,910000 0,000000 233 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 5,900000 7,716000 0,000000 234 W67240002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 10 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 10 51,863000 60,346000 0,000000 235 W67240003 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 20 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 20 50,363000 56,803000 0,000000 236 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 60,435600 68,163600 7,354400 237 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 60,435600 68,163600 12,006400 238 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJ D (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 60,200000 68,163600 1,269400 239 W63877004 J01MA14 MOXIFLOXACINUM AVELOX 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AM BALAJ M ULTI PLU ( FO LI E DE PLASTI C ETI CHETATA) CU 5 CUTI I DI N CARTO N A CATE 1 FLAC. DI N STI CLA X 250 M L SO L. PERF. , Î NCHI S CU DO P DI N CAUCI UC CLO RO BUTI LI C SAU BRO M O BUTI LI C PR 5 60,435600 68,163600 10,474400 240 W67482001 J01XA01 VANCOMYCINUM VANCOMICINA ROMPHARM 1000mg PULB. PT. CONC. PT. SOL. PERF. 1000mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE 1000 MG PULBERE PT. CONC. PT. SOL. PERF. PR 1 23,280000 31,460000 0,000000 241 W67245004 J01XA01 VANCOMYCINUM VANCOMICINA MIP 1000 mg PULB. PT. SOL. PERF. 1000mg MIP PHARMA GMBH GERMANIA CUTI E CU 5 FLAC. DI N STI CLA I NCO LO RA DE TI P I , CU CAPACI TATEA DE 25 M L, I NCHI SE CU DO P G RI DI N CAUCI UC BRO M O BUTI LI C, SI G I LAT CU CAPSA M ETALI CA PREVAZUTA CU DI SC DI N PLASTI C TI P FLI P- O FF PR 5 27,936000 37,752000 47,242000 242 W67244002 J01XA01 VANCOMYCINUM VANCOMICINA MIP 500 mg PULB. PT. SOL. PERF. 500mg MIP PHARMA GMBH GERMANIA CUTI E CU 5 FLAC. DI N STI CLA I NCO LO RA DE TI P I , CU CAPACI TATEA DE 10 M L, I NCHI SE CU DO P G RI DI N CAUCI UC BRO M O BUTI LI C, SI G I LAT CU CAPSA M ETALI CA PREVAZUTA CU DI SC DI N PLASTI C TI P FLI P- O FF PR 5 27,036000 36,540000 10,260000 243 W57042001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.S OL. 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 27,936000 37,752000 22,238000 244 W57041001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 500 mg PULB. PT.CONC. PT.S OL. 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 22,530000 30,450000 0,000000 245 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SO LV. PT. SO L. I NJ. / PERF. SAU SO L. O RALA 400mg SANOFI ROMANIA SRL ROMANIA CUTI E CU 1 FLACO N DI N STI CLA I NCO LO RA TI P I , CARE CO NTI NE PULBEREA SI O FI O LA DI N STI CLA I NCO LO RA TI P I CARE CO NTI NE SO LV. ( APA PT. PREPARATE I NJ. , 3 M L) PRF 1 119,450000 145,820000 0,000000 246 W52501003 J01XB01 COLISTINUM COLISTINA ATB 1.000.000 UI PULB. PT. SOL. INJ ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTI E CU 10 FLAC. DI N STI CLA I NCO LO RA, Î NCHI SE CU DO P DI N CAUCI UC HALO BUTI LI C, SI G I LAT CU CAPSA DI N ALUM I NI U PREVAZUTA CU DI SC FLI P- O FF DI N PO LI PRO PI LENA, CO NTI NÂND PULB. PENTRU SO L. I NJ. / PERF. PR 10 28,331000 34,587000 0,000000 247 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 0,299500 0,404500 0,000000 248 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 4,060000 5,310000 0,000000 comunitare 196 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 197 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 8,325840 9,990720 4,307280 198 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 199 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 200 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 2,350000 3,176000 0,000000 201 W60377004 J01MA06 NORFLOXACINUM NORFLOXACINA ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE CU 5 BLIST DIN PVC/AL X 10 CAPS. PRF 50 0,712200 0,962400 0,179800 202 W60377003 J01MA06 NORFLOXACINUM NORFLOXACINA ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE CU 2 BLIST. DIN PVC/AL X 10 CAPS. PRF 20 0,712200 0,962400 0,218100 203 W60377005 J01MA06 NORFLOXACINUM NORFLOXACINA ARENA 400 mg CAPS. 400mg ARENA GROUP SA ROMANIA CUTIE CU 100 BLIST. DIN PVC/AL X 10 CAPS. PRF 1000 0,712200 0,905790 0,000000 204 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 0,712200 0,962400 0,009100 205 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 0,712200 0,962400 0,218100 206 W58303001 J01MA06 NORFLOXACINUM NORFLOXACIN HELCOR 400 mg COMPR. FILM. 400mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 20 0,712200 0,962400 0,218100 207 W14009001 J01MA06 NORFLOXACINUM NORFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 0,712200 0,962400 0,217600 208 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 0,593500 0,802000 0,000000 209 W60574002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 2,028000 2,741000 0,000000 210 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 2,030000 2,744000 0,000000 211 W61631003 J01MA12 LEVOFLOXACINUM LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 2,045714 2,764285 0,000000 212 W55699003 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF 7 2,027142 2,740000 0,000000 213 W60574001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 2,028000 2,740000 0,000000 214 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 2,045714 2,764285 0,000000 215 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 3,611428 4,724285 0,000000 216 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 3,030000 4,095714 0,000000 217 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 3,636000 4,914857 0,766571 218 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 3,062857 4,140000 0,000000 219 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 3,612000 4,882000 0,000000 220 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 3,612000 4,725000 0,000000 221 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 3,583000 4,687000 0,000000 222 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 223 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 32,676000 42,744000 8,442000 224 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 32,676000 42,744000 17,586000 225 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 27,230000 35,620000 0,000000 226 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 32,676000 42,744000 0,527333 227 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 32,676000 42,744000 17,586000 228 W63876001 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF 5 6,206000 8,118000 0,000000 229 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 5,562000 7,274000 0,000000 230 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 6,206000 8,118000 0,000000 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii comunitare 249 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 4,060000 5,490000 0,000000 250 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 7,417500 9,379166 0,000000 251 W42139002 J01XD01 METRONIDAZOLUM METRONIDAZOL A 5 g/l SOL. PERF. 5g/l INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML S/P-RF 12 7,566666 9,567500 0,000000 252 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 4,087000 5,346000 0,000000 253 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 4,015500 5,077000 0,000000 254 W08927001 J01XD01 METRONIDAZOLUM METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. S/P-RF 10 4,087000 5,346000 0,000000 255 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 90,018000 102,698400 21,246600 256 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 90,018000 102,698400 21,246600 257 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 75,015000 85,582000 0,000000 258 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835,380000 948,710000 0,000000 259 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 M L SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 M L/5 M L PRF 1 835,380000 948,710000 0,000000 260 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 10 118,493000 132,972000 0,000000 261 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 1 137,318400 154,255200 170,864800 262 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP M ULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 10 119,830000 134,430000 0,000000 263 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137,318400 154,255200 1,161800 264 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 10 137,318400 153,913000 0,000000 265 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 M ULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 1 128,510000 154,255200 2,634800 266 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 10 137,318400 154,255200 1,161800 267 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137,318400 154,255200 1,161800 268 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNG I DI N PO LI O LEFI NA M ULTI STRATI FI CATA, FARA LATEX, PREVAZUTA CU UN TUB CO NECTO R CU DESCHI DERE PRI N RASUCI RE, SI G I LATA Î NTR- O FO LI E LAM I NATA PRO TECTO ARE CO NTI NÂND 300 M L SO L. PERF. PR 10 114,432000 128,546000 0,000000 269 W68367001 J02AA01 AMPHOTERICINUM B (4) AMBISOME 50mg PULB. PT. CONC. PT. DISPERSIE PERF. 50mg ROMASTRU TRADING S.R.L. ROMANIA CUTIE CU 10 FLAC. CU PULB. PT. CONC. PT. DISPERSIE PERFUZABILA PR 10 1.401,887000 1.531,874000 0,000000 270 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,890285 3,906857 3,158143 271 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 2,408571 3,255714 0,000000 272 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2,890285 3,906857 2,931714 273 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,840000 7,890000 0,000000 274 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 7,008000 9,468000 1,732000 275 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 5,840000 7,890000 0,000000 276 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 277 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 5,840000 7,890000 0,000000 278 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 279 W52334001 J02AC01 FLUCONAZOLUM FLUCONAZOL LAROPHARM 150 mg CAPS. 150mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF 1 5,840000 7,890000 0,000000 280 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 5,840000 7,890000 0,000000 281 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 5,840000 7,890000 0,000000 282 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 7,008000 9,468000 21,842000 283 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7,008000 9,468000 1,732000 284 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 5,840000 7,890000 0,000000 285 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 5,840000 7,890000 0,000000 286 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 4,922857 6,440000 0,000000 287 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 1,491428 2,016000 2,329714 288 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 1,491428 2,016000 1,049714 289 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 1,242857 1,680000 0,000000 290 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 291 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 292 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 1,491428 2,016000 1,049714 293 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 1,491428 2,016000 1,049714 294 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 1,491428 2,016000 1,049714 295 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,491428 2,016000 2,329714 296 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 297 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 298 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 22,848000 27,193200 33,656800 299 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 19,040000 22,661000 0,000000 300 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 AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 M L SOL. PERF. PR 20 22,848000 27,193200 13,795300 301 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 38,090000 45,333000 0,000000 8 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii 9 comunitare 302 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 9,647000 11,777000 0,000000 303 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 AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 M L SOL. PERF. PR 10 45,708000 54,399600 43,801400 304 W67015006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg BAUSCH HEALTH IRELAND LIMITED IRLANDA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1,752000 2,291333 0,000000 305 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1,752000 2,291333 0,000000 306 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF 15 1,752000 2,291333 0,000000 307 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 1,752000 2,291333 0,000000 308 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1,752000 2,291333 0,000000 309 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 1,880000 2,459333 0,000000 310 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL SLAVIA 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1,752000 2,291333 0,000000 311 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 14,122142 16,755714 0,000000 312 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 16,861600 19,905199 44,228372 313 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 14,051333 16,587666 0,000000 314 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16,861600 19,905199 7,311943 315 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 16,861600 19,905199 20,413729 316 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16,861600 19,905199 6,050872 317 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16,861600 19,905199 9,843372 318 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 16,861600 19,905199 47,911586 319 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16,861600 19,905199 47,911586 320 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 16,861600 19,905199 20,413729 321 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,999464 24,660714 0,000000 322 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22,517142 25,906071 0,000000 323 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23,605714 28,455000 0,000000 324 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320,040000 386,990000 0,000000 325 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 1 354,340000 424,380000 0,000000 326 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316,450000 383,080000 0,000000 327 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379,740000 459,696000 28,084000 328 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF 1 379,740000 459,696000 357,694000 329 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354,340000 424,380000 0,000000 330 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR PRF 1 1.641,500000 1.827,390000 0,000000 331 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR P-RF 1 1.641,500000 1.827,390000 0,000000 332 W68234009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 40,438666 333 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 106,648666 334 W66364009 J02AC04 POSACONAZOLUM ** POSACONAZOL ZENTIVA 100 mg COMPR. GASTROREZ. 100mg ZENTIVA K.S. REP. CEHA CUTIE CU BLIST. OPAC NEPERFORAT DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 49,952000 335 W66832009 J02AC04 POSACONAZOLUM ** POSACONAZOL STADA 100 mg COMPR. GASTROREZ. 100mg STADA M&D S.R.L. ROMANIA CUT IE CU BLIST. DIN PVC-PE-PVDC/AL X 24 COMPR. GAST ROREZ. PR 24 29,515000 33,760833 0,000000 336 W66225001 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 24 COMPR. GASTROREZ PR 24 29,515000 33,760833 0,000000 337 W66421009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 40,438666 338 W66491011 J02AC04 POSACONAZOLUM ** POSACONAZOL ALVOGEN 100 mg COMPR. GASTROREZ. 100mg ALVOGEN PHARMA TRADING EUROPE EOOD BULGARIA CUTIE CU BLIST. PVC-PE-PVDC/AL PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 59,008250 339 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 1.419,030000 1.584,900000 0,000000 340 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MY LAN IRELAND LIIMTED IRLANDA CUTI E CU 1 FLAC. DI N STI CLA, CU CAPAC DI N PE CU SI STEM DE I NCHI DERE SECURI ZAT PENTRU CO PI I SI O LI NG URI TA DE M ASURARE A DO ZELO R X 105 M L SUSP. O RALA PR 1 674,280000 773,120000 0,000000 341 W66224001 J02AC04 POSACONAZOLUM ** POSACONAZOLE AHCL 40 mg/ml SUSP. ORALA 40mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PP + 1 LINGURITA DOZATOARE X 105 ML SUSP. ORALA PR 1 674,280000 773,120000 0,000000 342 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 809,136000 927,744000 1.914,756000 343 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178,238571 197,005000 0,000000 344 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178,238571 197,005000 0,000000 345 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 346 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 347 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 348 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 1 902,630000 1.022,020000 0,000000 349 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 1 854,420000 969,470000 0,000000 350 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 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 351 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 M L CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 352 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 1 902,630000 1.022,020000 0,000000 353 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 1 893,780000 1.012,370000 0,000000 354 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii comunitare 355 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 1.078,810000 1.214,050000 0,000000 356 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 1.168,910000 1.312,260000 0,000000 357 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 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 358 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 M L CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 359 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 1.157,360000 1.299,670000 0,000000 360 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 1.168,910000 1.312,260000 0,000000 361 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 1 902,630000 1.022,020000 0,000000 362 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 1.168,910000 1.312,260000 0,000000 363 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 BROM OBUTILIC SI CAPSA DIN AL CU CAPAC DIN PLASTIC CU PULB. PT. CONC. PT. SOL. PERF. PR 1 880,370000 997,750000 0,000000 364 W66592001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA FRESENIUS KABI 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROM OBUTILIC SI CAPSA DIN AL CU CAP DETASABIL CU PULB. PT. CONC. PT. SOL. PERF. PR 1 908,316000 1.035,840000 88,570000 365 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 1 880,370000 997,750000 0,000000 366 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 1 880,370000 997,750000 0,000000 367 W64659001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA TEVA 100 mg PULB. PT. CONC. PT.S OL. 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 1 756,930000 863,200000 0,000000 368 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,121773 0,148660 0,000000 369 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 0,126000 0,170500 0,000000 370 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 0,126000 0,170200 0,000000 371 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 0,121773 0,148660 0,000000 372 W61242003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF 1500 0,298646 0,350960 0,000000 373 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 0,318000 0,421152 0,008648 374 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 0,317500 0,421152 0,007848 375 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0,298646 0,350960 0,000000 376 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,500000 0,570433 0,000000 377 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 0,249000 0,336500 0,000000 378 W59648002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 100 BLIST. PVC/AL X 10 CAPS. PRF 1000 0,377500 0,449630 0,000000 379 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 0,396000 0,511000 0,024500 380 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 0,238300 0,285180 0,000000 381 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 0,367340 0,425833 0,000000 382 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO 300 mg+150 mg CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0,990000 1,117250 0,000000 383 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 0,608400 0,822600 0,115350 384 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 0,608400 0,822600 0,402900 385 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 0,608400 0,822600 0,402900 386 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 0,608400 0,822600 0,402900 387 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1,185600 1,603200 1,439800 388 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,608400 0,822600 0,402900 389 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 0,608400 0,822600 0,151400 390 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,608400 0,822600 0,217400 391 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 0,608400 0,822600 0,402900 392 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 0,507000 0,685500 0,000000 393 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 0,988000 1,336000 0,000000 394 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1,185600 1,603200 1,039800 395 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42,602000 52,008000 0,000000 396 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42,602000 52,008000 0,000000 397 W68191001 J05AB06 GANCICLOVIRUM GANCICLOVIR ROMPHARM 500 mg PULB. PT. CONC. PT.S OL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTI E CU UN FLACO N DI N STI CLA I NCO LO RA, CU DO P G RI DI N CAUCI UC BRO M O BUTI LI C SI SI STEM DE Î NCHI DERE DI N AL CU CAPSA ALBA DETASABI LA DI N AL, CU PULBERE PENTRU CO NCENTRAT PENTRU SO LUTI E PERFUZABI LA PRF 1 98,920000 125,070000 0,000000 398 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUT IE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 3,033600 3,967200 1,117800 399 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 2,528000 3,306000 0,000000 400 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 15,907000 17,974500 0,000000 401 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 17,166666 19,347500 0,000000 402 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 38,881428 47,465714 0,000000 403 W68252001 J05AE03 RITONAVIRUM ** RITONAVIR MYLAN 100 mg COMPR. FILM. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 1,917000 2,424000 0,000000 404 W59955001 J05AE03 RITONAVIRUM ** NORVIR 100 mg COMPR. FILM. 100mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR.FILM. P-RF/R 30 2,300400 2,908800 0,458866 405 W64691001 J05AE03 RITONAVIRUM ** NORVIR 100 mg COMPR. FILM. 100mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR.FILM. PR 30 2,300400 2,908800 0,458866 406 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 1,917000 2,424000 0,000000 407 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 20,995000 23,520333 0,000000 10 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii 11 comunitare 408 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 20,845200 23,481500 0,000000 409 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 20,404166 22,876333 0,000000 410 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 18,064833 20,326500 0,000000 411 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 412 W66622002 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 150 mg CAPS. 150mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 CAPS. PR 60 20,845200 23,481500 0,000000 413 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 20,845200 23,481500 0,000000 414 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 415 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 416 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 18,833166 21,164000 0,000000 417 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 21,284666 23,836166 0,000000 418 W68110001 J05AE08 ATAZANAVIRUM ATAZANAVIR MYLAN 300 mg CAPS. 300mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 27,788000 31,560666 0,000000 419 W66623002 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 300 mg CAPS. 300mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 32,554000 37,009999 7,190001 420 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 32,554000 37,009999 6,009001 421 W64138001 J05AE08 ATAZANAVIRUM ATAZANAVIR MYLAN 300 mg CAPS. 300mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 27,788000 31,560666 0,000000 422 W62564002 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30X1 CAPS. PR 30 32,554000 36,838666 0,000000 423 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 27,128333 30,841666 0,000000 424 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 32,554000 37,009999 7,190001 425 W66623004 J05AE08 ATAZANAVIRUM ATAZANAVIR STADA 300 mg CAPS. 300mg STADA M&D SRL ROMANIA AMBALAJ MULTIPLU CONTINÂND 90X1 CAPSULE (3 CUTII CU BLISTERE DIN OPA-AL-PVC/AL CONTINÂND 30X1 CAPSULE) PR 90 32,554000 37,009999 5,615334 426 W62564005 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 32,554000 36,838666 0,000000 427 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 32,554000 37,009999 7,190001 428 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 32,554000 37,009999 7,190001 429 W62564001 J05AE08 ATAZANAVIRUM ATAZANAVIR TEVA 300 mg CAPS. 300mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 CAPS. PR 30 32,554000 36,838666 0,000000 430 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 13,318000 14,675583 0,000000 431 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 19,952000 22,383500 0,000000 432 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 21,837166 24,438333 0,000000 433 W66600003 J05AE10 DARUNAVIRUM ** DARUNAVIR AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 60 COMPR. FILM. PR 60 18,818333 21,147833 0,000000 434 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 18,818333 21,147833 0,000000 435 W68203001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 600 mg COMPR. FILM. 600mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 60 COMPR. FILM. PR 60 22,235333 24,872333 0,000000 436 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 18,736833 21,059000 0,000000 437 W66601003 J05AE10 DARUNAVIRUM ** DARUNAVIR AUROBINDO 600 mg COMPR. FILM. 600mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE DIN PVC-PVDC/AL X 60 COMPR. FILM. PR 60 20,415333 22,888500 0,000000 438 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 22,235333 24,872333 0,000000 439 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 22,484200 25,270800 7,980866 440 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 22,484200 25,270800 2,663033 441 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 COM PR. FILM . PR 60 22,484200 25,270800 1,098366 442 W68204001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 800 mg COMPR. FILM. 800mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 30 COMPR. FILM. PR 30 24,841000 28,348333 0,000000 443 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 26,154666 29,780333 0,000000 444 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 29,809200 34,018000 2,214666 445 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 26,474000 30,128333 0,000000 446 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 26,474000 30,128333 0,000000 447 W63332001 J05AE10 DARUNAVIRUM ** DARUNAVIR MYLAN 800 mg COMPR. FILM. 800mg MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 30 COMPR. FILM. PR 30 24,841000 28,348333 0,000000 448 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 29,809200 34,018000 0,779000 449 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 1.428,690000 1.595,420000 0,000000 450 W06151002 J05AF01 ZIDOVUDINUM RETROVIR 100mg CAPS. 100mg VIIV HEALTHCARE UK LIMITED UK CUTIE X 10 BLIST. AL/PVC X 10 CAPS. P-RF 100 4,012400 4,755000 0,000000 451 W65176002 J05AF01 ZIDOVUDINUM RETROVIR 100 mg CAPS. 100mg VIIV HEALTHCARE BV OLANDA CUTIE CU 10 BLIST. PVC/AL X 10 CAPS. P-RF 100 4,012400 4,755000 0,000000 452 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 48,380000 63,280000 0,000000 453 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 48,380000 63,280000 0,000000 454 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,376400 5,342800 0,248033 455 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,647000 4,452333 0,000000 456 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,376400 5,342800 0,248033 457 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 10,966666 13,225333 0,000000 458 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,409666 11,487333 0,000000 459 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 87,210000 110,270000 0,000000 460 W65271001 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE X 60 COMPR. FILM. PR 60 11,444800 13,237800 4,054866 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii comunitare 461 W66672001 J05AF06 ABACAVIRUM ABACAVIR AUROBINDO 300 mg COMPR. FILM. 300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL A 60 COMPR. FILM. PR 60 9,537333 11,031500 0,000000 462 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 1 281,820000 344,050000 0,000000 463 W68200001 J05AF07 TENOFOVIRUM DISOPROXIL **1 VIROFOB 245 mg COMPR. FILM. 245mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP X 30 COMPR. FILM. PR 30 12,835600 15,516799 0,523534 464 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 12,835600 15,516799 9,791534 465 W68144001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL MYLAN COMPR. FILM. 245mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 12,835600 15,516799 0,523867 466 W63256001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL MYLAN COMPR. FILM. 245mg MYLAN S.A.S FRANTA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM PR 30 12,835600 15,516799 0,523867 467 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 12,835600 15,516799 4,719534 468 W65970002 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR STADA 245 mg COMPR. FILM. 245mg STADA M&D SRL ROMANIA AM BALAJ M ULTIPLU CU 3 FLAC. PEID CU CAPAC DIN PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 90 (3 X30 ) COM PR. FILM . PR 90 12,835600 15,516799 7,448089 469 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 COM PR. FILM . PR 30 12,835600 15,516799 4,735534 470 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 10,696333 12,930666 0,000000 471 W62771001 J05AF07 TENOFOVIRUM DISOPROXIL **1 VIROFOB 245 mg COMPR. FILM. 245mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP X 30 COMPR. FILM. PR 30 12,835600 15,516799 0,523534 472 W65737001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ACCORDPHARMA 245 mg COMPR. FILM. 245mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 12,835600 15,516799 4,719534 473 W65970001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR STADA 245 mg COMPR. FILM. 245mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 (1 X30 ) COM PR. FILM . PR 30 12,835600 15,516799 10,770867 474 W64753001 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 21,929000 25,174333 0,000000 475 W63028001 J05AG01 NEVIRAPINUM NEVIRAPINA TEVA 200mg COMPR. 200mg TEVA B.V. OLANDA BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP. PR 60 6,406000 7,618333 0,000000 476 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 1 198,100000 241,840000 0,000000 477 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 10,984000 13,244333 0,000000 478 W61898001 J05AG04 ETRAVIRINUM INTELENCE 200 mg COMPR. 200mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 60 COMPR. PR 60 24,934500 27,814500 0,000000 479 W61897001 J05AG04 ETRAVIRINUM INTELENCE 25 mg COMPR. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. PR 120 4,188333 4,883166 0,000000 480 W58157001 J05AG05 RILPIVIRINUM EDURANT COMPR. FILM. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU UN FLACON DIN PEÎD X 30 COMPRIMATE FILMATE PR 30 29,561666 33,494000 0,000000 481 W65374001 J05AG06 DORAVIRINUM PIFELTRO 100 mg COMPR. FILM. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 33,001333 37,243000 0,000000 482 W66449009 J05AP01 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 483 W66476001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg COMPR. FILM. 150mg/300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR 60 5,954166 7,125833 0,000000 484 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 5,954166 7,125833 0,000000 485 W68224004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN 600 mg/300 mg COMPR. FILM. 600mg/300mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 18,507666 21,445000 0,000000 486 W63224001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA AUROBINDO 600 mg/300mg COMPR. FILM. 600mg/300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 17,312000 20,141666 0,000000 487 W65906003 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA TERAPIA 600 mg/300 mg COMPR. FILM. 600mg/300mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. TRIPLU (TRIPLEX) DIN PVC-PE-PVDC/AL X 30 COMPR. FILM PR 30 20,538333 23,658333 0,000000 488 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 18,507666 21,445000 0,000000 489 W65906004 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA TERAPIA 600 mg/300 mg COMPR. FILM. 600mg/300mg S.C. TERAPIA S.A. ROMANIA CUT IE CU BLIST. FORMAT LA RECE DIN PVC-PA/AL X 30 COMPR. FILM PR 30 17,774000 20,645333 0,000000 490 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 20,774400 24,169999 5,812667 491 W67488001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA MYLAN PHARMA 600 mg/300 mg COMPR. FILM. 600mg/300mg MY LAN IRELAND LIMITED IRLANDA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 17,774000 20,645333 0,000000 492 W66762001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA STADA 600 mg/300 mg COMPR. FILM. 600mg/300mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. PR 30 17,667333 20,529000 0,000000 493 W66762003 J05AR02 ABACAVIRUM+LAMIVUDINUM ** ABACAVIR/LAMIVUDINA STADA 600 mg/300 mg COMPR. FILM. 600mg/300mg STADA M&D S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. PR 30 17,667333 20,529000 0,000000 494 W68235001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. X 30 COMPR. FILM. PR 30 7,804399 9,527599 17,296067 495 W63257001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN S.A.S FRANTA CUTIE CU BLIST. X 30 COMPR. FILM. PR 30 7,804399 9,527599 17,296067 496 W66839001 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL STADA 200 mg/245 mg COMPR. FILM. 200mg/245mg STADA M&D S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 7,804399 9,527599 5,043067 497 W62931007 J05AR03 EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EMTRICITABINA/TENOFOVIR DISOPROXIL TEVA 200 mg/245 mg COMPR. FILM. 200mg/245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTI E CU 1 FLAC. DI N PEI D CU CAPACI TATEA DE 100 M L, PREVAZUT CU CAPAC DI N PP CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I SI RECI PI ENT CARE CO NTI NE 3 G DESI CANT X 30 CO M PR. FI LM . PR 30 6,503666 7,939666 0,000000 498 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 7,804399 9,527599 19,386401 499 W65016001 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM ** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg VIIV HEALTHCARE BV OLANDA CUT IE CU 60 COMPR. FILM. (BLIST. OPACE DIN PCTFE- PVC/ACLAR) PR 60 30,753833 34,157500 0,000000 500 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 35,141333 39,575666 0,000000 501 W68108001 J05AR06 EFAVIRENZUM+EMTRICITABINUM+TENOFOVIRUM DISOPROXIL EFAVIRENZ/EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 600 mg/200 mg/245 mg COMPR. FILM. 600mg/200mg/245mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PEID ETICHETAT "DO NOT EAT" (A NU FI INGERAT) X 30 COMPR. FILM. PR 30 35,141333 39,575666 0,000000 502 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 35,141333 39,575666 0,000000 503 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 35,141333 39,575666 0,000000 504 W68159005 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR MYLAN 200 mg/50 mg COMPR. FILM. 200mg/50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. X 120 COMPR. FILM. PR 120 8,772000 9,879416 0,000000 505 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 9,929416 11,141000 0,000000 506 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 9,929416 11,141000 0,000000 507 W64170005 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR MYLAN 200 mg/50 mg COMPR. FILM. 200mg/50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. X 120 COMPR. FILM. PR 120 8,772000 9,879416 0,000000 508 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 5 289,068000 322,714000 0,000000 509 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 2 312,910000 360,145000 0,000000 510 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 5 289,068000 322,714000 0,000000 511 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 30 110,109666 121,291333 0,000000 512 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 57,812000 64,286666 0,000000 513 W64751001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/10 mg COMPR. FILM. 200mg/10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 66,618333 73,885666 0,000000 12 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii 13 comunitare 514 W64752001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/25 mg COMPR. FILM. 200mg/25mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 66,618333 73,885666 0,000000 515 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 30 110,536666 121,756666 0,000000 516 W65900001 J05AR20 BICTEGRAVIRUM+EMTRICITABINUM+TENOFOVIRUM BIKTARVY 50 mg/200 mg/25 mg COMPR. FILM. 50mg/200mg/25mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC DIN PEID, PREVAZUT CU CAPAC DIN PP SI SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 COM PR. FILM . PR 30 95,393333 105,250666 0,000000 517 W66116001 J05AR21 COMBINATII (DOLUTEGRAVIRUM + RILPIVIRINUM) JULUCA 50 mg/25 mg COMPR. FILM. 50mg/25mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. DIN PEID CU CAPAC CU FILET DIN PE PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 COM PR. FILM . PR 30 95,393333 105,250666 0,000000 518 W64326001 J05AR22 DARUNAVIRUM+COBICISTATUM+EMTRICITABINA+TENOFOVIR ALAFENAMIDA SY MTUZA 800 mg/150 mg/200 mg/10 mg COMPR. FILM. 800mg/150mg/200mg/10mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 108,081666 119,081000 0,000000 519 W65375001 J05AR24 DORAVIRINUM+LAMIVUDINUM+TENOFOVIRUM DISOPROXIL DELSTRIGO 100 mg/300 mg/245 mg COMPR. FILM. 100mg/300mg/245mg MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 67,344000 74,676666 0,000000 520 W66226001 J05AR25 COMBINATII (DOLUTEGRAVIRUM + LAMIVUDINUM) DOVATO 50 mg/300 mg COMPR. FILM. 50mg/300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. DIN PEID PREVAZUT CU CAPAC CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 30 COMPR. FILM. PR 30 87,845333 97,023333 0,000000 521 W64644001 J05AX08 RALTEGRAVIRUM ISENTRESS 400 mg COMPR. FILM. 400mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 39,468666 43,656666 0,000000 522 W64645001 J05AX08 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR 60 39,471000 43,659333 0,000000 523 W64977003 J05AX09 MARAVIROCUM CELSENTRI 150 mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL) PR 60 43,173666 47,695166 0,000000 524 W61477003 J05AX09 MARAVIROCUM CELSENTRI 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 43,173666 47,695166 0,000000 525 W64978003 J05AX09 MARAVIROCUM CELSENTRI 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 60 COMPR. FILM. (BLIST. PVC/AL) PR 60 43,173666 47,695166 0,000000 526 W61478003 J05AX09 MARAVIROCUM CELSENTRI 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR 60 43,173666 47,695166 0,000000 527 W64581001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg VIIV HEALTHCARE BV OLANDA FLAC. PEID X 30 COM PR. FILM ., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 16,570333 19,333333 0,000000 528 W63696001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 10 mg COMPR. FILM. 10mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLAC. PEID X 30 COM PR. FILM ., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 16,570333 19,333333 0,000000 529 W63697001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLAC. PEID X 30 COM PR. FILM ., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 39,926333 44,791333 0,000000 530 W64582001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 25 mg COMPR. FILM. 25mg VIIV HEALTHCARE BV OLANDA FLAC. PEID X 30 COM PR. FILM ., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 39,926333 44,791333 0,000000 531 W64583001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50 mg COMPR. FILM. 50mg VIIV HEALTHCARE BV OLANDA FLAC. PEID X 30 COM PR. FILM ., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 78,852333 87,221000 0,000000 532 W60635001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50mg COMPR. FILM. 50mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLACOANE PEID X 30 COM PRIM ATE FILM ATE, INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR 30 78,852333 87,221000 0,000000 533 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367,360000 438,570000 0,000000 534 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704,710000 806,290000 0,000000 535 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.379,440000 1.541,740000 0,000000 536 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.741,470000 3.026,360000 0,000000 537 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1.082,030000 1.217,560000 0,000000 538 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2.123,150000 2.352,390000 0,000000 539 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 1 640,080000 735,840000 0,000000 540 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567,750000 657,000000 0,000000 541 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 4.719,840000 5.182,780000 0,000000 542 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243,150000 296,840000 0,000000 543 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 2.567,550000 2.836,780000 0,000000 544 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 1 235,250000 287,190000 0,000000 545 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 1 664,380000 762,320000 0,000000 546 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 1 599,370000 691,460000 0,000000 547 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 2.307,480000 2.553,310000 0,000000 548 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 1 221,130000 269,960000 0,000000 549 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 1.168,750000 1.312,090000 0,000000 550 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1.825,000000 2.027,400000 0,000000 551 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 1.298,780000 1.453,820000 0,000000 552 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 30MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76,032000 92,030400 83,669600 553 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 48MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127,632000 148,274400 129,275600 554 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 12 MU/0,2 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45,800000 59,910000 0,000000 555 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 556 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 557 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127,632000 148,274400 209,375600 558 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 70 MU/0,73 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231,680000 282,840000 0,000000 559 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 63,360000 76,692000 0,000000 560 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 63,360000 76,692000 0,000000 561 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 5 106,360000 123,562000 0,000000 562 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 5 106,360000 123,562000 0,000000 563 W54015001 P01BC02 MEFLOQUINUM (4) ELOQUINE 250 mg COMPR. 250mg CN UNIFARM ROMANIA CUTIE X 10 BLIST. X 10 COMPR. PR 100 1,595000 1,947200 0,000000 564 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 15,730000 21,260000 0,000000 565 W41510001 S01AA23 NETILMICINUM NETTACIN 3 mg/ml PICAT URI 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 1,634000 2,208666 0,000000 566 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 18,876000 25,512000 10,468000 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii comunitare 567 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 4,450000 6,020000 0,000000 568 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 4,810000 6,500000 0,000000 569 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 4,810000 6,500000 0,000000 P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE 1 W42822003 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg 2 W56760001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 250 mg COMPR. 250mg 3 W42822002 A11HA02 PYRIDOXINUM VITAMINA B6 ARENA 250 mg COMPR. 250mg SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA ARENA GROUP SA ROMANIA CUTIE CU 5 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. P6L 50 0,385400 0,520800 0,000000 ZENTIVA SA ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L 20 0,462480 0,624960 0,386040 ARENA GROUP SA ROMANIA CUTIE CU 2 BLIST. DIN FOLIE PVC ALBA OPACA/AL X 10 COMPR. P6L 20 0,385500 0,521000 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 5,102000 6,674000 0,000000 5 W56757001 A11HA02 PYRIDOXINUM VITAMINA B6 ZENTIVA 50 mg/2ml SOL. INJ. 50mg/2ml ZENTIVA SA ROMANIA CUTI E CU 5 FI O LE DI N STI CLA I NCO LO RA, PREVAZUTE CU I NEL DE RUPERE SAU PUNCT DE RUPERE SAU CU I NEL DE RUPERE SI 2 I NELE CO LO RATE PE G ATUL FI O LEI PT. I DENTI FI CARE X 2 M L SO L. I NJ. P-RF 5 3,432000 4,640000 0,000000 6 W13686002 H02AB07 PREDNISONUM PREDNISON SINTOFARM 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,111666 0,151000 0,000000 7 W12565003 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 0,109760 0,134000 0,000000 8 W12565002 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,111666 0,151000 0,000000 9 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 0,107500 0,145000 0,000000 10 W05242001 H02AB07 PREDNISONUM PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C&C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,111500 0,151000 0,000000 11 W00400003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF 14 0,785000 1,060714 0,000000 14 W64211008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0,482142 0,651428 0,000000 15 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0,785000 1,060714 0,000000 16 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 0,784761 1,060952 0,000000 17 W55401002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14 0,785000 1,060714 0,000000 18 W59497004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 14 COMPR. FILM. PRF 14 0,785000 1,060714 0,000000 19 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 COM PR. FILM ., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAM INAT PRF 14 0,941713 1,272857 0,365000 20 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV QUICKTAB 625 mg CO M PR. PT. DI SPERSI E O RALA/ O RO DI SPERSABI LE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14 0,578570 0,781714 0,559714 21 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 15,260000 19,218240 1,411760 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 14,592800 17,432000 0,000000 23 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 13,992800 16,015200 0,000000 24 W59739004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ . / PERF. PRF 10 14,732000 17,985000 0,000000 25 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1 9,170000 12,400000 0,000000 26 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 10,940000 14,780000 0,000000 27 W67768004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE TRADING SERVICES LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA (DE CAPACITATE 147M L) CARE CONTINE PULB. PT 70 M L SUSP. ORALA SI O LINGURITA PRF 1 13,128000 17,736000 2,784000 28 W64190005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN FP 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml GLAXOSMITHKLINE (GSK) SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE PULB. PT 70 ML SUSP. ORALA SI O LINGURITA PRF 1 13,128000 17,736000 2,784000 29 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1 11,130000 15,040000 0,000000 30 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20,509000 25,037000 0,000000 31 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 20,509000 25,037000 0,000000 32 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24,610800 30,044400 7,505600 33 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24,610800 30,044400 10,845600 34 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24,610800 30,044400 10,232600 35 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24,610800 30,044400 7,294600 36 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 20,882000 25,492000 0,000000 37 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 1,521428 2,056285 0,859715 38 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 1,521428 2,056285 0,859715 39 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 0,772142 1,043571 0,000000 40 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 0,926570 1,252285 0,143429 41 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0,926570 1,252285 0,019857 42 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 0,926570 1,252285 0,111286 43 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,926570 1,252285 0,632715 44 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 0,926570 1,252285 0,632715 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 0,482142 0,651428 0,000000 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 COM PR. FILM ., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAM INAT PRF 14 0,578570 0,781714 0,576143 14 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii comunitare W14044001 J01FA09 CLARITHROMYCINUM KLERIMED 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1,521428 2,056285 0,053715 15 W08491001 J01FA09 CLARITHROMYCINUM FROMILID 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1,521428 2,056285 0,064429 47 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 1,521428 2,056285 0,544429 48 W54044001 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 1,521428 2,040500 0,000000 49 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 1,267857 1,713571 0,000000 50 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg 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 1,521428 2,056285 0,629429 51 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 15,900000 21,490000 0,000000 52 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 19,080000 25,788000 0,962000 53 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 10,460000 14,140000 0,000000 54 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 11,870000 16,040000 0,000000 55 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 11,870000 16,040000 0,000000 56 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 19,080000 25,788000 0,962000 57 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 44,720000 58,500000 0,000000 58 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 26,830000 35,100000 0,000000 59 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 33,370000 43,650000 0,000000 60 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 3,182300 3,850200 0,000000 61 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 3,200200 3,906800 0,000000 62 W53277001 J01GB06 AMIKACINUM AMIKOZIT 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1 34,270000 44,820000 0,000000 63 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 1,695000 2,291000 0,000000 64 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 mg COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1,695000 2,291000 0,000000 65 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 1,695000 2,291000 0,000000 66 W54037001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3,266000 4,272000 0,000000 67 W54038001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,481200 0,650400 0,141600 68 W54038002 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 0,481200 0,650400 0,141600 69 W01288001 J01MA02 CIPROFLOXACINUM CIPROLEN 250 mg COMPR. FILM. 250mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,481200 0,650400 0,141600 70 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 0,481200 0,650400 0,141600 71 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 0,481200 0,650400 0,141600 72 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 0,481200 0,650400 0,119600 73 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 0,401000 0,542000 0,000000 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 0,481200 0,650400 0,129600 75 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 0,588000 0,795000 0,000000 76 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 0,705600 0,954000 0,559000 77 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 0,705600 0,954000 0,559000 78 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 0,705600 0,954000 0,539000 79 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 0,705600 0,954000 0,559000 80 W01289001 J01MA02 CIPROFLOXACINUM CIPROLEN 500 mg COMPR. FILM. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0,705600 0,954000 0,559000 81 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 0,705600 0,954000 0,559000 82 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 0,705600 0,954000 0,252000 83 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 0,705600 0,954000 0,559000 84 W54040001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 3,266000 4,272000 0,000000 85 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 2,893000 3,784000 0,000000 86 W01275001 J01MA02 CIPROFLOXACINUM CIPRINOL 100 mg/10 ml CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML PR 5 2,838000 3,836000 0,000000 87 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 2,846000 3,846000 0,000000 88 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 89 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 8,325840 9,990720 4,307280 90 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 91 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 92 W60574002 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF 10 2,028000 2,741000 0,000000 93 W66212001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 10 COMPR. FILM PRF 10 2,030000 2,744000 0,000000 94 W61631003 J01MA12 LEVOFLOXACINUM LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 7 2,045714 2,764285 0,000000 95 W55699003 J01MA12 LEVOFLOXACINUM TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF 7 2,027142 2,740000 0,000000 96 W60574001 J01MA12 LEVOFLOXACINUM LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF 5 2,028000 2,740000 0,000000 97 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 2,045714 2,764285 0,000000 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii comunitare 98 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 3,611428 4,724285 0,000000 99 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 3,030000 4,095714 0,000000 100 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 3,636000 4,914857 0,766571 101 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 3,062857 4,140000 0,000000 102 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 3,612000 4,882000 0,000000 103 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 3,612000 4,725000 0,000000 104 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 3,583000 4,687000 0,000000 105 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 106 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 32,676000 42,744000 8,442000 107 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 32,676000 42,744000 17,586000 108 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 27,230000 35,620000 0,000000 109 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 32,676000 42,744000 0,527333 110 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 32,676000 42,744000 17,586000 111 W63876001 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF 5 6,206000 8,118000 0,000000 112 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 5,562000 7,274000 0,000000 113 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 6,206000 8,118000 0,000000 114 W65324001 J01MA14 MOXIFLOXACINUM KIMOKS 400 mg COMPR. FILM. 400mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM. PRF 5 5,458000 7,140000 0,000000 115 W60943001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF 5 5,282000 6,910000 0,000000 116 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 5,900000 7,716000 0,000000 117 W67240002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 10 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 10 51,863000 60,346000 0,000000 118 W67240003 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIOSER 400 mg/250 ml SOL. PERF. 400mg/250ml VIOSER S.A. PARENTERAL SOLUTIONS INDUSTRY GRECIA CUTIE CU 20 FLAC. DIN PEJD X 250 ML SOL. PERF. PR 20 50,363000 56,803000 0,000000 119 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 60,435600 68,163600 7,354400 120 W63849001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 1 60,435600 68,163600 12,006400 121 W60727002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJ D (KABIPACK) A CATE 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR 10 60,200000 68,163600 1,269400 122 W63877004 J01MA14 MOXIFLOXACINUM AVELOX 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AM BALAJ M ULTI PLU ( FO LI E DE PLASTI C ETI CHETATA) CU 5 CUTI I DI N CARTO N A CATE 1 FLAC. DI N STI CLA X 250 M L SO L. PERF. , Î NCHI S CU DO P DI N CAUCI UC CLO RO BUTI LI C SAU BRO M O BUTI LI C PR 5 60,435600 68,163600 10,474400 123 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 90,018000 102,698400 21,246600 124 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 90,018000 102,698400 21,246600 125 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10 75,015000 85,582000 0,000000 126 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835,380000 948,710000 0,000000 127 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 M L SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 M L/5 M L PRF 1 835,380000 948,710000 0,000000 128 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 10 118,493000 132,972000 0,000000 129 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 1 137,318400 154,255200 170,864800 130 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP M ULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 10 119,830000 134,430000 0,000000 131 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137,318400 154,255200 1,161800 132 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 10 137,318400 153,913000 0,000000 133 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 M ULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 1 128,510000 154,255200 2,634800 134 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 10 137,318400 154,255200 1,161800 135 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137,318400 154,255200 1,161800 136 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNG I DI N PO LI O LEFI NA M ULTI STRATI FI CATA, FARA LATEX, PREVAZUTA CU UN TUB CO NECTO R CU DESCHI DERE PRI N RASUCI RE, SI G I LATA Î NTR- O FO LI E LAM I NATA PRO TECTO ARE CO NTI NÂND 300 M L SO L. PERF. PR 10 114,432000 128,546000 0,000000 137 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 7,020000 8,033300 0,000000 138 W60378001 J04AB02 RIFAMPICINUM RIFAMPICINA ARENA 150 mg CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. S/P-RF 10 0,326000 0,441000 0,000000 139 W41998002 J04AB02 RIFAMPICINUM SINERDOL 150 mg CAPS. 150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. PRF 1000 0,319000 0,385860 0,000000 140 W41999002 J04AB02 RIFAMPICINUM SINERDOL 300 mg CAPS. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. DIN AL/PVC X 10 CAPS. PRF 1000 0,930000 1,051850 0,000000 141 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,121773 0,148660 0,000000 142 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 0,126000 0,170500 0,000000 143 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 0,126000 0,170200 0,000000 144 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 0,121773 0,148660 0,000000 145 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 0,298646 0,350960 0,000000 146 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 0,318000 0,421152 0,008648 147 W61242001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF 20 0,317500 0,421152 0,007848 148 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF 1500 0,298646 0,350960 0,000000 149 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 1,650000 2,014300 0,000000 150 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR 1500 0,500000 0,570433 0,000000 16 Nr. Grupa Forma Concentr Prescriptie cant/a Pret cu ridicata Pret de contribu'ie m axim ă crt Cod CIM terapeu tica Denumire generica Denumire comerciala farmaceuti ca atie / U.T. Firma Tara Ambalaj mbal aj m axim al de decontare / U.T. decontare / U.T. asigurat / U.T. - farmacii comunitare 151 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 0,249000 0,336500 0,000000 152 W59648002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 100 BLIST. PVC/AL X 10 CAPS. PRF 1000 0,377500 0,449630 0,000000 153 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 0,396000 0,511000 0,024500 154 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 0,238300 0,285180 0,000000 155 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 0,367340 0,425833 0,000000 156 W60621001 J04AK05 BEDAQUILINUM SIRTURO 100 mg COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DIN PEID X 188 COMPR. PR 188 295,309042 322,090212 0,000000 157 W63026001 J04AK06 DELAMANIDUM DELTYBA 50 mg COMPR. FILM. 50mg OTSUKA NOVEL PRODUCT S GMBH GERMANIA CUTIE CU BLISTER AL/AL X 48 COMPRIMATE FILMATE PR 48 130,483958 143,022500 0,000000 158 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO 300 mg+150 mg CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S 1000 0,990000 1,117250 0,000000 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 1,948000 2,633000 0,000000 2 W66870001 J05AH02 OSELTAMIVIRUM SEGOSANA 30 mg CAPS. 30mg ZENTIVA KS REPUBLICA CEHA CUTIE CU BLISTER DIN PVC-PE-PVDC/ AL X 10 CAPSULE PRF 10 2,337600 3,159600 1,206400 3 W52316001 J05AH02 OSELTAMIVIRUM TAMIFLU 30mg CAPS. 30mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF 10 2,337600 3,159600 2,335400 4 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 2,337600 3,159600 2,335400 5 W66872001 J05AH02 OSELTAMIVIRUM SEGOSANA 75 mg CAPS. 75mg ZENTIVA KS REPUBLICA CEHA CUTIE CU BLISTER DIN PVC-PE-PVDC/ AL X 10 CAPSULE PRF 10 5,110800 6,685200 0,943800 6 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 1,151800 7 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
8 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 1,151800
17
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 1,665200 2,105600 0,000000 2 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0,935000 1,223000 0,000000 3 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 25,210000 32,970000 0,000000 4 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ . 200mg TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 25,210000 32,970000 0,000000 5 W58866002 L01AA02 CHLORAMBUCILUM LEUKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF 25 2,162000 2,733600 0,000000 6 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 4,203600 5,131600 0,000000 7 W68111001 L01AA03 MELPHALANUM MELPHALAN-RATIOPHARM 50 mg PULB+SOLV. PT. SOL. INJ./PERF. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 10 ML SOLV. PR 1 1.095,400000 1.232,140000 0,000000 8 W67923001 L01AA03 MELPHALANUM PHELINUN 200 mg PULB+SOLV. PT. SOL. PERF. 200mg ADIENNE S.R.L. S.U. ITALIA CUTIE CU 1 FLACON X 200MG PULBERE + 1 FLACON X 40ML SOLVENT PR 1 4.420,370000 4.856,360000 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 1 134,780000 164,540000 0,000000 10 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 M L CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 100 M G BENDAM USTINA PR 5 213,369600 241,728000 204,278000 11 W62432002 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ZENTIVA 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTI E CU 5 FLAC. DI N STI CLA BRUNA, CU CAPACI TATEA DE 25 M L CU PULB. PT. CO NCENTRAT PT. SO L. PERF. CARE CO NTI NE 25 M G CLO RHI DRAT DE BENDAM USTI NA PR 5 47,248000 57,680000 0,000000 12 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 M L CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 25 M G BENDAM USTINA PR 5 56,697600 69,216000 74,508000 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 CUTI E CU 5 FLAC. DI N STI CLA BRUNA, CU CAPACI TATEA DE 50 M L CU PULB. PT. CO NCENTRAT PT. SO L. PERF. CARE CO NTI NE 100 M G CLO RHI DRAT DE BENDAM USTI NA PR 5 177,808000 201,440000 0,000000 14 W58856002 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF 100 2,721700 3,322600 0,000000 15 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 8 723,823750 793,737500 0,000000 16 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 1 750,080000 855,740000 0,000000 17 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 41,110000 50,186000 0,000000 18 W64828003 L01AX03 TEMOZOLOMIDUM TEMODAL 100 mg CAPS. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 49,332000 60,223200 16,342800 19 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 41,110000 50,186000 0,000000 20 W63023001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 100 mg CAPS. 100mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 41,110000 50,186000 0,000000 21 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 69,451200 84,396000 0,000000 22 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 57,876000 70,656000 0,000000 23 W65713002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 180 mg CAPS. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 91,904000 107,806000 0,000000 24 W64827003 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg MERCK SHARP & DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR 5 10,281600 13,449600 11,216400 25 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 8,568000 11,208000 0,000000 26 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 8,788000 11,496000 0,000000 27 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 8,788000 11,496000 0,000000
crt
Nr. Cod CIM
Grupa terapeu tica
Denumire generica Denumire comerciala
Forma Concentr farmaceuti atie /
ca U.T.
