ANEXĂ din 28 decembrie 2018

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Informatii Document

Emitent: MINISTERUL SANATATII CASA NATIONALA DE ASIGURARI DE SANATATE
Publicat în: MONITORUL OFICIAL nr. 4 bis din 3 ianuarie 2019
Actiuni Suferite
Actiuni Induse
Refera pe
Referit de
Nu exista actiuni suferite de acest act
Nu exista actiuni induse de acest act
Acte referite de acest act:

Alegeti sectiunea:
SECTIUNE ACTREFERA PEACT NORMATIV
ActulREFERIRE LAORDIN 1677 28/12/2018
ActulREFERIRE LAORDIN 1605 23/12/2014 ANEXA 2
ActulREFERIRE LAORDIN 1605 23/12/2014 ANEXA 4
ANEXA 0REFERIRE LAORDIN 1605 23/12/2014
ANEXA 0REFERIRE LAHG 720 09/07/2008
ANEXA 1REFERIRE LAORDIN 1605 23/12/2014
ANEXA 2REFERIRE LAORDIN 1605 23/12/2014
Acte care fac referire la acest act:

SECTIUNE ACTREFERIT DEACT NORMATIV
ActulCONTINUT DEORDIN 1677 28/12/2018





Notă Conținute de Ordinul nr. 1.677/1.609/2018, publicat în Monitorul oficial, Partea I, nr. 4 din 3 ianuarie 2019.

Anexa nr. 1

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

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

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

VALABILĂ ÎNCEPÂND CU 01 IANUARIE 2019

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

3

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

    1 W05444001 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE CU UN BLISTER DIN PVC-PE-PVDC/ALUMINIUM A 12 COMPRIMATE FILMATE P-RF 12

    2,025000

    2,737500

    0,000000

    2 W05444002 A07AA11 RIFAXIMINUM NORMIX 200 mg COMPR. FILM. 200mg ALFA WASSERMANN SPA ITALIA CUTIE CU 3 BLISTERE DIN PVC-PE-PVDC/ALUMINIUM A CATE 12 COMPRIMATE FILMATE P-RF 36

    1,990000

    2,516111

    0,000000

    3 W63734001 A07AA11 RIFAXIMINUM

    NORMIX 200 mg

    COMPR. FILM.

    200mg

    ALFASIGMA S.P.A. ITALIA

    CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 12 COMPR. FILM.

    PRF

    12

    2,025000

    2,737500

    0,000000

    4 W63734002 A07AA11 RIFAXIMINUM

    NORMIX 200 mg

    COMPR. FILM.

    200mg

    ALFASIGMA S.P.A. ITALIA

    CUTIE CU 3 BLIST. PVC-PE-PVDC/AL A CATE 12 COMPR. FILM.

    PRF

    36

    1,990000

    2,516111

    0,000000

    5 W63735001 A07AA11 RIFAXIMINUM

    NORMIX 200mg/10ml

    GRAN. PT. SUSP. ORALA

    200mg/10ml

    ALFASIGMA S.P.A. ITALIA

    CUTIE CU UN FLACON DIN STICLA BRUNA CONTINÂND GRANULE PENTRU 60 ML SUSPENSIE ORALA, ÎNSOTIT DE O MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML.

    PRF

    1

    15,290000

    20,660000

    0,000000

    6 W13742001 D01AC02 MICONAZOLUM

    MICONAZOL NITRAT 2%

    CREMA

    2%

    SLAVIA PHARM SRL ROMANIA

    CUTIE X 1 TUB X 20 G

    P-RF

    1

    5,460000

    7,380000

    0,000000

    7 W00040001 D06BB03 ACICLOVIRUM

    ZOVIRAX

    CREMA

    5%

    THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

    CUTIE X 1 TUB X 5G CREMA

    P-RF

    1

    4,824000

    6,528000

    9,422000

    8 W64229001 D06BB03 ACICLOVIRUM

    ACEVIREX 50 mg/g

    CREMA

    50mg/g

    THE WELLCOME FOUNDATION LTD. MAREA BRITANIE

    CUTIE CU 1 TUB DIN AL X 5 G CREMA

    PRF

    1

    4,824000

    6,528000

    16,472000

    9 W53041001 D06BB03 ACICLOVIRUM

    ACICLOVIR TIS 50mg/g

    CREMA

    50mg/g

    TIS FARMACEUTIC SA ROMANIA

    CUTIE X 1 TUB DIN PEJD X 15 G CREMA

    P-RF

    1

    3,660000

    4,950000

    0,000000

    10 W58038001 D06BB03 ACICLOVIRUM

    ACICLOVIR TERAPIA 50 mg/g

    CREMA

    50mg/g

    TERAPIA S.A. ROMANIA

    CUTIE CU 1 TUB DIN AL X 15 G CREMA

    PRF

    1

    4,392000

    5,940000

    1,390000

    11 W55128002 D06BB03 ACICLOVIRUM

    ACICLOVIR SLAVIA 50 mg/g

    CREMA

    50mg/g

    SLAVIA PHARM S.R.L. ROMANIA

    CUTIE CU 1 TUB AL X 5 G CREMA

    P-RF

    1

    4,360000

    5,890000

    0,000000

    12 W55128001 D06BB03 ACICLOVIRUM

    ACICLOVIR SLAVIA 50 mg/g

    CREMA

    50mg/g

    SLAVIA PHARM S.R.L. ROMANIA

    CUTIE CU 1 TUB AL X 15 G CREMA

    P-RF

    1

    4,392000

    5,940000

    1,390000

    13 W60557001 D06BB03 ACICLOVIRUM

    ACICLOVIR-RICHTER 50mg/g

    CREMA

    50mg/g

    GEDEON RICHTER ROMANIA SA ROMANIA

    CUTIE CU 1 TUB AL X 5 G CREMA

    PRF

    1

    4,020000

    5,440000

    0,000000

    14 W58038002 D06BB03 ACICLOVIRUM

    ACICLOVIR TERAPIA 50 mg/g

    CREMA

    50mg/g

    TERAPIA S.A. ROMANIA

    CUTIE CU 1 TUB DIN AL A 5 G CREMA

    PRF

    1

    4,824000

    6,528000

    0,802000

    15 W60557002 D06BB03 ACICLOVIRUM

    ACICLOVIR-RICHTER 50mg/g

    CREMA

    50mg/g

    GEDEON RICHTER ROMANIA SA ROMANIA

    CUTIE CU 1 TUB AL X 15 G CREMA

    PRF

    1

    4,392000

    5,940000

    2,370000

    16 W11729001 J01CF04 OXACILLINUM

    OXACILINA ATB 250 mg

    CAPS.

    250mg

    ANTIBIOTICE SA ROMANIA

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

    P-RF

    20

    0,305000

    0,388296

    0,023704

    17 W04675002 J01CF04 OXACILLINUM

    OXACILINA ARENA 250 mg

    CAPS.

    250mg

    ARENA GROUP SA ROMANIA

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

    P-RF

    20

    0,286500

    0,387500

    0,000000

    18 W04675003 J01CF04 OXACILLINUM

    OXACILINA ARENA 250 mg

    CAPS.

    250mg

    ARENA GROUP SA ROMANIA

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

    P-RF/S

    1000

    0,265060

    0,323580

    0,000000

    19 W12910001 J01CF04 OXACILLINUM

    OXACILINA FORTE 500 mg

    CAPS.

    500mg

    FARMEX COMPANY SRL ROMANIA

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

    P-RF

    20

    0,435500

    0,588500

    0,000000

    20 W12910003 J01CF04 OXACILLINUM

    OXACILINA FORTE 500 mg

    CAPS.

    500mg

    FARMEX COMPANY S.R.L. ROMANIA

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

    PRF

    10

    0,493152

    0,602040

    0,187960

    21 W07274001 J01CF04 OXACILLINUM

    OXACILINA ATB 500 mg

    CAPS.

    500mg

    ANTIBIOTICE SA ROMANIA

    CUTIE X 1 BLIST. X 10 CAPS.

    P-RF

    10

    0,493152

    0,602040

    0,217960

    22 W12910002 J01CF04 OXACILLINUM OXACILINA FORTE 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE CU 50 BLIST. PVC/AL CU 10 CAPSULE (AMBALAJ DE UZ SPITALICESC) P-RF/S 500

    0,410960

    0,501700

    0,000000

    23 W43092001 J01CF04 OXACILLINUM

    OXACILINA SANDOZ 500 mg CAPS.

    500mg

    SANDOZ SRL

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

    P-RF

    10

    0,493152

    0,602040

    0,166960

    24 W13743001 J01CF04 OXACILLINUM

    OXACILINA ARENA 500 mg CAPS.

    500mg

    ARENA GROUP SA

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

    P-RF

    10

    0,493152

    0,602040

    0,073960

    25 W60469003 J01CF04 OXACILLINUM

    OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF.

    1000mg

    ANTIBIOTICE SA

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

    PRF

    100

    4,081600

    4,830400

    0,000000

    26 W60469001 J01CF04 OXACILLINUM

    OXACILINA ATB 1000 mg PULB. PT. SOL. INJ./PERF.

    1000mg

    ANTIBIOTICE SA

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

    PRF

    1

    4,300000

    5,796480

    0,013520

    27 W60468003 J01CF04 OXACILLINUM

    OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF.

    500mg

    ANTIBIOTICE S.A.

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

    PRF

    100

    3,789200

    4,511700

    0,000000

    28 W60468001 J01CF04 OXACILLINUM

    OXACILINA ATB 500 mg PULB. PT. SOL. INJ./PERF.

    500mg

    ANTIBIOTICE S.A.

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

    PRF

    1

    3,970000

    5,360000

    0,000000

    31 W00400003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF

    14

    0,749285

    1,012857

    0,000000

    32 W57628002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    ENHANCIN 500 mg/125mg COMPR. FILM. 500 mg/125 mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF

    28

    0,460714

    0,622500

    0,000000

    33 W54453002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXIPLUS 500mg/125mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF

    14

    0,460000

    0,622142

    0,000000

    34 W64211008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF

    14

    0,425000

    0,574285

    0,000000

    1. 29 W58901002 J01CR01 AMPICILLINUM + SULBACTAM AMPIPLUS 1000 mg/500 mg PULB. PT. SOL. INJ./PERF. 1000mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. PR, PRF 50 13,796000 15,800600 0,000000

    2. 30 W55354004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU BLIST. AL/PVC-AL-PP X 28 COMPR. ELIB. PREL. P-RF 28 1,322857 1,730357 0,000000

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    35 W55163002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14

    0,510000

    0,689142

    0,267286

    36 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14

    0,742142

    1,002857

    0,000000

    37 W55401002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF 14

    0,749285

    1,012857

    0,000000

    38 W59497004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 14 COMPR. FILM. PRF 14

    0,749285

    1,012857

    0,000000

    39 W59497007 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 21 COMPR. FILM. PRF 21

    0,748571

    1,011904

    0,000000

    40 W55164001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF 14

    0,890570

    1,203428

    0,353714

    41 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF 14

    0,510000

    0,689142

    0,600858

    42 W59739002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF 50

    7,703200

    9,159400

    0,000000

    43 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF 1

    8,070000

    10,910000

    0,000000

    44 W08783002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE P-RF 1

    10,430000

    14,100000

    0,000000

    45 W55355005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1

    7,990000

    10,800000

    0,000000

    46 W55355001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA P-RF 1

    7,820000

    10,570000

    0,000000

    47 W55355004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF 1

    7,820000

    10,570000

    0,000000

    48 W55355006 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA +LINGURITA DOZATOARE PRF 1

    12,516000

    16,920000

    4,240000

    49 W55342003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN ES 600mg/42,9 mg/5 ml PULB. PT. SUSP. ORALA 600 mg/42,9mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CONTINÂND PULB. PENTRU 100 ML SUSPENSIE SI O LINGURITA DOZATOARE DIN POLISTIREN, MARCAT CU GRADATII PT. MASURAREA VOLUMELOR 2,5 ML SI 5,0 ML P-RF 1

    28,650000

    37,470000

    0,000000

    50 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF 1

    14,800000

    20,000000

    0,000000

    51 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

    PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S 1

    21,688800

    26,478000

    5,082000

    52 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

    PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10

    13,458000

    16,429000

    0,000000

    53 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

    PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 10

    12,977000

    15,842000

    0,000000

    54 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

    PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR 1

    13,450000

    18,180000

    0,000000

    55 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

    PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 10

    18,074000

    22,065000

    0,000000

    56 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

    PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR 1

    18,730000

    25,320000

    0,000000

    57 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

    PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10

    18,736000

    22,873000

    0,000000

    58 W55618001 J01DD04 CEFTRIAXONUM

    OFRAMAX 1000 mg PULB. PT. SOL. INJ./PERF. 1000mg TERAPIA SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF. S 50

    5,083200

    6,649200

    4,916400

    59 W13949003 J01DD04 CEFTRIAXONUM

    CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 17 ML CU PULB. PT. SOL. INJ./PERF. PR 10

    5,083200

    6,649200

    10,558800

    60 W59397002 J01DD04 CEFTRIAXONUM

    CEFTRIAXONA-MIP 1 g PULB. PT. SOL. INJ./PERF. 1g MIP PHARMA GMBH GERMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 10

    4,236000

    5,541000

    0,000000

    61 W13949009 J01DD04 CEFTRIAXONUM

    CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF. PR 10

    5,083200

    6,649200

    10,558800

    62 W13949006 J01DD04 CEFTRIAXONUM

    CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ./PERF. PR 10

    5,083200

    6,649200

    10,558800

    63 W13949012 J01DD04 CEFTRIAXONUM

    CEFORT 1 g PULB. PT. SOL. INJ./PERF. 1g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ./PERF. PR 10

    5,083200

    6,649200

    10,558800

    64 W42064001 J01DD04 CEFTRIAXONUM

    MEDAXONE 1 g PULB. PT. SOL. INJ./PERF. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. DIN STICLA X 1 G PULB. PT. SOL. INJ./PERF. S/P-RF 10

    5,083200

    6,649200

    0,060800

    65 W53779001 J01DD04 CEFTRIAXONUM

    SEFTRION 1 g PULB. PT. SOL. INJ./PERF. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1

    5,083200

    6,649200

    7,800800

    66 W55619001 J01DD04 CEFTRIAXONUM

    OFRAMAX 250 mg PULB. PT. SOL. INJ./PERF. 250mg TERAPIA SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF. S 50

    5,377000

    6,564200

    0,000000

    67 W13948004 J01DD04 CEFTRIAXONUM

    CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 10 ML CU PULB. PT. SOL. INJ. PERF. PR 10

    5,864000

    7,415000

    0,000000

    68 W13948008 J01DD04 CEFTRIAXONUM

    CEFORT 250 mg PULB. PT. SOL. INJ./PERF. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 15 ML CU PULB. PT. SOL. INJ. PERF. PR 10

    5,864000

    7,415000

    0,000000

    69 W59398002 J01DD04 CEFTRIAXONUM

    CEFTRIAXONA-MIP 2 g PULB. PT. SOL. INJ./PERF. 2g MIP PHARMA GMBH GERMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR 10

    7,801000

    9,863000

    0,000000

    70 W13891008 J01DD04 CEFTRIAXONUM

    CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF. PR 10

    9,361200

    11,835600

    18,641400

    71 W13891004 J01DD04 CEFTRIAXONUM

    CEFORT 2 g PULB. PT. SOL. INJ./PERF. 2g ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 50 ML, CU PULB. PT. SOL. INJ./PERF. PR 10

    9,361200

    11,835600

    18,641400

    72 W42544001 J01DD04 CEFTRIAXONUM

    MEDAXONE 2 g PULB. PT. SOL. INJ./PERF. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF. S/P-RF 10

    9,361200

    11,835600

    0,895400

    73 W53778001 J01DD04 CEFTRIAXONUM

    SEFTRION 500 mg PULB. PT. SOL. INJ./PERF. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERFZ. S/P-RF 1

    6,700000

    9,060000

    0,000000

    74 W56096001 J01DD04 CEFTRIAXONUM

    SEFTRION 2 g PULB. PT. SOL. PERF. 2g EIPICO MED SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. P-RF 1

    9,361200

    11,835600

    6,574400

    75 W57455001 J01DD08 CEFIXIMUM

    EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10

    1,742000

    2,354000

    0,000000

    76 W13701001 J01DD08 CEFIXIMUM

    EFICEF (R) 200 mg CAPS. 200mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10

    2,904000

    3,799000

    0,000000

    77 W63368003 J01DD08 CEFIXIMUM

    CEFIXIMA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 7 COMPR. FILM. PRF 7

    6,375714

    8,340000

    0,000000

    78 W60256003 J01DD08 CEFIXIMUM

    XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF 10

    7,650857

    10,008000

    0,014000

    79 W60256001 J01DD08 CEFIXIMUM

    XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF 5

    7,650857

    10,008000

    0,544000

    80 W61965002 J01DD08 CEFIXIMUM

    XIFIA 100 mg/5 ml GRANULE PT. SUSP. ORALA 100mg/5ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU CAPCITATEA DE 150 ML CARE CONTINE 53 G GRAN. PT. SUSP. ORALA+1 MASURA DOZATOARE DIN PP PT. MASURAREA VOLUMULUI DE SOLVENT GRADATA LA 66 ML+1 SERINGA DOZATOARE DIN PLASTIC A 5 ML, GRADATA DE LA 0,5 ML PANA LA 5 ML PRF 1

    61,150000

    77,320000

    0,000000

    81 W13676001 J01DD12 CEFOPERAZONUM

    MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10

    8,856000

    11,976000

    6,890000

    82 W13677001 J01DD12 CEFOPERAZONUM

    MEDOCEF 2 g PULB. PT. SOL. INJ. 2g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF 10

    13,248000

    17,904000

    7,014000

    83 W44045001 J01DD12 CEFOPERAZONUM

    CEFOZON 500 mg PULB. PT. SOL. INJ. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. S/P-RF 1

    3,350000

    4,530000

    0,000000

    84 W52795001 J01DD12 CEFOPERAZONUM

    CEFOZON 2 g PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V. S/P-RF 1

    11,040000

    14,920000

    0,000000

    85 W44061001 J01DD12 CEFOPERAZONUM

    CEFOZON 1 g PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V. S/P-RF 1

    7,380000

    9,980000

    0,000000

    4

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    86 W53787002 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF

    10

    19,685000

    24,032000

    0,000000

    87 W53787004 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 100 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S

    100

    18,147400

    20,162200

    0,000000

    88 W53787003 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF

    50

    18,497200

    20,925000

    0,000000

    89 W53787001 J01DD62 COMBINATII (CEFOPERAZONUM+SULBACTAMUM) SULCEF 1000 mg/1000 mg PULB. PT. SOL. INJ./PERF. 1000mg/1000mg MEDOCHEMIE S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF. S/P-RF

    1

    20,400000

    24,194640

    3,375360

    90 W60705002 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 1000 mg PULB. PT. SOL. INJ. SAU PERF. 1000 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR

    10

    27,806400

    33,945600

    30,726400

    91 W60703002 J01DH02 MEROPENEMUM MEROPENEM ZENTIVA 500 mg PULB. PT. SOL. INJ. SAU PERF. 500 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR

    10

    16,683600

    20,367600

    18,189400

    92 W56827001 J01DH02 MEROPENEMUM

    LODITER 1000 mg

    PULB. PT. SOL. INJ./PERF. 1000mg

    TERAPIA S.A.

