ANEXĂ din 30 iunie 2015 privind Lista denumirilor comerciale şi a preţurilor de decontare ale medicamentelor prevăzute la art. 2 alin. (4) din Anexa la Ordinul ministrului sănătăţii nr. 75/2009 pentru aprobarea Normelor privind modul de calcul al preţurilor la medicamentele de uz uman, cu modificările şi completările ulterioare (Anexa nr. 2)

Notă

Conţinută de Ordinul ministrului sănătăţii şi al preşedintelui Casei Naţionale de Asigurări de Sănătate nr. 815/468/2015, publicat în Monitorul Oficial, Partea I, nr. 480 din 1 iulie 2015.

ANEXA 1

SECŢIUNEA C2 - LISTA denumirilor comerciale şi a preturilor de decontare a medicamentelor care se acordă bolnavilor cuprinşi in cadrul programele nationale de sănătate, in tratamentul ambulatoriu si spitalicesc, corespunzătoare denumirilor comune internaţionale cuprinse în sec ţiunea C2 a sublistei C

din HG nr. 720/2008, cu modificările şi completările ulterioare, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificarile si competarile ulterioare, VALABILĂ ÎNCEPÂND CU 01 IULIE 2015

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

3

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

1

W05444001

A07AA11

RIFAXIMINUM

NORMIX 200 mg

COMPR.

FILM.

200mg

ALFA WASSERMANN

SPA

ITALIA

CUTIE X 1 BLIST. AL/PVC X 12 COMPR. FILM.

P-RF

12

1,942500

2,625833

0,000000

2

W05444002

A07AA11

RIFAXIMINUM

NORMIX 200 mg

COMPR.

FILM.

200mg

ALFA WASSERMANN

SPA

ITALIA

CUTIE X 3 BLIST. AL/PVC A CATE 12 COMPR. FILM.

P-RF

36

1,908611

2,413333

0,000000

3

W05445001

A07AA11

RIFAXIMINUM

NORMIX 200mg/10ml

GRAN. PT. SUSP.

ORALA

200mg/10 ml

ALFA WASSERMANN SPA

ITALIA

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA + 1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

P-RF

1

14,660000

19,810000

0,000000

4

W13742001

D01AC02

MICONAZOLUM

MICONAZOL NITRAT 2%

CREMA

2%

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 TUB X 20 G

P-RF

1

5,190000

7,010000

0,000000

5

W00040001

D06BB03

ACICLOVIRUM

ZOVIRAX

CREMA

5%

THE WELLCOME

FOUNDATION LTD.

MAREA

BRITANIE

CUTIE X 1 TUB X 5G CREMA

P-RF

1

4,584000

6,192000

15,658000

6

W55641001

D06BB03

ACICLOVIRUM

ACICLOVIR 50mg/g

CREMA

5%

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 1 TUB X 5 G CREMA

P-RF

1

3,820000

5,160000

0,000000

7

W55641002

D06BB03

ACICLOVIRUM

ACICLOVIR 50mg/g

CREMA

5%

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 1 TUB X 15 G CREMA

P-RF

1

4,176000

5,640000

2,250000

8

W55128002

D06BB03

ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

CREMA

50mg/g

SLAVIA PHARM S.R.L.

ROMANIA

CUTIE CU 1 TUB AL X 5 G CREMA

P-RF

1

4,140000

5,590000

0,000000

9

W58038001

D06BB03

ACICLOVIRUM

ACICLOVIR TERAPIA 50 mg/g

CREMA

50mg/g

TERAPIA S.A.

ROMANIA

CUTIE CU 1 TUB DIN AL X 15 G CREMA

PRF

1

4,176000

5,640000

1,320000

10

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

3,820000

5,160000

0,000000

11

W60557002

D06BB03

ACICLOVIRUM

ACICLOVIR-RICHTER 50mg/g

CREMA

50mg/g

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE CU 1 TUB AL X 15 G CREMA

PRF

1

4,176000

5,640000

2,250000

12

W52146002

D06BB03

ACICLOVIRUM

ACICLOVIR HYPERION

CREMA

50mg/g

HYPERION S.A.

ROMANIA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

1

4,176000

5,640000

1,690000

13

W53041001

D06BB03

ACICLOVIRUM

ACICLOVIR TIS 50mg/g

CREMA

50mg/g

TIS FARMACEUTIC SA

ROMANIA

CUTIE X 1 TUB DIN PEJD X 15 G CREMA

P-RF

1

3,480000

4,700000

0,000000

14

W55128001

D06BB03

ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

CREMA

50mg/g

SLAVIA PHARM S.R.L.

ROMANIA

CUTIE CU 1 TUB AL X 15 G CREMA

P-RF

1

4,176000

5,640000

1,320000

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

0,763333

1,031666

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

1,463333

1,976666

0,000000

17

W04675003

J01CF04

OXACILLINUM

OXACILINA ARENA 250 mg

CAPS.

250mg

ARENA GROUP SA

ROMANIA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-RF/S

1000

0,251650

0,307220

0,000000

18

W11729001

J01CF04

OXACILLINUM

OXACILINA 250 mg

CAPS.

250mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,289500

0,368664

0,022836

19

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

0,272500

0,368500

0,000000

20

W43090001

J01CF04

OXACILLINUM

OXACILINA SANDOZ 250 mg

CAPS.

250mg

SANDOZ SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,296000

0,368664

0,031336

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

0,468216

0,571608

0,071392

22

W43092001

J01CF04

OXACILLINUM

OXACILINA SANDOZ 500 mg

CAPS.

500mg

SANDOZ SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

10

0,468216

0,571608

0,158392

23

W12910002

J01CF04

OXACILLINUM

OXACILINA FORTE 500 mg

CAPS.

500mg

FARMEX COMPANY SRL

ROMANIA

CUTIE X 50 BLIST. AL/PVC X 10 CAPS.

P-RF/S

500

0,390180

0,476340

0,000000

24

W12910001

J01CF04

OXACILLINUM

OXACILINA FORTE 500 mg

CAPS.

500mg

FARMEX COMPANY SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,413000

0,558500

0,000000

25

W07274001

J01CF04

OXACILLINUM

OXACILINA 500 mg

CAPS.

500mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 1 BLIST. X 10 CAPS.

P-RF

10

0,468216

0,571608

0,206392

26

W60469001

J01CF04

OXACILLINUM

OXACILINA ATB 1000 mg

PULB. PT. SOL.

INJ./PERF.

1000mg

ANTIBIOTICE SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PRF

1

4,090000

5,530000

0,000000

27

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

3,890600

4,622300

0,000000

28

W60468003

J01CF04

OXACILLINUM

OXACILINA ATB 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PRF

100

3,612900

4,319600

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

29

W60468001

J01CF04

OXACILLINUM

OXACILINA ATB 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PRF

1

3,770000

5,100000

0,000000

30

W04684004

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 500 mg

PULB. PT. SOL. INJ./PERF.

I.M./I.V.

500mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

P-RF

1

3,770000

5,100000

0,000000

31

W04684002

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 500 mg

PULB. PT. SOL. INJ./PERF.

I.M./I.V.

500mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

P-RF/S

100

3,612900

4,319600

0,000000

32

W04682003

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 1 g

PULB. PT. SOL. INJ./PERF.I.

M./I.V.

1g

ANTIBIOTICE SA

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

P-RF

1

4,090000

5,530000

0,000000

33

W04682002

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 1 g

PULB. PT. SOL. INJ./PERF.I.

M./I.V.

1g

ANTIBIOTICE SA

ROMANIA

CUTIE X 100 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

P-RF/S

100

3,890600

4,622300

0,000000

34

W58901002

J01CR01

AMPICILLINUM + SULBACTAM

AMPIPLUS 1000 mg/500 mg

PULB. PT. SOL.

INJ./PERF.

1000mg/5 00mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

PR, PRF

50

13,129000

15,073600

0,000000

35

W55354004

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN SR 1000 mg/62,5 mg

COMPR.

ELIB. PREL.

1000mg/6 2,5mg

BEECHAM GROUP PLC

MAREA BRITANIE

CUTIE CU 7 BLIST. AL/PVC-AL X 4 COMPR. ELIB. PREL.

P-RF

28

1,256071

1,642857

0,000000

36

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

0,712142

0,962142

0,000000

37

W57628002

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

ENHANCIN 500 mg/125mg

COMPR. FILM.

500

mg/125 mg

RANBAXY UK LIMITED

MAREA BRITANIE

CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM.

P-RF

28

0,437142

0,591071

0,000000

38

W54453002

J01CR02

AMOXICILLINUM + ACIDUM

CLAVULANICUM

AMOXIPLUS 500/125 mg

COMPR.

FILM.

500/125m

g

ANTIBIOTICE S.A.

ROMANIA

CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

14

0,437142

0,590714

0,000000

39

W54971008

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg

COMPR. FILM.

500mg/12 5mg

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM.

P-RF

14

0,437142

0,590714

0,000000

40

W55163002

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN 500 mg/125 mg

COMPR. FILM.

500mg/12 5mg

BEECHAM GROUP PLC

MAREA BRITANIE

CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE

DIN AL LAMINAT, CONTINAND UN DESICANT

P-RF

14

0,524570

0,708857

0,200428

41

W00401004

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2 x 625 mg

COMPR. FILM.

625mg

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 BLIST. AL/AL X 14 COMPR. FILM.

P-RF

14

0,437142

0,590714

0,000000

42

W55164001

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN 875 mg/125 mg

COMPR. FILM.

875mg/12 5mg

BEECHAM GROUP PLC

MAREA BRITANIE

CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE

DIN AL LAMINAT, CONTINAND UN DESICANT

P-RF

14

0,854570

1,154570

0,324715

43

W55401002

J01CR02

AMOXICILLINUM + ACIDUM

CLAVULANICUM

AMOXIPLUS 875 mg/125 mg

COMPR.

FILM.

875mg/12

5mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM.

P-RF

14

0,712142

0,962142

0,000000

44

W54972008

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg

COMPR. FILM.

875mg/12 5mg

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM.

P-RF

14

0,712142

0,962142

0,000000

45

W51992004

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 1000 mg

COMPR. PT. DISPERSIE ORALA/OR ODISPERS ABILE

1000mg

BIOMEDIAL PHARMA S.R.L.

ROMANIA

CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

P-RF

14

0,854570

1,154570

0,703287

46

W51991002

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 625 mg

COMPR. PT. DISPERSIE ORALA/OR ODISPERS ABILE

625mg

BIOMEDIAL PHARMA S.R.L.

ROMANIA

CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE

P-RF

14

0,524570

0,708857

0,516143

47

W59739002

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXIPLUS 1000 mg/200 mg

PULB. PT. SOL.

INJ./PERF.

1000mg/2 00mg

ANTIBIOTICE SA

ROMANIA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF.

PRF

50

7,344200

8,768200

0,000000

48

W00399001

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 156,25mg/5ml

PULB. PT. SUSP.

ORALA

156,25mg

/5ml

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA

P-RF

1

8,010000

10,820000

0,000000

49

W08783001

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2x

PULB. PT. SUSP.

ORALA

400mg+5

7mg/5ml

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 35 ML SUSP.ORALA + SERINGA DOZATOARE

P-RF

1

4,960000

6,700000

0,000000

4

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

50

W08783002

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2x

PULB. PT. SUSP.

ORALA

400mg+5

7mg/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

9,920000

13,410000

0,000000

51

W55355002

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5

ml

PULB. PT. SUSP.

ORALA

400mg/57 mg/5ml

SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

1

11,904000

16,092000

4,538000

52

W59180001

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC

AUROBINDO 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57 mg/5ml

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 FLAC. PEID CARE CONTINE PULB. PT. SUSP. ORALA PT. OBTINEREA A 35 ML SUSP. RECONSTITUITA + 1 SERINGA DE POLISTIREN CU GRADATII LA INTERVALE DE 0,5 ML

PRF

1

4,960000

6,700000

0,000000

53

W55355004

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5

ml

PULB. PT.

SUSP. ORALA

400mg/57 mg/5ml

SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

1

5,952000

8,040000

2,280000

54

W55355001

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5

ml

PULB. PT.

SUSP. ORALA

400mg/57 mg/5ml

SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA

P-RF

1

5,952000

8,040000

2,280000

55

W55342003

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN (R) ES

PULB. PT. SUSP.

ORALA

600

mg/42,9m g/5ml

SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

CUTIE X 1 FLACON DIN STICLA CU PULB. PT. 100 ML SUSP. ORALA

+ 1 MASURA DOZATOARE

P-RF

1

27,200000

35,580000

0,000000

56

W00402001

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 312,5mg/5ml

PULB. PT.SUSP.

ORALA

312,5mg/ 5ml

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE

P-RF

1

14,060000

19,000000

0,000000

57

W55629002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

12

4,044000

5,472000

22,543000

58

W54763001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

3,370000

4,560000

0,000000

59

W55369001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

60

W55629001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

61

W55423001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

62

W55424001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

63

W55370001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

64

W55630001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

65

W55630002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

12

21,346800

26,060400

20,445433

66

W54765001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

10,049600

67

W53595006

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

4,044000

5,472000

10,127000

68

W53596003

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

17,789000

21,717000

0,000000

69

W55618001

J01DD04

CEFTRIAXONUM

OFRAMAX 1000 mg

PULB. PT.

SOL. INJ./PERF.

1000mg

TERAPIA SA

ROMANIA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF.

S

50

4,826400

6,313200

4,739400

70

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

4,826400

6,313200

10,025800

71

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

4,826400

6,313200

10,025800

72

W13949012

J01DD04

CEFTRIAXONUM

CEFORT 1 g

PULB. PT.

SOL. INJ./PERF.

1g

ANTIBIOTICE SA

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ./PERF.

PR

10

4,826400

6,313200

10,025800

73

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.

S/P-RF

10

4,826400

6,313200

10,025800

5

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

74

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

4,022000

5,261000

0,000000

75

W53779001

J01DD04

CEFTRIAXONUM

SEFTRION 1 g

PULB. PT. SOL.

INJ./PERF.

1g

E.I.P.I.CO. MED S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.

S/P-RF

1

4,826400

6,313200

7,416800

76

W13948008

J01DD04

CEFTRIAXONUM

CEFORT 250 mg

PULB. PT. SOL.

INJ./PERF.

250mg

ANTIBIOTICE SA

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ. PERF.

PR

10

5,668000

7,167000

0,000000

77

W13948004

J01DD04

CEFTRIAXONUM

CEFORT 250 mg

PULB. PT. SOL.

INJ./PERF.

250mg

ANTIBIOTICE SA

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ. PERF.

S/P-RF

10

5,668000

7,167000

0,000000

78

W55619001

J01DD04

CEFTRIAXONUM

OFRAMAX 250 mg

PULB. PT. SOL.

INJ./PERF.

250mg

TERAPIA SA

ROMANIA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

S

50

5,105400

6,232600

0,000000

79

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

8,888400

11,238000

17,698000

80

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

7,407000

9,365000

0,000000

81

W13891004

J01DD04

CEFTRIAXONUM

CEFORT 2 g

PULB. PT. SOL.

INJ./PERF.

2g

ANTIBIOTICE SA

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 50 ML, CU PULB. PT. SOL. INJ./PERF.

S/P-RF

10

8,888400

11,238000

17,698000

82

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

8,888400

11,238000

15,471000

83

W53778001

J01DD04

CEFTRIAXONUM

SEFTRION 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

E.I.P.I.CO. MED S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ.

S/P-RF

1

6,370000

8,610000

0,000000

84

W56096001

J01DD04

CEFTRIAXONUM

SEFTRION 2 g

PULB. PT. SOL. PERF.

2g

EIPICO MED SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

P-RF

1

8,888400

11,238000

6,252000

85

W51335001

J01DD04

CEFTRIAXONUM

ROCEPHIN (R)

PULB. PT. SOL. PERF.

2g

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND PULB. PT. SOL. PERFUZ.

S/P-RF

1

8,888400

11,238000

42,222000

86

W57455001

J01DD08

CEFIXIMUM

EFICEF 100 mg

CAPS.

100mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.

PRF

10

1,655000

2,237000

0,000000

87

W13701001

J01DD08

CEFIXIMUM

EFICEF (R) 200 mg

CAPS.

200mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

10

2,759000

3,609000

0,000000

88

W60256001

J01DD08

CEFIXIMUM

XIFIA 400mg

COMPR.

FILM.

400mg

INN-FARM D.O.O.

SLOVENIA

CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE

PRF

5

7,660000

10,020000

0,000000

89

W60256003

J01DD08

CEFIXIMUM

XIFIA 400mg

COMPR.

FILM.

400mg

INN-FARM D.O.O.

SLOVENIA

CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE

FILMATE

PRF

10

7,526000

9,516000

0,000000

90

W13676001

J01DD12

CEFOPERAZONUM

MEDOCEF 1 g

PULB. PT.

SOL. INJ.

1g

MEDOCHEMIE LTD.

CIPRU

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

S/P-RF

10

8,412000

11,376000

6,538000

91

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

12,576000

16,992000

6,670000

92

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

3,190000

4,310000

0,000000

93

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

10,480000

14,160000

0,000000

94

W44061001

J01DD12

CEFOPERAZONUM

CEFOZON 1 g

PULB. PT. SOL. INJ./PERF.I.

M./I.V.

1g

E.I.P.I.CO. MED S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

S/P-RF

1

7,010000

9,480000

0,000000

95

W53787001

J01DD62

COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT.

SOL. INJ./PERF.

1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

S/P-RF

1

19,370000

23,076840

3,103160

96

W53787004

J01DD62

COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT. SOL.

INJ./PERF.

1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMANIA

CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

S

100

17,292800

19,230700

0,000000

97

W53787003

J01DD62

COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT. SOL.

INJ./PERF.

1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMANIA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

S/P-RF

50

17,592800

19,939200

0,000000

98

W53787002

J01DD62

COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT. SOL.

INJ./PERF.

1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

S/P-RF

10

18,691000

22,818000

0,000000

99

W60705002

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 1000 mg

PULB. PT. SOL. INJ. SAU PERF.

1000 mg

ZENTIVA, K.S.

REPUBLIC A CEHA

CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML

PR

10

27,211200

33,219600

44,763400

6

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

100

W60703002

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 500 mg

PULB. PT. SOL. INJ. SAU PERF.

500 mg

ZENTIVA, K.S.

REPUBLIC A CEHA

CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML

PR

10

16,826400

20,541600

22,648400

101

W56827001

J01DH02

MEROPENEMUM

LODITER 1000 mg

PULB. PT. SOL.

INJ./PERF.

1000mg

TERAPIA S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

PR

1

27,211200

33,219600

62,340400

102

W58974002

J01DH02

MEROPENEMUM

MEROPENEM ATB 1000 mg

PULB. PT. SOL. INJ./PERF.

1000mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML SAU 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC

PRF

10

27,211200

33,219600

47,425400

103

W61143002

J01DH02

MEROPENEMUM

ARCHIFAR 1000 mg

PULB. PT.

SOL. INJ./PERF.

1000mg

MEDOCHEMIE ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN

CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF.

PR

10

27,211200

33,219600

29,959400

104

W56125002

J01DH02

MEROPENEMUM

MEROPENEM KABI 1 g

PULB. PT.

SOL. INJ./PERF.

1g

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

10

27,211200

33,219600

16,867400

105

W56331002

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 1 g

PULB. PT. SOL.

INJ./PERF.

1g

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PR

10

22,676000

27,683000

0,000000

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

16,826400

20,541600

30,708400

107

W56124002

J01DH02

MEROPENEMUM

MEROPENEM KABI 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

PR

10

16,826400

20,541600

6,620400

108

W56330002

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PR

10

14,022000

17,118000

0,000000

109

W61142002

J01DH02

MEROPENEMUM

ARCHIFAR 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

MEDOCHEMIE ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU

PULB.PT.SOL.INJ./PERF.

PR

10

16,826400

20,541600

24,002400

110

W58973002

J01DH02

MEROPENEMUM

MEROPENEM ATB 500 mg

PULB. PT.

SOL. INJ./PERF.

500mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE

20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC

PRF

10

16,826400

20,541600

24,004400

111

W59077002

J01DH51

IMIPENEMUM + CILASTATINUM

TIENAM I.V. 500 mg/500 mg

PULB. PT. SOL. PERF.

500mg/50 0mg

MERCK SHARP DOHME

ROMANIA

TAVA CU 10 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. PERF.

PR

10

22,297200

27,220800

7,679200

112

W54471006

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

10

22,297200

27,220800

9,677200

113

W54471009

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P-RF

10

22,297200

27,220800

6,801200

114

W61198003

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN ATB 500

mg/500 mg

PULB. PT. SOL. PERF.

500mg/50 0mg

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

18,582000

22,685000

0,000000

115

W54471007

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P-RF

1

22,297200

27,220800

10,559200

116

W54471008

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P-RF

5

22,297200

27,220800

6,803200

117

W54471002

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

5

18,922000

23,924000

0,000000

118

W54471003

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

10

18,582000

22,685000

0,000000

119

W54471005

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

5

22,297200

27,220800

9,829200

120

W54532001

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN KABI

500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P-RF

10

18,581000

22,684000

0,000000

121

W53671001

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

BITRIM 400mg/80mg

COMPR.

400mg/80

mg

ARENA GROUP S.A.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,296500

0,400500

0,000000

122

W12479001

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

CO - TRIM ELL

COMPR.

400mg/80

mg

BIO EEL SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,270000

0,365000

0,000000

123

W05738001

J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

SUMETROLIM

COMPR.

400mg/80 mg

EGIS

PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,257500

0,348000

0,000000

124

W05741001

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

TAGREMIN

COMPR.

400mg/80

mg

ZENTIVA S.A.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,296500

0,400500

0,000000

7

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

125

W44046001

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

EPITRIM

SUSP.

ORALA

200mg/40

mg /5ml

E.I.P.I.CO. MED S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X

100 ML

P-RF

1

3,480000

4,710000

0,000000

126

W05739001

J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

SUMETROLIM

SUSP. ORALA

25mg/5m g/ml

EGIS PHARMACEUTICALS

P.L.C.

UNGARIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

1

7,300000

9,860000

0,000000

127

W05561001

J01FA02

SPIRAMYCINUM

ROVAMYCINE (R) 1,5 Mil. UI

COMPR.

FILM.

1,5 M ui

LAB. AVENTIS

FRANTA

CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM.

P-RF

16

0,472500

0,638750

0,000000

128

W13604002

J01FA02

SPIRAMYCINUM

ROVAMYCINE (R) 3 Mil. UI

COMPR.

FILM.

3M ui

LAB. AVENTIS

FRANTA

CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM.

P-RF

10

1,933000

2,613000

0,000000

129

W13604003

J01FA02

SPIRAMYCINUM

ROVAMYCINE 3 Mil. UI

COMPR.

FILM.

3MilU.I.

LABORATOIRES AVENTIS

FRANTA

CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM.

PRF

10

1,933000

2,613000

0,000000

130

W58242002

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR. CU ELIB.

PREL.

500mg

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.

PRF

7

1,458000

1,970570

0,463715

131

W59000002

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR.

ELIB. PREL.

500mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.

PRF

6

1,458000

1,970570

0,464430

132

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

0,672000

0,907714

0,179428

133

W08490001

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR.

FILM.

250mg

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

14

0,672000

0,907714

0,328000

134

W14043001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 250

COMPR.

FILM.

250mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.

P-RF

14

0,672000

0,907714

0,264428

135

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

0,622857

0,842142

0,000000

136

W61223003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO

250 mg

COMPR.

FILM.

250mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PRF

14

0,560000

0,756428

0,000000

137

W01326002

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR.

FILM.

250mg

ABBOTT S.R.L.

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-RF

14

0,672000

0,907714

1,039428

138

W58998015

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250 mg

COMPR. FILM.

250mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PRF

14

0,622142

0,840714

0,000000

139

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

1,458000

1,970570

0,068715

140

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

1,458000

1,970570

0,277930

141

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

1,414285

1,911428

0,000000

142

W56269001

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM.

500mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P-RF

20

1,458000

1,970570

0,385430

143

W61224003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO

500 mg

COMPR.

FILM.

500mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PRF

14

1,215000

1,642142

0,000000

144

W14044001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 500

COMPR.

FILM.

500mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.

P-RF

14

1,414285

1,911428

0,000000

145

W08491001

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR.

FILM.

500mg

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

14

1,421428

1,921428

0,000000

146

W58999014

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. FILM.

500mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PRF

14

1,350000

1,825000

0,000000

147

W44088001

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF.

500mg

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

7

1,458000

1,970570

0,463715

148

W41838002

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL.

500mg

KRKA D.D.

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

7

1,458000

1,970570

0,463715

149

W13607002

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL.

500mg

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

5

1,458000

1,970570

1,777430

150

W01327001

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT S.R.L.

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

1

22,180000

29,980000

0,000000

151

W01327002

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT S.R.L.

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

1

11,388000

15,384000

4,336000

152

W44092001

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

1

9,490000

12,820000

0,000000

153

W42258001

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

GRAN. PT.

SUSP. ORALA

125mg/5 ml

SANDOZ SRL

ROMANIA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

1

9,490000

12,820000

0,000000

8

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

154

W44091001

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP.

ORALA

250mg/5 ml

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

1

24,320000

32,870000

0,000000

155

W44091002

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP.

ORALA

250mg/5 ml

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

1

40,530000

53,010000

0,000000

156

W58393002

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA

250mg/5 ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0

GRANULE PT 60 ML SUSP. ORALA

PRF

1

22,090000

29,860000

0,000000

157

W01329001

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF.

500mg

ABBOTT LABORATORIES LTD.

FRANTA

CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

S/P-RF

1

30,230000

39,540000

0,000000

158

W42271001

J01FA10

AZITHROMYCINUM

AZATRIL 250 mg

CAPS.

250mg

BALKANPHARMA

RAZGRAD AD

BULGARIA

CUTIE X 1 BLIST. AL/PVC X 6 CAPS.

P-RF

6

2,435000

3,291666

0,000000

159

W00517001

J01FA10

AZITHROMYCINUM

SUMAMED 250 mg

CAPS.

250mg

PLIVA LJUBLIJANA D.O.O.

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS.

P-RF

6

2,922000

3,949999

1,116667

160

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

3,068333

4,146666

0,000000

161

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

2,435000

3,291666

0,000000

162

W52838002

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 250 mg

COMPR.

FILM.

250mg

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PA-AL-PVC/AL X 6 COMPR. FILM.

P-RF

6

2,435000

3,291666

0,000000

163

W52838001

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 250 mg

COMPR.

FILM.

250mg

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC-ACLAR/AL X 6 COMPR. FILM.

P-RF

6

2,435000

3,291666

0,000000

164

W57032001

J01FA10

AZITHROMYCINUM

AZITROX (R) 500

COMPR.

FILM.

500mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

3

3,607999

4,876000

0,700666

165

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

3,607999

4,876000

0,700666

166

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

3,006666

4,063333

0,000000

167

W60019004

J01FA10

AZITHROMYCINUM

AZATRIL 500 mg

COMPR.

FILM.

500mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU BLIST. OPA-PVC-AL/AL X 3 COMPR. FILM.

PRF

3

3,607999

4,876000

0,254000

168

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

3,607999

4,876000

0,700666

169

W00519001

J01FA10

AZITHROMYCINUM

SUMAMED 500 mg

COMPR.

FILM.

500mg

PLIVA LJUBLJANA D.O.O.

SLOVENIA

CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM.

P-RF

3

3,607999

4,876000

3,707333

170

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

3,607999

4,876000

0,700666

171

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

3,607999

4,876000

0,440666

172

W52841002

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 600 mg

COMPR.

FILM.

600mg

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PA-AL-PVC/AL X 3 COMPR. FILM.

P-RF

3

11,793333

15,426666

0,000000

173

W52841001

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 600 mg

COMPR.

FILM.

600mg

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC-ACLAR/AL X 3 COMPR. FILM.

P-RF

3

11,793333

15,426666

0,000000

174

W53281001

J01FA10

AZITHROMYCINUM

AZITROX 200 mg/5 ml

PULB. + SOLV. SUSP.

ORALA

200mg/5 ml

ZENTIVA S.A.

ROMANIA

CUTIE X 1 FLACON DIN PE CU PULBERE PENTRU 15ML SUSPENSIE ORALA RECONSTITUITA + FLACON CU SOLVENT X 7.5ML SOLVENT

+ 1 SERINGA PENTRU ADMINISTRAREA ORALA + O LINGURITA

DOZATOARE

P-RF

1

10,710000

14,470000

0,000000

175

W42901001

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 100 mg/5

ml

PULB. PT. SUSP.

ORALA

100mg/5 ml

SANDOZ SRL

ROMANIA

CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML

(400 MG) SUSP. ORALA

P-RF

1

14,310000

19,340000

0,000000

176

W42877002

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 200 mg/5

ml

PULB. PT.

SUSP. ORALA

200 mg/5 ml

SANDOZ SRL

ROMANIA

CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10

ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (800 MG) SUSP. ORALA

P-RF

1

21,260000

28,740000

0,000000

177

W00520001

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

PULB. PT. SUSP.

ORALA

200mg/5 ml

PLIVA LJUBLIJANA D.O.O.

SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

1

30,340000

39,680000

0,000000

178

W00520002

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

PULB. PT. SUSP.

ORALA

200mg/5 ml

PLIVA LJUBLIJANA D.O.O.

SLOVENIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P-RF

1

12,852000

17,364000

4,896000

179

W00520003

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

PULB. PT. SUSP.

ORALA

200mg/5 ml

PLIVA LJUBLIJANA 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

46,150000

60,360000

0,000000

180

W03308001

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ.

40mg/ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

P-RF

10

0,547000

0,740000

0,000000

181

W03309002

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ.

80mg/2ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 50 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF/S

50

0,658000

0,860600

0,000000

182

W03309001

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ.

80mg/2ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ.

P-RF

10

0,735000

0,994000

0,000000

183

W53277001

J01GB06

AMIKACINUM

AMIKOZIT (R) 500 mg/2 ml

SOL. INJ.

500mg/2

ml

ZENTIVA S.A.

ROMANIA

CUTIE X 1 FLACON DIN STICLA X 2 ML

P-RF

1

5,350000

7,230000

0,000000

184

W07914001

J01MA01

OFLOXACINUM

ZANOCIN

COMPR.

FILM.

200mg

RANBAXY UK LIMITED

MAREA

BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,872000

1,179000

0,000000

9

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

185

W56957001

J01MA01

OFLOXACINUM

OFLOXIN 200

COMPR.

FILM.

200mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

1,046400

1,414800

0,662200

186

W54037002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR.

FILM.

100mg

ARENA GROUP S.A.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

20

2,692000

3,404000

0,000000

187

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

2,959000

3,871000

0,000000

188

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

0,472000

0,638000

0,000000

189

W01288001

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 250 mg

COMPR.

FILM.

250mg

AC HELCOR SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,505000

0,683000

0,000000

190

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

0,525000

0,709000

0,000000

191

W07862001

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR.

FILM.

250mg

RANBAXY UK LIMITED

MAREA

BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

10

0,533000

0,720000

0,000000

192

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

0,505000

0,683000

0,000000

193

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

0,523000

0,707000

0,000000

194

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

0,504000

0,681000

0,000000

195

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

0,630500

0,852000

0,000000

196

W01289001

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 500 mg

COMPR.

FILM.

500mg

AC HELCOR SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,756600

1,022400

0,299600

197

W07863001

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR.

FILM.

500mg

RANBAXY UK LIMITED

MAREA

BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

10

0,674000

0,911000

0,000000

198

W12545001

J01MA02

CIPROFLOXACINUM

CIPRO QUIN (R)

COMPR.

FILM.

500mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,756600

1,022400

0,348600

199

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

0,681000

0,920000

0,000000

200

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

0,756600

1,022400

0,348600

201

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

0,708000

0,957000

0,000000

202

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

0,756600

1,022400

0,160600

203

W54040001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 750 mg

COMPR.

FILM.

750mg

ARENA GROUP S.A.

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,915600

1,237200

2,633800

204

W42772001

J01MA02

CIPROFLOXACINUM

CIPRINOL 750 mg

COMPR.

FILM.

750mg

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

10

0,763000

1,031000

0,000000

205

W57948001

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 1000 mg

COMPR. FILM. ELIB. PREL.

1000 mg

BAYER PHARMA AG

GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

7

9,928571

12,554285

0,000000

206

W57949001

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 500 mg

COMPR. FILM. ELIB. PREL.

500 mg

BAYER PHARMA AG

GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.

P-RF

3

0,756600

1,022400

8,530933

207

W60268001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ZENTIVA 10

mg/ml

CONC. PT. SOL. PERF.

100mg/10 ml

ZENTIVA S.A.

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML

S/P-RF

5

2,580000

3,400560

0,085440

208

W01275001

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF.

100mg/10 ml

KRKA D.D.

SLOVENIA

CUTIE X 5 FIOLE X 10 ML

S/P-RF

5

2,570000

3,400560

0,073440

209

W01275002

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF.

100mg/10 ml

KRKA D.D.

SLOVENIA

CUTIE X 50 FIOLE X 10 ML

S

50

2,321200

2,833800

0,000000

210

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

6,972000

8,815000

0,000000

211

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

6,617800

7,976400

0,000000

212

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

13,125000

16,023000

0,000000

213

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

12,828000

15,254333

0,000000

214

W53353002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML

S

10

6,972000

8,815000

0,000000

215

W53353003

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML

S

10

13,125000

16,023000

0,000000

216

W52445001

J01MA03

PEFLOXACINUM

PEFLOXACIN LAROPHARM

COMPR.

FILM.

400mg

LAROPHARM S.R.L.

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

2,139000

2,891000

0,000000

217

W58303001

J01MA06

NORFLOXACINUM

NORFLOXACIN HELCOR 400 mg

COMPR.

FILM.

400mg

A.C. HELCOR PHARMA

S.R.L.

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

20

0,651000

0,880000

0,000000

10

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

218

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

0,586000

0,792000

0,000000

219

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

0,603500

0,816000

0,000000

220

W55699003

J01MA12

LEVOFLOXACINUM

TAVANIC 250 mg

COMPR.

FILM.

250mg

TERAPIA S.A.

ROMANIA

CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM.

P-RF

7

1,381714

1,866857

1,984571

221

W56992002

J01MA12

LEVOFLOXACINUM

LEVOTOR 250 mg

COMPR.

FILM.

250mg

TORRENT PHARMA

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.

P-RF

7

1,151428

1,555714

0,000000

222

W52786004

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS 250

mg

COMPR.

FILM.

250mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

P-RF

7

1,151428

1,555714

0,000000

223

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

2,866285

3,874285

0,552857

224

W56993002

J01MA12

LEVOFLOXACINUM

LEVOTOR 500 mg

COMPR.

FILM.

500mg

TORRENT PHARMA

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM.

P-RF

7

2,388571

3,228571

0,000000

225

W55700002

J01MA12

LEVOFLOXACINUM

TAVANIC 500 mg

COMPR.

FILM.

500mg

TERAPIA S.A.

ROMANIA

CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM.

P-RF

7

2,866285

3,874285

2,717143

226

W52787004

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS 500

mg

COMPR.

FILM.

500mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM.

P-RF

7

2,427142

3,280000

0,000000

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.

S

1

33,144000

43,356000

11,304000

228

W55456001

J01MA12

LEVOFLOXACINUM

EVOLOX 5 mg/ml

SOL. PERF.

5mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

S

1

20,890000

28,240000

0,000000

229

W54108003

J01MA12

LEVOFLOXACINUM

LEVOFLOXACIN KABI 5 mg/ml

SOL. PERF.

5mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL.

PERF. (500MG LEVOFLOXACINA)

S

1

33,144000

43,356000

11,304000

230

W55702001

J01MA12

LEVOFLOXACINUM

TAVANIC I.V. 500 mg

SOL. PERF.

5mg/ml

TERAPIA S.A.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML SOL. PERF.

P-RF/S

1

33,144000

43,356000

36,514000

231

W55456003

J01MA12

LEVOFLOXACINUM

EVOLOX 5 mg/ml

SOL. PERF.

5mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S

1

27,620000

36,130000

0,000000

232

W57939001

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg

COMPR.

FILM.

400mg

BAYER PHARMA AG

GERMANIA

CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM.

P-RF

5

6,612000

8,647200

2,436800

233

W60311001

J01MA14

MOXIFLOXACINUM

MOFINACIN 400 mg

COMPR.

FILM.

400mg

ALVOGEN IPCO S.A.R.L

LUXEMBUR

G

CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM

PRF

5

5,510000

7,206000

0,000000

234

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

5,510000

7,206000

0,000000

235

W60545001

J01MA14

MOXIFLOXACINUM

MOFIL 400 mg

COMPR.

FILM.

400mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM.

PRF

5

5,510000

7,206000

0,000000

236

W59332001

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA AUROBINDO

400 mg

COMPR.

FILM.

400mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.

PRF

5

5,510000

7,206000

0,000000

237

W57938004

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg/250 ml

SOL. PERF.

400mg/25

0ml

BAYER PHARMA AG

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA X 250 ML

S

5

69,648000

88,056000

13,026000

238

W60727001

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA KABI 400

mg/250 ml

SOL. PERF.

400mg/25

0ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPACK) A 250 ML SOL. PERF. (400 MG

MOXIFLOXACINA)

PR

1

58,040000

73,380000

0,000000

239

W43348001

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF.

1g

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

1

25,308000

34,212000

20,538000

240

W43347001

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF.

500mg

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

1

20,930000

25,840800

2,449200

241

W56449002

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS

1000 mg

PULB. PT. SOL. PERF.

1000mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLIC A CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR

10

25,308000

34,212000

10,904000

242

W56448002

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS

500 mg

PULB. PT. SOL. PERF.

500mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLIC A CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR

10

17,639000

21,534000

0,000000

243

W57042001

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 1000 mg

PULB. PT.CONC. PT.SOL.

PERF.

1000mg

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR

1

21,090000

28,510000

0,000000

244

W57041001

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 500 mg

PULB. PT.CONC. PT.SOL.

PERF.

500mg

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR

1

19,630000

25,840800

0,689200

245

W06051001

J01XA01

VANCOMYCINUM

EDICIN

PULB.LIOF. PT.SOL.PE

RF./INJ

1g

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

S/P-RF

1

25,308000

34,212000

16,888000

246

W13105001

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF. + SOLV. PT.

SOL. INJ.

400mg

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P-RF

1

106,430000

129,930000

0,000000

247

W52501003

J01XB01

COLISTINUM

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL.

INJ./PERF.

1000000u

i

ANTIBIOTICE SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S

10

18,000000

21,974000

0,000000

11

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

248

W53689002

J01XD01

METRONIDAZOLUM

METRONIDAZOL ARENA 250 mg

(J01XD01)

COMPR.

250mg

ARENA GROUP SA

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

30

0,176666

0,238666

0,000000

249

W08257001

J01XD01

METRONIDAZOLUM

FLAGYL ( vezi J01XD01)

COMPR.

FILM.

250mg

LABORATOIRE AVENTIS

FRANTA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

20

0,211999

0,286399

0,081101

250

W42139001

J01XD01

METRONIDAZOLUM

METRONIDAZOL A 5 g/l

SOL. PERF.

5g/l

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 1 FLACON X 200 ML

S/P-RF

1

6,990000

9,450000

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

6,855000

8,667500

0,000000

252

W42138002

J01XD01

METRONIDAZOLUM

METRONIDAZOL B 5 g/l

SOL. PERF.

5g/l

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 12 FLACOANE X 200 ML

S/P-RF

12

6,721666

8,499166

0,000000

253

W42138001

J01XD01

METRONIDAZOLUM

METRONIDAZOL B 5 g/l

SOL. PERF.

5g/l

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 1 FLACON X 200 ML

S/P-RF

1

6,840000

9,240000

0,000000

254

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

3,828000

5,007000

0,000000

255

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

3,828000

5,007000

0,000000

256

W08927003

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN 5mg/ml

SOL. PERF.

5mg/ml

B. BRAUN MELSUNGEN

AG

GERMANIA

CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P-RF

20

3,761000

4,755500

0,000000

257

W52799001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR.

FILM.

600mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

10

163,000000

181,485000

0,000000

258

W52800001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP.

ORALA

100mg/5 ml

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

911,260000

1.031,420000

0,000000

259

W60604001

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEMBUR G

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF.

PR

1

112,480000

137,320000

0,000000

260

W60734001

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1

SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF.

PR

1

116,710000

142,262400

0,217600

261

W52801001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 10 PUNGI X 300 ML

S

10

126,315600

142,262400

42,337600

262

W57578002

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)

PRF

10

105,263000

118,552000

0,000000

263

W08372001

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 4 CAPS.

P-RF

4

1,998750

2,614500

3,788000

264

W58225007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100

mg

CAPS.

100mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,998750

2,614500

0,805500

265

W42371002

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGARIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-RF

16

1,665625

2,178750

0,000000

266

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

1,998750

2,614500

2,056928

267

W52224001

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150

mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,870000

6,580000

0,000000

268

W43598001

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS.

150mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,680000

6,320000

0,000000

269

W60221001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS.

150mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

270

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

5,300000

7,160000

0,000000

271

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

5,300000

7,160000

0,000000

272

W58226001

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150

mg

CAPS.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PRF

1

4,620000

6,240000

0,000000

273

W56446001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS.

150mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

274

W53943002

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS.

150mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

275

W03156001

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,544000

7,488000

3,542000

276

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

5,300000

7,160000

0,000000

277

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

5,300000

7,160000

0,000000

278

W43288001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS.

150mg

SANDOZ SRL

GERMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

279

W42693001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

12

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

280

W08373001

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

281

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

4,460000

5,834285

0,000000

282

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

1,356000

1,832570

0,133144

283

W58224007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS.

50mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,265714

1,710000

0,000000

284

W08374001

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 7 CAPS.

P-RF

7

1,356000

1,832570

0,947430

285

W57238001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

7

1,356000

1,832570

0,947430

286

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

1,356000

1,832570

0,947430

287

W43287001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS.

50mg

SANDOZ SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,130000

1,527142

0,000000

288

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

1,356000

1,832570

0,560287

289

W42321001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,356000

1,832570

0,946001

290

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

1,356000

1,832570

0,947430

291

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

1,356000

1,832570

2,444572

292

W58322001

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA

PRF

1

21,880000

29,570000

0,000000

293

W55502017

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S

1

36,250000

47,420000

0,000000

294

W55502009

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S

1

18,130000

24,500000

0,000000

295

W12072001

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F

1

21,516000

26,266800

21,183200

296

W55502001

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S

1

9,060000

12,250000

0,000000

297

W58456003

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI

CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF.

PR

10

43,500000

56,904000

32,740000

298

W58456002

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI

CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF.

PR

20

21,516000

26,266800

11,204200

299

W60056005

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML

SOL. PERF. X 200 MG FLUCONAZOL

S

10

17,930000

21,889000

0,000000

300

W57368003

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMANIA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

21,516000

26,266800

28,873200

301

W58456001

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI

CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL. PERF.

PR

20

10,872000

14,700000

6,937500

302

W43051001

J02AC02

ITRACONAZOLUM

ITRACONAZOL 100 mg

CAPS.

100mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

P-RF

15

1,586666

2,144666

0,000000

303

W03837002

J02AC02

ITRACONAZOLUM

ORUNGAL

CAPS.