Firma Tara Ambalaj
cant/a Pret cu ridicata mbal m axim al de
Prescriptie
aj decontare / U.T.
Pret de
decontare / U.T.
contribu'ie m axim ă
18
asigurat / U.T. - farmacii
comunitare
28 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 5 124,118000 142,918000 0,000000
29 W63024001 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDE TEVA 250 mg CAPS. 250mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 148,941600 171,501600 2,314400 30 W58779001 L01AX04 DACARBAZINUM DACARBAZINA LIPOMED 200 mg PULB. PT. SOL. INJ ./PERF. 200 mg LIPOMED GMBH GERMANIA CUTI E CU 10 FLACO ANE M O NO DO ZA DI N STI CLA BRUNA CU DO P DI N CAUCI UC BRO M O BUTI LI C CU SI G I LI U DI N AL TI P FLI P- O FF CU CAPAC DI N PLASTI C DE CULO ARE RO SI E CARE CO NTI N PULB. PENTRU SO L. I NJ. SAU PERF. PR 10 97,098000 109,652000 0,000000 31 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg/50 ml CONC. PT. SOL. INJ ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML PR 1 356,390000 426,620000 0,000000 32 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJ D PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 M L SOL. ORALA PR 1 753,750000 859,740000 0,000000 33 W67349002 L01BA04 PEMETREXEDUM **1 PEMETREXED SANDOZ 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I, INCOLORA CONTINAND 20 ML CONC. PT. SOL. PERF. PR 1 809,136000 927,744000 1.388,196000 34 W67460001 L01BA04 PEMETREXEDUM **1 PEMETREXED ACCORD 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTI E CU 1 FLAC. DI N STI CLA M O DELATA TRANSPARENTA DE TI P I CU DO P DI N CAUCI UC BRO M O BUTI LI C, CU CAPSA FLI P- O FF DECULO ARE M O V DESCHI S, CARE CO NTI NE DE 20 M L DE CO NCENTRAT PR 1 809,136000 927,744000 781,726000 35 W62816004 L01BA04 PEMETREXEDUM **1 ARMISARTE 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACTAVIS GROUP PTC EHF. ISLANDA FLAC. DIN STICLA TRANSPARENTA DE 34 ML (850 MG/34 ML) PR 1 2.728,340000 3.012,040000 0,000000 36 W67460002 L01BA04 PEMETREXEDUM **1 PEMETREXED ACCORD 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTI E CU 1 FLAC. DI N STI CLA M O DELATA TRANSPARENTA DE TI P I CU DO P DI N CAUCI UC BRO M O BUTI LI C, CU CAPSA FLI P- O FF DECULO ARE PO RTO CALI E, CARE CO NTI NE DE 34 M L DE CO NCENTRAT PR 1 2.728,340000 3.012,040000 0,000000 37 W62671002 L01BA04 PEMETREXEDUM **1 PEMETREXED STADA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU 20 ML CONC. PT. SOL. PERF. PR 1 809,136000 927,744000 992,806000 38 W62816002 L01BA04 PEMETREXEDUM **1 ARMISARTE 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ACTAVIS GROUP PTC EHF. ISLANDA FLAC. DIN STICLA TRANSPARENTA DE 20 ML (500 MG/20 ML) PR 1 809,136000 927,744000 774,406000 39 W67349003 L01BA04 PEMETREXEDUM **1 PEMETREXED SANDOZ 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I, INCOLORA CONTINAND 40 ML CONC. PT. SOL. PERF. PR 1 1.668,612000 1.864,572000 2.837,058000 40 W64298002 L01BA04 PEMETREXEDUM **1 PEMETREXED ZENTIVA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, TIP I CU CAPACITATEA DE 20 ML X 20 ML CONC. PT. SOL. PERF. PR 1 809,136000 927,744000 1.838,066000 41 W66907002 L01BA04 PEMETREXEDUM **1 PEMETREXED FRESENIUS KABI 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I, INCOLORA CONTINAND 20 ML CONC. PT. SOL. PERF. PR 1 809,136000 927,744000 992,816000 42 W62671001 L01BA04 PEMETREXEDUM **1 PEMETREXED STADA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU 4 ML CONC. PT. SOL. PERF. PR 1 170,088000 207,648000 218,022000 43 W62785001 L01BA04 PEMETREXEDUM **1 PEMETREXED SUN 1000 mg PULB. PT. CONC. PT. SOL. PERF. 1000mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 50 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 1.390,510000 1.553,810000 0,000000 44 W62783001 L01BA04 PEMETREXEDUM **1 PEMETREXED SUN 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 10 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 141,740000 173,040000 0,000000 45 W67032001 L01BA04 PEMETREXEDUM **1 PEMETREXED KRKA 100 mg PULB. PT. CONC. PT. SOL. PERF. 25mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU 1 FLACON DE 10ML X 100G PULBERE PENTRU CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 1 149,660000 182,700000 0,000000 46 W62784001 L01BA04 PEMETREXEDUM **1 PEMETREXED SUN 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 50 ML, CU PULB. PT. CONC. PT. SOL. PERF. PR 1 674,280000 773,120000 0,000000 47 W64024001 L01BA04 PEMETREXEDUM **1 PEMETREXED DITROMETAMINA DR. REDDY'S 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU PULB. PT. CONC. PT. SOL. PERF. PR 1 809,136000 927,744000 2.048,786000 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 1 809,136000 927,744000 2.048,786000 49 W58868001 50 W58869001 51 W44114001 L01BB02 MERCAPTOPURINUM L01BB03 TIOGUANINUM L01BB04 CLADRIBINUM PURI - NETHOL 50 mg LANVIS 40 mg LITAK 2 mg/ml COMPR. COMPR. SOL. INJ. 50mg 40mg 2mg/ml ASPEN PHARMA TRADING LIMITED ASPEN PHARMA TRADING LIMITED LIPOMED GMBH IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. IRLANDA CUTIE X 1 FLAC. X 25 COMPR. GERMANIA CUTIE X 1 FLACON X 5 ML P-RF P-RF PR 25 25 1 2,406000 16,699200 1.365,440000 2,406000 19,728000 1.526,480000 0,000000 0,000000 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 68,074000 76,108000 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 1 119,410000 145,770000 0,000000 54 W65817001 55 W53291005 56 W64498002 L01BB06 CLOFARABINUM **1 L01BB06 CLOFARABINUM **1 L01BB07 NELARABINUM **1 CLOFARABINA VIVANTA 1 mg/ml EVOLTRA 1mg/ml ATRIANCE CONC. PT. SOL. PERF. CONC. PT. SOL. PERF. SOL. PERF. 1mg/ml 1mg/ml 5mg/ml VIVANTA GENERICS S.R.O., GENZYME EUROPE BV NOVARTIS EUROPHARM LTD. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU DOP DE CAUCIUC SI CAPSA DETASABILA DIN AL CU SIGILIU ALBASTRU X 20 M L CONC. PT. SOL. PERF. OLANDA CUTIE X 1 FLAC. CU CONC. PT. SOL. PERF. IRLANDA CUTIE CU 1 FLAC. X 50 ML SOL. PERF. PR PR PR 1 1 1 3.697,300000 3.793,990000 1.242,710000 4.068,210000 4.173,600000 1.392,710000 0,000000 0,000000 0,000000 57 W64498001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 6 FLAC. X 50 ML SOL. PR 6 1.078,798333 1.182,250000 0,000000 58 W61693001 L01BB07 NELARABINUM **1 ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 6 FLAC. X 50 ML S 6 1.078,798333 1.182,250000 0,000000 59 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 49,020000 64,120000 0,000000 60 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 61 W65007004 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA, CU CAPACI TATEA DE 20 M L, CU DO P DI N CAUCI UC BRO M O BUTI LI C CU CAPSA DETASABI LA DI N AL DE CULO ARE G ALBENA X 20 M L SO L. I NJ. / PERF. PR 1 156,370000 190,900000 0,000000 62 W65007003 L01BC01 CYTARABINUM CITARABINA KABI 100 mg/ml SOL. INJ./PERF. 100mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA, CU CAPACI TATEA DE 10 M L, CU DO P DI N CAUCI UC BRO M O BUTI LI C CU CAPSA DETASABI LA DI N AL DE CULO ARE RO SI E X 10 M L SO L. I NJ. / PERF. PR 1 61,560000 77,832000 25,838000 63 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 20,610000 27,860000 0,000000 64 W66308004 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUT IE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML SOL. INJ. SAU PERF. PR 1 54,720000 69,190000 0,000000 65 W66308001 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUT IE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ. SAU PERF. PR 1 13,090000 17,690000 0,000000 66 W66308002 L01BC02 FLUOROURACILUM FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUT IE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML SOL. INJ. SAU PERF. PR 1 9,310000 12,590000 0,000000 67 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 60,180000 76,090000 0,000000 68 W65796003 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU CAPACI TATEA DE 15 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N AL TI P " FLI P- O FF' CARE CO NTI NE CO NC. PT. SO L. PERF. PR 1 179,230000 218,810000 0,000000 69 W65796004 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU CAPACI TATEA DE 20 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N AL TI P " FLI P- O FF' CARE CO NTI NE CO NC. PT. SO L. PERF. PR 1 230,930000 281,920000 0,000000 70 W65796001 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU CAPACI TATEA DE 2 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N AL TI P " FLI P- O FF' CARE CO NTI NE CO NC. PT. SO L. PERF. PR 1 22,260000 30,090000 0,000000 71 W65796002 L01BC05 GEMCITABINUM GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU CAPACI TATEA DE 10 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N AL TI P " FLI P- O FF' CARE CO NTI NE CO NC. PT. SO L. PERF. PR 1 88,790000 112,260000 0,000000 72 W65009001 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLACO N DI N STI CLA TRANSPARENTA CU CAPACI TATEA DE 6 M L SI DO P DI N CAUCI UC CLO RO BUTI LI C, SI G I LAT CU CAPSA DETASABI LA DI N AL DE CULO ARE VERDE, A 200 M G / 5, 26 M L CO NCENTRAT PENTRU SO L. PERF. PR 1 26,712000 36,108000 5,402000 73 W65009003 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLACO N DI N STI CLA TRANSPARENTA CU CAPACI TATEA DE 100 M L SI DO P DI N CAUCI UC CLO RO BUTI LI C, SI G I LAT CU CAPSA DETASABI LA DI N AL DE CULO ARE G ALBENA, A 2000 M G / 52, 6 M L CO NCENTRAT PENTRU SO L. PERF. PR 1 277,116000 338,304000 115,996000 74 W65009002 L01BC05 GEMCITABINUM GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLACO N DI N STI CLA TRANSPARENTA CU CAPACI TATEA DE 30 M L SI DO P DI N CAUCI UC CLO RO BUTI LI C, SI G I LAT CU CAPSA DETASABI LA DI N AL DE CULO ARE ALBASTRA, A 1000 M G / 26, 3 M L CO NCENTRAT PENTRU SO L. PERF. PR 1 106,548000 134,712000 48,268000 75 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 26,712000 36,108000 25,822000 76 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 1 106,548000 134,712000 151,978000 77 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 1 277,116000 338,304000 64,366000 78 W62551006 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (2200 MG/220 ML) SOL. PERF. PR 1 788,510000 897,630000 0,000000 79 W62551002 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (1600 MG/160 ML) SOL. PERF. PR 1 581,680000 672,180000 0,000000 80 W62551001 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (1200 MG/120 ML) SOL. PERF. PR 1 443,830000 521,920000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
19
comunitare
81 W62551004 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (1800 MG/180 ML) SOL. PERF. PR 1 650,660000 747,370000 0,000000 82 W62551005 L01BC05 GEMCITABINUM GEMCITABINA SUN 10 mg/ml SOL. PERF. 10mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PENTRU O SINGURA DOZA (2000 MG/200 ML) SOL. PERF. PR 1 277,116000 338,304000 484,256000 83 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 1,248833 1,579000 0,000000 84 W59424001 L01BC06 CAPECITABINUM CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 120 (12X10) COMPR. FILM. PR 120 2,790499 3,406583 0,000000 85 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 2,790499 3,406600 1,437900 86 W59424002 L01BC06 CAPECITABINUM CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 (12X10) COMPR. FILM. PR 120 2,790499 3,406583 0,000000 87 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 2,325416 2,838833 0,000000 88 W68333001 L01BC07 AZACITIDINUM **1 AZACITIDINA STADA 25 mg/ml PULB. PT. SUSP. INJ. 25 mg/ml STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU PULB. PT. SUSP. INJ. PR 1 445,480000 523,720000 0,000000 89 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 1 534,576000 628,464000 9,576000 90 W66607001 L01BC07 AZACITIDINUM **1 AZACITIDINE BETAPHARM 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml BETAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 1 FLAC. DIN STILCA TRANSPARENTA CONTINAND 100 MG AZACITIDINA PR 1 534,576000 628,464000 223,756000 91 W66563001 L01BC07 AZACITIDINUM **1 AZACITIDINE ACCORD 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND 100 MG AZACITIDINA PR 1 534,576000 626,420000 0,000000 92 W66603001 L01BC07 AZACITIDINUM **1 AZACITIDINE ZENTIVA 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA PR 1 534,576000 626,440000 0,000000 93 W67347001 L01BC07 AZACITIDINUM **1 AZACITIDINA SANDOZ 25 mg/ml PULB. PT. SUSP. INJ. 25mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU UN FLACON DIN STICLA CU 100 MG AZACITIDINA PR 1 534,576000 626,420000 0,000000 94 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 4.779,950000 5.248,300000 0,000000 95 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 20 109,534000 121,299500 0,000000 96 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 60 114,375000 125,304833 0,000000 97 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 20 145,497500 160,500000 0,000000 98 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 60 152,333333 166,679333 0,000000 99 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 37,960000 49,650000 0,000000 100 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 101 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 102 W67705001 L01CA04 VINORELBINUM VINORELBINA LABORMED 20 mg CAPS. MOI 20mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 141,740000 173,040000 0,000000 103 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 1 141,740000 173,040000 0,000000 104 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 1 165,000000 201,430000 0,000000 105 W67706001 L01CA04 VINORELBINUM VINORELBINA LABORMED 30 mg CAPS. MOI 30mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 212,610000 259,550000 0,000000 106 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 1 247,500000 302,150000 0,000000 107 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 1 212,610000 259,550000 0,000000 108 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 1 545,420000 632,660000 0,000000 109 W67707001 L01CA04 VINORELBINUM VINORELBINA LABORMED 80 mg CAPS. MOI 80mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC-PVDC/AL-PET-HARTIE, CU INCHIDERE SECURIZATA PT. COPII X 1 CAPS. MOALE PR 1 545,420000 632,660000 0,000000 110 W64798002 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. PR 1 145,260000 177,330000 0,000000 111 W64798001 L01CA04 VINORELBINUM VINORELBINA TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. PR 1 39,500000 51,670000 0,000000 112 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 39,500000 51,670000 0,000000 113 W65810002 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUT IE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 174,312000 212,796000 172,394000 114 W52194002 L01CA04 VINORELBINUM VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S 1 145,260000 177,330000 0,000000 115 W65810001 L01CA04 VINORELBINUM VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUT IE CU 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR 1 47,400000 62,004000 61,856000 116 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 10 177,847000 197,668000 0,000000 117 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 10 177,847000 197,668000 0,000000 118 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 76,640500 85,446000 0,000000 119 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 76,640500 85,446000 0,000000 120 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 65,000000 82,190000 0,000000 121 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU UN FLAC. DI N STI CLA I NCO LO RA TI P I , CU CAPACI TATEA DE 10 M L Î NCHI S CU DO P DI N CAUCI UC BRO M O BUTI L SI SI G I LAT CU CAPSE DETASABI LE DI N AL DE CULO ARE ALBASTRA CO NTI NÂND 10 M L CO NC. PENTRU SO L. PERF. PR 1 78,000000 98,628000 26,902000 122 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 27,620000 36,130000 0,000000 123 W54068007 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUT IE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR 1 386,980000 459,960000 0,000000 124 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 48,720000 63,720000 18,230000 125 W64717005 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. PR 1 224,850000 274,500000 0,000000 126 W54068001 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUT IE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 48,720000 63,350000 0,000000 127 W64717001 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 40,600000 53,100000 0,000000 128 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 70,550000 89,200000 0,000000 129 W64717003 L01CD01 PACLITAXELUM SINDAXEL 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR 1 464,376000 551,952000 149,488000 130 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 131 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 1 269,820000 329,400000 33,740000 132 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 84,660000 107,040000 24,280000 133 W54068005 L01CD01 PACLITAXELUM PACLITAXEL KABI 6mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUT IE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. PR 1 269,820000 329,400000 13,760000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
134 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 84,660000 107,040000 8,800000 135 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 1 195,420000 238,572000 169,908000 136 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 47,436000 62,040000 47,510000 137 W64533001 L01CD02 DOCETAXELUM DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 120mg/6ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 6 ML CONCENTRAT CE CONTINE 120 MG DOCETAXEL PR 1 1.138,440000 1.279,050000 0,000000 138 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 1 367,040000 438,220000 0,000000 139 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 39,530000 51,700000 0,000000 140 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 141 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 142 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 47,436000 62,040000 103,770000 143 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 47,436000 62,040000 38,870000 144 W67987001 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAXEL PR 1 47,436000 62,040000 38,870000 145 W67987002 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAXEL PR 1 162,850000 198,810000 0,000000 146 W67987003 L01CD02 DOCETAXELUM DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETAXEL PR 1 1.159,350000 1.301,840000 0,000000 147 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 1 167,180000 204,090000 0,000000 148 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 1 195,420000 238,572000 375,438000 149 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 15.056,780000 16.450,060000 0,000000 150 W66173001 L01CE02 IRINOTECANUM **1 ONIVYDE PEGYLATED LIPOSOMAL 4,3 mg/ml CONC. PT. DISPERSIE PERF. 4,3mg/ml LES LABORATOIRES SERVIER FRANTA CUTIE CU 1 FLAC. DE STICLA DE TIP I CU DOP DE CLOROBUTIL GRI SI SIGILIU DE AL CU CAPAC DETASABIL X 10 M L CONC. PT. DISPERSIE PERF. PR 1 3.886,040000 4.273,940000 0,000000 151 W65011003 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 20 ML CARE CONTINE 15 ML CONC. PT. SOL. PERF. PR 1 513,540000 597,910000 0,000000 152 W65011002 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 5 ML CONC. PT. SOL. PERF. PR 1 76,548000 96,792000 48,808000 153 W65011001 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 6 ML CARE CONTINE 2 ML CONC. PT. SOL. PERF. PR 1 42,624000 55,752000 9,398000 154 W65011004 L01CE02 IRINOTECANUM IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA BRUNA CU CAPACITATEA DE 30 ML CARE CONTINE 25 ML CONC. PT. SOL. PERF. PR 1 652,980000 757,524000 203,086000 155 W64574001 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. PR 1 42,624000 55,752000 4,088000 156 W64574002 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL.PERF. PR 1 76,548000 96,792000 37,938000 157 W52206004 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUT IE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. S 1 542,868000 631,270000 0,000000 158 W65797002 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTI E CU 1 FLACO N DI N STI CLA BRUNA DE TI P I , AVÂND CAPACI TATEA DE 5 M L, CU DO P DI N CAUCI UC CLO RO BUTI LI C SI CAPSA DETASABI LA RO SIE DI N AL CU 5 M L CO NC. PT. SO L. PERF. PR 1 63,790000 80,660000 0,000000 159 W65797003 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTI E CU 1 FLACO N DI N STI CLA BRUNA DE TI P I , AVÂND CAPACI TATEA DE 20 M L, CU DO P DI N CAUCI UC CLO RO BUTI LI C SI CAPSA DETASABI LA PO RTO CALI E DI N AL CU 15 M L CO NC. PT. SO L. PERF. PR 1 535,700000 622,060000 0,000000 160 W65797004 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTI E CU 1 FLACO N DI N STI CLA BRUNA DE TI P I , AVÂND CAPACI TATEA DE 30 M L, CU DO P DI N CAUCI UC CLO RO BUTI LI C SI CAPSA DETASABI LA PO RTO CALI E DI N AL CU 25 M L CO NC. PT. SO L. PERF. PR 1 652,980000 757,524000 232,076000 161 W52206002 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ. S 1 76,548000 96,792000 37,938000 162 W62980002 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTI E CU 1 FLACO N DI N STI CLA BRUNA DE TI P I , AVÂND CAPACI TATEA DE 5 M L, CU DO P DI N CAUCI UC CLO RO BUTI LI C SI CAPSA DETASABI LA RO SIE DI N AL CU 5 M L CO NC. PT. SO L. PERF. PR 1 63,790000 80,660000 0,000000 163 W64574004 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. PR 1 542,868000 631,270000 0,000000 164 W62980001 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTI E CU 1 FLAC. DI N STI CLA BRUNA DE TI P I , AVÂND CAPACI TATEA DE 5 M L, CU DO P DI N CAUCI UC CLO RO BUTI LI C SI CAPSA DETASABI LA PO RTO CALI E DI N AL CU 2 M L CO NC. PT. SO L. PERF. PR 1 35,520000 46,460000 0,000000 165 W62980003 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTI E CU 1 FLACO N DI N STI CLA BRUNA DE TI P I , AVÂND CAPACI TATEA DE 20 M L, CU DO P DI N CAUCI UC CLO RO BUTI LI C SI CAPSA DETASABI LA PO RTO CALI E DI N AL CU 15 M L CO NC. PT. SO L. PERF. PR 1 535,700000 622,060000 0,000000 166 W65797001 L01CE02 IRINOTECANUM IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTI E CU 1 FLAC. DI N STI CLA BRUNA DE TI P I , AVÂND CAPACI TATEA DE 5 M L, CU DO P DI N CAUCI UC CLO RO BUTI LI C SI CAPSA DETASABI LA PO RTO CALI E DI N AL CU 2 M L CO NC. PT. SO L. PERF. PR 1 35,520000 46,460000 0,000000 167 W64574003 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. PERF. PR 1 544,150000 631,270000 0,000000 168 W52206001 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ. S 1 42,624000 55,752000 4,088000 169 W52206003 L01CE02 IRINOTECANUM IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ. S 1 544,150000 631,270000 0,000000 170 W66780010 L01CE02 IRINOTECANUM IRINOTECAN SUN 1,5 mg/ml SOL. PERF. 1,5mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PERFUZABILA NON-PVC PREVAZUTA CU UN PORT SI TUB CONECTOR CU 240 ML SOL. PERF. PR 1 503,900000 587,400000 0,000000 171 W66780007 L01CE02 IRINOTECANUM IRINOTECAN SUN 1,5 mg/ml SOL. PERF. 1,5mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PERFUZABILA NON-PVC PREVAZUTA CU UN PORT SI TUB CONECTOR CU 220 ML SOL. PERF. PR 1 483,300000 564,950000 0,000000 172 W66780001 L01CE02 IRINOTECANUM IRINOTECAN SUN 1,5 mg/ml SOL. PERF. 1,5mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PERFUZABILA NON-PVC PREVAZUTA CU UN PORT SI TUB CONECTOR CU 180 ML SOL. PERF. PR 1 431,790000 508,800000 0,000000 173 W66780004 L01CE02 IRINOTECANUM IRINOTECAN SUN 1,5 mg/ml SOL. PERF. 1,5mg/ml SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 PUNGA PERFUZABILA NON-PVC PREVAZUTA CU UN PORT SI TUB CONECTOR CU 200 ML SOL. PERF. PR 1 452,390000 531,260000 0,000000 174 W52365001 L01CX01 TRABECTEDINUM **1 YONDELIS 0,25mg PULB. PT.CONC. PT.S OL. PERF. 0,25mg PHARMA MAR S.A. SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S 1 1.706,580000 1.898,330000 0,000000 175 W52366001 L01CX01 TRABECTEDINUM **1 YONDELIS 1mg PULB. PT.CONC. PT.S OL. PERF. 1mg PHARMA MAR S.A. SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S 1 6.496,430000 7.119,270000 0,000000 176 W59712001 L01DA01 DACTINOMICINUM (4) COSMEGEN LY OVAC 500 micrograme PULB. PT. SOL. INJ. 500 micrograme CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. CU PULB. PT SOL INJ. PR 1 380,000000 452,350000 0,000000 177 W67977001 L01DB01 DOXORUBICINUM CAELYX PEGYLATED LIPOSOMAL 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml BAXTER HOLDING B.V. OLANDA CUTIE X 1 FLACON DIN STICLA X 10 ML S 1 1.486,140000 1.658,050000 0,000000 178 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 1.486,140000 1.658,050000 0,000000 179 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 1 376,330000 448,350000 0,000000 180 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 23,680000 32,000000 0,000000 181 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 1 240,960000 294,170000 0,000000 182 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 64,580000 81,650000 0,000000 183 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 71,370000 90,240000 0,000000 184 W62998001 L01DB01 DOXORUBICINUM MYOCET 50mg PULB. + AM ESTC. PT. CO NC. PT. DI SP. LI PO ZO M . 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 2.033,730000 2.235,845000 0,000000 185 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 186 W52209001 L01DB03 EPIRUBICINUM EPISINDAN 10 mg PULB. PT. SOL. INJ. 10mg ACTAVIS S.R.L. ROMANIA CUTI E X 1 FLACO N STI CLA I NCO LO RA TI PI , CAPACI TATE DE UM PLERE 8M L CU PULBERE PENTRU SO LUTI E PERFUZABI LA I NTRAVENO ASA X 10M G CLO RHI DRAT DE EPI RUBI CI NA S 1 47,490000 62,120000 0,000000
20
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
187 W52208001 L01DB03 EPIRUBICINUM EPISINDAN 50 mg PULB. PT. SOL. INJ. 50mg ACTAVIS S.R.L. ROMANIA CUTI E X 1 FLACO N STI CLA I NCO LO RA TI PI , CAPACI TATE DE UM PLERE 50M L CU PULBERE PENTRU SO LUTI E PERFUZABI LA I NTRAVENO ASA X 50M G CLO RHIDRAT DE EPIRUBICINA S 1 125,784000 153,564000 22,716000 188 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 1 125,784000 153,564000 22,716000 189 W64517003 L01DB03 EPIRUBICINUM EPIRUBICINA TEVA 2 mg/ml SOL. INJ./PERF. 2mg/ml TEVA B.V. OLANDA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) PR 1 104,820000 127,970000 0,000000 190 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 191 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 92,540000 117,010000 0,000000 192 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 1 424,100000 500,420000 0,000000 193 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 92,540000 117,010000 0,000000 194 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 195 W53325003 L01DB03 EPIRUBICINUM EPIRUBICINA ACTAVIS 2mg/ml SOL. INJ./PERF. 2mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML) S 1 104,820000 127,970000 0,000000 196 W65097001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1 CAPS. PRF 1 207,720000 253,580000 0,000000 197 W03575001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 207,720000 253,580000 0,000000 198 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 1 118,410000 144,560000 0,000000 199 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. PR 1 118,410000 144,560000 0,000000 200 W42735002 L01DB07 MITOXANTRONUM ** ONKOTRONE 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. PR 1 543,480000 630,540000 0,000000 201 W68219001 L01DC01 BLEOMYCINUM SULFAS BLEOMYCINE BELLON 15 mg PULB. PT. SOL. INJ. 15mg BIO EEL S.R.L. ROMANIA CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. PR 1 253,560000 309,550000 0,000000 202 W65564001 L01EA02 DASATINIBUM **1 SPRYCEL 100 mg COMPR. FILM. 100mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. PR 30 386,517333 422,576000 0,000000 203 W65561001 L01EA02 DASATINIBUM **1 SPRYCEL 20 mg COMPR. FILM. 20mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 93,361500 102,400000 0,000000 204 W65562001 L01EA02 DASATINIBUM **1 SPRYCEL 50 mg COMPR. FILM. 50mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 193,258666 211,288000 0,000000 205 W65563001 L01EA02 DASATINIBUM **1 SPRYCEL 70 mg COMPR. FILM. 70mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. PR 60 193,258666 211,288000 0,000000 206 W64815001 L01EA04 BOSUTINIBUM **1 BOSULIF 100 mg COMPR. FILM. 100 mg PFIZER EUROPE MA EEIG BELGIA CUT IE CU 28 COMPR. FILM. (CUT IE CU 2 BLIST. DIN PVC/PCT FE/PVC) PR 28 88,391071 97,708928 0,000000 207 W60984001 L01EA04 BOSUTINIBUM **1 BOSULIF 100 mg COMPR. FILM. 100 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR 28 88,391071 97,708928 0,000000 208 W60985001 L01EA04 BOSUTINIBUM **1 BOSULIF 500 mg COMPR. FILM. 500 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR 28 437,669642 478,423214 0,000000 209 W64816001 L01EA04 BOSUTINIBUM **1 BOSULIF 500 mg COMPR. FILM. 500 mg PFIZER EUROPE MA EEIG BELGIA CUT IE CU 28 COMPR. FILM. (CUT IE CU 2 BLIST. DIN PVC/PCT FE/PVC) PR 28 437,669642 478,423214 0,000000 210 W64971001 L01EA05 PONATINIBUM **1 ICLUSIG 15 mg COMPR. FILM. 15mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 60 COMPR. FILM. PR 60 406,528333 443,752333 0,000000 211 W63164001 L01EA05 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 60 406,528333 443,752333 0,000000 212 W64973001 L01EA05 PONATINIBUM **1 ICLUSIG 45 mg COMPR. FILM. 45mg INCYTE BIOSCIENCES DISTRIBUTION B.V. OLANDA FLAC. DIN PEID CU DOP CU FILET X 30 COMPR. FILM. PR 30 813,056666 887,504666 0,000000 213 W63165001 L01EA05 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 30 813,056666 887,504666 0,000000 214 W59306001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 263,753833 288,127833 0,000000 215 W64867001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 263,753833 288,127833 0,000000 216 W59307001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 250 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR 60 322,435166 352,090666 0,000000 217 W64866001 L01ED01 CRIZOTINIBUM **1 XALKORI CAPS. 250 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 60 CAPS. PR 60 322,435166 352,090666 0,000000 218 W64763001 L01EF01 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450,723809 493,106190 0,000000 219 W63120001 L01EF01 PALBOCICLIBUM **1 IBRANCE 100 mg CAPS. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450,723809 493,106190 0,000000 220 W64764001 L01EF01 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450,723809 493,106190 0,000000 221 W63121001 L01EF01 PALBOCICLIBUM **1 IBRANCE 125 mg CAPS. 125mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450,723809 493,106190 0,000000 222 W63119001 L01EF01 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450,723809 493,106190 0,000000 223 W64762001 L01EF01 PALBOCICLIBUM **1 IBRANCE 75 mg CAPS. 75mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR 21 450,723809 493,106190 0,000000 224 W61483001 L01EG01 TEMSIROLIMUSUM TORISEL 30mg CONC. + SOLV. PT. SOL. PERF. 30mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT S 1 2.945,180000 3.248,400000 0,000000 225 W64785001 L01EG01 TEMSIROLIMUSUM TORISEL 30 mg CONC. + SOLV. PT. SOL. PERF. 30mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT PR 1 2.945,180000 3.248,400000 0,000000 226 W64813002 L01EK01 AXITINIBUM **1 INLYTA COMPR. FILM. 1 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 49,374107 54,499107 0,000000 227 W59304002 L01EK01 AXITINIBUM **1 INLYTA COMPR. FILM. 1 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 49,374107 54,499107 0,000000 228 W64814002 L01EK01 AXITINIBUM **1 INLYTA COMPR. FILM. 5 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 244,726071 267,433035 0,000000 229 W59305002 L01EK01 AXITINIBUM **1 INLYTA COMPR. FILM. 5 mg PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR 56 244,726071 267,433035 0,000000 230 W66272001 L01EK03 TIVOZANIBUM **1 FOTIVDA 1340 micrograme CAPS. 1340micrograme EUSA PHARMA (NETHERLANDS) B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 21 CAPS. PR 21 438,036666 479,277142 0,000000 231 W66271001 L01EK03 TIVOZANIBUM **1 FOTIVDA 890 micrograme CAPS. 890micrograme EUSA PHARMA (NETHERLANDS) B.V. OLANDA CUTIE CU 1 FLAC. DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII X 21 CAPS. PR 21 438,036666 479,277142 0,000000 232 W65945003 L01EX01 SUNITINIBUM **1 SUNITINIB MYLAN 12,5 mg CAPS. 12,5mg MY LAN IRELAND LIIMTED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 88,212400 97,677600 17,593400 233 W65967001 L01EX01 SUNITINIBUM **1 SUNITINIB STADA 12,5 mg CAPS. 12,5mg STADA M&D SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 CAPS. PR 28 88,212400 97,677600 17,762042 234 W67749003 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 12,5 mg CAPS. 12,5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PERFORATE UNIDOZA PVC-OPA/AL X 30X1 CAPS. PR 30 88,212400 97,677600 17,593400 235 W67749004 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 12,5 mg CAPS. 12,5mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 88,212400 97,677600 17,593400 236 W67789002 L01EX01 SUNITINIBUM **1 SUNITINIB G.L. PHARMA 12,5 mg CAPS. 12,5mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-OPA/AL X 30 CAPS. PR 30 73,510333 81,398000 0,000000 237 W43546001 L01EX01 SUNITINIBUM **1 SUTENT 12,5 mg CAPS. 12,5mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 88,212400 97,677600 67,856066 238 W65026001 L01EX01 SUNITINIBUM **1 SUTENT 12,5 mg CAPS. 12,5mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 88,212400 97,677600 67,856066
21
239 W65315005 L01EX01 SUNITINIBUM **1 SUNITINIB TEVA 12,5 mg CAPS. 12,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 88,212400 97,677600 17,593400
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
240 W68008001 L01EX01 SUNITINIBUM **1 KLERTIS 12,5 mg CAPS. 12,5mg EGIS PARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 CAPS. PR 28 88,212400 97,677600 17,762400 241 W68067001 L01EX01 SUNITINIBUM **1 SUNITINIB ACCORD 12,5 mg CAPS. 12,5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE UN FLAC. DIN PEID X 30 CAPS. PRF 30 88,212400 97,677600 17,593400 242 W67976006 L01EX01 SUNITINIBUM **1 SUNITINIB DR. REDDY'S 12,5 mg CAPS. 12,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PE/AL X 30X1 PR 30 88,212400 97,677600 17,593400 243 W65946003 L01EX01 SUNITINIBUM **1 SUNITINIB MYLAN 25 mg CAPS. 25mg MY LAN IRELAND LIIMTED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 174,969199 192,242800 35,607200 244 W67790002 L01EX01 SUNITINIBUM **1 SUNITINIB G.L. PHARMA 25 mg CAPS. 25mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-OPA/AL X 30 CAPS. PR 30 145,807666 160,202333 0,000000 245 W67750003 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 25 mg CAPS. 25mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PERFORATE UNIDOZA PVC-OPA/AL X 30X1 CAPS. PR 30 174,969199 192,242800 35,607200 246 W67750004 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 25 mg CAPS. 25mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 174,969199 192,242800 35,607200 247 W65316005 L01EX01 SUNITINIBUM **1 SUNITINIB TEVA 25 mg CAPS. 25mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 174,969199 192,242800 35,607200 248 W65027001 L01EX01 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 174,969199 192,242800 134,540866 249 W68009001 L01EX01 SUNITINIBUM **1 KLERTIS 25 mg CAPS. 25mg EGIS PARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 CAPS. PR 28 174,969199 192,242800 35,776128 250 W68068001 L01EX01 SUNITINIBUM **1 SUNITINIB ACCORD 25 mg CAPS. 25mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE UN FLAC. DIN PEID X 30 CAPS. PRF 30 174,969199 192,242800 35,607200 251 W67978006 L01EX01 SUNITINIBUM **1 SUNITINIB DR. REDDY'S 25 mg CAPS. 25mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PE/AL X 30X1 PR 30 174,969199 192,242800 35,607200 252 W43556001 L01EX01 SUNITINIBUM **1 SUTENT 25mg CAPS. 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 174,969199 192,242800 134,540866 253 W65948003 L01EX01 SUNITINIBUM **1 SUNITINIB MYLAN 50 mg CAPS. 50mg MY LAN IRELAND LIIMTED IRLANDA FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT DIN PP X 30 CAPS. PR 30 348,779599 381,696400 71,695266 254 W67979006 L01EX01 SUNITINIBUM **1 SUNITINIB DR. REDDY'S 50 mg CAPS. 50mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PE/AL X 30X1 PR 30 348,779599 381,696400 71,695266 255 W67791002 L01EX01 SUNITINIBUM **1 SUNITINIB G.L. PHARMA 50 mg CAPS. 50mg G.L. PHARMA GMBH AUSTRIA CUTIE CU BLIST. PVC-OPA/AL X 30 CAPS. PR 30 290,649666 318,080333 0,000000 256 W67752003 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 50 mg CAPS. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PERFORATE UNIDOZA PVC-OPA/AL X 30X1 CAPS. PR 30 348,779599 381,696400 71,695266 257 W67752004 L01EX01 SUNITINIBUM **1 SUNITINIB ZENTIVA 50 mg CAPS. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 348,779599 381,696400 71,695266 258 W43557001 L01EX01 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R 30 348,779599 381,696400 267,585933 259 W65317005 L01EX01 SUNITINIBUM **1 SUNITINIB TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 CAPS. PR 30 348,779599 381,696400 71,695266 260 W65028001 L01EX01 SUNITINIBUM **1 SUTENT 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR 30 348,779599 381,696400 267,585933 261 W68010001 L01EX01 SUNITINIBUM **1 KLERTIS 50 mg CAPS. 50mg EGIS PARMACEUTICALS PLC UNGARIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 CAPS. PR 28 348,779599 381,696400 71,863957 262 W68069001 L01EX01 SUNITINIBUM **1 SUNITINIB ACCORD 50 mg CAPS. 50mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE UN FLAC. DIN PEID X 30 CAPS. PRF 30 348,779599 381,696400 71,695266 263 W63886001 L01EX02 SORAFENIBUM **1 NEXAVAR 200 mg COMPR. FILM. 200mg BAYER AG GERMANIA CUTIE CU 4 BLIST. PP/AL X 28 COMPR.FILM. PR 112 95,752500 104,779070 15,775394 264 W66958001 L01EX02 SORAFENIBUM **1 SORAFENIB ZENTIVA 200mg COMPR. FILM. 200mg ZENIVA K.S. REPUBLICA CEHA CUTIE CU BLISTERE UNIDOZA DIN PVC-PE-PVDC/AL X 112 COMPRIMATE FILMATE PR 112 79,793750 87,315892 0,000000 265 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 19,440000 26,280000 16,960000 266 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 36,300000 47,480000 0,000000 267 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 36,300000 47,480000 0,000000 268 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 71,330000 90,190000 0,000000 269 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 23,080000 31,190000 0,000000 270 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 16,200000 21,900000 0,000000 271 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 23,080000 31,190000 0,000000 272 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU DO P DI N CAUCI UC FLURO TEC, SI G I LAT CU CAPSA DI N AL DE CULO ARE VERDE X 5 M L CO NC. PT. SO L. PERF. X 50 M G CARBO PLATI NA PR 1 38,560000 50,440000 0,000000 273 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 60,990000 77,120000 0,000000 274 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 1 177,000000 216,080000 0,000000 275 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU DO P DI N CAUCI UC FLURO TEC, SI G I LAT CU CAPSA DI N AL DE CULO ARE G ALBENA X 60 M L CO NC. PT. SO L. PERF. X 600 M G CARBO PLATI NA PR 1 443,740000 521,830000 0,000000 276 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU DO P DI N CAUCI UC FLURO TEC, SI G I LAT CU CAPSA DI N AL DE CULO ARE ALBASTRA X 15 M L CO NC. PT. SO L. PERF. X 150 M G CARBO PLATI NA PR 1 73,188000 92,544000 6,486000 277 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU DO P DI N CAUCI UC FLURO TEC, SI G I LAT CU CAPSA DI N AL DE CULO ARE RO SI E X 45 M L CO NC. PT. SO L. PERF. X 450 M G CARBO PLATI NA PR 1 202,010000 246,610000 0,000000 278 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 INCOL ORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 M L CONC. PT. SOL. PERF. CONTINAND 50 M G OXALIPLATINA PR 1 45,620000 59,670000 0,000000 279 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 M L CONC. PT. SOL. PERF. CONTINAND 200 M G OXALIPLATINA PR 1 407,736000 490,212000 21,708000 280 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 45,270000 59,210000 0,000000 281 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 M L CONC. PT. SOL. PERF. CONTINAND 100 M G OXALIPLATINA PR 1 88,470000 111,860000 0,000000 282 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 1 339,780000 408,510000 0,000000 283 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 88,940000 112,450000 0,000000 284 W59766002 L01XB01 PROCARBAZINUM (4) NATULAN 50 mg CAPS. 50 mg CN UNIFARM S.A. ROMANIA CUTIE CU 5 BLIST X 10 CAPS. PRF 50 27,700000 30,956000 0,000000 285 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 2 584,655000 656,350000 0,000000 286 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 2 612,900000 687,135000 0,000000 287 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 3 579,653333 644,540000 0,000000 288 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 2 695,584000 773,448000 73,192000 289 W64513002 L01XC02 RITUXIMABUM **1 RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 2 2.905,640000 3.186,225000 0,000000 290 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 3.098,630000 3.415,660000 0,000000 291 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 3.486,768000 3.823,470000 311,700000 292 W64513001 L01XC02 RITUXIMABUM **1 RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 1 2.920,640000 3.221,650000 0,000000
22
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
23
comunitare