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

    1

    27,806400

    33,945600

    66,694400

    93 W58974002 J01DH02 MEROPENEMUM

    MEROPENEM ATB 1000 mg

    PULB. PT. SOL. INJ./PERF. 1000mg

    ANTIBIOTICE S.A.

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

    10

    27,806400

    33,945600

    50,614400

    94 W61143002 J01DH02 MEROPENEMUM

    ARCHIFAR 1000 mg

    PULB. PT. SOL. INJ./PERF. 1000mg

    MEDOCHEMIE ROMANIA SRL

    ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR

    10

    25,092000

    30,632000

    0,000000

    95 W56125002 J01DH02 MEROPENEMUM

    MEROPENEM KABI 1 g

    PULB. PT. SOL. INJ./PERF. 1g

    FRESENIUS KABI ROMANIA SRL

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

    10

    27,806400

    33,945600

    5,829400

    96 W62533002 J01DH02 MEROPENEMUM

    MEROPENEM AUROBINDO 1 g

    PULB. PT. SOL. INJ./PERF. 1g

    AUROBINDO PHARMA (MALTA) LIMITED

    MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR

    10

    23,172000

    28,288000

    0,000000

    97 W64244003 J01DH02 MEROPENEMUM

    MEROPENEM ACCORD 1 g

    PULB. PT. SOL. INJ./PERF. 1g

    ACCORD HEALTHCARE LIMITED

    MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR

    10

    27,806400

    33,945600

    31,429400

    98 W56124002 J01DH02 MEROPENEMUM

    MEROPENEM KABI 500 mg

    PULB. PT. SOL. INJ./PERF. 500mg

    FRESENIUS KABI ROMANIA SRL

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

    10

    16,683600

    20,367600

    8,238400

    99 W62532002 J01DH02 MEROPENEMUM

    MEROPENEM AUROBINDO 500 mg

    PULB. PT. SOL. INJ./PERF. 500mg

    AUROBINDO PHARMA (MALTA) LIMITED

    MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR

    10

    13,903000

    16,973000

    0,000000

    100 W58973002 J01DH02 MEROPENEMUM

    MEROPENEM ATB 500 mg

    PULB. PT. SOL. INJ./PERF. 500mg

    ANTIBIOTICE S.A.

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

    10

    16,683600

    20,367600

    26,172400

    101 W56826001 J01DH02 MEROPENEMUM

    LODITER 500 mg

    PULB. PT. SOL. INJ./PERF. 500mg

    TERAPIA S.A.

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

    1

    16,683600

    20,367600

    33,612400

    102 W64243003 J01DH02 MEROPENEMUM

    MEROPENEM ACCORD 500 mg

    PULB. PT. SOL. INJ./PERF. 500mg

    ACCORD HEALTHCARE LIMITED

    MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR

    10

    16,683600

    20,367600

    15,538400

    103 W61142002 J01DH02 MEROPENEMUM

    ARCHIFAR 500 mg

    PULB. PT. SOL. INJ./PERF. 500mg

    MEDOCHEMIE ROMANIA SRL

    ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR

    10

    15,619000

    19,068000

    0,000000

    104 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR

    10

    19,372000

    23,649000

    0,000000

    105 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF

    10

    23,246400

    28,378800

    7,453200

    106 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF

    10

    23,246400

    28,378800

    10,279200

    107 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF

    5

    23,246400

    28,378800

    7,455200

    108 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF

    5

    19,928000

    25,198000

    0,000000

    109 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR

    10

    19,572000

    23,893000

    0,000000

    110 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF

    5

    23,246400

    28,378800

    10,643200

    111 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM COMPR. 400mg/80mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

    20

    0,271000

    0,366500

    0,000000

    112 W53671001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM BITRIM 400mg/80mg COMPR. 400mg/80mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

    20

    0,312000

    0,421500

    0,000000

    113 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN COMPR. 400mg/80mg ZENTIVA S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

    20

    0,312000

    0,421500

    0,000000

    114 W12479001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO – TRIM ELL COMPR. 400mg/80mg BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

    20

    0,284500

    0,384500

    0,000000

    115 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF

    1

    3,670000

    4,960000

    0,000000

    116 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM SUSP. ORALA 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF

    1

    7,670000

    10,370000

    0,000000

    117 W05561001 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 1,5 Mil. UI COMPR. FILM. 1,5 M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF

    16

    0,492500

    0,665625

    0,000000

    118 W63533001 J01FA02 SPIRAMYCINUM ROVAMYCINE® 1,5 Mil. UI COMPR. FILM. 1,5 Mil.U.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF

    16

    0,492500

    0,665625

    0,000000

    119 W13604002 J01FA02 SPIRAMYCINUM ROVAMYCINE (R) 3 Mil. UI COMPR. FILM. 3M ui LAB. AVENTIS FRANTA CUTIE X 2 BLIST. AL/PVC X 5 COMPR. FILM. P-RF

    10

    2,015000

    2,724000

    0,000000

    120 W63534001 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 5 COMPR. FILM. PRF

    10

    2,015000

    2,724000

    0,000000

    121 W63534002 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF

    10

    2,015000

    2,724000

    0,000000

    122 W13604003 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. LABORATOIRES AVENTIS FRANTA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF

    10

    2,015000

    2,724000

    0,000000

    123 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF

    5

    1,578000

    2,132570

    0,653430

    124 W62391001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF

    5

    1,578000

    2,132570

    0,653430

    125 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF

    14

    0,786000

    1,062857

    0,987857

    126 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF

    14

    0,786000

    1,062857

    0,237857

    127 W44093001 J01FA09 CLARITHROMYCINUM

    KLABAX 250 mg

    COMPR. FILM. 250mg

    TERAPIA SA

    ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

    14

    0,786000

    1,062857

    0,082857

    128 W14043001 J01FA09 CLARITHROMYCINUM

    KLERIMED (R) 250

    COMPR. FILM. 250mg

    MEDOCHEMIE LTD.

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

    14

    0,786000

    1,062857

    0,156428

    129 W60253004 J01FA09 CLARITHROMYCINUM

    LEKOKLAR 250 mg

    COMPR. FILM. 250mg

    SANDOZ S.R.L.

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

    14

    0,655000

    0,885714

    0,000000

    130 W60254003 J01FA09 CLARITHROMYCINUM

    LEKOKLAR 500 mg

    COMPR. FILM. 500mg

    SANDOZ S.R.L.

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

    14

    1,315000

    1,777142

    0,000000

    131 W14044001 J01FA09 CLARITHROMYCINUM

    KLERIMED (R) 500

    COMPR. FILM. 500mg

    MEDOCHEMIE LTD.

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

    14

    1,489285

    2,012857

    0,000000

    132 W54044001 J01FA09 CLARITHROMYCINUM

    ROCLARIN 500 mg

    COMPR. FILM. 500mg

    ANTIBIOTICE S.A.

    ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    20

    1,489000

    1,947500

    0,000000

    133 W08491001 J01FA09 CLARITHROMYCINUM

    FROMILID 500

    COMPR. FILM. 500mg

    KRKA D.D. NOVO MESTO

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

    14

    1,497857

    2,024285

    0,000000

    134 W44087001 J01FA09 CLARITHROMYCINUM

    KLABAX 500 mg

    COMPR. FILM. 500mg

    TERAPIA SA

    ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

    14

    1,578000

    2,132570

    0,016001

    135 W41838002 J01FA09 CLARITHROMYCINUM

    FROMILID (R) UNO

    COMPR. FILM. ELIB. PREL. 500mg

    KRKA D.D.

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

    7

    1,578000

    2,132570

    0,431715

    5

    136 W62389002 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1 20,470000 27,670000 0,000000

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    137 W44092001 J01FA09 CLARITHROMYCINUM KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF 1

    9,990000

    13,500000

    0,000000

    138 W62389001 J01FA09 CLARITHROMYCINUM KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF 1

    11,988000

    16,200000

    4,570000

    139 W44091001 J01FA09 CLARITHROMYCINUM

    KLABAX 250 mg/5 ml

    GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF

    1

    15,804000

    21,360000

    12,130000

    140 W58393002 J01FA09 CLARITHROMYCINUM

    LEKOKLAR 250 mg/5 ml

    GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF

    1

    13,170000

    17,800000

    0,000000

    141 W62343001 J01FA09 CLARITHROMYCINUM

    KLACID I.V. 500 mg

    PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF

    1

    31,830000

    41,630000

    0,000000

    142 W00517001 J01FA10 AZITHROMYCINUM

    SUMAMED 250 mg

    CAPS. 250mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF

    6

    2,898000

    3,916000

    0,857333

    143 W64359001 J01FA10 AZITHROMYCINUM

    SUMAMED 250 mg

    CAPS.

    250mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 2,898000 3,916000 0,857333

    144 W42271001 J01FA10 AZITHROMYCINUM AZATRIL 250 mg CAPS. 250mg BALKANPHARMA RAZGRAD AD BULGARIA CUTIE X 1 BLIST. AL/PVC X 6 CAPS. P-RF

    6

    2,565000

    3,466666

    0,000000

    145 W00518001 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF

    6

    3,221666

    4,353333

    0,000000

    146 W64356001 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg TEVA B.V.

    OLANDA CUTIE CU 1 BLIST. PVC/AL X 6 COMPR. FILM. PRF

    6

    3,221666

    4,353333

    0,000000

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    147 W63094004 J01FA10 AZITHROMYCINUM

    AZITROMICINA AUROBINDO 250 mg COMPR. FILM. 250mg

    AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 6 COMPR. FILM. PRF

    6

    2,448333

    3,308333

    0,000000

    148 W42879004 J01FA10 AZITHROMYCINUM

    AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE COMPR. FILM. 250mg

    SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. X 6 COMPR. FILM. P-RF

    6

    2,415000

    3,263333

    0,000000

    149 W63095002 J01FA10 AZITHROMYCINUM

    AZITROMICINA AUROBINDO 500 mg COMPR. FILM. 500mg

    AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 3 COMPR. FILM. PRF

    3

    3,055999

    4,128000

    0,688666

    150 W00519001 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg PLIVA LJUBLJANA D.O.O.

    SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

    3

    3,055999

    4,128000

    4,912000

    151 W60406001 J01FA10 AZITHROMYCINUM AZITROMICINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A.

    ROMANIA CUTIE CU 1 BLIST. AL/PVC X 3 COMPR. FILM. PRF

    3

    3,055999

    4,128000

    1,748666

    152 W43486001 J01FA10 AZITHROMYCINUM AZIBIOT 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO

    SLOVENIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

    3

    3,055999

    4,128000

    1,468666

    153 W52840002 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA

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

    3

    3,055999

    4,128000

    1,748666

    154 W57032001 J01FA10 AZITHROMYCINUM AZITROX (R) 500 COMPR. FILM. 500mg ZENTIVA K.S.

    CEHIA CUTIE X 1 BLIST. AL/PVC X 3 COMPR. FILM. P-RF

    3

    3,055999

    4,128000

    1,228666

    155 W42878001 J01FA10 AZITHROMYCINUM AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE COMPR. FILM. 500mg SANDOZ S.R.L.

    ROMANIA CUTIE X 1 BLIST. X 3 COMPR. FILM. P-RF

    3

    2,546666

    3,440000

    0,000000

    156 W64357001 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg TEVA B.V.

    OLANDA CUTIE CU 1 BLIST. PVC/AL X 3 COMPR. FILM. PRF

    3

    3,055999

    4,128000

    4,912000

    157 W52840001 J01FA10 AZITHROMYCINUM AZITROMICINA TERAPIA 500 mg COMPR. FILM. 500mg TERAPIA SA

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

    3

    3,055999

    4,128000

    1,748666

    158 W53281001 J01FA10 AZITHROMYCINUM

    AZITROX 200 mg/5 ml PULB. + SOLV. SUSP. ORALA 200mg/5ml ZENTIVA S.A.

    ROMANIA CUTIE X 1 FLACON DIN PE CU PULBERE PENTRU 15ML SUSPENSIE ORALA RECONSTITUITA + FLACON CU SOLVENT X 7.5ML SOLVENT + 1 SERINGA PENTRU ADMINISTRAREA ORALA + O LINGURITA DOZATOAREP-RF

    1

    11,280000

    15,240000

    0,000000

    159 W42901001 J01FA10 AZITHROMYCINUM

    AZITROMICINA SANDOZ 100 mg/5 ml PULB. PT. SUSP. ORALA 100mg/5ml SANDOZ SRL

    ROMANIA CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (400 MG) SUSP. ORALA P-RF

    1

    15,060000

    20,350000

    0,000000

    160 W42877002 J01FA10 AZITHROMYCINUM

    AZITROMICINA SANDOZ 200 mg/5 ml PULB. PT. SUSP. ORALA 200 mg/5 ml SANDOZ SRL

    ROMANIA CUTIE CU 1 FLAC. PEID + 1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (800 MG) SUSP. ORALA P-RF

    1

    10,860000

    14,680000

    0,000000

    161 W00520003 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1

    33,620000

    43,970000

    0,000000

    162 W64358003 J01FA10 AZITHROMYCINUM

    SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V.

    OLANDA CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 37,5 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE

    PRF

    1

    33,620000

    43,970000

    0,000000

    163 W64358002 J01FA10 AZITHROMYCINUM

    SUMAMED FORTE 200 mg/5 ml PULB. PT. SUSP. ORALA 200mg/5ml TEVA B.V.