100mg

JANSSEN

PHARMACEUTICA N.V.

BELGIA

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.

P-RF

15

1,903999

2,573599

0,620401

304

W53958001

J02AC02

ITRACONAZOLUM

MICOGAL 100 mg

CAPS.

100mg

ROMPHARM COMPANY

SRL

ROMANIA

CUTIE CU BLISTERE PVC/AL X 15 CAPSULE

P-RF

15

1,586666

2,144666

0,000000

305

W52343006

J02AC02

ITRACONAZOLUM

OMICRAL 100 mg

CAPS.

100mg

MEDICO UNO

PHARMACEUTICAL SRL

ROMANIA

CUTIE X 3 BLIST. AL/AL X 5 CAPS.

P-RF

15

1,586666

2,144666

0,000000

306

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

1,586666

2,144666

0,000000

307

W08947008

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR.

FILM.

200mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

28

119,853214

132,002857

0,000000

308

W08946008

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR.

FILM.

50mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

28

32,232500

36,496071

0,000000

309

W10489001

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

1

435,570000

512,920000

0,000000

310

W41889001

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT.

SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA +

1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR

P-RF

1

2.044,020000

2.266,130000

0,000000

311

W60913001

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS.

GASTROR EZ.

100mg

MERCK SHARP DOHME LTD.

MAREA BRITANIE

CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE

PR

24

133,855416

147,492083

0,000000

13

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

312

W58194001

J02AC04

POSACONAZOLUM**

NOXAFIL 40mg/ml

SUSP.

ORALA

40mg/ml

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

1

2.405,440000

2.660,080000

0,000000

313

W06665001

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.246,420000

1.396,750000

0,000000

314

W06670001

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF.

70mg

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.617,600000

1.801,340000

0,000000

315

W55841001

J02AX06

ANIDULAFUNGINUM

ECALTA 100mg

PULB. PT. CONC. PT. SOL. PERF.

100mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB.

S

1

1.377,370000

1.539,480000

0,000000

316

W58576002

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 100 mg

COMPR.

100mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.

PR

1500

0,110333

0,134693

0,000000

317

W58577002

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 300 mg

COMPR.

300mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 150 BLIST. PVC/AL X 10 COMPR.

S/P-RF

1500

0,272473

0,322426

0,000000

318

W60582001

J04AC01

ISONIAZIDUM

ISONIAZID

SIROP

100mg/5

ml

CN UNIFARM S.A.

ROMANIA

CUTIE X 1 FLAC. X 200 ML SIROP

PR

1

30,110000

39,380000

0,000000

319

W60594001

J04AC01

ISONIAZIDUM

BITUB

SOL INJ.

100mg/ml

CN UNIFARM S.A.

ROMANIA

CUTIE CU 10 FIOLE A 5ML

PR

10

1,469000

1,986000

0,000000

320

W60213002

J04AK01

PYRAZINAMIDUM

PIRAZINAMIDA ATB 500 mg

COMPR.

500mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.

PR

1500

0,299853

0,352273

0,000000

321

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

0,184000

0,249000

0,000000

322

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

0,287500

0,388500

0,000000

323

W59648003

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

PRF

50

0,284600

0,384600

0,000000

324

W42943002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 250 mg

COMPR.

FILM.

250mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.

S

1500

0,217573

0,262586

0,000000

325

W42861002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 400 mg

COMPR.

FILM.

400mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.

S

1500

0,334726

0,390286

0,000000

326

W60583001

J04AK02

ETHAMBUTOLUM

INBUTOL

SOL INJ.

100mg/ml

CN UNIFARM S.A.

ROMANIA

FLAC. X 10 ML SOL. INJ

PR

1

16,130000

21,800000

0,000000

327

W14071002

J04AM02

COMBINATII

(RIFAMPICINUM+IZONIAZIDUM)

SINERDOL ISO

CAPS.

300mg+1

50mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

S

1000

0,600660

0,692870

0,000000

328

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

0,636000

0,859800

0,211200

329

W42857001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,636000

0,859800

0,188700

330

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

0,636000

0,859800

0,251200

331

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

0,636000

0,833260

0,000000

332

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

1,495000

2,020000

0,000000

333

W13972001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

334

W00044001

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR.

200mg

TERAPIA SA

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,030200

335

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

0,636000

0,859800

0,033700

336

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

0,530000

0,716500

0,000000

337

W53225001

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMANIA

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

338

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

1,794000

2,424000

0,334000

339

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

38,600000

47,124000

0,000000

340

W60057003

J05AB04

RIBAVIRINUM

REBETOL 200 mg

CAPS.

200mg

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC )

P-RF/R

140

6,981214

7,882071

0,000000

341

W53326004

J05AB04

RIBAVIRINUM

COPEGUS 200mg

COMPR.

FILM.

200mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. PEID X 168 COMPR. FILM.

P-RF/R

168

6,945654

7,797857

0,000000

342

W51337001

J05AB06

GANCICLOVIRUM

CYMEVENE

LIOF. PT.

SOL. INJ.

500mg

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.

S

1

90,440000

114,350000

0,000000

343

W61213001

J05AB06

GANCICLOVIRUM

CYMEVENE 500 mg

PULB. PT. SOL. PERF.

500mg

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. MULTIDOZA DIN STICLA INCOLORA CONTINAND 10 ML PULB. PT. SOL. PERF.

PR

1

90,440000

114,350000

0,000000

14

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

344

W58707001

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR.

FILM.

500 mg

THE WELLCOME

FOUNDATION LTD.

MAREA

BRITANIE

CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.

PRF

10

2,780400

3,757200

0,903800

345

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

2,317000

3,131000

0,000000

346

W51832001

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

60

59,167800

65,256000

23,726166

347

W60756001

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PRF

60

49,306500

54,380000

0,000000

348

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

39,321428

48,002857

0,000000

349

W42514001

J05AE01

SAQUINAVIRUM

INVIRASE 500 mg

COMPR.

FILM.

500mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 1 FLAC. PEID X 120 COMPR. FILM.

P-RF/R

120

8,449166

9,527500

0,000000

350

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

3,187666

4,030666

0,000000

351

W59948001

J05AE06

LOPINAVIRUM+RITONAVIRUM**

KALETRA 200mg/50mg

COMPR.

FILM.

200mg/50

mg

ABBVIE LTD.

MAREA

BRITANIE

CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM.

PR

120

11,833666

13,216666

0,000000

352

W59947002

J05AE06

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

243,736000

273,302000

0,000000

353

W41772001

J05AE07

FOSAMPRENAVIRUM**

TELZIR 700mg

COMPR.

FILM.

700mg

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU

SISTEM DE INCHIDERE SECURIZAT PT. COPII

P-RF/R

60

20,084000

22,527500

0,000000

354

W41773001

J05AE07

FOSAMPRENAVIRUM**

TELZIR 50mg/ml

SUSP. ORALA

50mg/ml

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLACON HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII + 1SERINGA PT. ADMINISTRARE ORALA DIN POLIPROPILENA X10ML +1ADAPTOR

DIN POLIETILENA

P-RF/R

1

371,490000

443,070000

0,000000

355

W14087002

J05AE08

ATAZANAVIRUM

REYATAZ 150 mg

CAPS.

150mg

BRISTOL-MYERS SQUIBB

MAREA

BRITANIE

CUTIE X 60 CAPS. (BLIST. AL/AL 6X1)

P-RF/R

60

25,246833

28,155000

0,000000

356

W53181001

J05AE08

ATAZANAVIRUM

REYATAZ 300 mg

CAPS.

300mg

BRISTOL-MYERS SQUIBB

PHARMA EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. PEID X 30 CAPS.

P-RF/R

30

46,935666

52,431666

0,000000

357

W53878001

J05AE10

DARUNAVIRUM**

PREZISTA 400mg

COMPR.

FILM.

400mg

JANSSEN-CILAG

INTERNATIONAL NV

BELGIA

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

60

26,035166

29,014166

0,000000

358

W53877001

J05AE10

DARUNAVIRUM**

PREZISTA 600mg

COMPR.

FILM.

600mg

JANSSEN-CILAG

INTERNATIONAL NV

BELGIA

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

60

38,805000

42,933333

0,000000

359

W06151002

J05AF01

ZIDOVUDINUM

RETROVIR (R)

CAPS.

100mg

VIIV HEALTHCARE UK

LIMITED

UK

CUTIE X 10 BLIST. AL/PVC X 10 CAPS.

P-RF

100

3,663800

4,375000

0,000000

360

W60312001

J05AF01

ZIDOVUDINUM

RETROVIR 10 mg/ml

SOL. ORALA

10mg/ml

VIIV HEALTHCARE UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 10 ML

PRF

1

44,500000

58,200000

0,000000

361

W10724001

J05AF02

DIDANOSINUM

VIDEX EC 250 mg

CAPS. GASTROR

EZ.

250mg

BRISTOL MYERS SQUIBB KFT

UNGARIA

CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

S/P-RF

30

11,946000

14,292666

0,000000

362

W10725001

J05AF02

DIDANOSINUM

VIDEX EC 400 mg

CAPS. GASTROR

EZ.

400mg

BRISTOL MYERS SQUIBB KFT

UNGARIA

CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

S/P-RF

30

18,512666

21,450333

0,000000

363

W12057001

J05AF04

STAVUDINUM

ZERIT 30 mg

CAPS.

30mg

BRISTOL-MYERS SQUIBB

MAREA

BRITANIE

CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

P-RF/R

56

9,010714

10,502857

0,000000

364

W12056001

J05AF04

STAVUDINUM

ZERIT 40 mg

CAPS.

40mg

BRISTOL-MYERS SQUIBB

MAREA

BRITANIE

CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

P-RF/R

56

9,262142

10,776964

0,000000

365

W59320003

J05AF05

LAMIVUDINUM

LAMIVUDINA AUROBINDO 150 mg

COMPR.

FILM.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM.

PR

60

3,304500

4,034166

0,000000

366

W03923002

J05AF05

LAMIVUDINUM

EPIVIR 150mg

COMPR.

FILM.

150mg

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.

P-RF/R

60

3,965400

4,840999

1,336334

367

W55474002

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA B.V.

300 mg

COMPR.

FILM.

300 mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-RF/R

30

8,751666

10,684000

0,000000

368

W03924002

J05AF05

LAMIVUDINUM

EPIVIR 10mg/ml

SOL.

ORALA

10mg/ml

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA

DOZATOARE + 1 ADAPTOR

P-RF/R

1

82,820000

104,720000

0,000000

369

W12820001

J05AF06

ABACAVIRUM

ZIAGEN 300 mg

COMPR.

FILM.

300mg

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 60 COMPR. FILM.

P-RF/R

60

13,505833

15,357166

0,000000

370

W07524001

J05AF06

ABACAVIRUM

ZIAGEN 20 mg/ml

SOL.

ORALA

20mg/ml

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA

DOZATOARE PP X 10 ML + ADAPTOR PE

P-RF/R

1

217,800000

265,890000

0,000000

371

W60828015

J05AF07

TENOFOVIRUM DISOPROXIL FUMARATE

TENOFOVIR DISOPROXIL TEVA

245 mg

COMPR. FILM.

245mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PEÎD CU CAPAC CAPAC PREVAZUT CU

SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM.

PR

30

24,040000

27,475333

0,000000

372

W51800001

J05AF07

TENOFOVIRUM DISOPROXIL FUMARATE

VIREAD 245mg

COMPR. FILM.

245mg

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM

P-RF/R

30

28,848000

32,970400

8,027266

373

W51482001

J05AF09

EMTRICITABINUM

EMTRIVA 200mg

CAPS.

200mg

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 CAPS.

P-RF/R

30

20,593333

23,718333

0,000000

374

W59595001

J05AG01

NEVIRAPINUM

NEVIRAPINA TEVA 200mg

COMPR.

200mg

TEVA PHARMA B.V.

OLANDA

BLISTERE DIN PVC/PE/PVDC - AL X 60 COMP.

P-RF/R

60

5,649333

6,793666

0,000000

375

W59667002

J05AG01

NEVIRAPINUM

NEVIRAPINA SANDOZ 200 mg

COMPR.

200mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/AL X 60 COMPR.

PR

60

5,649000

6,793166

0,000000

15

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

376

W57323001

J05AG01

NEVIRAPINUM

VIRAMUNE 400mg

COMPR. ELIB.

PREL.

400mg

BOEHRINGER INGELHEIM

INTERNATIONAL GMBH

GERMANIA

CUTIE CU UN FLACON DIN PEID X 30 COMPR. CU ELIB. PRELUNGITA

PR

30

16,663000

19,434333

0,000000

377

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

100,440000

122,620000

0,000000

378

W12025001

J05AG03

EFAVIRENZUM

STOCRIN 600 mg

COMPR.

FILM.

600mg

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST.

DE INCHIDERE SECURIZAT PT. COPII

P-RF/R

30

2,332666

2,949333

0,000000

379

W53549001

J05AG04

ETRAVIRINUM

INTELENCE

COMPR.

100mg

JANSSEN-CILAG

INTERNATIONAL NV

BELGIA

CUTIE X 1 FLAC. PEID X 120 COMPR.

P-RF/R

120

12,478333

13,919333

0,000000

380

W56750001

J05AR01

COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)**

LAMIVUDINA/ZIDOVUDINA TEVA

COMPR. FILM.

150

mg/300 mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE

P-RF

60

5,436166

6,561333

0,000000

381

W02028001

J05AR01

COMBINATII

(LAMIVUDINUM+ZIDOVUDINUM)**

COMBIVIR 150mg/300mg

COMPR.

FILM.

150mg/30

0mg

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-RF/R

60

6,523399

7,873600

1,594733

382

W59832001

J05AR01

COMBINATII

(LAMIVUDINUM+ZIDOVUDINUM)**

LAMIVUDINA/ZIDOVUDINA

AUROBINDO 150 mg/300 mg

COMPR.

FILM.

150mg/30

0mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

PR

60

5,436166

6,561333

0,000000

383

W42301001

J05AR02

ABACAVIRUM+LAMIVUDINUM**

KIVEXA 600mg/300mg

COMPR.

FILM.

600mg/30

0mg

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL )

P-RF/R

30

45,918333

51,322666

0,000000

384

W08336004

J05AR04

ABACAVIRUM+LAMIVUDINUM+ZIDOVUDIN

UM**

TRIZIVIR 300mg/150mg/300mg

COMPR. FILM.

300mg/15

0mg/300 mg

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 60 COMPR. FILM. (BLIST. OPACE DIN PVC/ACLAR)

P-RF/R

60

27,912833

31,060833

0,000000

385

W08336001

J05AR04

ABACAVIRUM+LAMIVUDINUM+ZIDOVUDIN

UM**

TRIZIVIR 300mg/150mg/300mg

COMPR. FILM.

300mg/15

0mg/300 mg

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X, 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

60

27,912833

31,060833

0,000000

386

W13961001

J05AX07

ENFUVIRTIDUM**

FUZEON 90mg/ml

PULB. + SOLV. PT.

SOL. INJ.

90mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60 SERINGI X 1 ML, 180 TAMPOANE CU ALCOOL

P-RF/R

60

101,513000

111,285166

0,000000

387

W52764001

J05AX08

RALTEGRAVIRUM

ISENTRESS 400mg

COMPR.

FILM.

400 mg

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE

P-RF/R

60

40,691833

44,990000

0,000000

388

W61477003

J05AX09

MARAVIROCUM

CELSENTRI 150mg

COMPR.

FILM.

150mg

VIIV HEALTHCARE UK

LIMITED

MAREA

BRITANIE

CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)

PR

60

43,135833

47,654000

0,000000

389

W61478003

J05AX09

MARAVIROCUM

CELSENTRI 300mg

COMPR.

FILM.

300mg

VIIV HEALTHCARE UK

LIMITED

MAREA

BRITANIE

CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL)

PR

60

43,135833

47,654000

0,000000

390

W60635001

J05AX12

DOLUTEGRAVIRUM**

TIVICAY 50mg

COMPR. FILM.

50mg

VIIV HEALTHCARE UK LIMITED

MAREA BRITANIE

FLACOANE PEID X 30 COMPRIMATE FILMATE, INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU

O FATA DIN POLIETILENA

PR

30

81,414000

90,013000

0,000000

391

W54752001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

S

1

391,580000

464,970000

0,000000

392

W54752002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

S

1

870,210000

986,680000

0,000000

393

W54752003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S

1

1.710,420000

1.902,510000

0,000000

394

W54752004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A

200ML SOLUTIE PERFUZABILA

S

1

3.390,820000

3.734,150000

0,000000

395

W51530001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

S

1

190,360000

232,390000

0,000000

396

W51530006

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

S

1

5.766,650000

6.323,810000

0,000000

397

W51530003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

S

1

912,190000

1.032,440000

0,000000

398

W51530004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

S

1

1.847,580000

2.059,644000

78,286000

399

W51530005

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

S

1

3.736,820000

4.111,290000

0,000000

400

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

S

1

1.539,650000

1.716,370000

0,000000

401

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

S

1

204,810000

250,030000

0,000000

402

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

S

1

407,410000

482,230000

0,000000

403

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

894,400000

1.013,050000

0,000000

404

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

190,170000

232,160000

0,000000

405

W59114004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

INTRATECT 50 g/l

SOL. PERF.

50g/l

BIOTEST PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF.

PRF

1

1.758,800000

1.955,240000

0,000000

406

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

462,170000

541,920000

0,000000

407

W13462002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 100 ML

S

1

894,000000

1.012,610000

0,000000

408

W13462003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 200 ML

S

1

1.837,780000

2.041,330000

0,000000

16

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

409

W13462001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 50 ML

S

1

481,950000

563,480000

0,000000

410

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

S

1

784,820000

893,600000

0,000000

411

W59944001

J06BB16

PALIVIZUMABUM**

SYNAGIS 50 mg

PULB. + SOLV. PT.

SOL. INJ.

50mg

ABBVIE LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV.

P-RF

1

1.837,910000

2.041,470000

0,000000

412

W53892001

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

87,690000

110,870000

0,000000

413

W53893001

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

139,560000

170,380000

0,000000

414

W53520001

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL.

INJ./PERF.

300mcg/0,

5ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

105,228000

127,437600

34,512400

415

W55757002

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL.

INJ./PERF.

300μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

90,430000

106,198000

0,000000

416

W53523001

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL.

INJ./PERF.

480mcg/0,

8ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

167,472000

195,360000

72,090000

417

W55758002

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL.

INJ./PERF.

480μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

142,358000

162,800000

0,000000

418

W54015001

P01BC02

MEFLOQUINUM4)

ELOQUINE 250 mg

COMPR.

250mg

CN UNIFARM

ROMANIA

CUTIE X 10 BLIST. X 10 COMPR.

X

100

1,458600

1,780700

0,000000

419

W12757001

S01AA23

NETILMICINUM

NETTACIN (R)

PIC. OFT.,

SOL

0,3%

S.I.F.I. SPA

ITALIA

CUTIE X 1 FLACON X 5ML

P-RF

1

10,880000

14,710000

0,000000

420

W41510001

S01AA23

NETILMICINUM

NETTACIN (R)

PICATURI

OFT.-SOL.

0,3%

S.I.F.I. SPA

ITALIA

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN

POLIETILENA X 0,3 ML

P-RF

15

1,480666

2,001333

0,000000

421

W43512001

S01AA23

NETILMICINUM

NETTAVISC 3mg/g

UNG. OFT.

3mg/g

S.I.F.I. SPA

ITALIA

CUTIE X 1 TUB DIN AL X 5 G UNGUENT OFTALMIC, PREV. CU

APLICATOR

P-RF

1

13,056000

17,652000

16,058000

422

W55950001

S01BA01

DEXAMETHASONUM

OZURDEX

IMPLANT

700

microgram e

ALLERGAN PHARMACEUTICALS

IRELAND

IRLANDA

CUTIE X 1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGITA X 700MCG DEXAMETAZONA DISPUS IN ACUL (OTEL

INOXIDABIL) UNUI APLICATOR DE UNICA FOLOSINTA

P-RF

1

4.163,000000

4.575,830000

0,000000

423

W55648002

S01BA01

DEXAMETHASONUM

DEXAMETAZONA ROMPHARM

1mg/ml

PIC. OFT.

SUSP.

1mg/ml

ROMPHARM COMPANY

SRL

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE

P-RF

1

7,490000

10,120000

0,000000

424

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

4,060000

5,490000

0,000000

425

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

4,872000

6,588000

1,852000

426

W51513001

S03AAN2

NORFLOXACINUM

NORFLOX

PICATURI OFT./AURI

C.-SOL.

0,3%

CIPLA (UK) LIMITED

MAREA BRITANIE

CUTIE X 1 FLACON PEJD X 5 ML

P-RF

1

3,660000

4,950000

0,000000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

17

B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

1

W42822001

A11HA02

PYRIDOXINUM

VITAMINA B6 250 mg

COMPR.

250 mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 FLACON DIN PE X 20 COMPR.

P-6L

20

0,349500

0,472500

0,000000

2

W56760001

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 250 mg

COMPR.

250mg

ZENTIVA SA

ROMANIA

CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P-6L

20

0,349500

0,472500

0,000000

3

W56758001

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 250 mg/5

ml

SOL. INJ.

250mg/5

ml

ZENTIVA SA

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5

ML SOL. INJ.

P-RF

5

1,586000

2,144000

0,000000

4

W56757001

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 50 mg/2ml

SOL. INJ.

50mg/2ml

ZENTIVA SA

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2

ML SOL. INJ.

P-RF

5

1,072000

1,448000

0,000000

5

W05242001

H02AB07

PREDNISONUM

PREDNISON MCC 5 mg

COMPR.

5mg

MAGISTRA C C S.R.L.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,055320

0,072360

0,064640

6

W53341001

H02AB07

PREDNISONUM

PREDNISON - RICHTER 5 mg

COMPR.

5mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

20

0,055320

0,072360

0,061140

7

W13686002

H02AB07

PREDNISONUM

PREDNISON 5 mg

COMPR.

5mg

SINTOFARM SA

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

30

0,055320

0,072360

0,051306

8

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

0,046100

0,060300

0,000000

9

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

0,055320

0,072360

0,017973

10

W58242002

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR.

CU ELIB. PREL.

500mg

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.

PRF

7

1,458000

1,970570

0,463715

11

W59000002

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. ELIB.

PREL.

500mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.

PRF

6

1,458000

1,970570

0,464430

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

12

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

0,672000

0,907714

0,179428

13

W08490001

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR.

FILM.

250mg

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

14

0,672000

0,907714

0,328000

14

W14043001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 250

COMPR.

FILM.

250mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.

P-RF

14

0,672000

0,907714

0,264428

15

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

0,622857

0,842142

0,000000

16

W61223003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO

250 mg

COMPR.

FILM.

250mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PRF

14

0,560000

0,756428

0,000000

17

W01326002

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR.

FILM.

250mg

ABBOTT S.R.L.

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-RF

14

0,672000

0,907714

1,039428

18

W58998015

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250 mg

COMPR. FILM.

250mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PRF

14

0,622142

0,840714

0,000000

19

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

1,458000

1,970570

0,068715

20

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

1,458000

1,970570

0,277930

21

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

1,414285

1,911428

0,000000

22

W56269001

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM.

500mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P-RF

20

1,458000

1,970570

0,385430

23

W61224003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO

500 mg

COMPR.

FILM.

500mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PRF

14

1,215000

1,642142

0,000000

24

W14044001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 500

COMPR.

FILM.

500mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.

P-RF

14

1,414285

1,911428

0,000000

25

W08491001

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR.

FILM.

500mg

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

14

1,421428

1,921428

0,000000

26

W58999014

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. FILM.

500mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PRF

14

1,350000

1,825000

0,000000

27

W44088001

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF.

500mg

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

7

1,458000

1,970570

0,463715

28

W41838002

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL.

500mg

KRKA D.D.

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

7

1,458000

1,970570

0,463715

29

W13607002

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL.

500mg

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

5

1,458000

1,970570

1,777430

30

W01327001

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT S.R.L.

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

1

22,180000

29,980000

0,000000

31

W01327002

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT S.R.L.

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

1

11,388000

15,384000

4,336000

32

W44092001

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

1

9,490000

12,820000

0,000000

33

W42258001

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

SANDOZ SRL

ROMANIA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

1

9,490000

12,820000

0,000000

34

W44091001

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT.

SUSP. ORALA

250mg/5 ml

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

1

24,320000

32,870000

0,000000

35

W44091002

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT.

SUSP. ORALA

250mg/5 ml

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

1

40,530000

53,010000

0,000000

36

W58393002

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA

250mg/5 ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0

GRANULE PT 60 ML SUSP. ORALA

PRF

1

22,090000

29,860000

0,000000

37

W01329001

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF.

500mg

ABBOTT LABORATORIES LTD.

FRANTA

CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

S/P-RF

1

30,230000

39,540000

0,000000

38

W57336001

J01GA01

STREPTOMYCINUM

STREPTOMICINA SULFAT BP

PULB. PT.

SOL. INJ.

1g

ANTIBIOTICE S.A.

ROMANIA

CUTIE X 50 FL.PULB.PT. SOL.INJ. A 1 G

PRF

50

2,899400

3,539600

0,000000

39

W14119005

J01GA01

STREPTOMYCINUM

STREVITAL 1 g

PULB. PT.

SOL. INJ.

1g

ANTIBIOTICE SA

ROMANIA

CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.

S

100

2,883400

3,520100

0,000000

18

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

40

W14119004

J01GA01

STREPTOMYCINUM

STREVITAL 1 g

PULB. PT.

SOL. INJ.

1g

ANTIBIOTICE SA

ROMANIA

CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ.

S

50

2,899400

3,539600

0,000000

41

W08827001

J01GB04

KANAMYCINUM

PAN - KANAMYCINE

PULB. PT.

SOL. INJ.

1g

LAB. PANPHARMA

FRANTA

CUTIE X 50 FLAC. X 1 G

P-RF/S

50

1,683200

2,128200

0,000000

42

W53277001

J01GB06

AMIKACINUM

AMIKOZIT (R) 500 mg/2 ml

SOL. INJ.

500mg/2

ml

ZENTIVA S.A.

ROMANIA

CUTIE X 1 FLACON DIN STICLA X 2 ML

P-RF

1

5,350000

7,230000

0,000000

43

W07914001

J01MA01

OFLOXACINUM

ZANOCIN

COMPR.

FILM.

200mg

RANBAXY UK LIMITED

MAREA

BRITANIE

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,872000

1,179000

0,000000

44

W56957001

J01MA01

OFLOXACINUM

OFLOXIN 200

COMPR.

FILM.

200mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

1,046400

1,414800

0,662200

45

W54037002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR.

FILM.

100mg

ARENA GROUP S.A.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

20

2,692000

3,404000

0,000000

46

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

2,959000

3,871000

0,000000

47

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

0,472000

0,638000

0,000000

48

W01288001

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 250 mg

COMPR.

FILM.

250mg

AC HELCOR SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,505000

0,683000

0,000000

49

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

0,525000

0,709000

0,000000

50

W07862001

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR.

FILM.

250mg

RANBAXY UK LIMITED

MAREA

BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

10

0,533000

0,720000

0,000000

51

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

0,505000

0,683000

0,000000

52

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

0,523000

0,707000

0,000000

53

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

0,504000

0,681000

0,000000

54

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

0,630500

0,852000

0,000000

55

W01289001

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 500 mg

COMPR.

FILM.

500mg

AC HELCOR SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,756600

1,022400

0,299600

56

W07863001

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR.

FILM.

500mg

RANBAXY UK LIMITED

MAREA

BRITANIE

CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM.

P-RF

10

0,674000

0,911000

0,000000

57

W12545001

J01MA02

CIPROFLOXACINUM

CIPRO QUIN (R)

COMPR.

FILM.

500mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,756600

1,022400

0,348600

58

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

0,681000

0,920000

0,000000

59

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

0,756600

1,022400

0,348600

60

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

0,708000

0,957000

0,000000

61

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

0,756600

1,022400

0,160600

62

W54040001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 750 mg

COMPR.

FILM.

750mg

ARENA GROUP S.A.

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM.

P-RF

10

0,915600

1,237200

2,633800

63

W42772001

J01MA02

CIPROFLOXACINUM

CIPRINOL 750 mg

COMPR.

FILM.

750mg

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM.

P-RF

10

0,763000

1,031000

0,000000

64

W57948001

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 1000 mg

COMPR. FILM. ELIB. PREL.

1000 mg

BAYER PHARMA AG

GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

7

9,928571

12,554285

0,000000

65

W57949001

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 500 mg

COMPR. FILM. ELIB. PREL.

500 mg

BAYER PHARMA AG

GERMANIA

CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL.

P-RF

3

0,756600

1,022400

8,530933

66

W60268001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ZENTIVA 10

mg/ml

CONC. PT. SOL. PERF.

100mg/10 ml

ZENTIVA S.A.

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML

S/P-RF

5

2,580000

3,400560

0,085440

67

W01275001

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF.

100mg/10 ml

KRKA D.D.

SLOVENIA

CUTIE X 5 FIOLE X 10 ML

S/P-RF

5

2,570000

3,400560

0,073440

68

W01275002

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF.

100mg/10 ml

KRKA D.D.

SLOVENIA

CUTIE X 50 FIOLE X 10 ML

S

50

2,321200

2,833800

0,000000

69

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

6,972000

8,815000

0,000000

70

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

6,617800

7,976400

0,000000

71

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

13,125000

16,023000

0,000000

72

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

12,828000

15,254333

0,000000

19

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

73

W53353002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML

S

10

6,972000

8,815000

0,000000

74

W53353003

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML

S

10

13,125000

16,023000

0,000000

75

W57939001

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg

COMPR.

FILM.

400mg

BAYER PHARMA AG

GERMANIA

CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM.

P-RF

5

6,612000

8,647200

2,436800

76

W60311001

J01MA14

MOXIFLOXACINUM

MOFINACIN 400 mg

COMPR.

FILM.

400mg

ALVOGEN IPCO S.A.R.L

LUXEMBUR

G

CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM

PRF

5

5,510000

7,206000

0,000000

77

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

5,510000

7,206000

0,000000

78

W60545001

J01MA14

MOXIFLOXACINUM

MOFIL 400 mg

COMPR.

FILM.

400mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM.

PRF

5

5,510000

7,206000

0,000000

79

W59332001

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA AUROBINDO

400 mg

COMPR.

FILM.

400mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM.

PRF

5

5,510000

7,206000

0,000000

80

W57938004

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg/250 ml

SOL. PERF.

400mg/25

0ml

BAYER PHARMA AG

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA X 250 ML

S

5

69,648000

88,056000

13,026000

81

W60727001

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA KABI 400

mg/250 ml

SOL. PERF.

400mg/25

0ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPACK) A 250 ML SOL. PERF. (400 MG

MOXIFLOXACINA)

PR

1

58,040000

73,380000

0,000000

82

W52079002

J04AB01

CICLOSERINUM

CICLOSERINA ANTIBIOTICE 250

mg

CAPS.

250mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS.

P-RF

100

4,399000

5,176400

0,000000

83

W41998002

J04AB02

RIFAMPICINUM

SINERDOL 150 mg

CAPS.

150mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

S

1000

0,169650

0,207110

0,000000

84

W41999002

J04AB02

RIFAMPICINUM

SINERDOL 300 mg

CAPS.

300mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

S

1000

0,548780

0,636320

0,000000

85

W58576002

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 100 mg

COMPR.

100mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.

PR

1500

0,110333

0,134693

0,000000

86

W58577002

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 300 mg

COMPR.

300mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 150 BLIST. PVC/AL X 10 COMPR.

S/P-RF

1500

0,272473

0,322426

0,000000

87

W60582001

J04AC01

ISONIAZIDUM

ISONIAZID

SIROP

100mg/5

ml

CN UNIFARM S.A.

ROMANIA

CUTIE X 1 FLAC. X 200 ML SIROP

PR

1

30,110000

39,380000

0,000000

88

W60594001

J04AC01

ISONIAZIDUM

BITUB

SOL INJ.

100mg/ml

CN UNIFARM S.A.

ROMANIA

CUTIE CU 10 FIOLE A 5ML

PR

10

1,469000

1,986000

0,000000

89

W55916001

J04AD01

PROTIONAMIDUM

PETEHA 250 mg

COMPR.

FILM.

250 mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 10 BLISTERE X 10 COMPRIMATE FILMATE

PR

100

1,022700

1,248500

0,000000

90

W60213002

J04AK01

PYRAZINAMIDUM

PIRAZINAMIDA ATB 500 mg

COMPR.

500mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.

PR

1500

0,299853

0,352273

0,000000

91

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

0,184000

0,249000

0,000000

92

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

0,287500

0,388500

0,000000

93

W59648003

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

PRF

50

0,284600

0,384600

0,000000

94

W42943002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 250 mg

COMPR.

FILM.

250mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.

S

1500

0,217573

0,262586

0,000000

95

W42861002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 400 mg

COMPR.

FILM.

400mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM.

S

1500

0,334726

0,390286

0,000000

96

W60583001

J04AK02

ETHAMBUTOLUM

INBUTOL

SOL INJ.

100mg/ml

CN UNIFARM S.A.

ROMANIA

FLAC. X 10 ML SOL. INJ

PR

1

16,130000

21,800000

0,000000

97

W14071002

J04AM02

COMBINATII

(RIFAMPICINUM+IZONIAZIDUM)

SINERDOL ISO

CAPS.

300mg+1

50mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

S

1000

0,600660

0,692870

0,000000

20

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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

1

W08867001

J05AH01

ZANAMIVIRUM

RELENZA 5 mg

PULB. UNIDOZA DE

INHALAT

5mg

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE + DISPOZITIV DE ADMINISTRARE DISKHALER

P-RF

5

10,228000

12,932000

0,000000

2

W52316001

J05AH02

OSELTAMIVIRUM

TAMIFLU 30mg

CAPS.

30mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE

P-RF

10

3,328000

4,353000

0,000000

3

W13633001

J05AH02

OSELTAMIVIRUM

TAMIFLU 75 mg

CAPS.

75mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE

P-RF

10

6,050000

7,649000

0,000000

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1

W58800001

G03HA01

CYPROTERONUM

ANDROCUR

COMPR.

50mg

BAYER PHARMA AG

GERMANIA

CUTIE X 5 BLIST. AL/PVC X 10 COMPR.

P-RF

50

1,780200

2,250800

0,000000

2

W12490001

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ.

50mg

BAXTER ONCOLOGY

GMBH

GERMANIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P-RF

50

0,401400

0,542400

0,000000

3

W52215001

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ.

I.V.

200mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

S

1

11,760000

15,890000

0,000000

4

W58866002

L01AA02

CHLORAMBUCILUM

LEUKERAN

COMPR.

FILM.

2mg

ASPEN PHARMA

TRADING LIMITED

IRLANDA

CUTIE X 1 FLAC. X 25 COMPR. FILM.

P-RF

25

9,680000

11,817200

0,000000

5

W58865001

L01AA03

MELPHALANUM

ALKERAN 2 mg

COMPR.

FILM.

2mg

ASPEN PHARMA

TRADING LIMITED

IRLANDA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

P-RF

25

10,116400

12,350000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

6

W60631001

L01AA03

MELPHALANUM

ALKERAN 50 mg

PULB+SOL

V. PT. SOL. INJ./PERF.

50mg

CN UNIFARM S.A.

ROMANIA

CUTIE CU 1 FIOLA PULB.+ 1 FIOLA SOLVENT

PR

1

630,000000

724,850000

0,000000

7

W12497001

L01AA06

IFOSFAMIDUM

HOLOXAN 1 g

PULB. PT. SOL. PERF.

1g

BAXTER ONCOLOGY GMBH

GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.

S

1

95,760000

121,080000

0,000000

8

W51454001

L01AB01

BUSULFANUM

BUSILVEX 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

PIERRE FABRE MEDICAMENT

FRANTA

CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL. INJ.

S

8

1.007,503750

1.102,948750

0,000000

9

W59709001

L01AD02

LOMUSTINUM4)

CECENU

CAPS.

40mg

CN UNIFARM S.A.

ROMANIA

CUTIE X 1 FLACON X 20 CAPSULE

PR

20

96,375500

106,957000

0,000000

10

W55335001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 100 mg

CAPS.

100mg

TEVA PHARMA B.V.

OLANDA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

5

37,248000

45,472000

0,000000

11

W61245001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS.

100mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

37,248000

45,472000

0,000000

12

W61245002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS.

100mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1

CAPS.

PR

5

37,248000

45,472000

0,000000

13

W59699001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 100

mg

CAPS.

100mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

37,248000

45,472000

0,000000

14

W59614003

L01AX03

TEMOZOLOMIDUM**

TEMODAL 100 mg

CAPS.

100mg

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

5

44,697600

54,566400

15,389600

15

W59451001

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 100 mg

CAPS.

100mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR

G

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF

5

37,248000

45,472000

0,000000

16

W59705002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS.

100mg

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1

CAPS.

PR

5

37,248000

45,472000

0,000000

17

W56780001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 100 mg

CAPS.

100mg

STADA HEMOFARM SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

PR

5

37,248000

45,472000

0,000000

18

W59506001

L01AX03

TEMOZOLOMIDUM**

NOGRON 100 mg

CAPS.

100mg

EGIS

PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF

5

37,248000

45,472000

0,000000

19

W59705001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS.

100mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

37,248000

45,472000

0,000000

20

W59507001

L01AX03

TEMOZOLOMIDUM**

NOGRON 140 mg

CAPS.

140mg

EGIS PHARMACEUTICALS

P.L.C.

UNGARIA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF

5

78,164000

92,828000

0,000000

21

W59706001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 140 mg

CAPS.

140mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

78,164000

92,828000

0,000000

22

W59706002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 140 mg

CAPS.

140mg

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1

CAPS.

PR

5

78,164000

92,828000

0,000000

23

W59615003

L01AX03

TEMOZOLOMIDUM**

TEMODAL 140mg

CAPS.

140mg

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

5

93,796800

111,393600

23,790400

24

W56781001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 140 mg

CAPS.

140mg

STADA HEMOFARM SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

PR

5

78,164000

92,828000

0,000000

25

W56782001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 180 mg

CAPS.

180mg

STADA HEMOFARM SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

PR

5

97,764000

114,192000

0,000000

26

W59508001

L01AX03

TEMOZOLOMIDUM**

NOGRON 180 mg

CAPS.

180mg

EGIS

PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF

5

97,764000

114,192000

0,000000

27

W59616003

L01AX03

TEMOZOLOMIDUM**

TEMODAL 180 mg

CAPS.

180mg

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

5

117,316800

137,030400

31,019600

28

W61244001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS.

20mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

7,966000

10,420000

0,000000

29

W61244002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS.

20mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1

CAPS.

PR

5

7,966000

10,420000

0,000000

30

W55334001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 20 mg

CAPS.

20mg

TEVA PHARMA B.V.

OLANDA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

5

7,966000

10,420000

0,000000

31

W59617003

L01AX03

TEMOZOLOMIDUM**

TEMODAL 20 mg

CAPS.

20mg

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R

5

9,559200

12,504000

2,720000

32

W59698001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 20

mg

CAPS.

20mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

7,966000

10,420000

0,000000

33

W59450001

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 20 mg

CAPS.

20mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR

G

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF

5

7,966000

10,420000

0,000000

21

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

34

W59505001

L01AX03

TEMOZOLOMIDUM**

NOGRON 20 mg

CAPS.

20mg

EGIS PHARMACEUTICALS

P.L.C.

UNGARIA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF

5

7,966000

10,420000

0,000000

35

W59704001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS.

20mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

7,966000

10,420000

0,000000

36

W59704002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS.

20mg

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1

CAPS.

PR

5

7,966000

10,420000

0,000000

37

W56779001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 20 mg

CAPS.

20mg

STADA HEMOFARM SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

PR

5

7,966000

10,420000

0,000000

38

W59454001

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 250 mg

CAPS.

250mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR

G

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF

5

233,776800

263,973600

13,432400

39

W59702001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 250

mg

CAPS.

250mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

233,776800

263,973600

13,432400

40

W60017001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS.

250mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

233,776800

263,973600

95,694400

41

W61248001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS.

250mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

233,776800

263,973600

95,694400

42

W61248002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS.

250mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1

CAPS.

PR

5

233,776800

263,973600

95,694400

43

W56783001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 250 mg

CAPS.

250mg

STADA HEMOFARM SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

PR

5

233,776800

263,973600

35,660400

44

W55336001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 250 mg

CAPS.

250mg

TEVA PHARMA B.V.

OLANDA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS.

P-RF/R

5

194,814000

219,978000

0,000000

45

W60017002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS.

250mg

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1

CAPS.

PR

5

233,776800

263,973600

95,694400

46

W59613001

L01AX03

TEMOZOLOMIDUM**

TEMODAL 2,5mg/ml

PULB. PT. SOL. PERF.

2,5mg/ml

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PT. SOL. PERF.

P-RF/R

1

602,770000

695,170000

0,000000

47

W56549001

L01AX04

DACARBAZINUM

DACARBAZINE MEDAC 500 mg

PULB. PT.

SOL. INJ.

500mg

CN UNIFARM S.A.

ROMANIA

CUTIE CU 1 FLAC.X 500MG PULB. PT. SOL. INJ.

PR

1

69,450000

87,810000

0,000000

48

W58779001

L01AX04

DACARBAZINUM

DACARBAZINA LIPOMED 200 mg

PULB. PT. SOL. INJ./PERF.

200 mg

LIPOMED GMBH

GERMANIA

CUTIE CU 10 FLACOANE MONODOZA DIN STICLA BRUNA CU DOP DIN CAUCIUC BROMOBUTILIC CU SIGILIU DIN AL TIP FLIP-OFF CU CAPAC DIN PLASTIC DE CULOARE ROSIE CARE CONTIN PULB.

PENTRU SOL. INJ. SAU PERF.

PR

10

75,731000

86,362000

0,000000

49

W59710001

L01AX04

DACARBAZINUM

DACARBAZIN MEDAC 200mg

PULB. PT.

SOL. INJ./PERF.

200mg

CN UNIFARM S.A.

ROMANIA

CUTIE X 10 FLACOANE

PR

10

82,419000

93,652000

0,000000

50

W58569001

L01BA01

METHOTREXATUM

METHOTREXATE PCH 10mg

COMPR.

10mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 10COMPR.

P6L

10

2,211000

2,989000

0,000000

51

W58568001

L01BA01

METHOTREXATUM

METHOTREXATE PCH 2,5mg

COMPR.

2,5mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X30 COMPRIMATE

P6L

30

0,553333

0,747666

0,000000

52

W12733003

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 1000

mg

CONC. PT.

SOL. INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML

S

1

65,640000

82,990000

0,000000

53

W12735001

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 5000

mg

CONC. PT. SOL.

INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 50 ML

S

1

308,200000

374,090000

0,000000

54

W58316010

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

93,336000

118,008000

9,082000

55

W58316004

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

35,730000

46,730000

0,000000

56

W58316007

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

63,030000

79,700000

0,000000

22

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

57

W58316001

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

PR

1

47,310000

61,880000

0,000000

58

W53758021

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

1

87,540000

110,680000

0,000000

59

W53758016

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

1

77,780000

98,340000

0,000000

60

W53758006

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

1

42,876000

56,076000

13,944000

61

W42003001

L01BA04

PEMETREXEDUM****

ALIMTA 500mg

PULB. PT. CONC. PT. SOL. PERF.