293 W66651001 L01XC02 RITUXIMABUM **1 MABTHERA 1600 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA(1600 MG RITUXIMAB /13,4ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 7.488,630000 8.200,770000 0,000000 294 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 6.556,300000 7.184,530000 0,000000 295 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 1.252,850000 1.403,760000 0,000000 296 W66849001 L01XC03 TRASTUZUMABUM **1 ZERCEPAC 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN CAUCIUC BROMOBUTILIC X 150 MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.272,000000 1.424,630000 0,000000 297 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 1.503,420000 1.684,512000 149,558000 298 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 1.503,420000 1.684,512000 19,838000 299 W67811001 L01XC03 TRASTUZUMABUM **1 ZERCEPAC 420 mg PULB. PT. CONC. PT. SOL. PERF. 420mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 50 M L DIN STICLA CU DOP DIN CAUCIUC BROM OBUTILIC X 420 M G PULB. PT. CONC. PT. SOL. PERF. PR 1 4.217,472000 4.642,824000 708,276000 300 W65030001 L01XC03 TRASTUZUMABUM **1 KANJINTI 420 mg PULB. PT. CONC. PT. SOL. PERF. 420mg AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. CU CAPACITATEA DE 50 ML DIN STICLA TRANSPARENTA CE CONTINE 420 MG TRASTUZUMAB PR 1 3.514,560000 3.869,020000 0,000000 301 W67810001 L01XC03 TRASTUZUMABUM **1 ZERCEPAC 60 mg PULB. PT. CONC. PT. SOL. PERF. 60mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 10 M L DIN STICLA CU DOP DIN CAUCIUC BROM OBUTILIC X 60 M G PULB. PT. CONC. PT. SOL. PERF. PR 1 773,820000 881,610000 0,000000 302 W68011001 L01XC03 TRASTUZUMABUM **1 OGIVRI 150 mg PULB. PT. CONC. PT.S OL. PERF. 150mg VIATRIS LIMITED IRLANDA CUTI E X 1 FLAC. CU CAPACI TATEA DE 15 M L DI N STI CLA TRANSPARENTA DE TI P I CU DO P DI N CAUCI UC BUTI LI C LAM I NAT CU FI LM DE FLUO RO - REZI NA CO NTI NÂND TRASTUZUM AB 150 M G PR 1 1.463,460000 1.633,320000 0,000000 303 W65273001 L01XC03 TRASTUZUMABUM **1 OGIVRI 150 mg PULB. PT. CONC. PT.S OL. PERF. 150mg MYLAN S.A.S. FRANTA CUTI E X 1 FLAC. CU CAPACI TATEA DE 15 M L DI N STI CLA TRANSPARENTA DE TI P I CU DO P DI N CAUCI UC BUTI LI C LAM I NAT CU FI LM DE FLUO RO - REZI NA CO NTI NÂND TRASTUZUM AB 150 M G PR 1 1.463,460000 1.633,320000 0,000000 304 W64935001 L01XC03 TRASTUZUMABUM **1 TRAZIMERA 150 mg PULB. PT. CONC. PT.S OL. PERF. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 15 ML CONTINANAD 150 MG TRASTUZUMAB PR 1 1.347,260000 1.506,670000 0,000000 305 W66584001 L01XC03 TRASTUZUMABUM **1 TRAZIMERA 420 mg PULB. PT. CONC. PT.S OL. PERF. 420mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 30 ML CONTINANAD 420 MG TRASTUZUMAB PR 1 4.217,472000 4.642,824000 1.076,756000 306 W64382001 L01XC03 TRASTUZUMABUM **1 HERCEPTIN 600mg/5ml SOL INJ. 600mg/5ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB) PR 1 4.815,370000 5.286,910000 0,000000 307 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 1 701,370000 802,640000 0,000000 308 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 1 701,370000 802,640000 0,000000 309 W67548001 L01XC07 BEVACIZUMABUM **1 OYAVAS 25 mg/ml CONC. PT. SOL. PERF. 25 mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU UN FLACON X 4ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA (CONTINE 100MG BEVACIZUMAB) PR 1 840,276000 961,680000 730,930000 310 W67548002 L01XC07 BEVACIZUMABUM **1 OYAVAS 25 mg/ml CONC. PT. SOL. PERF. 25 mg/ml STADA ARZNEIMITTEL AG GERMANIA CUTIE CU UN FLACON X 16ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA (CONTINE 400MG BEVACIZUMAB) PR 1 3.183,684000 3.516,000000 3.052,510000 311 W66673001 L01XC07 BEVACIZUMABUM **1 MVASI 25mg/ml CONC. PT. SOL. PERF. 25mg/ml AMGEN TECHNOLOGY (IRELAND) UC IRLANDA CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.(100MG BEVACIZUMAB) PR 1 700,230000 801,400000 0,000000 312 W66673002 L01XC07 BEVACIZUMABUM **1 MVASI 25mg/ml CONC. PT. SOL. PERF. 25mg/ml AMGEN TECHNOLOGY (IRELAND) UC IRLANDA CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.(400MG BEVACIZUMAB) PR 1 2.653,070000 2.930,000000 0,000000 313 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 3.183,684000 3.516,000000 614,020000 314 W67574001 L01XC07 BEVACIZUMABUM **1 ALYMSYS 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml MABXIENCE RESEARCH SL SPANIA CUTIE CU 1 FLAC. A 4 ML SOL. CARE CONTINE 100 MG BEVACIZUMAB PR 1 840,276000 961,680000 261,140000 315 W67574002 L01XC07 BEVACIZUMABUM **1 ALYMSYS 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml MABXIENCE RESEARCH SL SPANIA CUTIE CU 1 FLAC. A 16 ML SOL. CARE CONTINE 400 MG BEVACIZUMAB PR 1 3.183,684000 3.516,000000 1.099,310000 316 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 1 840,276000 961,680000 224,620000 317 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 1.318,560000 1.475,380000 0,000000 318 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 5.184,230000 5.688,970000 0,000000 319 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 320 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 53.132,770000 57.952,950000 0,000000 321 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 12.892,490000 14.090,980000 0,000000 322 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 10.165,140000 11.118,170000 0,000000 323 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 6.573,890000 7.203,700000 0,000000 324 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 10.500,220000 11.483,400000 0,000000 325 W64380001 L01XC15 OBINUTUZUMABUM **1 GAZYVARO 1000 mg CONC. PT. SOL. PERF. 1000mg ROCHE REGISTRATION GMBH GERMANIA FLAC. DIN STICLA DE 50 ML CARE CONTINE 40 ML CONCENTRAT PR 1 11.465,960000 12.536,060000 0,000000 326 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 M L CONC. PT. SOL. PERF. (20 M G DINUTUXIM AB BETA) PR 1 40.751,810000 44.457,680000 0,000000 327 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 4.969,510000 5.454,920000 0,000000 328 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 4.969,510000 5.454,920000 0,000000 329 W65560001 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUT IE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 1.784,930000 1.983,730000 0,000000 330 W65560001 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUT IE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 1.784,930000 1.983,730000 0,000000 331 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 4.969,510000 5.454,920000 0,000000 332 W61901001 L01XC17 NIVOLUMABUM **1 OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUT IE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR 1 1.784,930000 1.983,730000 0,000000 333 W64588001 L01XC18 PEMBROLIZUMABUM **1 KEYTRUDA 25 mg/ml CONC. PT. SOL. PERF. 25mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 4 ML CONCENTRAT (100 MG PEMBROLIZUMAB) PR 1 11.888,880000 12.997,050000 0,000000 334 W62507001 L01XC19 BLINATUMOMABUM **1 BLINCYTO 38,5 micrograme PULB. PT. CONC. SI SOL. PT. SOL. PERF. 38,5micrograme AMGEN EUROPE B.V. OLANDA AMBALAJ CU 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. X 38,5 MICROGRAME +1 FLAC. CU SOLUTIE STABILIZATA X 10 ML PR 1 9.957,500000 10.891,840000 0,000000 335 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 1.673,590000 1.843,290000 0,000000 336 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 1.721,290000 1.914,360000 0,000000 337 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 7.074,110000 7.748,940000 0,000000 338 W66768001 L01XC24 DARATUMUMABUM **1 DARZALEX 1800 mg SOL INJ. 120mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 15 ML SOL. INJ. PR 1 20.325,540000 22.193,020000 0,000000 339 W64817001 L01XC26 INOTUZUMAB OZOGAMICIN **1 BESPONSA 1 mg PULB. PT. CONC. PT.S OL. PERF. 1mg PFIZER EUROPE MA EEIG BELGIA CUT IE CU 1 FLAC. DIN STICLA BRUNA CE CONT INE 1 MG PULBERE PR 1 42.756,450000 46.642,740000 0,000000 340 W64923002 L01XC28 DURVALUMABUM **1 IMFINZI 50 mg/ml CONC. PT. SOL. PERF. 50mg/ml ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. DIN STICLA A 10 ML CONC. (CARE CONTINE 500 MG DURVALUMAB) PR 1 9.801,570000 10.721,870000 0,000000 341 W64923001 L01XC28 DURVALUMABUM **1 IMFINZI 50 mg/ml CONC. PT. SOL. PERF. 50mg/ml ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. DIN STICLA A 2,4 ML CONC. (CARE CONTINE 120 MG DURVALUMAB) PR 1 2.375,180000 2.627,100000 0,000000 342 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 343 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 344 W64295001 L01XC32 ATEZOLIZUMAB **1 TECENTRIQ 1200 mg CONC. PT. SOL. PERF. 1200mg/20ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR 1 16.234,580000 17.733,860000 0,000000 345 W64295001 L01XC32 ATEZOLIZUMAB **1 TECENTRIQ 1200 mg CONC. PT. SOL. PERF. 1200mg/20ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR 1 16.234,580000 17.733,860000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
346 W66772001 L01XC32 ATEZOLIZUMAB **1 TECENTRIQ 840 mg CONC. PT. SOL. PERF. 840mg/14ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA X 14 ML CONC. PT. SOL. PERF. PR 1 11.617,960000 12.701,740000 0,000000 347 W66237001 L01XC33 CEMIPLIMABUM **1 LIBTAYO 350 mg CONC. PT. SOL. PERF. 50mg/ml REGENERON IRELAND DAC IRLANDA CUTI E CU 1 FLAC. DI N STI CLA PREVAZUTA CU DO P DI N CAUCI UC CU STRAT FLURO TEC SI UN CAPAC ETANS CU CAPSA DETASABI LA X 7 M L CO NC. PT. SO L. PERF. ( 350 M G CEM I PLI M AB) PR 1 26.797,490000 29.247,450000 0,000000 348 W66558001 L01XC37 POLATUZUMAB VEDOTIN **1 POLIVY 140mg PULB. PT. CONC. PT.S OL. PERF. 20mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DIN STICLA DE 20ML CONTINAND 140 MG POLATUZUMAB VEDOTIN PR 1 47.185,840000 51.470,780000 0,000000 349 W67121001 L01XC37 POLATUZUMAB VEDOTIN **1 POLIVY 30mg PULB. PT. CONC. PT.S OL. PERF. 20mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DIN STICLA DE 6ML CONTINAND 30 MG POLATUZUMAB VEDOTIN PR 1 10.134,840000 11.085,140000 0,000000 350 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 4,029166 4,709750 0,000000 351 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 4,834999 5,651700 2,792216 352 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 4,834999 5,651700 0,209466 353 W61913006 L01XE01 IMATINIBUM **1 IMATINIB TERAPIA 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 60 COMPR. FILM. PR 60 4,834999 5,651700 10,025300 354 W61913002 L01XE01 IMATINIBUM **1 IMATINIB TERAPIA 100 mg COMPR. FILM. 100mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PR 60 4,834999 5,651700 10,025300 355 W67617006 L01XE01 IMATINIBUM **1 IMAKREBIN 100 mg COMPR. FILM. 100mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR 120 4,834999 5,651700 2,792216 356 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 4,834999 5,651700 3,359466 357 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 22,329600 25,865200 12,636800 358 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 22,329600 25,865200 4,825466 359 W61914001 L01XE01 IMATINIBUM **1 IMATINIB TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 20,511333 23,629000 0,000000 360 W67616003 L01XE01 IMATINIBUM **1 IMAKREBIN 400 mg COMPR. FILM. 400mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 22,329600 25,865200 77,290800 361 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 22,329600 25,865200 77,290800 362 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 18,608000 21,554333 0,000000 363 W61914005 L01XE01 IMATINIBUM **1 IMATINIB TERAPIA 400 mg COMPR. FILM. 400mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 30 COMPR. FILM. PR 30 20,511333 23,629000 0,000000 364 W65738001 L01XE02 GEFITINIBUM **1 GEFITINIB ACCORD 250 mg COMPR. FILM. 250mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 BLIST. PVC-PVDC/AL PT. ELIBERAREA UNEI UNITATI DOZATE X 30 (30X1) COMPR. FILM. PR 30 69,759000 77,309000 0,000000 365 W65598001 L01XE02 GEFITINIBUM **1 GEFITINIB ALVOGEN 250 mg COMPR. FILM. 250mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 3 BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PE-PVDC/AL INCHISE INTR-O PUNGA PET/AL/PE CONTINAND 10 X1 COM PR. FILM . PR 30 83,710800 92,770800 37,639866 366 W68063001 L01XE02 GEFITINIBUM **1 GEFITINIB LABORMED 250 mg COMPR. FILM. 250mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PE-PVDC/AL INCHISE INTR-O PUNGA PET/AL/PE CONTINAND 10 X1 COM PR. FILM . PR 30 83,710800 92,770800 37,639866 367 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 70,833000 78,479666 0,000000 368 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 70,833000 78,479666 0,000000 369 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 84,999600 94,175599 13,916067 370 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 73,000000 80,841666 0,000000 371 W68228001 L01XE03 ERLOTINIBUM **1 ERLOTINIB MYLAN 100 mg COMPR. FILM. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 73,000000 80,841666 0,000000 372 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 91,798399 101,586400 32,233600 373 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 76,498666 84,655333 0,000000 374 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 91,798399 101,586400 5,415266 375 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 76,498666 84,655333 0,000000 376 W68229001 L01XE03 ERLOTINIBUM **1 ERLOTINIB MYLAN 150 mg COMPR. FILM. 150mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 91,798399 101,586400 5,415266 377 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 47,214714 51,736571 0,000000 378 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 47,214714 51,736571 0,000000 379 W64607001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) (CUTIE DIN CARTON) PR 28 94,325714 104,177857 0,000000 380 W64606001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR 28 112,955000 124,483571 0,000000 381 W64608001 L01XE08 NILOTINIBUM **1 TASIGNA CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 120(3X40) CAPS. (BLIST. PVC/PVDC/AL) PR 120 38,202416 41,958583 0,000000 382 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 30 246,108000 269,784000 39,440333 383 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 30 246,108000 269,784000 39,440333 384 W66816002 L01XE10 EVEROLIMUS **1 VERIMMUS 10 mg COMPR. 10mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. OPA-AL-PVC X 30 COMPR. PR 30 205,090000 224,820000 0,000000 385 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 93,694222 102,550666 0,000000 386 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 93,694222 102,550666 0,000000 387 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 93,694222 102,550666 0,000000 388 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 93,694222 102,550666 0,000000 389 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 60 182,161000 199,191666 0,000000 390 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 60 182,161000 199,191666 0,000000 391 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 60 182,161000 199,191666 0,000000 392 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 60 182,161000 199,191666 0,000000 393 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 30 216,117333 236,840000 0,000000 394 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 28 276,062142 302,270714 0,000000 395 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 28 276,062142 302,270714 0,000000 396 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 28 276,062142 302,270714 0,000000 397 W64409001 L01XE15 VEMURAFENIBUM **1 ZELBORAF COMPR. FILM. 240mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR. FILM PR 56 99,599642 109,245000 0,000000 398 W64596001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 10 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 215,934821 236,050535 0,000000
24
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
399 W64594001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 15 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 215,934821 236,050535 0,000000 400 W64595001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 20 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 215,934821 236,050535 0,000000 401 W64593001 L01XE18 RUXOLITINIBUM **1 JAKAVI COMPR. 5 mg NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR 56 109,692321 120,246071 0,000000 402 W64833002 L01XE21 REGORAFENIBUM **1 STIVARGA COMPR. FILM. 40mg BAYER AG GERMANIA CUT IE CU 3 FLAC. DIN PEID X 28 COMPR. FILM. (AMBALAJ MULTIPLU) PR 84 106,162738 116,171666 0,000000 403 W61700002 L01XE23 DABRAFENIBUM **1 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 120 124,179250 135,673500 0,000000 404 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 120 124,179250 135,673500 0,000000 405 W64724002 L01XE23 DABRAFENIBUM **1 TAFINLAR 50mg CAPS. 50mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 124,179250 135,673500 0,000000 406 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 120 124,179250 135,673500 0,000000 407 W64725002 L01XE23 DABRAFENIBUM **1 TAFINLAR 75mg CAPS. 75mg NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR 120 186,143833 203,215000 0,000000 408 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 120 186,143833 203,215000 0,000000 409 W61701002 L01XE23 DABRAFENIBUM **1 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 120 186,143833 203,215000 0,000000 410 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 120 186,143833 203,215000 0,000000 411 W62208002 L01XE25 TRAMETINIBUM **1 MEKINIST 0,5 mg COMPR. FILM. 0,5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 143,944000 158,171000 0,000000 412 W64448002 L01XE25 TRAMETINIBUM **1 MEKINIST 0,5 mg COMPR. FILM. 0,5mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM PR 30 143,944000 158,171000 0,000000 413 W62210002 L01XE25 TRAMETINIBUM **1 MEKINIST 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 572,778000 625,600333 0,000000 414 W64449002 L01XE25 TRAMETINIBUM **1 MEKINIST 2 mg COMPR. FILM. 2mg NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM. PR 30 572,778000 625,600333 0,000000 415 W64527001 L01XE26 CABOZANTINIBUM **1 O CABOMETYX 20 mg COMPR. FILM. 20mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 698,552333 762,694666 0,000000 416 W64528001 L01XE26 CABOZANTINIBUM **1 O CABOMETYX 40 mg COMPR. FILM. 40mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 698,552333 762,694666 0,000000 417 W64529001 L01XE26 CABOZANTINIBUM **1 O CABOMETYX 60 mg COMPR. FILM. 60mg IPSEN PHARMA FRANTA CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR 30 698,552333 762,694666 0,000000 418 W66231001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 140 mg COMPR. FILM. 140mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 249,503333 273,230666 0,000000 419 W66232001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 280 mg COMPR. FILM. 280mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 498,007000 544,100000 0,000000 420 W66233001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 420 mg COMPR. FILM. 420mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 746,511000 814,969666 0,000000 421 W66234001 L01XE27 IBRUTINIBUM **1 IMBRUVICA 560 mg COMPR. FILM. 560mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 3 BLIST. PVC/PCTFE/AL X 10 COMPR. FILM. INTR-UN AMBALAJ TIP PORTOFEL DIN CARTON PR 30 995,014333 1.085,838666 0,000000 422 W64628002 L01XE28 CERITINIBUM **1 ZYKADIA 150 mg CAPS. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 90 CAPS. PR 90 140,123111 153,158222 0,000000 423 W62648002 L01XE35 OSIMERTINIB **1 TAGRISSO 40 mg COMPR. FILM. 40mg ASTRA ZENECA AB SUEDIA CUT IE CU BLIST. PERFORAT E UNIDOZA AL/AL X 28X1 COMPR. FILM. PR 28 824,317142 899,869285 0,000000 424 W62649002 L01XE35 OSIMERTINIB **1 TAGRISSO 80 mg COMPR. FILM. 80mg ASTRA ZENECA AB SUEDIA CUT IE CU BLIST. PERFORAT E UNIDOZA AL/AL X 28X1 COMPR. FILM. PR 28 824,317142 899,869285 0,000000 425 W64294001 L01XE36 ALECTINIB **1 O ALECENSA 150mg CAPS. 150mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ MULTIPLU X 224 CAPSULE PR 224 92,309285 100,787544 0,000000 426 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 112 499,087767 544,346964 0,000000 427 W64450003 L01XE42 RIBOCICLIBUM **1 O KISQALI 200 mg COMPR. FILM. 200mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PCTFE/PVC X 42 COMPR. FILM. PR 42 143,900476 157,760000 0,000000 428 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 63 144,175714 157,757301 0,000000 429 W65265001 L01XE50 ABEMACICLIBUM **1 O VERZENIOS 100 mg COMPR. FILM. 100mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. X 28 COMPR. FILM. PR 28 139,903214 153,857142 0,000000 430 W65266001 L01XE50 ABEMACICLIBUM **1 O VERZENIOS 150 mg COMPR. FILM. 150mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. X 28 COMPR. FILM. PR 28 139,903214 153,857142 0,000000 431 W65264001 L01XE50 ABEMACICLIBUM **1 O VERZENIOS 50 mg COMPR. FILM. 50mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. X 28 COMPR. FILM. PR 28 139,903214 153,857142 0,000000 432 W67012001 L01XE54 GILTERITINIB **1 XOSPATA 40 mg COMPR. FILM. 40mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUT IE CU BLIST. DIN OPA/ALUMINIU/PVC/ALUMINIU X 84 COMPR. FILM. PR 84 911,417857 993,900952 0,000000 433 W66756001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB SANDOZ 2,5 mg PULB. PT. SOL. INJ. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA CARE CONTINE PULB. PT. SOL. INJ. PR 1 1.974,000000 2.189,810000 0,000000 434 W68328001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB FRESENIUS KABI 2,5 mg PULB. PT. SOL. INJ. 2,5mg FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML, CE CONTINE 2,5 MG BORTEZOMIB PR 1 1.831,860000 2.034,880000 0,000000 435 W68199001 L01XG01 BORTEZOMIBUM **1 VORTEMYEL 3,5 mg PULB. PT. SOL. INJ. 3,5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA INCOLORA (VOLUM NOMINAL DE 10 ML), CARE CONTINE PULB. PT. SOL. INJ. PR 1 757,032000 870,948000 1.450,122000 436 W61990001 L01XG01 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 1 757,032000 870,948000 1.051,522000 437 W63461001 L01XG01 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 1 630,860000 725,790000 0,000000 438 W64875001 L01XG01 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 1 630,860000 725,790000 0,000000 439 W61926001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE FLACO N DI N STI CLA DE TI P I CU CAPACI TATEA DE 10 M L, PREVAZUT CU DO P DI N CAUCI UC CLO RO BUTI LI C SI O CAPSA DI N ALUM I NI U, CU UN CAPAC RO SU, CE CO NTI NE BO RTEZO M I B 3, 5 M G PR 1 757,032000 870,948000 639,352000 440 W61918001 L01XG01 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 1 757,032000 870,948000 506,222000 441 W61907001 L01XG01 BORTEZOMIBUM **1 VORTEMYEL 3,5 mg PULB. PT. SOL. INJ. 3,5mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA INCOLORA (VOLUM NOMINAL DE 10 ML), CARE CONTINE PULB. PT. SOL. INJ. PR 1 757,032000 870,948000 1.450,122000 442 W65718001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB MSN 3,5 mg PULB. PT. SOL. INJ. 3,5mg VIVANTA GENERICS S.R.O., CEHIA CUTI E CU FLAC. DI N STI CLA TI P I , CU CAPACI TATE DE 10 M L, CU DO P DI N CAUCI UC BRO M O BUTI LI C DE CULO ARE G RI I NCHI S ETANSAT CU CAPSA AL CU DI SC PP ALBASTRA, CU PULB. PT. SO L. I NJ. PR 1 652,490000 749,360000 0,000000 443 W62997001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB DR. REDDY'S 3,5 mg PULB. PT. SOL. INJ. 3,5mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATE DE 10 ML CARE CONTINE PULB. PT. SOL. INJ. PR 1 757,032000 870,948000 2.763,522000 444 W67736001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB AUROBINDO 3,5 mg PULB. PT. SOL. INJ. 3,5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOL ORA CU SAU FARA INVELIS PROTECTOR DIN PLASTIC, CU CAPACITATE DE 10 M L CU PULB. PT. SOL. INJ . PR 1 668,740000 767,080000 0,000000 445 W65669001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg ACCORD HEALTHCARE S.L.U. SPANIA FLACO N DI N STI CLA DE TI P I CU CAPACI TATEA DE 10 M L, PREVAZUT CU DO P DI N CAUCI UC CLO RO BUTI LI C SI O CAPSA DI N ALUM I NI U, CU UN CAPAC RO SU, CE CO NTI NE BO RTEZO M I B 3, 5 M G PR 1 757,032000 870,948000 639,352000 446 W64673001 L01XG01 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 1 757,032000 870,948000 57,962000
W66591001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB FRESENIUS KABI 3,5 mg PULB. PT. SOL. INJ. 3,5mg FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR 1 757,032000 870,910000 0,000000 W67920001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 2,5 mg/ml SOL INJ. 2,5mg/ml ACCORD HEALTHCARE S.L.U. SPANIA FLACO N DI N STI CLA DE TI P I TRANSPARENTA, PREVAZUT CU DO P DI N CAUCI UC BRO M O BUTI LI C DE CULO ARE G RI SI CAPSA DI N ALUM I NI U, CU CAPAC PO RTO CALI U, CE CO NTI NE 1 M L DE SO LUTI E I NJECTABI LA PR 1 2.113,110000 2.341,440000 0,000000 W67920003 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB ACCORD 2,5 mg/ml SOL INJ. 2,5mg/ml ACCORD HEALTHCARE S.L.U. SPANIA FLACO N DI N STI CLA DE TI P I TRANSPARENTA, PREVAZUT CU DO P DI N CAUCI UC BRO M O BUTI LI C DE CULO ARE G RI SI CAPSA DI N ALUM I NI U, CU CAPAC RO SU, CE CO NTI NE 1, 4 M L DE SO LUTI E I NJECTABI LA PR 1 757,032000 870,948000 1.221,992000 W65545001 L01XG01 BORTEZOMIBUM **1 BORTEZOMIB STADA 2,5 mg/ml SOL. INJ. 2,5mg/ml STADA M&D SRL ROMANIA CUTIE CU FLAC. DIN STICLA TIP I PREVAZUT CU DOP DIN CAUCIUC BROM OBUTILIC SI CAPSA DIN AL TIP FLIP-OFF, CU CAPAC COLORAT X 1 ,4 M L SOL. INJ . PR 1 757,032000 870,948000 996,922000 25 W68167001 L01XX02 ASPARAGINAZUM CRISANTASPASE PORTON BIOPHARMA PULB. PT. SOL. INJ ./PERF. 10.000E DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE X 5 FLACOANE (FIECARE A CATE 10.000E) CU PULBERE PENTRU SOLUTIE INJECTABILA/PERFUZABILA PR 5 6.187,318000 6.751,816000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
452 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 0,927600 1,172800 0,000000 453 W67916001 L01XX14 TRETINOINUM (4) VESANOID 10 mg CAPS. MOI 10mg MAGNAPHARM MARKETING & SALES ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 CAPS. MOI PR 100 17,800000 19,783500 0,000000 454 W64499001 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 10 CAPS. PR 10 112,359000 126,286000 0,000000 455 W61694001 L01XX17 TOPOTECAMUM HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF 10 112,359000 126,286000 0,000000 456 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 M L CARE CONTINE CONC. PT. SOL. PERF. (4 M G TOPOTECAN) PR 1 189,828000 231,744000 113,416000 457 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 M L CARE CONTINE CONC. PT. SOL. PERF. (1 M G TOPOTECAN) PR 1 74,410000 94,090000 0,000000 458 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 459 W66770001 L01XX23 MITOTANUM LYSODREN 500mg COMPR. 500mg HRA PHARMA RARE DISEASES FRANTA CUTIE CU 1 FLAC. DIN PEID X 100 COMPR. PR 100 22,882200 25,323100 0,000000 460 W66172001 L01XX24 PEGASPARGASUM **1 ONCASPAR 750 U/ml PULB. PT. SOL. INJ ./PERF. 750U/ml LES LABORATOIRES SERVIER FRANTA CUTIE CU 1 FLAC. STICLA M ATA DE TIP I CU DOP DIN ELASTOM ER CLOROBUTIL SI ACOPERIT CU SIGILIU DE AL X 3750 U PEGASPARGAZA PR 1 7.294,310000 7.988,960000 0,000000 461 W66541003 L01XX27 ARSENICUM TRIOXIDUM **1 ARSENIC TRIOXIDE ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1 mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE X 10 FLACOANE DIN STICLA CONTINAND 10ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR 10 846,810000 926,839000 0,000000 462 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 1.016,172000 1.112,206800 16,861200 463 W66904001 L01XX42 PANOBINOSTATUM **1 FARYDAK 10 mg CAPS. 10mg SECURA BIO LIMITED IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3.055,456666 3.336,810000 0,000000 464 W66905001 L01XX42 PANOBINOSTATUM **1 FARYDAK 15 mg CAPS. 15mg SECURA BIO LIMITED IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3.055,456666 3.336,810000 0,000000 465 W66906001 L01XX42 PANOBINOSTATUM **1 FARYDAK 20 mg CAPS. 20mg SECURA BIO LIMITED IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR 6 3.055,456666 3.336,810000 0,000000 466 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 2.569,620000 2.839,040000 0,000000 467 W59956001 L01XX44 AFLIBERCEPTUM **1 ZALTRAP 25 mg/ml CONC. PT. SOL. PERF. 25mg/ ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 5 ML X 4 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 100 MG AFLIBERCEPT PR 1 1.417,130000 1.582,820000 0,000000 468 W62506001 L01XX45 CARFILZOMIBUM **1 KYPROLIS 60 mg PULB. PT. SOL. PERF. 60mg AMGEN EUROPE B.V. OLANDA CUTI E CU 1 FLAC. DI N STI CLA TRANSPARENTA TI P I PT. UTI LI ZARE UNI CA, DO P ELASTO M ERI C LAM I NAT CU FLUO RO PO LI M ERI SI O CAPSA DE ALUM I NI U DE TI P FLI P O FF PR 1 4.602,330000 5.054,700000 0,000000 469 W64660001 L01XX46 OLAPARIBUM **1 O LYNPARZA 100 mg COMPR. FILM. 100mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 151,390535 165,697142 0,000000 470 W64660001 L01XX46 OLAPARIBUM **1 LYNPARZA 100 mg COMPR. FILM. 100mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 151,390535 165,697142 0,000000 471 W64661001 L01XX46 OLAPARIBUM **1 O LYNPARZA 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 181,817500 198,862678 0,000000 472 W64661001 L01XX46 OLAPARIBUM **1 LYNPARZA 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL X 56 COMPR. FILM. PR 56 181,817500 198,862678 0,000000 473 W63372001 L01XX50 IXAZOMIB **1 NINLARO 2,3 mg CAPS. 2,3mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 5.659,946666 6.182,066666 0,000000 474 W63373001 L01XX50 IXAZOMIB **1 NINLARO 3 mg CAPS. 3mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 5.659,946666 6.182,066666 0,000000 475 W63374001 L01XX50 IXAZOMIB **1 NINLARO 4 mg CAPS. 4mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 3 PLIANTE (A CÂTE UN BLISTER DIN PVC-AL/AL) X 1 CAPS. PR 3 5.659,946666 6.182,066666 0,000000 476 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 7 198,901428 222,252857 0,000000 477 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 7 198,901428 222,252857 0,000000 478 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 14 196,758571 217,192142 0,000000 479 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 14 196,758571 217,192142 0,000000 480 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 112 195,150178 213,054642 0,000000 481 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 112 195,150178 213,054642 0,000000 482 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 21,407142 26,134285 0,000000 483 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 21,407142 26,134285 0,000000 484 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 7 101,592857 116,187142 0,000000 485 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 7 101,592857 116,187142 0,000000 486 W65093001 L01XX71 TISAGENLECLEUCEL **1 KYMRIAH DISPERSIE PERF. FARA CONCENTRATIE NOVARTIS EUROPHARM LTD. IRLANDA 1 PANA LA 3 PUNGI DE PERFUZARE (IN FUCTIE DE PACIENT, PANA LA MAX. 50 ML) PR 1 1.365.924,220000 1.488.897,490000 0,000000 487 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 3,132000 3,960000 0,000000 488 W64575001 L02AB01 MEGESTROLUM MEGESIN 160 mg COMPR. 160mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. PR 30 3,132000 3,960000 0,000000 489 W61373001 L02AE02 LEUPRORELINUM ** LEPTOPROL 5 mg IMPLANT 5mg SANDOZ SRL ROMANIA CUTI E CU O SERI NG A PREUM PLUTA DI N PO LI CARBO NAT CU PI STO N DI N CO PO LI M ER ACRI LO NI TRI L- BUTADI ENSTI RENI C SI AC SI G I LATE Î NTR- O PUNG A DI N PO LI ETI LENTEREFTALAT/ AL- PE. SERI NG A PREUM PLUTA CO NTI NE UN I M PLANT PR 1 589,540000 680,750000 0,000000 490 W67702006 L02AE02 LEUPRORELINUM ** ELIGARD 22,5 mg PULB+SOLV. PT. SOL. INJ. 22,5mg RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A. ITALIA CUTI E X 1 SET DE 2 CASETE TERM O FO RM ATATE; O CASETA CO NTI NE O SERI NG A PREUM PLUTA ( SERI NG A A) , PI STO N PT SERI NG A B SI PLI C DESI CANT ; CEALALTA CASETA CO NTI NE O SERI NG A PREUM PLUTA ( SERI NG A B) , AC STERI L SI PLI C DESI CANT PR 1 699,890000 801,030000 0,000000 491 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/COPOLIM ER ACID OLEFINIC CICLIC PREUM PLUTE (O SERINGA A SI O SERINGA B) IN TAVI TERM OFORM ATE PR 1 699,890000 801,030000 0,000000 492 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 1.307,990000 1.463,860000 0,000000 493 W67816001 L02AE02 LEUPRORELINUM ** ELIGARD 45 mg PULB+SOLV.PT.SOL.INJ . 45mg RECORDATI INDUSTRIA CHIMICA E FARMACEUTICA S.P.A. ITALIA O CUTIE DE CARTON CU DOUA CASETE CE CONTIN 2 SERINGI PREUMPLUTE (1 X SERINGA A; 1 X SERINGA B) PR 1 1.307,990000 1.463,860000 0,000000 494 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 1 542,300000 629,260000 0,000000 495 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 1 169,140000 206,490000 0,000000 496 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 1 504,620000 588,190000 0,000000 497 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 1 165,370000 201,880000 0,000000 498 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 11,938571 15,095714 0,000000 499 W55726002 L02AE04 TRIPTORELINUM DIPHERELINE PR 11,25 mg PULB. + SOLV. PT. SUSP. INJ . CU ELIB. PREL. 11,25mg IPSEN PHARMA FRANTA CUTI E CU 1 FLAC. DI N STI CLA CU PULB. PT. SUSP. I NJ. + 1 FI O LA DI N STI CLA I NCO LO RA CU 2 M L SO LV. + 1 BLI ST. CU 1 SERI NG A DI N PP A 3 M L + 1 BLI ST. CU 3 ACE STERI LE S/P-RF 1 586,230000 677,140000 0,000000 500 W55727001 L02AE04 TRIPTORELINUM DIPHERELINE 3,75 mg PULB. + SOLV. PT. SUSP. INJ . CU ELIB. PREL. 3,75mg IPSEN PHARMA FRANTA CUTI E CU 1 FLAC. DI N STI CLA CU PULB. PT. SUSP. I NJ. + 1 FI O LA DI N STI CLA I NCO LO RA X 2 M L SO LV. + 1 BLI ST. CU O SERI NG A X 3 M L + 1 BLI ST. CU 2 ACE STERI LE S/P-RF 1 295,300000 360,500000 0,000000 501 W62618001 L02AE04 TRIPTORELINUM DIPHERELINE 22,5 mg PULB. SI SOLV. PT. SUSP. INJ . CU ELIB. PREL. 22,5mg IPSEN PHARMA FRANTA C U T I E C U 1 F L A C . C U C A P A C I T A T E A D E 6 M L D I N S T I C L A U S O R C O L O R A T A C U P U L B . P T . S U S P . I N J . C U E L I B . P R E L . + 1 F I O L A D I N S T I C L A I N C O L O R A , C U 2 M L S O L V . ( A P A P T . P R E P A R A T E I N J . ) P T . R E C O N S T . S U S P . I N J . + 1 B L I S T . D I N P V C C A R E C O N T I N E 1 S E R I N G A D I N P PR 1 2.033,180000 2.254,320000 0,000000 502 W53654002 L02BA01 TAMOXIFENUM TAMOXIFEN SANDOZ 10 mg COMPR. FILM. 10mg HEXAL AG GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF 100 0,319100 0,417400 0,000000 503 W64160002 L02BA03 FULVESTRANTUM ** FALVAX 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA INCOLORA CU 5 ML SOL. INJ. SI 2 ACE CU SISTEM DE SIGURANTA PRF 2 324,012000 376,062000 436,223000 504 W67405002 L02BA03 FULVESTRANTUM ** IMARSA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg GEDEON RICHT ER ROMANIA S.A. ROMANIA CUTI E CU 2 SERI NG I PREUM PLUTE DI N STI CLA DE TI P I , I NCO LO RA CU PI STO N DE PO LI STI REN SI DO P ELASTO M ERI C SI 2 ACE CU SI STEM DE SI G URANTA ( BD SAFETYG LI DE) PENTRU CO NECTAREA LA SERI NG A X 5 M L SO L. I NJ. PRF 2 324,012000 376,062000 93,973000
26
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
27
comunitare
505 W65489001 L02BA03 FULVESTRANTUM ** FULVESTRANT ROMPHARM 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU DOUA BLIST. CU CATE O SERINGA PREUM PLUTA FIECARE SI DOUA ACE STERILE HIPODERM ICE, FIECARE CONTINE 5 M L SOL. INJ . PRF 2 324,012000 376,062000 436,218000 506 W62773002 L02BA03 FULVESTRANTUM ** FULVESTRANT TEVA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTI E CU 2 SERI NG I PREUM PLUTE DI N STI CLA I NCO LO RA CU PI STO N DI N PP, PREVAZUTE CU SI STEM DE I NCHI DERE CU SI G I LI U SI DO UA ACE, CU CATE 5 M L SO L. INJ. PRF 2 270,010000 313,385000 0,000000 507 W65414001 L02BA03 FULVESTRANTUM ** FULVESTRANT SUN 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA TIP I CONTINAND 5 ML SOL. INJ. PR 1 324,012000 376,062000 471,648000 508 W65414002 L02BA03 FULVESTRANTUM ** FULVESTRANT SUN 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE DIN STICLA INCOLORA TIP I CONTINAND 5 ML SOL. INJ. PR 2 324,012000 376,062000 436,223000 509 W67128002 L02BA03 FULVESTRANTUM ** VASTALOMA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg ALVOGEN PHARMA TRADING EUROPE EOOD BULGARIA CUTI E CU 2 SERI NG I PREUM PLUTE DI N STI CLA, CU TI JA SI PI STO N DE PO LI STI REN SI 2 ACE DE SI G URANTA ( BD SAFETYG LI DE) PENTRU CO NECTARE LA SERI NG A X 5 M L SO L. I NJ. PRF 2 324,012000 376,062000 436,223000 510 W68308002 L02BA03 FULVESTRANTUM ** VASTALOMA 250 mg SOL INJ. IN SERINGA PREUMPLUTA 250mg LABORMED PHARMA S.A. ROMANIA CUTI E CU 2 SERI NG I PREUM PLUTE DI N STI CLA, CU TI JA SI PI STO N DE PO LI STI REN SI 2 ACE DE SI G URANTA ( BD SAFETYG LI DE) PENTRU CO NECTARE LA SERI NG A X 5 M L SO L. I NJ. PRF 2 324,012000 376,062000 436,223000 511 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 2 324,012000 376,062000 436,223000 512 W65851002 L02BA03 FULVESTRANTUM ** FULVESTRANT EVER PHARMA 250 mg SOL. INJ. IN SERINGA PREUMPLUTA 250mg EVER VALINJECT GMBH AUSTRIA CUTIE CU 2 SERINGI PREUM PLUTE DIN STICLA, CU DOP DIN CAUCIUC, PISTON SI STOPPER, PREVAZUTE CU AC X 5 M L SOL. INJ . PRF 2 270,010000 313,385000 0,000000 513 W65873001 L02BA03 FULVESTRANTUM ** FULVESTRANT ACCORD 250 mg SOL. INJ. IN SERINGA PREUMPLUTA 250mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTI E CU 2 SERI NG I DI N STI CLA, CU PI STO N DI N CAUCI UC BRO M O BUTI LI C SI TI JA DI N PLASTI C SI 2 ACE PENTRU I NJECTI I CU SI G URANTA ( BD SAFETYG LI DE) X 5 M L SO L. I NJ. PRF 2 324,012000 376,062000 58,158000 514 W03217002 L02BB01 FLUTAMIDUM FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF 100 2,606800 3,182400 0,000000 515 W65075001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 11,357570 13,865570 3,348715 516 W68106001 L02BB03 BICALUTAMIDUM CASODEX 150 mg COMPR. FILM. 150mg LABORATOIRES JUVISÉ PHARMACEUTICALS FRANTA CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM. P6L 28 11,357570 13,865570 3,348715 517 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 9,464642 11,554642 0,000000 518 W64314001 L02BB03 BICALUTAMIDUM BICALUTAMIDA ALVOGEN 150 mg COMPR. FILM. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L 28 11,357570 13,865570 6,871572 519 W68107001 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg LABORATOIRES JUVISÉ PHARMACEUTICALS FRANTA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1,830400 2,394000 4,076714 520 W66317004 L02BB03 BICALUTAMIDUM BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 1,525333 1,995000 0,000000 521 W65076001 L02BB03 BICALUTAMIDUM CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1,830400 2,394000 4,076714 522 W61108001 L02BB03 BICALUTAMIDUM YONISTIB 50 mg COMPR. FILM. 50mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L 28 1,830400 2,394000 1,106714 523 W60465001 L02BB04 ENZALUTAMIDUM **1 O XTANDI 40 mg CAPS. MOI 40mg ASTELLAS PHARMA EUROPE BV OLANDA CO M PARTI M ENT EXTERI O R CARE CO NTI NE UN BLI STER DE ALUM I NI U/ PVC/ PCTFE CU 28 CAPS. M O I . FI ECARE CUTI E ARE 4 CO M PARTI M ENTE EXTERI O ARE ( 112 CPAS. M O I ) PRF 112 109,667142 119,877946 0,000000 524 W66581001 L02BB04 ENZALUTAMIDUM **1 O XTANDI 40 mg COMPR. FILM. 40mg ASTELLAS PHARMA EUROPE B.V. OLANDA SUPO RT DE CARTO N CARE CO NTI NE UN BLI ST. DE PVC- PCTFE/ AL CU 28 DE CO M PRI M ATE FI LM ATE. FI ECARE CUTI E CO NTI NE 112 CO M PR. FI LM . ( 4 CO M PARTI M ENTE X28) PRF 112 109,667142 119,877946 0,000000 525 W65819001 L02BB05 APALUTAMIDUM **1 O ERLEADA 60 mg COMPR. FILM. 60mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. PVC/PCTFE/AL IN AMBALAJ TIP PORTOFEL X 120 COMPR. FILM. PR 120 128,774000 140,681750 0,000000 526 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 1,446400 1,891999 1,022001 527 W53147002 L02BG03 ANASTROZOLUM ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P6L 28 1,446400 1,891999 0,000143 528 W67720001 L02BG03 ANASTROZOLUM ARIMIDEX 1 mg COMPR. FILM. 1mg LABORATOIRES JUVISÉ PHARMACEUTICALS FRANTA CUTIE CU 2 BLIST. TIP CALENDAR PVC/AL X 14 COMPR. FILM. P6L 28 1,446400 1,891999 2,291215 529 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 1,446400 1,891999 0,007643 530 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 1,446400 1,891999 2,291215 531 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 1,446400 1,891999 2,291215 532 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 1,205333 1,576666 0,000000 533 W62173002 L02BG04 LETROZOLUM ZEQUIPRA 2,5 mg COMPR. FILM. 2,5mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM. P6L 30 2,127000 2,689333 0,000000 534 W58106004 L02BG04 LETROZOLUM TROZEL 2,5 mg COMPR. FILM. 2,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L 30 2,127333 2,689666 0,000000 535 W55646003 L02BG04 LETROZOLUM LETROZOL ALVOGEN 2,5 mg COMPR. FILM. 2,5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L 30 2,019666 2,553666 0,000000 536 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 1,876000 2,372000 0,000000 537 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 1,916000 2,422666 0,000000 538 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 2,320666 2,934333 0,000000 539 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 2,784333 3,520333 0,000000 540 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 2,320666 2,934333 0,000000 541 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 2,784799 3,521200 0,278133 542 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 2,784799 3,521200 0,224466 543 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 2,784799 3,521200 0,224466 544 W58139001 L02BX03 ABIRATERONUM **1 O ZYTIGA 250 mg COMPR. 250mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU FLACON DIN PEÎD X 120 COMPRIMATE PRF 120 100,530250 109,896000 0,000000 545 W63682002 L02BX03 ABIRATERONUM **1 ZYTIGA 500 mg COMPR. FILM. 500mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU BLIST. PVDC/PE/PVC X 60 COMPR. FILM. (5 AMBALAJE DE TIP PORTOFEL A CATE 12 COMPRIMATE) PRF 60 207,757333 227,091666 0,000000 546 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76,032000 92,030400 83,669600 547 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127,632000 148,274400 129,275600 548 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 12 MU/0,2 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45,800000 59,910000 0,000000 549 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 550 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 551 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127,632000 148,274400 209,375600 552 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 70 MU/0,73 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231,680000 282,840000 0,000000 553 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 63,360000 76,692000 0,000000 554 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 63,360000 76,692000 0,000000 555 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 5 106,360000 123,562000 0,000000 556 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 5 106,360000 123,562000 0,000000 557 W65705001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUT IE CU 1 SERINGA PREUMPLUTA CARE CONT INE 0,6 ML SOL. INJ. PR 1 1.802,350000 2.002,710000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