    OLANDA CUTIE CU 1 FLAC. DIN PEID CONTINAND PULB. PT. 30 ML SUSP. ORALA, O SERINGA PT. ADMINISTRARE ORALA DIN PE/PS SAU PP/PP SI O LINGURITA DOZATOARE

    PRF

    1

    25,460000

    33,300000

    0,000000

    164 W00520001 J01FA10 AZITHROMYCINUM SUMAMED FORTE PULB. PT. SUSP. ORALA 200mg/5ml PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE P-RF 1

    25,460000

    33,300000

    0,000000

    165 W62087001 J01GB03 GENTAMICINUM GENTAMICINA EIPICO 40 mg/ml SOL INJ. 40mg/ml E.I.P.I.CO MED S.R.L. ROMANIA CUTIE CU 3 FLAC. DIN STICLA TIP I INCOLORA CU CAPACITATEA DE 2,5 ML, CONTINAND 2 ML SOL. INJ. PRF 3

    0,536666

    0,723333

    0,000000

    166 W03308001 J01GB03 GENTAMICINUM

    GENTAMICIN KRKA

    SOL. INJ. 40mg/ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. P-RF

    10

    0,576000

    0,778000

    0,000000

    167 W03309001 J01GB03 GENTAMICINUM

    GENTAMICIN KRKA

    SOL. INJ. 80mg/2ml KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF

    10

    0,643999

    0,868000

    0,178000

    168 W08121001 J01GB03 GENTAMICINUM

    PAN – GENTAMICINE

    SOL.INJ. 80mg/2ml LAB. PANPHARMA FRANTA CUTIE X 10 FIOLE DIN STICLA INCOLORA X 2 ML SOL. INJ. P-RF

    10

    0,643999

    0,868000

    0,167000

    169 W53277001 J01GB06 AMIKACINUM AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF 1

    5,620000

    7,600000

    0,000000

    170 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    1,100400

    1,488000

    0,698000

    171 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM. P-RF

    10

    0,917000

    1,240000

    0,000000

    172 W07914001 J01MA01 OFLOXACINUM ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,917000

    1,240000

    0,000000

    173 W54037001 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg

    ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    3,117000

    4,077000

    0,000000

    174 W54037002 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg

    ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    20

    2,835500

    3,585000

    0,000000

    175 W01288001 J01MA02 CIPROFLOXACINUM

    CIPROLEN (R) 250 mg COMPR. FILM. 250mg

    AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,098400

    176 W01271002 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,124400

    177 W54038001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,096400

    178 W44077004 J01MA02 CIPROFLOXACINUM

    CIPROCIN 250 mg

    COMPR. FILM. 250mg

    E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,098400

    179 W07862001 J01MA02 CIPROFLOXACINUM

    CIFRAN

    COMPR. FILM. 250mg

    RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,135400

    180 W01273001 J01MA02 CIPROFLOXACINUM

    CIPRINOL 250 mg

    COMPR. FILM. 250mg

    KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,122400

    181 W62110003 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA AUROBINDO 250 mg

    COMPR. FILM. 250mg

    AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

    10

    0,383000

    0,518000

    0,000000

    182 W54038002 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 250 mg

    COMPR. FILM. 250mg

    ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    20

    0,459600

    0,621600

    0,050400

    183 W54039001 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 500 mg

    COMPR. FILM. 500mg

    ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,098400

    184 W44076001 J01MA02 CIPROFLOXACINUM

    CIPROCIN 500 mg

    COMPR. FILM. 500mg

    E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,059400

    185 W01272001 J01MA02 CIPROFLOXACINUM

    CUMINOL 500 mg

    COMPR. FILM. 500mg

    GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,534400

    186 W62111003 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA AUROBINDO 500 mg

    COMPR. FILM. 500mg

    AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

    10

    0,561000

    0,758000

    0,000000

    187 W54039002 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 500 mg

    COMPR. FILM. 500mg

    ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    20

    0,664000

    0,897500

    0,000000

    6

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    7

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    188 W01274001 J01MA02 CIPROFLOXACINUM

    CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,337400

    189 W07863001 J01MA02 CIPROFLOXACINUM

    CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,048400

    190 W01289001 J01MA02 CIPROFLOXACINUM

    CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,483400

    191 W12545001 J01MA02 CIPROFLOXACINUM

    CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,534400

    192 W54040001 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,961200

    1,299600

    2,777400

    193 W42772001 J01MA02 CIPROFLOXACINUM

    CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

    10

    0,801000

    1,083000

    0,000000

    194 W57948001 J01MA02 CIPROFLOXACINUM

    CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

    7

    10,351428

    13,088571

    0,000000

    195 W63880001 J01MA02 CIPROFLOXACINUM

    CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

    7

    10,351428

    13,088571

    0,000000

    196 W57949001 J01MA02 CIPROFLOXACINUM

    CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

    3

    0,673200

    0,909600

    9,050400

    197 W63879001 J01MA02 CIPROFLOXACINUM

    CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

    3

    0,673200

    0,909600

    9,050400

    198 W01275002 J01MA02 CIPROFLOXACINUM

    CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S

    50

    2,444800

    2,984600

    0,000000

    199 W01275001 J01MA02 CIPROFLOXACINUM

    CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML S/P-RF

    5

    2,706000

    3,581520

    0,076480

    200 W60268001 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ZENTIVA 10 mg/ml CONC. PT. SOL. PERF. 100mg/10ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML PR

    5

    2,716000

    3,581520

    0,088480

    201 W61489003 J01MA02 CIPROFLOXACINUM

    CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR

    10

    13,824000

    16,876000

    0,000000

    202 W61489001 J01MA02 CIPROFLOXACINUM

    CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR

    10

    7,343000

    9,284000

    0,000000

    203 W61489002 J01MA02 CIPROFLOXACINUM

    CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR

    50

    6,938200

    8,325600

    0,000000

    204 W61489004 J01MA02 CIPROFLOXACINUM

    CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR

    30

    13,457666

    15,940666

    0,000000

    205 W52445001 J01MA03 PEFLOXACINUM

    PEFLOXACIN LAROPHARM COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    2,253000

    3,045000

    0,000000

    206 W58303001 J01MA06 NORFLOXACINUM

    NORFLOXACIN HELCOR 400 mg COMPR. FILM. 400mg A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

    20

    0,686000

    0,927000

    0,000000

    207 W62811001 J01MA06 NORFLOXACINUM

    NORFLOXACINA ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

    20

    0,686000

    0,927000

    0,000000

    208 W41800001 J01MA06 NORFLOXACINUM

    NORFLOXACINA LPH 400 mg COMPR. FILM. 400mg LABORMED PHARMA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    20

    0,635500

    0,859000

    0,000000

    209 W07984001 J01MA06 NORFLOXACINUM

    NOLICIN 400 mg COMPR. FILM. 400mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

    20

    0,615500

    0,832000

    0,000000

    210 W14009001 J01MA06 NORFLOXACINUM

    NORFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM SRL ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF

    10

    0,712000

    0,963000

    0,000000

    211 W52786004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

    7

    0,842857

    1,138571

    0,000000

    212 W60574002 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF

    10

    1,011428

    1,366285

    0,255715

    213 W55699003 J01MA12 LEVOFLOXACINUM

    TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF

    7

    1,011428

    1,366285

    1,248000

    214 W61631003 J01MA12 LEVOFLOXACINUM

    LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF

    7

    1,011428

    1,366285

    1,272286

    215 W60574001 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF

    5

    1,011428

    1,366285

    0,279715

    216 W56939002 J01MA12 LEVOFLOXACINUM

    FLERADAY 500 mg COMPR. FILM. 500 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC – AL X 7 COMPR. FILM. PRF

    7

    3,010285

    4,068000

    0,593428

    217 W61706003 J01MA12 LEVOFLOXACINUM

    LEVALOX 500 mg COMPR. FILM. 500mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF

    7

    3,010285

    4,068000

    0,306285

    218 W55700002 J01MA12 LEVOFLOXACINUM

    TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF

    7

    3,010285

    4,068000

    1,353428

    219 W56993002 J01MA12 LEVOFLOXACINUM

    LEVOTOR 500 mg COMPR. FILM. 500mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF

    7

    2,508571

    3,390000

    0,000000

    220 W52787004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

    7

    2,555714

    3,454285

    0,000000

    221 W60575002 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF

    10

    3,010285

    4,068000

    0,329000

    222 W60575001 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF

    5

    3,010285

    4,068000

    0,588000

    223 W54108003 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S

    1

    31,188000

    40,800000

    16,730000

    224 W63747004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA AUROBINDO 5 mg/ml SOL. PERF. 5mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. PR

    1

    31,188000

    40,800000

    15,160000

    225 W62972004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 100 ML SOL. PERF. PRF

    30

    31,188000

    40,800000

    2,471333

    226 W61707001 J01MA12 LEVOFLOXACINUM

    LEVALOX 5 mg/ml SOL. PERF. 5mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPAC DIN AL A 100 ML SOL. PERF. PR

    1

    25,990000

    34,000000

    0,000000

    227 W62972002 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 50 ML SOL. PERF. PRF

    50

    19,710000

    22,247000

    0,000000

    228 W55815004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. S

    1

    31,188000

    40,800000

    16,770000

    229 W60545001 J01MA14 MOXIFLOXACINUM

    MOFIL 400 mg COMPR. FILM. 400mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM. PRF

    5

    4,377600

    5,916000

    1,406000

    230 W59332001 J01MA14 MOXIFLOXACINUM

    MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF

    5

    3,648000

    4,930000

    0,000000

    231 W63876001 J01MA14 MOXIFLOXACINUM

    AVELOX® 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF

    5

    4,377600

    5,916000

    3,826000

    232 W60943001 J01MA14 MOXIFLOXACINUM

    MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF

    5

    4,377600

    5,916000

    1,448000

    233 W57939001 J01MA14 MOXIFLOXACINUM

    AVELOX® 400 mg COMPR. FILM. 400mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. P-RF

    5

    4,377600

    5,916000

    3,826000

    234 W57938004 J01MA14 MOXIFLOXACINUM

    AVELOX® 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER PHARMA AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S

    5

    62,166000

    75,392000

    0,000000

    235 W63849001 J01MA14 MOXIFLOXACINUM

    MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR

    1

    60,500000

    76,500000

    0,000000

    236 W62717001 J01MA14 MOXIFLOXACINUM

    MOFLAXA 400 mg/250 ml SOL. PERF. 400mg/250ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 250 ML SOL. PERF. PR

    1

    61,140000

    77,310000

    0,000000

    237 W60727001 J01MA14 MOXIFLOXACINUM

    MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) A 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR

    1

    61,130000

    77,290000

    0,000000

    238 W62717002 J01MA14 MOXIFLOXACINUM

    MOFLAXA 400 mg/250 ml SOL. PERF. 400mg/250ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA A CATE 250 ML SOL. PERF. PR

    5

    60,048000

    73,082000

    0,000000

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    256 W52799001 J01XX08 LINEZOLIDUM

    ZYVOXID 600 mg

    COMPR. FILM. 600mg

    257 W62497001 J01XX08 LINEZOLIDUM

    LINEZOLID KRKA 600 mg

    COMPR. FILM. 600mg

    239 W63849002 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR 5

    59,438000

    72,562000

    0,000000

    240 W63877004 J01MA14 MOXIFLOXACINUM AVELOX® 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AMBALAJ MULTIPLU (FOLIE DE PLASTIC ETICHETATA) CU 5 CUTII DIN CARTON A CATE 1 FLAC. DIN STICLA X 250 ML SOL. PERF., ÎNCHIS CU DOP DIN CAUCIUC CLOROBUTILIC SAU BROMOBUTILIC PR 5

    62,166000

    75,392000

    0,000000

    241 W57042001 J01XA01 VANCOMYCINUM

    VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.SOL. PERF. 1000mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

    1

    21,430000

    28,970000

    0,000000

    242 W57041001 J01XA01 VANCOMYCINUM

    VANCOMICINA KABI 500 mg PULB. PT.CONC. PT.SOL. PERF. 500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

    1

    18,310000

    24,750000

    0,000000

    243 W13105001 J01XA02 TEICOPLANINUM TARGOCID (R) 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) P-RF

    1

    110,100000

    134,410000

    0,000000

    244 W64490001 J01XA02 TEICOPLANINUM TARGOCID 400 mg PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF

    1

    110,100000

    134,410000

    0,000000

    245 W52501003 J01XB01 COLISTINUM COLISTINA ATB 1.000.000 UI PULB. PT. SOL. INJ./PERF. 1000000ui ANTIBIOTICE SA ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, ÎNCHISE CU DOP DIN CAUCIUC HALOBUTILIC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC FLIP-OFF DIN POLIPROPILENA, CONTINÂND PULB. PENTRU SOL. INJ./PERF. S 10

    18,956000

    23,142000

    0,000000

    246 W53689002 J01XD01 METRONIDAZOLUM

    METRONIDAZOL ARENA 250 mg (J01XD01) COMPR. 250mg

    ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

    P-RF

    30

    0,186333

    0,251666

    0,000000

    247 W08257001 J01XD01 METRONIDAZOLUM

    FLAGYL ( vezi J01XD01) COMPR. FILM. 250mg

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

    P-RF

    20

    0,223600

    0,301999

    0,081001

    248 W63535001 J01XD01 METRONIDAZOLUM

    FLAGYL 250 mg (vezi P01AB01) COMPR. FILM. 250mg

    SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

    PRF

    20

    0,223600

    0,301999

    0,081001

    249 W42139001 J01XD01 METRONIDAZOLUM

    METRONIDAZOL A 5 g/l SOL. PERF. 5g/l

    INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML

    S/P-RF

    1

    7,350000

    9,940000

    0,000000

    250 W42138001 J01XD01 METRONIDAZOLUM

    METRONIDAZOL B 5 g/l SOL. PERF. 5g/l

    INFOMED FLUIDS SRL ROMANIA CUTIE X 1 FLACON X 200 ML

    S/P-RF

    1

    7,210000

    9,740000

    0,000000

    251 W42139002 J01XD01 METRONIDAZOLUM

    METRONIDAZOL A 5 g/l SOL. PERF. 5g/l

    INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML

    S/P-RF

    12

    7,220000

    9,129166

    0,000000

    252 W42138002 J01XD01 METRONIDAZOLUM

    METRONIDAZOL B 5 g/l SOL. PERF. 5g/l

    INFOMED FLUIDS SRL ROMANIA CUTIE X 12 FLACOANE X 200 ML

    S/P-RF

    12

    7,079166

    8,950833

    0,000000

    253 W08927002 J01XD01 METRONIDAZOLUM

    METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml

    B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

    S/P-RF

    10

    4,031000

    5,273000

    0,000000

    254 W08927001 J01XD01 METRONIDAZOLUM

    METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml

    B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

    S/P-RF

    10

    4,031000

    5,273000

    0,000000

    255 W08927003 J01XD01 METRONIDAZOLUM

    METRONIDAZOL BRAUN 5mg/ml SOL. PERF. 5mg/ml

    B. BRAUN MELSUNGEN AG GERMANIA CUTIE X 20 FLAC. DIN PEJD X 100 ML SOL. PERF.

    S/P-RF

    20

    3,961000

    5,008000

    0,000000

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10

    86,731200

    99,115200

    6,775800

    KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10

    72,276000

    82,596000

    0,000000

    258 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1

    689,840000

    790,080000

    0,000000

    259 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1

    117,147600

    132,268800

    17,451200

    260 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10

    114,492000

    128,611000

    0,000000

    261 W64055001 J01XX08 LINEZOLIDUM

    LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml

    AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR

    1

    117,147600

    132,268800

    12,181200

    262 W63515002 J01XX08 LINEZOLIDUM

    LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml

    KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

    10

    113,362000

    127,380000

    0,000000

    263 W61561001 J01XX08 LINEZOLIDUM

    LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml

    FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR

    10

    97,623000

    110,224000

    0,000000

    264 W64206001 J01XX08 LINEZOLIDUM

    LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml

    ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR

    10

    110,566000

    124,332000

    0,000000

    265 W61756002 J01XX08 LINEZOLIDUM

    LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml

    INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR

    10

    114,432000

    128,546000

    0,000000

    266 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR

    1

    112,480000

    132,268800

    5,051200

    267 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

    1

    117,147600

    132,268800

    15,921200

    268 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

    7

    2,478571

    3,350000

    0,000000

    269 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4

    2,974285

    4,020000

    2,720000

    270 W43597002 J02AC01 FLUCONAZOLUM

    FLUCONAZOLE TEVA 100 mg CAPS.

    100mg

    TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

    7

    2,974285

    4,020000

    0,741428

    271 W58226001 J02AC01 FLUCONAZOLUM

    FLUCONAZOL AUROBINDO 150 mg CAPS.

    150mg

    AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF

    1

    4,660000

    6,300000

    0,000000

    272 W42693001 J02AC01 FLUCONAZOLUM

    FLUCONAZOL 150 mg CAPS.

    150mg

    SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

    1

    5,590000

    7,550000

    0,000000

    273 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1

    5,570000

    7,530000

    0,000000

    274 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1

    5,590000

    7,550000

    0,000000

    275 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

    5,590000

    7,550000

    0,000000

    276 W60221003 J02AC01 FLUCONAZOLUM

    FLUCONAZOL ZENTIVA 150 mg CAPS.

    150mg

    ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF

    1

    5,590000

    7,550000

    0,000000

    277 W57239001 J02AC01 FLUCONAZOLUM

    FLUCONAZOL LPH 150 mg CAPS.

    150mg

    LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF

    1

    5,570000

    7,530000

    0,000000

    278 W51994001 J02AC01 FLUCONAZOLUM

    FLUCONAZOL MEDOCHEMIE 150 mg CAPS.

    150mg

    MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

    1

    5,570000

    7,530000

    0,000000

    279 W52334001 J02AC01 FLUCONAZOLUM

    FLUCONAZOL LAROPHARM 150 mg CAPS.

    150mg

    LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF

    1

    5,570000

    7,530000

    0,000000

    280 W08373001 J02AC01 FLUCONAZOLUM

    FLUCOVIM 150

    CAPS.

    150mg

    VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

    P-RF

    1

    5,590000

    7,550000

    0,000000

    281 W43598001 J02AC01 FLUCONAZOLUM

    FLUCONAZOLE TEVA 150 mg CAPS.

    150mg

    TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF

    1

    4,930000

    6,660000

    0,000000

    282 W60221001 J02AC01 FLUCONAZOLUM

    FLUCONAZOL ZENTIVA 150 mg CAPS.

    150mg

    ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

    1

    5,590000

    7,550000

    0,000000

    283 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

    5,592000

    7,560000

    4,060000

    284 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg

    TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

    7

    4,698571

    6,145714

    0,000000

    285 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg

    PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

    7

    1,532570

    2,070857

    2,433428

    286 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7

    1,532570

    2,070857

    0,449143

    287 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg

    AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

    7

    1,277142

    1,725714

    0,000000

    288 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg

    SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

    7

    1,532570

    2,070857

    0,854857

    289 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7

    1,532570

    2,070857

    0,856285

    8

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    290 W53942002 J02AC01 FLUCONAZOLUM

    FLUCONAZOL ARENA 50 MG CAPS.

    50mg

    291 W43596001 J02AC01 FLUCONAZOLUM

    FLUCONAZOLE TEVA 50 mg CAPS.