500mg

ELI LILLY NEDERLAND BV

OLANDA

CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

S

1

3.745,950000

4.121,240000

0,000000

62

W58868001

L01BB02

MERCAPTOPURINUM

PURI - NETHOL

COMPR.

50mg

ASPEN PHARMA

TRADING LIMITED

IRLANDA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR.

P-RF

25

10,648800

13,000000

0,000000

63

W58869001

L01BB03

TIOGUANINUM

LANVIS

COMPR.

40mg

ASPEN PHARMA

TRADING LIMITED

IRLANDA

CUTIE X 1 FLAC. X 25 COMPR.

P-RF

25

25,200000

28,994000

0,000000

64

W60721001

L01BB03

TIOGUANINUM

THIOGUANIN ASPEN 40 mg

COMPR.

40mg

CN UNIFARM S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU 25 COMPR.

PR

25

23,650000

27,304400

0,000000

65

W44114001

L01BB04

CLADRIBINUM

LITAK 2 mg/ml

SOL. INJ.

2mg/ml

LIPOMED GMBH

GERMANIA

CUTIE X 1 FLACON X 5 ML

S

1

1.309,390000

1.465,390000

0,000000

66

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

53,287000

59,990500

0,000000

67

W56211001

L01BB05

FLUDARABINUM

FLUDARA

LIOF. PT. SOL.

INJ./PERF.

50mg

GENZYME EUROPE B.V.

OLANDA

CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.

S

5

81,444000

102,984000

12,802000

68

W53700001

L01BB05

FLUDARABINUM

FLUDARABINA ACTAVIS 25 mg/ml

PULB. PT. SOL.

INJ./PERF.

25mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

S

1

67,870000

85,820000

0,000000

69

W53291005

L01BB06

CLOFARABINUM****

EVOLTRA 1mg/ml

CONC. PT. SOL. PERF.

1mg/ml

GENZYME EUROPE BV

OLANDA

CUTIE X 1 FLAC. CU CONC. PT. SOL. PERF.

PR

1

6.027,070000

6.607,660000

0,000000

70

W52264001

L01BB07

NELARABINUM****

ATRIANCE

SOL. PERF.

5mg/ml

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 6 FLAC. X 50 ML

S

6

1.193,418333

1.307,186666

0,000000

71

W13946007

L01BC01

CYTARABINUM

ALEXAN 20mg/ml

SOL. INJ.

20mg/ml

EBEWE PHARMA GMBH

NFG. KG

AUSTRIA

CUTIE X 10 FLACOANE DIN STICLA X 5 ML SOL. INJ.

S

10

9,173000

11,598000

0,000000

72

W42933004

L01BC01

CYTARABINUM

ALEXAN 50mg/ml

SOL. INJ.

50mg/ml

EBEWE PHARMA GMBH

NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 20 ML. SOL. INJ.

S

1

49,464000

64,704000

31,816000

73

W59016003

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF.

100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE

X 10 ML SOL. INJ. SAU PERF.

PR

1

41,220000

53,920000

0,000000

74

W59016004

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF.

100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE

GALBENA X 20 ML SOL. INJ. SAU PERF.

PR

1

98,560000

124,620000

0,000000

75

W53814001

L01BC01

CYTARABINUM

DEPOCYTE 50mg

SUSP. INJ.

50mg

PACIRA LIMITED

MAREA

BRITANIE

CUTIE X 1 FLAC. X 50MG SUSP.INJ. (MONODOZA 5ML)

S

1

6.172,500000

6.766,180000

0,000000

76

W43451005

L01BC02

FLUOROURACILUM

5 - FLUOROURACIL EBEWE

50mg/ml

CONC. PT.

SOL. INJ./PERF.

50mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF.

S

1

12,550000

16,960000

0,000000

77

W43451001

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 5 ML CONCENTRAT PT. SOL. INJ./PERF.

S

1

2,970000

4,020000

0,000000

78

W43451003

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 10 ML CONCENTRAT PT. SOL. INJ./PERF.

S

1

5,960000

8,060000

0,000000

79

W43451006

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 100 ML CONCENTRAT PT. SOL. INJ./PERF.

S

1

56,540000

71,490000

0,000000

80

W59510002

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA, CU DISC DIN PP, A 1000 MG/25 ML CONC. PT. SOL. PERF.

PR

1

97,536000

123,324000

103,466000

23

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

81

W56425001

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA

PR

1

21,540000

29,120000

0,000000

82

W56425002

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA

PR

1

97,536000

123,324000

5,886000

83

W59510001

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VERDE, CU

DISC DIN PP, A 200 MG/5 ML CONC. PT. SOL. PERF.

PR

1

25,848000

34,944000

19,396000

84

W59510003

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VIOLET, CU

DISC DIN PP, A 2000 MG/50 ML CONC. PT. SOL. PERF.

PR

1

187,104000

228,420000

223,340000

85

W56425003

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA

PR

1

187,104000

228,420000

25,380000

86

W59316002

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA

PR

1

97,536000

123,324000

110,526000

87

W59316003

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA

PR

1

187,104000

228,420000

222,080000

88

W56246001

L01BC05

GEMCITABINUM**

GEMZAR 1000 mg

PULB. PT. SOL. PERF.

1000 mg

LILLY FRANCE SAS

FRANTA

CUTIE X 1FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S

1

97,536000

123,324000

225,586000

89

W55552001

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 1000 mg

PULB. PT. SOL. PERF.

1000mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1000 MG PULB. PT. SOL. PERF.

S

1

97,536000

123,324000

87,966000

90

W56371001

L01BC05

GEMCITABINUM**

GEMCITABINA ATB 1000 mg

PULB. PT. SOL. PERF.

1000mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT. SOL. PERF.

PR

1

97,536000

123,324000

103,466000

91

W56150001

L01BC05

GEMCITABINUM**

DAPLAX 1 g

PULB. PT. SOL. PERF.

1g

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 1000MG GEMCITABINA

S

1

97,536000

123,324000

103,466000

92

W55553001

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 2000 mg

PULB. PT. SOL. PERF.

2000mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2000 MG PULB. PT. SOL. PERF.

S

1

187,104000

228,420000

141,810000

93

W03290001

L01BC05

GEMCITABINUM**

GEMZAR (R) 200 mg

PULB. PT. SOL. PERF.

200mg

LILLY FRANCE SAS

FRANTA

CUTIE X 1 FLAC. PULB. PT. SOL. PERF.

S

1

25,848000

34,944000

44,446000

94

W56149001

L01BC05

GEMCITABINUM**

DAPLAX 200 mg

PULB. PT. SOL. PERF.

200mg

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. CONTINAND 200MG GEMCITABINA

S

1

25,848000

34,944000

19,396000

95

W56370001

L01BC05

GEMCITABINUM**

GEMCITABINA ATB 200 mg

PULB. PT. SOL. PERF.

200mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT. SOL. PERF.

PR

1

25,848000

34,944000

19,396000

96

W55551001

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 200 mg

PULB. PT. SOL. PERF.

200mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 200 MG PULB. PT. SOL. PERF.

S

1

25,848000

34,944000

18,516000

97

W55531003

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 1000MG GEMCITABINA

S

1

97,536000

123,324000

43,336000

98

W55531004

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

S

1

187,104000

228,420000

199,610000

99

W54381001

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA

S

1

23,270000

31,450000

0,000000

100

W55531002

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA

S

1

25,800000

33,740000

0,000000

101

W54381002

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG GEMCITABINA

S

1

81,280000

102,770000

0,000000

102

W54381004

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

S

1

155,920000

190,350000

0,000000

103

W58925005

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK 150

mg

COMPR. FILM.

150mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU 6 BLIST. PVC/PVDC-AL X 60 (6X10) COMPR. FILM.

PR

60

0,905500

1,145000

0,000000

104

W08338001

L01BC06

CAPECITABINUM

XELODA 150 mg

COMPR.

FILM.

150mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 6 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.

P-RF/R

60

1,086600

1,374000

2,827500

105

W60217002

L01BC06

CAPECITABINUM

ECANSYA 150mg

COMPR.

FILM.

150mg

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE

PR

60

0,905500

1,145000

0,000000

24

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

106

W59654001

L01BC06

CAPECITABINUM

ARXEDA 150 mg

COMPR.

FILM.

150mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

PRF

60

0,905500

1,145000

0,000000

107

W59086001

L01BC06

CAPECITABINUM

CAPECITABINA FRESENIUS KABI

150 mg

COMPR.

FILM.

150mg

FRESENIUS KABI

ONCOLOGY PLC

MAREA

BRITANIE

CUTIE CU 6 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10

COMPR. FILM.

PR

60

0,905500

1,145000

0,000000

108

W60278001

L01BC06

CAPECITABINUM

CAPECITABINE TEVA 150 mg

COMPR.

FILM.

150mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. PVC/PE/PVDC/AL X 60 COMPR. FILM.

PR

60

0,905500

1,145000

0,000000

109

W59654002

L01BC06

CAPECITABINUM

ARXEDA 150 mg

COMPR.

FILM.

150mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

PRF

60

0,905500

1,145000

0,000000

110

W59427002

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 150 mg

COMPR.

FILM.

150mg

ZENTIVA, K.S.

REPUBLIC

A CEHA

CUTIE CU 6 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PR

60

0,905500

1,145000

0,000000

111

W60217005

L01BC06

CAPECITABINUM

ECANSYA 150mg

COMPR.

FILM.

150mg

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE

PR

60

0,905500

1,145000

0,000000

112

W59385001

L01BC06

CAPECITABINUM

XALVOBIN 150 mg

COMPR.

FILM.

150mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR

G

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

PR

60

0,905500

1,145000

0,000000

113

W59427001

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 150 mg

COMPR.

FILM.

150mg

ZENTIVA, K.S.

REPUBLIC

A CEHA

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PR

60

0,905500

1,145000

0,000000

114

W58925002

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK 150

mg

COMPR. FILM.

150mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU 6 BLIST. AL-AL X 60 (6X10) COMPR. FILM.

PR

60

0,905500

1,145000

0,000000

115

W59385002

L01BC06

CAPECITABINUM

XALVOBIN 150 mg

COMPR.

FILM.

150mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR

G

CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM.

PR

60

0,905500

1,145000

0,000000

116

W60218005

L01BC06

CAPECITABINUM

ECANSYA 300mg

COMPR.

FILM.

300mg

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE

PR

60

5,327000

6,442333

0,000000

117

W60218002

L01BC06

CAPECITABINUM

ECANSYA 300mg

COMPR.

FILM.

300mg

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE

PR

60

5,327000

6,442333

0,000000

118

W59428001

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 500 mg

COMPR.

FILM.

500mg

ZENTIVA, K.S.

REPUBLIC

A CEHA

CUTIE CU 12 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PR

120

1,844100

2,251300

0,000033

119

W59428002

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 500 mg

COMPR.

FILM.

500mg

ZENTIVA, K.S.

REPUBLIC

A CEHA

CUTIE CU 12 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PR

120

1,844100

2,251300

0,000033

120

W08339001

L01BC06

CAPECITABINUM

XELODA 500 mg

COMPR.

FILM.

500mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 12 BLIST. DIN PVC/PE/PVDC X 10 COMPR. FILM.

P-RF/R

120

1,844100

2,251300

9,651616

121

W60219006

L01BC06

CAPECITABINUM

ECANSYA 500mg

COMPR.

FILM.

500mg

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. PVC/PVDC/AL X 120 COMPRIMATE FILMATE

PR

120

1,844100

2,251300

0,000033

122

W59386002

L01BC06

CAPECITABINUM

XALVOBIN 500 mg

COMPR.

FILM.

500mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR

G

CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM.

PR

120

1,844100

2,251300

1,225366

123

W60219003

L01BC06

CAPECITABINUM

ECANSYA 500mg

COMPR.

FILM.

500mg

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. AL/AL X 120 COMPRIMATE FILMATE

PR

120

1,844100

2,251300

0,000033

124

W60255001

L01BC06

CAPECITABINUM

CAPECITABINA DR. REDDY'S 500

mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLISTERE PVC-PE-PVDC/AL-PET-HARTIE X 120

COMPRIMATE FILMATE

PR

120

1,844100

2,251300

0,000033

125

W58926003

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK 500

mg

COMPR. FILM.

500mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU 12 BLIST. AL-AL X 120 (12X10) COMPR. FILM.

PR

120

1,844100

2,251300

1,225366

126

W59655002

L01BC06

CAPECITABINUM

ARXEDA 500 mg

COMPR.

FILM.

500mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM.

PRF

120

1,844100

2,251300

1,225366

127

W59424001

L01BC06

CAPECITABINUM

CEREX 500 mg

COMPR.

FILM.

500mg

TERAPIA SA

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 120 (12X10) COMPR. FILM.

PR

120

1,844100

2,251300

1,225366

128

W59655001

L01BC06

CAPECITABINUM

ARXEDA 500 mg

COMPR.

FILM.

500mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM.

PRF

120

1,844100

2,251300

1,225366

129

W59059003

L01BC06

CAPECITABINUM

COLOXET 500 mg

COMPR. FILM.

500mg

EGIS

PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 12 BLIST. AL/AL X 10 COMPR. FILM.

PR

120

1,844100

2,251300

1,225366

130

W59087001

L01BC06

CAPECITABINUM

CAPECITABINA FRESENIUS KABI

500 mg

COMPR.

FILM.

500mg

FRESENIUS KABI

ONCOLOGY PLC

MAREA

BRITANIE

CUTIE CU 12 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10

COMPR. FILM.

PR

120

1,844100

2,251300

1,225366

131

W60279001

L01BC06

CAPECITABINUM

CAPECITABINE TEVA 500 mg

COMPR.

FILM.

500mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. PVC/PE/PVDC/AL X 120 COMPR. FILM.

PR

120

1,844100

2,251300

1,225366

132

W59424002

L01BC06

CAPECITABINUM

CEREX 500 mg

COMPR.

FILM.

500mg

TERAPIA SA

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 (12X10) COMPR. FILM.

PR

120

1,844100

2,251300

1,225366

133

W59059006

L01BC06

CAPECITABINUM

COLOXET 500 mg

COMPR. FILM.

500mg

EGIS PHARMACEUTICALS

P.L.C.

UNGARIA

CUTIE CU 12 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PR

120

1,844100

2,251300

1,225366

134

W59367001

L01BC06

CAPECITABINUM

CAPECITABINA ACTAVIS 500 mg

COMPR.

FILM.

500mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM.

PR

120

1,536750

1,876083

0,000000

135

W59386001

L01BC06

CAPECITABINUM

XALVOBIN 500 mg

COMPR.

FILM.

500mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR

G

CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM.

PR

120

1,844100

2,251300

1,225366

136

W59587001

L01BC08

DECITABINUM****

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

4.936,540000

5.418,990000

0,000000

137

W59211001

L01CA01

VINBLASTINUM4)

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

30,750000

40,220000

0,000000

138

W52220001

L01CA02

VINCRISTINUM

SINDOVIN 1 mg

PULB. PT. SOL.

INJ./PERF.

1mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. INJ./PERF. I.V.

S

1

26,490000

34,650000

0,000000

25

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

139

W42512002

L01CA04

VINORELBINUM

NAVELBINE 20 mg

CAPS. MOI

20mg

PIERRE FABRE MEDICAMENT

PRODUCTION

FRANTA

CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE

P-RF

1

186,710000

227,940000

0,000000

140

W42513002

L01CA04

VINORELBINUM

NAVELBINE 30 mg

CAPS. MOI

30mg

PIERRE FABRE MEDICAMENT

PRODUCTION

FRANTA

CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE

P-RF

1

280,060000

341,900000

0,000000

141

W43735002

L01CA04

VINORELBINUM

VINORELBIN EBEWE 10 mg/ ml

CONC. PT. SOL.

INJ./PERF.

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. INJ/PERF.

S

1

136,180000

166,250000

0,000000

142

W43735001

L01CA04

VINORELBINUM

VINORELBIN EBEWE 10 mg/ ml

CONC. PT. SOL.

INJ./PERF.

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. INJ/PERF.

S

1

31,740000

41,510000

0,000000

143

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

124,280000

151,720000

0,000000

144

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

36,880000

48,240000

0,000000

145

W08035001

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI

100mg

BRISTOL MYERS SQUIBB

KFT

UNGARIA

CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.

P-RF

10

21,796000

26,609000

0,000000

146

W08036001

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI

50mg

BRISTOL MYERS SQUIBB

KFT

UNGARIA

CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS.

P-RF

20

10,952500

13,371000

0,000000

147

W52210001

L01CB01

ETOPOSIDUM

SINTOPOZID 100 mg/5 ml

CONC. PT. SOL. PERF.

100mg/5 ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S

1

17,960000

24,270000

0,000000

148

W03065001

L01CB01

ETOPOSIDUM

ETOPOSID "EBEWE" 100 mg/5 ml

CONC. PT. SOL. PERF.

100mg/5 ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON X 5 ML

S

1

21,552000

29,124000

3,236000

149

W52574002

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF.

20mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.

S

1

54,800000

69,290000

0,000000

150

W52574001

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF.

20mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.

S

1

21,552000

29,124000

3,846000

151

W60599002

L01CB01

ETOPOSIDUM

ETOPOZIDA KABI 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF.

PR

1

63,290000

80,030000

0,000000

152

W54068003

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF.

S

1

57,620000

72,860000

0,000000

153

W54068007

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.

S

1

82,320000

104,090000

0,000000

154

W43372004

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.

S

1

194,040000

236,880000

221,080000

155

W43372002

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 16,6 ML CONC. PT. SOL. PERF.

S

1

69,144000

87,432000

60,418000

156

W43372001

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S

1

32,550000

42,570000

0,000000

157

W54068005

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.

S

1

161,700000

197,400000

0,000000

158

W54978004

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6

mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ARCHIE SAMUEL S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 300 MG CONC. PT. SOL. PERF.

S

1

194,040000

236,880000

1.044,810000

159

W54978003

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6

mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ARCHIE SAMUEL S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 150 MG CONC. PT. SOL. PERF.

S

1

98,784000

124,908000

544,552000

160

W52212001

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S

1

32,550000

42,570000

0,000000

161

W52212005

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF.

S

1

850,040000

964,700000

0,000000

162

W54978001

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6

mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ARCHIE SAMUEL S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 30 MG CONC. PT. SOL. PERF.

S

1

39,060000

51,084000

94,486000

26

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

163

W54068001

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S

1

32,550000

42,570000

0,000000

164

W52212002

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF.

S

1

69,144000

87,432000

45,228000

165

W52212004

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF.

S

1

194,040000

236,880000

144,960000

166

W52212003

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X, 25 ML CONC. PT. SOL. PERF.

S

1

98,784000

124,908000

544,672000

167

W54978002

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6

mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ARCHIE SAMUEL S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 MG CONC. PT. SOL. PERF.

S

1

69,144000

87,432000

353,188000

168

W43372003

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.

S

1

98,784000

124,908000

157,092000

169

W55670001

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20 mg/0,5

ml

CONC. + SOLV. PT. SOL. PERF.

20mg/0,5 ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLISTER DIN POLIESTER TERMOFORMAT X 1 FLACON DIN STICLA INCOLORA X 0,5ML CONCENTRAT PT. SOL. PERFUZABILA + 1 FLACON DIN STICLA INCOLORA X 1,5ML

SOLVENT PT. CONCENTRAT PT. SOL. PERFUZABILA

S

1

58,116000

76,008000

373,462000

170

W55671001

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 80 mg/2 ml

CONC. + SOLV. PT. SOL. PERF.

80mg/2ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE X 1 BLISTER DIN POLIESTER TERMOFORMAT X 1 FLACON DIN STICLA INCOLORA X 2ML CONCENTRAT PT. SOLUTIE PERFUZABILA + 1 FLACON DIN STICLA INCOLORA X 6ML SOLVENT

PT. CONCENTRAT PT. SOLUTIE PERFUZABILA

S

1

185,136000

226,008000

1.359,682000

171

W55307003

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

HOSPIRA UK LTD

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

S/P-RF

1

154,280000

188,340000

0,000000

172

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 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.

P-RF/R

1

58,116000

76,008000

46,802000

173

W59128003

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 13 ML CONC. PT. SOL. PERF.

PR

1

1.636,040000

1.821,440000

0,000000

174

W59128001

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 2 ML CONC. PT. SOL. PERF.

PR

1

58,116000

76,008000

255,792000

175

W59128004

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 20 ML CONC. PT. SOL. PERF.

PR

1

2.500,840000

2.764,070000

0,000000

176

W59128002

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN PP DE UNICA FOLOSINTA A 8 ML CONC. PT. SOL. PERF.

PR

1

185,136000

226,008000

856,342000

177

W55307005

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

HOSPIRA UK LTD

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16 ML CONC. PT. SOL. PERF.

S/P-RF

1

466,500000

546,640000

0,000000

178

W55307001

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

HOSPIRA UK LTD

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PERF.

S/P-RF

1

48,430000

63,340000

0,000000

179

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 FLAC. DIN STICLA INCOLORA X 8 ML CONC. PT. SOL. PERF.

P-RF/R

1

185,136000

226,008000

262,112000

180

W57028016

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 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO

P-RF/R

1

559,800000

655,968000

525,052000

181

W57271001

L01CD02

DOCETAXELUM**

TAXOTERE 160 mg/8ml

CONC. PT. SOL. PERF.

160 mg/8 ml

AVENTIS PHARMA SA

FRANTA

CUTIE X 1 FLACON DIN STICLA CU 8 ML CONC. PT. SOL. PERF.X 160MG

PR

1

559,800000

655,968000

1.109,592000

182

W59570001

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 120 mg/6 ml

CONC. PT. SOL. PERF.

20 mg/1 ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA INCOLORA X 6 ML CONCENTRAT PENTRU SOL. PERFUZABILA

PR

1

892,210000

1.010,660000

0,000000

183

W55044001

L01CD02

DOCETAXELUM**

TAXOTERE 20 mg/1ml

CONC. PT. SOL. PERF.

20mg/1ml

AVENTIS PHARMA SA

FRANTA

CUTIE X 1 FLACON X 1 ML CONC. PT. SOL. PERF.

PR

1

58,116000

76,008000

146,752000

184

W61077003

L01CD02

DOCETAXELUM**

DOCETAXEL TEVA 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

CUTIE CU 1 FLAC. UNIDOZA X 7 ML CONC. PT. SOL. PERF.

PR

1

914,280000

1.034,720000

0,000000

185

W59826001

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 20MG DOCETAXEL

PR

1

58,116000

76,008000

48,742000

186

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

58,116000

76,008000

19,812000

27

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

187

W59877002

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

KRKA, D.D., NOVO MESTO

SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA, DE CAPACITATE 5 ML, PREVAZUT CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE ROSIE, A 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAXEL

PR

1

185,136000

226,008000

58,602000

188

W59573001

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 80 mg/4 ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FL DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL

PR

1

185,136000

226,008000

258,202000

189

W59877001

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

KRKA, D.D., NOVO MESTO

SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA, DE CAPACITATE 5 ML, PREVAZUT CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE PORTOCALIE, A 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG

DOCETAXEL

PR

1

52,400000

66,260000

0,000000

190

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

1.084,200000

1.219,930000

0,000000

191

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

154,630000

188,770000

0,000000

192

W59877003

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

KRKA, D.D., NOVO MESTO

SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA, DE CAPACITATE 5 ML, PREVAZUT CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE PORTOCALIE, A 8 ML CONC. PT. SOL. PERF. CARE CONTINE 160

MG DOCETAXEL

PR

1

559,800000

655,968000

2,252000

193

W55045001

L01CD02

DOCETAXELUM**

TAXOTERE 80 mg/4ml

CONC. PT. SOL. PERF.

80mg/4ml

AVENTIS PHARMA SA

FRANTA

CUTIE X 1 FLACON DIN STICLA X 4 ML CONC. PT. SOL. PERF.

PR

1

185,136000

226,008000

569,692000

194

W52365001

L01CX01

TRABECTEDINUM****

YONDELIS 0,25mg

PULB. PT.CONC. PT.SOL.

PERF.

0,25mg

PHARMA MAR S.A.

SPANIA

CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.

S

1

1.893,750000

2.102,340000

0,000000

195

W52366001

L01CX01

TRABECTEDINUM****

YONDELIS 1mg

PULB. PT.CONC. PT.SOL.

PERF.

1mg

PHARMA MAR S.A.

SPANIA

CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.

S

1

7.298,630000

7.993,670000

0,000000

196

W58172008

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. A 100 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG DOXORUBICINA

PR

1

265,470000

324,090000

0,000000

197

W58172003

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOXORUBICINA

PR

1

43,536000

56,940000

24,830000

198

W42736002

L01DB01

DOXORUBICINUM

DOXORUBICIN "EBEWE" 2mg/ml

CONC. PT. SOL. PERF.

2mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 25 ML CONC. PT. SOL. PERF. (50 MG DOXORUBICINA)

S

1

47,880000

62,630000

0,000000

199

W58172005

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. A 25 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG DOXORUBICINA

PR

1

57,456000

75,156000

10,294000

200

W58172006

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. A 50 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG DOXORUBICINA

PR

1

132,740000

162,050000

0,000000

201

W58172007

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. A 75 ML CONC. PT. SOL. PERF. CARE CONTINE 150 MG DOXORUBICINA

PR

1

271,400000

331,320000

0,000000

202

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

1.424,810000

1.591,200000

0,000000

203

W42736001

L01DB01

DOXORUBICINUM

DOXORUBICIN "EBEWE" 2mg/ml

CONC. PT. SOL. PERF.

2mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 5 ML CONC. PT. SOL. PERF. (10 MG DOXORUBICINA)

S

1

9,570000

12,940000

0,000000

204

W58172001

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. A 5 ML CONC. PT. SOL. PERF. CARE CONTINE 10 MG DOXORUBICINA

PR

1

11,484000

15,528000

3,052000

205

W57533002

L01DB01

DOXORUBICINUM

DOXORUBICINA TEVA 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLACON X 10ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 20MG CLORHIDRAT DE DOXORUBICINA

PR

1

36,280000

47,450000

0,000000

206

W57533003

L01DB01

DOXORUBICINUM

DOXORUBICINA TEVA 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLACON X 25ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 50MG CLORHIDRAT DE DOXORUBICINA

PR

1

57,456000

75,156000

41,904000

207

W60643001

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

PR

1

11,484000

15,528000

21,672000

208

W60643002

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF.

PR

1

43,536000

56,940000

29,940000

209

W60643003

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF.

PR

1

57,456000

75,156000

52,824000

28

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

210

W60636001

L01DB01

DOXORUBICINUM

MYOCET 50mg

PULB. + AMESTC. PT. CONC. PT.DISP.LI POZOM.PT.

PERF

50mg

TEVA PHARMA B.V.

OLANDA

CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB. + 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.)

S

2

1.945,425000

2.139,590000

0,000000

211

W52903001

L01DB01

DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF.

2mg/ml

ACTAVIS S.R.L

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 8 ML CONTINAND 10 MG CLORHIDRAT DE DOXORUBICIN

S

1

11,484000

15,528000

21,362000

212

W52903002

L01DB01

DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF.

2mg/ml

ACTAVIS S.R.L

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML X 50 MG CLORHIDRAT DE DOXORUBICINA

S

1

57,456000

75,156000

58,674000

213

W52209001

L01DB03

EPIRUBICINUM

EPISINDAN 10 mg

PULB. PT. SOL. INJ.

10mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE

UMPLERE 8ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 10MG CLORHIDRAT DE EPIRUBICINA

S

1

23,940000

32,352000

25,648000

214

W52208001

L01DB03

EPIRUBICINUM

EPISINDAN 50 mg

PULB. PT. SOL. INJ.

50mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE UMPLERE 50ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 50MG CLORHIDRAT DE EPIRUBICINA

S

1

105,456000

133,344000

3,176000

215

W60072004

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL.

INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF.

X 100 MG EPIRUBICINA

S

1

255,576000

312,012000

11,478000

216

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

45,450000

59,450000

0,000000

217

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

87,880000

111,120000

0,000000

218

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

212,980000

260,010000

0,000000

219

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

390,530000

463,830000

0,000000

220

W60072001

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL.

INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF.

X 10 MG EPIRUBICINA

S

1

21,320000

28,810000

0,000000

221

W53325001

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL.

INJ./PERF.

2mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. A 5 ML SOL. INJ. X 10MG (10MG/5ML)

S

1

19,950000

26,960000

0,000000

222

W60072005

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL.

INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML SOL.

INJ./PERF. X 200 MG EPIRUBICINA

S

1

468,636000

556,596000

353,124000

223

W60072002

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL.

INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF.

X 20 MG EPIRUBICINA

S

1

54,540000

71,340000

34,700000

224

W53860003

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

CUTIE X 1 FLAC. STICLA INCOLORA X 25 ML SOL. INJ. /PERFZ.

S

1

105,456000

133,344000

0,156000

225

W53860004

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

CUTIE X 1 FLAC. STICLA INCOLORA X 75 ML SOL. INJ. /PERFZ.

S

1

328,920000

396,670000

0,000000

226

W53860005

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

CUTIE X 1 FLAC. STICLA INCOLORA X 100 ML SOL. INJ. /PERFZ.

S

1

441,160000

519,010000

0,000000

227

W53860002

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

CUTIE X 1 FLAC. STICLA INCOLORA X 10 ML SOL. INJ. /PERFZ.

S

1

45,450000

59,450000

0,000000

228

W60072003

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL.

INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF.

X 50 MG EPIRUBICINA

S

1

105,456000

133,344000

31,216000

229

W53860001

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

CUTIE X 1 FLAC. STICLA INCOLORA X 5 ML SOL. INJ. /PERFZ.

S

1

23,940000

32,352000

9,358000

230

W03575001

L01DB06

IDARUBICINUM

ZAVEDOS

CAPS.

10mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

188,210000

229,770000

0,000000

231

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

109,250000

133,370000

0,000000

232

W42735002

L01DB07

MITOXANTRONUM**

ONKOTRONE

CONC. PT.

SOL. INJ.

2mg/ml

BAXTER ONCOLOGY

GMBH

GERMANIA

CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.

S

1

474,870000

555,760000

0,000000

233

W58249002

L01DC01

BLEOMYCINUM SULFAS

BLEOMYCIN MEDAC 15000 UI

PULB. PT. SOL. INJ.

15000UI

MEDAC GESELLSCAFT FUR KLINISCHE

SPEZIALPRÄPARATE

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ.

PR

1

99,230000

125,470000

0,000000

234

W56664001

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF.

PR

1

10,350000

13,990000

0,000000

235

W56664003

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF.

PR

1

24,048000

32,508000

15,522000

236

W56664002

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF.

PR

1

20,490000

27,700000

0,000000

29

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

237

W56665002

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF.

1 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF.

PR

1

20,040000

27,090000

0,000000

238

W56665003

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF.

1 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF.

PR

1

70,460000

89,090000

0,000000

239

W52187002

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF.

1mg/1ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.

S

1

23,940000

32,360000

0,000000

240

W52187001

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF.

1mg/1ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF.

S

1

9,940000

13,440000

0,000000

241

W01317001

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 50 mg/100 ml

CONC. PT. SOL. PERF.

50mg/100 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.

S

1

24,048000

32,508000

8,792000

242

W53000002

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.

S

1

45,350000

59,320000

0,000000

243

W53000003

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.

S

1

134,430000

164,110000

0,000000

244

W53000001

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S

1

15,480000

20,920000

0,000000

245

W58740001

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5

ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA

PR

1

18,576000

25,104000

0,136000

246

W58740002

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA

PR

1

49,170000

64,310000

0,000000

247

W58740003

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA

PR

1

136,890000

167,110000

0,000000

248

W52579003

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF.

S

1

137,790000

168,220000

0,000000

249

W52579002

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF.

S

1

49,230000

64,390000

0,000000

250

W58740004

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA

PR

1

181,360000

221,410000

0,000000

251

W57278002

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF.

5 mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 10 ML CONC. PT. SOL. PERF

PR

1

38,604000

50,496000

85,684000

252

W57278008

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF.

5 mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 20 ML CONC. PT. SOL. PERF

PR

1

74,064000

93,648000

185,992000

253

W57278010

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF.

5 mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU INVELIS DE PROTECTIE (ONCO-SAFE) X 40 ML CONC. PT. SOL. PERF

PR

1

148,992000

181,896000

358,384000

254

W54318002

L01XA03

OXALIPLATINUM

OXALIPLATINA TEVA 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CONC. PT. SOL. PERF.

PR

1

38,604000

50,496000

4,304000

255

W54318003

L01XA03

OXALIPLATINUM

OXALIPLATINA TEVA 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML CONC. PT. SOL. PERF.

PR

1

74,064000

93,648000

3,002000

256

W42983002

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF.

5mg/ml

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA 20 ML,

CU SUPORT DIN PE, CONTINAND OXALIPLATINA 100 MG/20 ML CONC. PT. SOL. PERF.

S

1

74,064000

93,648000

325,002000

257

W56696005

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF.

CONTINAND 200 MG OXALIPLATINA

PR

1

124,160000

151,580000

0,000000

258

W42983003

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF.

5mg/ml

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE X 1 FLACON X 200 MG/40 ML CONC. PT. SOL. PERF.

S

1

148,992000

181,896000

584,504000

259

W57175002

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG OXALIPLATINA

PR

1

74,064000

93,648000

184,862000

30

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

260

W57175001

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG OXALIPLATINA

PR

1

38,604000

50,496000

88,744000

261

W42983001

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF.

5mg/ml

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA 15 ML, CU SUPORT DIN PE, CONTINAND OXALIPLATINA 50 MG/10 ML

CONC. PT. SOL. PERF.

S

1

38,604000

50,496000

163,724000

262

W57175003

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG OXALIPLATINA

PR

1

148,992000

181,896000

341,064000

263

W56696001

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF.

CONTINAND 50 MG OXALIPLATINA

PR

1

32,170000

42,080000

0,000000

264

W56696002

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF.

CONTINAND 100 MG OXALIPLATINA

PR

1

61,720000

78,040000

0,000000

265

W52195002

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

LIOF. PT. SOL. PERF.

5mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF.

S

1

74,064000

93,648000

192,092000

266

W52195001

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

LIOF. PT. SOL. PERF.

5mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE 1 FLAC. X 50 MG LIOF. PT. SOL. PERF.

S

1

38,604000

50,496000

84,424000

267

W52468001

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF.

5mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 50 MG OXALIPLATI

PR

1

38,604000

50,496000

418,414000

268

W52977002

L01XA03

OXALIPLATINUM

OXALIPLATIN STADA 5 mg/ml

PULB. PT. SOL. PERF.

5mg/ml

STADA ARZNEIMITTEL AG

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 MG OXALIPLATINA

PR

1

74,064000

93,648000

196,712000

269

W52468002

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF.

5mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 100 MG OXALIPLAT

PR

1

74,064000

93,648000

773,312000

270

W52977001

L01XA03

OXALIPLATINUM

OXALIPLATIN STADA 5 mg/ml

PULB. PT. SOL. PERF.

5mg/ml

STADA ARZNEIMITTEL AG

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 MG OXALIPLATINA

PR

1

38,604000

50,496000

86,434000

271

W52468003

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF.

5mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT

PR

1

1.668,360000

1.856,660000

0,000000

272

W59766001

L01XB01

PROCARBAZINUM4)

NATULAN

CAPS.

50 mg

CN UNIFARM S.A.

ROMANIA

CUTIE X 50CAPSULE

PRF

50

13,860000

15,870400

0,000000

273

W07199001

L01XC02

RITUXIMABUM****

MABTHERA 100 mg

CONC. PT. SOL. PERF.

10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 2 FLACOANE X 10 ML

S

2

929,765000

1.032,520000

0,000000

274

W07200001

L01XC02

RITUXIMABUM****

MABTHERA 500 mg

CONC. PT. SOL. PERF.

10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

S

1

4.632,930000

5.088,050000

0,000000

275

W07881001

L01XC03

TRASTUZUMABUM****

HERCEPTIN 150mg

PULB. PT. CONC. PT. SOL. PERF.

150mg

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

PR

1

2.138,340000

2.368,940000

0,000000

276

W60341001

L01XC03

TRASTUZUMABUM****

HERCEPTIN 600mg/5ml

SOL. INJ.

600mg/5

ml

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU

DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB)

S

1

6.199,870000

6.796,020000

0,000000

277

W52549002

L01XC06

CETUXIMABUM****

ERBITUX 5mg/ml

SOL. PERF.

5mg/ml

MERCK KGAA

GERMANIA

CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF.

S

1

730,430000

834,320000

0,000000

278

W42165001

L01XC07

BEVACIZUMABUM****

AVASTIN 25mg/ml

CONC. PT. SOL. PERF.

25mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.

S

1

1.130,890000

1.270,820000

0,000000

279

W42165002

L01XC07

BEVACIZUMABUM****

AVASTIN 25mg/ml

CONC. PT. SOL. PERF.

25mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.

S

1

4.372,950000

4.804,670000

0,000000

280

W57375001

L01XC10

OFATUMUMAB****

ARZERRA 1000mg

CONC. PT. SOL. PERF.

20mg/ml

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE CU 1 FLACON DIN STICLA X 50 ML CONCENTRAT PT. SOL. PERF. (1000MG OFATUMUMAB)+2 SETURI DE EXTEN

S

1

9.006,440000

9.855,180000

0,000000

281

W06844004

L01XE01

IMATINIBUM****

GLIVEC 100 mg

CAPS.

100mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 120 CAPS.

PR

120

30,750000

33,898999

42,447751

282

W59827004

L01XE01

IMATINIBUM****

IMATINIB ACTAVIS 100 mg

CAPS.

100mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU BLISTER DIN AL/PVC/ACLAR X 120 CAPSULE

PR

120

25,625000

28,249166

0,000000

283

W59679004

L01XE01

IMATINIBUM****

NIBIX 100 mg

CAPS.

100mg

TERAPIA S.A.

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS.

PR

120

30,750000

33,898999

15,933084

284

W59881004

L01XE01

IMATINIBUM****

EGITINID 100 mg

CAPS.

100mg

EGIS PHARMACEUTICALS

P.L.C.

UNGARIA

CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS.

PR

120

30,750000

33,898999

15,933084

285

W59541007

L01XE01

IMATINIBUM****

IMATINIB GLENMARK 100 mg

COMPR. FILM.

100mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM.

PR

120

30,750000

33,898999

15,933084

31

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

286

W59500004

L01XE01

IMATINIBUM****

IMATINIB ZENTIVA 100 mg

COMPR.

FILM.

100mg

ZENTIVA, K.S.

REPUBLIC

A CEHA

CUTIE CU 12 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

PR

120

30,750000

33,898999

0,000001

287

W59486006

L01XE01

IMATINIBUM****

IMAKREBIN 100 mg

COMPR.

FILM.

100mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR

G

CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM.

PR

120

30,750000

33,898999

8,689001

288

W61215006

L01XE01

IMATINIBUM****

NEOXELL 100 mg

COMPR.

FILM.

100mg

NEOLA PHARMA SRL

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM.

PR

120

30,750000

33,898999

15,933084

289

W59852005

L01XE01

IMATINIBUM****

MEAXIN 100 mg

COMPR.

FILM.

100mg

KRKA, D.D., NOVO

MESTO

SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM.

PR

120

30,750000

33,898999

0,001001

290

W59852011

L01XE01

IMATINIBUM****

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

30,750000

33,898999

0,001001

291

W59589001

L01XE01

IMATINIBUM****

IMATINIB TEVA 100 mg

COMPR.

FILM.

100mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 120 X 1 COMPRIMAT

PR

120

30,750000

33,898999

14,289501

292

W59937006

L01XE01

IMATINIBUM****

NEOXELL 100 mg

COMPR.

FILM.

100mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM.

PR

120

30,750000

33,898999

15,933084

293

W59590001

L01XE01

IMATINIBUM****

IMATINIB TEVA 400 mg

COMPR.

FILM.

400 mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 30 X 1 COMPRIMAT

PR

30

167,100000

183,665200

16,239800

294

W59542002

L01XE01

IMATINIBUM****

IMATINIB GLENMARK 400 mg

COMPR. FILM.

400mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PR

30

167,100000

183,665200

16,239800

295

W61216006

L01XE01

IMATINIBUM****

NEOXELL 400 mg

COMPR.

FILM.

400mg

NEOLA PHARMA SRL

ROMANIA

CUTIE X BLISTERE PVC-PE-PVDC/AL X 30 COMPRIMATE FILMATE

PR

30

167,100000

183,665200

16,239800

296

W59487003

L01XE01

IMATINIBUM****

IMAKREBIN 400 mg

COMPR.

FILM.

400mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR

G

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PR

30

155,119333

170,352000

0,000000

297

W59853002

L01XE01

IMATINIBUM****

MEAXIN 400 mg

COMPR.

FILM.

400mg

KRKA, D.D., NOVO

MESTO

SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

PR

30

139,250000

153,054333

0,000000

298

W59853006

L01XE01

IMATINIBUM****

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

139,250000

153,054333

0,000000

299

W59936003

L01XE01

IMATINIBUM****

NEOXELL 400 mg

COMPR.

FILM.

400mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PR

30

167,100000

183,665200

16,239800

300

W42501001

L01XE03

ERLOTINIBUM****

TARCEVA 100 mg

COMPR.

FILM.

100mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 30 COMPR. FILM., (BLIST. AL/PVC)

P-RF/R

30

194,839000

213,646333

0,000000

301

W42502001

L01XE03

ERLOTINIBUM****

TARCEVA 150 mg

COMPR.

FILM.

150mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC)

P-RF/R

30

240,123000

263,006000

0,000000

302

W43546001

L01XE04

SUNITINIBUM****

SUTENT 12,5 mg

CAPS.

12,5mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P-RF/R

30

151,764333

166,695000

0,000000

303

W43556001

L01XE04

SUNITINIBUM****

SUTENT 25mg

CAPS.

25mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P-RF/R

30

302,400666

330,889000

0,000000

304

W43557001

L01XE04

SUNITINIBUM****

SUTENT 50 mg

CAPS.

50mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P-RF/R

30

602,737666

658,256666

0,000000

305

W61565001

L01XE05

SORAFENIBUM****

NEXAVAR 200 mg

COMPR.

FILM.

200mg

BAYER PHARMA AG

GERMANIA

CUTIE X 4 BLIST. PP/ AL X 28 COMPR.FILM.

PR

112

114,015089

124,617232

0,000000

306

W54613001

L01XE06

DASATINIBUM****

SPRYCEL 100mg

COMPR.

FILM.

100 mg

BRISTOL-MYERS SQUIBB

MAREA

BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM.

P-RF/R

30

448,689333

490,343666

0,000000

307

W51768001

L01XE06

DASATINIBUM****

SPRYCEL 20mg

COMPR.

FILM.

20 mg

BRISTOL-MYERS SQUIBB

MAREA

BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

60

91,303500

100,156833

0,000000

308

W51769001

L01XE06

DASATINIBUM****

SPRYCEL 50mg

COMPR.

FILM.

50 mg

BRISTOL-MYERS SQUIBB

MAREA

BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

60

211,415666

231,079166

0,000000

309

W51770001

L01XE06

DASATINIBUM****

SPRYCEL 70mg

COMPR.