558 W64949001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUT IE CU 1 SERINGA PREUMPLUTA CARE CONT INE 0,6 ML SOL. INJ. PR 1 1.802,350000 2.002,710000 0,000000 559 W65254001 L03AA13 PEGFILGRASTIMUM ** ZIEXTENZO 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg SANDOZ GMBH AUSTRIA CUT IE CU 1 SERINGA PREUMPLUTA CARE CONT INE 0,6 ML SOL. INJ. PR 1 1.708,820000 1.900,770000 0,000000 560 W51563001 L03AA13 PEGFILGRASTIMUM ** NEULASTA 6mg SOL. INJ. 6mg(10mg/ml) AMGEN EUROPE B.V. OLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML (10 MG/ML) SOL. INJ. PR 1 1.802,350000 2.002,710000 0,000000 561 W66201001 L03AA13 PEGFILGRASTIMUM ** PELGRAZ 6 mg SOL. INJ. IN INJECTOR PREUMPLUT 6mg ACCORD HEALTHCARE S.L.U. SPANIA CUT IE CU 1 INJECT OR PREUMPLUT CARE CONT INE 0,6 ML SOL. INJ. PR 1 1.652,370000 1.839,240000 0,000000 562 W66175001 L03AA13 PEGFILGRASTIMUM ** GRASUSTEK 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml JUTA PHARMA GMBH GERMANIA CUTIE CU 1 SERINGA PREUM PLUTA CU DOP DIN CAUCIUC SI AC DIN OTEL INOXIDABIL CU GARDA AUTOM ATA A ACUL UI X 0 ,6 M L SOL. INJ . (6 M G PEGFILGRASTIM ) PR 1 1.640,700000 1.826,510000 0,000000 563 W66956001 L03AA13 PEGFILGRASTIMUM ** PELMEG 6 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml MUNDIPHARMA CORPORATION (IRELAND) LIMITED IRLANDA CUTIE CU AMBALAJ TIP BLISTER CE CONTINE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ. PR 1 1.667,000000 1.855,180000 0,000000 564 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 1.667,000000 1.855,180000 0,000000 565 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 55,437142 61,788928 0,000000 566 W65684001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 10 mg CAPS. 10mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 337,378285 369,922856 66,474286 567 W64957001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 10 mg CAPS. 10mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 281,148571 308,269047 0,000000 568 W66645002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 10 mg CAPS. 10mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 337,378285 369,922856 24,922382 569 W65248003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 10 mg CAPS. 10mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 337,378285 369,922856 61,432858 570 W66646002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 15 mg CAPS. 15mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 367,207142 402,072857 0,000000 571 W64958001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 15 mg CAPS. 15mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 367,207142 402,072857 0,000000 572 W65685001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 15 mg CAPS. 15mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 440,648570 482,487428 12,217810 573 W65249003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 15 mg CAPS. 15mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 440,648570 482,487428 15,389238 574 W65687001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 25 mg CAPS. 25mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 501,280476 548,212857 0,000000 575 W66648002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 25 mg CAPS. 25mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 500,989523 547,896190 0,000000 576 W65251003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 25 mg CAPS. 25mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 501,280476 548,212857 0,000000 577 W64960001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 25 mg CAPS. 25mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 492,882857 539,059523 0,000000 578 W66643002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA GRINDEKS 5 mg CAPS. 5mg AS GRINDEKS LETONIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 21 CAPS. PR 21 324,458285 355,840000 27,447619 579 W65246003 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA SANDOZ 5 mg CAPS. 5mg SANDOZ SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 21 CAPS. PR 21 324,458285 355,840000 90,444285 580 W64955002 L04AX04 LENALIDOMIDUM ** LENALIDOMIDA ALVOGEN 5 mg CAPS. 5mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PVC-ACLAR/AL X 21 CAPS. PR 21 324,458285 355,840000 82,979523 581 W65682001 L04AX04 LENALIDOMIDUM ** LENALIDOMIDE ACCORD 5 mg CAPS. 5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. OPA/AL-PVC/AL X 21X1 CAPS. PR 21 270,381904 296,533333 0,000000 582 W68143001 L04AX06 POMALIDOMIDUM **1 IMNOVID 4 mg CAPS. 4mg BRISTOL-MYERS SQUIBB PHARMA EEIG IRLANDA CUTIE CU BLIST. PVC/PCTFE X 21 CAPS. PR 21 1.680,387142 1.833,440952 0,000000 583 W64986001 L04AX06 POMALIDOMIDUM **1 IMNOVID 4 mg CAPS. 4mg CELGENE EUROPE B.V. OLANDA CUTIE CU BLIST. PVC/PCTFE X 21 CAPS. PR 21 1.680,387142 1.833,440952 0,000000 584 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 585 W64719001 M05BA02 ACIDUM CLODRONICUM ** SINDRONAT 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 37,490000 49,040000 0,000000 586 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 8,306570 10,140857 2,372000 587 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 6,922142 8,450714 0,000000 588 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 1 275,916000 336,840000 64,730000 589 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 1 229,930000 280,700000 0,000000 590 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 93,864000 118,680000 60,890000 591 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 78,220000 98,900000 0,000000 592 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 93,864000 118,680000 17,540000 593 W68080001 M05BA08 ACIDUM ZOLEDRONICUM ** ZERLINDA 4 mg/100 ml SOL. PERF. 4mg/100ml TEVA B.V. OLANDA CUTIE CU 1 PUNGA A 100 ML SOL. PERF. PR 1 93,864000 118,680000 10,230000 594 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 93,864000 118,680000 10,230000 595 W66310001 M05BA08 ACIDUM ZOLEDRONICUM ** ACID ZOLEDRONIC ACCORD 4 mg/100 ml SOL. PERF. 4mg/100ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 1 PUNGA DIN PLASTIC POLIOLEFINIC CU 100 ML SOL. PERF. PR 1 93,864000 118,680000 344,710000 596 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 7,430000 9,070666 0,000000 597 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 37,090000 48,520000 0,000000 598 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 37,090000 48,520000 0,000000 599 W62525006 V03AF03 CALCII FOLINAS FOLINAT DE CALCIU KABI 10 mg/ml SOL. INJ./PERF. 10mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTI E CU 10 FLACO ANE DI N STI CLA BRUNA, PREVAZUTE CU DO P DI N CAUCI UC CLO RO BUTI LI C SI SI G I LATE CU CAPSA DI N AL TI P FLI P- O FF SI DI SC DE CULO ARE G ALBENA, CARE CO NTI N 10 M L SO L. I NJ. / PERF. PR 10 44,508000 58,224000 26,822000
P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE
Subprogramul de tratament al sclerozei multiple
1 W65163001 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK EUROPE B.V. OLANDA CUTI E CU 4 CARTUSE ( DI N STI CLA DE TI P I ) , CU DO P CU PI STO N ( DI N CAUCI UC) SI UN CAPAC FARA FI LET ( DI N ALUM I NI U SI CAUCI UC HALO BUTI LI C) CO NTI NAND 1. 5 M L SO LUTI E I NJECTABI LA PR 4 767,805000 846,445000 0,000000 2 W62420001 L03AB07 INTERFERONUM BETA 1A **1 REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTI E X 4 CARTUSE ( DI N STI CLA DE TI P I ) , CU DO P CU PI STO N ( DI N CAUCI UC) SI UN CAPAC FARA FI LET ( DI N ALUM I NI U SI CAUCI UC HALO BUTILIC) CO NTINAND 1. 5 M L SO LUTI E INJECTABI LA PR 4 767,805000 846,445000 0,000000 3 W65147001 L03AB07 INTERFERONUM BETA 1A **1 AVONEX 30μg/0,5ml PEN SO L I NJ. I N STI LO U I NJECTO R ( PEN) PREUM PLUT 30μg/0,5ml BIOGEN NETHERLANDS B.V. OLANDA AM BALAJ X 4 CUTI I I NDI VI DUALE FI ECARE CO NTI NAND 1 STI LO U I NJECTO R ( PEN) DE UNI CA FO LO SI NTA, 1 AC DE I NJECTI E SI 1 CAPAC PENTRU STI LO U I NJECTO R ( PEN) X 0. 5M L PR 4 694,862500 766,937500 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 12 260,625833 287,261666 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 12 260,625833 287,261666 0,000000
28
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
6 W63878007 L03AB08 INTERFERONUM BETA 1-B **1 BETAFERON 250μg/ml PULB. + SOLV. PT. SOL. INJ . 250μg/ml BAYER AG GERMANIA CUTIE X 15 AM BALAJ E M ULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUM PLUTA CU SOLV. + ADAPTOR CU AC SI 2 TAM POANE CU AL COOL PR 15 176,052666 194,440666 0,000000 7 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 I NI TI ERE CO NTI NE 1 PEN PREUM PLUT DE 63 M I CRO G RAM E ( PEN CU ETI CHETA PO RTO CALI E, PRI M A DO ZA) SI 1 PEN PREUM PLUT DE 94 M I CRO G RAM E( PEN CU ETI CHETA ALBASTRA, A DO UA DO ZA) PRF 1 1.742,360000 1.937,320000 0,000000 8 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 1.244,110000 1.375,155000 0,000000 9 W68201002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 40 mg/ml SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml LABORMED PHARMA S.A. ROMANIA CUTIE CU 12 SERINGI PREUMPLUTE X 1 ML SOL. INJ. PR 12 146,840000 163,235000 0,000000 10 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 12 146,840000 163,235000 0,000000 11 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 12 176,208000 195,882000 10,653833 12 W68309002 L03AX13 GLATIRAMER ACETAT **1 REMUREL 20 mg/ml SOL. INJ. IN SERINGA PREUMPLUTA 20mg/ml LABORMED PHARMA S.A. ROMANIA CUTIE CU 28 SERINGI PREUM PLUTE DIN STICLA DE UNICA FOLOSINTA, CU AC INCORPORAT, ACOPERIT CU UN CAPAC PROTECTOR CARE CONTIN SOL. INJ . PR 28 83,830357 92,737857 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 PREUM PLUTE DIN STICLA DE UNICA FOLOSINTA, CU AC INCORPORAT, ACOPERIT CU UN CAPAC PROTECTOR CARE CONTIN SOL. INJ . PR 28 83,830357 92,737857 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 5.046,760000 5.539,130000 0,000000 15 W67544001 L04AA23 NATALIZUMABUM **1 TYSABRI 150mg SOL INJ. IN SERINGA PREUMPLUTA 150mg BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU 2 SERINGI PREUMPLUTE PR 2 2.598,655000 2.851,615000 0,000000 16 W66496002 L04AA27 FINGOLIMODUM **1 O GILENYA 0,25 mg CAPS. 0,25mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. DIN PVC/PVDC/AL X 28 CAPS. PR 28 138,649642 152,490714 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 28 222,922857 244,348571 0,000000 18 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 28 222,922857 244,348571 0,000000 19 W60449002 L04AA31 TERIFLUNOMIDUM **1 AUBAGIO COMPR. FILM. 14mg SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 28 COMPR. FILM. PR 28 107,301071 118,320714 0,000000 20 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 25.586,420000 27.927,380000 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 22.911,580000 25.011,800000 0,000000 22 W64663001 L04AA40 CLADRIBINUM **1 O MAVENCLAD 10 mg COMPR. 10mg MERCK EUROPE B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC-AL X 1 COMPR. (AMBALAJ TIP PORTOFEL) PR 1 8.029,370000 8.790,170000 0,000000 23 W64663002 L04AA40 CLADRIBINUM **1 O MAVENCLAD 10 mg COMPR. 10mg MERCK EUROPE B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC-AL X 4 COMPR. (AMBALAJ TIP PORTOFEL) PR 4 8.006,850000 8.737,015000 0,000000 24 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,488400 0,638800 0,000000 25 W65150001 L04AX07 DIMETHYL FUMARATE **1 O TECFIDERA 120 mg CAPS. GASTROREZ. 120mg BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU BLIST. PVC/PE/PVDC-PVC ALUMINIU X 14 CAPS. GASTROREZ. PR 14 34,018571 39,805000 0,000000 26 W65151001 L04AX07 DIMETHYL FUMARATE **1 O TECFIDERA 240 mg CAPS. GASTROREZ. 240mg BIOGEN NETHERLANDS B.V. OLANDA CUTIE CU BLIST. PVC/PE/PVDC-PVC ALUMINIU X 56 CAPS. GASTROREZ. PR 56 64,281607 70,748214 0,000000
P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT
29
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 57,820000 73,110000 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 19,211666 23,453333 0,000000 3 W08452003 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ. P-RF 5 17,706000 22,388000 0,000000 4 W08451001 A10AB01 INSULINE UMANE INSUMAN RAPID 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF 5 35,114000 42,868000 0,000000 5 W53811003 A10AB01 INSULINE UMANE INSUMAN RAPID 100 UI/ml SoloStar SOL. INJ . IN STILOU INJ ECTOR PREUM PLUT 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 16,766000 21,200000 0,000000 6 W66676001 A10AB04 INSULINUM LISPRO ** LYUMJEV 100U/ml SO L I NJ. I N STI LO U I NJECTO R ( PEN) PREUM PLUT 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE PREUMPLUTE (KWIKPEN) X 3 ML SOL. INJ. (3,5MG/ML) PRF 5 28,951200 35,342400 1,469600 7 W64009002 A10AB04 INSULINUM LISPRO ** HUMALOG 100 unitati/ml JUNIOR KWIKPEN SO L I NJ. I N STI LO U I NJECTO R ( PEN) PREUM PLUT 100unitati/ml ELI LILLY NEDERLAND BV OLANDA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE A CATE 3 ML SOL. INJ. PRF 5 28,951200 35,342400 1,717600 8 W66677001 A10AB04 INSULINUM LISPRO ** LYUMJEV 200U/ml SO L I NJ. I N STI LO U I NJECTO R ( PEN) PREUM PLUT 200 U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE PREUMPLUTE (KWIKPEN) X 3 ML SOL. INJ. (6,9MG/ML) PRF 5 64,868000 78,336000 0,000000 9 W62269001 A10AB04 INSULINUM LISPRO ** HUMALOG 200 UNITATI/ml SO L I NJ. I N STI LO U I NJECTO R ( PEN) PREUM PLUT 200unitati/ml ELI LILLY NEDERLAND BV OLANDA 5 STILOURI INJECTOARE (PEN) PREUMPLUTE A 3 ML (KWIKPEN) PRF 5 60,236000 73,288000 0,000000 10 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 28,951200 35,342400 2,459600 11 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 24,126000 29,452000 0,000000 12 W63977001 A10AB05 INSULINUM ASPART ** FIASP 100 unitati/ml SOL INJ. IN FLAC. 100unitati/ml NOVO NORDISK A/S DANEMARCA 1 FLAC. (STICLA) X 10 ML SOL. PRF 1 77,780000 98,350000 0,000000 13 W63975005 A10AB05 INSULINUM ASPART ** FIASP 100 unitati/ml SOL INJ . IN STILOU INJ ECTOR PREUM PLUT 100unitati/ml NOVO NORDISK A/S DANEMARCA 5 STILOURI INJECTOARE PREUMPLUTE (STICLA) (FLEXTOUCH) X 3 ML SOL. PRF 5 29,966400 36,583200 0,286800 14 W08932002 A10AB05 INSULINUM ASPART ** NOVORAPID FLEXPEN 100 unitati/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML P-RF 5 28,740000 35,086000 0,000000 15 W07268001 A10AB05 INSULINUM ASPART ** NOVORAPID PENFILL 100 unitati/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 24,972000 30,486000 0,000000 16 W41740004 A10AB06 INSULINUM GLULIZINA ** APIDRA 100U/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF 5 22,410000 27,358000 0,000000 17 W52538004 A10AB06 INSULINUM GLULIZINA ** APIDRA 100U/ml SOL. INJ . IN STILOU INJ ECTOR PREUM PLUT 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ. P-RF 5 22,594000 27,582000 0,000000 18 W64795002 A10AC01 INSULINE UMANE HUMULIN N KwikPen 100 UI/ml SUSP. INJ. 100UI/ml LILLY FRANCE S.A.S. FRANTA CUTIE CU 6 STILOURI INJECTOARE A CATE 3 ML SUSP. INJ. PRF 6 20,311200 25,680000 5,936666 19 W08444003 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF 5 16,926000 21,400000 0,000000 20 W53808003 A10AC01 INSULINE UMANE INSUMAN BASAL 100UI/ml SoloStar SUSP. INJ . IN STILOU INJ ECTOR PREUM PLUT 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 16,944000 21,424000 0,000000 21 W64796002 A10AD01 INSULINE UMANE HUMULIN M3 Kw ikPen 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 20,764800 26,256000 4,740666 22 W03703002 A10AD01 INSULINE UMANE MIXTARD 30 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 20,114000 24,554000 0,000000 23 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 17,834000 22,550000 0,000000 24 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 20,764800 26,256000 4,486000 25 W08445002 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF 5 27,924000 34,090000 0,000000 26 W53810003 A10AD01 INSULINE UMANE INSUMAN COMB 25 100UI/ml SoloStar SUSP. INJ . IN STILOU INJ ECTOR PREUM PLUT 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 17,304000 21,880000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
27 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 25,416000 31,028000 0,000000 28 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 30,499200 37,233600 0,436400 29 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 30,499200 37,233600 0,436400 30 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 25,426000 31,040000 0,000000 31 W08973001 A10AD05 INSULINUM ASPART ** NOVOMIX 30 FLEXPEN SUSP. INJ. 100UIml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML P-RF 5 32,042400 39,117600 0,420400 32 W08254001 A10AD05 INSULINUM ASPART ** NOVOMIX 30 PENFILL 100 U/ml SUSP. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF 5 26,702000 32,598000 0,000000 33 W65160002 A10AE04 INSULINUM GLARGINE ** ABASAGLAR SO L I NJ. I N STI LO U I NJECTO R ( PEN) PREUM PLUT 100UI/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ X10 STILOURI PRE-UMPLUTE/PEN (2 CUTII X 5 PEN) A 3ML DOZAJ 80U PRF 10 36,669000 43,784000 0,000000 34 W08054002 A10AE04 INSULINUM GLARGINE ** LANTUS 100UI/ml SOL. INJ. IN CARTUS 100U/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. P-RF 5 38,690000 47,234000 0,000000 35 W65691001 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 Unitati/ml DOUBLESTAR SO L. INJ. IN STILOU INJECTOR ( PEN) PREUM PLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 3 STILOURI INJECTOARE PREUMPLUTE X 3 ML SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT DOUBLESTAR PRF 3 113,090000 135,983333 0,000000 36 W61744003 A10AE04 INSULINUM GLARGINE ** TOUJEO 300 unitati/ml SO L. INJ. IN STILOU INJECTOR ( PEN) PREUM PLUT 300unitati/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 5 STILOURI INJECTOARE PREUMPLUTE X 1,5 ML SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT SOLOSTAR PRF 5 54,866000 66,980000 0,000000 37 W52628008 A10AE04 INSULINUM GLARGINE ** LANTUS SoloStar SOL. INJ . IN STILOU INJ ECTOR PREUM PLUT 100UI/ml SANOFI - AVENTIS DEUTSCHLAND GMBH GERMANIA CUT IE X 5 STILOURI INJECT OARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 38,714000 47,262000 0,000000 38 W41731002 A10AE05 INSULINUM DETEMIR ** LEVEMIR FLEXPEN 100 unitati/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUT IE X 5 STILOURI INJECT OARE (PEN-URI) PREUMPLUTE X 3 ML P-RF 5 46,824000 57,162000 0,000000 39 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 42,674000 52,096000 0,000000 40 W66105004 A10AE06 INSULINUM DEGLUDEC ** TRESIBA 100 unitati/ml SOL INJ . IN STILOU INJ ECTOR PREUM PLUT 100 UI/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 5 STILOURI INJECTOARE PREUMPLUTE (FLEXTOUCH) X 3 ML SOL. INJ. PRF 5 52,876000 64,552000 0,000000 41 W63476001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+33 micrograme/ml SO L I NJ. I N STI LO U I NJECTO R ( PEN) PREUM PLUT 100unitati/ml+33micrograme/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 68,880000 82,710000 0,000000 42 W63475001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+50 micrograme/ml SO L I NJ. I N STI LO U I NJECTO R ( PEN) PREUM PLUT 100unitati/ml+50micrograme/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF 5 132,442000 151,992000 0,000000 43 W53953002 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. PRF 200 0,172866 0,226066 0,100284 44 W53953004 A10BA02 METFORMINUM METFORMINA ARENA 1000 mg COMPR. 1000mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. DIN PE X 180 COMPR. PRF 180 0,144055 0,188388 0,000000 45 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 0,171199 0,231199 0,019967 46 W53952001 A10BA02 METFORMINUM METFORMIN ARENA 850 MG COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 COMPR. PRF 15 0,094000 0,126666 0,000000 47 W53952003 A10BA02 METFORMINUM METFORMIN ARENA 850 mg COMPR. 850mg ARENA GROUP SA ROMANIA CUTIE X 6 BLIST. PVC/AL X 10 COMPRIMATE PRF 60 0,093500 0,126333 0,000000 48 W65730002 A10BA02 METFORMINUM SIOFOR 1000 mg COMPR. CU ELIB. PREL. 1000mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0,172866 0,226066 0,376267 49 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 0,171199 0,231199 0,189801 50 W65729002 A10BA02 METFORMINUM SIOFOR 750 mg COMPR. CU ELIB. PREL. 750mg BERLIN - CHEMIE AG GERMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. ELIB. PREL. P6L 30 0,334333 0,452000 0,000000 51 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 0,172866 0,226066 0,701934 52 W63931004 A10BA02 METFORMINUM GLUCOPHAGE XR 1000 mg COMPR. ELIB. PREL. 1000mg MERCK SANTE S.A.S. FRANTA CUTIE CU 6 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. PRF 60 0,172866 0,226066 0,683600 53 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 0,171199 0,231199 1,085801 54 W43318002 A10BA02 METFORMINUM GLUCOPHAGE XR 500 mg COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P6L 30 0,171199 0,231199 0,293134 55 W63930004 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 4 BLIST. PVC/PVDC/AL X 15 COMPR. ELIB. PREL. PRF 60 0,401200 0,542400 0,221100 56 W63930002 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 2 BLIST. PVC/PVDC/AL X 15 COMPR. ELIB. PREL. PRF 30 0,401200 0,542400 0,148933 57 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 0,172866 0,226066 0,068267 58 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 0,154083 0,208250 0,000000 59 W65995002 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0,172866 0,226066 0,050267 60 W13583011 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL, X 60 COMPR. FILM. P-6L 60 0,172866 0,226066 0,077267 61 W13955002 A10BA02 METFORMINUM MEGUAN 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 30 0,171199 0,231199 0,041134 62 W13955001 A10BA02 METFORMINUM MEGUAN 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L 20 0,171199 0,231199 0,040801 63 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 0,142666 0,192666 0,000000 64 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 0,112200 0,151600 0,110733 65 W41858004 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P6L 1000 0,054150 0,068470 0,000000 66 W41858002 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P6L 100 0,054200 0,073200 0,000000 67 W41858003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P6L 30 0,054333 0,073333 0,000000 68 W41859004 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P6L 1000 0,039040 0,051070 0,000000 69 W41859003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P6L 30 0,039333 0,053000 0,000000 70 W41859002 A10BB01 GLIBENCLAMIDUM GLIBENCLAMIDA ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P6L 100 0,039000 0,052700 0,000000 71 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 1,349000 1,764333 0,000000 72 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 1,349000 1,764333 0,000000 73 W03352001 A10BB08 GLIQUIDONUM GLURENORM 30 mg COMPR. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF 60 0,293666 0,397000 0,000000 74 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 0,419833 0,549166 0,000000 75 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 0,419833 0,549166 0,000000 76 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 0,503800 0,658999 0,047001 77 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 0,211833 0,286333 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 0,211833 0,286333 0,000000 79 W62433005 A10BB12 GLIMEPIRIDUM AMARYL 1mg COMPR. 1mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,139333 0,188333 0,000000
30
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
31
comunitare
80 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 0,228000 0,308000 0,000000 81 W62435004 A10BB12 GLIMEPIRIDUM AMARYL 3 mg COMPR. 3mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR. P-RF 30 0,389333 0,526333 0,000000 82 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 0,424333 0,573666 0,000000 83 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 0,728666 0,984666 0,000000 84 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 0,216000 0,292000 0,000000 85 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 0,212240 0,259100 0,000000 86 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 0,254688 0,310920 0,126080 87 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 0,448666 0,586833 0,000000 88 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 0,448666 0,586833 0,000000 89 W67718003 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 1,377142 1,801428 0,000000 90 W67718004 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 1,377333 1,801666 0,000000 91 W67718005 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 56 COMPR. FILM. PRF 56 1,353571 1,711428 0,000000 92 W67718006 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** MAYMETSI 50 mg/1000 mg COMPR. FILM. 50mg/1000mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60 1,353500 1,711333 0,000000 93 W64669003 A10BD07 COMBINATII (SITAGLIPTINUM+METFORMINUM) ** JANUMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PE/PVDC/AL X 56 COMPR. FILM. PRF 56 1,624200 2,053600 0,369792 94 W67394004 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** GLUAMET 50 mg/850 mg COMPR. FILM. 50 mg/850 mg MERCK ROMANIA SRL ROMANIA CUT IE CU BLISTERE DIN OPA-AL-PVC/AL X 60 COMPRIMAT E FILMATE PRF 60 1,731600 2,189400 0,125100 95 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 1,624999 2,054599 0,207734 96 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 1,624999 2,054599 0,207734 97 W67399004 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** GLUAMET 50 mg/1000 mg COMPR. FILM. 50mg/1000mg MERCK ROMANIA SRL ROMANIA CUT IE CU BLISTERE DIN OPA-AL-PVC/AL X 60 COMPRIMAT E FILMATE PRF 60 1,624999 2,054599 0,259901 98 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 1,354166 1,712166 0,000000 99 W67492002 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** AGARTHA DUO 50 mg/1000 mg COMPR. FILM. 50mg/1000mg GEDEON RICHT ER ROMANIA S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC//AL X 60 COMPR. FILM. PRF 60 1,443000 1,824500 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 1,731600 2,189400 0,061600 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 1,731600 2,189400 0,072933 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 1,731600 2,189400 0,072933 103 W67491002 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** AGARTHA DUO 50 mg/850 mg COMPR. FILM. 50mg/850mg GEDEON RICHT ER ROMANIA S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC//AL X 60 COMPR. FILM. PRF 60 1,443000 1,824500 0,000000 104 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 105 W62325003 A10BD15 COMBINATII (DAPAGLIFLOZINUM+METFORMINUM) ** XIGDUO 5 mg/1000 mg COMPR. FILM. 5mg/1000mg ASTRAZENECA AB SUEDIA BLIST. PVC/PCTFE/AL X 56 COMPR. FILM. PRF 56 2,844821 3,472857 0,000000 106 W62325004 A10BD15 COMBINATII (DAPAGLIFLOZINUM+METFORMINUM) ** XIGDUO 5 mg/1000 mg COMPR. FILM. 5mg/1000mg ASTRAZENECA AB SUEDIA BLIST. PVC/PCTFE/AL X 60 COMPR. FILM. PRF 60 2,844666 3,472833 0,000000 107 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 10,732000 12,969666 0,000000 108 W63883002 A10BF01 ACARBOSUM GLUCOBAY 100 COMPR. 100mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0,420500 0,531666 0,000000 109 W63882002 A10BF01 ACARBOSUM GLUCOBAY 50 COMPR. 50mg BAYER AG GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR. P6L 120 0,272500 0,356416 0,000000 110 W61804002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 15 mg COMPR. 15mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,054666 1,379666 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 1,054666 1,379666 0,000000 112 W65699002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 30 mg COMPR. 30mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1,118000 1,462333 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 1,118000 1,462333 0,000000 114 W61806002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. AL/AL X 30 COMPR. PRF 30 1,118000 1,462333 0,000000 115 W65700002 A10BG03 PIOGLITAZONUM ** PIOGLITAZONE ACCORD 45 mg COMPR. 45mg ACCORD HEALTHCARE S.L.U. SPANIA BLIST. AL/AL X 30 COMPR. PRF 30 1,118000 1,462333 0,000000 116 W67106002 A10BH01 SITAGLIPTINUM ** MAYSIGLU 100 mg COMPR. FILM. 100mg KRKA, D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. PRF 28 2,707142 3,422857 0,000000 117 W67106003 A10BH01 SITAGLIPTINUM ** MAYSIGLU 100 mg COMPR. FILM. 100mg KRKA, D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 2,707000 3,422666 0,000000 118 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 3,248400 4,107199 0,739586 119 W64964002 A10BH01 SITAGLIPTINUM ** JANUVIA 50 mg COMPR. FILM. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) PRF 28 3,332857 4,213928 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 1,886607 2,303214 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 1,886607 2,303214 0,000000 122 W64117005 A10BH02 VILDAGLIPTINUM ** DALMEVIN 50 mg COMPR. 50mg MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. PA-AL-PVC/AL X 56 COMPR. PRF 56 1,883214 2,298928 0,000000 123 W66805004 A10BH02 VILDAGLIPTINUM ** GLUADDA 50 mg COMPR. 50mg MERCK ROMANIA SRL ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 1,863666 2,356333 0,000000 124 W66814002 A10BH02 VILDAGLIPTINUM ** AGARTHA 50 mg COMPR. 50mg GEDEON RICHT ER ROMANIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. PRF 30 1,826000 2,309000 0,000000 125 W62289009 A10BH03 SAXAGLIPTIN ** ONGLYZA COMPR. FILM. 5 mg ASTRAZENECA AB SUEDIA CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM. P-RF 30 4,980333 6,080000 0,000000 126 W61682001 A10BJ01 EXENATIDUM ** BYETTA 10μg/doza SOL. INJ . IN STILOU INJ ECTOR PREUM PLUT 10μg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 324,980000 392,380000 0,000000 127 W61681001 A10BJ01 EXENATIDUM ** BYETTA 5μg/doza SOL. INJ . IN STILOU INJ ECTOR PREUM PLUT 5μg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF 1 229,390000 280,040000 0,000000 128 W64922001 A10BJ01 EXENATIDUM ** BYDUREON 2 mg SUSP. I NJ. CU ELI B. PREL. I N STI LO U I NJECO TR ( PEN) 2mg ASTRAZENECA AB SUEDIA AMBALAJ X 4 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE CU DOZA UNICA (BCISE) PRF 4 97,260000 115,550000 0,000000 129 W54586003 A10BJ02 LIRAGLUTIDUM ** VICTOZA 6 mg/ml SOL. INJ . IN STILOU INJ ECTOR PREUM PLUT 6 mg/ml NOVO NORDISK A/S DANEMARCA CUTIE X 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML SOLUTIE INJECTABILA/STILOU P-RF 3 187,480000 217,070000 0,000000 130 W61462002 A10BJ05 DULAGLUTIDUM ** TRULICITY 1,5 mg/0,5ml SOL INJ. 1,5 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AM BALAJ M ULTI PLU X 12 ( 3 PACHETE A CÂTE 4) STI LO URI I NJECTO ARE ( PENURI ) PREUM PLUTE CU 0, 5 M L SO LUTI E I NJECTABI LA ( FI ECARE CU 1, 5M G DULAG LUTI D) PRF 12 94,344166 106,014166 0,000000 131 W67148001 A10BJ05 DULAGLUTIDUM ** TRULICITY 3 mg/0,5ml SOL INJ. 3 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AM BALAJ M ULTIPLU X 12 (3 PACHETE A CÂTE 4 ) STILOURI INJ ECTOARE (PENURI) PREUM PLUTE CU 0 ,5 M L SOLUTIE INJ ECTABIL A (FIECARE CU 3 M G DUL AGLUTID) PRF 12 94,344166 106,014166 0,000000 132 W67149001 A10BJ05 DULAGLUTIDUM ** TRULICITY 4,5 mg/0,5ml SOL INJ. 4,5 mg/0,5ml ELI LILLY NEDERLAND BV OLANDA AM BALAJ M ULTI PLU X 12 ( 3 PACHETE A CÂTE 4) STI LO URI I NJECTO ARE ( PENURI ) PREUM PLUTE CU 0, 5 M L SO LUTI E I NJECTABI LA ( FI ECARE CU 4, 5M G DULAG LUTI D) PRF 12 94,344166 106,014166 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
133 W66743003 A10BJ06 SEMAGLUTIDUM ** RYBELSUS 14 mg COMPR. 14 mg NOVO NORDISK A/S DANEMARCA CUTIE CU BLIST. AL/AL X 90 COMPRIMATE PRF 90 14,333333 16,047222 0,000000 134 W66741002 A10BJ06 SEMAGLUTIDUM ** RYBELSUS 3 mg COMPR. 3 mg NOVO NORDISK A/S DANEMARCA CUTIE CU BLIST. AL/AL X 30 COMPRIMATE PRF 30 14,666666 17,258333 0,000000 135 W66742004 A10BJ06 SEMAGLUTIDUM ** RYBELSUS 7 mg COMPR. 7 mg NOVO NORDISK A/S DANEMARCA CUTIE CU BLIST. AL/AL X 90 COMPRIMATE PRF 90 14,333333 16,047222 0,000000 136 W65787002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 1 mg SO L. INJ. IN STILOU INJECTOR ( PEN) PREUM PLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 1 MG SEMAGLUTIDA PRF 3 369,183333 415,126666 0,000000 137 W65785001 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,25 mg SO L. INJ. IN STILOU INJECTOR ( PEN) PREUM PLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT + 4 ACE X 0,25 MG SEMAGLUTIDA PRF 1 351,070000 420,820000 0,000000 138 W65786002 A10BJ06 SEMAGLUTIDUM ** OZEMPIC 0,5 mg SO L. INJ. IN STILOU INJECTOR ( PEN) PREUM PLUT 1,34mg/ml NOVO NORDISK A/S DANEMARCA CUTIE CU 3 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE + 12 ACE X 0,5 MG SEMAGLUTIDA PRF 3 369,183333 415,126666 0,000000 139 W62286004 A10BK01 DAPAGLIFLOZINUM ** FORXIGA 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUT IE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNIT ATE DOZAT A) PRF 30 5,334333 6,512000 0,000000 140 W62286005 A10BK01 DAPAGLIFLOZINUM ** FORXIGA 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUT IE CU BLIST. DIN ALU/ALU X 90X1 COMPR. FILM. (UNIT ATE DOZAT A PRF 90 6,201555 7,183555 0,000000 141 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 5,741666 7,009333 0,000000 142 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 5,741666 7,009333 0,000000 143 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 0,119333 0,161333 0,186000 144 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 0,119333 0,161333 0,186000 145 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 0,119333 0,161333 0,174767 146 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 0,099444 0,134444 0,000000 147 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 0,119333 0,161333 0,174750 148 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 0,119333 0,161333 0,157926 149 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 0,119333 0,161333 0,186000 150 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 0,234400 0,316800 0,030533 151 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 0,234400 0,316800 0,002459 152 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 0,234400 0,316800 0,019283 153 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 0,195333 0,264000 0,000000 154 W64097005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 1 mg COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0,234400 0,316800 0,019300 155 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 0,234400 0,316800 0,030533 156 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 0,234400 0,316800 0,030533 157 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 0,257000 0,347333 0,000000 158 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 0,257000 0,347333 0,000000 159 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 0,252481 0,319259 0,000000 160 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 0,257000 0,347333 0,000000 161 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 0,257000 0,347333 0,000000 162 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 0,256916 0,336083 0,000000 163 W64098005 A10BX02 REPAGLINIDUM REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF 100 0,257000 0,336100 0,000000 164 W66520001 H04AA01 GLUCAGONUM BAQSIMI 3 mg PULB. NAZALA UNIDOZA 3mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLACON CU DOZA UNICA PRF 1 361,720000 432,420000 0,000000 165 T0001 FARA ATC FARA DCI Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat FARA FORMA FARA CONCENTRATIE FARA PRODUCATOR ROMANIA FARA FORMA AMB X 1 0,000000 1,200000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.1: HEMOFILIE SI TALASEMIE
1 W62683001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB. , 3 M L DE SO LV. I N SERI NG A PREUM PLUTA, 1 TI JA A PI STO NULUI , 1 ADAPTO R PT. FLAC. , 1 SET DE PERFUZI E, 2 TAM PO ANE CU ALCO O L, 2 PLASTURI , 1 CO M PRESA PR 1 2.615,450000 2.888,990000 0,000000 2 W62684001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 1500 UI PULB+SOLV. PT. SOL. INJ. 1500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB. , 3 M L DE SO LV. I N SERI NG A PREUM PLUTA, 1 TI JA A PI STO NULUI , 1 ADAPTO R PT. FLAC. , 1 SET DE PERFUZI E, 2 TAM PO ANE CU ALCO O L, 2 PLASTURI , 1 CO M PRESA PR 1 3.908,170000 4.298,060000 0,000000 3 W62685001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB. , 3 M L DE SO LV. I N SERI NG A PREUM PLUTA, 1 TI JA A PI STO NULUI , 1 ADAPTO R PT. FLAC. , 1 SET DE PERFUZI E, 2 TAM PO ANE CU ALCO O L, 2 PLASTURI , 1 CO M PRESA PR 1 5.200,880000 5.707,120000 0,000000 4 W62680001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 250 UI PULB+SOLV. PT. SOL. INJ. 250UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB. , 3 M L DE SO LV. I N SERI NG A PREUM PLUTA, 1 TI JA A PI STO NULUI , 1 ADAPTO R PT. FLAC. , 1 SET DE PERFUZI E, 2 TAM PO ANE CU ALCO O L, 2 PLASTURI , 1 CO M PRESA PR 1 676,360000 775,380000 0,000000 5 W62686001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 3000 UI PULB+SOLV. PT. SOL. INJ. 3000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB. , 3 M L DE SO LV. I N SERI NG A PREUM PLUTA, 1 TI JA A PI STO NULUI , 1 ADAPTO R PT. FLAC. , 1 SET DE PERFUZI E, 2 TAM PO ANE CU ALCO O L, 2 PLASTURI , 1 CO M PRESA PR 1 7.786,330000 8.525,260000 0,000000 6 W62681001 B02BD02 EFMOROCTOCOG ALFA ** ELOCTA 500 UI PULB+SOLV. PT. SOL. INJ. 500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. CU PULB. , 3 M L DE SO LV. I N SERI NG A PREUM PLUTA, 1 TI JA A PI STO NULUI , 1 ADAPTO R PT. FLAC. , 1 SET DE PERFUZI E, 2 TAM PO ANE CU ALCO O L, 2 PLASTURI , 1 CO M PRESA PR 1 1.322,710000 1.479,910000 0,000000 7 W56025001 B02BD02 FACTOR VIII DE COAGULARE HAEMOCTIN SDH 1000 PULB+SOLV. PT. SOL. INJ. 100UI/ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DI N STICLA INCO LO RA CU PULB. PT. SO L. INJ. + 1 FLAC. DI N STICLA INCO LO RA CU 10 M L SO LV. PT. SO L. INJ. + 1 SERI NG A DE UNI CA FO LO SI NTA + 1 CANULA DUBLA CU DO UA FI LTRE SI 1 CANULA TI P FLUTURE PR 1 1.647,024000 1.841,040000 386,270000 8 W56024001 B02BD02 FACTOR VIII DE COAGULARE HAEMOCTIN SDH 500 PULB+SOLV. PT. SOL. INJ. 50UI/ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DI N STICLA INCO LO RA CU PULB. PT. SO L. INJ. + 1 FLAC. DI N STICLA INCO LO RA CU 10 M L SO LV. PT. SO L. INJ. + 1 SERI NG A DE UNI CA FO LO SI NTA + 1 CANULA DUBLA CU DO UA FI LTRE SI 1 CANULA TI P FLUTURE PR 1 838,392000 959,628000 191,962000 9 W61672001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 1000 UI PULB+SOLV. PT. SOL. INJ./PERF. 1000UI CSL BEHRING GMBH GERMANIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J / P E R F + 1 F L A C . D I N S T I C L A C U S O L V . C U 1 0 M L A P A P T . P R E P A R A T E I N J . S I C U T I E C U D I S P O Z . D E A D M . C O M P U S D I N : 1 D I S P O Z . D E T R A N S F E R C U F I L T R U 2 0 / 2 0 , 1 S E R I N G A D E 1 0 M L , 1 S E T P T . P U N C T I E V E N O A S A , 2 T PR 1 1.647,024000 1.841,040000 86,480000 10 W61673001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 2000 UI PULB+SOLV. PT. SOL. INJ./PERF. 2000UI CSL BEHRING GMBH GERMANIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J / P E R F + 1 F L A C . D I N S T I C L A C U S O L V . C U 1 0 M L A P A P T . P R E P A R A T E I N J . S I C U T I E C U D I S P O Z . D E A D M . C O M P U S D I N : 1 D I S P O Z . D E T R A N S F E R C U F I L T R U 2 0 / 2 0 , 1 S E R I N G A D E 1 0 M L , 1 S E T P T . P U N C T I E V E N O A S A , 2 PR 1 4.445,310000 4.883,540000 0,000000 11 W61670001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 250 UI PULB+SOLV. PT. SOL. INJ./PERF. 250UI CSL BEHRING GMBH GERMANIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J / P E R F + 1 F L A C . D I N S T I C L A C U S O L V . C U 2 , 5 M L A P A P T . P R E P A R A T E I N J . S I C U T I E C U D I S P O Z . D E A D M . C O M P U S D I N : 1 D I S P O Z . D E T R A N S F E R C U F I L T R U 2 0 / 2 0 , 1 S E R I N G A D E 5 M L , 1 S E T P T . P U N C T I E V E N O A S A , 2 T PR 1 487,632000 577,296000 142,504000 12 W61671001 B02BD02 FACTOR VIII DE COAGULARE BERIATE 500 UI PULB+SOLV. PT. SOL. INJ./PERF. 500UI CSL BEHRING GMBH GERMANIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J / P E R F + 1 F L A C . D I N S T I C L A C U S O L V . C U 5 M L A P A P T . P R E P A R A T E I N J . S I C U T I E C U D I S P O Z . D E A D M . C O M P U S D I N : 1 D I S P O Z . D E T R A N S F E R C U F I L T R U 2 0 / 2 0 , 1 S E R I N G A D E 5 M L , 1 S E T P T . P U N C T I E V E N O A S A , 2 T A M PR 1 832,040000 945,080000 0,000000 13 W43393001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 1000 UI PULB+SOLV.PT.SOL.INJ 1000ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL PR 1 1.525,140000 1.700,550000 0,000000 14 W43391001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 250 UI PULB+SOLV.PT.SOL.INJ 250ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL PR 1 406,360000 481,080000 0,000000