    50mg

    ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285

    TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1,532570 2,070857 0,000571

    292 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.

    P-RF

    7

    1,532570

    2,070857

    0,856285

    293 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML

    PRF

    1

    22,810000

    30,830000

    0,000000

    294 W55502018 J02AC01 FLUCONAZOLUM

    FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

    FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

    10

    37,499000

    44,689000

    0,000000

    295 W55502003 J02AC01 FLUCONAZOLUM

    FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

    FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

    20

    9,211000

    11,244500

    0,000000

    296 W55502011 J02AC01 FLUCONAZOLUM

    FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

    FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

    20

    18,749500

    22,344500

    0,000000

    297 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10

    18,885000

    23,055000

    0,000000

    298 W58456001 J02AC01 FLUCONAZOLUM

    FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

    INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL. PERF. PR

    20

    11,053200

    13,493400

    9,107100

    299 W58456002 J02AC01 FLUCONAZOLUM

    FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

    INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR

    20

    22,499400

    26,813400

    12,463600

    300 W55502017 J02AC01 FLUCONAZOLUM

    FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

    FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

    1

    38,180000

    49,940000

    0,000000

    301 W58456003 J02AC01 FLUCONAZOLUM

    FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

    INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR

    10

    44,998800

    53,626800

    40,412200

    302 W57368003 J02AC01 FLUCONAZOLUM

    FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml

    ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S

    1

    22,499400

    26,813400

    31,246600

    303 W55502001 J02AC01 FLUCONAZOLUM

    FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

    FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

    1

    9,540000

    12,900000

    0,000000

    304 W55502009 J02AC01 FLUCONAZOLUM

    FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

    FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

    1

    19,080000

    25,790000

    0,000000

    305 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF

    15

    1,671333

    2,186000

    0,000000

    306 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg

    FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF

    15

    1,671333

    2,186000

    0,000000

    307 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg

    SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF

    15

    1,671333

    2,186000

    0,000000

    308 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg

    ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF

    15

    1,671333

    2,186000

    0,000000

    309 W59235001 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg

    ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF

    15

    1,671333

    2,186000

    0,000000

    310 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg

    JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF

    15

    2,005600

    2,623200

    0,740800

    311 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

    28

    11,761714

    14,358857

    52,854714

    312 W62033006 J02AC03 VORICONAZOLUM **

    VORAMOL 200 mg

    COMPR. FILM. 200mg

    ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

    30

    11,761714

    14,358857

    60,507143

    313 W64073003 J02AC03 VORICONAZOLUM **

    VERRIA 200 mg

    COMPR. FILM. 200mg

    MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

    14

    11,761714

    14,358857

    71,690428

    314 W64073005 J02AC03 VORICONAZOLUM **

    VERRIA 200 mg

    COMPR. FILM. 200mg

    MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

    28

    11,761714

    14,358857

    69,160071

    315 W64073008 J02AC03 VORICONAZOLUM **

    VERRIA 200 mg

    COMPR. FILM. 200mg

    MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

    56

    11,761714

    14,358857

    67,894893

    316 W08947008 J02AC03 VORICONAZOLUM **

    VFEND 200mg

    COMPR. FILM. 200mg

    PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

    28

    11,761714

    14,358857

    43,581143

    317 W61628005 J02AC03 VORICONAZOLUM **

    VORICONAZOL ZENTIVA 200 mg

    COMPR. FILM. 200mg

    ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

    28

    9,801428

    11,965714

    0,000000

    318 W61628006 J02AC03 VORICONAZOLUM **

    VORICONAZOL ZENTIVA 200 mg

    COMPR. FILM. 200mg

    ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

    30

    9,801666

    11,966000

    0,000000

    319 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF

    28

    9,801428

    11,965714

    0,000000

    320 W64072003 J02AC03 VORICONAZOLUM **

    VERRIA 50 mg

    COMPR. FILM. 50mg

    MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

    14

    22,530000

    27,282857

    0,000000

    321 W64072005 J02AC03 VORICONAZOLUM **

    VERRIA 50 mg

    COMPR. FILM. 50mg

    MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

    28

    21,554285

    24,856785

    0,000000

    322 W64072008 J02AC03 VORICONAZOLUM **

    VERRIA 50 mg

    COMPR. FILM. 50mg

    MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

    56

    21,018571

    23,591607

    0,000000

    323 W62396001 J02AC03 VORICONAZOLUM **

    VFEND 200mg

    PULB. + SOLV. PT. SOL. PERF. 200mg

    PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF

    1

    270,192000

    329,844000

    83,166000

    324 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1

    225,160000

    274,870000

    0,000000

    325 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1

    270,192000

    329,844000

    21,646000

    326 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF.

    PRF

    1

    225,160000

    274,870000

    0,000000

    327 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF.

    PRF

    1

    270,192000

    329,844000

    41,206000

    328 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF

    1

    270,192000

    329,844000

    41,206000

    329 W10489001 J02AC03 VORICONAZOLUM **

    VFEND 200mg

    PULB. PT. SOL. PERF. 200mg

    PFIZER LIMITED

    MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF

    1

    270,192000

    329,844000

    41,206000

    330 W41889001 J02AC03 VORICONAZOLUM **

    VFEND 40 mg/ml

    PULB. PT. SUSP. ORALA 40mg/ml

    PFIZER LIMITED

    MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF

    1

    1.383,700000

    1.546,390000

    0,000000

    331 W60913001 J02AC04 POSACONAZOLUM **

    NOXAFIL 100mg

    COMPR. GASTROREZ. 100mg

    MERCK SHARP DOHME LTD.

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

    24

    131,322916

    144,731666

    0,000000

    332 W61578001 J02AC04 POSACONAZOLUM **

    NOXAFIL 300mg

    CONC. PT. SOL. PERF. 300mg

    MERCK SHARP DOHME LTD.

    MAREA BRITANIE CUTIE CU UN FL X 16,7ML CONC. PT SOL PERF (18MG POSACONAZOL/ML) PR

    1

    1.333,540000

    1.491,710000

    0,000000

    333 W58194001 J02AC04 POSACONAZOLUM **

    NOXAFIL 40mg/ml

    SUSP. ORALA 40mg/ml

    MERCK SHARP DOHME

    MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R

    1

    2.529,930000

    2.795,780000

    0,000000

    334 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR

    1

    854,310000

    969,350000

    0,000000

    335 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR

    1

    854,310000

    969,350000

    0,000000

    336 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1

    854,310000

    969,350000

    0,000000

    ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR

    1

    854,310000

    969,350000

    0,000000

    MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

    1

    854,310000

    969,350000

    0,000000

    ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

    1

    854,310000

    969,350000

    0,000000

    ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR

    1

    810,730000

    921,850000

    0,000000

    1. 337 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

    2. 338 W06665001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

    3. 339 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

      9

    4. 340 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    341 W63404001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR

    1

    1.105,850000

    1.243,530000

    0,000000

    342 W63458001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

    1

    1.105,850000

    1.243,530000

    0,000000

    343 W64792001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR

    1

    1.105,860000

    1.243,540000

    0,000000

    344 W06670001 J02AX04 CASPOFUNGINUM ** CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

    1

    1.105,860000

    1.243,540000

    0,000000

    345 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR

    1

    1.105,850000

    1.243,530000

    0,000000

    346 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR

    1

    1.051,440000

    1.184,220000

    0,000000

    347 W63506001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

    1

    1.105,850000

    1.243,530000

    0,000000

    348 W62968001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg STADA M D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

    1

    854,310000

    969,350000

    0,000000

    349 W62969001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg STADA M D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

    1

    1.105,810000

    1.243,480000

    0,000000

    350 W55841001 J02AX06 ANIDULAFUNGINUM ECALTA 100mg PULB. PT. CONC. PT. SOL. PERF. 100mg PFIZER LIMITED MAREA BRITANIE CUTIE X 1FLAC.DIN STICLA A 30ML X 100MG PULB. S

    1

    1.068,696000

    1.210,656000

    406,994000

    351 W64659001 J02AX06 ANIDULAFUNGINUM ANIDULAFUNGINA TEVA 100 mg PULB. PT. CONC. PT.SOL. PERF. 100mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

    1

    890,580000

    1.008,880000

    0,000000

    352 W58576002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 100 mg COMPR. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR

    1500

    0,116200

    0,141860

    0,000000

    353 W61241001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF

    20

    0,120000

    0,162500

    0,000000

    354 W61241002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF

    50

    0,119800

    0,162000

    0,000000

    355 W61241003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF

    1500

    0,115020

    0,140413

    0,000000

    356 W61242002 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF

    50

    0,300000

    0,400960

    0,004640

    357 W58577002 J04AC01 ISONIAZIDUM IZONIAZIDA ATB 300 mg COMPR. 300mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR. P-RF

    1500

    0,285913

    0,337080

    0,000000

    358 W61242003 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC PRF

    1500

    0,283213

    0,334133

    0,000000

    359 W61242001 J04AC01 ISONIAZIDUM IZONIAZIDA ARENA 300 mg COMPR. 300mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR. PRF

    20

    0,299500

    0,400960

    0,004040

    360 W60213002 J04AK01 PYRAZINAMIDUM PIRAZINAMIDA ATB 500 mg COMPR. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. PR

    1500

    0,314746

    0,368506

    0,000000

    361 W53682002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

    20

    0,194000

    0,262000

    0,000000

    362 W59648001 J04AK02 ETHAMBUTOLUM ETAMBUTOL ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF

    20

    0,302500

    0,409000

    0,000000

    363 W42943002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM. PRF

    1500

    0,228320

    0,274300

    0,000000

    364 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. PRF

    1500

    0,351473

    0,408540

    0,000000

    365 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S

    1000

    0,631030

    0,725970

    0,000000

    366 W53675003 J05AB01 ACICLOVIRUM

    ACICLOVIR ARENA 200 mg CAPS. 200mg

    ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S

    1000

    0,670200

    0,873850

    0,000000

    367 W42857001 J05AB01 ACICLOVIRUM

    ACICLOVIR 200 mg CAPS. 200mg

    SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

    20

    0,670200

    0,906000

    0,198000

    368 W53675001 J05AB01 ACICLOVIRUM

    ACICLOVIR ARENA 200 mg CAPS. 200mg

    ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

    20

    0,670200

    0,906000

    0,263500

    369 W56038001 J05AB01 ACICLOVIRUM

    ACICLOVIR FARMEX 200 mg CAPS. 200mg

    FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF

    20

    0,670200

    0,906000

    0,222000

    370 W53676001 J05AB01 ACICLOVIRUM

    ACICLOVIR ARENA 400 mg CAPS. 400mg

    ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF

    10

    1,574000

    2,128000

    0,000000

    371 W60558001 J05AB01 ACICLOVIRUM

    ACICLOVIR-RICHTER 200 mg COMPR. 200mg

    GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF

    20

    0,670200

    0,906000

    0,035500

    372 W53225001 J05AB01 ACICLOVIRUM

    ACICLOVIR LAROPHARM 200 mg COMPR. 200mg

    LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF

    20

    0,670200

    0,906000

    0,035500

    373 W06667003 J05AB01 ACICLOVIRUM

    ACICLOVIR 200 mg COMPR. 200mg

    EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

    20

    0,558500

    0,755000

    0,000000

    374 W00044001 J05AB01 ACICLOVIRUM

    ACICLOVIR TERAPIA 200 mg COMPR. 200mg

    TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

    20

    0,670200

    0,906000

    0,031000

    375 W06668003 J05AB01 ACICLOVIRUM

    ACICLOVIR 400 mg COMPR. 400mg

    EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

    10

    1,888800

    2,553600

    0,350400

    376 W00058001 J05AB01 ACICLOVIRUM

    VIROLEX PULB. PT. SOL. INJ./PERF. 250mg

    KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF

    5

    40,340000

    49,248000

    0,000000

    377 W60057003 J05AB04 RIBAVIRINUM

    REBETOL 200 mg CAPS. 200mg

    MERCK SHARP DOHME MAREA BRITANIE CUTIE X 140 CAPS. ( BLIST. PVC/PE/PVDC ) P-RF/R

    140

    2,035786

    2,485285

    5,789215

    378 W53326004 J05AB04 RIBAVIRINUM

    COPEGUS 200mg COMPR. FILM. 200mg

    ROCHE ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEID X 168 COMPR. FILM. P-RF/R

    168

    2,035786

    2,485285

    5,451084

    379 W61374009 J05AB04 RIBAVIRINUM

    RIBAVIRINA AUROBINDO 200 mg COMPR. FILM. 200mg

    AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/AL X 168 COMPR. FILM. PRF

    168

    1,696488

    2,071071

    0,000000

    380 W61213001 J05AB06 GANCICLOVIRUM

    CYMEVENE 500 mg PULB. PT. SOL. PERF. 500mg

    ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. MULTIDOZA DIN STICLA INCOLORA CONTINAND 10 ML PULB. PT. SOL. PERF. PR

    1

    91,450000

    115,630000

    0,000000

    381 W58707001 J05AB11 VALACYCLOVIRUM

    VALTREX 500 mg COMPR. FILM. 500 mg

    THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF

    10

    2,926800

    3,956400

    0,929600

    382 W60087001 J05AB11 VALACYCLOVIRUM

    VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg

    ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF

    10

    2,439000

    3,297000

    0,000000

    383 W61519003 J05AB14 VALGANCICLOVIRUM **

    VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg

    SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

    60

    17,307000

    19,627600

    0,775566

    384 W61605001 J05AB14 VALGANCICLOVIRUM **

    ALVANOCYT 450 mg COMPR. FILM. 450mg

    ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

    60

    17,307000

    19,627600

    25,394566

    385 W62786001 J05AB14 VALGANCICLOVIRUM **

    VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg

    ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF

    60

    17,207000

    19,391500

    0,000000

    386 W61515001 J05AB14 VALGANCICLOVIRUM **

    VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg

    AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF

    60

    17,307000

    19,627600

    15,644566

    387 W60756001 J05AB14 VALGANCICLOVIRUM **

    VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg

    TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF

    60

    14,422500

    16,356333

    0,000000

    388 W12651002 J05AB15 BRIVUDINUM

    BRIVAL 125mg COMPR. 125mg

    BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 1 BLIST. PVC/AL X 7 COMPR. P-RF

    7

    41,412857

    50,557142

    0,000000

    389 W59955001 J05AE03 RITONAVIRUM **

    NORVIR 100 mg COMPR. FILM. 100mg

    ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR.FILM. P-RF/R

    30

    2,182000

    2,759000

    0,000000

    390 W64015001 J05AE03 RITONAVIRUM **

    RITONAVIR MYLAN 100 mg COMPR. FILM. 100mg

    MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR

    30

    2,072000

    2,620000

    0,000000

    391 W63507001 J05AE03 RITONAVIRUM **

    RITONAVIR ACCORD 100 mg COMPR. FILM. 100mg

    ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR

    30

    2,160333

    2,731333

    0,000000

    10

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    11

    392 W61527001 J05AE07 FOSAMPRENAVIRUM **

    TELZIR 700mg

    COMPR. FILM. 700mg

    VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII PR

    60

    20,058333

    22,499500

    0,000000

    393 W61526001 J05AE07 FOSAMPRENAVIRUM **

    TELZIR 50mg/ml

    SUSP. ORALA 50mg/ml

    VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII + O SERINGA PT. ADM. ORALA DIN POLIPROPILENA X 10 ML + 1 ADAPTOR DIN POLIETILENA PR

    1

    370,250000

    441,720000

    0,000000

    394 W14087002 J05AE08 ATAZANAVIRUM REYATAZ 150 mg CAPS. 150mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 60 CAPS. (BLIST. AL/AL 6X1) P-RF/R 60

    26,287666

    29,289500

    0,000000

    395 W14088001 J05AE08 ATAZANAVIRUM REYATAZ 200 mg CAPS. 200mg BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. PEID CU 1 SISTEM DE INCHIDERE SECURIZAT PT. COPII, DIN POLIPROPILENA X 60 CAPS. P-RF/R 60

    27,416166

    30,519500

    0,000000

    396 W53181001 J05AE08 ATAZANAVIRUM REYATAZ 300 mg CAPS. 300mg BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 CAPS. P-RF/R 30

    49,380666

    55,096666

    0,000000

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    397 W61895001 J05AE10 DARUNAVIRUM **

    PREZISTA 150 mg

    COMPR. FILM. 150mg

    JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. CU CAPACITATEA DE 160 ML DIN PEID X 240 COMPR. FILM. PRF

    240

    12,554791

    13,843708

    0,000000

    398 W53878001 J05AE10 DARUNAVIRUM **

    PREZISTA 400mg

    COMPR. FILM. 400mg

    JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R

    60

    20,051800

    22,619599

    6,394567

    399 W63664001 J05AE10 DARUNAVIRUM **

    DARUNAVIR ALVOGEN 400 mg

    COMPR. FILM. 400mg

    ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR

    60

    16,709833

    18,849666

    0,000000

    400 W64530001 J05AE10 DARUNAVIRUM **

    DARUNAVIR KRKA 400 mg

    COMPR. FILM. 400mg

    KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 FLAC. DIN PEID A CATE 30 COMPR. FILM. PR

    60

    17,804000

    20,042166

    0,000000

    401 W63851007 J05AE10 DARUNAVIRUM **

    DARUNAVIR SANDOZ 400 mg

    COMPR. FILM. 400mg

    SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR

    60

    17,365500

    19,564166

    0,000000

    402 W63958001 J05AE10 DARUNAVIRUM **

    DARUNAVIR ZENTIVA 400 mg

    COMPR. FILM. 400mg

    ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR

    60

    16,971500

    19,134833

    0,000000

    403 W63331001 J05AE10 DARUNAVIRUM **

    404 W53877001 J05AE10 DARUNAVIRUM **

    DARUNAVIR MYLAN 600 mg

    PREZISTA 600mg

    COMPR. FILM. 600mg

    COMPR. FILM. 600mg

    MYLAN S.A.S. FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 60 COMPR. FILM. PR

    JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R

    60

    60

    26,457666

    29,021800

    29,474666

    32,396800

    0,000000

    10,536533

    405 W63665001 J05AE10 DARUNAVIRUM **

    DARUNAVIR ALVOGEN 600 mg COMPR. FILM. 600mg

    ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR

    60

    25,019000

    27,906500

    0,000000

    406 W63424025 J05AE10 DARUNAVIRUM **

    DARUNAVIR TEVA 600 mg COMPR. FILM. 600mg

    TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU UN FLACON DIN PEÎD, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI DESICANT X 60 COMPR. FILM. PR

    60

    26,457666

    29,474666

    0,000000

    407 W63852007 J05AE10 DARUNAVIRUM **

    DARUNAVIR SANDOZ 600 mg COMPR. FILM. 600mg

    SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR

    60

    24,184833

    26,997333

    0,000000

    408 W63959001 J05AE10 DARUNAVIRUM **

    DARUNAVIR ZENTIVA 600 mg COMPR. FILM. 600mg

    ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PR

    60

    25,414500

    28,337666

    0,000000

    409 W64532001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 2 FLAC. DIN PEID A CATE 30 COMPR. FILM. PR

    60

    26,457833

    29,474833

    0,000000

    410 W61894001 J05AE10 DARUNAVIRUM ** PREZISTA 75 mg COMPR. FILM. 75mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. CU CAPACITATEA DE 160 ML DIN PEID X 480 COMPR. FILM. PRF

    480

    6,277395

    6,921854

    0,000000

    411 W64415010 J05AE10 DARUNAVIRUM **

    DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg

    TEVA B.V.