FILM.

70 mg

BRISTOL-MYERS SQUIBB

MAREA

BRITANIE

CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM.

P-RF/R

60

211,415666

231,079166

0,000000

310

W56489001

L01XE08

NILOTINIBUM****

TASIGNA

CAPS.

150mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL)

P-RF/R

28

85,802142

94,887142

0,000000

311

W56489002

L01XE08

NILOTINIBUM****

TASIGNA

CAPS.

150mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

4 CUTII X 28 CAPS.(BLIST. PVC/PVDC/AL)

P-RF/R

112

84,998660

92,989285

0,000000

312

W52708002

L01XE08

NILOTINIBUM****

TASIGNA

CAPS.

200mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

4 CUTII X 28 CAPS.(BLIST. PVC/PVDC/AL)

PR

112

113,242142

123,774732

0,000000

313

W52708003

L01XE08

NILOTINIBUM****

TASIGNA

CAPS.

200mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL)

PR

28

114,046071

125,672857

0,000000

314

W52721001

L01XE09

TEMSIROLIMUSUM

TORISEL 25mg/ml

CONC. + SOLV. PT. SOL. PERF.

25mg/ml

WYETH EUROPA LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. X 1,2ML CONCENTRAT + 1 FLAC. X 1,8 SOLVENT

S

1

3.116,840000

3.435,510000

0,000000

315

W59310001

L01XE18

RUXOLITINIBUM****

JAKAVI

COMPR.

15 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

FLACON DIN PEÎD, CU GARNITURA ETANSA SI SISTEM DE

ÎNCHIDERE SECURIZAT PENTRU COPII, CONTINÂND 60 COMPRIMATE

PR

60

275,400833

300,823166

0,000000

316

W59311001

L01XE18

RUXOLITINIBUM****

JAKAVI

COMPR.

20 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

FLACON DIN PEÎD, CU GARNITURA ETANSA SI SISTEM DE

ÎNCHIDERE SECURIZAT PENTRU COPII, CONTINÂND 60 COMPRIMATE

PR

60

275,400833

300,823166

0,000000

317

W59309001

L01XE18

RUXOLITINIBUM****

JAKAVI

COMPR.

5 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

FLACON DIN PEÎD, CU GARNITURA ETANSA SI SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CONTINÂND 60

COMPRIMATE

PR

60

138,219666

151,295500

0,000000

318

W03542001

L01XX05

HYDROXYCARBAMIDUM

HYDREA

CAPS.

500mg

BRISTOL MYERS SQUIBB

KFT

UNGARIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS.

P-RF

100

0,681700

0,861900

0,000000

319

W53177001

L01XX17

TOPOTECAMUM

HYCAMTIN 1 mg

CAPS.

1mg

SMITHKLINE BEECHAM

PLC

MAREA

BRITANIE

CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS.

P-RF

10

112,482000

126,421000

0,000000

32

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

320

W54750001

L01XX17

TOPOTECAMUM

TOPOTECAN TEVA 1 mg/1ml

CONC. PT. SOL. PERF.

1mg/1ml

TEVA PHARMA B.V.

OLANDA

CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML

P-RF/R

1

173,250000

211,500000

0,000000

321

W56261007

L01XX17

TOPOTECAMUM

TOPOTECAN EBEWE 1 mg/ml

CONC. PT. SOL. PERF.

1mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONC. PT. SOL. PERF.

PR

1

177,204000

216,324000

98,216000

322

W54751001

L01XX17

TOPOTECAMUM

TOPOTECAN TEVA 4 mg/4ml

CONC. PT. SOL. PERF.

4mg/4ml

TEVA PHARMA B.V.

OLANDA

CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML

P-RF/R

1

177,204000

216,324000

98,216000

323

W57231001

L01XX17

TOPOTECAMUM

TOPOTECAN ATB 1 mg

PULB. PT. CONC. PT. SOL. PERF.

1mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML X 1 MG TOPOTECAN

PR

1

176,650000

215,650000

0,000000

324

W57232001

L01XX17

TOPOTECAMUM

TOPOTECAN ATB 4 mg

PULB. PT. CONC. PT. SOL. PERF.

4mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML X 4 MG TOPOTECAN

PR

1

177,204000

216,324000

98,216000

325

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

147,670000

180,270000

0,000000

326

W52206001

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ.

S

1

43,430000

56,810000

0,000000

327

W52206004

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF.

S

1

325,716000

397,632000

205,328000

328

W52206003

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ.

S

1

518,170000

602,960000

0,000000

329

W55816015

L01XX19

IRINOTECANUM

IRINOTECAN EBEWE 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA BRUNA, CU DOP DIN CAUCIUC FARA PLASTIC DE PROTECTIE TIP "ONCO-SAFE", A 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CARE CONTINE

100MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT

S

1

88,200000

111,520000

0,000000

330

W58369002

L01XX19

IRINOTECANUM

IRINOTECAN ATB 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 5 ML X 5 ML CONC. PT. SOL. PERF. INCHIS CU DOP DIN CAUCIUC SI

SIGILAT CU CAPSA DIN AL TIP FLIP-OFF

PR

1

105,840000

133,824000

84,676000

331

W52206002

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ.

S

1

105,840000

130,250000

0,000000

332

W54854002

L01XX19

IRINOTECANUM

IRINOTECAN STADA 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

STADA ARZNEIMITTEL AG

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA A 5 ML CONC. PT. SOL. PERF. X 100 MG

S

1

105,840000

133,824000

55,626000

333

W55816021

L01XX19

IRINOTECANUM

IRINOTECAN EBEWE 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA BRUNA, CU DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 15ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CARE CONTINE 300MG

CLORHIDRAT DE IRINOTECAN TRIHIDRAT

S

1

271,430000

331,360000

0,000000

334

W51535001

L01XX23

MITOTANUM

LYSODREN 500mg

COMPR.

500mg

LABORATOIRE HRA

PHARMA

FRANTA

CUTIE X 1 FLAC. DIN PEID X 100 COMPR.

P-RF/R

100

21,756200

24,095800

0,000000

335

W42249001

L01XX32

BORTEZOMIBUM****

VELCADE 3,5 mg

PULB. PT.

SOL. INJ.

3,5mg

JANSSEN-CILAG

INTERNATIONAL NV

BELGIA

CUTIE X 1 FLAC. X 10ML X 3,5 MG PULB. PT. SOL. INJ., INTRODUS

INTR-UN BLISTER TRANSPARENT

P-RF/R

1

3.942,570000

4.335,560000

0,000000

336

W52184001

L02AB01

MEGESTROLUM

MEGESIN 160 mg

COMPR.

160mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR.

P-RF

30

2,838000

3,588333

0,000000

337

W43179004

L02AE02

LEUPRORELINUM**

ELIGARD 22,5 mg

PULB+SOL V.PT.SOL.I

NJ

22,5mg

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 SET X 2 SERINGI DIN PP/COPOLIMER ACID OLEFINIC CICLIC PREUMPLUTE (O SERINGA A SI O SERINGA B) IN TAVI

TERMOFORMATE

S

1

762,710000

869,510000

0,000000

338

W52321002

L02AE02

LEUPRORELINUM**

ELIGARD 45 mg

PULB+SOL

V.PT.SOL.I NJ

45mg

ASTELLAS PHARMA EUROPE BV

OLANDA

O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B)

S

1

1.542,370000

1.719,340000

0,000000

339

W43178003

L02AE02

LEUPRORELINUM**

ELIGARD 7,5 mg

PULB+SOL

V.PT.SOL.I NJ

7,5mg

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 1 SET X 2 SERINGI DIN PP/COPOLIMER ACID OLEFINIC CICLIC PREUMPLUTE (O SERINGA A SI O SERINGA B) IN TAVI

TERMOFORMATE

S

1

267,520000

326,590000

0,000000

340

W60959002

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 11,25mg

PULB. PT. SUSP. INJ. CU ELIB. PREL.

11,25mg

ABBVIE FARMACEUTICA S.L.U.

SPANIA

CUTIE CU1 KIT CU 1 FLAC. DIN STICLA INCOLORA,O FIOLA DIN STICLA INCOLORA CU PUNCT DE RUPERE A 2 ML SOLV,O SERINGA STERILA,APIROGENA DE UNICA FOLOSINTA A 2,5 ML,2 ACE(23G 1½)STERILE,DE UNICA FOLOSINTA SI 1 TAMPON IMBIBAT

CU ALCOOL IZOPROPILIC 70%.

PR/PRF

1

543,600000

630,670000

0,000000

341

W60960002

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 3,75mg

PULB. PT. SUSP. INJ. CU ELIB. PREL.

3,75mg

ABBVIE FARMACEUTICA S.L.U.

SPANIA

CUTIE CU1 KIT CU 1 FLAC. DIN STICLA INCOLORA,O FIOLA DIN STICLA INCOLORA CU PUNCT DE RUPERE A 2 ML SOLV,O SERINGA STERILA,APIROGENA DE UNICA FOLOSINTA A 2,5 ML,2 ACE(22G 1½)STERILE,DE UNICA FOLOSINTA SI 1 TAMPON IMBIBAT

CU ALCOOL IZOPROPILIC 70%.

PR/PRF

1

202,270000

246,930000

0,000000

342

W10731001

L02AE03

GOSERELINUM**

ZOLADEX LA 10,8 mg

IMPLANT

10,8 mg

ASTRAZENECA UK LTD.

MAREA

BRITANIE

CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8

MG IMPLANT+AC DIN INOX CU SIST. DE PROT

S

1

782,140000

890,680000

0,000000

33

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

343

W10173001

L02AE03

GOSERELINUM**

ZOLADEX (R)

IMPLANT

3,6mg

ASTRAZENECA UK LTD.

MAREA

BRITANIE

CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG

S/P-RF

1

248,330000

303,160000

0,000000

344

W55725001

L02AE04

TRIPTORELINUM**

DIPHERELINE 0,1 mg

LIOF. + 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

10,820000

13,681428

0,000000

345

W55726001

L02AE04

TRIPTORELINUM**

DIPHERELINE PR 11,25 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB.

PREL.

11,25mg

IPSEN PHARMA

FRANTA

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU 1 SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE

S/P-RF

1

778,650000

886,880000

0,000000

346

W55727001

L02AE04

TRIPTORELINUM**

DIPHERELINE 3,75 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB.

PREL.

3,75mg

IPSEN PHARMA

FRANTA

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU O SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE

S/P-RF

1

306,070000

371,770000

0,000000

347

W58059002

L02AE04

TRIPTORELINUM**

GONAPEPTYL ZILNIC 0,1 mg/ml

SOL. INJ.

0,1mg/ml

FERRING GMBH

GERMANIA

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML

SOL. INJ

S/P-RF

28

12,984000

16,417714

5,755143

348

W53654002

L02BA01

TAMOXIFENUM

TAMOXIFEN SANDOZ 10 mg

COMPR.

FILM.

10mg

HEXAL AG

GERMANIA

CUTIE X 10 BLIST. X 10 COMPR. FILM.

P-RF/S

100

0,397800

0,520300

0,000000

349

W51514001

L02BA03

FULVESTRANTUM**

FASLODEX 250mg

SOL. INJ.

250mg/5

ml

ASTRAZENECA UK LTD.

MAREA

BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC

P-RF

1

1.090,780000

1.227,100000

0,000000

350

W03217002

L02BB01

FLUTAMIDUM

FLUTAN

COMPR.

250mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 10 BLIST. AL/PVC X 10 COMPR.

P-RF

100

1,113199

1,443500

0,000000

351

W52204001

L02BB01

FLUTAMIDUM

FLUTASIN 250 mg

COMPR.

250mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR.

P-RF

30

0,927666

1,213333

0,000000

352

W54719007

L02BB03

BICALUTAMIDUM

BICALUTAMIDA SANDOZ 150 mg

COMPR.

FILM.

150mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLISTERE PVC-ACLAR/AL X 30 COMPR. FILM.

P-6L

30

10,178000

12,365666

0,000000

353

W12048001

L02BB03

BICALUTAMIDUM

CASODEX 150 mg

COMPR.

FILM.

150mg

ASTRAZENECA UK LTD.

MAREA

BRITANIE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P-6L

28

10,291285

12,563570

3,040715

354

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

8,576071

10,469642

0,000000

355

W53572001

L02BB03

BICALUTAMIDUM

BICALUTAMID TERAPIA 150 mg

COMPR.

FILM.

150mg

TERAPIA SA

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM.

P-6L

28

8,576071

10,469642

0,000000

356

W58040001

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ALVOGEN 150 mg

COMPR.

FILM.

150mg

ALVOGEN ROMANIA

S.R.L.

ROMANIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM

P6L

28

8,576071

10,469642

0,000000

357

W55157001

L02BB03

BICALUTAMIDUM

YONISTIB 150 mg

COMPR.

FILM.

150mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P-6L

28

8,576071

10,469642

0,000000

358

W56707002

L02BB03

BICALUTAMIDUM

BICALUTAMIDA KABI 50 mg

COMPR.

FILM.

50 mg

FRESENIUS KABI

ONCOLOGY PLC

MAREA

BRITANIE

CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM.

P6L

28

2,910714

3,680357

0,000000

359

W58725009

L02BB03

BICALUTAMIDUM

BICALUTAMIDA RANBAXY 50 mg

COMPR.

FILM.

50 mg

RANBAXY (U.K.) LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. PEID CU CAPAC PP X 28 COMPR.FILM.

P6L

28

2,910714

3,680357

0,000000

360

W58725001

L02BB03

BICALUTAMIDUM

BICALUTAMIDA RANBAXY 50 mg

COMPR.

FILM.

50 mg

RANBAXY (U.K.) LIMITED

MAREA

BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR.FILM.

P6L

28

2,910714

3,680357

0,000000

361

W58039001

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ALVOGEN 50 mg

COMPR.

FILM.

50mg

ALVOGEN ROMANIA

S.R.L.

ROMANIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM

P6L

28

2,910714

3,680357

0,000000

362

W55156001

L02BB03

BICALUTAMIDUM

YONISTIB 50 mg

COMPR.

FILM.

50mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM.

P-6L

28

2,910714

3,680357

0,000000

363

W10174001

L02BB03

BICALUTAMIDUM

CASODEX 50 mg

COMPR.

FILM.

50mg

ASTRAZENECA UK LTD.

MAREA

BRITANIE

CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM.

P-6L

28

3,492400

4,416000

0,953642

364

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

2,910714

3,680357

0,000000

365

W54851001

L02BB03

BICALUTAMIDUM

CALUMID

COMPR.

FILM.

50mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM.

P-6L

30

2,910333

3,680000

0,000000

366

W56520001

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ATB 50 mg

COMPR.

FILM.

50mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.

PR

30

2,911000

3,680666

0,000000

367

W53339003

L02BB03

BICALUTAMIDUM

BICALUTAMIDA SANDOZ 50 mg

COMPR.

FILM.

50mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

30

3,492400

4,416000

0,506666

368

W57886001

L02BG03

ANASTROZOLUM

ANASTROZOL KABI 1 mg

COMPR.

FILM.

1mg

FRESENIUS KABI

ONCOLOGY PLC

MAREA

BRITANIE

CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM.

P6L

14

1,315999

1,721200

1,058800

369

W53147001

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMANIA

CUTIE X BLIST. PVC/AL X 20 COMPR. FILM.

P6L

20

1,315999

1,721200

1,058800

370

W53147005

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMANIA

CUTIE X BLIST. PVC/AL X 84 COMPR. FILM.

P6L

84

1,315999

1,721200

0,782966

371

W53147006

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMANIA

CUTIE X BLIST. PVC/AL X 98 COMPR. FILM.

P6L

98

1,315999

1,721200

0,782677

372

W53147002

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMANIA

CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.

P6L

28

1,315999

1,721200

0,919514

373

W53147003

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMANIA

CUTIE X BLIST. PVC/AL X 30 COMPR. FILM.

P6L

30

1,315999

1,721200

0,919466

374

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

1,315999

1,721200

2,341657

375

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

1,315999

1,721200

0,774800

34

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

376

W58828003

L02BG03

ANASTROZOLUM

ELOZA 1 mg

COMPR. FILM.

1mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE X BLIST. PVC/AL X 30 COMPR. FILM.

PR

30

1,096666

1,434333

0,000000

377

W55859001

L02BG03

ANASTROZOLUM

KYARESTA 1 mg

COMPR.

FILM.

1mg

ROMASTRU TRADING

SRL

ROMANIA

CUTIE CU 2 BLIST. PVC/AL X 14 COMPR. FILM.

P-6L

28

1,315999

1,721200

0,919514

378

W53245005

L02BG03

ANASTROZOLUM

ENZAMIDEX 1mg

COMPR. FILM.

1mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM.

PR

30

1,315999

1,721200

0,919466

379

W53147007

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMANIA

CUTIE X BLIST. PVC/AL X 100 COMPR. FILM.

P6L

100

1,315999

1,721200

0,782700

380

W53266010

L02BG03

ANASTROZOLUM

EGISTROZOL 1 mg

COMPR. FILM.

1mg

EGIS PHARMACEUTICALS

P.L.C.

UNGARIA

CUTIE CU, BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM.

PR

90

1,315999

1,721200

0,782800

381

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

1,315999

1,721200

0,919514

382

W56083001

L02BG03

ANASTROZOLUM

ANASTROZOL ATB 1 mg

COMPR.

FILM.

1mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM.

P -6L

30

1,315999

1,721200

0,919466

383

W53147004

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMANIA

CUTIE X BLIST. PVC/AL X 50 COMPR. FILM.

P6L

50

1,315999

1,721200

0,828200

384

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

1,315999

1,721200

0,919466

385

W56262002

L02BG03

ANASTROZOLUM

OZOLAN 1 mg

COMPR.

FILM.

1mg

ALVOGEN IPCO S.A.R.L

LUXEMBUR

G

CUTIE X BLIST. PVC/AL X 28 COMPR. FILM.

P-6L

28

1,315999

1,721200

0,919514

386

W53147008

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMANIA

CUTIE X BLIST. PVC/AL X 300 COMPR. FILM.

P6L

300

1,315999

1,721200

0,547433

387

W56632005

L02BG04

LETROZOLUM

LETROZOL TERAPIA 2,5 mg

COMPR.

FILM.

2,5 mg

TERAPIA S.A.

ROMANIA

CUTIE CU BLIST. PVC/PE/PVDC - AL X 30 COMPR. FILM.

P6L

30

1,928000

2,437666

0,000000

388

W55679004

L02BG04

LETROZOLUM

LETROZOL SANOFI-AVENTIS 2,5

mg

COMPR.

FILM.

2,5mg

SANOFI - AVENTIS

ROMANIA S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.

P-6L

30

1,928000

2,437666

0,000000

389

W53124002

L02BG04

LETROZOLUM

LETROZOL TEVA 2,5 mg

COMPR. FILM.

2,5mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

30

1,928000

2,437666

0,000000

390

W55367002

L02BG04

LETROZOLUM

ZEQUIPRA 2,5 mg

COMPR.

FILM.

2,5mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM.

P-6L

30

1,928000

2,437666

0,000000

391

W51409001

L02BG04

LETROZOLUM

FEMARA 2,5 mg

COMPR.

FILM.

2,5mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR.

P-6L

30

2,271960

2,773680

0,976320

392

W55646003

L02BG04

LETROZOLUM

LETROZOL ALVOGEN 2,5 mg

COMPR.

FILM.

2,5mg

ALVOGEN IPCO S.A.R.L

LUXEMBUR

G

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.

P-6L

30

1,928000

2,437666

0,000000

393

W58106004

L02BG04

LETROZOLUM

TROZEL 2,5 mg

COMPR. FILM.

2,5mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM.

P-6L

30

1,928000

2,437666

0,000000

394

W57606001

L02BG04

LETROZOLUM

LETROZOL KABI 2,5 mg

COMPR.

FILM.

2,5mg

FRESENIUS KABI

ONCOLOGY PLC

MAREA

BRITANIE

CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM.

P6L

10

1,962000

2,652000

0,000000

395

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

1,928000

2,437666

0,000000

396

W56911001

L02BG04

LETROZOLUM

LETROZOL ATB 2,5 mg

COMPR.

FILM.

2,5mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 3 BLIST. PVDC-PE-PVC/AL X 10 COMPR. FILM.

P6L

30

1,928000

2,437666

0,000000

397

W59547004

L02BG04

LETROZOLUM

LORTANDA 2,5 mg

COMPR.

FILM.

2,5mg

KRKA, D.D., NOVO

MESTO

SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P6L

30

1,928000

2,437666

0,000000

398

W56502003

L02BG04

LETROZOLUM

LETROZOL STADA 2,5 mg

COMPR.

FILM.

2,5mg

STADA ARZNEIMITTEL

AG

GERMANIA

CUTIE CU BLIST. PVC/AL X 100 (10X10) COMPR. FILM.

P6L

100

1,893300

2,311400

0,000000

399

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

1,928000

2,437666

0,000000

400

W55449003

L02BG04

LETROZOLUM

LEZRA 2,5 mg

COMPR.

FILM.

2,5mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.

P-6L

30

1,928000

2,437666

0,000000

401

W55874002

L02BG06

EXEMESTANUM

EXEMESTAN GLENMARK 25mg

COMPR. FILM.

25mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-RF

30

2,778000

3,512400

0,036266

402

W55664004

L02BG06

EXEMESTANUM

EXEMESTAN TEVA 25 mg

COMPR. FILM.

25mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM

P-RF

30

2,778000

3,512400

0,036266

403

W57409001

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR.

FILM.

25mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM

PRF

30

2,778000

3,512400

0,036266

404

W57409002

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR.

FILM.

25mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM

PRF

30

2,778000

3,512400

0,036266

405

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

2,778000

3,512400

0,036266

406

W57687007

L02BG06

EXEMESTANUM

INPLAVIA 25 mg

COMPR.

FILM.

25mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30 (30X1) COMPR. FILM.

PRF

30

2,778000

3,512400

2,054600

407

W56479002

L02BG06

EXEMESTANUM

EXEMESTAN ALVOGEN 25 mg

COMPR.

FILM.

25mg

ALVOGEN IPCO S.A.R.L

LUXEMBUR

G

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P-RF

30

2,777666

3,512000

0,000000

35

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

408

W61219002

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR.

FILM.

25mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM

PRF

30

2,778000

3,512400

0,036266

409

W57021003

L02BG06

EXEMESTANUM

EXEMESTAN TERAPIA 25 mg

COMPR.

FILM.

25mg

TERAPIA S.A.

ROMANIA

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM.

PRF

30

2,778000

3,512400

4,318933

410

W59268003

L02BG06

EXEMESTANUM

ESCEPRAN 25 mg

COMPR.

FILM.

25mg

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P-RF

30

2,315000

2,927000

0,000000

411

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

2,778000

3,512400

4,805266

412

W53892001

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

87,690000

110,870000

0,000000

413

W53893001

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

139,560000

170,380000

0,000000

414

W53520001

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL.

INJ./PERF.

300mcg/0,

5ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

105,228000

127,437600

34,512400

415

W55757002

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL.

INJ./PERF.

300μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

90,430000

106,198000

0,000000

416

W53523001

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL.

INJ./PERF.

480mcg/0,

8ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

167,472000

195,360000

72,090000

417

W55758002

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL.

INJ./PERF.

480μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

142,358000

162,800000

0,000000

418

W51563003

L03AA13

PEGFILGRASTIMUM***

NEULASTA 6mg

SOL. INJ.

6 mg

AMGEN EUROPE B.V.

OLANDA

CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. IN BLISTER,

CU PROTECTIE A ACULUI

PR

1

3.112,790000

3.431,100000

0,000000

419

W51563001

L03AA13

PEGFILGRASTIMUM***

NEULASTA 6mg

SOL. INJ.

6mg

AMGEN EUROPE B.V.

OLANDA

CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

PR

1

3.242,710000

3.572,710000

0,000000

420

W51327001

L03AB04

INTERFERONUM ALFA 2A***

ROFERON A

SOL. INJ.

3Mui/0,5m

l

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML + AC STERIL

PR

1

69,150000

87,430000

0,000000

421

W51329001

L03AB04

INTERFERONUM ALFA 2A***

ROFERON A

SOL. INJ.

9Mui/0,5m

l

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL

PR

1

146,130000

178,400000

0,000000

422

W59599002

L03AB05

INTERFERONUM ALFA 2B***

INTRON A 18 milioane U.I.

SOL. INJ. PEN MULTIDOZ

A

18

milioane U.I.

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

1

323,080000

390,310000

0,000000

423

W59600001

L03AB05

INTERFERONUM ALFA 2B***

INTRON A 30 milioane U.I.

SOL. INJ. PEN MULTIDOZ

A

30

milioane U.I.

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE

P-RF/R

1

519,500000

604,410000

0,000000

424

W57665001

M05BA02

ACIDUM CLODRONICUM**

BONEFOS® 800 mg

COMPR.

FILM.

800mg

BAYER OY

FINLANDA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.

P-6L

60

6,140000

7,328500

0,000000

425

W52199001

M05BA02

ACIDUM CLODRONICUM**

SINDRONAT (R) 300 mg/5 ml

CONC. PT. SOL. PERF.

300mg/5 ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA X 5 ML

S

1

20,750000

28,040000

0,000000

426

W58123006

M05BA03

ACIDUM PAMIDRONICUM**

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI

PHARMACEUTICALS GMBH

AUSTRIA

CUTIE X 1 FIOLA PE X 2 ML

S/P-RF

1

139,390000

170,170000

0,000000

427

W58123005

M05BA03

ACIDUM PAMIDRONICUM**

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI

PHARMACEUTICALS GMBH

AUSTRIA

CUTIE X 1 FIOLA PE X 1 ML

S/P-RF

1

82,206000

100,356000

25,364000

428

W58123007

M05BA03

ACIDUM PAMIDRONICUM**

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRIA

CUTIE X 1 FIOLA PE X 4 ML

S/P-RF

1

267,560000

326,640000

0,000000

429

W07918001

M05BA03

ACIDUM PAMIDRONICUM**

AREDIA (R) 15 mg

LIOF.+ SOLV. PT. SOL. PERF.

15mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

4

68,505000

83,630000

0,000000

430

W57926001

M05BA03

ACIDUM PAMIDRONICUM**

PAMIRED 30mg pulbere pentru solutie perfuzabila

PULB. PT. SOL. PERF.

30mg

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

PR

1

158,620000

193,640000

0,000000

431

W57925001

M05BA03

ACIDUM PAMIDRONICUM**

PAMIRED 60mg pulbere pentru solutie perfuzabila

PULB. PT. SOL.PERF.

60mg

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

PR

1

246,750000

301,230000

0,000000

432

W60664001

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC AUROBINDO

150 mg

COMPR.

FILM.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P6L

1

26,790000

35,040000

0,000000

433

W57730004

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC SANDOZ 50

mg

COMPR. FILM.

50 mg

SANDOZ

PHARMACEUTICALS GMBH

GERMANIA

CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PR

28

8,696428

10,616785

0,000000

434

W56748001

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 50 mg

COMPR.

FILM.

50 mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 28 COMPRIMATE

FILMATE

PR

28

9,973571

12,175714

0,000000

36

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

435

W41499001

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 50mg

COMPR.

FILM.

50mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.

S

28

10,435714

12,740142

26,152715

436

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

9,973571

12,175714

0,000000

437

W59829025

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC GLENMARK 50

mg

COMPR. FILM.

50mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM.

PR

28

10,435714

12,740142

11,278072

438

W57712001

M05BA06

ACIDUM IBANDRONICUM**

HOLMEVIS 50 mg

COMPR. FILM.

50mg

EGIS

PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

PR

28

9,973571

12,175714

0,000000

439

W58937001

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 6 mg

CONC. PT. SOL. PERF.

6mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC SI

CAPSA DE CULOARE TURCOAZ (ALBASTRU VERZUI) X 6 ML CONC. PT. SOL. PERF.

PR

1

302,410000

367,780000

0,000000

440

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

263,810000

322,060000

0,000000

441

W41498001

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 6mg/6ml

CONC. PT. SOL. PERF.

6mg/6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.

S

1

316,572000

386,472000

634,168000

442

W59137001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC SANDOZ 4

mg/100 ml

CONC. PT. SOL. PERF.

4mg/100 ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU

CAPSA TIP "FLIP-OFF" X 100 ML CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

232,201000

443

W59136001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC SANDOZ 4

mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU

CAPSA TIP "FLIP-OFF" X 5 ML CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

125,811000

444

W59191004

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC TERAPIA 4

mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA CU CAPACITATEA DE 6 ML INCHIS CU DOP DIN CAUCIUC DE CULOARE GRI SI SIGILAT CU CAPAC DIN AL, TIP "FLIP OFF" DE CULOARE GRI CARE

CONTINE CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

445

W59914001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC PFIZER 4

mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN PP PREVAZUT CU CAPSA FLIP-OFF DIN AL CU CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

446

W59840001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC HOSPIRA 4

mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 FLACON CU CAPACITATE DE 5ML DIN PLASTIC CU DOP BROMOBUTIL, ACOPERIT CU UN STRAT DE FLUOROPOLIMER SI CAPAC DIN AL CU COMPONENTA "FLIP-OFF"

PR

1

87,516000

106,839000

266,421000

447

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

72,930000

89,032500

0,000000

448

W60989001

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIP-OFF

DIN PP CARE CONTINE 4 MG/5 ML CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

449

W59520001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR. REDDY'S

4mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 5 ML CU CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

450

W58886001

M05BA08

ACIDUM ZOLEDRONICUM**

DESINOBON 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

ALVOGEN IPCO S.A.R.L

LUXEMBOU RG

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR DE 5 ML DIN COPOLIMER CICLOOLEFINIC CU DOP DE CAUCIUC SI CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" CARE CONTINE CONC. PT. SOL.

PERF.

PR

1

87,516000

106,839000

74,401000

451

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

87,516000

106,839000

62,361000

452

W58621001

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DE CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIP-OFF

DIN PP CARE CONTINE 4MG/5ML CONC. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

453

W08426001

M05BA08

ACIDUM ZOLEDRONICUM**

ZOMETA 4 mg

PULB. + SOLV. SOL. PERF.

4mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.

PR

1

87,516000

106,839000

432,691000

454

W60382001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC HOSPIRA 4

mg/100 ml

SOL. PERF.

4 mg/100 ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 PUNGA DIN POLIPROPILENA DE 100ML CU UN PORT "TWIST-OFF" DIN POLIPROPILENA CU CAPAC SI CU UN INVELIS DIN

POLIESTER/POLIPROPILENA

PR

1

87,516000

106,839000

232,201000

455

W60980001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR. REDDY'S

4mg/100 ml

SOL. PERF.

4mg/100 ml

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF"A 100 ML

SOL. PERF.

PR

1

87,516000

106,839000

267,201000

456

W60543001

M05BA08

ACIDUM ZOLEDRONICUM**

ZERLINDA 4 mg/100 ml

SOL. PERF.

4mg/100

ml

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU 1 PUNGA A 100 ML SOL. PERF.

PR

1

87,516000

106,839000

266,421000

457

W59355001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC ZENTIVA 4

mg/5 ml

SOL. PERF.

4mg/5ml

ZENTIVA, K.S.

REPUBLIC

A CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE CONC.

PT. SOL. PERF.

PR

1

87,516000

106,839000

118,761000

458

W04133001

V03AF01

MESNUM

UROMITEXAN (R) 400 mg

SOL. INJ.

400mg/4

ml

BAXTER ONCOLOGY

GMBH

GERMANIA

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE

DE STICLA INCOLORA X 4 ML

S

15

3,104000

4,060000

0,000000

37

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

459

W00734001

V03AF03

CALCII FOLINAS

CALCIUM FOLINAT "EBEWE" 15

mg

CAPS.

15mg

EBEWE PHARMA

GES.M.B.H. NFG KG

AUSTRIA

CUTIE X1 FLAC. X 20 CAPS.

P-6L

20

1,197000

1,618000

0,000000

460

W54980002

V03AF03

CALCII FOLINAS

FOLINAT DE CALCIU TEVA 10

mg/ml

SOL. INJ.

10mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLAC. X 10 ML SOL. INJ.

P-RF/S

1

21,168000

26,764800

3,975200

461

W52217001

V03AF03

CALCII FOLINAS

FOLCASIN (R) 100 mg/10 ml

SOL. INJ.

10mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON X 10 ML

S/P-RF

1

21,168000

26,764800

12,375200

462

W00735003

V03AF03

CALCII FOLINAS

CALCIUMFOLINAT "EBEWE" 10

mg/ml

SOL.

INJ./PERF.

10mg/ml

EBEWE PHARMA GMBH

NFG. KG

AUSTRIA

CUTIE X 5 FIOLE X 10 ML

P-RF

5

17,640000

22,304000

0,000000

463

W00735001

V03AF03

CALCII FOLINAS

CALCIUMFOLINAT "EBEWE" 10

mg/ml

SOL.

INJ./PERF.

10mg/ml

EBEWE PHARMA GMBH

NFG. KG

AUSTRIA

CUTIE X 5 FIOLE X 3 ML

P-RF

5

6,034000

7,892000

0,000000

464

W52219001

V03AF03

CALCII FOLINAS

FOLCASIN (R) 3 mg/ml

SOL.

INJ./PERF.

3mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON X 10 ML

S/P-RF

1

7,240800

9,470400

9,509600

38

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Subprogramul de tratament al sclerozei multiple

1

W42705001

L03AB07

INTERFERONUM BETA 1A****

AVONEX 30 mcg BIO-SET

PULB. +

SOLV. PT. SOL. INJ.

30mcg (6 mil. UI)

BIOGEN IDEC LIMITED

MAREA BRITANIE

CUTIE X (1 FLAC. DIN STICLA X 30 G PULBERE + 1 SERINGA PRE- UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUTE CU DISPOZITIV BIO-

SET + 4 SERINGI PRE-UMPLUTE)

P-RF/R

4

671,897500

741,907500

0,000000

2

W08473003

L03AB07

INTERFERONUM BETA 1A****

REBIF 44 micrograme

SOL. INJ.

44mcg

MERCK SERONO

EUROPE LIMITED

MAREA

BRITANIE

CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

P-RF/R

12

287,010833

316,021666

0,000000

3

W53186002

L03AB08

INTERFERONUM BETA 1-B****

EXTAVIA 250 mcg/ ml

PULB+SOL

V.PT.SOL.I NJ

250mcg/m l

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 15 FLAC. CU PULBERE + 15 SERINGI PREUMPLUTE CU SOLVENT

P-RF/R

15

117,106000

130,189333

0,000000

4

W52752007

L03AB08

INTERFERONUM BETA 1-B****

BETAFERON 250mcg/ml

PULB. +

SOLV. PT. SOL. INJ.

250mcg/m l

BAYER SCHERING AG

GERMANIA

CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE UN

FLACON CU PULBERE, O SERINGA PREUMPLUTA CU SOLVENT + ADAPTOR CU AC SI 2 TAMPOANE CU ALCOOL

P-RF/P

15

140,527200

156,227200

46,425466

5

W44044001

L03AX13

GLATIRAMER ACETAT****

COPAXONE

SOL. INJ.

20mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX

S/P-RF

28

91,865000

101,495357

0,000000

6

W51764001

L04AA23

NATALIZUMABUM****

TYSABRI 300mg

CONC. PT. SOL. PERF.

20mg/ml

ELAN PHARMA INTERNATIONAL LTD

IRLANDA

CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF

S

1

5.263,910000

5.775,820000

0,000000

7

W60846001

L04AX01

AZATHIOPRINUM*

IMURAN®

COMPR.

FILM.

50mg

ASPEN PHARMA

TRADING LIMITED

IRLANDA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

100

0,555400

0,702300

0,000000

8

W56928001

L04AX01

AZATHIOPRINUM*

IMURAN®

COMPR.

FILM.

50mg

ASPEN EUROPE GMBH

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

100

0,555400

0,702300

0,000000

9

W56508002

L04AX01

AZATHIOPRINUM*

IMMUNOPRIN 75 mg

COMPR.

FILM.

75mg

EBEWE PHARMA

GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

100

0,623900

0,788900

0,000000

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

Tratamentul medicamentos al bolnavilor cu diabet zaharat

1

W52999001

A10AB01

INSULINE UMANE

HUMULIN R

SOL. INJ.

100UI/ml

LILLY FRANCE SAS

FRANTA

CUTIE X 1 FLAC. X 10 ML SOL. INJ.

P-RF

1

43,320000

56,660000

0,000000

2

W52999002

A10AB01

INSULINE UMANE

HUMULIN R

SOL. INJ.

100UI/ml

LILLY FRANCE SAS

FRANTA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P-RF

5

16,940000

21,420000

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

16,486000

20,846000

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

21,138000

25,806000

0,000000

5

W53811003

A10AB01

INSULINE UMANE

INSUMAN RAPID 100 UI/ml

SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

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

16,486000

20,846000

0,000000

6

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

27,604000

33,700000

0,000000

7

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

23,530000

28,726000

0,000000

8

W07268001

A10AB05

INSULINUM ASPART**

NOVORAPID PENFILL 100 U/ml

SOL. INJ. IN CARTUS

100U/ml

NOVO NORDISK A/S

DANEMAR CA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P-RF

5

23,536000

28,732000

0,000000

9

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

22,138000

27,026000

0,000000

10

W52538004

A10AB06

INSULINUM GLULIZINA**

APIDRA 100U/ml

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

100U/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ.

P-RF

5

22,138000

27,026000

0,000000

11

W52986001

A10AC01

INSULINE UMANE

HUMULIN N

SUSP. INJ.

100UI/ml

LILLY FRANCE SAS

FRANTA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ.

P-RF

1

43,320000

56,660000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

12

W52986002

A10AC01

INSULINE UMANE

HUMULIN N

SUSP. INJ.

100UI/ml

LILLY FRANCE SAS

FRANTA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

5

16,940000

21,420000

0,000000

13

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

16,486000

20,846000

0,000000

14

W08381002

A10AC01

INSULINE UMANE

INSUMAN BASAL 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

22,094000

26,972000

0,000000

15

W53808003

A10AC01

INSULINE UMANE

INSUMAN BASAL 100UI/ml

SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLU

T

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

16,486000

20,846000

0,000000

16

W53876001

A10AC04

INSULINUM LISPRO**

HUMALOG BASAL KWIKPEN

100U/ml

SUSP. INJ.

100U/ml

ELI LILLY NEDERLAND

BV

OLANDA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) X 3 ML SUSP. INJ.

P-RF

5

22,920000

27,980000

0,000000

17

W53106001

A10AD01

INSULINE UMANE

HUMULIN M3

SUSP. INJ.

100ui/ml

LILLY FRANCE S.A.S

FRANTA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ.

P-RF

1

43,320000

56,660000

0,000000

18

W53106002

A10AD01

INSULINE UMANE

HUMULIN M3

SUSP. INJ.

100ui/ml

LILLY FRANCE S.A.S

FRANTA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

5

16,940000

21,420000

0,000000

19

W03703002

A10AD01

INSULINE UMANE

MIXTARD 30 PENFILL 100 UI/ml

SUSP. INJ. IN CARTUS

100UI/ml

NOVO NORDISK A/S

DANEMAR CA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P-RF

5

19,530000

24,694000

0,000000

20

W08446003

A10AD01

INSULINE UMANE

INSUMAN COMB 25 100UI/ml

SUSP. INJ. IN CARTUS

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P-RF

5

16,486000

20,846000

0,000000

21

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

16,486000

20,846000

0,000000

22

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

28,536000

34,836000

0,000000

23

W53810003

A10AD01

INSULINE UMANE

INSUMAN COMB 25 100UI/ml

SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLU

T

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

16,486000

20,846000

0,000000

24

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

24,672000

30,120000

0,000000

25

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

23,908000

29,188000

0,000000

26

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

27,434000

33,492000

0,000000

27

W53875001

A10AD04

INSULINUM LISPRO**

HUMALOG MIX50 KWIKPEN

100U/ml

SUSP. INJ.

100U/ml

ELI LILLY NEDERLAND

BV

OLANDA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3 ML,

SUSP. INJ.

P-RF

5

27,434000

33,492000

0,000000

28

W08254001

A10AD05

INSULINUM ASPART**

NOVOMIX 30 PENFILL 100 U/ml

SUSP. INJ. IN CARTUS

100U/ml

NOVO NORDISK A/S

DANEMAR CA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P-RF

5

25,190000

30,752000

0,000000

29

W08054002

A10AE04

INSULINUM GLARGINE**

LANTUS 100UI/ml

SOL. INJ. IN CARTUS

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ.

P-RF

5

40,890000

49,918000

0,000000

30

W10010005

A10AE04

INSULINUM GLARGINE**

LANTUS 100UI/ml

SOL. INJ. IN FLACON

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ.

P-RF

1

150,000000

183,120000

0,000000

31

W52628008

A10AE04

INSULINUM GLARGINE**

LANTUS SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMANIA

CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML

P-RF

5

40,292000

49,188000

0,000000

32

W41732002

A10AE05

INSULINUM DETEMIR**

LEVEMIR PENFILL 100 U/ml

SOL. INJ. IN CARTUS

100U/ml

NOVO NORDISK A/S

DANEMAR CA

CUTIE X 5 CARTUSE X 3 ML

P-RF

5

44,490000

54,314000

0,000000

33

W53953001

A10BA02

METFORMINUM

METFORMIN ARENA 1000 MG

COMPR.

1000mg

ARENA GROUP S.A.

ROMANIA

CUTIE X 10 BLIST. AL/PVC X 5 COMPR.

P-RF

50

0,130800

0,176800

0,000000

34

W53953002

A10BA02

METFORMINUM

METFORMIN ARENA 1000 MG

COMPR.

1000mg

ARENA GROUP S.A.

ROMANIA

FLACON DIN PE X 200 COMPR.

P-RF/S

200

0,130550

0,170750

0,000000

35

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

0,061833

0,083666

0,000000

36

W53952001

A10BA02

METFORMINUM

METFORMIN ARENA 850 MG

COMPR.

850mg

ARENA GROUP SA

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 5 COMPR.

P-RF

15

0,084666

0,114000

0,000000

37

W43318002

A10BA02

METFORMINUM

GLUCOPHAGE XR

COMPR. ELIB.

PREL.

500mg

MERCK SANTE S.A.S.

FRANTA

CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL.

P-RF

30

0,074200

0,100399

0,356267

39

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

38

W43318001

A10BA02

METFORMINUM

GLUCOPHAGE XR

COMPR. ELIB.

PREL.

500mg

MERCK SANTE S.A.S.

FRANTA

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL.

P-RF

30

0,074200

0,100399

0,356267

39

W13583011

A10BA02

METFORMINUM

GLUCOPHAGE 1000 mg

COMPR.

FILM.

1000mg

MERCK SANTE

FRANTA

CUTIE CU BLIST. PVC/AL, X 60 COMPR. FILM.

P-6L

60

0,156660

0,204900

0,079600

40

W56835003

A10BA02

METFORMINUM

SERDENIS 1000 mg

COMPR.

FILM.

1000mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L

90

0,136777

0,184888

0,000000

41

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

0,136833

0,184916

0,000000

42

W42349002

A10BA02

METFORMINUM

SIOFOR 1000

COMPR.

FILM.

1000mg

BERLIN CHEMIE AG

MENARINI GROUP

GERMANIA

CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM.