32
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
33
comunitare
15 W43392001 B02BD02 FACTOR VIII DE COAGULARE FANHDI 500 UI PULB+SOLV.PT.SOL.INJ 500ui INSTITUTO GRIFOLS S.A. SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL PR 1 778,230000 886,420000 0,000000 16 W65354001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 100 UI/ml PULB. + SOLV. PT. SOL. INJ . 100UI/ml OCTAPHARMA (IP) SPRL BELGIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J . ( 1 0 0 U I / M L ) + C U T I E C U 1 S E T P T . R E C O N S T I T U I R E S I A D M . : 1 F L A C . D I N S T I C L A C U 1 0 M L A P A P T . P R E P A R A T E I N J . ( 1 0 0 0 U I / F L A C ) + 1 S E R I N G A + 1 S E T T R A N S F E R M I X 2 V I A L + 1 A C P T . I N J E C T I E T I P F L U T U R E + 2 T A M P O A N PR 1 1.372,520000 1.534,200000 0,000000 17 W65353001 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ . 50UI/ml OCTAPHARMA (IP) SPRL BELGIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J . ( 5 0 U I / M L ) + C U T I E C U S E T D E R E C O N S T I T U I R E S I A D M . : 1 F L A C . D I N S T I C L A C U 5 M L A P A P T . P R E P A R A T E I N J ( 2 5 0 U I / F L A C . ) + 1 S E R I N G A + 1 S E T T R A N S F E R M I X 2 V I A L + 1 A C P T . I N J E C T I E T I P F L U T U R E + 2 T A M P O A N E PR 1 416,930000 492,600000 0,000000 18 W65353002 B02BD02 FACTOR VIII DE COAGULARE OCTANATE 50 UI/ml PULB. + SOLV. PT. SOL. INJ . 50UI/ml OCTAPHARMA (IP) SPRL BELGIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J . ( 5 0 U I / M L ) + C U T I E C U S E T D E R E C O N S T I T U I R E S I A D M . : 1 F L A C . D I N S T I C L A C U 1 0 M L A P A P T . P R E P A R A T E I N J ( 5 0 0 U I / F L A C . ) + 1 S E R I N G A + 1 S E T T R A N S F E R M I X 2 V I A L + 1 A C P T . I N J E C T I E T I P F L U T U R E + 2 T A M P O A N E PR 1 698,660000 799,690000 0,000000 19 W13336001 B02BD02 FACTOR VIII DE COAGULARE EMOCLOT 500 UI PULB.+SOLV. SOL. PERF. 500 UI KEDRION SPA ITALIA CUTI E X 1 FLACO N DI N STI CLA NEUTRA TI P I DI N ELASTO M ER TI P I CO NTI NAND PULBERE, 1 FLACO N DI N STI CLA NEUTRA TI P I CU DO P DI N ELASTO M ER TI P I CO NTI NAND SO LVENT, 1 SET PENTRU RECO NST. SI ADM . PR 1 838,392000 959,628000 88,882000 20 W62271001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB+SO LV. PT. SO L. I NJ. I N SERI NG A PREUM PLUTA 500UI PFIZER LIMITED MAREA BRITANIE 1 SERI NG A PREUM PLUTA+1 TI JA A PI STO NULUI + 1 SET DE PERFUZI E STERI L+2 TAM PO ANE CU ALCO O L M EDI CI NAL+1 PLASTURE+1 BUCATA DE TI FO N+1 CAPAC STERI L PT AERI SI RE PR 1 1.217,300000 1.365,010000 0,000000 21 W64779001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 500 UI PULB+SO LV. PT. SO L. I NJ. I N SERI NG A PREUM PLUTA 500UI PFIZER EUROPE MA EEIG BELGIA 1 SERI NG A PREUM PLUTA+1 TI JA A PI STO NULUI + 1 SET DE PERFUZI E STERI L+2 TAM PO ANE CU ALCO O L M EDI CI NAL+1 PLASTURE+1 BUCATA DE TI FO N+1 CAPAC STERI L PT AERI SI RE PR 1 1.217,300000 1.365,010000 0,000000 22 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 PREUM PL. X 4 M L SOLV + 1 ADAPTOR + 2 TAM P.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 2.422,570000 2.678,760000 0,000000 23 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 PREUM PL. X 4 M L SOLV + 1 ADAPTOR + 2 TAM P.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR 1 5.543,580000 6.080,660000 0,000000 24 W61059001 B02BD02 MOROCTOCOG ALFA ** REFACTO AF 250UI PULB. + SOL. PT. SOL. 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PUNCTIE VENOASA PR 1 1.264,870000 1.416,860000 0,000000 34 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 BAXJ ECT II P-RF/R 1 2.624,880000 2.899,270000 0,000000 35 W66732001 B02BD02 OCTOCOG ALFA ** ADVATE 1000UI PULB+SOLV.PT.SOL.INJ 1000UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJ ECT II PR 1 2.624,880000 2.899,270000 0,000000 36 W66733001 B02BD02 OCTOCOG ALFA ** ADVATE 1500UI PULB+SOLV.PT.SOL.INJ 1500UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJ ECT II PR 1 3.922,320000 4.313,480000 0,000000 37 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 BAXJ ECT II P-RF/R 1 3.922,320000 4.313,480000 0,000000 38 W66730001 B02BD02 OCTOCOG ALFA ** ADVATE 500UI PULB+SOLV.PT.SOL.INJ 500 UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJ ECT II PR 1 1.327,440000 1.485,060000 0,000000 39 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 BAXJ ECT II P-RF/R 1 1.327,440000 1.485,060000 0,000000 40 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 5.219,750000 5.727,690000 0,000000 41 W66734001 B02BD02 OCTOCOG ALFA ** ADVATE 2000UI PULB+SOLV.PT.SOL.INJ . 2000 UI TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. 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X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R 1 7.814,630000 8.556,110000 0,000000 46 W61474001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 1000UI PULB+SOLV. PT. SOL. INJ. 1000 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUM PLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAM POANE ÎM BIBATE CU ALCOOL PR 1 2.650,690000 2.927,410000 0,000000 47 W61475001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 2000UI PULB+SOLV. PT. SOL. INJ. 2000 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUM PLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAM POANE ÎM BIBATE CU ALCOOL PR 1 5.268,500000 5.780,820000 0,000000 48 W61472001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 250UI PULB+SOLV. PT. SOL. INJ. 250 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUM PLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAM POANE ÎM BIBATE CU ALCOOL PR 1 685,630000 785,490000 0,000000 49 W61473001 B02BD02 SIMOCTOCOG ALFA (FACTOR VIII DE COAGULARE) ** NUWIQ 500UI PULB+SOLV. PT. SOL. INJ. 500 UI OCTAPHARMA AB SUEDIA 1 FL.CU PULBERE, 1 SERINGA PREUM PLUTA, 1 ADAPTOR PENTRU FLACON, 1 AC TIP FLUTURE, 2 TAM POANE ÎM BIBATE CU ALCOOL PR 1 1.341,230000 1.500,090000 0,000000 50 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 PREUM PLUTA CU 4 M L SOLVENT, 1 TIJ A PISTON SI UN ADAPTOR PENTRU FLACON PR 1 2.521,220000 2.786,280000 0,000000 51 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 PREUM PLUTA CU 4 M L SOLVENT, 1 TIJ A PISTON SI UN ADAPTOR PENTRU FLACON PR 1 3.766,810000 4.143,980000 0,000000 52 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 PREUM PLUTA CU 4 M L SOLVENT, 1 TIJ A PISTON SI UN ADAPTOR PENTRU FLACON PR 1 5.012,420000 5.501,700000 0,000000 53 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 PREUM PLUTA CU 4 M L SOLVENT, 1 TIJ A PISTON SI UN ADAPTOR PENTRU FLACON PR 1 652,800000 749,700000 0,000000 54 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 PREUM PLUTA CU 4 M L SOLVENT, 1 TIJ A PISTON SI UN ADAPTOR PENTRU FLACON PR 1 7.503,640000 8.217,130000 0,000000 55 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 PREUM PLUTA CU 4 M L SOLVENT, 1 TIJ A PISTON SI UN ADAPTOR PENTRU FLACON PR 1 1.275,600000 1.428,560000 0,000000 56 W62498002 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII ** FEIBA 25 U/ml PULB+SOLV. PT. SOL. PERF. 25U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA, CU CAPAC. DE 50 M L CARE CO NTI NE 500 U FEI BA PULB. PT. SO L. PERF. +1 FLAC. DI N STI CLA I NCO LO RA, CU CAPAC. DE 20 M L CARE CO NTI NE 20 M L APA PURI FI CATA PT. PREPARATE I NJ. , 1 DI SPO Z. BAXJECT I I HI FLO W PR 1 1.513,030000 1.687,360000 0,000000 57 W62499005 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII ** FEIBA 50 U/ml PULB+SOLV. PT. SOL. PERF. 50U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA, CU CAPAC. DE 20 M L CARE CO NTI NE 500 U FEI BA PULB. PT. SO L. PERF. +1 FLAC. DI N STI CLA I NCO LO RA, CU CAPAC. DE 10 M L CARE CO NTI NE 10 M L APA PURI FI CATA PT. PREPARATE I NJ. , 1 DI SPO Z. BAXJECT I I HI FLO W PR 1 1.678,640000 1.867,870000 0,000000 58 W63107001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 1000 UI PULB+SOLV. PT. SOL. INJ. 1000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DI N STI CLA DE TI P I CU PULBERE +5 M L SO LV. I NTR- O SERI NG A PREUM PLUTA DI N STI CLA DE TI P I +1 TI JA A PI STO NULUI +1 ADAPTO R STERI L PT. FLAC. + 1 SET DE PERFUZI E STERI L+ 2 TAM PO ANE CU ALCO O L+ 2 PLASTURI + 1CO M PRESA DI N TI FO N PR 1 4.571,450000 5.021,040000 0,000000 59 W63108001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 2000 UI PULB+SOLV. PT. SOL. INJ. 2000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DI N STI CLA DE TI P I CU PULBERE +5 M L SO LV. I NTR- O SERI NG A PREUM PLUTA DI N STI CLA DE TI P I +1 TI JA A PI STO NULUI +1 ADAPTO R STERI L PT. FLAC. + 1 SET DE PERFUZI E STERI L+ 2 TAM PO ANE CU ALCO O L+ 2 PLASTURI + 1CO M PRESA DI N TI FO N PR 1 9.112,910000 9.971,230000 0,000000 60 W63105001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 250 UI PULB+SOLV. PT. SOL. INJ. 250UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DI N STI CLA DE TI P I CU PULBERE +5 M L SO LV. I NTR- O SERI NG A PREUM PLUTA DI N STI CLA DE TI P I +1 TI JA A PI STO NULUI +1 ADAPTO R STERI L PT. FLAC. + 1 SET DE PERFUZI E STERI L+ 2 TAM PO ANE CU ALCO O L+ 2 PLASTURI + 1CO M PRESA DI N TI FO N PR 1 1.165,370000 1.308,400000 0,000000 61 W63109001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 3000 UI PULB+SOLV. PT. SOL. INJ. 3000UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DI N STI CLA DE TI P I CU PULBERE +5 M L SO LV. I NTR- O SERI NG A PREUM PLUTA DI N STI CLA DE TI P I +1 TI JA A PI STO NULUI +1 ADAPTO R STERI L PT. FLAC. + 1 SET DE PERFUZI E STERI L+ 2 TAM PO ANE CU ALCO O L+ 2 PLASTURI + 1CO M PRESA DI N TI FO N PR 1 13.654,360000 14.921,420000 0,000000 62 W63106001 B02BD04 EFTRENONACOG ALFA ** ALPROLIX 500 UI PULB+SOLV. PT. SOL. INJ. 500UI SWEDISH ORPHAN BIOVITRUM AB (PUBL) SUEDIA 1 FLAC. DI N STI CLA DE TI P I CU PULBERE +5 M L SO LV. I NTR- O SERI NG A PREUM PLUTA DI N STI CLA DE TI P I +1 TI JA A PI STO NULUI +1 ADAPTO R STERI L PT. FLAC. + 1 SET DE PERFUZI E STERI L+ 2 TAM PO ANE CU ALCO O L+ 2 PLASTURI + 1CO M PRESA DI N TI FO N PR 1 2.300,740000 2.545,960000 0,000000 63 W65356001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 1000 UI PULB. + SOLV. PT. SOL. PERF. 1000UI OCTAPHARMA (IP) SPRL BELGIA C U T I E C U 1 F L A C . D I N S T I C L A C U P U L B . P T . S O L . P E R F . + 1 F L A C . D I N S T I C L A C U 1 0 M L S O L V . P T . S O L . P E R F . + D I S P O Z I T I V P T . R E C O N S T I T U I R E S I A D M . C U 1 S E T T R A N S F E R M I X 2 V I A L T M + 1 S E T D E P E R F U Z A R E ( T I P F L U T U R E ) + 1 S E R I N G A D E U N I C A F O L O S I N T A + 2 T A M P O PR 1 1.529,930000 1.705,780000 0,000000 64 W65355001 B02BD04 FACTOR IX DE COAGULARE ** OCTANINE F 500 UI PULB. + SOLV. PT. SOL. PERF. 500 UI OCTAPHARMA (IP) SPRL BELGIA C U T I E C U 1 F L A C . D I N S T I C L A C U P U L B . P T . S O L . P E R F . + 1 F L A C . D I N S T I C L A C U 5 M L S O L V . P T . S O L . P E R F . + D I S P O Z I T I V P T . R E C O N S T I T U I R E S I A D M : 1 S E T T R A N S E F E R M I X 2 V I A L T M + 1 S E T D E P E R F U Z A R E ( T I P F L U T U R E ) + 1 S E R I N G A D E U N I C A F O L O S I N T A + 2 T A M P O A N E A L C PR 1 818,560000 930,380000 0,000000 65 W62890001 B02BD04 FACTOR IX DE COAGULARE ** IMMUNINE 1200 UI PULB.+SOLV. PT. SOL. INJ./PERF. 1200UI BAXALTA INNOVATIONS GMBH AUSTRIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J . / P E R F . + 1 F L A C . U N I D O Z A D I N S T I C L A I N C O L O R A C U 1 0 M L S O L V . + 1 A C P T . T R A N S F E R + 1 A C P T . A E R A R E + 1 A C P T . F I L T R A R E + 1 A C D E U N I C A F O L O S I N T A + 1 S E R I N G A D E U N I C A F O L O S I N T A + 1 S E T D E T R PR 1 1.832,060000 2.035,100000 0,000000 66 W62889001 B02BD04 FACTOR IX DE COAGULARE ** IMMUNINE 600 UI PULB.+SOLV. PT. SOL. INJ./PERF. 600UI BAXALTA INNOVATIONS GMBH AUSTRIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J . / P E R F . + 1 F L A C . U N I D O Z A D I N S T I C L A I N C O L O R A C U 5 M L S O L V . + 1 A C P T . T R A N S F E R + 1 A C P T . A E R A R E + 1 A C P T . F I L T R A R E + 1 A C D E U N I C A F O L O S I N T A + 1 S E R I N G A D E U N I C A F O L O S I N T A + 1 S E T D E T R A PR 1 1.003,670000 1.132,150000 0,000000 67 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 UM PLUTA. X 5 M L SOL. INJ . + 1 SET STERIL DE PERF. + 2 TAM P. ALCOOL + 1 PLASTURE + 1 TAM P. TIFON PR 1 2.440,760000 2.698,580000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
68 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 UM PLUTA. X 5 M L SOL. INJ . + 1 SET STERIL DE PERF. + 2 TAM P. ALCOOL + 1 PLASTURE + 1 TAM P. TIFON PR 1 2.440,760000 2.698,580000 0,000000 69 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 UM PLUTA. X 5 M L SOL. INJ . + 1 SET STERIL DE PERF. + 2 TAM P. ALCOOL + 1 PLASTURE + 1 TAM P. TIFON PR 1 4.851,510000 5.326,300000 0,000000 70 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 UM PLUTA. X 5 M L SOL. INJ . + 1 SET STERIL DE PERF. + 2 TAM P. ALCOOL + 1 PLASTURE + 1 TAM P. TIFON PR 1 4.851,510000 5.326,300000 0,000000 71 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 UM PLUTA. X 5 M L SOL. INJ . + 1 SET STERIL DE PERF. + 2 TAM P. ALCOOL + 1 PLASTURE + 1 TAM P. TIFON PR 1 679,540000 778,850000 0,000000 72 W60175002 73 W60174001 74 W64926001 B02BD04 B02BD04 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) ** NONACOG ALPHA (FACTOR IX DE COAGULARE) ** NONACOG ALPHA (FACTOR IX DE COAGULARE) ** BENEFIX 250UI BENEFIX 500UI BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 250UI PULB+SOLV.PT.SOL.INJ 500UI PULB+SOLV.PT.SOL.INJ 500UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ . + 1 SERINGA UM PLUTA. X 5 M L SOL. INJ . + 1 SET STERIL DE PERF. + 2 TAM P. ALCOOL + 1 PLASTURE + 1 TAM P. TIFON PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ . + 1 SERINGA UM PLUTA. X 5 M L SOL. INJ . + 1 SET STERIL DE PERF. + 2 TAM P. ALCOOL + 1 PLASTURE + 1 TAM P. TIFON PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ . + 1 SERINGA UM PLUTA. X 5 M L SOL. INJ . + 1 SET STERIL DE PERF. + 2 TAM P. ALCOOL + 1 PLASTURE + 1 TAM P. TIFON PR PR PR 1 1 1 679,540000 1.170,670000 1.170,670000 778,850000 1.314,180000 1.314,180000 0,000000 0,000000 0,000000 75 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 CUTI E CU 1 FLAC. CU PULB. PT. SO L. I NJ. + 1 FLAC. CU SO LV. PT. SO L. I NJ. + 1 SET DE ADM I NI STRARE ( 1 SERI NG A DE UNI CA FO LO SI NTA, 1 SET TRANSFER ( M I X2VI AL) , 1 SET DE PERFUZARE SI 2 TAM PO ANE CU ALCO O L M EDI CI NAL) PR 1 1.893,560000 2.102,130000 0,000000 76 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 CUTI E CU 1 FLAC. CU PULB. PT. SO L. I NJ. + 1 FLAC. CU SO LV. PT. SO L. I NJ. + 1 SET DE ADM I NI STRARE ( 1 SERI NG A DE UNI CA FO LO SI NTA, 1 SET TRANSFER ( M I X2VI AL) , 1 SET DE PERFUZARE SI 2 TAM PO ANE CU ALCO O L M EDI CI NAL) PR 1 999,290000 1.127,380000 0,000000 77 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 CUTI E CU 1 FLAC. M O NO DO ZA CU PULB. PT. SO L. I NJ. + 1 FLAC. M O NO DO ZA CU SO LV. + 1 SET DE TRANSFER/ FI LTRU + 1 SERI NG A DE UNI CA FO LO SI NTA ( 10M L) + 1 AC DE UNI CA FO LO SI NTA + 1 SET DE PERFUZI E PR 1 1.322,590000 1.479,770000 0,000000 78 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 CUTI E CU 1 FLAC. M O NO DO ZA CU PULB. PT. SO L. I NJ. + 1 FLAC. M O NO DO ZA CU SO LV. + 1 SET DE TRANSFER/ FI LTRU + 1 SERI NG A DE UNI CA FO LO SI NTA ( 5M L) + 1 AC DE UNI CA FO LO SI NTA + 1 SET DE PERFUZI E PR 1 345,710000 414,970000 0,000000 79 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 CUTI E CU 1 FLAC. M O NO DO ZA CU PULB. PT. SO L. I NJ. + 1 FLAC. M O NO DO ZA CU SO LV. + 1 SET DE TRANSFER/ FI LTRU + 1 SERI NG A DE UNI CA FO LO SI NTA ( 5M L) + 1 AC DE UNI CA FO LO SI NTA + 1 SET DE PERFUZI E PR 1 637,370000 732,880000 0,000000 80 W52389001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND ** HAEMATE P 500UI FVIII/1200 UI FVW PULB.+SOLV. PT. SOL. INJ . SAU PERF. 500UI+1200UI CSL BEHRING GMBH GERMANIA P A C H E T D E 5 0 0 U I C O N T I N E : 1 C U T I E C U 1 F L . P U L B + 1 F L . C U 1 0 M L A P A P T P R E P . I N J . 1 C U T I E C U D I Z P O Z . D E A D M I N I S T R A R E C O N T I N E : 1 D I S P O Z . D E T R A N S F E R C U F I L T R U 2 0 / 2 0 + 1 S E R I N G A C U C A P A C . 1 0 M L + 1 S E T P T P U N C T I E V E N O A S A + 2 T A M P O A N E A L C O O L + 1 P A N S A M E N T N P-RF 1 985,420000 1.112,260000 0,000000 81 W53034002 82 W02408001 B02BD08 V03AC01 EPTACOG ALFA ACTIVATUM ** DEFEROXAMINUM ** (3) NOVOSEVEN 1 mg (50 KUI) DESFERAL 500 mg PULB. + SOLV. PT. SOL. INJ . PULB. PT. SOL. INJ ./PERF. 50 KIU 500mg NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. PR PR 1 10 2.198,430000 12,034000 2.434,440000 14,691000 0,000000 0,000000 83 W66841001 V03AC03 DEFERASIROXUM **1 DEFERASIROX STADA 180 mg COMPR. FILM. 180mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 84 W66803001 V03AC03 DEFERASIROXUM **1 REDITENS 180 mg COMPR. FILM. 180mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 31,297000 35,385333 0,000000 85 W68074001 V03AC03 DEFERASIROXUM **1 DEFERASIROX ACCORD 180 mg COMPR. FILM. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 31,297000 35,385333 0,000000 86 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 37,556400 42,462400 4,645600 87 W68284001 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 88 W68284003 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 89 W68284005 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 90 W68284007 V03AC03 DEFERASIROXUM **1 ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 91 W66842001 V03AC03 DEFERASIROXUM **1 DEFERASIROX STADA 360 mg COMPR. FILM. 360mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 92 W68075001 V03AC03 DEFERASIROXUM **1 DEFERASIROX ACCORD 360 mg COMPR. FILM. 360mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 61,594000 68,409333 0,000000 93 W66804001 V03AC03 DEFERASIROXUM **1 REDITENS 360 mg COMPR. FILM. 360mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 61,595666 68,411000 0,000000 94 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 73,912800 82,091200 9,763466 95 W68283001 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 96 W68283003 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 97 W68283005 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 98 W68283007 V03AC03 DEFERASIROXUM **1 ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 99 W66802001 V03AC03 DEFERASIROXUM **1 REDITENS 90 mg COMPR. FILM. 90mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 17,088333 19,898000 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 13,680000 18,490000 0,000000 2 W60525001 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM) FUCIDIN H CREMA 20mg/g+10mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF 1 17,160000 23,200000 0,000000 3 W59725001 D07CC01 BETAMETHASONUM+GENTAMICINUM+CLOTRIMAZOLUM TRESYL CREMA FARA CONCENTRATIE FITERMAN PHARMA S.R.L. ROMANIA CUTIE CU 1 TUB DIN AL FILMAT LA INTERIOR CU LAC EPOXIFENOLIC X 15 G CREMA P6L 1 8,380000 11,330000 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 8,390000 11,340000 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 10,580000 14,300000 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 10,068000 13,608000 5,272000 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 10,580000 14,300000 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 22,510000 30,430000 0,000000 9 W12701001 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST., AL/PVC X 10 CAPS. P-RF 20 0,274000 0,370500 0,000000 10 W12701002 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 50 BLIST., AL/PVC X 10 CAPS. P-RF 500 0,264540 0,322960 0,000000 11 W56910001 J01AA07 TETRACYCLINUM TETRACICLINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF 20 0,317448 0,387552 0,105448 12 W12143001 N03AB02 PHENYTOINUM FENITOINA RICHTER 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L 20 0,285000 0,385000 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 20,084000 24,518000 0,000000
34
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
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 25,463035 28,436071 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 30,555642 34,123285 54,733857 3 W67433001 C02KX02 AMBRISENTANUM ** AMBRISENTAN AOP 5 mg COMPR. FILM. 5mg AOP ORPHAN PHARMACEUTICALS AG AUSTRIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC-PVDC/AL X 30X1 COMPR. FILM. PR 30 178,226333 195,538666 0,000000 4 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 30 277,206666 303,427333 0,000000 5 W63713001 C02KX05 RIOCIGUAT ** ADEMPAS 0,5mg COMPR. FILM. 0,5mg BAYER AG GERMANIA CUT IE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMAT E FILMATE PR 42 110,784047 121,663095 0,000000 6 W60680001 C02KX05 RIOCIGUAT ** ADEMPAS 0,5mg COMPR. FILM. 0,5mg BAYER PHARMA AG GERMANIA CUT IE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMAT E FILMATE PR 42 110,784047 121,663095 0,000000 7 W63715001 C02KX05 RIOCIGUAT ** ADEMPAS 1,5mg COMPR. FILM. 1,5mg BAYER AG GERMANIA CUT IE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMAT E FILMATE PR 42 110,784047 121,663095 0,000000 8 W63714001 C02KX05 RIOCIGUAT ** ADEMPAS 1mg COMPR. FILM. 1mg BAYER AG GERMANIA CUT IE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMAT E FILMATE PR 42 110,784047 121,663095 0,000000 9 W63717001 C02KX05 RIOCIGUAT ** ADEMPAS 2,5mg COMPR. FILM. 2,5mg BAYER AG GERMANIA CUT IE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMAT E FILMATE PR 42 110,784047 121,663095 0,000000 10 W63716001 C02KX05 RIOCIGUAT ** ADEMPAS 2mg COMPR. FILM. 2mg BAYER AG GERMANIA CUT IE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMAT E FILMATE PR 42 110,784047 121,663095 0,000000 11 W66755001 G04BE03 SILDENAFILUM ** REVATIO 20 mg COMPR. FILM. 20mg UPJOHN EESV OLANDA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR 90 7,444111 8,538000 0,000000 12 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 7,678000 8,792888 0,000000 13 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 7,678000 8,792888 0,000000 14 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 7,444111 8,538000 0,000000 15 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 7,678000 8,792888 0,000000 16 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 7,379555 8,467555 0,000000 17 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 7,287444 8,367222 0,000000 18 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 7,444111 8,538000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
35
P6.4: MUCOVISCIDOZA
1 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 2,168000 2,646600 0,000000 2 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 1,521428 2,056285 0,859715 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 1,521428 2,056285 0,859715 4 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 0,772142 1,043571 0,000000 5 W44093001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 0,926570 1,252285 0,143429 6 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 0,926570 1,252285 0,019857 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 0,926570 1,252285 0,111286 8 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 0,926570 1,252285 0,632715 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 0,926570 1,252285 0,632715 10 W14044001 J01FA09 CLARITHROMYCINUM KLERIMED 500 mg COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1,521428 2,056285 0,053715 11 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 1,521428 2,056285 0,064429 12 W44087001 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 1,521428 2,056285 0,544429 13 W54044001 J01FA09 CLARITHROMYCINUM ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 20 1,521428 2,040500 0,000000 14 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 1,267857 1,713571 0,000000 15 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg 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 1,521428 2,056285 0,629429 16 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 15,900000 21,490000 0,000000 17 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 19,080000 25,788000 0,962000 18 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 10,460000 14,140000 0,000000 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 11,870000 16,040000 0,000000 20 W65821001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 11,870000 16,040000 0,000000 21 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 19,080000 25,788000 0,962000 22 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 44,720000 58,500000 0,000000 23 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 26,830000 35,100000 0,000000 24 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 33,370000 43,650000 0,000000 25 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 64,045892 70,491428 0,000000 26 W66587001 J01GB01 TOBRAMYCINUM ** TOBI 300 mg/5 ml SOL. PT. INHALARE PRIN NEBULIZATOR 300mg/5ml MYLAN IRE HEALT HCARE 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 64,045892 70,491428 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
27 W63762001 J01GB01 TOBRAMYCINUM ** TOBRAMICINA SUN 300 mg SOL. PT. NEBULIZATOR 300mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTI E CU 56 FI O LE AM BALATE I N PUNG I DE FO LI E LAM I NATA DI N PEJD A CATE 5 M L SO L. DE I NHALAT PRI N NEBULI ZATO R, DI SPUSE I N 14 PUNG I SI G I LATE CU CATE 4 FI O LE PRF 56 63,401964 69,789464 0,000000 28 W63371003 J01XB01 COLISTIMETAT DE SODIU ** O COLOBREATHE CAPS. CU PULB. DE INHAL. 1662500 UI TEVA B.V. OLANDA CUTIE CU 7 BLIST. OPA/AL/PVC X 8 CAPSULE + INHALATOR DE PULBERE TURBOSPIN PRF 56 71,653928 78,784107 0,000000 29 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 76,523333 89,768333 0,000000 30 W65612002 R07AX02 IVACAFTORUM ** KALYDECO 150 mg COMPR. FILM. 150mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. PCTFE/AL X 56 COMPR. PR 56 958,731250 1.045,699642 0,000000 31 W65612001 R07AX02 IVACAFTORUM ** KALYDECO 150 mg COMPR. FILM. 150mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU 1 FLAC. HDPE X 56 COMPR. PR 56 958,731250 1.045,699642 0,000000 32 W65612003 R07AX02 IVACAFTORUM ** KALYDECO 150 mg COMPR. FILM. 150mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CARD CU BLIST. PCTFE/AL X 28 COMPR. PR 28 959,267142 1.046,965000 0,000000 33 W65613001 R07AX02 IVACAFTORUM ** KALYDECO 50 mg GRANULE 50mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA AMBALAJ CU 56 PLICURI (4X14) PLICURI DIN BOPET/PE/FOLIE ALUMINIU/PE) PR 56 958,731250 1.045,699642 0,000000 34 W65614001 R07AX02 IVACAFTORUM ** KALYDECO 75 mg GRANULE 75mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA AMBALAJ CU 56 PLICURI (4X14) PLICURI DIN BOPET/PE/FOLIE ALUMINIU/PE) PR 56 958,731250 1.045,699642 0,000000 35 W65262001 R07AX30 LUMACAFTORUM+IVACAFTORUM **1 ORKAMBI 100 mg/125 mg COMPR. FILM. 100mg/125mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA PACHET CARE CONTINE 112 COMPR. FILM. (4 PACHETE DE 28 COMPR.FILM.) PR 112 429,033571 467,987857 0,000000
36 W65261001 R07AX30 LUMACAFTORUM+IVACAFTORUM **1 ORKAMBI 200 mg/125 mg COMPR. FILM. 200mg/125mg VERTEX PHARMACEUTICALS (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. ACLAR/PVC/AL X 112 (4X28) COMPR. FILM (AMBALAJ GRUPAT) PR 112 429,033571 467,987857 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE
P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE
1 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367,360000 438,570000 0,000000 2 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704,710000 806,290000 0,000000 3 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.379,440000 1.541,740000 0,000000 4 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.741,470000 3.026,360000 0,000000 5 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1.082,030000 1.217,560000 0,000000 6 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2.123,150000 2.352,390000 0,000000 7 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 1 640,080000 735,840000 0,000000 8 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567,750000 657,000000 0,000000 9 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 4.719,840000 5.182,780000 0,000000 10 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243,150000 296,840000 0,000000 11 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 2.567,550000 2.836,780000 0,000000 12 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 1 235,250000 287,190000 0,000000 13 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 1 664,380000 762,320000 0,000000 14 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 1 599,370000 691,460000 0,000000 15 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 2.307,480000 2.553,310000 0,000000 16 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 1 221,130000 269,960000 0,000000 17 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 1.168,750000 1.312,090000 0,000000 18 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1.825,000000 2.027,400000 0,000000 19 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 1.298,780000 1.453,820000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE
P6.5.2: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE DEGENERATIVE-SCLEROZA LATERALA AMIOTROFICA
1 W66040001 N07XX02 RILUZOLUM ** RILUTEK 50 mg COMPR. FILM. 50mg SANOFI MATURE IP FRANTA CUTIE CU BLIST. X 56 COMPR. FILM. PR 56 5,564285 6,746250 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE
P6.5.3: Tratamentul medicamentos al bolnavilor cu amiloidoză cu transtiretină
1 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 30 X1 CAPS. M OI PR 30 1.146,625666 1.251,095333 0,000000
36
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
2 W59336001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 20mg PFIZER LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR 30 1.146,625666 1.251,095333 0,000000 3 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 1.146,625666 1.251,095333 0,000000 4 W66576001 N07XX08 TAFAMIDIS ** VYNDAQEL CAPS. MOI 61mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PERFORATE PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PA/AL/PVC-AL/PET/HARTIE X 30 X1 CAPS. M OI PR 30 2.032,767333 2.216,991000 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 1 348,840000 418,390000 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 1 348,840000 418,390000 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 1 388,110000 461,190000 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 1 594,410000 686,060000 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 1 304,420000 369,970000 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 1 304,420000 369,970000 0,000000 7 W52346001 H01AC01 SOMATROPINUM ** OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R 1 594,410000 686,060000 0,000000 8 W66036001 H01AC01 SOMATROPINUM ** SAIZEN 5,83 mg/ml SOL. INJ. IN CARTUS 5,83mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 1 ,03 M L SOL. INJ . (6 M G SOM ATROPINA) PR/PRF 1 492,210000 574,660000 0,000000 9 W66037003 H01AC01 SOMATROPINUM ** SAIZEN 8 mg/ml SOL. INJ. IN CARTUS 8mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 2 ,50 M L SOL. INJ . (20 M G SOM ATROPINA) PR/PRF 1 1.570,700000 1.750,220000 0,000000 10 W66037001 H01AC01 SOMATROPINUM ** SAIZEN 8 mg/ml SOL. INJ. IN CARTUS 8mg/ml MERCK ROMANIA SRL ROMANIA CUTIE CU 1 CARTUS DIN STICLA CU DOP CU PISTON DIN CAUCIUC SI CAPSA DIN AL CU INSERTIE DE CAUCIUC X 1 ,50 M L SOL. INJ . (12 M G SOM ATROPINA) PR/PRF 1 954,430000 1.078,480000 0,000000 11 W66430001 H01AC01 SOMATROPINUM ** NORDITROPIN NORDIFLEX 10 mg/1,5 ml SOL. INJ. IN STILOU INJ. PREUMPLUT 6,7mg/ml NOVO NORDISK A/S DANEMARCA CUT IE CU 1 STILOU INJ. PREUMPLUT MULTIDOZA X 1,5 ML SOL. INJ. PRF 1 713,292000 823,272000 242,858000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.8: BOALA FABRY
1 W08961001 A16AB04 AGALSIDASUM BETA ** FABRAZYME 35 mg PULB. PT. CONC. PT. SOL. PERF. 35mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. PR 1 11.153,540000 12.195,520000 0,000000 2 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 4.587,865714 5.003,505000 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 1.911,300000 2.121,470000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
37
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 60 104,248399 114,394000 0,905000 2 W67456001 A16AX04 NITISINONUM NITISINONE MDK 10 mg CAPS. 10mg MENDELIKABS EUROPE LIMITED IRLANDA FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE X 60 DE CAPS. PR 60 86,873666 95,328333 0,000000 3 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 86,873666 95,328333 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 21,329599 24,004500 0,000000 5 W67452001 A16AX04 NITISINONUM NITISINONE MDK 2 mg CAPS. 2mg MENDELIKABS EUROPE LIMITED IRLANDA FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE X 60 DE CAPS. PR 60 17,774666 20,010333 0,000000 6 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 17,774666 20,010333 0,000000 7 W67454001 A16AX04 NITISINONUM NITISINONE MDK 5 mg CAPS. 5mg MENDELIKABS EUROPE LIMITED IRLANDA FLAC. DIN PLASTIC HDPE CU CAPAC DIN PLASTIC LDPE CARE X 60 DE CAPS. PR 60 43,687000 48,254666 0,000000 8 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 43,687000 48,254666 0,000000 9 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 52,424400 57,905599 0,334401
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
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 11.674,542500 12.734,805000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.13: MUCOPOLIZAHARIDOZĂ TIP I (SINDROM HURLER)
1 W42203001 A16AB05 LARONIDAZUM ** ALDURAZYME 100U/ml CONC. PT. SOL. PERF. 100U/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML PR 1 2.321,480000 2.568,570000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.14: Afibrinogenemie congenitală
1 W67066001 B02BB01 FIBRINOGEN UMAN ** FIBRYGA 1 g PULB+SOLV. PT. SOL. INJ./PERF. 1g OCTAPHARMA (IP) SPRL BELGIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA X 1 G FI BRI NO G EN UM AN+1 FLAC. CU SO LV. DI N STI CLA ( 50 M L APA PT. PREPARATE I NJECTABI LE) +1 DI SPO ZI TI V DE TRANSFER O CTAJET+1 FI LTRU DE PARTI CULE PR 1 1.906,990000 2.116,770000 0,000000 2 W13381003 B02BB01 FIBRINOGEN UMAN ** HAEMOCOMPLETTAN P 1 g PULB. PT. SOL. INJ ./PERF. 1g CSL BEHRING GMBH GERMANIA CUT IE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ/PERF. PR 1 1.785,390000 1.984,230000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.15: Sindrom de imunodeficienţă primară
1 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367,360000 438,570000 0,000000 2 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704,710000 806,290000 0,000000 3 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.379,440000 1.541,740000 0,000000 4 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.741,470000 3.026,360000 0,000000 5 W66174002 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** HYQVIA 100 mg/ml SOL. PERF. PT. ADMIN. SC. 100mg/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTI E CU 1 FLAC. DI N STI CLA PREVAZUT CU DO P X 50 M L SO LUTI E I M UNO G LO BULI NA UM ANA NO RM ALA ( I G 10%) + 1 FLAC. DI N STI CLA PREVAZUT CU DO P X 2, 5 M L SO LUTI E HI ALURO NI DAZA UM ANA RECO M BI NATA ( RHUPH20) PR 1 1.163,260000 1.306,100000 0,000000 6 W66174001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** HYQVIA 100 mg/ml SOL. PERF. PT. ADMIN. SC. 100mg/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTI E CU 1 FLAC. DI N STI CLA PREVAZUT CU DO P X 25 M L SO LUTI E I M UNO G LO BULI NA UM ANA NO RM ALA ( I G 10%) + 1 FLAC. DI N STI CLA PREVAZUT CU DO P X 1, 25 M L SO LUTI E HI ALURO NI DAZA UM ANA RECO M BI NATA ( RHUPH20) PR 1 596,650000 688,500000 0,000000 7 W66174003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** HYQVIA 100 mg/ml SOL. PERF. PT. ADMIN. SC. 100mg/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTI E CU 1 FLAC. DI N STI CLA PREVAZUT CU DO P X 100 M L SO LUTI E I M UNO G LO BULI NA UM ANA NO RM ALA ( I G 10%) + 1 FLAC. DI N STI CLA PREVAZUT CU DO P X 5 M L SO LUTI E HI ALURO NI DAZA UM ANA RECO M BI NATA ( RHUPH20) PR 1 2.296,570000 2.541,420000 0,000000 8 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1.082,030000 1.217,560000 0,000000 9 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2.123,150000 2.352,390000 0,000000 10 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 1 640,080000 735,840000 0,000000 11 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567,750000 657,000000 0,000000 12 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 4.719,840000 5.182,780000 0,000000 13 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243,150000 296,840000 0,000000 14 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 2.567,550000 2.836,780000 0,000000 15 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 1 235,250000 287,190000 0,000000 16 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1 664,380000 762,320000 0,000000 17 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 1 599,370000 691,460000 0,000000 18 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 2.307,480000 2.553,310000 0,000000 19 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 1 221,130000 269,960000 0,000000 20 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 1.168,750000 1.312,090000 0,000000 21 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1.825,000000 2.027,400000 0,000000 22 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 1.298,780000 1.453,820000 0,000000
38
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
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 25,463035 28,436071 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 30,555642 34,123285 54,733857
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 2.434,090000 2.691,310000 0,000000 2 W61698002 B02BX05 ELTROMBOPAG **1 REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. P-RF/R 28 129,108214 142,090714 0,000000 3 W64445002 B02BX05 ELTROMBOPAG **1 REVOLADE 25 mg COMPR. FILM. 25 mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR 28 129,108214 142,090714 0,000000 4 W64446002 B02BX05 ELTROMBOPAG **1 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 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 100 mg COMPR. SOLUBILE 100 mg BIOMARIN INTERNATIONAL LIMITED IRLANDA CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE PR 120 94,643666 103,479666 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 30 154,350000 169,513333 0,000000 2 W64601001 L01XE10 EVEROLIMUS **1 VOTUBIA COMPR. 5mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR 30 322,033666 352,289000 0,000000 3 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 30 131,527333 144,636666 0,000000 4 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 30 196,789333 215,772333 0,000000 5 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 30 327,315333 358,045666 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 82,758666 90,842833 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 60 154,411166 168,944166 0,000000 3 W64378001 L04AX05 PIRFENIDONUM **1 ESBRIET 267 mg COMPR. FILM. 267mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 252 COMPR. FILM. PR 252 27,603174 30,238888 0,000000 4 W64379001 L04AX05 PIRFENIDONUM **1 ESBRIET 801 mg COMPR. FILM. 801mg ROCHE REGISTRATION GMBH GERMANIA AMBALAJ CU 84 COMPR. FILM PR 84 82,809523 90,716666 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
39
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 3.760,331333 4.100,038000 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 30 459,371000 501,986666 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 30 917,743000 1.001,612666 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.22: Angioedem ereditar
1 W58531001 B06AC01 INHIBITOR DE ESTERAZA C1, UMANA **1 BERINERT 500 PULB+SOLV. PT. SOL. INJ./PERF. 500UI CSL BEHRING GMBH GERMANIA C U T I E C U 1 F L A C . D I N S T I C L A I N C O L O R A C U P U L B . P T . S O L . I N J / P E R F U Z . + 1 F L A C . D I N S T I C L A C U 1 0 M L A P A P T . P R E P A R A T E I N J . S I D I S P O Z I T I V D E A D M . ( D I S P O Z D E T R A N S F E R C U F I L T R U 2 0 / 2 0 , 1 S E R I N G A D E U N I C A F O L O S I N T A , 1 S E T P T . P U N C T I E V E N O A S A , 2 T A M P O PR 1 2.071,020000 2.295,560000 0,000000 2 W66129001 B06AC01 INHIBITOR DE ESTERAZA C1, UMANA **1 CINRYZE 500 UI PULB. SI SOLV. PT. SOL. INJ. 500UI SHIRE SERVICES BVBA BELGIA CUTI E CU 2 FLAC. CU PULB. PT SO L. I NJ. + 2 FLAC. CU SO LVENT + 2 DI SPO ZI TI VE DE TRANSFER CU FI LTRU + 2 SERI NG I DE UNI CA FO LO SI NTA + 2 SETURI PT. PUNCTI E VENO ASA + 2 M ATERI ALE I M PLETI TE CU RO L PRO TECTO R PR 2 2.485,224000 2.754,672000 338,403000 3 W67881001 B06AC02 ICATIBANTUM **1 ICATIBANT ACCORD 30 mg SOL INJ. IN SERINGA PREUMPLUTA 10mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC PR 1 4.580,540000 5.030,950000 0,000000 4 W66736001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml Shire Pharmaceuticals Ireland Limited IRLANDA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC PR 1 5.086,290000 5.582,210000 0,000000 5 W68202001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml TAKEDA PHARM. INTERNATIONAL AG IRELAND BRANCH IRLANDA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC PR 1 5.086,290000 5.582,210000 0,000000 6 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 5.086,290000 5.582,210000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.23: Neuropatia optică ereditară Leber