    OLANDA CUTIE CU 1 FLAC. PEID, CU DESICANT X 30 COMPR. FILM. PR

    30

    33,293599

    37,816000

    2,268333

    412 W64415013 J05AE10 DARUNAVIRUM **

    DARUNAVIR TEVA 800 mg COMPR. FILM. 800mg

    TEVA B.V.

    OLANDA CUTIE CU 1 FLAC. PEID, FARA DESICANT X 30 COMPR. FILM. PR

    30

    33,293599

    37,816000

    2,268333

    413 W63332001 J05AE10 DARUNAVIRUM **

    DARUNAVIR MYLAN 800 mg COMPR. FILM. 800mg

    MYLAN S.A.S.

    FRANTA CUTIE CU BLISTERE PVC/PE/PVDC-AL X 30 COMPR. FILM. PR

    30

    33,293599

    37,816000

    1,905666

    414 W63666001 J05AE10 DARUNAVIRUM **

    DARUNAVIR ALVOGEN 800 mg COMPR. FILM. 800mg

    ALVOGEN MALTA OPERATIONS (ROW) LTD.

    MALTA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR

    30

    27,744666

    31,513333

    0,000000

    415 W63853007 J05AE10 DARUNAVIRUM **

    DARUNAVIR SANDOZ 800 mg COMPR. FILM. 800mg

    SANDOZ S.R.L.

    ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR

    30

    32,577666

    36,781333

    0,000000

    416 W63960001 J05AE10 DARUNAVIRUM ** DARUNAVIR ZENTIVA 800 mg COMPR. FILM. 800mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30

    33,293599

    37,816000

    0,453666

    417 W61896001 J05AE10 DARUNAVIRUM ** PREZISTA 800 mg COMPR. FILM. 800mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. CU CAPACITATEA DE 75 ML DIN PEID X 30 COMPR. FILM. PRF

    30

    33,293599

    37,816000

    20,212333

    418 W64531001 J05AE10 DARUNAVIRUM ** DARUNAVIR KRKA 800 mg COMPR. FILM. 800mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN PEID CU 30 COMPR. FILM. PR

    30

    33,293599

    37,816000

    2,268333

    419 W61893001 J05AE10 DARUNAVIRUM ** PREZISTA 100 mg/ml SUSP. ORALA 100mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DE STICLA MULTIDOZA CU 200 ML SUSP. + 1 PIPETA DE 6 ML PT. ADMINISTRARE ORALA CU GRADATII DE 0,2 ML PRF

    1

    1.687,330000

    1.877,340000

    0,000000

    420 W06151002 J05AF01 ZIDOVUDINUM

    RETROVIR (R)

    CAPS. 100mg

    VIIV HEALTHCARE UK LIMITED UK CUTIE X 10 BLIST. AL/PVC X 10 CAPS.

    P-RF

    100

    3,842600

    4,569900

    0,000000

    421 W60312001 J05AF01 ZIDOVUDINUM

    RETROVIR 10 mg/ml

    SOL. ORALA 10mg/ml

    VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA + 1 ADAPTOR DE DOZARE + 1 SERINGA PT. ADM. ORALA DE 10 ML

    PRF

    1

    46,870000

    61,300000

    0,000000

    422 W12057001 J05AF04 STAVUDINUM

    ZERIT 30 mg

    CAPS. 30mg

    BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

    P-RF/R

    56

    9,461964

    10,994821

    0,000000

    423 W12056001 J05AF04 STAVUDINUM

    ZERIT 40 mg

    CAPS. 40mg

    BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE X 4 BLIST. ACLAR/AL X 14 CAPS.

    P-RF/R

    56

    9,726607

    11,283214

    0,000000

    424 W59320003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM.

    PR

    60

    3,480333

    4,248833

    0,000000

    425 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR 60

    4,176400

    5,098600

    0,387066

    426 W62523002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30

    6,215000

    7,587333

    0,000000

    427 W61530002 J05AF05 LAMIVUDINUM

    EPIVIR 300mg

    COMPR. FILM. 300mg

    VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR

    30

    7,458000

    9,104800

    1,866533

    428 W61531002 J05AF05 LAMIVUDINUM

    EPIVIR 10mg/ml

    SOL. ORALA 10mg/ml

    VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR

    1

    84,870000

    107,310000

    0,000000

    429 W61524001 J05AF06 ABACAVIRUM ZIAGEN 300 mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM. PR 60

    14,169500

    16,080666

    0,000000

    430 W61525001 J05AF06 ABACAVIRUM ZIAGEN 20 mg/ml SOL. ORALA 20mg/ml VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE PR 1

    229,390000

    280,040000

    0,000000

    431 W63292001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL ZENTIVA 245 mg COMPR. FILM. 245 mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. X 30 COMPR. FILM. PR 30

    12,252000

    14,880799

    6,280867

    432 W63769001 J05AF07 TENOFOVIRUM DISOPROXIL **1

    TENOFOVIR DISOPROXIL ACCORD 245 mg COMPR. FILM. 245mg

    ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR

    30

    12,252000

    14,880799

    7,592201

    433 W60828015 J05AF07 TENOFOVIRUM DISOPROXIL **1

    TENOFOVIR DISOPROXIL TEVA 245 mg COMPR. FILM. 245mg

    TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEÎD CU CAPAC CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM. PR

    30

    12,252000

    14,880799

    7,711867

    434 W64012002 J05AF07 TENOFOVIRUM DISOPROXIL **1

    TENOFOVIR DISOPROXIL AUROBINDO 245 mg COMPR. FILM. 245mg

    AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR

    30

    10,210000

    12,400666

    0,000000

    435 W60828017 J05AF07 TENOFOVIRUM DISOPROXIL **1

    TENOFOVIR DISOPROXIL TEVA 245 mg COMPR. FILM. 245mg

    TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEÎD CU PERETII ÎNGROSATI CU CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM. PR

    30

    12,252000

    14,880799

    7,711867

    436 W63499004 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL SANDOZ 245 mg COMPR. FILM. 245mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR 30

    12,252000

    14,880799

    7,592201

    437 W62771001 J05AF07 TENOFOVIRUM DISOPROXIL **1 VIROFOB 245 mg COMPR. FILM. 245mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID CU CAPAC DIN PP X 30 COMPR. FILM. PR 30

    12,252000

    14,880799

    12,594534

    438 W63256001 J05AF07 TENOFOVIRUM DISOPROXIL **1 TENOFOVIR DISOPROXIL MYLAN COMPR. FILM. 245mg MYLAN S.A.S FRANTA CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM PR 30

    12,252000

    14,880799

    6,280867

    439 W51482001 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCE INTERNATIONAL LIMITED MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 CAPS. P-RF/R

    30

    20,972333

    24,131666

    0,000000

    440 W64753001 J05AF09 EMTRICITABINUM EMTRIVA 200mg CAPS. 200mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 CAPS. PR

    30

    20,972333

    24,131666

    0,000000

    441 W59667002 J05AG01 NEVIRAPINUM NEVIRAPINA SANDOZ 200 mg COMPR. 200mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 COMPR. PR

    60

    5,923000

    7,091833

    0,000000

    442 W63028001 J05AG01 NEVIRAPINUM NEVIRAPINA TEVA 200mg COMPR. 200mg TEVA B.V.

    OLANDA BLISTERE DIN PVC/PE/PVDC – AL X 60 COMP. PR

    60

    5,665833

    6,811666

    0,000000

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    443 W57323001 J05AG01 NEVIRAPINUM

    VIRAMUNE 400mg

    COMPR. ELIB. PREL. 400mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU UN FLACON DIN PEID X 30 COMPR. CU ELIB. PRELUNGITA PR

    30

    11,722666

    14,049333

    0,000000

    444 W63761002 J05AG01 NEVIRAPINUM

    NEVIRAPINA ACCORD 400 mg

    COMPR. ELIB. PREL. 400mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 30X1 COMPR. ELIB. PREL. PR

    30

    11,345000

    13,637666

    0,000000

    445 W13091001 J05AG01 NEVIRAPINUM

    VIRAMUNE 50mg/5ml

    SUSP. ORALA 50mg/5ml BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON PR

    1

    93,900000

    118,730000

    0,000000

    446 W64652001 J05AG03 EFAVIRENZUM

    STOCRIN 600 mg

    COMPR. FILM. 600mg MERCK SHARP DOHME OLANDA CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII PRF

    30

    2,457000

    3,106666

    0,000000

    447 W12025001 J05AG03 EFAVIRENZUM

    STOCRIN 600 mg

    COMPR. FILM. 600mg MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII P-RF/R

    30

    2,457000

    3,106666

    0,000000

    448 W53549001 J05AG04 ETRAVIRINUM

    INTELENCE

    COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE X 1 FLAC. PEID X 120 COMPR. PR

    120

    13,129333

    14,628916

    0,000000

    449 W61898001 J05AG04 ETRAVIRINUM

    INTELENCE 200 mg

    COMPR. 200mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 60 COMPR. PR

    60

    27,362666

    30,461166

    0,000000

    450 W61897001 J05AG04 ETRAVIRINUM

    INTELENCE 25 mg

    COMPR. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC. DIN PEID X 120 COMPR. PR

    120

    4,008416

    4,687083

    0,000000

    451 W58157001 J05AG05 RILPIVIRINUM

    EDURANT

    COMPR. FILM. 25mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU UN FLACON DIN PEÎD X 30 COMPRIMATE FILMATE PR

    30

    32,383666

    36,570000

    0,000000

    452 W64934001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA ACCORD 150 mg/300 mg COMPR. FILM. 150mg/300mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM PR

    60

    3,404400

    4,156000

    2,698333

    453 W59832001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg COMPR. FILM. 150mg/300mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM. PR

    60

    3,404400

    4,156000

    2,698333

    454 W63025001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** LAMIVUDINA/ZIDOVUDINA TEVA COMPR. FILM. 150mg/300mg TEVA B.V. OLANDA CUTIE CU BLIST. DIN OPA/AL/PVC X 60 COMPRIMATE FILMATE P-RF

    60

    2,837000

    3,463333

    0,000000

    455 W61532001 J05AR01 COMBINATII (LAMIVUDINUM+ZIDOVUDINUM) ** COMBIVIR 150mg/300mg COMPR. FILM. 150mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 6 BLIST. X 10 COMPR. FILM. P-RF/R

    60

    3,404400

    4,156000

    0,982500

    456 W61528001 J05AR02 ABACAVIRUM+LAMIVUDINUM ** KIVEXA 600mg/300mg COMPR. FILM. 600mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 30 COMPR. FILM.( BLIST.ALB-OPAC PVC-PVDC/AL ) PR

    30

    45,918333

    51,322666

    0,000000

    457 W63257001 J05AR03 COMBINATII (EMTRICITABINUM+TENOFOVIRUM) EMTRICITABINA/TENOFOVIR DISOPROXIL MYLAN 200 mg/245 mg COMPR. FILM. 200 mg/245 mg MYLAN S.A.S FRANTA CUTIE CU BLIST. X 30 COMPR. FILM. PR

    30

    9,545200

    11,652799

    15,214201

    458 W63802004 J05AR03 COMBINATII (EMTRICITABINUM+TENOFOVIRUM) EMTRICITABINA/TENOFOVIR DISOPROXIL ACCORD 200 mg/245 mg COMPR. FILM. 200mg/245mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1COMPR. FILM. PR

    30

    9,545200

    11,652799

    20,308534

    459 W62931007 J05AR03 COMBINATII (EMTRICITABINUM+TENOFOVIRUM) EMTRICITABINA/TENOFOVIR DISOPROXIL TEVA 200 mg/245 mg COMPR. FILM. 200mg/245mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEID CU CAPACITATEA DE 100 ML, PREVAZUT CU CAPAC DIN PP CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI RECIPIENT CARE CONTINE 3 G DESICANT X 30 COMPR. FILM. PR

    30

    7,954333

    9,710666

    0,000000

    460 W62928001 J05AR03 COMBINATII (EMTRICITABINUM+TENOFOVIRUM) DUNOTRISIN 200 mg/245 mg COMPR. FILM. 200mg/245mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. PEID X 30 COMPR. FILM. PR

    30

    9,545200

    11,652799

    19,100534

    461 W61529004 J05AR04 ABACAVIRUM+LAMIVUDINUM+ZIDOVUDINUM ** TRIZIVIR 300mg/150mg/300mg COMPR. FILM. 300mg/150mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. OPACE DIN PVC/ACLAR) PR

    60

    29,371333

    32,650666

    0,000000

    462 W59948001 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 200mg/50mg COMPR. FILM. 200mg/50mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 120 COMPR. FILM. PR

    120

    8,180250

    9,234416

    0,000000

    463 W64170005 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR MYLAN 200 mg/50 mg COMPR. FILM. 200mg/50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. X 120 COMPR. FILM. PR

    120

    7,779416

    8,797500

    0,000000

    464 W63612002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** LOPINAVIR/RITONAVIR ACCORD 200 mg/50 mg COMPR. FILM. 200mg/50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PR

    120

    8,099833

    9,146750

    0,000000

    465 W59947002 J05AR10 LOPINAVIRUM+RITONAVIRUM ** KALETRA 80mg/ml+20mg/ml SOL. ORALA 80mg/ml+20mg/ml ABBVIE LTD. MAREA BRITANIE CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML PR

    5

    250,074000

    280,212000

    0,000000

    466 W62601001 J05AR13 COMBINATII (DOLUTEGRAVIRUM+ABACAVIRUM+LAMIVUDINUM) TRIUMEQ 50 mg/600 mg/300mg COMPR. FILM. 50mg/600mg/300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE CU FLAC. DIN PEID X 30 COMPR. FILM. PR

    30

    112,416000

    123,805333

    0,000000

    467 W61899001 J05AR14 COMBINATII (DARUNAVIRUM+COBICISTATUM) REZOLSTA 800 mg/150 mg COMPR. FILM. 800mg/150mg JANSSEN-CILAG INTERNATIONAL NV BELGIA CUTIE CU 1 FLAC ALB DIN PEID X 30 COMPR. FILM. PR

    30

    59,985666

    66,656000

    0,000000

    468 W64751001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/10 mg COMPR. FILM. 200mg/10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR

    30

    64,721000

    71,817666

    0,000000

    469 W62913001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/10 mg COMPR. FILM. 200mg/10mg GILEAD SCIENCES INTERNATIONAL LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR

    30

    64,721000

    71,817666

    0,000000

    470 W64752001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/25 mg COMPR. FILM. 200mg/25mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR

    30

    64,721000

    71,817666

    0,000000

    471 W62914001 J05AR17 COMBINATII (EMTRICITABINUM+TENOFOVIRUM ALAFENAMIDA) DESCOVY 200 mg/25 mg COMPR. FILM. 200mg/25mg GILEAD SCIENCES INTERNATIONAL LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR

    30

    64,721000

    71,817666

    0,000000

    472 W64755001 J05AR18 ELVITEGRAVIR+COBICISTAT+EMTRICITABINE+TENOFOVIR GENVOYA 150 mg/150 mg/200 mg/10 mg COMPR. FILM. 150mg/150mg/200mg/10mg GILEAD SCIENCES IRELAND UC IRLANDA CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR

    30

    122,037000

    134,292000

    0,000000

    473 W62792001 J05AR18 ELVITEGRAVIR+COBICISTAT+EMTRICITABINE+TENOFOVIR GENVOYA 150 mg/150 mg/200 mg/10 mg COMPR. FILM. 150mg/150mg/200mg/10mg GILEAD SCIENCES INTERNATIONAL LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEID X 30 COMPR. FILM. PR

    30

    122,037000

    134,292000

    0,000000

    474 W52764001 J05AX08 RALTEGRAVIRUM ISENTRESS 400mg COMPR. FILM. 400 mg MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE P-RF/R

    60

    37,689333

    41,717333

    0,000000

    475 W64644001 J05AX08 RALTEGRAVIRUM ISENTRESS 400 mg COMPR. FILM. 400mg MERCK SHARP DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR

    60

    37,689333

    41,717333

    0,000000

    476 W64645001 J05AX08 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP DOHME OLANDA CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR

    60

    42,402000

    46,854000

    0,000000

    477 W63820001 J05AX08 RALTEGRAVIRUM ISENTRESS 600 mg COMPR. FILM. 600mg MERCK SHARP DOHME LTD. MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE PR

    60

    42,402000

    46,854000

    0,000000

    478 W61477003 J05AX09 MARAVIROCUM CELSENTRI 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR

    60

    41,744333

    46,137166

    0,000000

    479 W61478003 J05AX09 MARAVIROCUM CELSENTRI 300mg COMPR. FILM. 300mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 60 COMPR. FILM.( BLIST. PVC/AL) PR

    60

    41,744333

    46,137166

    0,000000

    480 W64583001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50 mg COMPR. FILM. 50mg VIIV HEALTHCARE BV OLANDA FLAC. PEID X 30 COMPR. FILM., INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR

    30

    82,717333

    91,433666

    0,000000

    481 W60635001 J05AX12 DOLUTEGRAVIRUM ** TIVICAY 50mg COMPR. FILM. 50mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE FLACOANE PEID X 30 COMPRIMATE FILMATE, INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA PR

    30

    82,717333

    91,433666

    0,000000

    482 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR

    10

    1.466,208000

    1.601,984000

    0,000000

    483 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR

    1

    396,840000

    470,710000

    0,000000

    484 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR

    10

    360,762000

    397,046000

    0,000000

    485 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR

    10

    186,420000

    207,013000

    0,000000

    486 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR

    1

    763,680000

    870,560000

    0,000000

    487 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR

    10

    736,680000

    806,797000

    0,000000

    488 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR

    1

    1.497,410000

    1.670,330000

    0,000000

    489 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR

    10

    612,682000

    671,639000

    0,000000

    490 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA ** GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR

    1

    641,400000

    737,280000

    0,000000

    491 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR

    1

    932,550000

    1.054,630000

    0,000000

    492 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR

    1

    408,030000

    482,900000

    0,000000

    493 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR

    1

    3.674,450000

    4.043,310000

    0,000000

    12

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    494 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR

    1

    1.835,250000

    2.038,570000

    0,000000

    495 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR

    1

    966,910000

    1.092,080000

    0,000000

    496 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR

    1

    2.028,690000

    2.249,430000

    0,000000

    497 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR

    1

    219,860000

    268,400000

    0,000000

    498 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR

    1

    529,670000

    615,490000

    0,000000

    499 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF

    1

    205,730000

    251,160000

    0,000000

    500 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF

    1

    1.040,030000

    1.171,780000

    0,000000

    501 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF

    1

    1.900,320000

    2.109,500000

    0,000000

    502 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF

    1

    523,800000

    609,090000

    0,000000

    503 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S

    1

    490,690000

    573,000000

    0,000000

    504 W63860002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 50 ML PR

    1

    803,040000

    913,460000

    0,000000

    505 W63860001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 100 ML PR

    1

    1.565,740000

    1.744,810000

    0,000000

    506 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S

    1

    1.859,420000

    2.064,920000

    0,000000

    507 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S

    1

    949,870000

    1.073,510000

    0,000000

    508 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

    IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR

    1

    1.029,340000

    1.160,130000

    0,000000

    509 W59944001 J06BB16 PALIVIZUMABUM **

    SYNAGIS 50 mg PULB. + SOLV. PT. SOL. INJ. 50mg ABBVIE LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + FIOLA X 1 ML SOLV. P-RF

    1

    2.306,260000

    2.551,980000

    0,000000

    510 W53892001 L03AA02 FILGRASTIMUM (G-CSF) **

    ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

    1

    69,700000

    88,130000

    0,000000

    511 W53893001 L03AA02 FILGRASTIMUM (G-CSF) **

    ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

    1

    107,407200

    126,230400

    27,419600

    512 W61793001 L03AA02 FILGRASTIMUM (G-CSF) **

    ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

    1

    66,110000

    83,590000

    0,000000

    513 W61794001 L03AA02 FILGRASTIMUM (G-CSF) **

    ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

    1

    105,780000

    126,230400

    2,909600

    514 W62176005 L03AA02 FILGRASTIMUM (G-CSF) **

    TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

    1

    69,220000

    87,520000

    0,000000

    515 W64857002 L03AA02 FILGRASTIMUM (G-CSF) **

    NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

    5

    65,892000

    79,452000

    0,000000

    516 W55757002 L03AA02 FILGRASTIMUM (G-CSF) **

    NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

    5

    65,892000

    79,452000

    0,000000

    517 W64858002 L03AA02 FILGRASTIMUM (G-CSF) **

    NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

    5

    89,506000

    105,192000

    0,000000

    518 W55758002 L03AA02 FILGRASTIMUM (G-CSF) **

    NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

    5

    89,506000

    105,192000

    0,000000

    519 W62177005 L03AA02 FILGRASTIMUM (G-CSF) **

    TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

    1

    107,407200

    126,230400

    8,839600

    520 W12757001 S01AA23 NETILMICINUM

    NETTACIN (R)

    PIC. OFT., SOL 0,3%

    S.I.F.I. SPA

    ITALIA

    CUTIE X 1 FLACON X 5ML

    P-RF

    1

    11,470000

    15,500000

    0,000000

    521 W41510001 S01AA23 NETILMICINUM

    NETTACIN (R)

    PICATURI OFT.-SOL. 0,3%

    S.I.F.I. SPA

    ITALIA

    CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X 0,3 ML

    P-RF

    15

    1,559333

    2,108000

    0,000000

    522 W43512001 S01AA23 NETILMICINUM

    NETTAVISC 3mg/g

    UNG. OFT. 3mg/g

    S.I.F.I. SPA

    ITALIA

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

    P-RF

    1

    13,764000

    18,600000

    15,760000

    523 W55648002 S01BA01 DEXAMETHASONUM

    DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml

    ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 10 ML PIC. OFT., SUSPENSIE P-RF

    1

    7,880000

    10,650000

    0,000000

    524 W55648001 S01BA01 DEXAMETHASONUM

    DEXAMETAZONA ROMPHARM 1mg/ml PIC. OFT. SUSP. 1mg/ml

    ROMPHARM COMPANY SRL ROMANIA CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT., SUSPENSIE P-RF

    1

    4,260000

    5,760000

    0,000000

    525 W02427001 S01BA01 DEXAMETHASONUM

    MAXIDEX (R) PICATURI OFT.-SUSP. 0,1%

    ALCON COUVREUR NV BELGIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF

    1

    4,240000

    5,730000

    0,000000

    526 W63597001 S01BA01 DEXAMETHASONUM

    MAXIDEX 1 mg/ml PICATURI OFT.-SUSP. 1 mg/ml

    NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML P-RF

    1

    4,240000

    5,730000

    0,000000

    P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

    13

  2. B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

    1 W42822001 A11HA02 PYRIDOXINUM

    VITAMINA B6 250 mg

    COMPR.

    250 mg

    ARENA GROUP SA

    ROMANIA CUTIE X 1 FLACON DIN PE X 20 COMPR. P-6L

    20

    0,367500

    0,497000

    0,000000

    2 W56760001 A11HA02 PYRIDOXINUM

    VITAMINA B6 ZENTIVA 250 mg

    COMPR.

    250mg

    ZENTIVA SA

    ROMANIA CUTIE X 1 FLAC. DIN PE X 20 COMPR. P-6L

    20

    0,367500

    0,497000

    0,000000

    3 W56758001 A11HA02 PYRIDOXINUM

    VITAMINA B6 ZENTIVA 250 mg/5 ml

    SOL. INJ.

    250mg/5ml

    ZENTIVA SA

    ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ. P-RF

    5

    1,670000

    2,258000

    0,000000

    4 W56757001 A11HA02 PYRIDOXINUM

    VITAMINA B6 ZENTIVA 50 mg/2ml

    SOL. INJ.

    50mg/2ml

    ZENTIVA SA

    ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 2 ML SOL. INJ. P-RF

    5

    1,126000

    1,522000

    0,000000

    5 W05242001 H02AB07 PREDNISONUM

    PREDNISON MCC 5 mg

    COMPR.

    5mg

    MAGISTRA C C S.R.L.

    ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

    20

    0,058260

    0,076212

    0,067788

    6 W12565003 H02AB07 PREDNISONUM

    PREDNISON ARENA 5 mg

    COMPR.

    5mg

    ARENA GROUP SA

    ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S

    1000

    0,048550

    0,063510

    0,000000

    7 W12565002 H02AB07 PREDNISONUM

    PREDNISON ARENA 5 mg

    COMPR.

    5mg

    ARENA GROUP SA

    ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF

    30

    0,058260

    0,076212

    0,018788

    8 W13686002 H02AB07 PREDNISONUM

    PREDNISON 5 mg

    COMPR.

    5mg

    SINTOFARM SA

    ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF

    30

    0,058260

    0,076212

    0,054121

    9 W53341001 H02AB07 PREDNISONUM

    PREDNISON – RICHTER 5 mg

    COMPR.

    5mg

    GEDEON RICHTER ROMANIA SA

    ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR. P-RF

    20

    0,058260

    0,076212

    0,063788

    10 W55354004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN SR 1000 mg/62,5 mg COMPR. ELIB. PREL. 1000mg/62,5mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE CU BLIST. AL/PVC-AL-PP X 28 COMPR. ELIB. PREL. P-RF

    28

    1,322857

    1,730357

    0,000000

    11 W00400003 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV 2 x 1000 mg COMPR. FILM. 1000mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM. P-RF

    14

    0,749285

    1,012857

    0,000000

    12 W57628002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    ENHANCIN 500 mg/125mg COMPR. FILM. 500 mg/125 mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 4 FOLII AL-PEJD X 7 COMPR. FILM. P-RF

    28

    0,460714

    0,622500

    0,000000

    13 W54453002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXIPLUS 500mg/125mg COMPR. FILM. 500mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF

    14

    0,460000

    0,622142

    0,000000

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    14 W64211008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg COMPR. FILM. 500mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF

    14

    0,425000

    0,574285

    0,000000

    15 W55163002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN 500 mg/125 mg COMPR. FILM. 500mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF

    14

    0,510000

    0,689142

    0,267286

    16 W64212008 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg COMPR. FILM. 875mg/125mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF

    14

    0,742142

    1,002857

    0,000000

    17 W55401002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXIPLUS 875 mg/125 mg COMPR. FILM. 875mg/125mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PA-AL-PVC/AL X 7 COMPR. FILM. P-RF

    14

    0,749285

    1,012857

    0,000000

    18 W59497004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 14 COMPR. FILM. PRF

    14

    0,749285

    1,012857

    0,000000

    19 W59497007 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    ENHANCIN 875 mg/125 mg COMPR. FILM. 875mg/125mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL INTRODUSE IN PUNGI DE POLIESTER/AL/POLIESTER/PE X 21 COMPR. FILM. PRF

    21

    0,748571

    1,011904

    0,000000

    20 W55164001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN 875 mg/125 mg COMPR. FILM. 875mg/125mg BEECHAM GROUP PLC MAREA BRITANIE CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE, FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT, CONTINAND UN DESICANT P-RF

    14

    0,890570

    1,203428

    0,353714

    21 W62046002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV QUICKTAB 625 mg COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE 625mg SANDOZ S.R.L. ROMANIA CUTIE X 7 BLIST. AL/AL X 2 COMPR. PT. DISPERSIE ORALA/ORODISPERSABILE P-RF

    14

    0,510000

    0,689142

    0,600858

    22 W59739002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOXIPLUS 1000 mg/200 mg PULB. PT. SOL. INJ./PERF. 1000mg/200mg ANTIBIOTICE SA ROMANIA CUTIE CU 50 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF. PRF

    50

    7,703200

    9,159400

    0,000000

    23 W00399001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV 156,25mg/5ml PULB. PT. SUSP. ORALA 156,25mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 MG PULB. PT. 100 ML SUSP. ORALA P-RF

    1

    8,070000

    10,910000

    0,000000

    24 W08783002 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV 2x PULB. PT. SUSP. ORALA 400mg+57mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA + SERINGA DOZATOARE P-RF

    1

    10,430000

    14,100000

    0,000000

    25 W55355005 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA +LINGURITA DOZATOARE PRF

    1

    7,990000

    10,800000

    0,000000

    26 W55355001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + 1 SERINGA PT. ADM. ORALA P-RF

    1

    7,820000

    10,570000

    0,000000

    27 W55355004 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 35 ML SUSP. ORALA + MASURA DOZATOARE P-RF

    1

    7,820000

    10,570000

    0,000000

    28 W55355006 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AUGMENTIN BIS 400 mg/57 mg/5 ml PULB. PT. SUSP. ORALA 400mg/57mg/5ml SMITHKLINE BEECHAM LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. 70 ML SUSP. ORALA +LINGURITA DOZATOARE PRF

    1

    12,516000

    16,920000

    4,240000

    29 W00402001 J01CR02 AMOXICILLINUM + ACIDUM CLAVULANICUM

    AMOKSIKLAV 312,5mg/5ml PULB. PT.SUSP. ORALA 312,5mg/5ml LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. DIN STICLA BRUNA CU 25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE P-RF

    1

    14,800000

    20,000000

    0,000000

    30 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM

    IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR

    10

    19,372000

    23,649000

    0,000000

    31 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM

    CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF

    10

    23,246400

    28,378800

    7,453200

    32 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM

    CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF

    10

    23,246400

    28,378800

    10,279200

    33 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM

    CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF

    5

    23,246400

    28,378800

    7,455200

    34 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM

    CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF

    5

    19,928000

    25,198000

    0,000000

    35 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM

    IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR

    10

    19,572000

    23,893000

    0,000000

    36 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM

    CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF

    5

    23,246400

    28,378800

    10,643200

    37 W63492001 J01FA09 CLARITHROMYCINUM

    KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF

    5

    1,578000

    2,132570

    0,653430

    38 W62391001 J01FA09 CLARITHROMYCINUM

    KLACID SR 500 mg COMPR. ELIB. PREL. 500mg BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF

    5

    1,578000

    2,132570

    0,653430

    39 W62390002 J01FA09 CLARITHROMYCINUM

    KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF

    14

    0,786000

    1,062857

    0,987857

    40 W08490001 J01FA09 CLARITHROMYCINUM

    FROMILID 250 COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF

    14

    0,786000

    1,062857

    0,237857

    41 W44093001 J01FA09 CLARITHROMYCINUM

    KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

    14

    0,786000

    1,062857

    0,082857

    42 W14043001 J01FA09 CLARITHROMYCINUM

    KLERIMED (R) 250 COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF

    14

    0,786000

    1,062857

    0,156428

    43 W60253004 J01FA09 CLARITHROMYCINUM

    LEKOKLAR 250 mg COMPR. FILM. 250mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF

    14

    0,655000

    0,885714

    0,000000

    44 W60254003 J01FA09 CLARITHROMYCINUM

    LEKOKLAR 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM. PRF

    14

    1,315000

    1,777142

    0,000000

    45 W14044001 J01FA09 CLARITHROMYCINUM

    KLERIMED (R) 500 COMPR. FILM. 500mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF

    14

    1,489285

    2,012857

    0,000000

    46 W54044001 J01FA09 CLARITHROMYCINUM

    ROCLARIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    20

    1,489000

    1,947500

    0,000000

    47 W08491001 J01FA09 CLARITHROMYCINUM

    FROMILID 500 COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF

    14

    1,497857

    2,024285

    0,000000

    48 W44087001 J01FA09 CLARITHROMYCINUM

    KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

    14

    1,578000

    2,132570

    0,016001

    49 W41838002 J01FA09 CLARITHROMYCINUM

    FROMILID (R) UNO COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

    7

    1,578000

    2,132570

    0,431715

    50 W62389002 J01FA09 CLARITHROMYCINUM

    KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF

    1

    20,470000

    27,670000

    0,000000

    51 W44092001 J01FA09 CLARITHROMYCINUM

    KLABAX 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF

    1

    9,990000

    13,500000

    0,000000

    52 W62389001 J01FA09 CLARITHROMYCINUM

    KLACID 125 mg/5 ml GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF

    1

    11,988000

    16,200000

    4,570000

    53 W44091001 J01FA09 CLARITHROMYCINUM

    KLABAX 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF

    1

    15,804000

    21,360000

    12,130000

    54 W58393002 J01FA09 CLARITHROMYCINUM

    LEKOKLAR 250 mg/5 ml GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF

    1

    13,170000

    17,800000

    0,000000

    55 W62343001 J01FA09 CLARITHROMYCINUM

    KLACID I.V. 500 mg PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF

    1

    31,830000

    41,630000

    0,000000

    56 W14119004 J01GA01 STREPTOMYCINUM

    STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 50 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S