P-RF

60

0,136833

0,184833

0,000000

43

W56835001

A10BA02

METFORMINUM

SERDENIS 1000 mg

COMPR.

FILM.

1000mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L

30

0,137000

0,185000

0,000000

44

W56835002

A10BA02

METFORMINUM

SERDENIS 1000 mg

COMPR.

FILM.

1000mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L

60

0,136833

0,184833

0,000000

45

W59641002

A10BA02

METFORMINUM

METFORMIN AUROBINDO 1000

mg

COMPR.

FILM.

1000mg

AUROBINDO PHARMA

LIMITED

MAREA

BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P6L

30

0,137000

0,185000

0,000000

46

W59639003

A10BA02

METFORMINUM

METFORMIN AUROBINDO 500 mg

COMPR.

FILM.

500mg

AUROBINDO PHARMA

LIMITED

MAREA

BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P6L

30

0,074200

0,100399

0,018601

47

W13955001

A10BA02

METFORMINUM

MEGUAN (R) 500 mg

COMPR.

FILM.

500mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L

20

0,074200

0,100399

0,127101

48

W13873005

A10BA02

METFORMINUM

GLUCOPHAGE 850 mg

COMPR.

FILM.

850mg

MERCK SANTE

FRANTA

CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM.

P6L

100

0,101200

0,136800

0,038900

49

W56834002

A10BA02

METFORMINUM

SERDENIS 850 mg

COMPR.

FILM.

850mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L

60

0,084666

0,114333

0,000000

50

W14102001

A10BA02

METFORMINUM

MEGUAN (R) 850 mg

COMPR.

FILM.

850mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L

20

0,084500

0,114000

0,000000

51

W08499004

A10BA02

METFORMINUM

METFOGAMMA 850 mg

COMPR.

FILM.

850mg

WORWAG PHARMA

GMBH CO. KG

GERMANIA

CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM.

P6L

120

0,084500

0,114166

0,000000

52

W56834003

A10BA02

METFORMINUM

SERDENIS 850 mg

COMPR.

FILM.

850mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L

90

0,084555

0,114222

0,000000

53

W56834001

A10BA02

METFORMINUM

SERDENIS 850 mg

COMPR.

FILM.

850mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6L

30

0,084333

0,114000

0,000000

54

W56197002

A10BA02

METFORMINUM

SIOFOR 850 mg

COMPR.

FILM.

850mg

BERLIN-CHEMIE AG

(MENARINI GROUP)

GERMANIA

CUTIE CU 4 BLIST. AL/PVC X 15 COMPR. FILM.

P-6L

60

0,084666

0,114333

0,000000

55

W59640003

A10BA02

METFORMINUM

METFORMIN AUROBINDO 850 mg

COMPR.

FILM.

850mg

AUROBINDO PHARMA

LIMITED

MAREA

BRITANIE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P6L

30

0,084333

0,114000

0,000000

56

W07202003

A10BB01

GLIBENCLAMIDUM

MANINIL 1,75 mg

COMPR.

1,75mg

BERLIN CHEMIE AG

MENARINI GROUP

GERMANIA

CUTIE X 1 FLAC. X 120 COMPR.

P-RF/S

120

0,058800

0,077136

0,025030

57

W41858002

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 1,75 mg

COMPR.

1,75mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 FLAC. PEID X 100 COMPR.

P-RF/S

100

0,049100

0,066400

0,000000

58

W41858004

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 1,75 mg

COMPR.

1,75mg

ARENA GROUP SA

ROMANIA

CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

P-RF/S

1000

0,049140

0,064280

0,000000

59

W41858003

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 1,75 mg

COMPR.

1,75mg

ARENA GROUP SA

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

30

0,049000

0,066333

0,000000

60

W41859002

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 3,5 mg

COMPR.

3,5mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 FLAC. PEID X 100 COMPR.

P-RF/S

100

0,035400

0,047900

0,000000

61

W41859004

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 3,5 mg

COMPR.

3,5mg

ARENA GROUP SA

ROMANIA

CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

P-RF/S

1000

0,035440

0,046360

0,000000

62

W07206003

A10BB01

GLIBENCLAMIDUM

MANINIL 3,5 mg

COMPR.

3,5mg

BERLIN CHEMIE AG

MENARINI GROUP

GERMANIA

CUTIE X 1 FLAC. X 120 COMPR.

P-RF/S

120

0,042480

0,055632

0,018034

63

W41859003

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 3,5 mg

COMPR.

3,5mg

ARENA GROUP SA

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

30

0,035666

0,048333

0,000000

64

W53679003

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 5 mg

COMPR.

5mg

ARENA GROUP SA

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

30

0,146666

0,198333

0,000000

65

W03348001

A10BB07

GLIPIZIDUM

GLUCOTROL XL 10 mg

COMPR. FILM. ELIB. MODIF.

10mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E

P-RF

30

1,222333

1,599000

0,000000

66

W03349001

A10BB07

GLIPIZIDUM

GLUCOTROL XL 5mg

COMPR. FILM. ELIB. MODIF.

5mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL

P-RF

30

0,576000

0,778666

0,000000

67

W03352001

A10BB08

GLIQUIDONUM

GLURENORM

COMPR.

30mg

BOEHRINGER

INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P-RF

60

0,306333

0,414000

0,000000

68

W42334001

A10BB09

GLICLAZIDUM

ESQUEL (R) 80 mg

COMPR.

80mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. X 15 COMPR.

P6L

30

0,336000

0,454000

0,000000

69

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

0,334500

0,452000

0,000000

70

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

0,401066

0,524666

0,148000

40

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

71

W61093002

A10BB09

GLICLAZIDUM

GLICLAZIDA ZENTIVA 60 mg

COMPR. ELIB.

MODIF.

60mg

ZENTIVA, K.S.

REPUBLIC A CEHA

CUTIE CU BLIST. PVC/AL X 90 COMPR. ELIB. MODIF.

PRF

90

0,334222

0,437222

0,000000

72

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

0,187000

0,252666

0,000000

73

W54001003

A10BB09

GLICLAZIDUM

GLYCLADA 30 mg

COMPR. ELIB.

PREL.

30mg

KRKA

SLOVENIA

CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL.

P-6L

60

0,187000

0,252666

0,000000

74

W57489005

A10BB12

GLIMEPIRIDUM

AMARYL 1mg

COMPR.

1mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMANIA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,125666

0,170000

0,000000

75

W57490004

A10BB12

GLIMEPIRIDUM

AMARYL 2 mg

COMPR.

2mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMANIA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,164400

0,222400

0,062600

76

W44007003

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDE 2 mg

COMPR.

2mg

ACTAVIS GROUP HF.

ISLANDA

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-RF

30

0,137000

0,185333

0,000000

77

W44010003

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDE 3 mg

COMPR.

3mg

ACTAVIS GROUP HF.

ISLANDA

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-RF

30

0,252333

0,341000

0,000000

78

W57492004

A10BB12

GLIMEPIRIDUM

AMARYL 3 mg

COMPR.

3mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMANIA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,302800

0,409200

0,115133

79

W57494004

A10BB12

GLIMEPIRIDUM

AMARYL 4 mg

COMPR.

4mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMANIA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,396333

0,535666

0,000000

80

W57495004

A10BB12

GLIMEPIRIDUM

AMARYL 6 mg

COMPR.

6mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMANIA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,660000

0,892000

0,000000

81

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

0,182000

0,230120

0,000000

82

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

0,185500

0,250500

0,000000

83

W10546002

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

GLIBOMET (R)

COMPR.

FILM.

400mg/2,

5mg

LAB. GUIDOTTI SPA

ITALIA

CUTIE X 3 BLIST. X 20 COMPR. FILM.

P-RF

60

0,218400

0,276144

0,131356

84

W13594002

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

GLUCOVANCE (R) 500 mg/2,5 mg

COMPR.

FILM.

500mg/2,

5mg

MERCK SANTE

FRANTA

CUTIE X 4 BLIST. X 15 COMPR. FILM.

P6L

60

0,352000

0,475666

0,000000

85

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

0,352000

0,475666

0,000000

86

W13595002

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

GLUCOVANCE (R) 500 mg/5 mg

COMPR.

FILM.

500mg/5

mg

MERCK SANTE

FRANTA

CUTIE X 4 BLIST. X 15 COMPR. FILM.

P6L

60

0,352000

0,475666

0,000000

87

W13595006

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

GLUCOVANCE® 500 mg/5 mg

COMPR.

FILM.

500mg/5

mg

MERCK SANTE

FRANTA

CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM.

P6L

60

0,352000

0,475666

0,000000

88

W52765005

A10BD05

COMBINATII ( PIOGLITAZONUM + METFORMINUM)***

COMPETACT

COMPR. FILM.

15mg/850 mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE

LTD

MAREA BRITANIE

CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL )

P-RF

56

1,593750

2,015178

0,000000

89

W53295002

A10BD07

COMBINATII (

SITAGLIPTINUM+METFORMINUM)***

JANUMET 50 mg/1000 mg

COMPR.

FILM.

50mg/100

0mg

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

P-RF

28

2,569642

3,248928

0,000000

90

W58716003

A10BD10

COMBINATII ( SAXAGLIPTINUM + METFORMINUM)***

KOMBOGLYZE 2,5/1000mg

COMPR. FILM.

2,5mg+10

00mg

BRISTOL-MYERS SQUIBB/ASTRAZENECA

EEIG

MAREA BRITANIE

CUTIE CU BLIST. AL/AL NEPERFORATE CU 60 COMPR.FILM.

P-RF

60

2,747166

3,353666

0,000000

91

W57947002

A10BF01

ACARBOSUM

GLUCOBAY® 100

COMPR.

100mg

BAYER PHARMA AG

GERMANIA

CUTIE X 8 BLIST. AL/PP X 15 COMPR.

P-RF

120

0,438666

0,554666

0,000000

92

W57946002

A10BF01

ACARBOSUM

GLUCOBAY® 50

COMPR.

50mg

BAYER PHARMA AG

GERMANIA

CUTIE X 8 BLIST. AL/PP X 15 COMPR.

P-RF

120

0,247416

0,323583

0,000000

93

W58030002

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA TORRENT 15 mg

COMPR.

15mg

TORRENT PHARMA

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PRF

30

1,024333

1,340000

0,000000

94

W08069002

A10BG03

PIOGLITAZONUM***

ACTOS 15mg

COMPR.

15mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE

LTD

MAREA BRITANIE

CUTIE X 28 COMPR. (BLIST. AL/AL)

P-RF

28

1,147600

1,501200

0,560942

95

W58686003

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA AUROBINDO 15

mg

COMPR.

15mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

PRF

30

0,956333

1,251000

0,000000

96

W58503002

A10BG03

PIOGLITAZONUM***

GLIDIPION 15 mg

COMPR.

15mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

PRF

28

1,024642

1,340357

0,000000

97

W58504002

A10BG03

PIOGLITAZONUM***

GLIDIPION 30 mg

COMPR.

30mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

PRF

28

1,440000

1,883571

0,000000

98

W08070003

A10BG03

PIOGLITAZONUM***

ACTOS 30mg

COMPR.

30mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE

LTD

MAREA BRITANIE

CUTIE X 28 COMPR.(BLIST. AL/AL)

P-RF

28

1,612800

2,109600

0,642185

99

W58687003

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA AUROBINDO 30

mg

COMPR.

30mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

PRF

30

1,344000

1,758000

0,000000

100

W58031002

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA TORRENT 30 mg

COMPR.

30mg

TORRENT PHARMA

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PRF

30

1,440000

1,883666

0,000000

101

W58688003

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA AUROBINDO 45

mg

COMPR.

45mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

PRF

30

2,065000

2,611000

0,000000

102

W58032002

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA TORRENT 45 mg

COMPR.

45mg

TORRENT PHARMA

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PRF

30

2,212333

2,797333

0,000000

41

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

103

W58505002

A10BG03

PIOGLITAZONUM***

GLIDIPION 45 mg

COMPR.

45mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

PRF

28

2,212500

2,797500

0,000000

104

W08071002

A10BG03

PIOGLITAZONUM***

ACTOS 45mg

COMPR.

45mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE

LTD

MAREA BRITANIE

CUTIE X 28 COMPR.(BLIST. AL/AL)

P-RF

28

2,478000

3,133200

1,170371

105

W51928002

A10BH01

SITAGLIPTINUM***

JANUVIA 100mg

COMPR.

FILM.

100mg

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)

P-RF

28

4,777142

5,831785

0,000000

106

W54993009

A10BH03

SAXAGLIPTIN***

ONGLYZA

COMPR. FILM.

5 mg

BRISTOL-MYERS SQUIBB/ASTRAZENECA

EEIG

MAREA BRITANIE

CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM.

P-RF

30

4,989666

6,091333

0,000000

107

W56718002

A10BX02

REPAGLINIDUM

RENEOS 0,5 mg

COMPR.

0,5 mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR.

PRF

90

0,233000

0,314888

0,000000

108

W56719002

A10BX02

REPAGLINIDUM

RENEOS 1 mg

COMPR.

1 mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR.

PRF

90

0,233000

0,314888

0,000000

109

W56720002

A10BX02

REPAGLINIDUM

RENEOS 2 mg

COMPR.

2 mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR.

PRF

90

0,233000

0,314888

0,000000

110

W60301001

A10BX04

EXENATIDUM***

BYDUREON 2 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB.

PREL.

2 mg

BRISTOL-MYERS SQUIBB/ASTRAZENECA EEIG

MAREA BRITANIE

AMBALAJ X 4X1DISPOZITIV DE ADMINISTRARE UNICA (1 FLACON X 2ML PULBERE + 1 SERINGA PREUMPLUTA X 0.65ML SOLVENT + 2 ACE PENTRU INJECTIE)

PRF

4

96,427500

114,642500

0,000000

111

W60353001

A10BX04

EXENATIDUM***

BYETTA 10μg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

10μg/doz a

BRISTOL-MYERS SQUIBB/ASTRAZENECA EEIG

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P-RF

1

321,530000

388,620000

0,000000

112

W60352001

A10BX04

EXENATIDUM***

BYETTA 5μg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

5μg/doza

BRISTOL-MYERS SQUIBB/ASTRAZENECA EEIG

MAREA BRITANIE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P-RF

1

309,560000

375,570000

0,000000

113

W59381003

A10BX09

DAPAGLIFOZINUM***

FORXIGA 10 mg

COMPR. FILM.

10mg

BRISTOL-MYERS SQUIBB/ASTRAZENECA

EEIG

MAREA BRITANIE

CUTIE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNITATE DOZATA)

PRF

30

5,565000

6,793666

0,000000

114

W41932004

A11DA03

BENFOTIAMINUM

BENFOGAMMA

DRAJ.

50mg

WORWAG PHARMA

GMBH CO. KG

GERMANIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P-6L

50

0,441000

0,596000

0,000000

115

W01610002

A11DBN1

COMBINATII**

MILGAMMA (R) N

CAPS. MOI

FARA CONCEN

TRATIE

WORWAG PHARMA GMBH CO. KG

GERMANIA

CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI

P-6L

50

0,743600

0,972600

0,000000

116

W42092002

A11DBN1

COMBINATII**

MILGAMMA (R) 100+100mg

DRAJ.

100mg+1

00mg

WORWAG PHARMA

GMBH CO. KG

GERMANIA

CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ.

P-6L

60

1,230166

1,555333

0,000000

117

W01731002

A11DBN1

COMBINATII**

MILGAMMA (R) (vezi B03BA51)

DRAJ.

FARA CONCEN

TRATIE

WORWAG PHARMA GMBH CO. KG

GERMANIA

CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.

P-6L

50

0,743600

0,972600

0,000000

118

W41647001

A11DBN1

COMBINATII**

MILGAMMA (R) NA

SOL. INJ.

FARA CONCEN

TRATIE

WORWAG PHARMA GMBH CO. KG

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML

P-RF

5

2,842000

3,842000

0,000000

119

W01611001

A11DBN1

COMBINATII**

MILGAMMA (R) N

SOL. INJ.

FARA

CONCEN TRATIE

WORWAG PHARMA GMBH CO. KG

GERMANIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P-RF

5

2,842000

3,842000

0,000000

120

T0001

FARA ATC

FARA DCI

Teste de automonitorizare a

glicemiei pentru bolnavii cu diabet zaharat

FARA FORMA

FARA

CONCEN TRATIE

FARA PRODUCATOR

ROMANIA

FARA FORMA AMB

X

1

1,200000

1,200000

0,000000

42

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

P6.1: HEMOFILIE SI TALASEMIE

1

W56025001

B02BD02

FACTOR VIII DE COAGULARE**

HAEMOCTIN SDH 1000

PULB+SOL

V. PT. SOL. INJ.

100UI/ml

BIOTEST PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA

FILTRE SI 1 CANULA TIP FLUTURE

PR

1

1.485,636000

1.665,120000

332,850000

2

W56023001

B02BD02

FACTOR VIII DE COAGULARE**

HAEMOCTIN SDH 250

PULB+SOL

V. PT. SOL. INJ.

50UI/ml

BIOTEST PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA

FILTRE SI 1 CANULA TIP FLUTURE

PR

1

380,736000

460,788000

91,842000

3

W56024001

B02BD02

FACTOR VIII DE COAGULARE**

HAEMOCTIN SDH 500

PULB+SOL

V. PT. SOL. INJ.

50UI/ml

BIOTEST PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA

FILTRE SI 1 CANULA TIP FLUTURE

PR

1

613,716000

714,732000

319,678000

4

W56663001

B02BD02

FACTOR VIII DE COAGULARE**

OCTANATE 100 UI/ml

PULB. + SOLV. PT.

SOL. INJ.

100 UI/ml

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 1000 UI PULB. PT.SOL. INJ. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE

PR

1

1.238,030000

1.387,600000

0,000000

5

W56662002

B02BD02

FACTOR VIII DE COAGULARE**

OCTANATE 50 UI/ml

PULB. +

SOLV. PT. SOL. INJ.

50 UI/ml

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. CU 500 U.I. PULB. + 1 FL. SOLVENT X 10ML + CUTIE CU SET DE RECONSTITUIRE SI ADM.

PR

1

511,430000

595,610000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

6

W56662001

B02BD02

FACTOR VIII DE COAGULARE**

OCTANATE 50 UI/ml

PULB. + SOLV. PT.

SOL. INJ.

50 UI/ml

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. CU 250 U.I. PULB. + 1 FL.SOLVENT X 5ML+ CUTIE CU SET DE RECONSTITUIRE SI ADM.

PR

1

317,280000

383,990000

0,000000

7

W61061001

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 1000UI

PULB. + SOL. PT.

SOL. INJ.

1000 UI

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1

PLASTURE + 1 TIFON

PR

1

2.286,860000

2.530,830000

0,000000

8

W61062001

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 2000UI

PULB. + SOL. PT.

SOL. INJ.

2000 UI

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1

PLASTURE + 1 TIFON

PR

1

5.034,530000

5.525,790000

0,000000

9

W61059001

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 250UI

PULB. + SOL. PT.

SOL. INJ.

250 UI

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1

PLASTURE + 1 TIFON

PR

1

608,100000

700,980000

0,000000

10

W61060001

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 500UI

PULB. + SOL. PT.

SOL. INJ.

500 UI

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1

PLASTURE + 1 TIFON

PR

1

1.179,150000

1.323,420000

0,000000

11

W54970001

B02BD02

OCTOCOG ALFA**

RECOMBINATE 1000 UI

PULB+SOL

V. PT. SOL. INJ.

1000UI

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT.

RECONST. (BAXJECT II) +1 SERINGA +1 SET MINI-PERF.+ 2 TAMP. ALCOOL+2 PLAST.

S/P-RF

1

2.322,730000

2.569,930000

0,000000

12

W59904001

B02BD02

OCTOCOG ALFA**

RECOMBINATE 1000 UI/5 ml

PULB+SOL

V. PT. SOL. INJ.

1000UI/5

ml

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ., 1 FLAC CU 5 ML SOLV., 1 SERINGA DIN PLASTIC DE UNICA FOLOSINTA, 1 DISPOZITIV PT. RECONSTITUIRE (BAXJECT II), UN SET DE MINI- PERFUZARE STERIL, 2 TAMPOANE CU ALCOOL MEDICINAL SI 2

PLASTURI

PRF

1

2.427,620000

2.684,260000

0,000000

13

W54968001

B02BD02

OCTOCOG ALFA**

RECOMBINATE 250 UI

PULB+SOL

V. PT. SOL. INJ.

250UI

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. (BAXJECT II) +1 SERINGA +1 SET MINI-PERF.+ 2 TAMP.

ALCOOL+2 PLAST.

S/P-RF

1

629,410000

724,210000

0,000000

14

W59902001

B02BD02

OCTOCOG ALFA**

RECOMBINATE 250 UI/5 ml

PULB+SOL

V. PT. SOL. INJ.

250UI/5ml

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ., 1 FLAC CU 5 ML SOLV., 1 SERINGA DIN PLASTIC DE UNICA FOLOSINTA, 1 DISPOZITIV PT. RECONSTITUIRE (BAXJECT II), UN SET DE MINI- PERFUZARE STERIL, 2 TAMPOANE CU ALCOOL MEDICINAL SI 2

PLASTURI

PRF

1

629,410000

724,210000

0,000000

15

W54969001

B02BD02

OCTOCOG ALFA**

RECOMBINATE 500 UI

PULB+SOL

V. PT. SOL. INJ.

500UI

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. (BAXJECT II) +1 SERINGA +1 SET MINI-PERF.+ 2 TAMP.

ALCOOL+2 PLAST.

S/P-RF

1

1.176,370000

1.320,400000

0,000000

16

W51449001

B02BD02

OCTOCOG ALFA**

ADVATE 1000UI

PULB+SOL V.PT.SOL.I

NJ

1000UI

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

1

2.574,460000

2.844,320000

0,000000

17

W61172001

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 1000UI

PULB+SOL

V.PT.SOL.I NJ

1000UI

BAYER PHARMA AG

GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA

PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM.

PR

1

2.578,880000

2.849,130000

0,000000

18

W51450001

B02BD02

OCTOCOG ALFA**

ADVATE 1500UI

PULB+SOL

V.PT.SOL.I NJ

1500UI

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

1

4.090,790000

4.497,120000

0,000000

19

W61175001

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 2000UI

PULB+SOL V.PT.SOL.I

NJ

2000UI

BAYER PHARMA AG

GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTINE O

TRUSA DE ADM.

P-RF/R

1

5.127,750000

5.627,410000

0,000000

20

W61168001

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 250UI

PULB+SOL

V.PT.SOL.I NJ

250UI

BAYER PHARMA AG

GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA

PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM.

P-RF/R

1

677,970000

777,140000

0,000000

21

W51448001

B02BD02

OCTOCOG ALFA**

ADVATE 500UI

PULB+SOL

V.PT.SOL.I NJ

500 UI

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

1

1.314,110000

1.470,530000

0,000000

22

W61170001

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 500UI

PULB+SOL V.PT.SOL.I

NJ

500UI

BAYER PHARMA AG

GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O

TRUSA DE ADM.

P-RF/R

1

1.315,560000

1.472,110000

0,000000

23

W53183001

B02BD02

OCTOCOG ALFA**

ADVATE 2000UI

PULB+SOL V.PT.SOL.I

NJ.

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

5.444,400000

5.972,550000

0,000000

24

W51447001

B02BD02

OCTOCOG ALFA**

ADVATE 250UI

PULB+SOL V.PT.SOL.I

NJ.

250 UI

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-RF/R

1

706,800000

808,560000

0,000000

25

W53185001

B02BD02

OCTOCOG ALFA**

ADVATE 3000UI

PULB+SOL V.PT.SOL.I

NJ.

3000 UI

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II

P-RF/R

1

8.151,590000

8.923,390000

0,000000

26

W52173003

B02BD03

COMPLEX DE ANTIINHIBITORI AI COAGULARII**

FEIBA NF 1000 U FEIBA

PULB.+SOL

V. PT. SOL. INJ.

1000 U

BAXTER A.G.

AUSTRIA

CUTIE X 1 FLACON FEIBA NF 1000U FEIBA PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. +1 DISP. BAXJECT II HI-FLOW1- FARA ACE PT. TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR-O SER. DE UNICA FOLOS. +1AC DE UNICA FOLOS+1AC FLUTURE CU OPRITOR (SET.

PT. INJ.)

PR

1

2.889,810000

3.188,050000

0,000000

27

W52172002

B02BD03

COMPLEX DE ANTIINHIBITORI AI COAGULARII**

FEIBA NF 500 U FEIBA

PULB.+SOL

V. PT. SOL. INJ.

500 U

BAXTER A.G.

AUSTRIA

CUTIE X 1 FLACON FEIBA NF 500U FEIBA PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. +1 DISP. BAXJECT II HI-FLOW1- FARA ACE PT. TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR-O SER. DE UNICA FOLOS. +1AC DE UNICA FOLOS+1AC FLUTURE CU OPRITOR (SET.

PT. INJ.)

PR

1

1.459,220000

1.628,700000

0,000000

43

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

28

W56231001

B02BD04

FACTOR IX DE COAGULARE**

OCTANINE F 1000 UI

PULB. + SOLV. PT. SOL. PERF.

1000UI

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT. RECONSTITUIRE SI ADM. CU 1 SET TRANSFER MIX2VIAL TM +1 SET DE PERFUZARE+1 SERINGA+2 TAMP. CU ALCOOL

S

1

1.513,140000

1.687,470000

0,000000

29

W56230001

B02BD04

FACTOR IX DE COAGULARE**

OCTANINE F 500 UI

PULB. + SOLV. SOL. PERF.

500 UI

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT. RECONSTITUIRE SI ADM. CU 1 AC CU CAP DUBLU+1 FILTRU PT. AC+1 SET DE PERFUZARE+1 SERINGA+2 TAMP. CU ALCOOL

S

1

771,570000

879,160000

0,000000

30

W43970001

B02BD04

FACTOR IX DE COAGULARE**

IMMUNINE 1200 UI

PULB.+SOL

V. PT. SOL. INJ./PERF.

1200UI

BAXTER AG

AUSTRIA

CUTIE X 1 FLACON DIN STICLA INCOLORA CU PULBERE PENTRU SOLUTIE INJECTABILA PERFUZABILA + 1 FLACON UNIDOZA DIN STICLA INCOLORA X 10ML SOLVENT + 1 AC TRANSFER + 1 AC AERARE +1 AC FILTRARE +1 AC UNICA FOLOSINTA + 1 SERIGA +1

SET TRANSFER

S

1

1.719,910000

1.912,850000

0,000000

31

W60173002

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 1000UI

PULB+SOL

V.PT.SOL.I NJ

1000UI

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X

5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON

PR

1

1.815,768000

2.024,964000

861,046000

32

W60172002

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 2000UI

PULB+SOL V.PT.SOL.I

NJ

2000UI

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1

PLASTURE + 1 TAMP. TIFON

PR

1

5.195,480000

5.701,230000

0,000000

33

W60175002

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 250UI

PULB+SOL V.PT.SOL.I

NJ

250UI

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1

PLASTURE + 1 TAMP. TIFON

PR

1

686,250000

786,160000

0,000000

34

W60174001

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 500UI

PULB+SOL V.PT.SOL.I

NJ

500UI

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1

PLASTURE + 1 TAMP. TIFON

PR

1

925,884000

1.054,992000

395,638000

35

W58455001

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

WILATE 1000 1000 UI FVIII/1000 UI FVW

PULB+SOL

V. PT. SOL. INJ

1000 UI FVIII/1000 UI FVW

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE

SI 2 TAMPOANE CU ALCOOL MEDICINAL)

PR

1

1.567,000000

1.746,180000

0,000000

36

W58454001

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

WILATE 500 500 UI FVIII/500 UI FVW

PULB+SOL

V. PT. SOL. INJ

500 UI FVIII/500 UI FVW

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE

SI 2 TAMPOANE CU ALCOOL MEDICINAL)

PR

1

835,000000

948,300000

0,000000

37

W61007001

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 1000 UI FVIII/750 UI FVW

PULB.+SOL

V. PT. SOL. INJ.

1000 UI

/750 UI

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA FOLOSINTA + 1 SET

DE PERFUZIE

PR

1

1.263,180000

1.415,020000

0,000000

38

W58406001

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 1000 UI

PULB.+SOL

V. PT. SOL. INJ.

1000UI

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA FOLOSINTA + 1 SET

DE PERFUZIE

PR

1

1.263,180000

1.415,020000

0,000000

39

W61005001

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 250 UI FVIII/190 UI FVW

PULB.+SOL

V. PT. SOL. INJ.

250 UI

/190 UI

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET

DE PERFUZIE

PR

1

310,560000

376,660000

0,000000

40

W58404001

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 250 UI

PULB.+SOL

V. PT. SOL. INJ.

250UI

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET

DE PERFUZIE

PR

1

310,560000

376,660000

0,000000

41

W61006001

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 500 UI FVIII/375 UI FVW

PULB.+SOL

V. PT. SOL. INJ.

500 UI

/375 UI

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET

DE PERFUZIE

PR

1

589,060000

680,230000

0,000000

42

W58405001

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 500 UI

PULB.+SOL

V. PT. SOL. INJ.

500UI

BAXTER AG

AUSTRIA

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET

DE PERFUZIE

PR

1

589,050000

680,210000

0,000000

43

W53034001

B02BD08

EPTACOG ALFA ACTIVATUM**

NOVOSEVEN 1mg (50 KUI)

PULB. + SOLV. PT.

SOL. INJ.

50 KIU

NOVO NORDISK A/S

DANEMAR CA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE

P-RF/R

1

2.406,410000

2.661,140000

0,000000

44

W02408001

V03AC01

DEFEROXAMINUM**3)

DESFERAL

LIOF. PT.

SOL. INJ./PERF.

500mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

S/P-RF

10

10,867000

13,266000

0,000000

45

W51484001

V03AC03

DEFERASIROXUM****

EXJADE 125mg

COMPR.

DISP.

125mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

PR

28

24,030000

27,555357

0,000000

46

W51485001

V03AC03

DEFERASIROXUM****

EXJADE 250mg

COMPR.

DISP.

250mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR

28

47,000000

52,592500

0,000000

47

W51486001

V03AC03

DEFERASIROXUM****

EXJADE 500mg

COMPR.

DISP.

500mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR

28

86,728928

95,897142

0,000000

44

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

P6.2: EPIDERMOLIZA BULOASA

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

1

W53799002

D05BB02

ACITRETINUM

NEOTIGASON 10 mg

CAPS.

10mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.

P-RF

30

1,209333

1,581666

0,000000

2

W54946001

D06AA04

TETRACYCLINUM

TETRACICLINA ATB 30 mg/g

UNGUENT

30mg/g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 TUB AL X 12 G UNGUENT

P-RF

1

5,920000

8,000000

0,000000

3

W59985001

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

CREMA

20mg/g

LEO PHARMA A/S

DANEMAR

CA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

1

8,260000

11,170000

0,000000

4

W59986001

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

UNGUENT

20mg/g

LEO PHARMA A/S

DANEMAR

CA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

1

8,260000

11,170000

0,000000

5

W54309001

D06BA01

SULFADIAZINUM

FLAMMAZINE

CREMA

1%

CN UNIFARM

ROMANIA

BORCAN X 500 G CREMA

PRF

1

79,410000

100,400000

0,000000

6

W60525001

D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

FUCIDIN H

CREMA

FARA

CONCEN TRATIE

LEO PHARMA A/S

DANEMAR CA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

1

15,560000

21,030000

0,000000

7

W59725001

D07CC01

BETAMETHASONUM+GENTAMICINUM+CL OTRIMAZOLUM

TRESYL

CREMA

FARA CONCEN

TRATIE

FITERMAN PHARMA S.R.L.

ROMANIA

CUTIE CU 1 TUB DIN AL FILMAT LA INTERIOR CU LAC EPOXIFENOLIC X 15 G CREMA

P6L

1

7,610000

10,280000

0,000000

8

W57219001

D07CC01

COMBINATII

TRIDERM®

CREMA

0,5mg+10

mg+1mg/ g

MERCK SHARP DOHME

ROMANIA

CUTIE X 1 TUB AL X 15 G

P-RF

1

11,700000

15,810000

0,000000

9

W57648001

D07CC01

COMBINATII

DIPROGENTA 0,5 mg/1 mg pe

gram

CREMA

0,5mg/1m

g/g

MERCK SHARP DOHME

ROMANIA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

1

4,836000

6,540000

0,330000

10

W57224001

D07CC01

COMBINATII

TRIDERM

UNGUENT

0,5mg+10

mg+1mg/ g

MERCK SHARP DOHME

ROMANIA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

1

11,700000

15,810000

0,000000

11

W57649001

D07CC01

COMBINATII

DIPROGENTA 0,5 mg/1 mg pe

gram

UNGUENT

0,5mg/1m

g/g

MERCK SHARP DOHME

ROMANIA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

1

4,030000

5,450000

0,000000

12

W59984001

D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

FUCICORT 20 mg/1mg pe gram

CREMA

20mg/1m g pe gram

LEO PHARMA A/S

DANEMAR CA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

1

16,470000

22,260000

0,000000

13

W12701002

J01AA07

TETRACYCLINUM

TETRACICLINA ARENA 250 mg

CAPS.

250mg

ARENA GROUP SA

ROMANIA

CUTIE X 50 BLIST., AL/PVC X 10 CAPS.

P-RF/S

500

0,108360

0,137000

0,000000

14

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

0,114500

0,155000

0,000000

15

W56910001

J01AA07

TETRACYCLINUM

TETRACICLINA ATB 250 mg

CAPS.

250mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

PRF

20

0,130032

0,164400

0,171600

16

W12143001

N03AB02

PHENYTOINUM

FENITOINA RICHTER 100 mg

COMPR.

100mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. X 10 COMPR.

P-6L

20

0,106500

0,144000

0,000000

17

W55235001

N03AB02

PHENYTOINUM

PHENHYDAN 250 mg/5 ml

SOL. INJ.

250mg/5

ml

DESITIN ARZNEIMITTEL

GMBH

GERMANIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P-RF

5

11,116000

14,054000

0,000000

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

P6.3: HIPERTENSIUNE PULMONARA

1

W43049001

C02KX01

BOSENTANUM**

TRACLEER 125 mg

COMPR.

FILM.

125mg

ACTELION

REGISTRATION LTD.

MAREA

BRITANIE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

56

142,585000

156,099107

0,000000

2

W43048002

C02KX01

BOSENTANUM**

TRACLEER 62,5 mg

COMPR.

FILM.

62,5mg

ACTELION

REGISTRATION LTD.

MAREA

BRITANIE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

56

142,324464

155,815178

0,000000

3

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

20,212555

22,455555

0,000000

4

W60083001

G04BE03

SILDENAFILUM**

REVATIO 10mg/ml

SUSP.

ORALA

10mg/ml

PFIZER LIMITED

MAREA

BRITANIE

CUTIE CU UN FLACON DIN STICLA BRUNA CE CONTINE 32,27 G DE

PULBERE PENTRU SUSP. ORALA

PR

1

1.045,450000

1.177,690000

0,000000

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

45

P6.4: MUCOVISCIDOZA

1

W56031002

A09AA02

PANCREATINUM**

KREON 40000

CAPS. GASTROR

EZ.

400mg

ABBOTT LABORATORIES GMBH

GERMANIA

CUTIE X UN FLACON DIN PEID CU 50 CAPS. GASTROREZ.

P-6L

50

1,684200

2,129600

0,000000

2

W58242002

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR. CU ELIB.

PREL.

500mg

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.

PRF

7

1,458000

1,970570

0,463715

3

W59000002

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. ELIB.

PREL.

500mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.

PRF

6

1,458000

1,970570

0,464430

4

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

0,672000

0,907714

0,179428

5

W08490001

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR.

FILM.

250mg

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

14

0,672000

0,907714

0,328000

6

W14043001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 250

COMPR.

FILM.

250mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.

P-RF

14

0,672000

0,907714

0,264428

7

W60253004

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR.

FILM.

250mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.

PRF

14

0,622857

0,842142

0,000000

8

W61223003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO

250 mg

COMPR.

FILM.

250mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PRF

14

0,560000

0,756428

0,000000

9

W01326002

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR.

FILM.

250mg

ABBOTT S.R.L.

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-RF

14

0,672000

0,907714

1,039428

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

10

W58998015

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250 mg

COMPR. FILM.

250mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PRF

14

0,622142

0,840714

0,000000

11

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

1,458000

1,970570

0,068715

12

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

1,458000

1,970570

0,277930

13

W60254003

J01FA09

CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR.

FILM.

500mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.

PRF

14

1,414285

1,911428

0,000000

14

W56269001

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM.

500mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P-RF

20

1,458000

1,970570

0,385430

15

W61224003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO

500 mg

COMPR.

FILM.

500mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PRF

14

1,215000

1,642142

0,000000

16

W14044001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 500

COMPR.

FILM.

500mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM.

P-RF

14

1,414285

1,911428

0,000000

17

W08491001

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR.

FILM.

500mg

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P-RF

14

1,421428

1,921428

0,000000

18

W58999014

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. FILM.

500mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PRF

14

1,350000

1,825000

0,000000

19

W44088001

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF.

500mg

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

7

1,458000

1,970570

0,463715

20

W41838002

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL.

500mg

KRKA D.D.

SLOVENIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P-RF

7

1,458000

1,970570

0,463715

21

W13607002

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL.

500mg

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P-RF

5

1,458000

1,970570

1,777430

22

W01327001

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT S.R.L.

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

1

22,180000

29,980000

0,000000

23

W01327002

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT S.R.L.

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF

1

11,388000

15,384000

4,336000

24

W44092001

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

1

9,490000

12,820000

0,000000

25

W42258001

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

SANDOZ SRL

ROMANIA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P-RF

1

9,490000

12,820000

0,000000

26

W44091001

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP.

ORALA

250mg/5 ml

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P-RF

1

24,320000

32,870000

0,000000

27

W44091002

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT.

SUSP. ORALA

250mg/5 ml

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P-RF

1

40,530000

53,010000

0,000000

28

W58393002

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA

250mg/5 ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0

GRANULE PT 60 ML SUSP. ORALA

PRF

1

22,090000

29,860000

0,000000

29

W01329001

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF.

500mg

ABBOTT LABORATORIES LTD.

FRANTA

CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

S/P-RF

1

30,230000

39,540000

0,000000

30

W52060001

J01GB01

TOBRAMYCINUM**

TOBI (R)

SOL.

INHAL.

300mg/5

ml

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE

GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N

P-RF

56

89,066785

97,764107

0,000000

31

W61214001

R05CB13

DORNAZA ALFA**

PULMOZYME 2500 U/2,5 ml

SOL. DE INHALAT PRIN NEBULIZAT

OR

2500U/2,5

ml

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

71,111666

83,870000

0,000000

32

W51323001

R05CB13

DORNAZA ALFA**

PULMOZYME

SOL.

INHAL.

1mg/ml

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN

NEBULIZATOR, INTRODUSE IN PUNGA AL

S/P-RF

6

71,111666

83,870000

0,000000

46

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

W54752001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

S

1

391,580000

464,970000

0,000000

2

W54752002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

S

1

870,210000

986,680000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

3

W54752003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S

1

1.710,420000

1.902,510000

0,000000

4

W54752004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A

200ML SOLUTIE PERFUZABILA

S

1

3.390,820000

3.734,150000

0,000000

5

W51530001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

S

1

190,360000

232,390000

0,000000

6

W51530006

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

S

1

5.766,650000

6.323,810000

0,000000

7

W51530003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

S

1

912,190000

1.032,440000

0,000000

8

W51530004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

S

1

1.847,580000

2.059,644000

78,286000

9

W51530005

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

S

1

3.736,820000

4.111,290000

0,000000

10

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

S

1

1.539,650000

1.716,370000

0,000000

11

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

S

1

204,810000

250,030000

0,000000

12

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

S

1

407,410000

482,230000

0,000000

13

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

894,400000

1.013,050000

0,000000

14

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

190,170000

232,160000

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

1.758,800000

1.955,240000

0,000000

16

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

462,170000

541,920000

0,000000

17

W13462002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 100 ML

S

1

894,000000

1.012,610000

0,000000

18

W13462003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 200 ML

S

1

1.837,780000

2.041,330000

0,000000

19

W13462001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 50 ML

S

1

481,950000

563,480000

0,000000

20

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

S

1

784,820000

893,600000

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

W12590001

N07XX02

RILUZOLUM**

RILUTEK 50 mg

COMPR.

FILM.

50mg

AVENTIS PHARMA SA

FRANTA

CUTIE X 4 BLIST. X 14 COMPR.

PR

56

5,805178

7,008928

0,000000

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

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.3: Tratamentul medicamentos al bolnavilor cu polineuropatie familială amiloidă cu transtiretină

1

W59336001

N07XX08

TAFAMIDIS**

VYNDAQEL

CAPS. MOI

20mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI

PR

30

1.635,525333

1.783,996666

0,000000

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

P6.6: OSTEOGENEZA IMPERFECTA

1

W58123006

M05BA03

ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI

PHARMACEUTICALS GMBH

AUSTRIA

CUTIE X 1 FIOLA PE X 2 ML

S/P-RF

1

139,390000

170,170000

0,000000

2

W58123005

M05BA03

ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRIA

CUTIE X 1 FIOLA PE X 1 ML

S/P-RF

1

82,206000

100,356000

25,364000

3

W58123007

M05BA03

ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRIA

CUTIE X 1 FIOLA PE X 4 ML

S/P-RF

1

267,560000

326,640000

0,000000

4

W07918001

M05BA03

ACIDUM PAMIDRONICUM

AREDIA (R) 15 mg

LIOF.+ SOLV. PT. SOL. PERF.

15mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P-RF

4

68,505000

83,630000

0,000000

5

W57926001

M05BA03

ACIDUM PAMIDRONICUM

PAMIRED 30mg pulbere pentru solutie perfuzabila

PULB. PT. SOL. PERF.

30mg

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

PR

1

158,620000

193,640000

0,000000

6

W57925001

M05BA03

ACIDUM PAMIDRONICUM

PAMIRED 60mg pulbere pentru solutie perfuzabila

PULB. PT. SOL.PERF.

60mg

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

PR

1

246,750000

301,230000

0,000000

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

47

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

391,110000

464,460000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

2

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

376,480000

448,510000

0,000000

3

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

317,610000

384,340000

0,000000

4

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

618,840000

712,690000

0,000000

5

W54046001

H01AC01

SOMATROPINUM**

NORDITROPIN SIMPLEXx 10

mg/1,5ml

SOL. INJ. IN CARTUS

10mg/1,5 ml

NOVO NORDISK A/S

DANEMAR CA

CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.

P-RF

1

742,608000

855,228000

304,652000

48

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

11.604,190000

12.686,730000

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

1.869,590000

2.076,010000

0,000000

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

P6.10: TIROZINEMIE

1

W51629001

A16AX04

NITISINONUM

ORFADIN 10mg

CAPS.

10mg

SWEDISH ORPHAN

INTERNATIONAL AB

SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-RF/R

60

214,180833

234,093333

0,000000

2

W51622001

A16AX04

NITISINONUM

ORFADIN 2mg

CAPS.