W62508001 N06BX13 IDEBENONUM **1 RAXONE 150 mg COMPR. FILM. 150mg SANTHERA PHARMACEUTICALS (DEUTSCHLAND) GMBH GERMANIA CUTIE CU FLAC. PEID X 180 COMPR. FILM. PR 180 100,403500 109,651888 0,000000 P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER P6.24: Amiotrofia spinală musculară 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 1 323.243,380000 352.373,890000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.25: Boala Castelman
1 W66521001 L04AC11 SILTUXIMABUM **1 SYLVANT 100 mg PULB. PT. CONC. PT. SOL. PERF. 100mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 8 M L CU ÎNCHIDERE ELASTOM ERICA SI SIGILIU DE ALUM INIU CU CAPAC FLIP-OFF CE CONTINE 100 M G DE SILTUXIM AB PRF 1 2.253,290000 2.494,240000 0,000000 2 W66522001 L04AC11 SILTUXIMABUM **1 SYLVANT 400 mg PULB. PT. CONC. PT. SOL. PERF. 400mg EUSA PHARMA (NETHERLANDS) B.V. OLANDA FLACON DE STICLA TIP 1 DE 30 M L CU ÎNCHIDERE ELASTOM ERICA SI SIGILIU DE AL UM INIU CU CAPAC FLIP-OFF CE CONTINE 400 M G DE SILTUXIM AB PRF 1 8.923,190000 9.764,440000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.26: Mucopolizaharidoza Tip IVA
1 W66181001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN INTERNATIONAL LIMITED IRLANDA FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3.395,960000 3.739,750000 0,000000
2 W63017001 A16AB12 ELOSULFASE ALFA ** VIMIZIM 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml BIOMARIN EUROPE LIMITED MAREA BRITANIE FLACON DE STICLA TRANSPARENTA DE 5 ML X 5 MG ALFA ELOSULFAZA PR 1 3.395,960000 3.739,750000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.27: Boli rare - medicamente incluse condiţionat
1 W66425001 A16AA04 MERCAPTAMINUM **1 O PROCYSBI 25 mg CAPS. GASTROREZ. 25mg CHIESI FARMACEUTICI S.P.A. ITALIA CUTIE CU 1 FLAC. DIN PEID X 60 CAPS. GASTROREZ. PR 60 37,435333 41,440333 0,000000 2 W66426001 A16AA04 MERCAPTAMINUM **1 O PROCYSBI 75 mg CAPS. GASTROREZ. 75mg CHIESI FARMACEUTICI S.P.A. ITALIA CUTIE CU 1 FLAC. DIN PEID X 250 CAPS. GASTROREZ. PR 250 110,925600 121,061640 0,000000 3 W08891006 A16AB03 AGALSIDASUM ALFA ** O REPLAGAL 1mg/ml CONC. PT. SOL. PERF. 1mg/ml SHIRE HUMAN GENETIC THERAPIES AB SUEDIA CUT IE X 4 FLACON X 3,5 ML CONC.PT .SOL.PERF. INTR-UN FLC. DE 5ML PR 4 6.188,790000 6.755,327500 0,000000 4 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 CARE CONTINE 10MG VELMANAZA ALFA PR 1 4.322,790000 4.750,000000 0,000000 5 W65588001 B01AX07 CAPLACIZUMABUM ** O CABLIVI 10 mg PULB+SOLV. PT. SOL. INJ 10mg ABLYNX NV BELGIA 1 FLAC+1 SERINGA PREUMPLUTA CU SOLV.+1 ADAPTOR +2 TAMPOANE PR 1 21.858,450000 23.863,890000 0,000000 6 W66507001 B02BD02 RURIOCTOCOG ALFA PEGOL ** O ADYNOVI 250 UI/2 ml PULB. SI SOLV. PT. SOL. INJ. 125UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III PR 1 708,930000 810,890000 0,000000 7 W66508001 B02BD02 RURIOCTOCOG ALFA PEGOL ** O ADYNOVI 500 UI/2 ml PULB. SI SOLV. PT. SOL. INJ. 250UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III PR 1 1.387,880000 1.550,940000 0,000000 8 W66276002 B02BD02 RURIOCTOCOG ALFA PEGOL ** O ADYNOVI 2000 UI/5 ml PULB. SI SOLV. PT. SOL. INJ. 400UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 5 ML SOLVENT, PREASAMBLATE IN SISTEM BAXJECT III PR 1 5.461,530000 5.991,230000 0,000000
40
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
9 W66509001 B02BD02 RURIOCTOCOG ALFA PEGOL ** O ADYNOVI 1000 UI/2 ml PULB. SI SOLV. PT. SOL. INJ. 500UI/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLACON CU PULBERE SI 1 FLACON CU 2 ML SOLVENT, PREASAMBLATE ÎN SISTEM BAXJECT III PR 1 2.745,770000 3.031,040000 0,000000 10 W64641001 B02BX06 EMICIZUMABUM ** O HEMLIBRA 150 mg/ml SOL INJ. 150mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 0,4 ML SOL. INJ. (CONTINE 60 MG EMICIZUMAB) PR 1 20.643,430000 22.539,520000 0,000000 11 W64641002 B02BX06 EMICIZUMABUM ** O HEMLIBRA 150 mg/1 ml SOL INJ. 150mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 0,7 ML SOL. INJ. (CONTINE 105 MG EMICIZUMAB) PR 1 36.103,490000 39.391,010000 0,000000 12 W64641003 B02BX06 EMICIZUMABUM ** O HEMLIBRA 150 mg/1 ml SOL INJ. 150mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 1 ML SOL. INJ. (CONTINE 150 MG EMICIZUMAB) PR 1 51.563,560000 56.242,500000 0,000000 13 W64640001 B02BX06 EMICIZUMABUM ** O HEMLIBRA 30 mg/1 ml SOL INJ. 30mg/1ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU 1 FLAC. X 1 ML SOL. INJ. (CONTINE 30 MG EMICIZUMAB) PR 1 10.336,720000 11.305,190000 0,000000 14 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 15 W64892001 N07XX12 PATISIRANUM ** O ONPATTRO 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ALNYLAM NETHERLANDS B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA CU 5 ML CONC. PR 1 35.193,630000 38.399,260000 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 14,740000 17,338333 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 14,740000 17,338333 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.29: Lipofuscinoza Ceroidă TIP2 (Deficit de tripeptidil peptidaza - TPP1)
1 W64486001 A16AB17 CERLIPONASUM ALFA **1 BRINEURA 150 mg SOL. PERF. 150mg BIOMARIN INTERNATIONAL LIMITED IRLANDA DIM ENSIUNEA AM BALAJ ULUI CU 3 FLAC.: 2 FLAC. X 150 M G DE CERLIPONAZA ALFA IN 5 M L SOLUTIE + 1 FLAC. X 5 M L SOLUTIE DE SPALARE PR 1 93.841,420000 102.325,430000 0,000000
P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER
P6.30: Sindrom hemolitic uremic atipic (SHUa) şi hemoglobinurie paroxistică nocturnă (HPN)
1 W68259001 L04AA25 ECULIZUMABUM **1 SOLIRIS 300 mg CONC. PT. SOL. PERF. 300mg ALEXION EUROPE SAS FRANTA CUTIE CU 1 FLAC. X 30 ML CONC. PT. SOL. PERF. PR 1 15.442,210000 16.870,180000 0,000000
P7: PROGRAM NATIONAL DE BOLI ENDOCRINE
Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne
41
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 0,417400 0,564200 0,000000
2 W67321001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 micrograme CAPS. MOI 0,25micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 50 CAPS. MOI PRF 50 0,417400 0,564200 0,000000 3 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 0,500880 0,677040 0,167960 4 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 0,956333 1,251000 0,000000 5 W67770001 A11CC03 ALFACALCIDOLUM MEDIRAZIN 0,5 micrograme CAPS. MOI 0,50micrograme ZENIVA K.S. REPUBLICA CEHA CUTIE CU UN FLACON ALB OPAC DIN PEÎD X 30 CAPSULE MOI PRF 30 0,956333 1,251000 0,000000 6 W67323001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 micrograme CAPS. MOI 0,50micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 30 CAPS. MOI PRF 30 0,956333 1,251000 0,000000 7 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 0,956333 1,251000 0,000000 8 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0,956333 1,251000 0,000000 9 W68102001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 12,111000 14,785000 0,000000 10 W68102002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 23,101000 28,202000 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 23,101000 28,202000 0,000000 12 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 12,111000 14,785000 0,000000 13 W62058002 G03CA03 ESTRADIOLUM LENZETTO 1,53 mg/doza SPRAY TRANSDERMIC, SOL. 1,53mg/doza GEDEON RICHT ER ROMANIA S.A. ROMANIA CUTIE CU UN FLAC. DIN STICLA CARE CONTINE 6,5 ML SOL., PREVAZUT CU O POMPA DOZATOARE P6L 1 37,880000 49,550000 0,000000 14 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 1,338214 1,750357 0,000000 15 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 1,307142 1,595714 0,000000 16 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 1,330714 1,740357 0,000000 17 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 1,330714 1,798571 0,000000 18 W42160002 H01AB01 TIREOTROPINUM ALFA THYROGEN 0,9 mg PULB. PT. SOL. INJ. 0,9mg GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S 2 1.521,835000 1.677,875000 0,000000 19 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 0,484400 0,654800 0,000000 20 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 0,484400 0,654800 0,000000 21 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF 20 1,757500 2,298500 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
22 W65157001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 mg COMPR. 32mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. PRF 20 1,757500 2,298500 0,000000 23 W08307001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 125 mg PULB+SOLV. PT. SOL. INJ./PERF. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML PRF 1 17,390000 23,500000 0,000000 24 W08310001 H02AB04 METHYLPREDNISOLONUM LEMOD SOLU 500 mg PULB+SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML PRF 1 56,350000 71,250000 0,000000 25 W67515002 H03AA01 LEVOTHYROXINUM EUTHYROX 125 μg COMPR 125 μg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLISTERE DIN PVC/AL A CÂTE 25 COMPRIMATE P6L 100 0,136200 0,184100 0,000000 26 W57399003 H03AA01 LEVOTHYROXINUM EUTHYROX 100μg COMPR. 100μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,110200 0,149000 0,000000 27 W66292003 H03AA01 LEVOTHYROXINUM EUTHYROX 100μg COMPR. 100μg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,110200 0,149000 0,000000 28 W66294002 H03AA01 LEVOTHYROXINUM EUTHYROX 150μg COMPR. 150μg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,150100 0,202900 0,000000 29 W57396003 H03AA01 LEVOTHYROXINUM EUTHYROX 25μg COMPR. 25μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,072700 0,098200 0,000000 30 W66291003 H03AA01 LEVOTHYROXINUM EUTHYROX 25μg COMPR. 25μg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,072700 0,098200 0,000000 31 W66293002 H03AA01 LEVOTHYROXINUM EUTHYROX 50μg COMPR. 50μg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLIST. PVC/AL X 25 COMPR. P6L 100 0,087700 0,118500 0,000000 32 W57398002 H03AA01 LEVOTHYROXINUM EUTHYROX 50μg COMPR. 50μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,087700 0,118500 0,000000 33 W67516002 H03AA01 LEVOTHYROXINUM EUTHYROX 75 μg COMPR. 75 μg MERCK ROMANIA SRL ROMANIA CUTIE CU 4 BLISTERE DIN PVC/AL A CÂTE 25 COMPRIMATE P6L 100 0,107400 0,145100 0,000000 34 W61162002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 100 micrograme/5 ml SOL. ORALA 100micrograme/5ml GALENICA S.A. GRECIA CUTI E CU 2 FLAC. DI N STI CLA BRUNA CO NTI NAND 75 M L SO L. O RALA SI 1 SERI NG A DO ZATO ARE DE 5 M L G RADATA LA 0, 1 M L SI 1 ADAPTO R PT. FLACO N SAU O LI NG URI TA DUBLA DI N PLASTI C DE 2, 5/ 5 M L P6L 2 16,260000 21,270000 0,000000 35 W61160002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 25 micrograme/5 ml SOL. ORALA 25micrograme/5ml GALENICA S.A. GRECIA CUTI E CU 2 FLAC. DI N STI CLA BRUNA CO NTI NAND 75 M L SO L. O RALA SI 1 SERI NG A DO ZATO ARE DE 5 M L G RADATA LA 0, 1 M L SI 1 ADAPTO R PT. FLACO N SAU O LI NG URI TA DUBLA DI N PLASTI C DE 2, 5/ 5 M L P6L 2 15,150000 19,815000 0,000000 36 W61161002 H03AA01 LEVOTHYROXINUM ACCU-THYROX 50 micrograme/5 ml SOL. ORALA 50micrograme/5ml GALENICA S.A. GRECIA CUTI E CU 2 FLAC. DI N STI CLA BRUNA CO NTI NAND 75 M L SO L. O RALA SI 1 SERI NG A DO ZATO ARE DE 5 M L G RADATA LA 0, 1 M L SI 1 ADAPTO R PT. FLACO N SAU O LI NG URI TA DUBLA DI N PLASTI C DE 2, 5/ 5 M L P6L 2 15,150000 19,815000 0,000000 37 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 0,355800 0,481000 0,000000 38 W54546003 H03BB02 THIAMAZOLUM THYROZOL 10 mg COMPR. FILM. 10mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0,355800 0,481000 0,000000 39 W54545003 H03BB02 THIAMAZOLUM THYROZOL 20mg COMPR. FILM. 20mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L 50 0,432600 0,584800 0,000000 40 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 0,432600 0,584800 0,000000 41 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 0,265800 0,347700 0,000000 42 W54547004 H03BB02 THIAMAZOLUM THYROZOL 5 mg COMPR. FILM. 5mg MERCK KGAA GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L 100 0,265800 0,347700 0,000000 43 W03843004 H03CA01 KALII IODIDUM JODID 100 COMPR. 100mcg MERCK KGAA GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF 100 0,130300 0,176100 0,000000 44 W66151004 H03CA01 KALII IODIDUM JODID 100 micrograme COMPR. 100micrograme MERCK ROMANIA SRL ROMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. PRF 100 0,130300 0,176100 0,000000 45 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 2,435000 3,290000 0,000000 46 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 2,522500 3,410000 0,000000 47 W60296002 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2,838000 3,834000 7,803500 48 W60296004 M05BA04 ACIDUM ALENDRONICUM ** FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2,838000 3,834000 8,441000 49 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 2,838000 3,834000 5,926000 50 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 2,365000 3,195000 0,000000 51 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 2,838000 3,834000 5,613500 52 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 2,838000 3,834000 5,136833 53 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 3,636000 4,914000 7,398500 54 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 3,447500 4,660000 0,000000 55 W60074002 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT SODIC ZENTIVA 35mg COMPR. FILM. 35mg ZENTIVA KS REPUBLICA CEHA CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE P-6L 4 3,030000 4,095000 0,000000 56 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 3,636000 4,914000 7,398500 57 W66214001 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 75 mg COMPR. FILM. 75mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 12,978000 17,538000 7,097000 58 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 10,815000 14,615000 0,000000 59 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 17,538000 7,097000 60 W66935003 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 35 mg COMPR. GASTROREZ. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU BLIST. PVC/AL X 4 COMPR. P6L 4 3,636000 4,914000 16,416000 61 W42407001 M05BA08 ACIDUM ZOLEDRONICUM ** ACLASTA 5mg/100ml SOL. PERF. 5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTI E X 1 FLACO N PLASTI C ( PO LI M ER CI CLO O LEFI NI C) X 100M L SO LUTI E PERFUZABI LA I NCHI S CU UN DO P DI N CAUCI UC BRO M O BUTI LI C ACO PERI T CU FLUO RO - PO LI M ER + 1 CAPAC ALUM I NI U/ PO LI PRO PI LENA CU CO M PO NENTA FLI P PR 1 883,890000 1.001,590000 0,000000 62 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 1 883,890000 1.001,590000 0,000000 63 W63922002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/2800 UI COMPR. 70mg/2800UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5,814000 7,857000 4,520500 64 W67694002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI N.V. ORGANON OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L 4 5,814000 7,857000 1,198000 65 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 66 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 1,198000 67 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 4,950000 6,690000 5,985000 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 4,125000 5,575000 0,000000 69 W67697001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI N.V. ORGANON OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 4,950000 6,690000 2,670000 70 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 4,950000 6,690000 5,985000 71 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 4,125000 5,575000 0,000000 72 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 4,950000 6,690000 0,242500 73 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 4,950000 6,690000 2,670000 74 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 4,125000 5,575000 0,000000
42
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
75 W62679005 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUM B AM BALAT INTR-UN CONTAINER DIN M ETAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 1110 M BQ PR 1 876,860000 993,930000 0,000000 76 W62679003 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUM B AM BALAT INTR-UN CONTAINER DIN M ETAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 185 M BQ PR 1 728,680000 832,410000 0,000000 77 W62679002 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUM B AM BALAT INTR-UN CONTAINER DIN M ETAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 111 M BQ PR 1 747,380000 852,790000 0,000000 78 W62679001 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CO NTAI NER DI N PLUM B AM BALAT I NTRU- UN CO NTAI NER DI N M ETAL, SI G I LAT CU UN I NVELI S DETASABI L CARE CO NTI NE O CAPSULA PENTRU UZ TERAPEUTI C 7400 M BQ PR 1 2.789,170000 3.078,350000 0,000000 79 W62679009 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUM B AM BALAT INTR-UN CONTAINER DIN M ETAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 5550 M BQ PR 1 2.358,920000 2.609,380000 0,000000 80 W62679004 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUM B AM BALAT INTR-UN CONTAINER DIN M ETAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 370 M BQ PR 1 749,840000 855,480000 0,000000 81 W62679006 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUM B AM BALAT INTR-UN CONTAINER DIN M ETAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 1850 M BQ PR 1 823,950000 936,260000 0,000000 82 W62679007 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUM B AM BALAT INTR-UN CONTAINER DIN M ETAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 2590 M BQ PR 1 847,070000 961,460000 0,000000 83 W62679010 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUM B AM BALAT INTR-UN CONTAINER DIN M ETAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 259 M BQ PR 1 738,490000 843,100000 0,000000 84 W62679008 V10XA01 NATRII IODIDUM (131I) THYROTOP 38-7400 MBq CAPS. PT UZ TERAPEUTIC 38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUM B AM BALAT INTR-UN CONTAINER DIN M ETAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 3700 M BQ PR 1 1.194,440000 1.340,090000 0,000000 85 W66052002 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 74 M BQ + APLI CATO R SEPARAT DI N PP PR 1 1.060,220000 1.193,790000 0,000000 86 W66052003 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 111 M BQ + APLI CATO R SEPARAT DI N PP PR 1 896,856000 1.023,348000 170,442000 87 W66052004 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 185 M BQ + APLI CATO R SEPARAT DI N PP PR 1 874,416000 998,892000 307,188000 88 W66052005 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 259 M BQ + APLI CATO R SEPARAT DI N PP PR 1 886,188000 1.011,720000 294,360000 89 W66052011 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 5500 M BQ + APLI CATO R SEPARAT DI N PP PR 1 2.502,530000 2.765,910000 0,000000 90 W66052001 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 37- 56 M BQ + APLI CATO R SEPARAT DI N PP PR 1 1.060,220000 1.193,790000 0,000000 91 W66052006 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 370 M BQ + APLI CATO R SEPARAT DI N PP PR 1 899,808000 1.026,576000 391,804000 92 W66052007 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 1110 M BQ + APLI CATO R SEPARAT DI N PP PR 1 1.052,232000 1.192,716000 281,814000 93 W66052008 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 1850 M BQ + APLI CATO R SEPARAT DI N PP PR 1 988,740000 1.123,512000 631,748000 94 W66052009 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 2590 M BQ + APLI CATO R SEPARAT DI N PP PR 1 1.016,484000 1.153,752000 713,798000 95 W66052010 V10XA01 NATRII IODIDUM (131I) FID-NA-131-I-T 37-5500 MBq CAPS. PT. UZ TERAPEUTIC 37-5500MBq S.C. FIDELIO FARM SRL ROMANIA CO NTAI NER DI N PB ACO PERI T CU UN CAPAC DE PB CE CO NTI NE O I NSERTI E DE PP CU FI LTRU PT. I O D CE CO NTI NE 1 FLAC. X 1 CAPS. 3700 M BQ + APLI CATO R SEPARAT DI N PP PR 1 1.433,328000 1.608,108000 484,042000 96 W58679003 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 5 ML SOL. ORALA 5 MCI PR 1 874,416000 998,892000 1.431,028000 97 W58679004 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 5 ML SOL. ORALA 10 MCI PR 1 899,808000 1.026,576000 1.741,394000 98 W58679005 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 5 ML SOL. ORALA 15 MCI PR 1 2.736,180000 3.020,590000 0,000000 99 W58679001 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 5 ML SOL. ORALA 2 MCI PR 1 1.272,264000 1.432,548000 660,522000 100 W58679010 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 75 MCI PR 1 5.132,240000 5.632,300000 0,000000 101 W58679007 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 30 MCI PR 1 1.052,232000 1.192,716000 2.585,744000 102 W58679011 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 100 MCI PR 1 1.433,328000 1.608,108000 5.120,112000 103 W58679012 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 150 MCI PR 1 2.830,704000 3.131,256000 4.861,314000 104 W58679013 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 200 MCI PR 1 3.347,004000 3.694,020000 5.898,530000 105 W58679002 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 20 MCI PR 1 3.045,200000 3.357,420000 0,000000 106 W58679008 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 50 MCI PR 1 988,740000 1.123,512000 3.498,278000 107 W58679009 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 60 MCI PR 1 4.900,450000 5.379,650000 0,000000 108 W58679006 V10XA01 NATRII IODIDUM (131I) MONIYOT-131 SOL. ORALA PT. UZ TERAPEUTIC 14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 25 MCI PR 1 3.276,990000 3.610,070000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
43
P9.1: TRANSPLANT MEDULAR
1 W56153001 A04AA01 ONDANSETRONUM ** OSETRON 4 mg COMPR. FILM. 4mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 BLIST. AL-PVDC/PVC X 10 COMPR. FILM. P-RF 10 1,879000 2,539000 0,000000 2 W56154001 A04AA01 ONDANSETRONUM ** OSETRON 8 mg COMPR. FILM. 8mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 BLIST. AL-PVDC/PVC X 10 COMPR. FILM. P-RF 10 3,285000 4,297000 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 4,030000 5,448000 0,000000 4 W63617005 A04AA01 ONDANSETRONUM ** ONDANSETRON AUROBINDO 2 mg/ml SOL INJ./PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 4 ML SOL. INJ./PERF. PR 5 7,660000 10,018000 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 4,786000 6,468000 0,000000 6 W57424001 A04AA01 ONDANSETRONUM ** OSETRON 8 mg SOLUTIE INJECTABILA SOL. INJ. 2mg/ml DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF 5 9,094000 11,896000 0,000000 7 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 0,972000 1,271400 0,000000 8 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 0,899200 1,137000 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 2,098100 2,561400 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 87,130000 110,170000 0,000000 11 W68079001 B02AA02 ACIDUM TRANEXAMICUM (4) UGUROL 500 mg/5ml SOL. INJ . PT. ADM . I.V., ORALA SI CUT. 500mg/5ml BGP PRODUCTS S.R.L. ROMANIA CUTIE CU 6 FIOLE A CATE 5 ML SOL. INJ. PR 6 4,801666 6,280000 0,000000 12 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ . 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR 1 2.198,430000 2.434,440000 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 24,789600 30,262800 19,707200
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
14 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 13,684000 16,705000 0,000000 15 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 16,420800 20,046000 8,314000 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 14,180000 19,170000 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 20,658000 25,219000 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 21,410000 28,940000 0,000000 19 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24,789600 30,262800 19,707200 20 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 24,789600 30,262800 6,647200 21 W58974002 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTI E CU 10 FLAC. DI N STI CLA I NCO LO RA, CU CAPACI TATEA DE 20 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N ALUM I NI U PREVAZUTA CU DI SC DI N M ATERI AL PLASTI C PRF 10 39,963600 48,138000 40,131000 22 W58974005 J01DH02 MEROPENEMUM MEROPENEM ATB 1000 mg PULB. PT. SOL. INJ ./PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTI E CU 10 FLAC. DI N STI CLA I NCO LO RA, CU CAPACI TATEA DE 30 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N ALUM I NI U PREVAZUTA CU DI SC DI N M ATERI AL PLASTI C PRF 10 39,963600 48,138000 40,131000 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 M L, DOP DIN CAUCIUC BROM OBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ ./PERF. PR 10 35,591000 42,609000 0,000000 24 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 39,963600 48,138000 57,322000 25 W65892002 J01DH02 MEROPENEMUM MEROPENEM AUROBINDO 1 g PULB. PT. SOL. INJ ./PERF. 1g AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR 10 39,963600 48,138000 34,378000 26 W56125002 J01DH02 MEROPENEMUM MEROPENEM KABI 1 g PULB. PT. SOL. INJ ./PERF. 1g FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S 10 33,303000 40,115000 0,000000 27 W61142002 J01DH02 MEROPENEMUM ARCHIFAR 500 mg PULB. PT. SOL. INJ ./PERF. 500mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 M L, DOP DIN CAUCIUC BROM OBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ ./PERF. PR 10 19,904000 24,299000 0,000000 28 W58973002 J01DH02 MEROPENEMUM MEROPENEM ATB 500 mg PULB. PT. SOL. INJ ./PERF. 500mg ANTIBIOTICE S.A. ROMANIA CUTI E CU 10 FLAC. DI N STI CLA I NCO LO RA, CU CAPACI TATEA DE 20 M L CU DO P DI N CAUCI UC, SI G I LAT CU CAPSA DI N ALUM I NI U PREVAZUTA CU DI SC DI N M ATERI AL PLASTI C PRF 10 23,884800 29,158800 19,270200 29 W56124002 J01DH02 MEROPENEMUM MEROPENEM KABI 500 mg PULB. PT. SOL. INJ ./PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. PR 10 23,884800 29,158800 8,009200 30 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 23,884800 29,158800 27,401200 31 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20,509000 25,037000 0,000000 32 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 20,509000 25,037000 0,000000 33 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24,610800 30,044400 7,505600 34 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24,610800 30,044400 10,845600 35 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24,610800 30,044400 10,232600 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 24,610800 30,044400 7,294600 37 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 20,882000 25,492000 0,000000 38 W67482001 J01XA01 VANCOMYCINUM VANCOMICINA ROMPHARM 1000mg PULB. PT. CONC. PT. SOL. PERF. 1000mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CARE CONTINE 1000 MG PULBERE PT. CONC. PT. SOL. PERF. PR 1 23,280000 31,460000 0,000000 39 W67245004 J01XA01 VANCOMYCINUM VANCOMICINA MIP 1000 mg PULB. PT. SOL. PERF. 1000mg MIP PHARMA GMBH GERMANIA CUTI E CU 5 FLAC. DI N STI CLA I NCO LO RA DE TI P I , CU CAPACI TATEA DE 25 M L, I NCHI SE CU DO P G RI DI N CAUCI UC BRO M O BUTI LI C, SI G I LAT CU CAPSA M ETALI CA PREVAZUTA CU DI SC DI N PLASTI C TI P FLI P- O FF PR 5 27,936000 37,752000 47,242000 40 W67244002 J01XA01 VANCOMYCINUM VANCOMICINA MIP 500 mg PULB. PT. SOL. PERF. 500mg MIP PHARMA GMBH GERMANIA CUTI E CU 5 FLAC. DI N STI CLA I NCO LO RA DE TI P I , CU CAPACI TATEA DE 10 M L, I NCHI SE CU DO P G RI DI N CAUCI UC BRO M O BUTI LI C, SI G I LAT CU CAPSA M ETALI CA PREVAZUTA CU DI SC DI N PLASTI C TI P FLI P- O FF PR 5 27,036000 36,540000 10,260000 41 W57042001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.S OL. 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 27,936000 37,752000 22,238000 42 W57041001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 500 mg PULB. PT.CONC. PT.S OL. 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 22,530000 30,450000 0,000000 43 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SO LV. PT. SO L. I NJ. / PERF. SAU SO L. O RALA 400mg SANOFI ROMANIA SRL ROMANIA CUTI E CU 1 FLACO N DI N STI CLA I NCO LO RA TI P I , CARE CO NTI NE PULBEREA SI O FI O LA DI N STI CLA I NCO LO RA TI P I CARE CO NTI NE SO LV. ( APA PT. PREPARATE I NJ. , 3 M L) PRF 1 119,450000 145,820000 0,000000 44 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 90,018000 102,698400 21,246600 45 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 90,018000 102,698400 21,246600 46 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 75,015000 85,582000 0,000000 47 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1 835,380000 948,710000 0,000000 48 W65055001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 M L SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 M L/5 M L PRF 1 835,380000 948,710000 0,000000 49 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 10 118,493000 132,972000 0,000000 50 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 1 137,318400 154,255200 170,864800 51 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP M ULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 10 119,830000 134,430000 0,000000 52 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137,318400 154,255200 1,161800 53 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 10 137,318400 153,913000 0,000000 54 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 M ULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 1 128,510000 154,255200 2,634800 55 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 10 137,318400 154,255200 1,161800 56 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137,318400 154,255200 1,161800 57 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNG I DI N PO LI O LEFI NA M ULTI STRATI FI CATA, FARA LATEX, PREVAZUTA CU UN TUB CO NECTO R CU DESCHI DERE PRI N RASUCI RE, SI G I LATA Î NTR- O FO LI E LAM I NATA PRO TECTO ARE CO NTI NÂND 300 M L SO L. PERF. PR 10 114,432000 128,546000 0,000000 58 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,890285 3,906857 3,158143 59 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 2,408571 3,255714 0,000000 60 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2,890285 3,906857 2,931714 61 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,840000 7,890000 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 7,008000 9,468000 1,732000 63 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 5,840000 7,890000 0,000000 64 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 65 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 5,840000 7,890000 0,000000 66 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000
44
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
45
comunitare
67 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 5,840000 7,890000 0,000000 68 W51994001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 150 mg CAPS. 150mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 69 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 5,840000 7,890000 0,000000 70 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 7,008000 9,468000 21,842000 71 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7,008000 9,468000 1,732000 72 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 5,840000 7,890000 0,000000 73 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,840000 7,890000 0,000000 74 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4,922857 6,440000 0,000000 75 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,491428 2,016000 2,329714 76 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 1,491428 2,016000 1,049714 77 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 1,242857 1,680000 0,000000 78 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 79 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 80 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 1,491428 2,016000 1,049714 81 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 82 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 1,491428 2,016000 1,049714 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 1,491428 2,016000 2,329714 84 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 85 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 86 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 22,848000 27,193200 33,656800 87 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 19,040000 22,661000 0,000000 88 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 AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 M L SOL. PERF. PR 20 22,848000 27,193200 13,795300 89 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 38,090000 45,333000 0,000000 90 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 9,647000 11,777000 0,000000 91 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 M L SOL. PERF. PR 10 45,708000 54,399600 43,801400 92 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 14,122142 16,755714 0,000000 93 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 16,861600 19,905199 44,228372 94 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 14,051333 16,587666 0,000000 95 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16,861600 19,905199 7,311943 96 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 16,861600 19,905199 20,413729 97 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16,861600 19,905199 6,050872 98 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16,861600 19,905199 9,843372 99 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 16,861600 19,905199 47,911586 100 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16,861600 19,905199 47,911586 101 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 16,861600 19,905199 20,413729 102 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,999464 24,660714 0,000000 103 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22,517142 25,906071 0,000000 104 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23,605714 28,455000 0,000000 105 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320,040000 386,990000 0,000000 106 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 1 354,340000 424,380000 0,000000 107 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316,450000 383,080000 0,000000 108 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 1 379,740000 459,696000 28,084000 109 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 1 379,740000 459,696000 357,694000 110 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354,340000 424,380000 0,000000 111 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR PRF 1 1.641,500000 1.827,390000 0,000000 112 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR P-RF 1 1.641,500000 1.827,390000 0,000000 113 W68234009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 40,438666 114 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 106,648666 115 W66364009 J02AC04 POSACONAZOLUM ** POSACONAZOL ZENTIVA 100 mg COMPR. GASTROREZ. 100mg ZENTIVA K.S. REP. CEHA CUTIE CU BLIST. OPAC NEPERFORAT DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 49,952000 116 W66832009 J02AC04 POSACONAZOLUM ** POSACONAZOL STADA 100 mg COMPR. GASTROREZ. 100mg STADA M&D S.R.L. ROMANIA CUT IE CU BLIST. DIN PVC-PE-PVDC/AL X 24 COMPR. GAST ROREZ. PR 24 29,515000 33,760833 0,000000 117 W66225001 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 24 COMPR. GASTROREZ PR 24 29,515000 33,760833 0,000000 118 W66421009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 40,438666 119 W66491011 J02AC04 POSACONAZOLUM ** POSACONAZOL ALVOGEN 100 mg COMPR. GASTROREZ. 100mg ALVOGEN PHARMA TRADING EUROPE EOOD BULGARIA CUTIE CU BLIST. PVC-PE-PVDC/AL PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 59,008250
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
120 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 1.419,030000 1.584,900000 0,000000 121 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MY LAN IRELAND LIIMTED IRLANDA CUTI E CU 1 FLAC. DI N STI CLA, CU CAPAC DI N PE CU SI STEM DE I NCHI DERE SECURI ZAT PENTRU CO PI I SI O LI NG URI TA DE M ASURARE A DO ZELO R X 105 M L SUSP. O RALA PR 1 674,280000 773,120000 0,000000 122 W66224001 J02AC04 POSACONAZOLUM ** POSACONAZOLE AHCL 40 mg/ml SUSP. ORALA 40mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PP + 1 LINGURITA DOZATOARE X 105 ML SUSP. ORALA PR 1 674,280000 773,120000 0,000000 123 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 809,136000 927,744000 1.914,756000 124 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178,238571 197,005000 0,000000 125 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178,238571 197,005000 0,000000 126 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 127 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 128 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 129 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 1 902,630000 1.022,020000 0,000000 130 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 1 854,420000 969,470000 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 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 132 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 M L CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 133 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 1 902,630000 1.022,020000 0,000000 134 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 1 893,780000 1.012,370000 0,000000 135 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 136 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 1.078,810000 1.214,050000 0,000000 137 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 1.168,910000 1.312,260000 0,000000 138 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 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 139 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 M L CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 140 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 1.157,360000 1.299,670000 0,000000 141 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 1.168,910000 1.312,260000 0,000000 142 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 1 902,630000 1.022,020000 0,000000 143 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 1.168,910000 1.312,260000 0,000000 144 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 0,608400 0,822600 0,115350 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 0,608400 0,822600 0,402900 146 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 0,608400 0,822600 0,402900 147 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 0,608400 0,822600 0,402900 148 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1,185600 1,603200 1,439800 149 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,608400 0,822600 0,402900 150 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 0,608400 0,822600 0,151400 151 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,608400 0,822600 0,217400 152 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 0,608400 0,822600 0,402900 153 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 0,507000 0,685500 0,000000 154 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 0,988000 1,336000 0,000000 155 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1,185600 1,603200 1,039800 156 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42,602000 52,008000 0,000000 157 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42,602000 52,008000 0,000000 158 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUT IE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 3,033600 3,967200 1,117800 159 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 2,528000 3,306000 0,000000 160 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 15,907000 17,974500 0,000000 161 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 17,166666 19,347500 0,000000 162 W65648001 J05AX18 LETERMOVIRUM ** PREVYMIS 240 mg COMPR. FILM. 240mg MERCK SHARP & DOHME OLANDA CUTIE X 4 BLIST. PA-AL-PVC/AL TIP CARD X 7 COMPR. FILM. PR 28 689,815714 753,262500 0,000000 163 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367,360000 438,570000 0,000000 164 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704,710000 806,290000 0,000000 165 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.379,440000 1.541,740000 0,000000 166 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.741,470000 3.026,360000 0,000000 167 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1.082,030000 1.217,560000 0,000000 168 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2.123,150000 2.352,390000 0,000000 169 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 1 640,080000 735,840000 0,000000 170 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567,750000 657,000000 0,000000 171 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 4.719,840000 5.182,780000 0,000000 172 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243,150000 296,840000 0,000000
46
crt
Nr. Cod CIM
Grupa terapeu tica
Denumire generica Denumire comerciala
Forma Concentr farmaceuti atie /
ca U.T.