    50

    3,053800

    3,728200

    0,000000

    57 W14119005 J01GA01 STREPTOMYCINUM

    STREVITAL 1 g PULB. PT. SOL. INJ. 1g ANTIBIOTICE SA ROMANIA CUTIE X 100 FLAC. DIN STICLA CONTINAND PULB. PT. SOL. INJ. S

    100

    3,036900

    3,691700

    0,000000

    58 W53277001 J01GB06 AMIKACINUM

    AMIKOZIT (R) 500 mg/2 ml SOL. INJ. 500mg/2ml ZENTIVA S.A. ROMANIA CUTIE X 1 FLACON DIN STICLA X 2 ML P-RF

    1

    5,620000

    7,600000

    0,000000

    59 W56957001 J01MA01 OFLOXACINUM

    OFLOXIN 200 COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    1,100400

    1,488000

    0,698000

    60 W53584001 J01MA01 OFLOXACINUM

    OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM. P-RF

    10

    0,917000

    1,240000

    0,000000

    61 W07914001 J01MA01 OFLOXACINUM

    ZANOCIN COMPR. FILM. 200mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,917000

    1,240000

    0,000000

    62 W54037001 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    3,117000

    4,077000

    0,000000

    63 W54037002 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    20

    2,835500

    3,585000

    0,000000

    64 W01288001 J01MA02 CIPROFLOXACINUM

    CIPROLEN (R) 250 mg COMPR. FILM. 250mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,098400

    14

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    15

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    65 W01271002 J01MA02 CIPROFLOXACINUM

    CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,124400

    66 W54038001 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,096400

    67 W44077004 J01MA02 CIPROFLOXACINUM

    CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,098400

    68 W07862001 J01MA02 CIPROFLOXACINUM

    CIFRAN COMPR. FILM. 250mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,135400

    69 W01273001 J01MA02 CIPROFLOXACINUM

    CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

    10

    0,459600

    0,621600

    0,122400

    70 W62110003 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

    10

    0,383000

    0,518000

    0,000000

    71 W54038002 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    20

    0,459600

    0,621600

    0,050400

    72 W54039001 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,098400

    73 W44076001 J01MA02 CIPROFLOXACINUM

    CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,059400

    74 W01272001 J01MA02 CIPROFLOXACINUM

    CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,534400

    75 W62111003 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

    10

    0,561000

    0,758000

    0,000000

    76 W54039002 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    20

    0,664000

    0,897500

    0,000000

    77 W01274001 J01MA02 CIPROFLOXACINUM

    CIPRINOL 500 mg COMPR. FILM. 500mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,337400

    78 W07863001 J01MA02 CIPROFLOXACINUM

    CIFRAN COMPR. FILM. 500mg RANBAXY UK LIMITED MAREA BRITANIE CUTIE X 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,048400

    79 W01289001 J01MA02 CIPROFLOXACINUM

    CIPROLEN (R) 500 mg COMPR. FILM. 500mg AC HELCOR SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,483400

    80 W12545001 J01MA02 CIPROFLOXACINUM

    CIPRO QUIN (R) COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,673200

    0,909600

    0,534400

    81 W54040001 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ARENA 750 mg COMPR. FILM. 750mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

    10

    0,961200

    1,299600

    2,777400

    82 W42772001 J01MA02 CIPROFLOXACINUM

    CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF

    10

    0,801000

    1,083000

    0,000000

    83 W57948001 J01MA02 CIPROFLOXACINUM

    CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

    7

    10,351428

    13,088571

    0,000000

    84 W63880001 J01MA02 CIPROFLOXACINUM

    CIPROBAY XR 1000 mg COMPR. FILM. ELIB. PREL. 1000 mg BAYER AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 7 COMPR. FILM. ELIB. PREL. P-RF

    7

    10,351428

    13,088571

    0,000000

    85 W57949001 J01MA02 CIPROFLOXACINUM

    CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

    3

    0,673200

    0,909600

    9,050400

    86 W63879001 J01MA02 CIPROFLOXACINUM

    CIPROBAY XR 500 mg COMPR. FILM. ELIB. PREL. 500 mg BAYER AG GERMANIA CUTIE X 1 BLIST. DIN PP/AL X 3 COMPR. FILM. ELIB. PREL. P-RF

    3

    0,673200

    0,909600

    9,050400

    87 W01275002 J01MA02 CIPROFLOXACINUM

    CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 50 FIOLE X 10 ML S

    50

    2,444800

    2,984600

    0,000000

    88 W01275001 J01MA02 CIPROFLOXACINUM

    CIPRINOL (R) CONC. PT. SOL. PERF. 100mg/10ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 10 ML S/P-RF

    5

    2,706000

    3,581520

    0,076480

    89 W60268001 J01MA02 CIPROFLOXACINUM

    CIPROFLOXACINA ZENTIVA 10 mg/ml CONC. PT. SOL. PERF. 100mg/10ml ZENTIVA S.A. ROMANIA CUTIE X 5 FIOLE DIN STICLA INCOLORA PREVAZUTE CU INEL DE RUPERE X 10 ML PR

    5

    2,716000

    3,581520

    0,088480

    90 W61489003 J01MA02 CIPROFLOXACINUM

    CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR

    10

    13,824000

    16,876000

    0,000000

    91 W61489001 J01MA02 CIPROFLOXACINUM

    CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR

    10

    7,343000

    9,284000

    0,000000

    92 W61489002 J01MA02 CIPROFLOXACINUM

    CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF. PR

    50

    6,938200

    8,325600

    0,000000

    93 W61489004 J01MA02 CIPROFLOXACINUM

    CIPRO INF 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF. PR

    30

    13,457666

    15,940666

    0,000000

    94 W52786004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ACTAVIS 250 mg COMPR. FILM. 250mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

    7

    0,842857

    1,138571

    0,000000

    95 W60574002 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF

    10

    1,011428

    1,366285

    0,255715

    96 W55699003 J01MA12 LEVOFLOXACINUM

    TAVANIC 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE X1 BLIST. PVC/AL. X 7 COMPR. FILM. P-RF

    7

    1,011428

    1,366285

    1,248000

    97 W61631003 J01MA12 LEVOFLOXACINUM

    LEVALOX 250 mg COMPR. FILM. 250mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF

    7

    1,011428

    1,366285

    1,272286

    98 W60574001 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ARENA 250 mg COMPR. FILM. 250mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF

    5

    1,011428

    1,366285

    0,279715

    99 W56939002 J01MA12 LEVOFLOXACINUM

    FLERADAY 500 mg COMPR. FILM. 500 mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/PVDC – AL X 7 COMPR. FILM. PRF

    7

    3,010285

    4,068000

    0,593428

    100 W61706003 J01MA12 LEVOFLOXACINUM

    LEVALOX 500 mg COMPR. FILM. 500mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 7 COMPR. FILM. PRF

    7

    3,010285

    4,068000

    0,306285

    101 W55700002 J01MA12 LEVOFLOXACINUM

    TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF

    7

    3,010285

    4,068000

    1,353428

    102 W56993002 J01MA12 LEVOFLOXACINUM

    LEVOTOR 500 mg COMPR. FILM. 500mg TORRENT PHARMA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 7 COMPR. FILM. P-RF

    7

    2,508571

    3,390000

    0,000000

    103 W52787004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ACTAVIS 500 mg COMPR. FILM. 500mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLIST. AL/PVC X 7 COMPR. FILM. P-RF

    7

    2,555714

    3,454285

    0,000000

    104 W60575002 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 10 COMPR. FILM. PRF

    10

    3,010285

    4,068000

    0,329000

    105 W60575001 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC/AL X 5 COMPR. FILM. PRF

    5

    3,010285

    4,068000

    0,588000

    106 W54108003 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACIN KABI 5 mg/ml SOL. PERF. 5mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA) S

    1

    31,188000

    40,800000

    16,730000

    107 W63747004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA AUROBINDO 5 mg/ml SOL. PERF. 5mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. PR

    1

    31,188000

    40,800000

    15,160000

    108 W62972004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 30 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 100 ML SOL. PERF. PRF

    30

    31,188000

    40,800000

    2,471333

    109 W61707001 J01MA12 LEVOFLOXACINUM

    LEVALOX 5 mg/ml SOL. PERF. 5mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC BROMOBUTILIC SI CAPAC DIN AL A 100 ML SOL. PERF. PR

    1

    25,990000

    34,000000

    0,000000

    110 W62972002 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA INFOMED 5 mg/ml SOL. PERF. 5mg/ml INFOMED FLUIDS SRL ROMANIA CUTIE CU 50 PUNGI DE PERFUZIE DIN POLIOLEFINA AVAND CAPACITATEA DE 100 ML A CATE 50 ML SOL. PERF. PRF

    50

    19,710000

    22,247000

    0,000000

    111 W55815004 J01MA12 LEVOFLOXACINUM

    LEVOFLOXACINA ACTAVIS 5 mg/ml SOL. PERF. 5mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA X 100 ML SOL. PERF. S

    1

    31,188000

    40,800000

    16,770000

    112 W60545001 J01MA14 MOXIFLOXACINUM

    MOFIL 400 mg COMPR. FILM. 400mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PA/AL/PVC-AL X 5 COMPR. FILM. PRF

    5

    4,377600

    5,916000

    1,406000

    113 W59332001 J01MA14 MOXIFLOXACINUM

    MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF

    5

    3,648000

    4,930000

    0,000000

    114 W63876001 J01MA14 MOXIFLOXACINUM

    AVELOX® 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF

    5

    4,377600

    5,916000

    3,826000

    115 W60943001 J01MA14 MOXIFLOXACINUM

    MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF

    5

    4,377600

    5,916000

    1,448000

    Nr.

    Grupa

    Forma

    Concentr

    cant/a

    Pret cu ridicata

    contribuţie

    crt Cod CIM

    terapeut

    Denumire generica Denumire comerciala

    farmaceuti atie / U.T. Firma Tara Ambalaj

    Prescriptie

    mbalaj

    maximal de

    Pret de decontare maximă asigurat

    ica ca

    decontare / U.T.

    / U.T.

    / U.T. – farmacii comunitare

    116 W57939001 J01MA14 MOXIFLOXACINUM

    AVELOX® 400 mg

    COMPR. FILM. 400mg

    BAYER PHARMA AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. P-RF

    5

    4,377600

    5,916000

    3,826000

    117 W57938004 J01MA14 MOXIFLOXACINUM

    AVELOX® 400 mg/250 ml

    SOL. PERF. 400mg/250ml

    BAYER PHARMA AG GERMANIA CUTIE X 5 FLACOANE DIN STICLA X 250 ML S

    5

    62,166000

    75,392000

    0,000000

    118 W63849001 J01MA14 MOXIFLOXACINUM

    MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR

    1

    60,500000

    76,500000

    0,000000

    119 W62717001 J01MA14 MOXIFLOXACINUM

    MOFLAXA 400 mg/250 ml SOL. PERF. 400mg/250ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 250 ML SOL. PERF. PR

    1

    61,140000

    77,310000

    0,000000

    120 W60727001 J01MA14 MOXIFLOXACINUM

    MOXIFLOXACINA KABI 400 mg/250 ml SOL. PERF. 400mg/250ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) A 250 ML SOL. PERF. (400 MG MOXIFLOXACINA) PR

    1

    61,130000

    77,290000

    0,000000

    121 W62717002 J01MA14 MOXIFLOXACINUM

    MOFLAXA 400 mg/250 ml SOL. PERF. 400mg/250ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 5 FLAC. DIN STICLA INCOLORA A CATE 250 ML SOL. PERF. PR

    5

    60,048000

    73,082000

    0,000000

    122 W63849002 J01MA14 MOXIFLOXACINUM

    MOXIFLOXACINA ROMPHARM 400 mg/250 ml SOL. PERF. 400mg/250ml ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA TRANSPARENTA X 250 ML SOL. PERF. PR

    5

    59,438000

    72,562000

    0,000000

    123 W63877004 J01MA14 MOXIFLOXACINUM

    AVELOX® 400 mg/250 ml SOL. PERF. 400mg/250ml BAYER AG GERMANIA AMBALAJ MULTIPLU (FOLIE DE PLASTIC ETICHETATA) CU 5 CUTII DIN CARTON A CATE 1 FLAC. DIN STICLA X 250 ML SOL. PERF., ÎNCHIS CU DOP DIN CAUCIUC CLOROBUTILIC SAU BROMOBUTILIC PR

    5

    62,166000

    75,392000

    0,000000

    124 W52799001 J01XX08 LINEZOLIDUM

    ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF

    10

    86,731200

    99,115200

    6,775800

    125 W62497001 J01XX08 LINEZOLIDUM

    LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

    10

    72,276000

    82,596000

    0,000000

    126 W52800001 J01XX08 LINEZOLIDUM

    ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF

    1

    689,840000

    790,080000

    0,000000

    127 W60734001 J01XX08 LINEZOLIDUM

    LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR

    1

    117,147600

    132,268800

    17,451200

    128 W52801001 J01XX08 LINEZOLIDUM

    ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S

    10

    114,492000

    128,611000

    0,000000

    129 W64055001 J01XX08 LINEZOLIDUM

    LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR

    1

    117,147600

    132,268800

    12,181200

    130 W63515002 J01XX08 LINEZOLIDUM

    LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

    10

    113,362000

    127,380000

    0,000000

    131 W61561001 J01XX08 LINEZOLIDUM

    LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR

    10

    97,623000

    110,224000

    0,000000

    132 W64206001 J01XX08 LINEZOLIDUM

    LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR

    10

    110,566000

    124,332000

    0,000000

    133 W61756002 J01XX08 LINEZOLIDUM

    LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR

    10

    114,432000

    128,546000

    0,000000

    134 W60604001 J01XX08 LINEZOLIDUM

    PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR

    1

    112,480000

    132,268800

    5,051200

    135 W63515001 J01XX08 LINEZOLIDUM

    LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

    1

    117,147600

    132,268800

    15,921200

    136 W52079002 J04AB01 CYCLOSERINUM

    CICLOSERINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE X 10 FOLII TERMOSUDATE DIN AL/AL X 10 CAPS. P-RF

    100

    4,573400

    5,366500

    0,000000

    137 W41998002 J04AB02 RIFAMPICINUM

    SINERDOL 150 mg

    CAPS.

    150mg

    ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

    PRF

    1000

    0,178690

    0,218140

    0,000000

    138 W60378001 J04AB02 RIFAMPICINUM

    RIFAMPICINA ARENA 150 mg

    CAPS.

    150mg

    ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

    S/P-RF

    10

    0,214428

    0,261768

    0,159232

    139 W41999002 J04AB02 RIFAMPICINUM

    SINERDOL 300 mg

    CAPS.

    300mg

    ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

    PRF

    1000

    0,576390

    0,666420

    0,000000

    140 W58576002 J04AC01 ISONIAZIDUM

    IZONIAZIDA ATB 100 mg

    COMPR.

    100mg

    ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.

    PR

    1500

    0,116200

    0,141860

    0,000000

    141 W61241001 J04AC01 ISONIAZIDUM

    IZONIAZIDA ARENA 100 mg

    COMPR.

    100mg

    ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR.

    PRF

    20

    0,120000

    0,162500

    0,000000

    142 W61241002 J04AC01 ISONIAZIDUM

    IZONIAZIDA ARENA 100 mg

    COMPR.

    100mg

    ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR.

    PRF

    50

    0,119800

    0,162000

    0,000000

    143 W61241003 J04AC01 ISONIAZIDUM

    IZONIAZIDA ARENA 100 mg

    COMPR.

    100mg

    ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC

    PRF

    1500

    0,115020

    0,140413

    0,000000

    144 W61242002 J04AC01 ISONIAZIDUM

    IZONIAZIDA ARENA 300 mg

    COMPR.

    300mg

    ARENA GROUP S.A. ROMANIA CUTIE CU 5 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR.

    PRF

    50

    0,300000

    0,400960

    0,004640

    145 W58577002 J04AC01 ISONIAZIDUM

    IZONIAZIDA ATB 300 mg

    COMPR.

    300mg

    ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. PVC/AL X 10 COMPR.

    P-RF

    1500

    0,285913

    0,337080

    0,000000

    146 W61242003 J04AC01 ISONIAZIDUM

    IZONIAZIDA ARENA 300 mg

    COMPR.

    300mg

    ARENA GROUP S.A. ROMANIA CUTIE CU 150 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR., AMBALAJ UZ SPITALICESC

    PRF

    1500

    0,283213

    0,334133

    0,000000

    147 W61242001 J04AC01 ISONIAZIDUM

    IZONIAZIDA ARENA 300 mg

    COMPR.

    300mg

    ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. DIN FILM PVC OPAC/AL X 10 COMPR.

    PRF

    20

    0,299500

    0,400960

    0,004040

    148 W56079001 J04AD03 ETIONAMIDUM

    ETIONAMIDA ATB 250 mg

    COMPR. FILM.

    250mg

    ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 BLIST. AL/AL X 10 COMPR. FILM.

    P-RF

    100

    0,969200

    1,225400

    0,000000

    149 W60213002 J04AK01 PYRAZINAMIDUM

    PIRAZINAMIDA ATB 500 mg

    COMPR.

    500mg

    ANTIBIOTICE S.A. ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR.