2mg

SWEDISH ORPHAN

INTERNATIONAL AB

SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-RF/R

60

50,905666

56,123166

0,000000

3

W51627001

A16AX04

NITISINONUM

ORFADIN 5mg

CAPS.

5mg

SWEDISH ORPHAN

INTERNATIONAL AB

SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-RF/R

60

101,523666

111,296833

0,000000

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

P6.12: MUCOPOLIZAHARIDOZĂ TIP II (SINDROM HUNTER)

1

W51481002

A16AB09

IDURSULFASUM**

ELAPRASE 2mg/ml

CONC. PT. SOL. PERF.

2mg/ml

SHIRE HUMAN GENETIC THERAPIES AB

SUEDIA

CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF.

S

4

10.948,927500

11.943,885000

0,000000

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

P6.13: MUCOPOLIZAHARIDOZĂ TIP I (SINDROM HURLER)

1

W42203001

A16AB05

LARONIDAZUM**

ALDURAZYME 100UI/ml

CONC. PT. SOL. PERF.

100UI/ml

GENZYME EUROPE BV

OLANDA

CUTIE X 1 FLAC. X 5 ML

S

1

2.077,500000

2.302,630000

0,000000

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

P6.15: Sindrom de imunodeficienţă primară

1

W54752001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

S

1

391,580000

464,970000

0,000000

2

W54752002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

S

1

870,210000

986,680000

0,000000

3

W54752003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S

1

1.710,420000

1.902,510000

0,000000

4

W54752004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A

200ML SOLUTIE PERFUZABILA

S

1

3.390,820000

3.734,150000

0,000000

5

W51530001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

S

1

190,360000

232,390000

0,000000

6

W51530006

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

S

1

5.766,650000

6.323,810000

0,000000

7

W51530003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

S

1

912,190000

1.032,440000

0,000000

8

W51530004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

S

1

1.847,580000

2.059,644000

78,286000

9

W51530005

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

S

1

3.736,820000

4.111,290000

0,000000

10

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

S

1

1.539,650000

1.716,370000

0,000000

11

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

S

1

204,810000

250,030000

0,000000

12

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

S

1

407,410000

482,230000

0,000000

13

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

894,400000

1.013,050000

0,000000

14

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

190,170000

232,160000

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

1.758,800000

1.955,240000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

16

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

462,170000

541,920000

0,000000

17

W13462002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 100 ML

S

1

894,000000

1.012,610000

0,000000

18

W13462003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 200 ML

S

1

1.837,780000

2.041,330000

0,000000

19

W13462001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 50 ML

S

1

481,950000

563,480000

0,000000

20

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

S

1

784,820000

893,600000

0,000000

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

P6.16: Scleroza sistemică şi ulcere digitale evolutive

1

W43049001

C02KX01

BOSENTANUM**

TRACLEER 125 mg

COMPR.

FILM.

125mg

ACTELION

REGISTRATION LTD.

MAREA

BRITANIE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

56

142,585000

156,099107

0,000000

2

W43048002

C02KX01

BOSENTANUM**

TRACLEER 62,5 mg

COMPR.

FILM.

62,5mg

ACTELION

REGISTRATION LTD.

MAREA

BRITANIE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-RF/R

56

142,324464

155,815178

0,000000

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

P6.17: Purpura trombocitopenică imună cronică la adulţii splenectomizaţi şi nesplenectomizaţi

1

W53894001

B02BX04

ROMIPLOSTIMUM****

NPLATE 250mcg

PULB. PT.

SOL. INJ.

250mcg

AMGEN EUROPE B.V.

OLANDA

CUTIE X 1 FLAC X 250MCG PULB. PT. SOL. INJ.

S

1

2.312,930000

2.559,250000

0,000000

2

W53895001

B02BX04

ROMIPLOSTIMUM****

NPLATE 500mcg

PULB. PT.

SOL. INJ.

500mcg

AMGEN EUROPE B.V.

OLANDA

CUTIE X 1 FLAC X 500MCG PULB. PT. SOL. INJ.

S

1

4.721,020000

5.184,070000

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

W57418002

A16AX07

SAPROPTERINUM****

KUVAN

COMPR.

SOLUBILE

100 mg

MERCK SERONO

EUROPE LIMITED

MAREA

BRITANIE

CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE

PR

120

91,061083

99,574666

0,000000

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

P6.19: Scleroză tuberoasă

1

W57284002

L01XE10

EVEROLIMUS****

VOTUBIA

COMPR.

2,5 mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.

PR

30

184,291333

202,149333

0,000000

2

W57285001

L01XE10

EVEROLIMUS****

VOTUBIA

COMPR.

5mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.

PR

30

356,861333

390,251000

0,000000

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

49

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

1

W00231001

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,25 mcg

CAPS. MOI

0,25mcg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

P-RF

50

0,435800

0,589000

0,000000

2

W58167002

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,25

mcg

CAPS. MOI

0,25μg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PRF

30

0,522960

0,706800

0,058866

3

W44042001

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,50 mcg

CAPS. MOI

0,50mcg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 30 CAPS. MOI

P-RF

30

0,803666

1,086333

0,000000

4

W58168002

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,5 mcg

CAPS. MOI

0,5μg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PRF

30

0,866666

1,133666

0,000000

5

W55847002

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra

me/ml

LEO PHARMA A/S

DANEMAR

CA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S

10

21,144000

25,813000

0,000000

6

W55847001

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra

me/ml

LEO PHARMA A/S

DANEMAR

CA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

S

10

11,086000

13,534000

0,000000

7

W51334002

A11CC04

CALCITRIOLUM

ROCALTROL

CAPS. MOI

0,25mcg

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI.

P-RF

100

0,546500

0,691000

0,000000

8

W55402001

G03CA03

ESTRADIOLUM

OESTROGEL 0,6 mg/g

GEL

0,6mg/g

LABORATOIRES BESINS INTERNATIONAL

FRANTA

CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN

P-6L

1

10,220000

13,820000

0,000000

9

W58804002

G03CA03

ESTRADIOLUM

CLIMARA

PLASTURE TRANSDER M.

50μg/24or e

BAYER PHARMA AG

GERMANIA

CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.

P-6L

4

5,737500

7,755000

0,000000

10

W12902001

G03CX01

TIBOLONUM

LIVIAL (R) 2,5 mg

COMPR.

2,5mg

ORGANON NV

OLANDA

CUTIE X 1 BLIST. X 28 COMPR.

P-RF

28

1,212500

1,586071

0,000000

11

W53455002

G03XC01

RALOXIFENUM

EVISTA 60mg

COMPR.

FILM.

60mg

DAIICHI SANKYO

EUROPE GMBH

GERMANIA

CUTIE X 28 COMPR. FILM. (BLIST. ACLAR)

P-RF

28

1,855000

2,345357

0,000000

12

W42160002

H01AB01

TIREOTROPINUM ALFA

THYROGEN 0,9 mg

PULB. PT.

SOL. INJ.

0,9mg

GENZYME EUROPE BV

OLANDA

CUTIE X 2 FLACOANE

S

2

1.294,150000

1.429,700000

0,000000

13

W04224001

H02AB04

METHYLPREDNISOLONUM

MEDROL A 16

COMPR.

16mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

P-RF

50

0,401800

0,543200

0,000000

14

W04222001

H02AB04

METHYLPREDNISOLONUM

MEDROL 32

COMPR.

32mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.

P-RF

20

0,913000

1,234000

0,000000

15

W04237001

H02AB04

METHYLPREDNISOLONUM

SOLU - MEDROL ACT-O-VIAL

LIOF. SI SOLV.PT.S

OL.INJ

250mg/4 ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV

P-RF

1

15,150000

20,480000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

16

W08307001

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 125 mg

PULB+SOL

V. PT. SOL. INJ./PERF.

125mg

STADA HEMOFARM S.R.L.

ROMANIA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

1

6,520000

8,810000

0,000000

17

W08310001

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 500 mg

PULB+SOL

V. PT. SOL. INJ./PERF.

500mg

STADA HEMOFARM S.R.L.

ROMANIA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

1

22,950000

31,020000

0,000000

18

W57399001

H03AA01

LEVOTHYROXINUM

EUTHYROX 100mcg

COMPR.

100mcg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-6L

100

0,089800

0,121400

0,000000

19

W57399003

H03AA01

LEVOTHYROXINUM

EUTHYROX 100μg

COMPR.

100μg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P-6L

100

0,089800

0,121400

0,000000

20

W57395001

H03AA01

LEVOTHYROXINUM

EUTHYROX 200mcg

COMPR.

200mcg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.

P-6L

100

0,185300

0,250500

0,000000

21

W57395002

H03AA01

LEVOTHYROXINUM

EUTHYROX 200μg

COMPR.

200μg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR.

P-6L

100

0,185300

0,250500

0,000000

22

W57396001

H03AA01

LEVOTHYROXINUM

EUTHYROX 25mcg

COMPR.

25mcg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-6L

100

0,063500

0,085800

0,000000

23

W57396003

H03AA01

LEVOTHYROXINUM

EUTHYROX 25μg

COMPR.

25μg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P-6L

100

0,063500

0,085800

0,000000

24

W57398001

H03AA01

LEVOTHYROXINUM

EUTHYROX 50mcg

COMPR.

50mcg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-6L

100

0,063500

0,085800

0,000000

25

W57398002

H03AA01

LEVOTHYROXINUM

EUTHYROX 50μg

COMPR.

50μg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P-6L

100

0,063500

0,085800

0,000000

26

W54546003

H03BB02

THIAMAZOLUM

THYROZOL 10 mg

COMPR.

FILM.

10mg

MERCK KGAA

GERMANIA

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

P-6L

50

0,317400

0,429000

0,000000

27

W54545003

H03BB02

THIAMAZOLUM

THYROZOL 20mg

COMPR.

FILM.

20mg

MERCK KGAA

GERMANIA

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

P-6L

50

0,391600

0,529400

0,000000

28

W54547004

H03BB02

THIAMAZOLUM

THYROZOL 5 mg

COMPR.

FILM.

5mg

MERCK KGAA

GERMANIA

CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

P6L

100

0,236900

0,320200

0,000000

29

W03843004

H03CA01

KALII IODIDUM

JODID 100

COMPR.

100mcg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR.

P-RF

100

0,094200

0,127300

0,000000

30

W03843003

H03CA01

KALII IODIDUM

JODID 100

COMPR.

100mcg

MERCK KGAA

GERMANIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.

P-RF

100

0,094200

0,127300

0,000000

31

W55488001

H05AA02

TERIPARATIDUM**

FORSTEO 20μg/80μl

SOL. INJ.

20μg/80μl

ELI LILLY NEDERLAND

BV

OLANDA

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE

X 20 MCG/80MCL)

P-RF

1

1.291,980000

1.446,410000

0,000000

32

W08119001

H05BA01

CALCITONINUM (SOMON)

NYLEX (R)

SOL. INJ.

100UI/ml

PROEL E.P. CORONIS SA

GRECIA

CUTIE X 5 FIOLE X 1ML

P-RF

5

4,968000

6,714000

0,000000

33

W00756001

H05BA01

CALCITONINUM (SOMON)

MIACALCIC (R)

SOL. INJ.

50ui/ml

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 5 FIOLE X 1 ML

P-RF

5

4,388000

5,932000

0,000000

34

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

2,002500

2,705000

0,000000

35

W60296004

M05BA04

ACIDUM ALENDRONICUM**

FOSAMAX 70 mg

COMPR.

70mg

MERCK SHARP DOHME

ROMANIA

CUTIE CU 1 BLIST. AL/AL X 2 COMPR.

P6L

2

2,208000

2,985000

10,635000

36

W58352002

M05BA04

ACIDUM ALENDRONICUM**

ACID ALENDRONIC AUROBINDO

70 mg

COMPR.

70mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR.

P6L

4

1,840000

2,487500

0,000000

37

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

2,208000

2,985000

5,150833

38

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

2,208000

2,985000

5,865000

39

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

2,208000

2,985000

5,582500

40

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

2,208000

2,985000

1,905000

41

W56749001

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 150 mg

COMPR.

FILM.

150 mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P6L

1

27,060000

35,400000

0,000000

42

W56947001

M05BA06

ACIDUM IBANDRONICUM**

QUODIXOR 150 mg

COMPR.

FILM.

150mg

ALVOGEN IPCO S.AR.L

LUXEMBUR

G

CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

P-6L

1

27,270000

35,670000

0,000000

43

W57485004

M05BA06

ACIDUM IBANDRONICUM**

OSAGRAND 150 mg

COMPR.

FILM.

150mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM.

P6L

1

27,280000

35,680000

0,000000

44

W58574001

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC SANDOZ 150

mg

COMPR.

FILM.

150mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

P6L

1

27,280000

35,680000

0,000000

45

W42716001

M05BA06

ACIDUM IBANDRONICUM**

BONVIVA 150mg

COMPR.

FILM.

150mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)

P-6L

1

32,148000

42,048000

47,692000

46

W60664001

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC AUROBINDO

150 mg

COMPR.

FILM.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P6L

1

26,790000

35,040000

0,000000

47

W55441001

M05BA06

ACIDUM IBANDRONICUM**

OSSICA 150 mg

COMPR.

FILM.

150mg

GEDEON RICHTER PLC.

UNGARIA

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P-6L

1

28,490000

37,260000

0,000000

48

W57730004

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC SANDOZ 50

mg

COMPR. FILM.

50 mg

SANDOZ PHARMACEUTICALS

GMBH

GERMANIA

CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PR

28

8,696428

10,616785

0,000000

49

W56748001

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 50 mg

COMPR.

FILM.

50 mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 28 COMPRIMATE

FILMATE

PR

28

9,973571

12,175714

0,000000

50

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

50

W41499001

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 50mg

COMPR.

FILM.

50mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.

S

28

10,435714

12,740142

26,152715

51

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

9,973571

12,175714

0,000000

52

W59829025

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC GLENMARK 50

mg

COMPR. FILM.

50mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUBLIC A CEHA

CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM.

PR

28

10,435714

12,740142

11,278072

53

W57712001

M05BA06

ACIDUM IBANDRONICUM**

HOLMEVIS 50 mg

COMPR. FILM.

50mg

EGIS

PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

PR

28

9,973571

12,175714

0,000000

54

W58937001

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 6 mg

CONC. PT. SOL. PERF.

6mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC SI

CAPSA DE CULOARE TURCOAZ (ALBASTRU VERZUI) X 6 ML CONC. PT. SOL. PERF.

PR

1

302,410000

367,780000

0,000000

55

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

263,810000

322,060000

0,000000

56

W41498001

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 6mg/6ml

CONC. PT. SOL. PERF.

6mg/6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.

S

1

316,572000

386,472000

634,168000

57

W57932001

M05BA06

ACIDUM IBANDRONICUM**

OSSICA 3 mg

SOL INJ. IN SERINGA PREUMPLU TA

3mg

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE

P6L

1

82,280000

104,030000

0,000000

58

W58935001

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 3 mg

SOL INJ. IN SERINGA PREUMPLU TA

3mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. SI UN AC DE INJECTARE

P6L

1

79,750000

100,840000

0,000000

59

W57484001

M05BA06

ACIDUM IBANDRONICUM**

OSAGRAND 3 mg/3 ml

SOL. INJ.

3mg/3ml

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

P6L

1

82,890000

104,810000

0,000000

60

W43328001

M05BA06

ACIDUM IBANDRONICUM**

BONVIVA 3mg/3ml

SOL. INJ. IN SERINGA PREUMPLU TA

1mg/1ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P-6L

1

95,700000

121,008000

31,892000

61

W59460003

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT AUROBINDO 35 mg

COMPR.

FILM.

35mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM.

P6L

4

1,971000

2,664000

1,048500

62

W53578003

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT TEVA 35 mg

COMPR. FILM.

35mg

TEVA PHARMACEUTICALS SRL

ROMANIA

CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P-6L

4

1,642500

2,220000

0,000000

63

W55565003

M05BA07

ACIDUM RISEDRONICUM**

OSODENS 35 mg

COMPR.

FILM.

35mg

TERAPIA SA

ROMANIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.

P-6L

4

1,971000

2,664000

4,558500

64

W54377002

M05BA07

ACIDUM RISEDRONICUM**

LORINE 35mg

COMPR.

FILM.

35mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM.

P-6L

4

1,971000

2,664000

4,558500

65

W60074002

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT SODIC ZENTIVA

35mg

COMPR.

FILM.

35mg

ZENTIVA KS

REPUBLIC

A CEHA

CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE

P-6L

4

1,971000

2,664000

1,048500

66

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

1,971000

2,664000

8,086000

67

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

26,255000

33,195000

0,000000

68

W59137001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC SANDOZ 4

mg/100 ml

CONC. PT. SOL. PERF.

4mg/100 ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN

COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" X 100 ML CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

232,201000

69

W59136001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC SANDOZ 4

mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU

CAPSA TIP "FLIP-OFF" X 5 ML CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

125,811000

70

W59191004

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC TERAPIA 4

mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA CU CAPACITATEA DE 6 ML INCHIS CU DOP DIN CAUCIUC DE CULOARE GRI SI SIGILAT CU CAPAC DIN AL, TIP "FLIP OFF" DE CULOARE GRI CARE

CONTINE CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

71

W59914001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC PFIZER 4

mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN PP PREVAZUT CU CAPSA FLIP-OFF DIN AL CU CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

72

W59840001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC HOSPIRA 4

mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 FLACON CU CAPACITATE DE 5ML DIN PLASTIC CU DOP BROMOBUTIL, ACOPERIT CU UN STRAT DE FLUOROPOLIMER SI CAPAC DIN AL CU COMPONENTA "FLIP-OFF"

PR

1

87,516000

106,839000

266,421000

73

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

72,930000

89,032500

0,000000

51

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

74

W60989001

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIP-OFF

DIN PP CARE CONTINE 4 MG/5 ML CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

75

W59520001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR. REDDY'S

4mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 5 ML CU CONC. PT. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

76

W58886001

M05BA08

ACIDUM ZOLEDRONICUM**

DESINOBON 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

ALVOGEN IPCO S.A.R.L

LUXEMBOU RG

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR DE 5 ML DIN COPOLIMER CICLOOLEFINIC CU DOP DE CAUCIUC SI CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" CARE CONTINE CONC. PT. SOL.

PERF.

PR

1

87,516000

106,839000

74,401000

77

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

87,516000

106,839000

62,361000

78

W58621001

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

ROMASTRU TRADING S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DE CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIP-OFF

DIN PP CARE CONTINE 4MG/5ML CONC. SOL. PERF.

PR

1

87,516000

106,839000

266,421000

79

W08426001

M05BA08

ACIDUM ZOLEDRONICUM**

ZOMETA 4 mg

PULB. + SOLV. SOL. PERF.

4mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.

PR

1

87,516000

106,839000

432,691000

80

W60382001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC HOSPIRA 4

mg/100 ml

SOL. PERF.

4 mg/100 ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 PUNGA DIN POLIPROPILENA DE 100ML CU UN PORT "TWIST-OFF" DIN POLIPROPILENA CU CAPAC SI CU UN INVELIS DIN

POLIESTER/POLIPROPILENA

PR

1

87,516000

106,839000

232,201000

81

W60980001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR. REDDY'S

4mg/100 ml

SOL. PERF.

4mg/100 ml

DR. REDDY'S LABORATORIES

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN CAUCIUC

CLOROBUTILIC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF"A 100 ML SOL. PERF.

PR

1

87,516000

106,839000

267,201000

82

W60543001

M05BA08

ACIDUM ZOLEDRONICUM**

ZERLINDA 4 mg/100 ml

SOL. PERF.

4mg/100

ml

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU 1 PUNGA A 100 ML SOL. PERF.

PR

1

87,516000

106,839000

266,421000

83

W59355001

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC ZENTIVA 4

mg/5 ml

SOL. PERF.

4mg/5ml

ZENTIVA, K.S.

REPUBLIC

A CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE CONC.

PT. SOL. PERF.

PR

1

87,516000

106,839000

118,761000

84

W42407001

M05BA08

ACIDUM ZOLEDRONICUM**

ACLASTA 5mg/100ml

SOL. PERF.

5mg/100

ml

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA

FLIP.

PR

1

780,600000

889,000000

0,000000

85

W42702002

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

FOSAVANCE 70mg/2800UI

COMPR.

70mg/280

0UI

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

4

14,622500

18,490000

0,000000

86

W52559002

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

FOSAVANCE 70mg/5600UI

COMPR.

70mg/560

0UI

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P-6L

4

13,515000

17,087500

0,000000

87

W52559001

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

FOSAVANCE 70mg/5600UI

COMPR.

70mg/560

0UI

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P-6L

2

13,515000

17,675000

0,000000

88

W42094003

M05BX03

STRONTIUM RANELATUM

OSSEOR 2 g

GRAN. PT. SUSP.

ORALA

2g

LES LAB. SERVIER

FRANTA

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P-RF

28

4,262142

5,203214

0,000000

V09FX03

NATRII IODIDUM (131I)

V10XA01

NATRII IODIDUM (131I)

52

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

P9.1: TRANSPLANT MEDULAR

1

W56153001

A04AA01

ONDANSETRONUM**

OSETRON 4 mg

COMPR.

FILM.

4mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

10

1,461000

1,975000

0,000000

2

W56154001

A04AA01

ONDANSETRONUM**

OSETRON 8 mg

COMPR.

FILM.

8mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P-RF

10

2,557000

3,345000

0,000000

3

W57423001

A04AA01

ONDANSETRONUM**

OSETRON 4 mg SOLUTIE

INJECTABILA

SOL. INJ.

2mg/ml

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P-RF

5

3,652000

4,936000

0,000000

4

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

6,940000

9,078000

0,000000

5

W51504002

A04AA01

ONDANSETRONUM**

EMESET 4 mg/2 ml

SOL.

INJ./PERF.

2mg/ml

CIPLA (UK) LIMITED

MAREA

BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.

S/P-RF

5

3,652000

4,936000

0,000000

6

W51505002

A04AA01

ONDANSETRONUM**

EMESET 8 mg/4 ml

SOL.

INJ./PERF.

2mg/ml

CIPLA (UK) LIMITED

MAREA

BRITANIE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.

S/P-RF

5

6,938000

9,074000

0,000000

7

W00188001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS.

250mg

PRO. MED. CS PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L

50

0,603000

0,788600

0,000000

8

W59934001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS.

250mg

ROMPHARM COMPANY

S.R.L.

ROMANIA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6L

60

0,602833

0,788500

0,000000

9

W00187001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH

GERMANIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-6L

50

0,723400

0,946200

0,267200

10

W00187002

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6L

100

0,723400

0,946200

0,206200

11

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

2,196700

2,681700

0,000000

12

W58363001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP.

ORALA

250mg/5

ml

DR. FALK PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP.

ORALA+1LINGURITA DOZATOARE DIN PP

P6L

1

77,100000

97,490000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

13

W54011001

B02AA02

ACIDUM TRANEXAMICUM4)

EXACYL

SOL. INJ.

500mg/5

ml

CN UNIFARM

ROMANIA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X

5

1,890000

2,554000

0,000000

14

W53034001

B02BD08

EPTACOG ALFA ACTIVATUM**

NOVOSEVEN 1mg (50 KUI)

PULB. + SOLV. PT.

SOL. INJ.

50 KIU

NOVO NORDISK A/S

DANEMAR CA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE

P-RF/R

1

2.406,410000

2.661,140000

0,000000

15

W55629002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

12

4,044000

5,472000

22,543000

16

W54763001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

3,370000

4,560000

0,000000

17

W55369001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

18

W55629001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

19

W55423001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

20

W55424001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

21

W55370001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

22

W55630001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

23

W55630002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

12

21,346800

26,060400

20,445433

24

W54765001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

10,049600

25

W53595006

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

4,044000

5,472000

10,127000

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.

S

10

17,789000

21,717000

0,000000

27

W60705002

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 1000 mg

PULB. PT. SOL. INJ. SAU PERF.

1000 mg

ZENTIVA, K.S.

REPUBLIC A CEHA

CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML

PR

10

27,211200

33,219600

44,763400

28

W60703002

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 500 mg

PULB. PT. SOL. INJ. SAU PERF.

500 mg

ZENTIVA, K.S.

REPUBLIC A CEHA

CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML

PR

10

16,826400

20,541600

22,648400

29

W56827001

J01DH02

MEROPENEMUM

LODITER 1000 mg

PULB. PT. SOL.

INJ./PERF.

1000mg

TERAPIA S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

PR

1

27,211200

33,219600

62,340400

30

W58974002

J01DH02

MEROPENEMUM

MEROPENEM ATB 1000 mg

PULB. PT. SOL. INJ./PERF.

1000mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML SAU 30 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC

PRF

10

27,211200

33,219600

47,425400

31

W61143002

J01DH02

MEROPENEMUM

ARCHIFAR 1000 mg

PULB. PT.

SOL. INJ./PERF.

1000mg

MEDOCHEMIE ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU

PULB.PT.SOL.INJ./PERF.

PR

10

27,211200

33,219600

29,959400

32

W56125002

J01DH02

MEROPENEMUM

MEROPENEM KABI 1 g

PULB. PT. SOL.

INJ./PERF.

1g

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

10

27,211200

33,219600

16,867400

33

W56331002

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 1 g

PULB. PT. SOL.

INJ./PERF.

1g

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PR

10

22,676000

27,683000

0,000000

34

W56826001

J01DH02

MEROPENEMUM

LODITER 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

TERAPIA S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.

PR

1

16,826400

20,541600

30,708400

35

W56124002

J01DH02

MEROPENEMUM

MEROPENEM KABI 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

PR

10

16,826400

20,541600

6,620400

36

W56330002

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PR

10

14,022000

17,118000

0,000000

53

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

37

W61142002

J01DH02

MEROPENEMUM

ARCHIFAR 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

MEDOCHEMIE ROMANIA SRL

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU

PULB.PT.SOL.INJ./PERF.

PR

10

16,826400

20,541600

24,002400

38

W58973002

J01DH02

MEROPENEMUM

MEROPENEM ATB 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU

PREVAZUTA CU DISC DIN MATERIAL PLASTIC

PRF

10

16,826400

20,541600

24,004400

39

W59077002

J01DH51

IMIPENEMUM + CILASTATINUM

TIENAM I.V. 500 mg/500 mg

PULB. PT. SOL. PERF.

500mg/50 0mg

MERCK SHARP DOHME

ROMANIA

TAVA CU 10 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. PERF.

PR

10

22,297200

27,220800

7,679200

40

W54471006

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

10

22,297200

27,220800

9,677200

41

W54471009

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P-RF

10

22,297200

27,220800

6,801200

42

W61198003

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN ATB 500

mg/500 mg

PULB. PT. SOL. PERF.

500mg/50 0mg

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

18,582000

22,685000

0,000000

43

W54471007

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P-RF

1

22,297200

27,220800

10,559200

44

W54471008

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P-RF

5

22,297200

27,220800

6,803200

45

W54471002

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

5

18,922000

23,924000

0,000000

46

W54471003

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

10

18,582000

22,685000

0,000000

47

W54471005

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

5

22,297200

27,220800

9,829200

48

W54532001

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN KABI

500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P-RF

10

18,581000

22,684000

0,000000

49

W43348001

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF.

1g

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

1

25,308000

34,212000

20,538000

50

W43347001

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF.

500mg

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P-RF

1

20,930000

25,840800

2,449200

51

W56449002

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS

1000 mg

PULB. PT. SOL. PERF.

1000mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLIC A CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR

10

25,308000

34,212000

10,904000

52

W56448002

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS

500 mg

PULB. PT. SOL. PERF.

500mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLIC A CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR

10

17,639000

21,534000

0,000000

53

W57042001

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 1000 mg

PULB. PT.CONC. PT.SOL.

PERF.

1000mg

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR

1

21,090000

28,510000

0,000000

54

W57041001

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 500 mg

PULB. PT.CONC. PT.SOL.

PERF.

500mg

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR

1

19,630000

25,840800

0,689200

55

W06051001

J01XA01

VANCOMYCINUM

EDICIN

PULB.LIOF.

PT.SOL.PE RF./INJ

1g

LEK PHARMACEUTICALS D.D.

SLOVENIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

S/P-RF

1

25,308000

34,212000

16,888000

56

W13105001

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF. +

SOLV. PT. SOL. INJ.

400mg

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P-RF

1

106,430000

129,930000

0,000000

57

W52799001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR.

FILM.

600mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

10

163,000000

181,485000

0,000000

58

W52800001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP.

ORALA

100mg/5 ml

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

911,260000

1.031,420000

0,000000

59

W60604001

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEMBUR G

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF.

PR

1

112,480000

137,320000

0,000000

60

W60734001

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1

SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF.

PR

1

116,710000

142,262400

0,217600

54

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

61

W52801001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 10 PUNGI X 300 ML

S

10

126,315600

142,262400

42,337600

62

W57578002

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)

PRF

10

105,263000

118,552000

0,000000

63

W08372001

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 4 CAPS.

P-RF

4

1,998750

2,614500

3,788000

64

W58225007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100

mg

CAPS.

100mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,998750

2,614500

0,805500

65

W42371002

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGARIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-RF

16

1,665625

2,178750

0,000000

66

W43597002

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS.

100mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

7

1,998750

2,614500

2,056928

67

W52224001

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150

mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,870000

6,580000

0,000000

68

W43598001

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS.

150mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,680000

6,320000

0,000000

69

W60221001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS.

150mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

70

W57430001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM 150

mg

CAPS.

150mg

ROMPHARM COMPANY

S.R.L.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

71

W57239001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS.

150mg

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

72

W58226001

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150

mg

CAPS.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PRF

1

4,620000

6,240000

0,000000

73

W56446001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS.

150mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

74

W53943002

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS.

150mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

75

W03156001

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,544000

7,488000

3,542000

76

W44089001

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS.

150mg

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

77

W51994001

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150

mg

CAPS.

150mg

MEDOCHEMIE ROMANIA

SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

78

W43288001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS.

150mg

SANDOZ SRL

GERMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

79

W42693001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

80

W08373001

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

81

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

4,460000

5,834285

0,000000

82

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

1,356000

1,832570

0,133144

83

W58224007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS.

50mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,265714

1,710000

0,000000

84

W08374001

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 7 CAPS.

P-RF

7

1,356000

1,832570

0,947430

85

W57238001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

7

1,356000

1,832570

0,947430

86

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

1,356000

1,832570

0,947430

87

W43287001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS.

50mg

SANDOZ SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,130000

1,527142

0,000000

88

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

1,356000

1,832570

0,560287

89

W42321001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,356000

1,832570

0,946001

90

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

1,356000

1,832570

0,947430

91

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

1,356000

1,832570

2,444572

92

W58322001

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA

PRF

1

21,880000

29,570000

0,000000

55

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

93

W55502017

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S

1

36,250000

47,420000

0,000000

94

W55502009

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S

1

18,130000

24,500000

0,000000

95

W12072001

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F

1

21,516000

26,266800

21,183200

96

W55502001

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S

1

9,060000

12,250000

0,000000

97

W58456003

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 200 ML SOL. PERF.

PR

10

43,500000

56,904000

32,740000

98

W58456002

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 100 ML SOL. PERF.

PR

20

21,516000

26,266800

11,204200

99

W60056005

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML

SOL. PERF. X 200 MG FLUCONAZOL

S

10

17,930000

21,889000

0,000000

100

W57368003

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMANIA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

21,516000

26,266800

28,873200

101

W58456001

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI

CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL. PERF.

PR

20

10,872000

14,700000

6,937500

102

W08947008

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR.

FILM.

200mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

28

119,853214

132,002857

0,000000

103

W08946008

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR.

FILM.

50mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

28

32,232500

36,496071

0,000000

104

W10489001

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

1

435,570000

512,920000

0,000000

105

W41889001

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT.

SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA +

1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR

P-RF

1

2.044,020000

2.266,130000

0,000000

106

W60913001

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS. GASTROR

EZ.

100mg

MERCK SHARP DOHME LTD.

MAREA BRITANIE

CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE

PR

24

133,855416

147,492083

0,000000

107

W58194001

J02AC04

POSACONAZOLUM**

NOXAFIL 40mg/ml

SUSP.

ORALA

40mg/ml

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

1

2.405,440000

2.660,080000

0,000000

108

W06665001

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.246,420000

1.396,750000

0,000000

109

W06670001

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF.

70mg

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.617,600000

1.801,340000

0,000000

110

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

0,636000

0,859800

0,211200

111

W42857001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,636000

0,859800

0,188700

112

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

0,636000

0,859800

0,251200

113

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

0,636000

0,833260

0,000000

114

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

1,495000

2,020000

0,000000

115

W13972001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

116

W00044001

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR.

200mg

TERAPIA SA

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,030200

117

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

0,636000

0,859800

0,033700

118

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

0,530000

0,716500

0,000000

119

W53225001

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMANIA

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

120

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

1,794000

2,424000

0,334000

121

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

38,600000

47,124000

0,000000

122

W58707001

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR.

FILM.

500 mg

THE WELLCOME

FOUNDATION LTD.

MAREA

BRITANIE

CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.

PRF

10

2,780400

3,757200

0,903800

56

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

123

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

2,317000

3,131000

0,000000

124

W51832001

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

60

59,167800

65,256000

23,726166

125

W60756001

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PRF

60

49,306500

54,380000

0,000000

126

W54752001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

S

1

391,580000

464,970000

0,000000

127

W54752002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

S

1

870,210000

986,680000

0,000000

128

W54752003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S

1

1.710,420000

1.902,510000

0,000000

129

W54752004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A

200ML SOLUTIE PERFUZABILA

S

1

3.390,820000

3.734,150000

0,000000

130

W51530001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

S

1

190,360000

232,390000

0,000000

131

W51530006

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

S

1

5.766,650000

6.323,810000

0,000000

132

W51530003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

S

1

912,190000

1.032,440000

0,000000

133

W51530004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

S

1

1.847,580000

2.059,644000

78,286000

134

W51530005

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

S

1

3.736,820000

4.111,290000

0,000000

135

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

S

1

1.539,650000

1.716,370000

0,000000

136

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

S

1

204,810000

250,030000

0,000000

137

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

S

1

407,410000

482,230000

0,000000

138

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

894,400000

1.013,050000

0,000000

139

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

190,170000

232,160000

0,000000

140

W59114004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

INTRATECT 50 g/l

SOL. PERF.

50g/l

BIOTEST PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF.

PRF

1

1.758,800000

1.955,240000

0,000000

141

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

462,170000

541,920000

0,000000

142

W13462002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 100 ML

S

1

894,000000

1.012,610000

0,000000

143

W13462003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 200 ML

S

1

1.837,780000

2.041,330000

0,000000

144

W13462001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 50 ML

S

1

481,950000

563,480000

0,000000

145

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

S

1

784,820000

893,600000

0,000000

146

W12490001

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ.

50mg

BAXTER ONCOLOGY

GMBH

GERMANIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P-RF

50

0,401400

0,542400

0,000000

147

W52215001

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ.

I.V.

200mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

S

1

11,760000

15,890000

0,000000

148

W58865001

L01AA03

MELPHALANUM

ALKERAN 2 mg

COMPR.

FILM.

2mg

ASPEN PHARMA

TRADING LIMITED

IRLANDA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

P-RF

25

10,116400

12,350000

0,000000

149

W60631001

L01AA03

MELPHALANUM

ALKERAN 50 mg

PULB+SOL

V. PT. SOL. INJ./PERF.

50mg

CN UNIFARM S.A.

ROMANIA

CUTIE CU 1 FIOLA PULB.+ 1 FIOLA SOLVENT

PR

1

630,000000

724,850000

0,000000

150

W12497001

L01AA06

IFOSFAMIDUM

HOLOXAN 1 g

PULB. PT. SOL. PERF.

1g

BAXTER ONCOLOGY GMBH

GERMANIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.

S

1

95,760000

121,080000

0,000000

151

W51454001

L01AB01

BUSULFANUM

BUSILVEX 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

PIERRE FABRE MEDICAMENT

FRANTA

CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL. INJ.

S

8

1.007,503750

1.102,948750

0,000000

152

W58569001

L01BA01

METHOTREXATUM

METHOTREXATE PCH 10mg

COMPR.

10mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 10COMPR.

P6L

10

2,211000

2,989000

0,000000

153

W58568001

L01BA01

METHOTREXATUM

METHOTREXATE PCH 2,5mg

COMPR.

2,5mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X30 COMPRIMATE

P6L

30

0,553333

0,747666

0,000000

154

W12733003

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 1000

mg

CONC. PT. SOL.

INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML

S

1

65,640000

82,990000

0,000000

57

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

155

W12735001

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 5000

mg

CONC. PT. SOL.

INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 50 ML

S

1

308,200000

374,090000

0,000000

156

W58316010

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

93,336000

118,008000

9,082000

157

W58316004

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

35,730000

46,730000

0,000000

158

W58316007

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

63,030000

79,700000

0,000000

159

W58316001

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

PR

1

47,310000

61,880000

0,000000

160

W53758021

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

1

87,540000

110,680000

0,000000

161

W53758016

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

1

77,780000

98,340000

0,000000

162

W53758006

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P-RF

1

42,876000

56,076000

13,944000

163

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

53,287000

59,990500

0,000000

164

W56211001

L01BB05

FLUDARABINUM

FLUDARA

LIOF. PT. SOL.

INJ./PERF.

50mg

GENZYME EUROPE B.V.

OLANDA

CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.

S

5

81,444000

102,984000

12,802000

165

W53700001

L01BB05

FLUDARABINUM

FLUDARABINA ACTAVIS 25 mg/ml

PULB. PT. SOL.

INJ./PERF.

25mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

S

1

67,870000

85,820000

0,000000

166

W08035001

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI

100mg

BRISTOL MYERS SQUIBB

KFT

UNGARIA

CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.

P-RF

10

21,796000

26,609000

0,000000

167

W08036001

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI

50mg

BRISTOL MYERS SQUIBB

KFT

UNGARIA

CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS.

P-RF

20

10,952500

13,371000

0,000000

168

W52210001

L01CB01

ETOPOSIDUM

SINTOPOZID 100 mg/5 ml

CONC. PT. SOL. PERF.

100mg/5 ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S

1

17,960000

24,270000

0,000000

169

W03065001

L01CB01

ETOPOSIDUM

ETOPOSID "EBEWE" 100 mg/5 ml

CONC. PT. SOL. PERF.

100mg/5 ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRIA

CUTIE X 1 FLACON X 5 ML

S

1

21,552000

29,124000

3,236000

170

W52574002

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF.

20mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.

S

1

54,800000

69,290000

0,000000

171

W52574001

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF.

20mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.

S

1

21,552000

29,124000

3,846000

172

W60599002

L01CB01

ETOPOSIDUM

ETOPOZIDA KABI 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF.

PR

1

63,290000

80,030000

0,000000

173

W03575001

L01DB06

IDARUBICINUM

ZAVEDOS

CAPS.

10mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

188,210000

229,770000

0,000000

174

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

109,250000

133,370000

0,000000

175

W42735002

L01DB07

MITOXANTRONUM**

ONKOTRONE

CONC. PT.

SOL. INJ.

2mg/ml

BAXTER ONCOLOGY

GMBH

GERMANIA

CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.

S

1

474,870000

555,760000

0,000000

58

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

176

W56664001

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF.

PR

1

10,350000

13,990000

0,000000

177

W56664003

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF.

PR

1

24,048000

32,508000

15,522000

178

W56664002

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF.

PR

1

20,490000

27,700000

0,000000

179

W56665002

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF.

1 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF.

PR

1

20,040000

27,090000

0,000000

180

W56665003

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF.

1 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF.

PR

1

70,460000

89,090000

0,000000

181

W52187002

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF.

1mg/1ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.

S

1

23,940000

32,360000

0,000000

182

W52187001

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF.

1mg/1ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF.

S

1

9,940000

13,440000

0,000000

183

W01317001

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 50 mg/100 ml

CONC. PT. SOL. PERF.

50mg/100 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.

S

1

24,048000

32,508000

8,792000

184

W53000002

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.

S

1

45,350000

59,320000

0,000000

185

W53000003

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.

S

1

134,430000

164,110000

0,000000

186

W53000001

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S

1

15,480000

20,920000

0,000000

187

W58740001

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC

FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA

PR

1

18,576000

25,104000

0,136000

188

W58740002

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA

PR

1

49,170000

64,310000

0,000000

189

W58740003

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA

PR

1

136,890000

167,110000

0,000000

190

W52579003

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF.

S

1

137,790000

168,220000

0,000000

191

W52579002

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF.

S

1

49,230000

64,390000

0,000000

192

W58740004

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA

PR

1

181,360000

221,410000

0,000000

193

W07199001

L01XC02

RITUXIMABUM**

MABTHERA 100 mg

CONC. PT. SOL. PERF.

10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 2 FLACOANE X 10 ML

S

2

929,765000

1.032,520000

0,000000

194

W07200001

L01XC02

RITUXIMABUM**

MABTHERA 500 mg

CONC. PT. SOL. PERF.

10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

S

1

4.632,930000

5.088,050000

0,000000

195

W53892001

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

87,690000

110,870000

0,000000

196

W53893001

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

139,560000

170,380000

0,000000

197

W53520001

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL.

INJ./PERF.

300mcg/0,

5ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

105,228000

127,437600

34,512400

198

W55757002

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL.

INJ./PERF.

300μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

90,430000

106,198000

0,000000

59

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

199

W53523001

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL.

INJ./PERF.

480mcg/0,

8ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

167,472000

195,360000

72,090000

200

W55758002

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL.

INJ./PERF.

480μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

142,358000

162,800000

0,000000

201

W54580001

L03AX16

PLERIXAFOR**

MOZOBIL 20mg/ml

SOL. INJ.

20 mg/ml

GENZYME EUROPE B.V.

OLANDA

FLACON CU 1,2 ML SOL. X 20 MG/ML

S

1

21.644,390000

23.630,570000

0,000000

202

W04406001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,706500

2,083300

0,000000

203

W04407001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR.

FILM.

500mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

50

3,228200

3,941000

0,000000

204

W42264003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

3,078833

3,673833

0,000000

205

W42265003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

6,008166

6,866833

0,000000

206

W56657001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR

100

1,109300

1,354200

0,000000

207

W56643001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PRF

100

1,109300

1,354200

0,000000

208

W52877001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

100

1,109300

1,354200

0,000000

209

W58520001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

100

1,109300

1,354200

0,000000

210

W56644001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

211

W55987001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

50

2,136400

2,608200

0,000000

212

W58523001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

213

W52876001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR.

FILM.

500mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

50

2,136400

2,608200

0,000000

214

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

3,003000

3,666000

0,000000

215

W10576001

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ.

1mg

WYETH EUROPA LTD.