Firma Tara Ambalaj
cant/a Pret cu ridicata mbal m axim al de
Prescriptie
aj decontare / U.T.
Pret de
decontare / U.T.
contribu'ie m axim ă
asigurat / U.T. - farmacii
comunitare
47
173 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 2.567,550000 2.836,780000 0,000000
174 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 1 235,250000 287,190000 0,000000 175 W43963001 176 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 2,5g/50ml INTRATECT 50 g/l SOL. PERF. SOL. PERF. 2,5g/50ml KEDRION SPA 50g/l BIOTEST PHARMA GMBH ITALIA GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 1 664,380000 599,370000 762,320000 691,460000 0,000000 0,000000 177 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 2.307,480000 2.553,310000 0,000000 178 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 1 221,130000 269,960000 0,000000 179 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 1.168,750000 1.312,090000 0,000000 180 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1.825,000000 2.027,400000 0,000000 181 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 1.298,780000 1.453,820000 0,000000 182 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0,935000 1,223000 0,000000 183 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 25,210000 32,970000 0,000000 184 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ . 200mg TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 25,210000 32,970000 0,000000 185 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 4,203600 5,131600 0,000000 186 W68111001 L01AA03 MELPHALANUM MELPHALAN-RATIOPHARM 50 mg PULB+SOLV. PT. SOL. INJ./PERF. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. CU PULB. SI 1 FLAC. CU 10 ML SOLV. PR 1 1.095,400000 1.232,140000 0,000000 187 W67923001 L01AA03 MELPHALANUM PHELINUN 200 mg PULB+SOLV. PT. SOL. PERF. 200mg ADIENNE S.R.L. S.U. ITALIA CUTIE CU 1 FLACON X 200MG PULBERE + 1 FLACON X 40ML SOLVENT PR 1 4.420,370000 4.856,360000 0,000000 188 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 1 134,780000 164,540000 0,000000 189 W58856002 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF 100 2,721700 3,322600 0,000000 190 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 8 723,823750 793,737500 0,000000 191 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 1 750,080000 855,740000 0,000000 192 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg/50 ml CONC. PT. SOL. INJ ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML PR 1 356,390000 426,620000 0,000000 193 W65904001 L01BA01 METHOTREXATUM JYLAMVO 2 mg/ml SOL. ORALA 2mg/ml THERAKIND (EUROPE) LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA, CU ADAPTOR DIN PEJ D PENTRU FLACON SI O SERINGA DOZATOARE DIN PP X 60 M L SOL. ORALA PR 1 753,750000 859,740000 0,000000 194 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 68,074000 76,108000 0,000000 195 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 1 119,410000 145,770000 0,000000 196 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 10 177,847000 197,668000 0,000000 197 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 10 177,847000 197,668000 0,000000 198 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 76,640500 85,446000 0,000000 199 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 76,640500 85,446000 0,000000 200 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 65,000000 82,190000 0,000000 201 W65008002 L01CB01 ETOPOSIDUM ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU UN FLAC. DI N STI CLA I NCO LO RA TI P I , CU CAPACI TATEA DE 10 M L Î NCHI S CU DO P DI N CAUCI UC BRO M O BUTI L SI SI G I LAT CU CAPSE DETASABI LE DI N AL DE CULO ARE ALBASTRA CO NTI NÂND 10 M L CO NC. PENTRU SO L. PERF. PR 1 78,000000 98,628000 26,902000 202 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 27,620000 36,130000 0,000000 203 W65097001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1 CAPS. PRF 1 207,720000 253,580000 0,000000 204 W03575001 L01DB06 IDARUBICINUM ZAVEDOS 10 mg CAPS. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF 1 207,720000 253,580000 0,000000 205 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 1 118,410000 144,560000 0,000000 206 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. PR 1 118,410000 144,560000 0,000000 207 W42735002 L01DB07 MITOXANTRONUM ** ONKOTRONE 2 mg/ml CONC. PT. SOL. INJ. 2mg/ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. PR 1 543,480000 630,540000 0,000000 208 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 19,440000 26,280000 16,960000 209 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 36,300000 47,480000 0,000000 210 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 36,300000 47,480000 0,000000 211 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 71,330000 90,190000 0,000000 212 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 23,080000 31,190000 0,000000 213 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 16,200000 21,900000 0,000000 214 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 23,080000 31,190000 0,000000 215 W65006001 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU DO P DI N CAUCI UC FLURO TEC, SI G I LAT CU CAPSA DI N AL DE CULO ARE VERDE X 5 M L CO NC. PT. SO L. PERF. X 50 M G CARBO PLATI NA PR 1 38,560000 50,440000 0,000000 216 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 60,990000 77,120000 0,000000 217 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 1 177,000000 216,080000 0,000000 218 W65006004 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU DO P DI N CAUCI UC FLURO TEC, SI G I LAT CU CAPSA DI N AL DE CULO ARE G ALBENA X 60 M L CO NC. PT. SO L. PERF. X 600 M G CARBO PLATI NA PR 1 443,740000 521,830000 0,000000 219 W65006002 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU DO P DI N CAUCI UC FLURO TEC, SI G I LAT CU CAPSA DI N AL DE CULO ARE ALBASTRA X 15 M L CO NC. PT. SO L. PERF. X 150 M G CARBO PLATI NA PR 1 73,188000 92,544000 6,486000 220 W65006003 L01XA02 CARBOPLATINUM CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTI E CU 1 FLAC. DI N STI CLA I NCO LO RA CU DO P DI N CAUCI UC FLURO TEC, SI G I LAT CU CAPSA DI N AL DE CULO ARE RO SI E X 45 M L CO NC. PT. SO L. PERF. X 450 M G CARBO PLATI NA PR 1 202,010000 246,610000 0,000000 221 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 2 584,655000 656,350000 0,000000 222 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 2 612,900000 687,135000 0,000000 223 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 3 579,653333 644,540000 0,000000 224 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 2 695,584000 773,448000 73,192000 225 W64513002 L01XC02 RITUXIMABUM ** RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 2 2.905,640000 3.186,225000 0,000000
crt
Nr. Cod CIM
Grupa terapeu tica
Denumire generica Denumire comerciala
Forma Concentr farmaceuti atie /
ca U.T.
Firma Tara Ambalaj
cant/a Pret cu ridicata mbal m axim al de
Prescriptie
aj decontare / U.T.
Pret de
decontare / U.T.
contribu'ie m axim ă
48
asigurat / U.T. - farmacii
comunitare
267 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 2,437800 2,976000 0,000000 268 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 18,094200 20,485800 0,000000 269 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 1,666000 2,106400 0,000000 270 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 3,464200 4,229200 0,000000 271 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 18,094200 20,485800 0,000000 272 W68112002 L04AX03 METHOTREXATUM METHOTREXAAT PCH 2,5 mg COMPR. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 3 BLIST. X 10 COMPR. PR 30 0,839333 1,098000 0,000000 273 W68338004 L04AX03 METHOTREXATUM METOTREXAT SANDOZ 2,5 mg (vezi L01BA01) COMPR. 2,5mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PP X 50 COMPR. PR 50 0,660000 0,863400 0,000000 274 W12691002 N02AX02 TRAMADOLUM TRAMADOL 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,293500 0,397000 0,000000 275 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,352200 0,476400 0,039100 276 W60291001 N02AX02 TRAMADOLUM TRAMACALM 50 mg CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 0,352200 0,476400 0,039600 277 W42957001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,352200 0,476400 0,039100 278 W68093001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 0,352200 0,476400 0,039100
226 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 3.098,630000 3.415,660000 0,000000
227 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 3.486,768000 3.823,470000 311,700000 228 W64513001 L01XC02 RITUXIMABUM ** RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR 1 2.920,640000 3.221,650000 0,000000 229 W66651001 L01XC02 RITUXIMABUM ** MABTHERA 1600 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA(1600 MG RITUXIMAB /13,4ML) SOL. INJ. PT. ADM. SUBCUTANATA PR 1 7.488,630000 8.200,770000 0,000000 230 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 6.556,300000 7.184,530000 0,000000 231 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 30MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76,032000 92,030400 83,669600 232 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 48MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127,632000 148,274400 129,275600 233 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 12 MU/0,2 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45,800000 59,910000 0,000000 234 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 235 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 236 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127,632000 148,274400 209,375600 237 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 70 MU/0,73 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231,680000 282,840000 0,000000 238 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 63,360000 76,692000 0,000000 239 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 63,360000 76,692000 0,000000 240 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 5 106,360000 123,562000 0,000000 241 W55758002 242 W54580001 243 W61725001 L03AA02 FILGRASTIMUM (G-CSF) ** L03AX16 PLERIXAFOR ** L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE NIVESTIM 48 MU/0,5 ml MOZOBIL 20mg/ml ** GRAFALON 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 SOL. INJ. 20 mg/ml GENZYME EUROPE B.V. OLANDA FLACON CU 1,2 ML SOL. X 20 MG/ML S CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUT IE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 5 1 1 106,360000 21.942,450000 1.621,690000 123,562000 23.955,450000 1.805,790000 0,000000 0,000000 0,000000 244 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 2,598583 3,150416 0,000000 245 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5,815166 6,656500 0,000000 246 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,358400 1,658300 0,000000 247 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 1,563600 1,977000 0,000000 248 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 2,716800 3,316600 0,000000 249 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14,740000 17,338333 0,000000 250 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14,740000 17,338333 0,000000 251 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 4 343,860000 384,345000 0,000000 252 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 4 343,860000 384,345000 0,000000 253 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 4 558,172500 617,947500 0,000000 254 W63832001 L04AB01 ETANERCEPTUM ** ERELZI 50 mg SOL INJ. 50mg SANDOZ GMBH AUSTRIA CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE PR 4 478,102500 530,670000 0,000000 255 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 4 349,487500 390,480000 0,000000 256 W65222001 L04AB01 ETANERCEPTUM ** BENEPALI 50 mg SOL. INJ. 50mg SAMSUNG BIOEPIS NL B.V. OLANDA CUT IE CU 4 STILOURI INJECT OARE (PEN) PREUMPLUTE A CAT E 50 MG PR 4 558,172500 617,947500 0,000000 257 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 4 682,170000 753,105000 0,000000 258 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 4 682,170000 753,105000 0,000000 259 W61299001 L04AB01 ETANERCEPTUM ** ENBREL 25mg SOL. INJ . (INSERINGA PREUM PLUTA) 25mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 349,487500 390,480000 0,000000 260 W61300002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ . (INSERINGA PREUM PLUTA) 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL P-RF/R 4 682,170000 753,105000 0,000000 261 W61303002 L04AB01 ETANERCEPTUM ** ENBREL 50mg SOL. INJ . IN STILOU INJ ECTOR PREUM PLUT 50mg PFIZER LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL P-RF/R 4 682,170000 753,105000 0,000000 262 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,449200 1,832400 0,000000 263 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,745600 3,351800 0,000000 264 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 1,666000 2,106400 0,000000 265 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 1,073200 1,357000 0,000000 266 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 3,464200 4,229200 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
279 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,352200 0,476400 0,039100 280 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 0,532000 0,718800 0,002866 281 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 0,443333 0,599000 0,000000 282 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 0,778399 1,051999 0,213001 283 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 0,778399 1,051999 0,213001 284 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 0,778399 1,051999 0,076001 285 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 0,778399 1,051999 0,076001 286 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 0,648666 0,876666 0,000000 287 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 0,891333 1,166000 0,000000 288 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 0,834000 1,091000 0,000000 289 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 0,778399 1,051999 0,101001 290 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 1,000800 1,309200 0,227800 291 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS 50 mg/ml SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 10 1,500000 2,028000 0,000000 292 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 1,800000 2,433600 0,568400 293 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 1,534000 2,074000 0,000000 294 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0,834000 1,128000 0,000000 295 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 76,523333 89,768333 0,000000 296 W66841001 V03AC03 DEFERASIROXUM ** DEFERASIROX STADA 180 mg COMPR. FILM. 180mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 297 W66803001 V03AC03 DEFERASIROXUM ** REDITENS 180 mg COMPR. FILM. 180mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 31,297000 35,385333 0,000000 298 W68074001 V03AC03 DEFERASIROXUM ** DEFERASIROX ACCORD 180 mg COMPR. FILM. 180mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 31,297000 35,385333 0,000000 299 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 37,556400 42,462400 4,645600 300 W68284001 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 301 W68284003 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 302 W68284005 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 303 W68284007 V03AC03 DEFERASIROXUM ** ZEOKS 180 mg COMPR. FILM. 180mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 31,297000 35,385333 0,000000 304 W66842001 V03AC03 DEFERASIROXUM ** DEFERASIROX STADA 360 mg COMPR. FILM. 360mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 305 W68075001 V03AC03 DEFERASIROXUM ** DEFERASIROX ACCORD 360 mg COMPR. FILM. 360mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. (PVC/PE/PVDC/ALU) X 30X1 (UNIT DOSE) PR 30 61,594000 68,409333 0,000000 306 W66804001 V03AC03 DEFERASIROXUM ** REDITENS 360 mg COMPR. FILM. 360mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 61,595666 68,411000 0,000000 307 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 73,912800 82,091200 9,763466 308 W68283001 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 309 W68283003 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 310 W68283005 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE X 30X1 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 311 W68283007 V03AC03 DEFERASIROXUM ** ZEOKS 360 mg COMPR. FILM. 360mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL NEPERFORATE X 30 COMPR. FILM. PR 30 61,594000 68,409333 0,000000 312 W66802001 V03AC03 DEFERASIROXUM ** REDITENS 90 mg COMPR. FILM. 90mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PRF 30 17,088333 19,898000 0,000000 313 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 7,430000 9,070666 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
49
P9.2: TRANSPLANT DE CORD
1 W02947002 C01CA24 EPINEPHRINUM ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR 10 3,266000 4,272000 0,000000 2 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 1 157,850000 192,700000 0,000000 3 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 1 163,550000 199,660000 0,000000 4 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 24,789600 30,262800 19,707200 5 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 13,684000 16,705000 0,000000 6 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 16,420800 20,046000 8,314000 7 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 14,180000 19,170000 0,000000 8 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 20,658000 25,219000 0,000000 9 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 21,410000 28,940000 0,000000 10 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24,789600 30,262800 19,707200 11 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. PR 10 24,789600 30,262800 6,647200 12 W13676001 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 16,194000 19,770000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
64 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 65 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000
comunitare
13 W13677001 J01DD12 CEFOPERAZONUM MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10 21,389000 26,112000 0,000000 14 W44045001 J01DD12 CEFOPERAZONUM CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1 3,510000 4,750000 0,000000 15 W52795001 J01DD12 CEFOPERAZONUM CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ ./PERF. I.M./I.V. S/P-RF 1 22,160000 29,950000 0,000000 16 W44061001 J01DD12 CEFOPERAZONUM CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1 16,740000 22,620000 0,000000 17 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR 10 20,509000 25,037000 0,000000 18 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 20,509000 25,037000 0,000000 19 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 5 24,610800 30,044400 7,505600 20 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 5 24,610800 30,044400 10,845600 21 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF 10 24,610800 30,044400 10,232600 22 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF 10 24,610800 30,044400 7,294600 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 20,882000 25,492000 0,000000 24 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 90,018000 102,698400 21,246600 25 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 90,018000 102,698400 21,246600 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 75,015000 85,582000 0,000000 27 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 1 835,380000 948,710000 0,000000 28 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 M L SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 M L/5 M L PRF 1 835,380000 948,710000 0,000000 29 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 10 118,493000 132,972000 0,000000 30 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 1 137,318400 154,255200 170,864800 31 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP M ULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 10 119,830000 134,430000 0,000000 32 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137,318400 154,255200 1,161800 33 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 10 137,318400 153,913000 0,000000 34 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 M ULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 1 128,510000 154,255200 2,634800 35 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 10 137,318400 154,255200 1,161800 36 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137,318400 154,255200 1,161800 37 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNG I DI N PO LI O LEFI NA M ULTI STRATI FI CATA, FARA LATEX, PREVAZUTA CU UN TUB CO NECTO R CU DESCHI DERE PRI N RASUCI RE, SI G I LATA Î NTR- O FO LI E LAM I NATA PRO TECTO ARE CO NTI NÂND 300 M L SO L. PERF. PR 10 114,432000 128,546000 0,000000 38 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,890285 3,906857 3,158143 39 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 2,408571 3,255714 0,000000 40 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2,890285 3,906857 2,931714 41 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,840000 7,890000 0,000000 42 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 7,008000 9,468000 1,732000 43 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 5,840000 7,890000 0,000000 44 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 45 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 5,840000 7,890000 0,000000 46 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 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 5,840000 7,890000 0,000000 48 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 5,840000 7,890000 0,000000 49 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 5,840000 7,890000 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 7,008000 9,468000 21,842000 51 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7,008000 9,468000 1,732000 52 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 5,840000 7,890000 0,000000 53 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 5,840000 7,890000 0,000000 54 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 4,922857 6,440000 0,000000 55 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 1,491428 2,016000 2,329714 56 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 1,491428 2,016000 1,049714 57 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 1,242857 1,680000 0,000000 58 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 59 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 60 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 1,491428 2,016000 1,049714 61 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 1,491428 2,016000 1,049714 62 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 1,491428 2,016000 1,049714 63 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,491428 2,016000 2,329714
50
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
66 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 22,848000 27,193200 33,656800 67 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 19,040000 22,661000 0,000000 68 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 M L SOL. PERF. PR 20 22,848000 27,193200 13,795300 69 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 38,090000 45,333000 0,000000 70 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,647000 11,777000 0,000000 71 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 AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 M L SOL. PERF. PR 10 45,708000 54,399600 43,801400 72 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 14,122142 16,755714 0,000000 73 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16,861600 19,905199 44,228372 74 W61628006 75 W64073005 76 W61817001 J02AC03 VORICONAZOLUM ** J02AC03 VORICONAZOLUM ** J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg VERRIA 200 mg VORICONAZOLE ACCORD 200 mg COMPR. FILM. COMPR. FILM. COMPR. FILM. 200mg 200mg 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF PRF PRF 30 28 28 14,051333 16,861600 16,861600 16,587666 19,905199 19,905199 0,000000 7,311943 20,413729 77 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16,861600 19,905199 6,050872 78 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16,861600 19,905199 9,843372 79 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 16,861600 19,905199 47,911586 80 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16,861600 19,905199 47,911586 81 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 16,861600 19,905199 20,413729 82 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,999464 24,660714 0,000000 83 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22,517142 25,906071 0,000000 84 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23,605714 28,455000 0,000000 85 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320,040000 386,990000 0,000000 86 W64929001 J02AC03 VORICONAZOLUM ** VFEND 200 mg PULB. PT. SOL. PERF. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. UNIDOZA X 30 ML PRF 1 354,340000 424,380000 0,000000 87 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316,450000 383,080000 0,000000 88 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 1 379,740000 459,696000 28,084000 89 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 1 379,740000 459,696000 357,694000 90 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354,340000 424,380000 0,000000 91 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR PRF 1 1.641,500000 1.827,390000 0,000000 92 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR P-RF 1 1.641,500000 1.827,390000 0,000000 93 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178,238571 197,005000 0,000000 94 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178,238571 197,005000 0,000000 95 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 96 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 97 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 15,907000 17,974500 0,000000 98 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 17,166666 19,347500 0,000000 99 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUT IE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1.621,690000 1.805,790000 0,000000 100 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2,598583 3,150416 0,000000 101 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5,815166 6,656500 0,000000 102 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,358400 1,658300 0,000000 103 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50 1,563600 1,977000 0,000000 104 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2,716800 3,316600 0,000000
comunitare
51
105 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,449200 1,832400 0,000000 106 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,745600 3,351800 0,000000 107 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 1,666000 2,106400 0,000000 108 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 1,073200 1,357000 0,000000 109 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 3,464200 4,229200 0,000000
110 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 2,437800 2,976000 0,000000 111 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 18,094200 20,485800 0,000000 112 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 1,666000 2,106400 0,000000 113 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 3,464200 4,229200 0,000000
114 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 18,094200 20,485800 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.3: TRANSPLANT HEPATIC
1 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 0,972000 1,271400 0,000000 2 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 0,899200 1,137000 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 2,098100 2,561400 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 87,130000 110,170000 0,000000 5 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 6,363000 8,046000 0,000000 6 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 11,527000 14,072000 0,000000 7 W63592012 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 14,124000 17,243000 0,000000 8 W63593009 9 W63884001 B01AB05 ENOXAPARINUM B01AC11 ILOPROSTUM ** CLEXANE 8000 UI (80 mg)/0,8 ml ILOMEDIN 20 SOL. INJ. IN SERINGA PREUMPLUTA 8000UI(80mg)/0,8ml CONC. PT. SOL. PERF. 20μg/ml SANOFI ROMANIA S.R.L. BAYER AG ROMANIA CUTIE CU 6 SERINGI PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR/PRF PR 6 5 18,661666 126,662000 22,781666 145,692000 0,000000 0,000000 10 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 M L SOLV. + CANULA DE TRANSFER S 1 1.571,520000 1.751,110000 0,000000 11 W68079001 B02AA02 ACIDUM TRANEXAMICUM (4) UGUROL 500 mg/5ml SOL. INJ . PT. ADM . I.V., ORALA SI CUT. 500mg/5ml BGP PRODUCTS S.R.L. ROMANIA CUTIE CU 6 FIOLE A CATE 5 ML SOL. INJ. PR 6 4,801666 6,280000 0,000000 12 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ . 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR 1 2.198,430000 2.434,440000 0,000000 13 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 0,987333 1,291333 0,000000 14 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 0,986333 1,290333 0,000000 15 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 0,987500 1,334500 0,000000 16 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 0,987500 1,334500 0,000000 17 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 5,487666 6,699333 0,000000 18 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 2,799333 3,539333 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 24,789600 30,262800 19,707200 20 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 13,684000 16,705000 0,000000 21 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 16,420800 20,046000 8,314000 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 14,180000 19,170000 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 20,658000 25,219000 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 21,410000 28,940000 0,000000 25 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24,789600 30,262800 19,707200 26 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 24,789600 30,262800 6,647200 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 90,018000 102,698400 21,246600 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 90,018000 102,698400 21,246600 29 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 75,015000 85,582000 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 1 835,380000 948,710000 0,000000 31 W65055001 32 W61561001 J01XX08 J01XX08 LINEZOLIDUM LINEZOLIDUM ZYVOXID 100 mg/5 ml LINEZOLID KABI 2 mg/ml GRAN. PT. SUSP. ORALA SOL. PERF. 100mg/5ml 2mg/ml PFIZER EUROPE MA EEIG FRESENIUS KABI ROMANIA SRL BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 M L SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 M L/5 M L ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PRF PR 1 10 835,380000 118,493000 948,710000 132,972000 0,000000 0,000000 33 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 1 137,318400 154,255200 170,864800 34 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP M ULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 10 119,830000 134,430000 0,000000 35 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137,318400 154,255200 1,161800 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 10 137,318400 153,913000 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 M ULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 1 128,510000 154,255200 2,634800 38 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 10 137,318400 154,255200 1,161800 39 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137,318400 154,255200 1,161800 40 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNG I DI N PO LI O LEFI NA M ULTI STRATI FI CATA, FARA LATEX, PREVAZUTA CU UN TUB CO NECTO R CU DESCHI DERE PRI N RASUCI RE, SI G I LATA Î NTR- O FO LI E LAM I NATA PRO TECTO ARE CO NTI NÂND 300 M L SO L. PERF. PR 10 114,432000 128,546000 0,000000 41 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 14,122142 16,755714 0,000000 42 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 16,861600 19,905199 44,228372 43 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 14,051333 16,587666 0,000000 44 W64073005 45 W61817001 J02AC03 J02AC03 VORICONAZOLUM ** VORICONAZOLUM ** VERRIA 200 mg VORICONAZOLE ACCORD 200 mg COMPR. FILM. COMPR. FILM. 200mg 200mg MEDOCHEMIE LTD. ACCORD HEALTHCARE LIMITED CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM PRF PRF 28 28 16,861600 16,861600 19,905199 19,905199 7,311943 20,413729 46 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16,861600 19,905199 6,050872 47 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16,861600 19,905199 9,843372 48 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 16,861600 19,905199 47,911586 49 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16,861600 19,905199 47,911586 50 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 16,861600 19,905199 20,413729 51 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,999464 24,660714 0,000000
52
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
53
comunitare
52 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22,517142 25,906071 0,000000 53 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23,605714 28,455000 0,000000 54 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320,040000 386,990000 0,000000 55 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 1 354,340000 424,380000 0,000000 56 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316,450000 383,080000 0,000000 57 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 1 379,740000 459,696000 28,084000 58 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 1 379,740000 459,696000 357,694000 59 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354,340000 424,380000 0,000000 60 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR PRF 1 1.641,500000 1.827,390000 0,000000 61 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR P-RF 1 1.641,500000 1.827,390000 0,000000 62 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178,238571 197,005000 0,000000 63 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178,238571 197,005000 0,000000 64 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 65 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 66 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 67 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 1 902,630000 1.022,020000 0,000000 68 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 1 854,420000 969,470000 0,000000 69 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 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 70 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 M L CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 71 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 1 902,630000 1.022,020000 0,000000 72 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 1 893,780000 1.012,370000 0,000000 73 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 74 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 1.078,810000 1.214,050000 0,000000 75 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 1.168,910000 1.312,260000 0,000000 76 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 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 77 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 M L CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 78 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 1.157,360000 1.299,670000 0,000000 79 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 1.168,910000 1.312,260000 0,000000 80 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 81 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M&D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 82 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 15,907000 17,974500 0,000000 83 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 17,166666 19,347500 0,000000 84 W56595001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA 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 1.040,582000 1.141,866000 0,000000 85 W54188001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML SOL. PERF. (100UI) PR 1 252,640000 308,420000 0,000000 86 W54188003 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR 1 3.186,200000 3.511,110000 0,000000 87 W54188004 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. (5000UI) PR 1 7.798,520000 8.538,550000 0,000000 88 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76,032000 92,030400 83,669600 89 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127,632000 148,274400 129,275600 90 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 12 MU/0,2 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45,800000 59,910000 0,000000 91 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 92 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 93 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127,632000 148,274400 209,375600 94 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 70 MU/0,73 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231,680000 282,840000 0,000000 95 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 63,360000 76,692000 0,000000 96 W55757002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 63,360000 76,692000 0,000000 97 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR 5 106,360000 123,562000 0,000000 98 W55758002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF 5 106,360000 123,562000 0,000000 99 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2,598583 3,150416 0,000000 100 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5,815166 6,656500 0,000000 101 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,358400 1,658300 0,000000 102 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 1,563600 1,977000 0,000000 103 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR 50 2,716800 3,316600 0,000000 104 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14,740000 17,338333 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
105 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14,740000 17,338333 0,000000 106 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,449200 1,832400 0,000000 107 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,745600 3,351800 0,000000 108 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 1,666000 2,106400 0,000000 109 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1,073200 1,357000 0,000000 110 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 3,464200 4,229200 0,000000
comunitare
111 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2,437800 2,976000 0,000000 112 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 18,094200 20,485800 0,000000 113 W51974002 L04AD02 TACROLIMUSUM ** ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 1,666000 2,106400 0,000000 114 W57352002 L04AD02 TACROLIMUSUM ** ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 3,464200 4,229200 0,000000 115 W51976002 L04AD02 TACROLIMUSUM ** ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R 50 18,094200 20,485800 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS
1 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg CAPS. 250mg DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L 50 0,972000 1,271400 0,000000 2 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 0,899200 1,137000 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 2,098100 2,561400 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 87,130000 110,170000 0,000000 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 0,417400 0,564200 0,000000 W67321001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 micrograme CAPS. MOI 0,25micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 50 CAPS. MOI PRF 50 0,417400 0,564200 0,000000 7 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 0,500880 0,677040 0,167960 8 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 0,956333 1,251000 0,000000 9 W67770001 A11CC03 ALFACALCIDOLUM MEDIRAZIN 0,5 micrograme CAPS. MOI 0,50micrograme ZENIVA K.S. REPUBLICA CEHA CUTIE CU UN FLACON ALB OPAC DIN PEÎD X 30 CAPSULE MOI PRF 30 0,956333 1,251000 0,000000 10 W67323001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 micrograme CAPS. MOI 0,50micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 30 CAPS. MOI PRF 30 0,956333 1,251000 0,000000 11 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 0,956333 1,251000 0,000000 12 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 0,956333 1,251000 0,000000 13 W68102001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 12,111000 14,785000 0,000000 14 W68102002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 23,101000 28,202000 0,000000 15 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 23,101000 28,202000 0,000000 16 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 12,111000 14,785000 0,000000 17 W64849001 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000UI/0,2ml PFIZER EUROPE MA EEIG BELGIA CUTI E CU 10 BLI STERE I NDI VI DUALE CO NTI NÂND FI ECARE O SERI NG A PREUM PLUTA, FARA SI STEM DE BLO CARE A ACULUI NEEDLE- TRAP A 0, 2 M L SOLUTIE INJECTABILA PR/PRF 10 13,830000 16,884000 0,000000 18 W52808004 B01AB04 DALTEPARINUM FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTI E CU 10 BLI STERE I NDI VI DUALE CO NTI NÂND FI ECARE O SERI NG A PREUM PLUTA, FARA SI STEM DE BLO CARE A ACULUI NEEDLE- TRAP A 0, 2 M L SOLUTIE INJECTABILA S/P-RF 10 13,830000 16,884000 0,000000 19 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 6,363000 8,046000 0,000000 20 W63591012 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 11,527000 14,072000 0,000000 21 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 14,124000 17,243000 0,000000 22 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 6 18,661666 22,781666 0,000000 23 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 1 707,100000 808,890000 0,000000 24 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 1.384,190000 1.546,920000 0,000000 25 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 2.061,260000 2.284,930000 0,000000 26 W59079001 H01CB02 OCTREOTIDUM ** SANDOSTATIN 100 micrograme/ml SOL. INJ./PERF. 0,1mg/ml NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ./PERF. PR 5 6,374000 8,336000 0,000000 27 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1 24,789600 30,262800 19,707200 28 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 13,684000 16,705000 0,000000 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 16,420800 20,046000 8,314000 30 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1 14,180000 19,170000 0,000000 31 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10 20,658000 25,219000 0,000000 32 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1 21,410000 28,940000 0,000000 33 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24,789600 30,262800 19,707200 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 24,789600 30,262800 6,647200 35 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SO LV. PT. SO L. I NJ. / PERF. SAU SO L. O RALA 400mg SANOFI ROMANIA SRL ROMANIA CUTI E CU 1 FLACO N DI N STI CLA I NCO LO RA TI P I , CARE CO NTI NE PULBEREA SI O FI O LA DI N STI CLA I NCO LO RA TI P I CARE CO NTI NE SO LV. ( APA PT. PREPARATE I NJ. , 3 M L) PRF 1 119,450000 145,820000 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 90,018000 102,698400 21,246600 37 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 90,018000 102,698400 21,246600
54
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
55
comunitare
38 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 75,015000 85,582000 0,000000 39 W52800001 40 W65055001 41 W61561001 J01XX08 LINEZOLIDUM J01XX08 LINEZOLIDUM J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml ZYVOXID 100 mg/5 ml LINEZOLID KABI 2 mg/ml GRAN. PT. SUSP. ORALA GRAN. PT. SUSP. ORALA SOL. PERF. 100mg/5ml 100mg/5ml 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE PFIZER EUROPE MA EEIG BELGIA FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 M L SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 M L/5 M L CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. P-RF PRF PR 1 1 10 835,380000 835,380000 118,493000 948,710000 948,710000 132,972000 0,000000 0,000000 0,000000 42 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 1 137,318400 154,255200 170,864800 43 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP M ULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 10 119,830000 134,430000 0,000000 44 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137,318400 154,255200 1,161800 45 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 10 137,318400 153,913000 0,000000 46 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 M ULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 1 128,510000 154,255200 2,634800 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 10 137,318400 154,255200 1,161800 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 10 137,318400 154,255200 1,161800 49 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNG I DI N PO LI O LEFI NA M ULTI STRATI FI CATA, FARA LATEX, PREVAZUTA CU UN TUB CO NECTO R CU DESCHI DERE PRI N RASUCI RE, SI G I LATA Î NTR- O FO LI E LAM I NATA PRO TECTO ARE CO NTI NÂND 300 M L SO L. PERF. PR 10 114,432000 128,546000 0,000000 50 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,890285 3,906857 3,158143 51 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 2,408571 3,255714 0,000000 52 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2,890285 3,906857 2,931714 53 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,840000 7,890000 0,000000 54 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 7,008000 9,468000 1,732000 55 W57239001 J02AC01 FLUCONAZOLUM FLUCONAZOL LPH 150 mg CAPS. 150mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,840000 7,890000 0,000000 56 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 57 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 5,840000 7,890000 0,000000 58 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 59 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 5,840000 7,890000 0,000000 60 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 5,840000 7,890000 0,000000 61 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 5,840000 7,890000 0,000000 62 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7,008000 9,468000 21,842000 63 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7,008000 9,468000 1,732000 64 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 5,840000 7,890000 0,000000 65 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 5,840000 7,890000 0,000000 66 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 4,922857 6,440000 0,000000 67 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 1,491428 2,016000 2,329714 68 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 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 1,242857 1,680000 0,000000 70 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 71 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 72 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 1,491428 2,016000 1,049714 73 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 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 1,491428 2,016000 1,049714 75 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,491428 2,016000 2,329714 76 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 77 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 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 22,848000 27,193200 33,656800 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 19,040000 22,661000 0,000000 80 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 AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 M L SOL. PERF. PR 20 22,848000 27,193200 13,795300 81 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 38,090000 45,333000 0,000000 82 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 9,647000 11,777000 0,000000 83 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 M L SOL. PERF. PR 10 45,708000 54,399600 43,801400 84 W67015006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg BAUSCH HEALTH IRELAND LIMITED IRLANDA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 1,752000 2,291333 0,000000 85 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 1,752000 2,291333 0,000000 86 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 1,752000 2,291333 0,000000 87 W59235001 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1,752000 2,291333 0,000000 88 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 1,752000 2,291333 0,000000 89 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 1,880000 2,459333 0,000000 90 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL SLAVIA 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 1,752000 2,291333 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
91 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 14,122142 16,755714 0,000000 92 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 16,861600 19,905199 44,228372 93 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 14,051333 16,587666 0,000000 94 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16,861600 19,905199 7,311943 95 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 16,861600 19,905199 20,413729 96 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16,861600 19,905199 6,050872 97 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16,861600 19,905199 9,843372 98 W64931001 J02AC03 VORICONAZOLUM ** VFEND 200 mg COMPR. FILM. 200mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16,861600 19,905199 47,911586 99 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16,861600 19,905199 47,911586 100 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 16,861600 19,905199 20,413729 101 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,999464 24,660714 0,000000 102 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22,517142 25,906071 0,000000 103 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23,605714 28,455000 0,000000 104 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320,040000 386,990000 0,000000 105 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 1 354,340000 424,380000 0,000000 106 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316,450000 383,080000 0,000000 107 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF 1 379,740000 459,696000 28,084000 108 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 1 379,740000 459,696000 357,694000 109 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354,340000 424,380000 0,000000 110 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR PRF 1 1.641,500000 1.827,390000 0,000000 111 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR P-RF 1 1.641,500000 1.827,390000 0,000000 112 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178,238571 197,005000 0,000000 113 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178,238571 197,005000 0,000000 114 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 115 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 116 W68225001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 117 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP & DOHME OLANDA CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 118 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 1 854,420000 969,470000 0,000000 119 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 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 120 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 M L CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 902,630000 1.022,020000 0,000000 121 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 1 902,630000 1.022,020000 0,000000 122 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 1 893,780000 1.012,370000 0,000000 123 W68226001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 124 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 1.078,810000 1.214,050000 0,000000 125 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 1.168,910000 1.312,260000 0,000000 126 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 M L CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 127 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 M L CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1 1.168,910000 1.312,260000 0,000000 128 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 1.157,360000 1.299,670000 0,000000 129 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 1.168,910000 1.312,260000 0,000000 130 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 1 902,630000 1.022,020000 0,000000 131 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 1.168,910000 1.312,260000 0,000000 132 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 0,608400 0,822600 0,115350 133 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 0,608400 0,822600 0,402900 134 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 0,608400 0,822600 0,402900 135 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 0,608400 0,822600 0,402900 136 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1,185600 1,603200 1,439800 137 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,608400 0,822600 0,402900 138 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 0,608400 0,822600 0,151400 139 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,608400 0,822600 0,217400 140 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 0,608400 0,822600 0,402900 141 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 0,507000 0,685500 0,000000 142 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 0,988000 1,336000 0,000000 143 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1,185600 1,603200 1,039800
56
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
57
comunitare
144 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42,602000 52,008000 0,000000 145 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42,602000 52,008000 0,000000 146 W65100001 J05AB11 VALACYCLOVIRUM VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUT IE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. 147 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 PRF 10 10 3,033600 2,528000 3,967200 3,306000 1,117800 0,000000 148 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 15,907000 17,974500 0,000000 149 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 17,166666 19,347500 0,000000 150 W66182001 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 6 ML SOL. INJ. PR 1 367,360000 438,570000 0,000000 151 W66182003 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 12 ML SOL. INJ. PR 1 704,710000 806,290000 0,000000 152 W66182005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 24 ML SOL. INJ. PR 1 1.379,440000 1.541,740000 0,000000 153 W66182006 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** CUTAQUIG 165 mg/ml SOL. INJ. SUBCUTANA 165mg/ml OCTAPHARMA (IP) SPRL BELGIA CUTIE CU 1 FLAC. DIN STICLA INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC X 48 ML SOL. INJ. PR 1 2.741,470000 3.026,360000 0,000000 154 W66549003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML) PR 1 1.082,030000 1.217,560000 0,000000 155 W66549004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML) PR 1 2.123,150000 2.352,390000 0,000000 156 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 1 640,080000 735,840000 0,000000 157 W66549002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 25ML SOL. PERF.(2,5G/25ML) PR 1 567,750000 657,000000 0,000000 158 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 4.719,840000 5.182,780000 0,000000 159 W66549001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** KIOVIG 100mg/ml SOL. PERF. 100mg/ml TAKEDA MANUFACTURING AUSTRIA AG AUSTRIA CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML) PR 1 243,150000 296,840000 0,000000 160 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 2.567,550000 2.836,780000 0,000000 161 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 1 235,250000 287,190000 0,000000 162 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 1 664,380000 762,320000 0,000000 163 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1 599,370000 691,460000 0,000000 164 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 2.307,480000 2.553,310000 0,000000 165 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 1 221,130000 269,960000 0,000000 166 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 1.168,750000 1.312,090000 0,000000 167 W68113001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml BESMAX PHARMA SOLUTIONS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 100 ML SOL. PERF. (5G) PR 1 1.825,000000 2.027,400000 0,000000 168 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 1.298,780000 1.453,820000 0,000000 169 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 0,935000 1,223000 0,000000 170 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 25,210000 32,970000 0,000000 171 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ . 200mg TEVA B.V. OLANDA CUT IE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1 25,210000 32,970000 0,000000 172 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 30MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 76,032000 92,030400 83,669600 173 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ZARZIO 48MU/0,5ml SOL. INJ . /PERF. IN SERINGA PREUM PLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1 127,632000 148,274400 129,275600 174 W67882001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 12 MU/0,2 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 12 MU/0,2 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,2 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 45,800000 59,910000 0,000000 175 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 176 W65658001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 30MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 76,032000 92,030400 134,819600 177 W65659001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 48MU/0,5 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,5 ML SOL. INJ. PR 1 127,632000 148,274400 209,375600 178 W67883001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 70 MU/0,73 ml SOL. INJ . SAU PERF. IN SERINGA PREUM PLUTA 70 MU/0,73 ml ACCORD HEALTHCARE S.L.U. SPANIA AMBALAJ CU 1 SERINGA PREUMPLUTA (STICLA) CU 0,73 ML SOL. INJ. CU DISPOZITIV DE SIGURANTA PENTRU AC PR 1 231,680000 282,840000 0,000000 179 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 63,360000 76,692000 0,000000 180 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 63,360000 76,692000 0,000000 181 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 5 106,360000 123,562000 0,000000 182 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 5 106,360000 123,562000 0,000000 183 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUT IE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1.621,690000 1.805,790000 0,000000 184 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 2,598583 3,150416 0,000000 185 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5,815166 6,656500 0,000000 186 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,358400 1,658300 0,000000 187 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 1,563600 1,977000 0,000000 188 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 2,716800 3,316600 0,000000 189 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14,740000 17,338333 0,000000 190 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14,740000 17,338333 0,000000 191 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 3.843,630000 4.227,710000 0,000000 192 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 3.843,630000 4.227,710000 0,000000 193 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,449200 1,832400 0,000000 194 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,745600 3,351800 0,000000 195 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 1,666000 2,106400 0,000000 196 W55262007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 1,073200 1,357000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
197 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 3,464200 4,229200 0,000000 198 W55263007 L04AD02 TACROLIMUSUM ** TACROLIMUS SANDOZ 1 mg CAPS. 1mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR 50 2,437800 2,976000 0,000000 199 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 18,094200 20,485800 0,000000 200 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 1,666000 2,106400 0,000000 201 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 3,464200 4,229200 0,000000 202 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 18,094200 20,485800 0,000000 203 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,488400 0,638800 0,000000 204 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 2,435000 3,290000 0,000000 205 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 2,522500 3,410000 0,000000 206 W60296002 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 2,838000 3,834000 7,803500 207 W60296004 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 2,838000 3,834000 8,441000 208 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 2,838000 3,834000 5,926000 209 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 2,365000 3,195000 0,000000 210 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 2,838000 3,834000 5,613500 211 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 2,838000 3,834000 5,136833 212 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 4,610000 6,232000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
P9.5: TRANSPLANT CELULE PANCREATICE
1 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 90,018000 102,698400 21,246600 2 W65053001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 90,018000 102,698400 21,246600 3 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 75,015000 85,582000 0,000000 4 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 1 835,380000 948,710000 0,000000 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 M L SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 M L/5 M L PRF 1 835,380000 948,710000 0,000000 6 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 10 118,493000 132,972000 0,000000 7 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 1 137,318400 154,255200 170,864800 8 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP M ULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 10 119,830000 134,430000 0,000000 9 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137,318400 154,255200 1,161800 10 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 10 137,318400 153,913000 0,000000 11 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 M ULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 1 128,510000 154,255200 2,634800 12 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 10 137,318400 154,255200 1,161800 13 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137,318400 154,255200 1,161800 14 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNG I DI N PO LI O LEFI NA M ULTI STRATI FI CATA, FARA LATEX, PREVAZUTA CU UN TUB CO NECTO R CU DESCHI DERE PRI N RASUCI RE, SI G I LATA Î NTR- O FO LI E LAM I NATA PRO TECTO ARE CO NTI NÂND 300 M L SO L. PERF. PR 10 114,432000 128,546000 0,000000 15 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 14,122142 16,755714 0,000000 16 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 16,861600 19,905199 44,228372 17 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 14,051333 16,587666 0,000000 18 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16,861600 19,905199 7,311943 19 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 16,861600 19,905199 20,413729 20 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16,861600 19,905199 6,050872 21 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16,861600 19,905199 9,843372 22 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 16,861600 19,905199 47,911586 23 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16,861600 19,905199 47,911586 24 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 16,861600 19,905199 20,413729 25 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,999464 24,660714 0,000000 26 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22,517142 25,906071 0,000000 27 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23,605714 28,455000 0,000000 28 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320,040000 386,990000 0,000000 29 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 1 354,340000 424,380000 0,000000 30 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316,450000 383,080000 0,000000 31 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 1 379,740000 459,696000 28,084000
58
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
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 1 379,740000 459,696000 357,694000 33 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354,340000 424,380000 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 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR PRF 1 1.641,500000 1.827,390000 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 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR P-RF 1 1.641,500000 1.827,390000 0,000000 36 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178,238571 197,005000 0,000000 37 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178,238571 197,005000 0,000000 38 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 39 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 40 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 15,907000 17,974500 0,000000 41 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 17,166666 19,347500 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
59
P9.6: TRANSPLANT PULMONAR
1 W63590012 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 6,363000 8,046000 0,000000 2 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 11,527000 14,072000 0,000000 3 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 14,124000 17,243000 0,000000 4 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 6 18,661666 22,781666 0,000000 5 W68079001 B02AA02 ACIDUM TRANEXAMICUM (4) UGUROL 500 mg/5ml SOL. INJ . PT. ADM . I.V., ORALA SI CUT. 500mg/5ml BGP PRODUCTS S.R.L. ROMANIA CUTIE CU 6 FIOLE A CATE 5 ML SOL. INJ. PR 6 4,801666 6,280000 0,000000 6 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 3,266000 4,272000 0,000000 7 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 1 157,850000 192,700000 0,000000 8 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 1 163,550000 199,660000 0,000000 9 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 24,789600 30,262800 19,707200 10 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 13,684000 16,705000 0,000000 11 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 16,420800 20,046000 8,314000 12 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 14,180000 19,170000 0,000000 13 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 20,658000 25,219000 0,000000 14 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 21,410000 28,940000 0,000000 15 W68230001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. PERF. 4g/0,5g MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. PERF. PR 1 24,789600 30,262800 19,707200 16 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 24,789600 30,262800 6,647200 17 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 90,018000 102,698400 21,246600 18 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 90,018000 102,698400 21,246600 19 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 75,015000 85,582000 0,000000 20 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 1 835,380000 948,710000 0,000000 21 W65055001 22 W61561001 J01XX08 J01XX08 LINEZOLIDUM LINEZOLIDUM ZYVOXID 100 mg/5 ml LINEZOLID KABI 2 mg/ml GRAN. PT. SUSP. ORALA SOL. PERF. 100mg/5ml 2mg/ml PFIZER EUROPE MA EEIG FRESENIUS KABI ROMANIA SRL BELGIA CUTIE CU 1 FLACON DIN STICLA BRUNA X 66 G GRAN. PTR. 150 M L SUSP. ORALA + 1 LINGURITA DOZATOARE DUBLA X 2,5 M L/5 M L ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PRF PR 1 10 835,380000 118,493000 948,710000 132,972000 0,000000 0,000000 23 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 1 137,318400 154,255200 170,864800 24 W64055003 J01XX08 LINEZOLIDUM LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN FILM DUBLU DE PP M ULTISTRATIFICATE, PREVAZUTE CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 10 119,830000 134,430000 0,000000 25 W66331001 J01XX08 LINEZOLIDUM LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR 10 137,318400 154,255200 1,161800 26 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 10 137,318400 153,913000 0,000000 27 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 M ULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 M L SOL. PERF. PR 1 128,510000 154,255200 2,634800 28 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 10 137,318400 154,255200 1,161800 29 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10 137,318400 154,255200 1,161800 30 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNG I DI N PO LI O LEFI NA M ULTI STRATI FI CATA, FARA LATEX, PREVAZUTA CU UN TUB CO NECTO R CU DESCHI DERE PRI N RASUCI RE, SI G I LATA Î NTR- O FO LI E LAM I NATA PRO TECTO ARE CO NTI NÂND 300 M L SO L. PERF. PR 10 114,432000 128,546000 0,000000 31 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,890285 3,906857 3,158143 32 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 2,408571 3,255714 0,000000 33 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2,890285 3,906857 2,931714 34 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,840000 7,890000 0,000000 35 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7,008000 9,468000 1,732000 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 5,840000 7,890000 0,000000 37 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
38 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 5,840000 7,890000 0,000000 39 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 40 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 5,840000 7,890000 0,000000 41 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 5,840000 7,890000 0,000000 42 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 43 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 7,008000 9,468000 21,842000 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 7,008000 9,468000 1,732000 45 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 5,840000 7,890000 0,000000 46 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 5,840000 7,890000 0,000000 47 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 4,922857 6,440000 0,000000 48 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 1,491428 2,016000 2,329714 49 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 1,491428 2,016000 1,049714 50 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 1,242857 1,680000 0,000000 51 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 52 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 53 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 1,491428 2,016000 1,049714 54 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 1,491428 2,016000 1,049714 55 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 56 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,491428 2,016000 2,329714 57 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 58 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 59 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 22,848000 27,193200 33,656800 60 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 19,040000 22,661000 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 AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 M L SOL. PERF. PR 20 22,848000 27,193200 13,795300 62 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. PR 10 38,090000 45,333000 0,000000 63 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. PR 20 9,647000 11,777000 0,000000 64 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 AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 M L SOL. PERF. PR 10 45,708000 54,399600 43,801400 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 14,122142 16,755714 0,000000 66 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 16,861600 19,905199 44,228372 67 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 14,051333 16,587666 0,000000 68 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 16,861600 19,905199 7,311943 69 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 16,861600 19,905199 20,413729 70 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16,861600 19,905199 6,050872 71 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16,861600 19,905199 9,843372 72 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 16,861600 19,905199 47,911586 73 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16,861600 19,905199 47,911586 74 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 16,861600 19,905199 20,413729 75 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,999464 24,660714 0,000000 76 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22,517142 25,906071 0,000000 77 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23,605714 28,455000 0,000000 78 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320,040000 386,990000 0,000000 79 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 1 354,340000 424,380000 0,000000 80 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316,450000 383,080000 0,000000 81 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 1 379,740000 459,696000 28,084000 82 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 1 379,740000 459,696000 357,694000 83 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354,340000 424,380000 0,000000 84 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR PRF 1 1.641,500000 1.827,390000 0,000000 85 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR P-RF 1 1.641,500000 1.827,390000 0,000000 86 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178,238571 197,005000 0,000000 87 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178,238571 197,005000 0,000000 88 W65621001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 89 W63844001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 200 mg PULB. PT. CONC. PT.S OL. PERF. 200mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA DE TIP I X 200 MG PULB. PT. CONC. PT. SOL. PERF. PRF 1 1.512,480000 1.686,750000 0,000000 90 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000 0,608400 0,822600 0,115350
60
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
91 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 0,608400 0,822600 0,402900 92 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,608400 0,822600 0,402900 93 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 0,608400 0,822600 0,402900 94 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1,185600 1,603200 1,439800 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 0,608400 0,822600 0,402900 96 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 0,608400 0,822600 0,151400 97 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,608400 0,822600 0,217400 98 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 0,608400 0,822600 0,402900 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 0,507000 0,685500 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 0,988000 1,336000 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 1,185600 1,603200 1,039800 102 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42,602000 52,008000 0,000000 103 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42,602000 52,008000 0,000000 104 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 15,907000 17,974500 0,000000 105 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 17,166666 19,347500 0,000000 106 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUT IE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR 1 1.621,690000 1.805,790000 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 2,598583 3,150416 0,000000 108 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5,815166 6,656500 0,000000 109 W64374001 110 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 250mg 500mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. PR P-RF 100 50 1,358400 1,563600 1,658300 1,977000 0,000000 0,000000 111 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 2,716800 3,316600 0,000000 112 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 3.843,630000 4.227,710000 0,000000 113 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 3.843,630000 4.227,710000 0,000000 114 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,449200 1,832400 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 2,745600 3,351800 0,000000 116 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,488400 0,638800 0,000000 117 W12691002 N02AX02 TRAMADOLUM TRAMADOL 50 mg CAPS. 50mg KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,293500 0,397000 0,000000 118 W52049001 N02AX02 TRAMADOLUM TRAMADOL ARENA 50 mg CAPS. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0,352200 0,476400 0,039100 119 W60291001 N02AX02 TRAMADOLUM TRAMACALM 50 mg CAPS. 50mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF 10 0,352200 0,476400 0,039600 120 W42957001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,352200 0,476400 0,039100 121 W68093001 N02AX02 TRAMADOLUM CLORHIDRAT DE TRAMADOL BIOEEL 50 mg COMPR. 50mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 COMPR. PRF 20 0,352200 0,476400 0,039100 122 W42440001 N02AX02 TRAMADOLUM TRAMAG 50 mg COMPR. 50mg MAGISTRA C & C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,352200 0,476400 0,039100 123 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 0,532000 0,718800 0,002866 124 W61448003 N02AX02 TRAMADOLUM MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,443333 0,599000 0,000000 125 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 0,778399 1,051999 0,213001 126 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 0,778399 1,051999 0,213001 127 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 0,778399 1,051999 0,076001 128 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 0,778399 1,051999 0,076001 129 W61449003 N02AX02 TRAMADOLUM MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,648666 0,876666 0,000000 130 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 0,891333 1,166000 0,000000 131 W61450003 N02AX02 TRAMADOLUM MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF 30 0,834000 1,091000 0,000000 132 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 0,778399 1,051999 0,101001 133 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 1,000800 1,309200 0,227800 134 W64091003 N02AX02 TRAMADOLUM TRAMADOL KALCEKS 50 mg/ml SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF 10 1,500000 2,028000 0,000000 135 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 1,800000 2,433600 0,568400 136 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 1,534000 2,074000 0,000000 137 W05966001 N02AX02 TRAMADOLUM TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF 5 0,834000 1,128000 0,000000
P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA
61
P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI
1 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 0,972000 1,271400 0,000000 2 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 0,899200 1,137000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
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 2,098100 2,561400 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 87,130000 110,170000 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 0,484400 0,654800 0,000000 6 W04224001 7 W04222001 8 W65157001 H02AB04 H02AB04 H02AB04 METHYLPREDNISOLONUM METHYLPREDNISOLONUM METHYLPREDNISOLONUM MEDROL A 16 mg MEDROL 32 mg MEDROL 32 mg COMPR. COMPR. COMPR. 16mg 32mg 32mg PFIZER EUROPE MA EEIG PFIZER EUROPE MA EEIG PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. BELGIA CUTIE CU 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF P-RF PRF 50 20 20 0,484400 1,757500 1,757500 0,654800 2,298500 2,298500 0,000000 0,000000 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 17,390000 23,500000 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 56,350000 71,250000 0,000000 11 W13686002 H02AB07 PREDNISONUM PREDNISON SINTOFARM 5 mg COMPR. 5mg SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,111666 0,151000 0,000000 12 W12565003 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S 1000 0,109760 0,134000 0,000000 13 W12565002 H02AB07 PREDNISONUM PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF 30 0,111666 0,151000 0,000000 14 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 0,107500 0,145000 0,000000 15 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 0,111500 0,151000 0,000000 16 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,326500 0,441500 0,000000 17 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM 400 mg/80 mg COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,326500 0,441500 0,000000 18 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 7,570000 10,230000 0,000000 19 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 7,990000 10,800000 0,000000 20 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4 2,890285 3,906857 3,158143 21 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 2,408571 3,255714 0,000000 22 W43597002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 100 mg CAPS. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 2,890285 3,906857 2,931714 23 W68087001 J02AC01 FLUCONAZOLUM FLUCONAZOL BIOEEL 150 mg CAPS. 150mg BIOEEL MANUFACTURING S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 5,840000 7,890000 0,000000 24 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 7,008000 9,468000 1,732000 25 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 5,840000 7,890000 0,000000 26 W08373001 J02AC01 FLUCONAZOLUM FLUCOVIM 150 CAPS. 150mg VIM SPECTRUM SRL ROMANIA CUTIE CU 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 27 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 5,840000 7,890000 0,000000 28 W42693001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 150 mg CAPS. 150mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1 5,840000 7,890000 0,000000 29 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 5,840000 7,890000 0,000000 30 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 5,840000 7,890000 0,000000 31 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 5,840000 7,890000 0,000000 32 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 7,008000 9,468000 21,842000 33 W65085001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1 7,008000 9,468000 1,732000 34 W43598001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 150 mg CAPS. 150mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF 1 5,840000 7,890000 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 5,840000 7,890000 0,000000 36 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 4,922857 6,440000 0,000000 37 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 1,491428 2,016000 2,329714 38 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 1,491428 2,016000 1,049714 39 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 1,242857 1,680000 0,000000 40 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 41 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL SLAVIA 50 mg CAPS. 50mg SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,491428 2,016000 1,049714 42 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 1,491428 2,016000 1,049714 43 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 1,491428 2,016000 1,049714 44 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 1,491428 2,016000 1,049714 45 W65084001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 BLIST. PVC/AL X 7 CAPS. PRF 7 1,491428 2,016000 2,329714 46 W65087001 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG BELGIA CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 47 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTI E CU 1 FLAC. DI N PEÎ D, DE CAPACI TATE 60 M L, PREVAZUT CU SI STEM DE Î NCHI DERE SECURI ZAT PENTRU CO PI I , CE CO NTI NE PULB. PENTRU 35 M L SUSP. O RALA SI O SERI NG A DI N PP DE 5 M L CU M ARCAJ LA FI ECARE 0, 2 M L PRF 1 26,740000 34,980000 0,000000 48 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 22,848000 27,193200 33,656800 49 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. PR 20 19,040000 22,661000 0,000000 50 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 AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 M L SOL. PERF. PR 20 22,848000 27,193200 13,795300 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 38,090000 45,333000 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 9,647000 11,777000 0,000000 53 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 AM BALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 M L SOL. PERF. PR 10 45,708000 54,399600 43,801400 54 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 14,122142 16,755714 0,000000 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 16,861600 19,905199 44,228372
62
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
63
comunitare
56 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 14,051333 16,587666 0,000000 57 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 58 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 28 16,861600 16,861600 19,905199 19,905199 7,311943 20,413729 59 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 16,861600 19,905199 6,050872 60 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 16,861600 19,905199 9,843372 61 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 16,861600 19,905199 47,911586 62 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF 28 16,861600 19,905199 47,911586 63 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 16,861600 19,905199 20,413729 64 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF 56 21,999464 24,660714 0,000000 65 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF 28 22,517142 25,906071 0,000000 66 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF 14 23,605714 28,455000 0,000000 67 W68026001 J02AC03 VORICONAZOLUM ** VORICONAZOL ROMPHARM 200 mg PULB. PT. CONC. PT. SOL. PERF. FARA CONCENTRATIE ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, INCOLORA CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PRF 1 320,040000 386,990000 0,000000 68 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 1 354,340000 424,380000 0,000000 69 W66540001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACCORDPHARMA 200 mg PULB. PT. SOL. PERF. 200mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1 316,450000 383,080000 0,000000 70 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 1 379,740000 459,696000 28,084000 71 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 1 379,740000 459,696000 357,694000 72 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF 1 354,340000 424,380000 0,000000 73 W64930001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR PRF 1 1.641,500000 1.827,390000 0,000000 74 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100M L X 45 G PULB. PT. SUSP. ORALA + 1 M ASURA DOZATOARE (23 M L) + 1 SERINGA PT. ADM . ORALA (5 M L) + 1 ADAPTOR P-RF 1 1.641,500000 1.827,390000 0,000000 75 W68234009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 40,438666 76 W64693001 J02AC04 POSACONAZOLUM ** NOXAFIL 100mg COMPR. GASTROREZ. 100mg MERCK SHARP & DOHME OLANDA CUTIE CU BLIST. PVC/PCTFE/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 106,648666 77 W66364009 J02AC04 POSACONAZOLUM ** POSACONAZOL ZENTIVA 100 mg COMPR. GASTROREZ. 100mg ZENTIVA K.S. REP. CEHA CUTIE CU BLIST. OPAC NEPERFORAT DIN PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 49,952000 78 W66832009 J02AC04 POSACONAZOLUM ** POSACONAZOL STADA 100 mg COMPR. GASTROREZ. 100mg STADA M&D S.R.L. ROMANIA CUT IE CU BLIST. DIN PVC-PE-PVDC/AL X 24 COMPR. GAST ROREZ. PR 24 29,515000 33,760833 0,000000 79 W66225001 J02AC04 POSACONAZOLUM ** POSACONAZOLE ACCORD 100 mg COMPR. GASTROREZ. 100mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 24 COMPR. GASTROREZ PR 24 29,515000 33,760833 0,000000 80 W66421009 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 100 mg COMPR. GASTROREZ. 100mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. PVC-PE-PVDC/AL X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 40,438666 81 W66491011 J02AC04 POSACONAZOLUM ** POSACONAZOL ALVOGEN 100 mg COMPR. GASTROREZ. 100mg ALVOGEN PHARMA TRADING EUROPE EOOD BULGARIA CUTIE CU BLIST. PVC-PE-PVDC/AL PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE X 24 COMPR. GASTROREZ. PR 24 35,418000 40,513000 59,008250 82 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 1.419,030000 1.584,900000 0,000000 83 W65835001 J02AC04 POSACONAZOLUM ** POSACONAZOL MYLAN 40 mg/ml SUSP. ORALA 40mg/ml MY LAN IRELAND LIIMTED IRLANDA CUTI E CU 1 FLAC. DI N STI CLA, CU CAPAC DI N PE CU SI STEM DE I NCHI DERE SECURI ZAT PENTRU CO PI I SI O LI NG URI TA DE M ASURARE A DO ZELO R X 105 M L SUSP. O RALA PR 1 674,280000 773,120000 0,000000 84 W66224001 J02AC04 POSACONAZOLUM ** POSACONAZOLE AHCL 40 mg/ml SUSP. ORALA 40mg/ml ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA INCHIS CU CAPAC DIN PP + 1 LINGURITA DOZATOARE X 105 ML SUSP. ORALA PR 1 674,280000 773,120000 0,000000 85 W64692001 J02AC04 POSACONAZOLUM ** NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml MERCK SHARP & DOHME OLANDA CUTIE CU 1 FLAC. X 105 ML SUSP. ORALA PR 1 809,136000 927,744000 1.914,756000 86 W63845001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA MEDICAL LTD MAREA BRITANIE CUTIE CU BLIST. AL/AL X 14 CAPS. PRF 14 178,238571 197,005000 0,000000 87 W65622001 J02AC05 ISAVUCONAZOLUM ** CRESEMBA 100 mg CAPS. 100mg BASILEA PHARMACEUTICA DEUTSCHLAND GMBH GERMANIA CUTIE CU 2 BLIST. AL/AL X 7 CAPS. PRF 14 178,238571 197,005000 0,000000 88 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 0,608400 0,822600 0,115350 89 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 0,608400 0,822600 0,402900 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 0,608400 0,822600 0,402900 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 0,608400 0,822600 0,402900 92 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1,185600 1,603200 1,439800 93 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0,608400 0,822600 0,402900 94 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 0,608400 0,822600 0,151400 95 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0,608400 0,822600 0,217400 96 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 0,608400 0,822600 0,402900 97 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 0,507000 0,685500 0,000000 98 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 0,988000 1,336000 0,000000 99 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1,185600 1,603200 1,039800 100 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF 5 42,602000 52,008000 0,000000 101 W67998002 J05AB01 ACICLOVIRUM VIRICIN 250 mg PULB. PT. SOL. PERF. 250mg MEDOCHEMIE LTD. CIPRU CUTIE CU 5 FLACOANE DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR/PRF 5 42,602000 52,008000 0,000000 102 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 15,907000 17,974500 0,000000 103 W66450001 104 W62522002 J05AB14 VALGANCICLOVIRUM ** J05AF05 LAMIVUDINUM VALGANCICLOVIR AUROBINDO 450 mg LAMIVUDINA TEVA 100 mg COMPR. FILM. COMPR. FILM. 450mg 100 mg AUROBINDO PHARMA ROMANIA S.R.L. TEVA B.V. ROMANIA OLANDA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PRF P-RF 60 30 17,166666 2,883333 19,347500 3,645666 0,000000 0,000000 105 W65306001 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) PR 28 3,460000 4,374799 0,201272 106 W65301002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,376400 5,342800 0,248033 107 W66004003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 60 COMPR. FILM. PR 60 3,647000 4,452333 0,000000 108 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR 60 4,376400 5,342800 0,248033
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
109 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 10,966666 13,225333 0,000000 110 W65302002 J05AF05 LAMIVUDINUM EPIVIR 300mg COMPR. FILM. 300mg VIIV HEALTHCARE BV OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30 9,409666 11,487333 0,000000 111 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 87,210000 110,270000 0,000000 112 W65648001 J05AX18 LETERMOVIRUM ** PREVYMIS 240 mg COMPR. FILM. 240mg MERCK SHARP & DOHME OLANDA CUTIE X 4 BLIST. PA-AL-PVC/AL TIP CARD X 7 COMPR. FILM. PR 28 689,815714 753,262500 0,000000 113 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 2,598583 3,150416 0,000000 114 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF 120 5,815166 6,656500 0,000000 115 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 250mg CAPS. 250mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR 100 1,358400 1,658300 0,000000 116 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 1,563600 1,977000 0,000000 117 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 2,716800 3,316600 0,000000 118 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14,740000 17,338333 0,000000 119 W65025001 L04AA10 SIROLIMUS ** RAPAMUNE 1 mg DRAJ. 1mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30 14,740000 17,338333 0,000000 120 W51399001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 25 mg CAPS. MOI 25mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 1,449200 1,832400 0,000000 121 W51398001 L04AD01 CICLOSPORINUM SANDIMMUN NEORAL 50 mg CAPS. MOI 50mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI PR 50 2,745600 3,351800 0,000000 122 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 1,666000 2,106400 0,000000 123 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 1,073200 1,357000 0,000000 124 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 3,464200 4,229200 0,000000
125 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 2,437800 2,976000 0,000000 126 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 18,094200 20,485800 0,000000 127 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 1,666000 2,106400 0,000000 128 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 3,464200 4,229200 0,000000 129 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 18,094200 20,485800 0,000000 130 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0,488400 0,638800 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 UMANA ANTI-HEPATITA 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 1.040,582000 1.141,866000 0,000000
2 W54188001 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML SOL. PERF. (100UI) PR 1 252,640000 308,420000 0,000000 3 W54188003 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR 1 3.186,200000 3.511,110000 0,000000 4 W54188004 J06BB04 IMUNOGLOBULINA UMANA ANTI-HEPATITA B ** HEPATECT CP 50 UI/ml SOL. PERF. 50 UI/ ml BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. (5000UI) PR 1 7.798,520000 8.538,550000 0,000000
P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA
1 W00231001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF 50 0,417400 0,564200 0,000000
2 W67321001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,25 micrograme CAPS. MOI 0,25micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 50 CAPS. MOI PRF 50 0,417400 0,564200 0,000000
3 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 0,500880 0,677040 0,167960 4 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 0,956333 1,251000 0,000000 5 W67770001 A11CC03 ALFACALCIDOLUM MEDIRAZIN 0,5 micrograme CAPS. MOI 0,50micrograme ZENIVA K.S. REPUBLICA CEHA CUTIE CU UN FLACON ALB OPAC DIN PEÎD X 30 CAPSULE MOI PRF 30 0,956333 1,251000 0,000000 6 W67323001 A11CC03 ALFACALCIDOLUM ALPHA D3 0,50 micrograme CAPS. MOI 0,50micrograme THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 FLAC. DIN PPID X 30 CAPS. MOI PRF 30 0,956333 1,251000 0,000000 7 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 0,956333 1,251000 0,000000 8 W58168002 A11CC03 ALFACALCIDOLUM ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF 30 0,956333 1,251000 0,000000 9 W68102001 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. PR 10 12,111000 14,785000 0,000000 10 W68102002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml CHEPLAPHARM ARZNEIMITTEL GMBH GERMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. PR 10 23,101000 28,202000 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 23,101000 28,202000 0,000000 12 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 12,111000 14,785000 0,000000 13 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 29,681000 36,235000 0,000000 14 W61666001 B01AB01 HEPARINUM ** HEPARINA SODICA PANPHARMA 5000 UI/ml SOL. INJ. 5000UI/ml PANPHARMA FRANTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 5 ML SOL. INJ. PR 10 28,064000 34,261000 0,000000 15 W62870001 B01AB01 HEPARINUM ** HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml MESFARMA SRL ROMANIA CUT IE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOLUTIE INJECT ABILA PR 5 6,152000 8,046000 0,000000 16 W66221001 B01AB01 HEPARINUM ** HEPARIN-BELMED 5000 UI/ml SOL. INJ. 5000UI/ml C.N. UNIFARM S.A. ROMANIA CUTIE CU 5 FLAC. X 5 ML SOL. INJ. PR 5 29,982000 36,602000 0,000000 17 W63590012 B01AB05 ENOXAPARINUM ** CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 6,363000 8,046000 0,000000 18 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 11,527000 14,072000 0,000000
64
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
65
comunitare
19 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 10 14,124000 17,243000 0,000000 20 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 PREUM PLUTE (STICLA TIP I) ASAM BLATE CU DOP DIN CAUCIUC (CLOROBUTILIC SAU BROM OBUTILIC) SI AC DE INJ ECTIE PR/PRF 6 18,661666 22,781666 0,000000 21 W67783001 B01AB06 NADROPARINUM ** FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml MYLAN IRE HEALT HCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. PR/PRF 10 7,472000 9,447000 0,000000 22 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 7,472000 9,447000 0,000000 23 W68321001 B01AB06 NADROPARINUM ** FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. PR/PRF 10 7,472000 9,447000 0,000000 24 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 11,481000 14,016000 0,000000 25 W67784001 B01AB06 NADROPARINUM ** FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml MYLAN IRE HEALT HCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. PR/PRF 10 11,481000 14,016000 0,000000 26 W68323001 B01AB06 NADROPARINUM ** FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. PR/PRF 10 11,481000 14,016000 0,000000 27 W67785001 B01AB06 NADROPARINUM ** FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml MYLAN IRE HEALT HCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. PR/PRF 10 16,133000 19,695000 0,000000 28 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 16,133000 19,695000 0,000000 29 W68322001 B01AB06 NADROPARINUM ** FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. PR/PRF 10 16,133000 19,695000 0,000000 30 W59473001 B01AB10 TINZAPARINUM ** INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN FLACOANE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTI E CU 10 FLAC. DI N STI CLA I NCO LO RA X 2 M L ( 20000 UI ANTI - XA) SO L. I NJ. , CU DO P DE CAUCI UC DE CULO ARE CENUSI E DESCHI S, ARM ATURA DE ETANSARE DI N AL LACUI T I N AURI U SI CAPSA DE SI G URANTA DI N PP DE CULO ARE PO RTO CALI E PR/PRF 10 48,833000 57,043000 0,000000 31 W59475001 B01AB10 TINZAPARINUM ** INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN FLACOANE 20000 UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTI E CU 10 FLAC. DI N STI CLA I NCO LO RA X 2 M L ( 40000 UI ANTI - XA) SO L. I NJ. , CU DO P DE CAUCI UC DE CULO ARE CENUSI E DESCHI S, ARM ATURA DE ETANSARE DI N AL LACUI T CU LAC DE CULO ARE VERDE SI CAPSA DE SI G URANTA DI N PP DE CULO ARE VERDE I NCHI S PR/PRF 10 109,048000 122,678000 0,000000 32 W51230001 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA VENOFER 100 mg fer/5 ml SOL. INJ./PERF. 100mg/5ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF 5 48,018000 58,620000 0,000000 33 W52283002 B03XA01 EPOETINUM ALFA ** BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. PR 6 47,283333 57,723333 0,000000 34 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 1 473,800000 554,590000 0,000000 35 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 1 752,856000 866,388000 401,662000 36 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 1 627,380000 721,990000 0,000000 37 W52285002 B03XA01 EPOETINUM ALFA ** BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. PR 6 91,116666 105,675000 0,000000 38 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 6 264,873333 295,070000 0,000000 39 W64396002 B03XA01 EPOETINUM BETA ** NEORECORMON 2000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE PR 6 48,591666 59,321666 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 1 950,320000 1.074,000000 0,000000 41 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 92,361666 107,033333 0,000000 42 W64399002 B03XA01 EPOETINUM BETA ** NEORECORMON 5000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE PR 6 126,241666 143,961666 0,000000 43 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 1 198,710000 242,590000 0,000000 44 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 1 198,710000 242,590000 0,000000 45 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 42,870000 56,080000 0,000000 46 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 42,870000 56,080000 0,000000 47 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 1 448,850000 527,400000 0,000000 48 W60967001 B03XA01 EPOETINUM ZETA ** RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. PR 1 448,850000 527,400000 0,000000 49 W60965001 B03XA01 EPOETINUM ZETA ** RETACRIT 3000UI/0,9ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,9ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ. PR 1 63,180000 79,880000 0,000000 50 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 63,180000 79,880000 0,000000 51 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 1 423,140000 499,370000 0,000000 52 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 1 423,140000 499,370000 0,000000 53 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 84,250000 106,520000 0,000000 54 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 84,250000 106,520000 0,000000 55 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 1 105,320000 128,580000 0,000000 56 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 1 105,320000 128,580000 0,000000 57 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 1 124,120000 151,520000 0,000000 58 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 1 124,120000 151,520000 0,000000 59 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 1 177,200000 216,320000 0,000000 60 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 1 177,200000 216,320000 0,000000 61 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 4 682,205000 753,142500 0,000000 62 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 82,937500 99,940000 0,000000 63 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 4 139,985000 162,120000 0,000000 64 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 1.678,460000 1.867,670000 0,000000 65 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 4 207,255000 235,445000 0,000000 66 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 4 273,292500 307,427500 0,000000 67 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 2.728,250000 3.011,950000 0,000000 68 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 4 341,065000 381,300000 0,000000 69 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 4 409,035000 455,387500 0,000000 70 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 4 545,387500 604,010000 0,000000 71 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 1 707,480000 809,300000 0,000000
Nr.
Grupa
Forma
Concentr
Prescriptie
cant/a Pret cu ridicata
Pret de
contribu'ie m axim ă
crt Cod CIM
terapeu tica
Denumire generica Denumire comerciala
farmaceuti ca
atie / U.T.
Firma Tara Ambalaj
mbal aj
m axim al de decontare / U.T.
decontare / U.T. asigurat / U.T. -
farmacii
comunitare
72 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 1 974,420000 1.100,270000 0,000000 73 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 1 352,500000 422,380000 0,000000 74 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 1 538,020000 624,590000 0,000000 75 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 87,965000 105,420000 0,000000 76 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 87,965000 105,420000 0,000000 77 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 87,965000 105,420000 0,000000 78 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 71,260000 86,995000 0,000000 79 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 71,260000 86,995000 0,000000 80 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 2 176,980000 211,985000 0,000000 81 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 4 101,870000 120,575000 0,000000 82 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 4 101,870000 120,575000 0,000000 83 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 71,260000 86,995000 0,000000 84 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 2 176,980000 211,985000 0,000000 85 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 2 176,980000 211,985000 0,000000 86 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 12,177857 14,636428 0,000000 87 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 14,613428 17,563714 1,744500 88 W66608001 H05BX01 CINACALCETUM ** CINACALCET ACCORDPHARMA 30 mg COMPR. FILM. 30mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU BLIST. DIN AL/PVC TRANSPARENT X 28 COMPR. FILM. PRF 28 12,177857 14,636428 0,000000 89 W64166002 H05BX01 CINACALCETUM ** CINACALCET HEATON 30 mg COMPR. FILM. 30mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF 28 13,308571 15,868928 0,000000 90 W43186002 H05BX01 CINACALCETUM ** MIMPARA 60 mg COMPR. FILM. 60mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF 28 29,504285 33,522142 0,000000 91 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 44,556785 49,929642 0,000000 92 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 7,901428 9,646071 0,000000 93 W63198001 H05BX02 PARICALCITOLUM ** ZEMPLAR 5 micrograme/ml SOL. INJ. 5micrograme/ml ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I X 1 ML SOL. INJ. PR 5 52,018000 63,504000 0,000000 94 W63198003 H05BX02 PARICALCITOLUM ** ZEMPLAR 5 micrograme/ml SOL. INJ. 5micrograme/ml ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA TIP I X 1 ML SOL. INJ. PR 5 52,018000 63,504000 0,000000 95 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 COM PRIM ATE FILM ATE PRF 180 1,805111 2,179500 0,000000 96 W08985002 V03AE02 SEVELAMER ** RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF 180 1,737111 2,105388 0,000000
P11: PROGRAM NATIONAL DE SANATATE MINTALA
SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR
1 W66185003 N07BB04 NALTREXONUM NALTREXONA AMOMED 50 mg COMPR. FILM. 50mg AMOMED PHARMA GMBH AUSTRIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF 28 6,744642 8,233928 0,000000 2 W66267002 N07BC02 METHADONUM METADONA BIOEEL 10 mg COMPR. 10mg S.C. BIO EEL S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC-PVDC X 10 COMPR. PS 50 0,824000 1,077800 0,000000 3 W66267001 N07BC02 METHADONUM METADONA BIOEEL 10 mg COMPR. 10mg S.C. BIO EEL S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC-PVDC X 10 COMPR. PS 20 0,823500 1,113000 0,000000 4 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 0,413400 0,558800 0,000000 5 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 1,545400 1,954000 0,000000 6 W66268001 N07BC02 METHADONUM METADONA BIOEEL 40 mg COMPR. 40mg S.C. BIO EEL S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC-PVDC X 10 COMPR. PS 20 3,091000 3,908500 0,000000 7 W66268002 N07BC02 METHADONUM METADONA BIOEEL 40 mg COMPR. 40mg S.C. BIO EEL S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC-PVDC X 10 COMPR. PS 50 3,035800 3,706000 0,000000 8 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 0,412000 0,556800 0,000000 9 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 1 306,840000 372,610000 0,000000 10 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 M L CONC. PT. SOL. ORALA PS 1 306,840000 372,610000 0,000000 11 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 M L CONC. PT. SOL. ORALA, SERINGA GRADATA PT. ADM INISTRARE ORALA SI UN ADAPTOR PT. FLAC. PS 1 39,810000 52,070000 0,000000 12 W67747001 N07BC51 COMBINATII (BUPRENORPHINUM+NALAXONE) ZUBSOLV 1,4 mg/0,36 mg COMPR. SUBLING. 1,4mg/0,36mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU PVC-OPA-AL-PVC/AL-PET-HÂRTIE X 7 COMPR. SUBLINGUALE PS/PR 7 8,175714 10,337142 0,000000
13 W67748001 N07BC51 COMBINATII (BUPRENORPHINUM+NALAXONE) ZUBSOLV 5,7 mg/1,4 mg COMPR. SUBLING. 5,7mg/1,4mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU PVC-OPA-AL-PVC/AL-PET-HÂRTIE X 7 COMPR. SUBLINGUALE PS/PR 7 24,090000 29,408571 0,000000
NOTĂ:
Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu ** se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii. Medicamentul corespunzător DCI-ului notat cu (3) se livrează împreună cu solvent. Medicamentele corespunzătoare DCI-urilor notate cu (4) se importă cu avizul Agenţiei Naţionale a Medicamentului şi a Dispozitivelor Medicale. Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu O se efectuează în baza contractelor cost-volum încheiate. Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu **1 se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii şi pot fi administrate şi în regim de spitalizare de zi.
66 Preluat: 2026-09-23T20:57:34.406835+00:00 · SHA256: ae597eb421c762373a0daca04380e8384479be985651ae82861cc7fb60f68ae7