MAREA

BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

30

15,282333

17,929333

0,000000

216

W58975001

L04AB01

ETANERCEPTUM**

ENBREL 10mg de uz pediatric

PULB+SOL

V. PT. SOL. INJ.

10mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOXIDABIL + 4 ADAPTOARE PENTRU FLACON + 8 TAMPOANE CU ALCOOL

MEDICNAL

PR

4

183,222500

209,250000

0,000000

217

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

446,855000

496,610000

0,000000

218

W61299001

L04AB01

ETANERCEPTUM**

ENBREL 25mg

SOL. INJ. (INSERING A PREUMPLU

TA)

25mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL

P-RF/R

4

446,550000

496,277500

0,000000

219

W61300002

L04AB01

ETANERCEPTUM**

ENBREL 50mg

SOL. INJ. (INSERING A PREUMPLU

TA)

50mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL

P-RF/R

4

886,460000

975,780000

0,000000

220

W61303002

L04AB01

ETANERCEPTUM**

ENBREL 50mg

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

50mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL

P-RF/R

4

886,460000

975,780000

0,000000

221

W58368003

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

5,105200

6,232400

0,000000

222

W51399001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

1,865200

2,358400

0,000000

223

W58149003

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

1,176000

1,487000

0,000000

224

W58367003

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

2,075600

2,533800

0,000000

225

W51398001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

3,136200

3,828600

0,000000

226

W56579003

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

1,235600

1,562200

0,000000

60

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

227

W53729001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

1,900800

2,403400

0,000000

228

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.

S/P-RF

50

1,235600

1,562200

0,000000

229

W56580003

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

2,427400

2,963400

0,000000

230

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.

S/P-RF

50

2,427400

2,963400

0,000000

231

W53730001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

3,734800

4,559400

0,000000

232

W53731001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

17,573400

19,918000

0,000000

233

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

2,652600

3,238400

0,000000

234

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

4,662600

5,692200

0,000000

235

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

20,683000

23,307600

0,000000

236

W53732001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 10 FIOLE X 1 ML

S

10

148,802000

166,009000

0,000000

237

W52049001

N02AX02

TRAMADOLUM

TRAMADOL ARENA

CAPS.

50mg

ARENA GROUP S.A.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,252600

0,341400

0,125600

238

W12691002

N02AX02

TRAMADOLUM

TRAMADOL

CAPS.

50mg

KRKA D.D.

SLOVENIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,221500

0,299500

0,000000

239

W60291001

N02AX02

TRAMADOLUM

TRAMACALM

CAPS.

50mg

A.C. HELCOR PHARMA

S.R.L.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.

P-RF

10

0,252600

0,341400

0,043600

240

W60238002

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

CAPS.

50mg

ZENTIVA A.S.

SLOVACIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,210500

0,284500

0,000000

241

W41593001

N02AX02

TRAMADOLUM

K-ALMA (R)

CAPS.

50mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,252600

0,341400

0,057100

242

W42957001

N02AX02

TRAMADOLUM

TRAMADOL EEL

COMPR.

50mg

BIO EEL SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,252600

0,341400

0,042100

243

W42440001

N02AX02

TRAMADOLUM

TRAMAG 50

COMPR.

50mg

MAGISTRA C C

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,252600

0,341400

0,057100

244

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

0,483666

0,653666

0,000000

245

W60236002

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA 100 mg

COMPR. ELIB.

PREL.

100mg

ZENTIVA AS

SLOVACIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

30

0,466333

0,630333

0,000000

246

W58893002

N02AX02

TRAMADOLUM

TRADOLAN RETARD 150 mg

COMPR. ELIB.

PREL.

150mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

30

0,802800

1,085200

0,032800

247

W60237002

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA 150 mg

COMPR. ELIB.

PREL.

150mg

ZENTIVA AS

SLOVACIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

30

0,669000

0,904333

0,000000

248

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

0,895000

1,170666

0,000000

249

W07784001

N02AX02

TRAMADOLUM

TRADOLAN 50 mg

COMPR. FILM.

50mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

P-RF

30

0,244333

0,330333

0,000000

250

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

0,802800

1,085200

0,200133

251

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

1,074000

1,404799

0,291201

252

W60239003

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE

RSABILE

50mg

ZENTIVA, A.S.

REPUBLIC A

SLOVACA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE

PRF

10

0,252600

0,341400

0,056600

253

W60239001

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE

RSABILE

50mg

ZENTIVA, A.S.

REPUBLIC A

SLOVACA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PRF

10

0,252600

0,341400

0,056600

254

W05961002

N02AX02

TRAMADOLUM

MABRON

SOL. INJ.

100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

100

1,143600

1,396100

0,000000

61

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

255

W05961001

N02AX02

TRAMADOLUM

MABRON

SOL. INJ.

100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

5

1,372320

1,675320

0,200680

256

W05966001

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ.

50mg/ml

KRKA D.D.

SLOVENIA

CUTIE X 5 FIOLE X 1 ML

S/P-RF

5

0,758000

1,024000

0,000000

257

W05967001

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ.

50mg/ml

KRKA D.D.

SLOVENIA

CUTIE X 5 FIOLE X 2 ML

S/P-RF

5

1,372320

1,675320

1,042680

258

W05969001

N02AX02

TRAMADOLUM

TRAMADOL

SUPOZ.

100mg

KRKA D.D.

SLOVENIA

CUTIE X 1 BLIST. X, 5 SUPOZ.

P-RF

5

0,856000

1,158000

0,000000

259

W61214001

R05CB13

DORNAZA ALFA**

PULMOZYME 2500 U/2,5 ml

SOL. DE INHALAT PRIN NEBULIZAT

OR

2500U/2,5

ml

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

71,111666

83,870000

0,000000

260

W51323001

R05CB13

DORNAZA ALFA**

PULMOZYME

SOL.

INHAL.

1mg/ml

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN

NEBULIZATOR, INTRODUSE IN PUNGA AL

S/P-RF

6

71,111666

83,870000

0,000000

261

W51484001

V03AC03

DEFERASIROXUM**

EXJADE 125mg

COMPR.

DISP.

125mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

PR

28

24,030000

27,555357

0,000000

262

W51485001

V03AC03

DEFERASIROXUM**

EXJADE 250mg

COMPR.

DISP.

250mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR

28

47,000000

52,592500

0,000000

263

W51486001

V03AC03

DEFERASIROXUM**

EXJADE 500mg

COMPR.

DISP.

500mg

NOVARTIS EUROPHARM

LTD.

MAREA

BRITANIE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR

28

86,728928

95,897142

0,000000

264

W04133001

V03AF01

MESNUM

UROMITEXAN (R) 400 mg

SOL. INJ.

400mg/4

ml

BAXTER ONCOLOGY

GMBH

GERMANIA

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE

DE STICLA INCOLORA X 4 ML

S

15

3,104000

4,060000

0,000000

62

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

P9.2: TRANSPLANT DE CORD

1

W02947001

C01CA24

EPINEPHRINUM

ADRENALINA 1 mg

SOL. INJ.

1mg/ml

TERAPIA SA

ROMANIA

CUTIE X 100 FIOLE X 1 ML

S

100

1,569300

1,915800

0,000000

2

W60389001

C01CA24

EPINEPHRINUM

EPIPEN 150 micrograme

SOL. INJ. IN STILOU PREUMPLU

T

150mcg

MEDA PHARMA GMBH CO KG

GERMANIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR

1

146,100000

178,360000

0,000000

3

W60390001

C01CA24

EPINEPHRINUM

EPIPEN 300 micrograme

SOL. INJ. IN STILOU PREUMPLU

T

300mcg

MEDA PHARMA GMBH CO KG

GERMANIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR

1

146,100000

178,360000

0,000000

4

W55629002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

12

4,044000

5,472000

22,543000

5

W54763001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

3,370000

4,560000

0,000000

6

W55369001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

7

W55629001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

8

W55423001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

9

W55424001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

10

W55370001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

11

W55630001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

12

W55630002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

12

21,346800

26,060400

20,445433

13

W54765001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

10,049600

14

W53595006

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

4,044000

5,472000

10,127000

15

W53596003

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

17,789000

21,717000

0,000000

16

W13676001

J01DD12

CEFOPERAZONUM

MEDOCEF 1 g

PULB. PT.

SOL. INJ.

1g

MEDOCHEMIE LTD.

CIPRU

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

S/P-RF

10

8,412000

11,376000

6,538000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

17

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

12,576000

16,992000

6,670000

18

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

3,190000

4,310000

0,000000

19

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

10,480000

14,160000

0,000000

20

W44061001

J01DD12

CEFOPERAZONUM

CEFOZON 1 g

PULB. PT. SOL. INJ./PERF.I.

M./I.V.

1g

E.I.P.I.CO. MED S.R.L.

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

S/P-RF

1

7,010000

9,480000

0,000000

21

W59077002

J01DH51

IMIPENEMUM + CILASTATINUM

TIENAM I.V. 500 mg/500 mg

PULB. PT. SOL. PERF.

500mg/50 0mg

MERCK SHARP DOHME

ROMANIA

TAVA CU 10 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. PERF.

PR

10

22,297200

27,220800

7,679200

22

W54471006

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

10

22,297200

27,220800

9,677200

23

W54471009

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P-RF

10

22,297200

27,220800

6,801200

24

W61198003

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN ATB 500

mg/500 mg

PULB. PT. SOL. PERF.

500mg/50 0mg

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

18,582000

22,685000

0,000000

25

W54471007

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P-RF

1

22,297200

27,220800

10,559200

26

W54471008

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P-RF

5

22,297200

27,220800

6,803200

27

W54471002

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

5

18,922000

23,924000

0,000000

28

W54471003

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P-RF

10

18,582000

22,685000

0,000000

29

W54471005

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMANIA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P-RF

5

22,297200

27,220800

9,829200

30

W54532001

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN KABI

500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

FRESENIUS KABI ROMANIA SRL

ROMANIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P-RF

10

18,581000

22,684000

0,000000

31

W52799001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR.

FILM.

600mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

10

163,000000

181,485000

0,000000

32

W52800001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP.

ORALA

100mg/5 ml

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

911,260000

1.031,420000

0,000000

33

W60604001

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEMBUR G

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF.

PR

1

112,480000

137,320000

0,000000

34

W60734001

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1

SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF.

PR

1

116,710000

142,262400

0,217600

35

W52801001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 10 PUNGI X 300 ML

S

10

126,315600

142,262400

42,337600

36

W57578002

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)

PRF

10

105,263000

118,552000

0,000000

37

W08372001

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 4 CAPS.

P-RF

4

1,998750

2,614500

3,788000

38

W58225007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100

mg

CAPS.

100mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,998750

2,614500

0,805500

39

W42371002

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGARIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-RF

16

1,665625

2,178750

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

1,998750

2,614500

2,056928

41

W52224001

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150

mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,870000

6,580000

0,000000

63

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

42

W43598001

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS.

150mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,680000

6,320000

0,000000

43

W60221001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS.

150mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

44

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

5,300000

7,160000

0,000000

45

W57239001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS.

150mg

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

46

W58226001

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150

mg

CAPS.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PRF

1

4,620000

6,240000

0,000000

47

W56446001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS.

150mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

48

W53943002

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS.

150mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

49

W03156001

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,544000

7,488000

3,542000

50

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

5,300000

7,160000

0,000000

51

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

5,300000

7,160000

0,000000

52

W43288001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS.

150mg

SANDOZ SRL

GERMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

53

W42693001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

54

W08373001

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

55

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

4,460000

5,834285

0,000000

56

W43596001

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg

CAPS.

50mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

7

1,356000

1,832570

0,133144

57

W58224007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS.

50mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,265714

1,710000

0,000000

58

W08374001

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 7 CAPS.

P-RF

7

1,356000

1,832570

0,947430

59

W57238001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

7

1,356000

1,832570

0,947430

60

W44098001

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS.

50mg

TERAPIA SA

ROMANIA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P-RF

7

1,356000

1,832570

0,947430

61

W43287001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS.

50mg

SANDOZ SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,130000

1,527142

0,000000

62

W51993001

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 50

mg

CAPS.

50mg

MEDOCHEMIE ROMANIA

SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,356000

1,832570

0,560287

63

W42321001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,356000

1,832570

0,946001

64

W53942002

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50 MG

CAPS.

50mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,356000

1,832570

0,947430

65

W03157001

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS.

50mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,356000

1,832570

2,444572

66

W58322001

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA

PRF

1

21,880000

29,570000

0,000000

67

W55502017

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S

1

36,250000

47,420000

0,000000

68

W55502009

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S

1

18,130000

24,500000

0,000000

69

W12072001

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F

1

21,516000

26,266800

21,183200

70

W55502001

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S

1

9,060000

12,250000

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 AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 200 ML SOL. PERF.

PR

10

43,500000

56,904000

32,740000

72

W58456002

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 100 ML SOL. PERF.

PR

20

21,516000

26,266800

11,204200

73

W60056005

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML

SOL. PERF. X 200 MG FLUCONAZOL

S

10

17,930000

21,889000

0,000000

74

W57368003

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMANIA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

21,516000

26,266800

28,873200

64

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

75

W58456001

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 50 ML SOL. PERF.

PR

20

10,872000

14,700000

6,937500

76

W08947008

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR.

FILM.

200mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

28

119,853214

132,002857

0,000000

77

W08946008

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR.

FILM.

50mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

28

32,232500

36,496071

0,000000

78

W10489001

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

1

435,570000

512,920000

0,000000

79

W41889001

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP.

ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5

ML) + 1 ADAPTOR

P-RF

1

2.044,020000

2.266,130000

0,000000

80

W51832001

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

60

59,167800

65,256000

23,726166

81

W60756001

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM.

450mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PRF

60

49,306500

54,380000

0,000000

82

W04406001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,706500

2,083300

0,000000

83

W04407001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR.

FILM.

500mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

50

3,228200

3,941000

0,000000

84

W42264003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

3,078833

3,673833

0,000000

85

W42265003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

6,008166

6,866833

0,000000

86

W56657001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR

100

1,109300

1,354200

0,000000

87

W56643001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PRF

100

1,109300

1,354200

0,000000

88

W52877001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

100

1,109300

1,354200

0,000000

89

W58520001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

100

1,109300

1,354200

0,000000

90

W56644001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

91

W55987001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

50

2,136400

2,608200

0,000000

92

W58523001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

93

W52876001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR.

FILM.

500mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

50

2,136400

2,608200

0,000000

94

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

3,003000

3,666000

0,000000

95

W58368003

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

5,105200

6,232400

0,000000

96

W51399001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

1,865200

2,358400

0,000000

97

W58149003

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

1,176000

1,487000

0,000000

98

W58367003

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

2,075600

2,533800

0,000000

99

W51398001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

3,136200

3,828600

0,000000

100

W56579003

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

1,235600

1,562200

0,000000

101

W53729001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

1,900800

2,403400

0,000000

102

W55262007

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5 mg

CAPS.

0,5mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU

LAMINAT X 50 CAPS.

S/P-RF

50

1,235600

1,562200

0,000000

103

W56580003

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

2,427400

2,963400

0,000000

104

W55263007

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU

LAMINAT X 50 CAPS.

S/P-RF

50

2,427400

2,963400

0,000000

105

W53730001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

3,734800

4,559400

0,000000

106

W53731001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

17,573400

19,918000

0,000000

65

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

107

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

2,652600

3,238400

0,000000

108

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

4,662600

5,692200

0,000000

109

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

20,683000

23,307600

0,000000

110

W53732001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 10 FIOLE X 1 ML

S

10

148,802000

166,009000

0,000000

66

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

P9.3: TRANSPLANT HEPATIC

1

W00188001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS.

250mg

PRO. MED. CS PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L

50

0,603000

0,788600

0,000000

2

W59934001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS.

250mg

ROMPHARM COMPANY

S.R.L.

ROMANIA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6L

60

0,602833

0,788500

0,000000

3

W00187001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH

GERMANIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-6L

50

0,723400

0,946200

0,267200

4

W00187002

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6L

100

0,723400

0,946200

0,206200

5

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

2,196700

2,681700

0,000000

6

W58363001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP.

ORALA

250mg/5

ml

DR. FALK PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP.

ORALA+1LINGURITA DOZATOARE DIN PP

P6L

1

77,100000

97,490000

0,000000

7

W13613002

B01AB05

ENOXAPARINUM

CLEXANE 2000ui anti-Xa/0,2ml

SOL. INJ.

2000ui

anti- Xa/0,2ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR/PRF

10

5,083000

6,427000

0,000000

8

W13612002

B01AB05

ENOXAPARINUM

CLEXANE 4000ui anti-Xa/0,4ml

SOL. INJ.

4000ui anti-

Xa/0,4ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR/PRF

10

9,222000

11,660000

0,000000

9

W13611002

B01AB05

ENOXAPARINUM

CLEXANE 6000ui anti-Xa/0,6ml

SOL. INJ.

6000ui anti-

Xa/0,6ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR/PRF

10

12,277000

14,988000

0,000000

10

W13610002

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti-Xa/0,8ml

SOL. INJ.

8000UI

anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANTA

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.

PR/PRF

6

15,641666

19,778333

0,000000

11

W58879001

B01AC11

ILOPROSTUM**

ILOMEDIN 20

CONC. PT. SOL. PERF.

20μg/ml

BAYER PHARMA AG

GERMANIA

CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.

S/P-RF

5

131,884000

151,384000

0,000000

12

W61568004

B01AC11

ILOPROSTUM**

VENTAVIS 10μg/ml

SOL. DE INHALAT PRIN

NEBULIZ.

10μg/ml

BAYER PHARMA AG

GERMANIA

CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.

PR

30

54,208000

60,358333

0,000000

13

W00257001

B01AD02

ALTEPLASUM**

ACTILYSE

PULB+SOL

V. PT. SOL. INJ

50mg

BOEHRINGER INGELHEIM

INTERNATIONAL GMBH

GERMANIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER

S

1

1.490,890000

1.663,220000

0,000000

14

W54011001

B02AA02

ACIDUM TRANEXAMICUM4)

EXACYL

SOL. INJ.

500mg/5

ml

CN UNIFARM

ROMANIA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X

5

1,890000

2,554000

0,000000

15

W53034001

B02BD08

EPTACOG ALFA ACTIVATUM**

NOVOSEVEN 1mg (50 KUI)

PULB. +

SOLV. PT. SOL. INJ.

50 KIU

NOVO NORDISK A/S

DANEMAR CA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE

P-RF/R

1

2.406,410000

2.661,140000

0,000000

16

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

0,805666

1,089000

0,000000

17

W07005001

C03EB01

COMBINATII

(SPIRONOLACTONUM+FUROSEMIDUM)

DIUREX 50

CAPS.

50mg/20

mg

TERAPIA SA

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-6L

20

0,895000

1,209500

0,000000

18

W60585001

C03EB01

COMBINATII

(SPIRONOLACTONUM+FUROSEMIDUM)

DIOCOR 50 mg/20 mg

CAPS.

50mg/20

mg

SANIENCE S.R.L.

ROMANIA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P6L

20

0,862500

1,165500

0,000000

19

W60585002

C03EB01

COMBINATII

(SPIRONOLACTONUM+FUROSEMIDUM)

DIOCOR 50 mg/20 mg

CAPS.

50mg/20

mg

SANIENCE S.R.L.

ROMANIA

CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.

P6L

30

0,776333

1,049333

0,000000

20

W53989001

H01BA02

DESMOPRESSINUM

MINIRIN 0,2 mg

COMPR.

0,2mg

FERRING GMBH

GERMANIA

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

P-RF

30

2,371999

2,999200

0,846133

21

W53832002

H01BA02

DESMOPRESSINUM

DESMOPRESINA TEVA 0,2mg

COMPR.

0,2mg

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR.

P-RF

30

1,976666

2,499333

0,000000

22

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

4,953333

6,047000

0,000000

23

W53991001

H01BA02

DESMOPRESSINUM

MINIRIN MELT 60 mcg

LIOF. ORAL

60mcg

FERRING GMBH

GERMANIA

CUTIE X 1 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL

P-RF

10

2,551000

3,337000

0,000000

24

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

2,506666

3,169333

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

25

W55629002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

12

4,044000

5,472000

22,543000

26

W54763001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

3,370000

4,560000

0,000000

27

W55369001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

28

W55629001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

29

W55423001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

30

W55424001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

31

W55370001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

32

W55630001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

33

W55630002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

12

21,346800

26,060400

20,445433

34

W54765001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

10,049600

35

W53595006

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

4,044000

5,472000

10,127000

36

W53596003

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

17,789000

21,717000

0,000000

37

W52799001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR.

FILM.

600mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

10

163,000000

181,485000

0,000000

38

W52800001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT.

SUSP. ORALA

100mg/5 ml

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

911,260000

1.031,420000

0,000000

39

W60604001

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEMBUR G

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF.

PR

1

112,480000

137,320000

0,000000

40

W60734001

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE

LAMINATA CARE CONTINE SOL. PERF.

PR

1

116,710000

142,262400

0,217600

41

W52801001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 10 PUNGI X 300 ML

S

10

126,315600

142,262400

42,337600

42

W57578002

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)

PRF

10

105,263000

118,552000

0,000000

43

W08947008

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR.

FILM.

200mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

28

119,853214

132,002857

0,000000

44

W08946008

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR.

FILM.

50mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

28

32,232500

36,496071

0,000000

45

W10489001

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

1

435,570000

512,920000

0,000000

46

W41889001

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP.

ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA +

1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR

P-RF

1

2.044,020000

2.266,130000

0,000000

47

W06665001

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.246,420000

1.396,750000

0,000000

48

W06670001

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF.

70mg

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.617,600000

1.801,340000

0,000000

67

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

49

W51832001

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

60

59,167800

65,256000

23,726166

50

W60756001

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PRF

60

49,306500

54,380000

0,000000

51

W54188003

J06BB04

IMUNOGLOBULINA ANTI-HEPATITICA B**

HEPATECT CP 50 UI/ml

SOL. PERF.

50 UI/ ml

BIOTEST PHARMA GMBH

GERMANIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF.

(2000UI)

PR

1

3.044,440000

3.356,590000

0,000000

52

W53892001

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

87,690000

110,870000

0,000000

53

W53893001

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

139,560000

170,380000

0,000000

54

W53520001

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 30MUI/0,5ml

SOL.

INJ./PERF.

300mcg/0,

5ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

105,228000

127,437600

34,512400

55

W55757002

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml

SOL.

INJ./PERF.

300μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

90,430000

106,198000

0,000000

56

W53523001

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 48MUI/0,8ml

SOL.

INJ./PERF.

480mcg/0,

8ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

167,472000

195,360000

72,090000

57

W55758002

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml

SOL.

INJ./PERF.

480μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

142,358000

162,800000

0,000000

58

W04406001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,706500

2,083300

0,000000

59

W04407001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR.

FILM.

500mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

50

3,228200

3,941000

0,000000

60

W42264003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

3,078833

3,673833

0,000000

61

W42265003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

6,008166

6,866833

0,000000

62

W56657001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR

100

1,109300

1,354200

0,000000

63

W56643001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PRF

100

1,109300

1,354200

0,000000

64

W52877001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

100

1,109300

1,354200

0,000000

65

W58520001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

100

1,109300

1,354200

0,000000

66

W56644001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

67

W55987001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

50

2,136400

2,608200

0,000000

68

W58523001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

69

W52876001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR.

FILM.

500mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

50

2,136400

2,608200

0,000000

70

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

3,003000

3,666000

0,000000

71

W10576001

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ.

1mg

WYETH EUROPA LTD.

MAREA

BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

30

15,282333

17,929333

0,000000

72

W58368003

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

5,105200

6,232400

0,000000

73

W51399001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

1,865200

2,358400

0,000000

74

W58149003

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

1,176000

1,487000

0,000000

75

W58367003

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

2,075600

2,533800

0,000000

76

W51398001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

3,136200

3,828600

0,000000

77

W56579003

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

1,235600

1,562200

0,000000

78

W53729001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

1,900800

2,403400

0,000000

79

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.

S/P-RF

50

1,235600

1,562200

0,000000

68

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

80

W56580003

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

2,427400

2,963400

0,000000

81

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.

S/P-RF

50

2,427400

2,963400

0,000000

82

W53730001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

3,734800

4,559400

0,000000

83

W53731001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

17,573400

19,918000

0,000000

84

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

2,652600

3,238400

0,000000

85

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

4,662600

5,692200

0,000000

86

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

20,683000

23,307600

0,000000

87

W53732001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 10 FIOLE X 1 ML

S

10

148,802000

166,009000

0,000000

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

69

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

1

W00188001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS.

250mg

PRO. MED. CS PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L

50

0,603000

0,788600

0,000000

2

W59934001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS.

250mg

ROMPHARM COMPANY

S.R.L.

ROMANIA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6L

60

0,602833

0,788500

0,000000

3

W00187001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH

GERMANIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-6L

50

0,723400

0,946200

0,267200

4

W00187002

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6L

100

0,723400

0,946200

0,206200

5

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

2,196700

2,681700

0,000000

6

W58363001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP.

ORALA

250mg/5

ml

DR. FALK PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP.

ORALA+1LINGURITA DOZATOARE DIN PP

P6L

1

77,100000

97,490000

0,000000

7

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

0,435800

0,589000

0,000000

8

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

0,522960

0,706800

0,058866

9

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

0,803666

1,086333

0,000000

10

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

0,866666

1,133666

0,000000

11

W55847002

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra

me/ml

LEO PHARMA A/S

DANEMAR

CA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S

10

21,144000

25,813000

0,000000

12

W55847001

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra

me/ml

LEO PHARMA A/S

DANEMAR

CA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

S

10

11,086000

13,534000

0,000000

13

W43774001

B01AB04

DALTEPARINUM

FRAGMIN 10000 UI/0,4 ml

SOL. INJ.

10000UI/0

,4ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 5 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI

NEEDLE-TRAP A 0,4 ML SOLUTIE INJECTABILA

S/P-RF

5

14,576000

18,430000

0,000000

14

W43775001

B01AB04

DALTEPARINUM

FRAGMIN 12500 UI/0,5 ml

SOL. INJ.

12500

UI/0,5ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 5 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI

NEEDLE-TRAP A 0,5 ML SOLUTIE INJECTABILA

S/P-RF

5

18,506000

23,398000

0,000000

15

W52805003

B01AB04

DALTEPARINUM

FRAGMIN15000 UI/0,6 ml

SOL. INJ.

15000ui/0

,6ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 5 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI

NEEDLE-TRAP A 0,6 ML SOLUTIE INJECTABILA

S/P-RF

5

22,400000

27,346000

0,000000

16

W43776001

B01AB04

DALTEPARINUM

FRAGMIN 18000 UI/0,72 ml

SOL. INJ.

18000

UI/0,72ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 5 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI

NEEDLE-TRAP A 0,72 ML SOLUTIE INJECTABILA

S/P-RF

5

27,466000

33,530000

0,000000

17

W52809004

B01AB04

DALTEPARINUM

FRAGMIN 2500 UI/0,2 ml

SOL. INJ.

2500ui/0, 2ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA FARA SISTEM DE BLOCARE A ACULUI NEEDLE-

TRAP X 0,2 ML SOLUTIE INJECTABILA

S/P-RF

10

4,739000

6,199000

0,000000

18

W52808004

B01AB04

DALTEPARINUM

FRAGMIN 5000 UI/0,2 ml

SOL. INJ.

5000ui/0, 2ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O

SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA

S/P-RF

10

9,056000

11,451000

0,000000

19

W52807002

B01AB04

DALTEPARINUM

FRAGMIN 7500 UI/0,3 ml

SOL. INJ.

7500ui/0, 3ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O

SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,3 ML SOLUTIE INJECTABILA

S/P-RF

10

11,200000

13,673000

0,000000

20

W13613002

B01AB05

ENOXAPARINUM

CLEXANE 2000ui anti-Xa/0,2ml

SOL. INJ.

2000ui

anti- Xa/0,2ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR/PRF

10

5,083000

6,427000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

21

W13612002

B01AB05

ENOXAPARINUM

CLEXANE 4000ui anti-Xa/0,4ml

SOL. INJ.

4000ui anti-

Xa/0,4ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR/PRF

10

9,222000

11,660000

0,000000

22

W13611002

B01AB05

ENOXAPARINUM

CLEXANE 6000ui anti-Xa/0,6ml

SOL. INJ.

6000ui anti-

Xa/0,6ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR/PRF

10

12,277000

14,988000

0,000000

23

W13610002

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti-Xa/0,8ml

SOL. INJ.

8000UI

anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANTA

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.

PR/PRF

6

15,641666

19,778333

0,000000

24

W42955001

H01CB02

OCTREOTIDUM**

SANDOSTATIN LAR 20 mg

PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB.

PRELU

20mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

1

2.643,630000

2.919,710000

0,000000

25

W42954001

H01CB02

OCTREOTIDUM**

SANDOSTATIN LAR 10 mg

PULB.+SOL V.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

10mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

1

1.358,910000

1.519,360000

0,000000

26

W42956001

H01CB02

OCTREOTIDUM**

SANDOSTATIN LAR 30 mg

PULB.+SOL V.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

30mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P-RF

1

3.950,440000

4.344,140000

0,000000

27

W59079001

H01CB02

OCTREOTIDUM**

SANDOSTATIN 0,1 mg/ml

SOL. INJ.

0,1mg/ml

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ.

PR

5

6,750000

8,830000

0,000000

28

W55629002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

12

4,044000

5,472000

22,543000

29

W54763001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

3,370000

4,560000

0,000000

30

W55369001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

31

W55629001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

32

W55423001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

33

W55424001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

34

W55370001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

35

W55630001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

36

W55630002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

12

21,346800

26,060400

20,445433

37

W54765001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

10,049600

38

W53595006

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

4,044000

5,472000

10,127000

39

W53596003

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

17,789000

21,717000

0,000000

40

W13105001

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF. + SOLV. PT.

SOL. INJ.

400mg

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P-RF

1

106,430000

129,930000

0,000000

41

W52799001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR.

FILM.

600mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

10

163,000000

181,485000

0,000000

42

W52800001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT.

SUSP. ORALA

100mg/5 ml

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

911,260000

1.031,420000

0,000000

70

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

43

W60604001

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEMBUR G

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF.

PR

1

112,480000

137,320000

0,000000

44

W60734001

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE

LAMINATA CARE CONTINE SOL. PERF.

PR

1

116,710000

142,262400

0,217600

45

W52801001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 10 PUNGI X 300 ML

S

10

126,315600

142,262400

42,337600

46

W57578002

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)

PRF

10

105,263000

118,552000

0,000000

47

W08372001

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 4 CAPS.

P-RF

4

1,998750

2,614500

3,788000

48

W58225007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100

mg

CAPS.

100mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,998750

2,614500

0,805500

49

W42371002

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGARIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-RF

16

1,665625

2,178750

0,000000

50

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

1,998750

2,614500

2,056928

51

W52224001

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150

mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,870000

6,580000

0,000000

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

4,680000

6,320000

0,000000

53

W60221001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS.

150mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

54

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

5,300000

7,160000

0,000000

55

W57239001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS.

150mg

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

56

W58226001

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150

mg

CAPS.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PRF

1

4,620000

6,240000

0,000000

57

W56446001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS.

150mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

58

W53943002

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS.

150mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

59

W03156001

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,544000

7,488000

3,542000

60

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

5,300000

7,160000

0,000000

61

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

5,300000

7,160000

0,000000

62

W43288001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS.

150mg

SANDOZ SRL

GERMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

63

W42693001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

64

W08373001

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

65

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

4,460000

5,834285

0,000000

66

W43596001

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg

CAPS.

50mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P-RF

7

1,356000

1,832570

0,133144

67

W58224007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS.

50mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,265714

1,710000

0,000000

68

W08374001

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 7 CAPS.

P-RF

7

1,356000

1,832570

0,947430

69

W57238001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

7

1,356000

1,832570

0,947430

70

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

1,356000

1,832570

0,947430

71

W43287001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS.

50mg

SANDOZ SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,130000

1,527142

0,000000

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

1,356000

1,832570

0,560287

73

W42321001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,356000

1,832570

0,946001

71

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

74

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

1,356000

1,832570

0,947430

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

1,356000

1,832570

2,444572

76

W58322001

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA

PRF

1

21,880000

29,570000

0,000000

77

W55502017

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S

1

36,250000

47,420000

0,000000

78

W55502009

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S

1

18,130000

24,500000

0,000000

79

W12072001

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F

1

21,516000

26,266800

21,183200

80

W55502001

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S

1

9,060000

12,250000

0,000000

81

W58456003

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI

CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF.

PR

10

43,500000

56,904000

32,740000

82

W58456002

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI

CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF.

PR

20

21,516000

26,266800

11,204200

83

W60056005

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML

SOL. PERF. X 200 MG FLUCONAZOL

S

10

17,930000

21,889000

0,000000

84

W57368003

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMANIA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

21,516000

26,266800

28,873200

85

W58456001

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 50 ML SOL. PERF.

PR

20

10,872000

14,700000

6,937500

86

W43051001

J02AC02

ITRACONAZOLUM

ITRACONAZOL 100 mg

CAPS.

100mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

P-RF

15

1,586666

2,144666

0,000000

87

W03837002

J02AC02

ITRACONAZOLUM

ORUNGAL

CAPS.

100mg

JANSSEN

PHARMACEUTICA N.V.

BELGIA

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.

P-RF

15

1,903999

2,573599

0,620401

88

W53958001

J02AC02

ITRACONAZOLUM

MICOGAL 100 mg

CAPS.

100mg

ROMPHARM COMPANY

SRL

ROMANIA

CUTIE CU BLISTERE PVC/AL X 15 CAPSULE

P-RF

15

1,586666

2,144666

0,000000

89

W52343006

J02AC02

ITRACONAZOLUM

OMICRAL 100 mg

CAPS.

100mg

MEDICO UNO

PHARMACEUTICAL SRL

ROMANIA

CUTIE X 3 BLIST. AL/AL X 5 CAPS.

P-RF

15

1,586666

2,144666

0,000000

90

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

1,586666

2,144666

0,000000

91

W08947008

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR.

FILM.

200mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

28

119,853214

132,002857

0,000000

92

W08946008

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR.

FILM.

50mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

28

32,232500

36,496071

0,000000

93

W10489001

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

1

435,570000

512,920000

0,000000

94

W41889001

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP.

ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5

ML) + 1 ADAPTOR

P-RF

1

2.044,020000

2.266,130000

0,000000

95

W06665001

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.246,420000

1.396,750000

0,000000

96

W06670001

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF.

70mg

MERCK SHARP DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.617,600000

1.801,340000

0,000000

97

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

0,636000

0,859800

0,211200

98

W42857001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,636000

0,859800

0,188700

99

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

0,636000

0,859800

0,251200

100

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

0,636000

0,833260

0,000000

101

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

1,495000

2,020000

0,000000

102

W13972001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

103

W00044001

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR.

200mg

TERAPIA SA

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,030200

104

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

0,636000

0,859800

0,033700

72

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

105

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

0,530000

0,716500

0,000000

106

W53225001

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMANIA

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

107

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

1,794000

2,424000

0,334000

108

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

38,600000

47,124000

0,000000

109

W58707001

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR.

FILM.

500 mg

THE WELLCOME

FOUNDATION LTD.

MAREA

BRITANIE

CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.

PRF

10

2,780400

3,757200

0,903800

110

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

2,317000

3,131000

0,000000

111

W51832001

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

60

59,167800

65,256000

23,726166

112

W60756001

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PRF

60

49,306500

54,380000

0,000000

113

W54752001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

S

1

391,580000

464,970000

0,000000

114

W54752002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

S

1

870,210000

986,680000

0,000000

115

W54752003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S

1

1.710,420000

1.902,510000

0,000000

116

W54752004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF.

100 mg/ml

OCTAPHARMA (IP)

LIMITED

MAREA

BRITANIE

CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A

200ML SOLUTIE PERFUZABILA

S

1

3.390,820000

3.734,150000

0,000000

117

W51530001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

S

1

190,360000

232,390000

0,000000

118

W51530006

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

S

1

5.766,650000

6.323,810000

0,000000

119

W51530003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

S

1

912,190000

1.032,440000

0,000000

120

W51530004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

S

1

1.847,580000

2.059,644000

78,286000

121

W51530005

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRIA

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

S

1

3.736,820000

4.111,290000

0,000000

122

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

S

1

1.539,650000

1.716,370000

0,000000

123

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

S

1

204,810000

250,030000

0,000000

124

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

S

1

407,410000

482,230000

0,000000

125

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

894,400000

1.013,050000

0,000000

126

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

190,170000

232,160000

0,000000

127

W59114004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

INTRATECT 50 g/l

SOL. PERF.

50g/l

BIOTEST PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF.

PRF

1

1.758,800000

1.955,240000

0,000000

128

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

462,170000

541,920000

0,000000

129

W13462002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 100 ML

S

1

894,000000

1.012,610000

0,000000

130

W13462003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 200 ML

S

1

1.837,780000

2.041,330000

0,000000

131

W13462001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

OCTAGAM

SOL. PERF.

50mg/ml

OCTAPHARMA (IP) LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON X 50 ML

S

1

481,950000

563,480000

0,000000

132

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

S

1

784,820000

893,600000

0,000000

133

W12490001

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ.

50mg

BAXTER ONCOLOGY

GMBH

GERMANIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P-RF

50

0,401400

0,542400

0,000000

134

W52215001

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ.

I.V.

200mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

S

1

11,760000

15,890000

0,000000

135

W53892001

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

87,690000

110,870000

0,000000

73

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

136

W53893001

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R

1

139,560000

170,380000

0,000000

137

W53520001

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 30MUI/0,5ml

SOL.

INJ./PERF.

300mcg/0,

5ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

105,228000

127,437600

34,512400

138

W55757002

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml

SOL.

INJ./PERF.

300μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

90,430000

106,198000

0,000000

139

W53523001

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 48MUI/0,8ml

SOL.

INJ./PERF.

480mcg/0,

8ml

TEVA GENERICS GMBH

GERMANIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P-RF/R

1

167,472000

195,360000

72,090000

140

W55758002

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml

SOL.

INJ./PERF.

480μg/0,5

ml

HOSPIRA UK LIMITED

MAREA

BRITANIE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU

PERF.

P-RF

5

142,358000

162,800000

0,000000

141

W04406001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,706500

2,083300

0,000000

142

W04407001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR.

FILM.

500mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

50

3,228200

3,941000

0,000000

143

W42264003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

3,078833

3,673833

0,000000

144

W42265003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

6,008166

6,866833

0,000000

145

W56657001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR

100

1,109300

1,354200

0,000000

146

W56643001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PRF

100

1,109300

1,354200

0,000000

147

W52877001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

100

1,109300

1,354200

0,000000

148

W58520001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

100

1,109300

1,354200

0,000000

149

W56644001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

150

W55987001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

50

2,136400

2,608200

0,000000

151

W58523001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

152

W52876001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR.

FILM.

500mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

50

2,136400

2,608200

0,000000

153

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

3,003000

3,666000

0,000000

154

W10576001

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ.

1mg

WYETH EUROPA LTD.

MAREA

BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

30

15,282333

17,929333

0,000000

155

W13098001

L04AC02

BASILIXIMABUM**

SIMULECT 20 mg

LIOF. + SOLV. PT. SOL.

INJ./PERF.

20mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

S

1

4.015,330000

4.414,870000

0,000000

156

W58368003

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

5,105200

6,232400

0,000000

157

W51399001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

1,865200

2,358400

0,000000

158

W58149003

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

1,176000

1,487000

0,000000

159

W58367003

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

2,075600

2,533800

0,000000

160

W51398001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

3,136200

3,828600

0,000000

161

W56579003

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

1,235600

1,562200

0,000000

162

W53729001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

1,900800

2,403400

0,000000

163

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.

S/P-RF

50

1,235600

1,562200

0,000000

164

W56580003

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

2,427400

2,963400

0,000000

165

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.

S/P-RF

50

2,427400

2,963400

0,000000

166

W53730001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

3,734800

4,559400

0,000000

74

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

167

W53731001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

17,573400

19,918000

0,000000

168

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

2,652600

3,238400

0,000000

169

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

4,662600

5,692200

0,000000

170

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

20,683000

23,307600

0,000000

171

W53732001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 10 FIOLE X 1 ML

S

10

148,802000

166,009000

0,000000

172

W60846001

L04AX01

AZATHIOPRINUM

IMURAN®

COMPR.

FILM.

50mg

ASPEN PHARMA

TRADING LIMITED

IRLANDA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

100

0,555400

0,702300

0,000000

173

W56928001

L04AX01

AZATHIOPRINUM

IMURAN®

COMPR.

FILM.

50mg

ASPEN EUROPE GMBH

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

100

0,555400

0,702300

0,000000

174

W56508002

L04AX01

AZATHIOPRINUM

IMMUNOPRIN 75 mg

COMPR.

FILM.

75mg

EBEWE PHARMA

GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

100

0,623900

0,788900

0,000000

175

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

2,002500

2,705000

0,000000

176

W60296004

M05BA04

ACIDUM ALENDRONICUM

FOSAMAX 70 mg

COMPR.

70mg

MERCK SHARP DOHME

ROMANIA

CUTIE CU 1 BLIST. AL/AL X 2 COMPR.

P6L

2

2,208000

2,985000

10,635000

177

W58352002

M05BA04

ACIDUM ALENDRONICUM

ACID ALENDRONIC AUROBINDO

70 mg

COMPR.

70mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR.

P6L

4

1,840000

2,487500

0,000000

178

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

2,208000

2,985000

5,150833

179

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

2,208000

2,985000

5,865000

180

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

2,208000

2,985000

5,582500

181

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

2,208000

2,985000

1,905000

182

W42905002

N02AB02

PETHIDINUM

MIALGIN (R) 100 mg/2 ml

SOL. INJ.

50mg/ml

ZENTIVA SA

ROMANIA

CUTIE X 5 FIOLE DIN STICLA X 2 ML

P-TS

5

1,436000

1,942000

0,000000

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

75

P9.5: TRANSPLANT CELULE PANCREATICE

1

W52799001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR.

FILM.

600mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

10

163,000000

181,485000

0,000000

2

W52800001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP.

ORALA

100mg/5 ml

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

911,260000

1.031,420000

0,000000

3

W60604001

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEMBUR G

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF.

PR

1

112,480000

137,320000

0,000000

4

W60734001

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE

LAMINATA CARE CONTINE SOL. PERF.

PR

1

116,710000

142,262400

0,217600

5

W52801001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 10 PUNGI X 300 ML

S

10

126,315600

142,262400

42,337600

6

W57578002

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)

PRF

10

105,263000

118,552000

0,000000

7

W08947008

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR.

FILM.

200mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

28

119,853214

132,002857

0,000000

8

W08946008

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR.

FILM.

50mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

28

32,232500

36,496071

0,000000

9

W10489001

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

1

435,570000

512,920000

0,000000

10

W41889001

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT.

SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA +

1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR

P-RF

1

2.044,020000

2.266,130000

0,000000

11

W51832001

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

60

59,167800

65,256000

23,726166

12

W60756001

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PRF

60

49,306500

54,380000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

76

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

P9.6: TRANSPLANT PULMONAR

1

W13613002

B01AB05

ENOXAPARINUM

CLEXANE 2000ui anti-Xa/0,2ml

SOL. INJ.

2000ui anti-

Xa/0,2ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR/PRF

10

5,083000

6,427000

0,000000

2

W13612002

B01AB05

ENOXAPARINUM

CLEXANE 4000ui anti-Xa/0,4ml

SOL. INJ.

4000ui anti-

Xa/0,4ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR/PRF

10

9,222000

11,660000

0,000000

3

W13611002

B01AB05

ENOXAPARINUM

CLEXANE 6000ui anti-Xa/0,6ml

SOL. INJ.

6000ui anti-

Xa/0,6ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR/PRF

10

12,277000

14,988000

0,000000

4

W13610002

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti-Xa/0,8ml

SOL. INJ.

8000UI

anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANTA

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.

PR/PRF

6

15,641666

19,778333

0,000000

5

W54011001

B02AA02

ACIDUM TRANEXAMICUM4)

EXACYL

SOL. INJ.

500mg/5

ml

CN UNIFARM

ROMANIA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X

5

1,890000

2,554000

0,000000

6

W02947001

C01CA24

EPINEPHRINUM

ADRENALINA 1 mg

SOL. INJ.

1mg/ml

TERAPIA SA

ROMANIA

CUTIE X 100 FIOLE X 1 ML

S

100

1,569300

1,915800

0,000000

7

W60389001

C01CA24

EPINEPHRINUM

EPIPEN 150 micrograme

SOL. INJ. IN STILOU PREUMPLU

T

150mcg

MEDA PHARMA GMBH CO KG

GERMANIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR

1

146,100000

178,360000

0,000000

8

W60390001

C01CA24

EPINEPHRINUM

EPIPEN 300 micrograme

SOL. INJ. IN STILOU PREUMPLU

T

300mcg

MEDA PHARMA GMBH CO KG

GERMANIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR

1

146,100000

178,360000

0,000000

9

W55629002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

12

4,044000

5,472000

22,543000

10

W54763001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

3,370000

4,560000

0,000000

11

W55369001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

12

W55629001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

13

W55423001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

4,044000

5,472000

26,688000

14

W55424001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

15

W55370001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

TERAPIA SA

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

16

W55630001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

29,479600

17

W55630002

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

12

21,346800

26,060400

20,445433

18

W54765001

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

21,346800

26,060400

10,049600

19

W53595006

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

4,044000

5,472000

10,127000

20

W53596003

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMANIA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

17,789000

21,717000

0,000000

21

W52799001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR.

FILM.

600mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

10

163,000000

181,485000

0,000000

22

W52800001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT.

SUSP. ORALA

100mg/5 ml

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

911,260000

1.031,420000

0,000000

23

W60604001

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEMBUR G

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF.

PR

1

112,480000

137,320000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

24

W60734001

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE

LAMINATA CARE CONTINE SOL. PERF.

PR

1

116,710000

142,262400

0,217600

25

W52801001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 10 PUNGI X 300 ML

S

10

126,315600

142,262400

42,337600

26

W57578002

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPATA CU UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)

PRF

10

105,263000

118,552000

0,000000

27

W08372001

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 4 CAPS.

P-RF

4

1,998750

2,614500

3,788000

28

W58225007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100

mg

CAPS.

100mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,998750

2,614500

0,805500

29

W42371002

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGARIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-RF

16

1,665625

2,178750

0,000000

30

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

1,998750

2,614500

2,056928

31

W52224001

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150

mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,870000

6,580000

0,000000

32

W43598001

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS.

150mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,680000

6,320000

0,000000

33

W60221001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS.

150mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

34

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

5,300000

7,160000

0,000000

35

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

5,300000

7,160000

0,000000

36

W58226001

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150

mg

CAPS.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PRF

1

4,620000

6,240000

0,000000

37

W56446001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS.

150mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

38

W53943002

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS.

150mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

39

W03156001

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,544000

7,488000

3,542000

40

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

5,300000

7,160000

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

5,300000

7,160000

0,000000

42

W43288001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS.

150mg

SANDOZ SRL

GERMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

43

W42693001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

44

W08373001

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

45

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

4,460000

5,834285

0,000000

46

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

1,356000

1,832570

0,133144

47

W58224007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS.

50mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,265714

1,710000

0,000000

48

W08374001

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 7 CAPS.

P-RF

7

1,356000

1,832570

0,947430

49

W57238001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

7

1,356000

1,832570

0,947430

50

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

1,356000

1,832570

0,947430

51

W43287001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS.

50mg

SANDOZ SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,130000

1,527142

0,000000

52

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

1,356000

1,832570

0,560287

53

W42321001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,356000

1,832570

0,946001

54

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

1,356000

1,832570

0,947430

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

1,356000

1,832570

2,444572

77

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

56

W58322001

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA

PRF

1

21,880000

29,570000

0,000000

57

W55502017

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S

1

36,250000

47,420000

0,000000

58

W55502009

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S

1

18,130000

24,500000

0,000000

59

W12072001

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F

1

21,516000

26,266800

21,183200

60

W55502001

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S

1

9,060000

12,250000

0,000000

61

W58456003

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI

CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF.

PR

10

43,500000

56,904000

32,740000

62

W58456002

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 100 ML SOL. PERF.

PR

20

21,516000

26,266800

11,204200

63

W60056005

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML

SOL. PERF. X 200 MG FLUCONAZOL

S

10

17,930000

21,889000

0,000000

64

W57368003

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMANIA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

21,516000

26,266800

28,873200

65

W58456001

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 50 ML SOL. PERF.

PR

20

10,872000

14,700000

6,937500

66

W08947008

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR.

FILM.

200mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

28

119,853214

132,002857

0,000000

67

W08946008

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR.

FILM.

50mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

28

32,232500

36,496071

0,000000

68

W10489001

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

1

435,570000

512,920000

0,000000

69

W41889001

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP.

ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5

ML) + 1 ADAPTOR

P-RF

1

2.044,020000

2.266,130000

0,000000

70

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

0,636000

0,859800

0,211200

71

W42857001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,636000

0,859800

0,188700

72

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

0,636000

0,859800

0,251200

73

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

0,636000

0,833260

0,000000

74

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

1,495000

2,020000

0,000000

75

W13972001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

76

W00044001

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR.

200mg

TERAPIA SA

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,030200

77

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

0,636000

0,859800

0,033700

78

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

0,530000

0,716500

0,000000

79

W53225001

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMANIA

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

80

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

1,794000

2,424000

0,334000

81

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

38,600000

47,124000

0,000000

82

W51832001

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

60

59,167800

65,256000

23,726166

83

W60756001

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM.

450mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PRF

60

49,306500

54,380000

0,000000

84

W04406001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,706500

2,083300

0,000000

85

W04407001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR.

FILM.

500mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

50

3,228200

3,941000

0,000000

78

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

86

W42264003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

3,078833

3,673833

0,000000

87

W42265003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

6,008166

6,866833

0,000000

88

W56657001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR

100

1,109300

1,354200

0,000000

89

W56643001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PRF

100

1,109300

1,354200

0,000000

90

W52877001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

100

1,109300

1,354200

0,000000

91

W58520001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

100

1,109300

1,354200

0,000000

92

W56644001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

93

W55987001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

50

2,136400

2,608200

0,000000

94

W58523001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

95

W52876001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR.

FILM.

500mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

50

2,136400

2,608200

0,000000

96

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

3,003000

3,666000

0,000000

97

W13098001

L04AC02

BASILIXIMABUM**

SIMULECT 20 mg

LIOF. + SOLV. PT. SOL.

INJ./PERF.

20mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

S

1

4.015,330000

4.414,870000

0,000000

98

W58368003

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

5,105200

6,232400

0,000000

99

W51399001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

1,865200

2,358400

0,000000

100

W58149003

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

1,176000

1,487000

0,000000

101

W58367003

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

2,075600

2,533800

0,000000

102

W51398001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

3,136200

3,828600

0,000000

103

W60846001

L04AX01

AZATHIOPRINUM

IMURAN®

COMPR.

FILM.

50mg

ASPEN PHARMA

TRADING LIMITED

IRLANDA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

100

0,555400

0,702300

0,000000

104

W56928001

L04AX01

AZATHIOPRINUM

IMURAN®

COMPR.

FILM.

50mg

ASPEN EUROPE GMBH

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

100

0,555400

0,702300

0,000000

105

W56508002

L04AX01

AZATHIOPRINUM

IMMUNOPRIN 75 mg

COMPR.

FILM.

75mg

EBEWE PHARMA

GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

100

0,623900

0,788900

0,000000

106

W52049001

N02AX02

TRAMADOLUM

TRAMADOL ARENA

CAPS.

50mg

ARENA GROUP S.A.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,252600

0,341400

0,125600

107

W12691002

N02AX02

TRAMADOLUM

TRAMADOL

CAPS.

50mg

KRKA D.D.

SLOVENIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,221500

0,299500

0,000000

108

W60291001

N02AX02

TRAMADOLUM

TRAMACALM

CAPS.

50mg

A.C. HELCOR PHARMA

S.R.L.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.

P-RF

10

0,252600

0,341400

0,043600

109

W60238002

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

CAPS.

50mg

ZENTIVA A.S.

SLOVACIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,210500

0,284500

0,000000

110

W41593001

N02AX02

TRAMADOLUM

K-ALMA (R)

CAPS.

50mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,252600

0,341400

0,057100

111

W42957001

N02AX02

TRAMADOLUM

TRAMADOL EEL

COMPR.

50mg

BIO EEL SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,252600

0,341400

0,042100

112

W42440001

N02AX02

TRAMADOLUM

TRAMAG 50

COMPR.

50mg

MAGISTRA C C

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,252600

0,341400

0,057100

113

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

0,483666

0,653666

0,000000

114

W60236002

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA 100 mg

COMPR.

ELIB. PREL.

100mg

ZENTIVA AS

SLOVACIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

30

0,466333

0,630333

0,000000

115

W58893002

N02AX02

TRAMADOLUM

TRADOLAN RETARD 150 mg

COMPR.

ELIB. PREL.

150mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PRF

30

0,802800

1,085200

0,032800

116

W60237002

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA 150 mg

COMPR. ELIB.

PREL.

150mg

ZENTIVA AS

SLOVACIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P-RF

30

0,669000

0,904333

0,000000

79

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

117

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

0,895000

1,170666

0,000000

118

W07784001

N02AX02

TRAMADOLUM

TRADOLAN 50 mg

COMPR. FILM.

50mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

P-RF

30

0,244333

0,330333

0,000000

119

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

0,802800

1,085200

0,200133

120

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

1,074000

1,404799

0,291201

121

W60239003

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE

RSABILE

50mg

ZENTIVA, A.S.

REPUBLIC A

SLOVACA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE

PRF

10

0,252600

0,341400

0,056600

122

W60239001

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE

RSABILE

50mg

ZENTIVA, A.S.

REPUBLIC A

SLOVACA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PRF

10

0,252600

0,341400

0,056600

123

W05961002

N02AX02

TRAMADOLUM

MABRON

SOL. INJ.

100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

100

1,143600

1,396100

0,000000

124

W05961001

N02AX02

TRAMADOLUM

MABRON

SOL. INJ.

100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P-RF

5

1,372320

1,675320

0,200680

125

W05966001

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ.

50mg/ml

KRKA D.D.

SLOVENIA

CUTIE X 5 FIOLE X 1 ML

S/P-RF

5

0,758000

1,024000

0,000000

126

W05967001

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ.

50mg/ml

KRKA D.D.

SLOVENIA

CUTIE X 5 FIOLE X 2 ML

S/P-RF

5

1,372320

1,675320

1,042680

127

W05969001

N02AX02

TRAMADOLUM

TRAMADOL

SUPOZ.

100mg

KRKA D.D.

SLOVENIA

CUTIE X 1 BLIST. X, 5 SUPOZ.

P-RF

5

0,856000

1,158000

0,000000

80

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

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

1

W00188001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS.

250mg

PRO. MED. CS PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-6L

50

0,603000

0,788600

0,000000

2

W59934001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS.

250mg

ROMPHARM COMPANY

S.R.L.

ROMANIA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6L

60

0,602833

0,788500

0,000000

3

W00187001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH

GERMANIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-6L

50

0,723400

0,946200

0,267200

4

W00187002

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6L

100

0,723400

0,946200

0,206200

5

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

2,196700

2,681700

0,000000

6

W58363001

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP.

ORALA

250mg/5

ml

DR. FALK PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP.

ORALA+1LINGURITA DOZATOARE DIN PP

P6L

1

77,100000

97,490000

0,000000

7

W04224001

H02AB04

METHYLPREDNISOLONUM

MEDROL A 16

COMPR.

16mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

P-RF

50

0,401800

0,543200

0,000000

8

W04222001

H02AB04

METHYLPREDNISOLONUM

MEDROL 32

COMPR.

32mg

PFIZER EUROPE MA

EEIG

MAREA

BRITANIE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.

P-RF

20

0,913000

1,234000

0,000000

9

W04237001

H02AB04

METHYLPREDNISOLONUM

SOLU - MEDROL ACT-O-VIAL

LIOF. SI

SOLV.PT.S OL.INJ

250mg/4 ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV

P-RF

1

15,150000

20,480000

0,000000

10

W08307001

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 125 mg

PULB+SOL

V. PT. SOL. INJ./PERF.

125mg

STADA HEMOFARM S.R.L.

ROMANIA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P-RF

1

6,520000

8,810000

0,000000

11

W08310001

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 500 mg

PULB+SOL

V. PT. SOL. INJ./PERF.

500mg

STADA HEMOFARM S.R.L.

ROMANIA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P-RF

1

22,950000

31,020000

0,000000

12

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

0,055320

0,072360

0,064640

13

W53341001

H02AB07

PREDNISONUM

PREDNISON - RICHTER 5 mg

COMPR.

5mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

20

0,055320

0,072360

0,061140

14

W13686002

H02AB07

PREDNISONUM

PREDNISON 5 mg

COMPR.

5mg

SINTOFARM SA

ROMANIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

30

0,055320

0,072360

0,051306

15

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

0,046100

0,060300

0,000000

16

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

0,055320

0,072360

0,017973

17

W53671001

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

BITRIM 400mg/80mg

COMPR.

400mg/80

mg

ARENA GROUP S.A.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,296500

0,400500

0,000000

18

W12479001

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

CO - TRIM ELL

COMPR.

400mg/80

mg

BIO EEL SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,270000

0,365000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

19

W05738001

J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

SUMETROLIM

COMPR.

400mg/80 mg

EGIS PHARMACEUTICALS

P.L.C.

UNGARIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,257500

0,348000

0,000000

20

W05741001

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

TAGREMIN

COMPR.

400mg/80

mg

ZENTIVA S.A.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,296500

0,400500

0,000000

21

W44046001

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

EPITRIM

SUSP.

ORALA

200mg/40

mg /5ml

E.I.P.I.CO. MED S.R.L.

ROMANIA

CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X

100 ML

P-RF

1

3,480000

4,710000

0,000000

22

W05739001

J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

SUMETROLIM

SUSP. ORALA

25mg/5m g/ml

EGIS PHARMACEUTICALS

P.L.C.

UNGARIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE

P-RF

1

7,300000

9,860000

0,000000

23

W08372001

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 4 CAPS.

P-RF

4

1,998750

2,614500

3,788000

24

W58225007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100

mg

CAPS.

100mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,998750

2,614500

0,805500

25

W42371002

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGARIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-RF

16

1,665625

2,178750

0,000000

26

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

1,998750

2,614500

2,056928

27

W52224001

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150

mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,870000

6,580000

0,000000

28

W43598001

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS.

150mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P-RF

1

4,680000

6,320000

0,000000

29

W60221001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS.

150mg

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

30

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

5,300000

7,160000

0,000000

31

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

5,300000

7,160000

0,000000

32

W58226001

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150

mg

CAPS.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PRF

1

4,620000

6,240000

0,000000

33

W56446001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS.

150mg

ACTAVIS GROUP PTC

EHF.

ISLANDA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PRF

1

5,300000

7,160000

0,000000

34

W53943002

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS.

150mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

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

5,544000

7,488000

3,542000

36

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

5,300000

7,160000

0,000000

37

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

5,300000

7,160000

0,000000

38

W43288001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS.

150mg

SANDOZ SRL

GERMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

39

W42693001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

40

W08373001

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,300000

7,160000

0,000000

41

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

4,460000

5,834285

0,000000

42

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

1,356000

1,832570

0,133144

43

W58224007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS.

50mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PRF

7

1,265714

1,710000

0,000000

44

W08374001

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 7 CAPS.

P-RF

7

1,356000

1,832570

0,947430

45

W57238001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED PHARMA S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PRF

7

1,356000

1,832570

0,947430

46

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

1,356000

1,832570

0,947430

47

W43287001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS.

50mg

SANDOZ SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,130000

1,527142

0,000000

48

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

1,356000

1,832570

0,560287

49

W42321001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-RF

7

1,356000

1,832570

0,946001

50

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

1,356000

1,832570

0,947430

51

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

1,356000

1,832570

2,444572

81

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

52

W58322001

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII + 1 LINGURITA DOZATOARE A 5ML, CU PULB. PENTRU 35 ML SUSP. ORALA

PRF

1

21,880000

29,570000

0,000000

53

W55502017

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S

1

36,250000

47,420000

0,000000

54

W55502009

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S

1

18,130000

24,500000

0,000000

55

W12072001

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F

1

21,516000

26,266800

21,183200

56

W55502001

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMANIA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S

1

9,060000

12,250000

0,000000

57

W58456003

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI

CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF.

PR

10

43,500000

56,904000

32,740000

58

W58456002

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 100 ML SOL. PERF.

PR

20

21,516000

26,266800

11,204200

59

W60056005

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUBLIC

A CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML

SOL. PERF. X 200 MG FLUCONAZOL

S

10

17,930000

21,889000

0,000000

60

W57368003

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMANIA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

21,516000

26,266800

28,873200

61

W58456001

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP

X 50 ML SOL. PERF.

PR

20

10,872000

14,700000

6,937500

62

W08947008

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR.

FILM.

200mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P-RF

28

119,853214

132,002857

0,000000

63

W08946008

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR.

FILM.

50mg

PFIZER LIMITED

MAREA

BRITANIE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P-RF

28

32,232500

36,496071

0,000000

64

W10489001

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF

1

435,570000

512,920000

0,000000

65

W41889001

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP.

ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5

ML) + 1 ADAPTOR

P-RF

1

2.044,020000

2.266,130000

0,000000

66

W60913001

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS. GASTROR

EZ.

100mg

MERCK SHARP DOHME LTD.

MAREA BRITANIE

CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE

PR

24

133,855416

147,492083

0,000000

67

W58194001

J02AC04

POSACONAZOLUM**

NOXAFIL 40mg/ml

SUSP.

ORALA

40mg/ml

MERCK SHARP DOHME

MAREA

BRITANIE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R

1

2.405,440000

2.660,080000

0,000000

68

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

0,636000

0,859800

0,211200

69

W42857001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,636000

0,859800

0,188700

70

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

0,636000

0,859800

0,251200

71

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

0,636000

0,833260

0,000000

72

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

1,495000

2,020000

0,000000

73

W13972001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMANIA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

74

W00044001

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR.

200mg

TERAPIA SA

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,636000

0,859800

0,030200

75

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

0,636000

0,859800

0,033700

76

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

0,530000

0,716500

0,000000

77

W53225001

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMANIA

CUTIE X 2 BLIST. X 10 COMPR.

P-RF

20

0,636000

0,859800

0,033700

78

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

1,794000

2,424000

0,334000

79

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

38,600000

47,124000

0,000000

80

W51832001

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF

60

59,167800

65,256000

23,726166

81

W60756001

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PRF

60

49,306500

54,380000

0,000000

82

W55472002

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA 100 mg

COMPR.

FILM.

100 mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-RF/R

30

2,243333

2,836666

0,000000

82

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

83

W07518002

J05AF05

LAMIVUDINUM

ZEFFIX 100 mg

COMPR.

FILM.

100mg

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL)

P-RF/R

28

2,692000

3,403999

0,959572

84

W59320003

J05AF05

LAMIVUDINUM

LAMIVUDINA AUROBINDO 150 mg

COMPR.

FILM.

150mg

AUROBINDO PHARMA

(MALTA) LIMITED

MALTA

CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM.

PR

60

3,304500

4,034166

0,000000

85

W03923002

J05AF05

LAMIVUDINUM

EPIVIR 150mg

COMPR.

FILM.

150mg

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.

P-RF/R

60

3,965400

4,840999

1,336334

86

W55474002

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA B.V.

300 mg

COMPR.

FILM.

300 mg

TEVA PHARMA B.V.

OLANDA

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-RF/R

30

8,751666

10,684000

0,000000

87

W03924002

J05AF05

LAMIVUDINUM

EPIVIR 10mg/ml

SOL.

ORALA

10mg/ml

GLAXO GROUP LTD.

MAREA

BRITANIE

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA

DOZATOARE + 1 ADAPTOR

P-RF/R

1

82,820000

104,720000

0,000000

88

W04406001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,706500

2,083300

0,000000

89

W04407001

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR.

FILM.

500mg

ROCHE REGISTRATION

LTD.

MAREA

BRITANIE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

50

3,228200

3,941000

0,000000

90

W42264003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

3,078833

3,673833

0,000000

91

W42265003

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMANIA

CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P-RF

120

6,008166

6,866833

0,000000

92

W56657001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR

100

1,109300

1,354200

0,000000

93

W56643001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PRF

100

1,109300

1,354200

0,000000

94

W52877001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-RF/R

100

1,109300

1,354200

0,000000

95

W58520001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

100

1,109300

1,354200

0,000000

96

W56644001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA

500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

97

W55987001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR.

REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMANIA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-RF

50

2,136400

2,608200

0,000000

98

W58523001

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU TRADING

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PRF

50

2,136400

2,608200

0,000000

99

W52876001

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR.

FILM.

500mg

TEVA PHARMA BV

OLANDA

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-RF/R

50

2,136400

2,608200

0,000000

100

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

3,003000

3,666000

0,000000

101

W10576001

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ.

1mg

WYETH EUROPA LTD.

MAREA

BRITANIE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P-RF/R

30

15,282333

17,929333

0,000000

102

W58368003

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

5,105200

6,232400

0,000000

103

W51399001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

1,865200

2,358400

0,000000

104

W58149003

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

1,176000

1,487000

0,000000

105

W58367003

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH

INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P-RF

50

2,075600

2,533800

0,000000

106

W51398001

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA

GMBH

GERMANIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

3,136200

3,828600

0,000000

107

W56579003

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA

PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

1,235600

1,562200

0,000000

108

W53729001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

1,900800

2,403400

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.

S/P-RF

50

1,235600

1,562200

0,000000

110

W56580003

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

2,427400

2,963400

0,000000

111

W55263007

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU

LAMINAT X 50 CAPS.

S/P-RF

50

2,427400

2,963400

0,000000

112

W53730001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

3,734800

4,559400

0,000000

113

W53731001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA

EUROPE BV

OLANDA

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1

PLIC CU DESICANT

S/P-RF

50

17,573400

19,918000

0,000000

114

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

2,652600

3,238400

0,000000

115

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

4,662600

5,692200

0,000000

83

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

116

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

20,683000

23,307600

0,000000

117

W53732001

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLANDA

CUTIE X 10 FIOLE X 1 ML

S

10

148,802000

166,009000

0,000000

118

W60846001

L04AX01

AZATHIOPRINUM*

IMURAN®

COMPR.

FILM.

50mg

ASPEN PHARMA

TRADING LIMITED

IRLANDA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

100

0,555400

0,702300

0,000000

119

W56928001

L04AX01

AZATHIOPRINUM*

IMURAN®

COMPR.

FILM.

50mg

ASPEN EUROPE GMBH

GERMANIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P-RF

100

0,555400

0,702300

0,000000

120

W56508002

L04AX01

AZATHIOPRINUM*

IMMUNOPRIN 75 mg

COMPR.

FILM.

75mg

EBEWE PHARMA

GES.M.B.H. NFG KG

AUSTRIA

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

100

0,623900

0,788900

0,000000

84

Pentru următoarele DCI-uri: VORICONAZOLUM si VALGANCICLOVIRUM prescrierea şi eliberarea medicamentelor se fac numai cu aprobarea Agenţiei Naţionale de Transplant

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

0,435800

0,589000

0,000000

2

W58167002

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,25

mcg

CAPS. MOI

0,25μg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PRF

30

0,522960

0,706800

0,058866

3

W44042001

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,50 mcg

CAPS. MOI

0,50mcg

TEVA PHARMACEUTICALS

S.R.L.

ROMANIA

CUTIE X 1 FLAC. X 30 CAPS. MOI

P-RF

30

0,803666

1,086333

0,000000

4

W58168002

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,5 mcg

CAPS. MOI

0,5μg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PRF

30

0,866666

1,133666

0,000000

5

W55847002

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra

me/ml

LEO PHARMA A/S

DANEMAR

CA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S

10

21,144000

25,813000

0,000000

6

W55847001

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra

me/ml

LEO PHARMA A/S

DANEMAR

CA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

S

10

11,086000

13,534000

0,000000

7

W51334002

A11CC04

CALCITRIOLUM**

ROCALTROL

CAPS. MOI

0,25mcg

ROCHE ROMANIA S.R.L.

ROMANIA

CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI.

P-RF

100

0,546500

0,691000

0,000000

8

W03447001

B01AB01

HEPARINUM**

HEPARINE SODIQUE

PANPHARMA

SOL. INJ.

5000ui/ml

LAB. PANPHARMA

FRANTA

CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.

S

10

10,891000

13,296000

0,000000

9

W13613002

B01AB05

ENOXAPARINUM**

CLEXANE 2000ui anti-Xa/0,2ml

SOL. INJ.

2000ui anti-

Xa/0,2ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR/PRF

10

5,083000

6,427000

0,000000

10

W13612002

B01AB05

ENOXAPARINUM**

CLEXANE 4000ui anti-Xa/0,4ml

SOL. INJ.

4000ui anti-

Xa/0,4ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR/PRF

10

9,222000

11,660000

0,000000

11

W13611002

B01AB05

ENOXAPARINUM**

CLEXANE 6000ui anti-Xa/0,6ml

SOL. INJ.

6000ui anti-

Xa/0,6ml

LAB. AVENTIS

FRANTA

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR/PRF

10

12,277000

14,988000

0,000000

12

W13610002

B01AB05

ENOXAPARINUM**

CLEXANE 8000ui anti-Xa/0,8ml

SOL. INJ.

8000UI

anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANTA

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ.

PR/PRF

6

15,641666

19,778333

0,000000

13

W55557001

B01AB06

NADROPARINUM**

FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml

SOL. INJ.

2850 ui AFXa/0,3

ml

GLAXO GROUP

LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

10

5,097000

6,445000

0,000000

14

W61290001

B01AB06

NADROPARINUM**

FRAXIPARINE 2850 UI anti-factor Xa/0,3 ml

SOL. INJ.

2850 ui AFXa/0,3

ml

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P-RF

10

5,097000

6,445000

0,000000

15

W61293001

B01AB06

NADROPARINUM**

FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml

SOL. INJ.

3800 ui AFXa/0,4

ml

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

10

6,720000

8,497000

0,000000

16

W55558001

B01AB06

NADROPARINUM**

FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml

SOL. INJ.

3800 ui AFXa/0,4

ml

GLAXO GROUP LIMITED/GLAXO

WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P-RF

10

6,720000

8,497000

0,000000

17

W55559001

B01AB06

NADROPARINUM**

FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml

SOL. INJ.

5700 ui AFXa/0,6

ml

GLAXO GROUP LIMITED/GLAXO

WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

10

10,800000

13,185000

0,000000

18

W61291001

B01AB06

NADROPARINUM**

FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml

SOL. INJ.

5700 ui AFXa/0,6

ml

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P-RF

10

10,800000

13,185000

0,000000

19

W61292001

B01AB06

NADROPARINUM**

FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml

SOL. INJ.

7600 ui AFXa/0,8

ml

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

10

13,121000

16,018000

0,000000

20

W55560001

B01AB06

NADROPARINUM**

FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml

SOL. INJ.

7600 ui AFXa/0,8

ml

GLAXO GROUP

LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITANIE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P-RF

10

13,121000

16,018000

0,000000

21

W55414002

B01AB06

NADROPARINUM**

FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza

SOL. INJ.

9500 UI

AFXa/1 ml

GLAXO GROUP LIMITED

MAREA BRITANIE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.

S

10

78,696000

89,594000

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

22

W61289002

B01AB06

NADROPARINUM**

FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza

SOL. INJ.

9500 UI

AFXa/1 ml

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.

S

10

78,696000

89,594000

0,000000

23

W59473001

B01AB10

TINZAPARINUM**

INNOHEP 10000 UI ANTI-XA/ml

SOL. INJ. IN FLACOANE

10000UI

anti-XA/ml

LEO PHARMA A/S

DANEMAR CA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI- XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT IN AURIU SI CAPSA DE SIGURANTA DIN PP DE CULOARE PORTOCALIE

PR/PRF

10

44,950000

52,811000

0,000000

24

W59475001

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI-Xa/ml

SOL. INJ. IN FLACOANE

20000 UI

anti-Xa/ml

LEO PHARMA A/S

DANEMAR CA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI- XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT CU LAC DE CULOARE VERDE SI CAPSA DE SIGURANTA DIN PP DE CULOARE

VERDE INCHIS

PR/PRF

10

100,064000

112,885000

0,000000

25

W59472003

B01AB10

TINZAPARINUM**

INNOHEP 10000 UI ANTI-XA/ml

SOL. INJ. IN SERINGI PREUMPLU TE

10000UI

anti-XA/ml

LEO PHARMA A/S

DANEMAR CA

CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR- UN SUPORT DIN PLASTIC CU CAPAC VERDE

PR/PRF

10

10,098000

12,328000

0,000000

26

W59472004

B01AB10

TINZAPARINUM**

INNOHEP 10000 UI ANTI-XA/ml

SOL. INJ. IN SERINGI PREUMPLU TE

10000UI

anti-XA/ml

LEO PHARMA A/S

DANEMAR CA

CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR- UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU

PR/PRF

10

12,987000

15,854000

0,000000

27

W59474003

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI-Xa/ml

SOL. INJ. IN SERINGI PREUMPLU TE

20000UI

anti-Xa/ml

LEO PHARMA A/S

DANEMAR CA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR- UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU

PR/PRF

2

47,275000

59,775000

0,000000

28

W59474002

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI-Xa/ml

SOL. INJ. IN SERINGI PREUMPLU TE

20000UI

anti-Xa/ml

LEO PHARMA A/S

DANEMAR CA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR- UN SUPORT DIN PLASTIC CU CAPAC GALBEN

PR/PRF

2

39,875000

50,420000

0,000000

29

W59474001

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI-Xa/ml

SOL. INJ. IN SERINGI PREUMPLU TE

20000UI

anti-Xa/ml

LEO PHARMA A/S

DANEMAR CA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR- UN SUPORT DIN PLASTIC CU CAPAC ROSU

PR/PRF

2

29,255000

36,990000

0,000000

30

W51230001

B03AC02

COMPLEX DE HIDROXID DE FER (III)

SUCROZA

VENOFER (R)

SOL.

INJ./PERF.

20mg/ml

VIFOR FRANCE S.A.

FRANTA

CUTIE X 5 FIOLE X 5 ML

S/P-RF

5

25,458000

31,080000

0,000000

31

W52282002

B03XA01

EPOETINUM ALFA**

BINOCRIT 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

1000UI/0,

5ml

SANDOZ GMBH

AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

6

17,845000

21,785000

0,000000

32

W52283002

B03XA01

EPOETINUM ALFA**

BINOCRIT 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA

2000UI/1,

0ml

SANDOZ GMBH

AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P-RF/R

6

37,178333

45,386666

0,000000

33

W55046001

B03XA01

EPOETINUM ALFA**

BINOCRIT 30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLU TA

30000UI/0

,75ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-RF/R

1

413,130000

488,460000

0,000000

34

W52284002

B03XA01

EPOETINUM ALFA**

BINOCRIT 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

3000UI/0,

3ml

SANDOZ GMBH

AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P-RF/R

6

56,818333

68,290000

0,000000

35

W57497004

B03XA01

EPOETINUM ALFA**

EPREX 40000 UI/ml

SOL. INJ. IN SERINGA PREUMPLU TA

40

000UI/ml

JOHNSON JOHNSON D.O.O.

SLOVENIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P-RF

1

795,432000

912,804000

99,806000

36

W55048001

B03XA01

EPOETINUM ALFA**

BINOCRIT 40000 UI/1 ml

SOL. INJ. IN SERINGA PREUMPLU TA

40000

UI/1 ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-RF/R

1

662,860000

760,670000

0,000000

85

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

37

W52285002

B03XA01

EPOETINUM ALFA**

BINOCRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

4000UI/0,

4ml

SANDOZ GMBH

AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P-RF/R

6

74,898333

87,998333

0,000000

38

W52286002

B03XA01

EPOETINUM ALFA**

BINOCRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

5000UI/0,

5ml

SANDOZ GMBH

AUSTRIA

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P-RF/R

6

92,996666

107,725000

0,000000

39

W07740002

B03XA01

EPOETINUM BETA**

NEORECORMON 10000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

10000UI/0

,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P-RF/R

6

251,083333

280,040000

0,000000

40

W07741002

B03XA01

EPOETINUM BETA**

NEORECORMON 2000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

2000UI/0,

3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P-RF/R

6

49,065000

59,898333

0,000000

41

W42097001

B03XA01

EPOETINUM BETA**

NEORECORMON 30000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

30000

UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P-RF/R

1

882,020000

999,550000

0,000000

42

W07742002

B03XA01

EPOETINUM BETA**

NEORECORMON 4000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

4000UI/0,

3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

6

93,466666

108,236666

0,000000

43

W07744002

B03XA01

EPOETINUM BETA**

NEORECORMON 5000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

5000UI/0,

3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P-RF/R

6

135,763333

154,340000

0,000000

44

W60969001

B03XA01

EPOETINUM ZETA**

RETACRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA

10000UI/1

,0ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

PR

1

186,800000

228,050000

0,000000

45

W60964001

B03XA01

EPOETINUM ZETA**

RETACRIT 2000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

2000UI/0,

6ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

PR

1

39,710000

51,940000

0,000000

46

W52731001

B03XA01

EPOETINUM ZETA**

RETACRIT 30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLU TA

30000UI/0

,75ml

HOSPIRA ENTERPRISES B.V.

OLANDA

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

S/P-RF/R

1

454,230000

533,260000

0,000000

47

W60965001

B03XA01

EPOETINUM ZETA**

RETACRIT 3000UI/0,9ml

SOL. INJ. IN SERINGA PREUMPLU TA

3000UI/0,

9ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ.

PR

1

58,510000

73,980000

0,000000

48

W52730001

B03XA01

EPOETINUM ZETA**

RETACRIT 40000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA

40000UI/1

,0ml

HOSPIRA ENTERPRISES B.V.

OLANDA

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

S/P-RF/R

1

601,590000

693,880000

0,000000

49

W60973001

B03XA01

EPOETINUM ZETA**

RETACRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

4000UI/0,

4ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 0,4ML SOL. INJ.

PR

1

78,020000

98,650000

0,000000

50

W60972001

B03XA01

EPOETINUM ZETA**

RETACRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

5000UI/0,

5ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ.

PR

1

97,520000

123,300000

0,000000

86

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

51

W60971001

B03XA01

EPOETINUM ZETA**

RETACRIT 6000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

6000UI/0,

6ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

PR

1

114,940000

140,320000

0,000000

52

W60970001

B03XA01

EPOETINUM ZETA**

RETACRIT 8000UI/0,8ml

SOL. INJ. IN SERINGA PREUMPLU TA

8000UI/0,

8ml

HOSPIRA UK LIMITED

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA X 0,8ML SOL. INJ.

PR

1

160,560000

196,010000

0,000000

53

W41530002

B03XA02

DARBEPOETINUM ALFA**

ARANESP 100mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

100mcg/0, 5ml

AMGEN EUROPE BV

OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

4

585,282500

647,495000

0,000000

54

W41522002

B03XA02

DARBEPOETINUM ALFA**

ARANESP 10mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mcg/0,4 ml

AMGEN EUROPE BV

OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

4

64,172500

78,342500

0,000000

55

W41531002

B03XA02

DARBEPOETINUM ALFA**

ARANESP 150mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

150mcg/0, 3ml

AMGEN EUROPE BV

OLANDA

CUTIE X 4 SERINGI PREUMPLUTE, A 1 ML X 0,3 ML

P-RF/R

4

874,185000

962,400000

0,000000

56

W41524002

B03XA02

DARBEPOETINUM ALFA**

ARANESP 20mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

20mcg/0,5 ml

AMGEN EUROPE BV

OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

4

123,037500

143,647500

0,000000

57

W41532001

B03XA02

DARBEPOETINUM ALFA**

ARANESP 300mcg/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

300mcg/0, 6ml

AMGEN EUROPE BV

OLANDA

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-RF/R

1

1.763,400000

1.960,260000

0,000000

58

W41525002

B03XA02

DARBEPOETINUM ALFA**

ARANESP 30mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

30mcg/0,3 ml

AMGEN EUROPE BV

OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

4

180,842500

206,655000

0,000000

59

W41526002

B03XA02

DARBEPOETINUM ALFA**

ARANESP 40mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

40mcg/0,4 ml

AMGEN EUROPE BV

OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

4

238,600000

269,612500

0,000000

60

W41533001

B03XA02

DARBEPOETINUM ALFA**

ARANESP 500mcg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

500mcg/m l

AMGEN EUROPE BV

OLANDA

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-RF/R

1

2.919,000000

3.219,860000

0,000000

61

W41527002

B03XA02

DARBEPOETINUM ALFA**

ARANESP 50mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mcg/0,5 ml

AMGEN EUROPE BV

OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-RF/R

4

286,425000

321,740000

0,000000

62

W41528002

B03XA02

DARBEPOETINUM ALFA**

ARANESP 60mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

60mcg/0,3 ml

AMGEN EUROPE BV

OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-RF/R

4

354,147500

395,560000

0,000000

63

W41529002

B03XA02

DARBEPOETINUM ALFA**

ARANESP 80mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

80mcg/0,4 ml

AMGEN EUROPE BV

OLANDA

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-RF/R

4

469,742500

521,557500

0,000000

64

W52309001

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 100mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

100mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.

S/P-RF/R

1

679,320000

778,610000

0,000000

87

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

65

W53532001

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 120mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

120mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.

S/P-RF/R

1

818,570000

930,390000

0,000000

66

W52310001

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 150mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

150mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.

S/P-RF/R

1

1.003,950000

1.132,460000

0,000000

67

W52311001

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 200mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

200mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.

S/P-RF/R

1

1.328,590000

1.486,320000

0,000000

68

W52312001

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 250mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

250mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.

S/P-RF/R

1

1.672,870000

1.861,580000

0,000000

69

W53529001

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 30mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

30mcg/0,3 ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.

S/P-RF/R

1

216,840000

264,720000

0,000000

70

W53533001

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 360mcg/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

360mcg/0, 6ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA, X 0,6ML SOL. INJ.

S/P-RF/R

1

2.505,110000

2.768,720000

0,000000

71

W52307001

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 50 mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

50

mcg/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.

S/P-RF/R

1

354,670000

424,740000

0,000000

72

W52308001

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 75mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

75mcg/0,3 ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ.

S/P-RF/R

1

517,010000

601,690000

0,000000

73

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

22,942857

26,370357

0,000000

74

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

41,556428

46,658928

0,000000

75

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

60,643214

67,463571

0,000000

76

W60920002

H05BX02

PARICALCITOLUM**

ZEMPLAR 1μg

CAPS. MOI

1μg

ABBVIE FARMACEUTICA

S.L.U.

SPANIA

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI

P-RF

28

8,489285

10,363571

0,000000

77

W60921002

H05BX02

PARICALCITOLUM**

ZEMPLAR 2μg

CAPS. MOI

2μg

ABBVIE FARMACEUTICA

S.L.U.

SPANIA

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.

P-RF

28

14,621785

17,300357

0,000000

78

W60961001

H05BX02

PARICALCITOLUM**

ZEMPLAR

SOL. INJ.

5 μg/ml

ABBVIE FARMACEUTICA

S.L.U.

SPANIA

CUTIE X 5 FIOLE X 1 ML SOL. INJ.

S

5

39,062000

47,686000

0,000000

79

W08985002

V03AE02

SEVELAMER**

RENAGEL 800mg

COMPR.

FILM.

800mg

GENZYME EUROPE BV

OLANDA

CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM.

P-RF

180

3,251333

3,755888

0,000000

B05DB

COMBINATII

88

P11: PROGRAM NATIONAL DE SANATATE MINTALA

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

1

W60453003

N07BB04

NALTREXONUM

NALTREXONA TORREX 50 mg

COMPR. FILM.

50mg

CHIESI PHARMACEUTICALS

GMBH

AUSTRIA

CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

PRF

28

7,700000

9,400000

0,000000

2

W51921003

N07BC02

METHADONUM

SINTALGON 2,5 mg

COMPR.

2,5mg

ZENTIVA S.A.

ROMANIA

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

P-TS

50

0,374600

0,506400

0,000000

3

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

0,965800

1,263200

0,000000

4

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

0,241200

0,326000

0,000000

5

W58160001

N07BC51

COMBINATII ( BUPRENORPHINUM + NALAXONE)

SUBOXONE 2mg/0,5mg

COMPR. SUBLING.

2mg/0,5m g

RECKITT BENCKISER HEALTHCARE

INTERNATIONAL LTD.

MAREA BRITANIE

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P-TS; S

7

2,664285

3,601428

0,000000

6

W58161001

N07BC51

COMBINATII ( BUPRENORPHINUM + NALAXONE)

SUBOXONE 8mg/2mg

COMPR. SUBLING.

8mg/2mg

RECKITT BENCKISER HEALTHCARE

INTERNATIONAL LTD.

MAREA BRITANIE

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P-TS; S

7

8,084285

10,221428

0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant

/am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuţie maximă asigurat / U.T. - farmacii comunitare

NOTA

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu(*) se iniţiaza de medicul de specialitate in limita competenţei şi poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Caselor udetene de Asi urari de Sanatate;

- Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Casei Nationale de Asi urari de Sanatate; Medicamentul corespunzator DCI-ului notat cu (3) se livreaza impreuna cu solvent;

Medicamentele corespunzatoare DCI-urilor notate cu 4() se importa cu avizul Ministerului Sanatatii;

89

Medicamentele din această sublistă se eliberează atât prin farmacii cu circuit închis câtşi prin farmacii cu circuit deschis pe bază de prescripţie medicală cu reţinere în farmacie (P-RF).

90

SECŢIUNEA C2 - LISTA denumirilor comerciale şi a preţurilor de decontare ale medicamentelor prevăzute la art. 2 alin. (4) din Anexa la Ordinul ministrului sănătăţii nr. 75/2009 pentru aprobarea Normelor privind modul de calcul al preţurilor la medicamentele de uz uman, cu modificările şi completările ulterioare

VALABILĂ ÎNCEPÂND CU 01 IULIE 2015

ANEXA 2

Grupa

Denumire

Forma

Concentratie /

Pret cu ridicata

Pret de

contribuţie maximă

Nr.crt

Prescriptie

Cod CIM

Denumire generica

terapeutica comerciala

farmaceutica

U.T. Firma Tara Ambalaj

cant/ambalaj

maximal 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

P6.4: MUCOVISCIDOZA

1 W58656002 A09AA02 PANCREATINUM** KREON 10000 CAPS. GASTROREZ. 150mg ABBOTT LABORATORIES GMBH GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC 20 0,446000 0,603000 0,000000 Mucoviscidoza

2 W59801002 A09AA02 PANCREATINUM** KREON 25000 CAPS. GASTROREZ. 300mg ABBOTT LABORATORIES GMBH GERMANIA FLACON DIN PEID CU 20 CAPS. GASTROREZ. OTC 20 0,906500 1,225500 0,000000 Mucoviscidoza