    PR

    1500

    0,314746

    0,368506

    0,000000

    150 W53682002 J04AK02 ETHAMBUTOLUM

    ETAMBUTOL ARENA 250 mg

    CAPS.

    250mg

    ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

    P-RF

    20

    0,194000

    0,262000

    0,000000

    151 W59648001 J04AK02 ETHAMBUTOLUM

    ETAMBUTOL ARENA 400 mg

    CAPS.

    400mg

    ARENA GROUP S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

    PRF

    20

    0,302500

    0,409000

    0,000000

    152 W42943002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 250 mg COMPR. FILM. 250mg ANTIBIOTICE SA ROMANIA CUTIE CU 150 BLIST. PVC/AL X 10 COMPR. FILM. PRF

    1500

    0,228320

    0,274300

    0,000000

    153 W42861002 J04AK02 ETHAMBUTOLUM ETAMBUTOL ATB 400 mg COMPR. FILM. 400mg ANTIBIOTICE SA ROMANIA CUTIE X 150 BLIST. AL/PVC X 10 COMPR. FILM. PRF

    1500

    0,351473

    0,408540

    0,000000

    154 W60621001 J04AK05 BEDAQUILINUM SIRTURO 100 mg COMPR. 100mg JANSSEN-CILAG INTERNATIONAL NV BELGIA FLAC. DIN PEID X 188 COMPR. PR

    188

    281,820691

    307,387872

    0,000000

    155 W63026001 J04AK06 DELAMANIDUM DELTYBA 50 mg COMPR. FILM. 50mg OTSUKA NOVEL PRODUCTS GMBH GERMANIA CUTIE CU BLISTER AL/AL X 48 COMPRIMATE FILMATE PR

    48

    128,295416

    140,637083

    0,000000

    156 W14071002 J04AM02 COMBINATII (RIFAMPICINUM+IZONIAZIDUM) SINERDOL ISO CAPS. 300mg+150mg ANTIBIOTICE SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. S

    1000

    0,631030

    0,725970

    0,000000

    P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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

1 W52316001 J05AH02 OSELTAMIVIRUM

TAMIFLU 30mg

CAPS.

30mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/ALX 10 CAPSULE P-RF

10

3,502000

4,581000

0,000000

2 W64406001 J05AH02 OSELTAMIVIRUM

TAMIFLU 30 mg

CAPS.

30mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 BLISTER PVC/PE/PVDC/AL X 10 CAPSULE PRF

10

3,502000

4,581000

0,000000

3 W13633001 J05AH02 OSELTAMIVIRUM

TAMIFLU 75 mg

CAPS.

75mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1BLISTER PVC/PE/PVDC/AL X 10 CAPSULE P-RF

10

6,328000

8,001000

0,000000

4 W64405001 J05AH02 OSELTAMIVIRUM

TAMIFLU 75 mg

CAPS.

75mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 BLISTER PVC/PE/PVDC/AL X 10 CAPSULE PRF

10

6,328000

8,001000

0,000000

16

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

17

1 W58800001 G03HA01 CYPROTERONUM

ANDROCUR

COMPR.

50mg

2 W64041001 G03HA01 CYPROTERONUM

ANDROCUR 50 mg

COMPR.

50mg

3 W12490001 L01AA01 CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ.

50mg

BAYER PHARMA AG GERMANIA CUTIE X 5 BLIST. AL/PVC X 10 COMPR. P-RF

BAYER AG GERMANIA CUTIE CU 5 BLIST. AL/PVC X 10 COMPR. PRF

50

50

1,769600

1,769600

2,237400

2,237400

0,000000

0,000000

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

50

0,422800

0,571400

0,000000

4 W52215001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S

1

12,380000

16,730000

0,000000

5 W64372001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1

12,380000

16,730000

0,000000

6 W58866002 L01AA02 CHLORAMBUCILUM

LEUKERAN

COMPR. FILM. 2mg

ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. FILM. P-RF

25

10,050800

12,270000

0,000000

7 W58865001 L01AA03 MELPHALANUM

ALKERAN 2 mg

COMPR. FILM. 2mg

ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF

25

10,654800

13,007600

0,000000

8 W12497001 L01AA06 IFOSFAMIDUM

HOLOXAN 1 g

PULB. PT. SOL. PERF. 1g

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S

1

100,840000

123,110000

0,000000

9 W62432002 L01AA09 BENDAMUSTINUM **1

BENDAMUSTINA ZENTIVA 2,5 mg/ml

PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 25 ML CU PULB. PT. CONCENTRAT PT. SOL. PERF. CARE CONTINE 25 MG CLORHIDRAT DE BENDAMUSTINA PR

5

145,226000

165,926000

0,000000

10 W62548005 L01AA09 BENDAMUSTINUM **1

BENDAMUSTINA ACCORD 2,5 mg/ml

PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 100 MG BENDAMUSTINA PR

5

493,614000

545,670000

0,000000

11 W63064002 L01AA09 BENDAMUSTINUM **1

BENDAMUSTINA MYLAN 2,5 mg/ml

PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml

MYLAN S.A.S. FRANTA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CAPACITATEA DE 20 ML CARE CONTINE 25 MG CLORHIDRAT DE BENDAMUSTINA PR

5

153,484800

176,455200

8,302800

12 W63064006 L01AA09 BENDAMUSTINUM **1

BENDAMUSTINA MYLAN 2,5 mg/ml

PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml

MYLAN S.A.S. FRANTA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CAPACITATEA DE 50 ML CARE CONTINE 100 MG CLORHIDRAT DE BENDAMUSTINA PR

5

592,336800

654,804000

13,880000

13 W62432006 L01AA09 BENDAMUSTINUM **1

BENDAMUSTINA ZENTIVA 2,5 mg/ml

PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 50 ML CU PULB. PT. CONCENTRAT PT. SOL. PERF. CARE CONTINE 100 MG CLORHIDRAT DE BENDAMUSTINA PR

5

562,900000

621,192000

0,000000

14 W62548001 L01AA09 BENDAMUSTINUM **1 BENDAMUSTINA ACCORD 2,5 mg/ml PULB. PT. CONC. PT. SOL. PERF. 2,5mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FLAC. DIN STICLA BRUNA, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. CARE CONTINE 25 MG BENDAMUSTINA PR

5

127,904000

147,046000

0,000000

15 W58856002 L01AB01 BUSULFANUM MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF

100

10,538800

11,868800

0,000000

16 W62395001 L01AB01 BUSULFANUM

BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC. X10ML) PR

8

690,921250

757,873750

0,000000

17 W64538001 L01AB01 BUSULFANUM

BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml

FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC.) X 10 ML PR

8

690,921250

757,873750

0,000000

18 W62979001 L01AB01 BUSULFANUM

BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF. PR

1

710,200000

812,270000

0,000000

19 W59709001 L01AD02 LOMUSTINUM 4)

CECENU

CAPS.

40mg

CN UNIFARM S.A. ROMANIA CUTIE X 1 FLACON X 20 CAPSULE PR

20

117,090000

129,536000

0,000000

20 W61245002 L01AX03 TEMOZOLOMIDUM

BRASTORYN 100 mg

CAPS.

100mg

NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS. PR

5

39,230000

47,892000

0,000000

21 W64828003 L01AX03 TEMOZOLOMIDUM

TEMODAL 100 mg

CAPS.

100mg

MERCK SHARP DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR

5

46,598400

56,887200

16,520800

22 W59614003 L01AX03 TEMOZOLOMIDUM

TEMODAL 100 mg

CAPS.

100mg

MERCK SHARP DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R

5

46,598400

56,887200

16,520800

23 W61812002 L01AX03 TEMOZOLOMIDUM

TEMOZOLOMIDA ACCORD 100 mg CAPS.

100mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 38,832000 47,406000 0,000000

24 W63023001 L01AX03 TEMOZOLOMIDUM

TEMOZOLOMIDE TEVA 100 mg CAPS.

100mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 39,230000 47,892000 0,000000

25 W61246002 L01AX03 TEMOZOLOMIDUM

BRASTORYN 140 mg

CAPS.

140mg

NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS. PR

5

82,006000

97,016000

0,000000

26 W59615003 L01AX03 TEMOZOLOMIDUM

TEMODAL 140mg

CAPS.

140mg

MERCK SHARP DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R

5

97,480800

115,411200

23,508800

27 W61813002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 140 mg CAPS. 140mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR

5

81,234000

96,176000

0,000000

28 W61246001 L01AX03 TEMOZOLOMIDUM

BRASTORYN 140 mg

CAPS.

140mg

NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEID X 5 CAPS. PR

5

82,006000

97,016000

0,000000

29 W59616003 L01AX03 TEMOZOLOMIDUM

TEMODAL 180 mg

CAPS.

180mg

MERCK SHARP DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R

5

122,001600

142,137600

34,104400

30 W61814002 L01AX03 TEMOZOLOMIDUM

TEMOZOLOMIDA ACCORD 180 mg CAPS.

180mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 101,668000 118,448000 0,000000

31 W63022001 L01AX03 TEMOZOLOMIDUM

TEMOZOLOMIDE TEVA 20 mg CAPS.

20mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 8,388000 10,972000 0,000000

32 W64827003 L01AX03 TEMOZOLOMIDUM TEMODAL 20 mg CAPS. 20mg

MERCK SHARP DOHME OLANDA CUTIE CU 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI PR

5

9,967200

13,036800

2,991200

33 W61811002 L01AX03 TEMOZOLOMIDUM TEMOZOLOMIDA ACCORD 20 mg CAPS. 20mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR

5

8,306000

10,864000

0,000000

34 W59617003 L01AX03 TEMOZOLOMIDUM

TEMODAL 20 mg

CAPS.

20mg

MERCK SHARP DOHME MAREA BRITANIE CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI P-RF/R

5

9,967200

13,036800

2,991200

35 W61244002 L01AX03 TEMOZOLOMIDUM

BRASTORYN 20 mg

CAPS.

20mg

NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 5 PLICURI DIN HARTIE CU UN STRAT LINIAR DE POLIETILENA CU DENSITATE SCAZUTA (STRATUL EXTERIOR) SI AL-COPOLIMER ETILENA-ACID ACRILIC (STRATUL INTERIOR) X 1 CAPS. PR

5

8,390000

10,974000

0,000000

36 W63024001 L01AX03 TEMOZOLOMIDUM

TEMOZOLOMIDE TEVA 250 mg CAPS.

250mg TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 CAPS. PR 5 179,772000 203,582000 0,000000

37 W61815002 L01AX03 TEMOZOLOMIDUM

TEMOZOLOMIDA ACCORD 250 mg CAPS.

250mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 PLICURI DIN PET/AL/PE X 1 CAPS. PR 5 171,990000 195,100000 0,000000

38 W58779001 L01AX04 DACARBAZINUM

DACARBAZINA LIPOMED 200 mg PULB. PT. SOL. INJ./PERF. 200 mg

LIPOMED GMBH GERMANIA CUTIE CU 10 FLACOANE MONODOZA DIN STICLA BRUNA CU DOP DIN CAUCIUC BROMOBUTILIC CU SIGILIU DIN AL TIP FLIP-OFF CU CAPAC DIN PLASTIC DE CULOARE ROSIE CARE CONTIN PULB. PENTRU SOL. INJ. SAU PERF. PR

10

79,602000

90,581000

0,000000

39 W62602001 L01BA01 METHOTREXATUM

METHOTREXATE 2,5 mg COMPR. FILM. 2,5mg

CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLIST. X 10 COMPR. FILM. PR

100

0,285000

0,372800

0,000000

40 W12735001 L01BA01 METHOTREXATUM METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML S 1

324,600000

391,960000

0,000000

41 W42003001 L01BA04 PEMETREXEDUM **1

ALIMTA 500mg

PULB. PT. CONC. PT. SOL. PERF. 500mg ELI LILLY NEDERLAND BV OLANDA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. S

1

3.943,770000

4.336,860000

0,000000

42 W58868001 L01BB02 MERCAPTOPURINUM

PURI – NETHOL

COMPR. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. P-RF

25

10,480400

12,794400

0,000000

43 W58869001 L01BB03 TIOGUANINUM

LANVIS

COMPR. 40mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. X 25 COMPR. P-RF

25

24,486000

28,215600

0,000000

44 W44114001 L01BB04 CLADRIBINUM

LITAK 2 mg/ml

SOL. INJ. 2mg/ml LIPOMED GMBH GERMANIA CUTIE X 1 FLACON X 5 ML S

1

1.342,920000

1.501,940000

0,000000

45 W56210002 L01BB05 FLUDARABINUM ** FLUDARA ORAL 10 mg COMPR. FILM. 10mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S 20

56,044000

62,995500

0,000000

46 W64515001 L01BB05 FLUDARABINUM

FLUDARABINA TEVA 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml TEVA B.V.

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

1

71,490000

90,390000

0,000000

47 W53700001 L01BB05 FLUDARABINUM

FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml ACTAVIS S.R.L.

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

1

71,480000

90,380000

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

48 W53291005 L01BB06 CLOFARABINUM **1

EVOLTRA 1mg/ml CONC. PT. SOL. PERF. 1mg/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU CONC. PT. SOL. PERF. PR

1

4.135,590000

4.545,950000

0,000000

49 W61693001 L01BB07 NELARABINUM **1

ATRIANCE SOL. PERF. 5mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 6 FLAC. X 50 ML S

6

1.118,798333

1.225,850000

0,000000

50 W59016003 L01BC01 CYTARABINUM

CITARABINA KABI 100 mg/ml SOL. INJ. SAU PERF. 100mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE X 10 ML SOL. INJ. SAU PERF. PR

1

43,410000

56,780000

0,000000

51 W59016004 L01BC01 CYTARABINUM

CITARABINA KABI 100 mg/ml SOL. INJ. SAU PERF. 100mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA X 20 ML SOL. INJ. SAU PERF. PR

1

103,800000

126,720000

0,000000

52 W43451005 L01BC02 FLUOROURACILUM

5 – FLUOROURACIL EBEWE 50mg/ml CONC. PT. SOL. INJ./PERF. 50mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON DIN STICLA BRUNA X 20 ML CONCENTRAT PT. SOL. INJ./PERF. S

1

12,720000

17,196000

0,664000

53 W60103001 L01BC02 FLUOROURACILUM

FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML SOL. INJ. SAU PERF. PR

1

3,120000

4,220000

0,000000

54 W60103002 L01BC02 FLUOROURACILUM

FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML SOL. INJ. SAU PERF. PR

1

6,270000

8,470000

0,000000

55 W60103003 L01BC02 FLUOROURACILUM

FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML SOL. INJ. SAU PERF. PR

1

10,600000

14,330000

0,000000

56 W60103005 L01BC02 FLUOROURACILUM

FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML SOL. INJ. SAU PERF. PR

1

42,870000

56,070000

0,000000

57 W60103004 L01BC02 FLUOROURACILUM

FLUOROURACIL ACCORD 50 mg/ml SOL. INJ. SAU PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML SOL. INJ. SAU PERF. PR

1

34,280000

44,840000

0,000000

58 W61039004 L01BC05 GEMCITABINUM

GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR

1

102,390000

125,000000

0,000000

59 W61039002 L01BC05 GEMCITABINUM

GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR

1

83,520000

105,600000

0,000000

60 W61039003 L01BC05 GEMCITABINUM

GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR

1

96,730000

122,300000

0,000000

61 W61039001 L01BC05 GEMCITABINUM

GEMCITABINA ACCORD 100 mg/ml CONC. PT. SOL. PERF. 100mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 2 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF' CARE CONTINE CONC. PT. SOL. PERF. PR

1

20,950000

28,320000

0,000000

62 W61569001 L01BC05 GEMCITABINUM

GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 6 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE VERDE, A 200 MG/5,26 ML CONCENTRAT PENTRU SOL. PERF. PR

1

22,930000

30,990000

0,000000

63 W61569002 L01BC05 GEMCITABINUM

GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 30 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA, A 1000 MG/26,3 ML CONCENTRAT PENTRU SOL. PERF. PR

1

93,564000

118,296000

40,484000

64 W61569003 L01BC05 GEMCITABINUM

GEMCITABINA KABI 38 mg/ml CONC. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA TRANSPARENTA CU CAPACITATEA DE 100 ML SI DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA, A 2000 MG/52,6 ML CONCENTRAT PENTRU SOL. PERF. PR

1

122,868000

150,000000

171,140000

65 W56425002 L01BC05 GEMCITABINUM

GITRABIN 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML X 1 G GEMCITABINA PR

1

93,564000

118,296000

17,794000

66 W56425003 L01BC05 GEMCITABINUM

GITRABIN 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML X 2 G GEMCITABINA PR

1

122,868000

150,000000

117,310000

67 W56425001 L01BC05 GEMCITABINUM

GITRABIN 40 mg/ml CONC. PT. SOL. PERF. 40mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML X 200 MG GEMCITABINA PR

1

22,700000

30,680000

0,000000

68 W56371001 L01BC05 GEMCITABINUM

GEMCITABINA ATB 1000 mg PULB. PT. SOL. PERF. 1000mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML PULB. PT. SOL. PERF. PR

1

93,564000

118,296000

120,564000

69 W56370001 L01BC05 GEMCITABINUM

GEMCITABINA ATB 200 mg PULB. PT. SOL. PERF. 200mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML PULB. PT. SOL. PERF. PR

1

25,140000

33,984000

23,246000

70 W54381001 L01BC05 GEMCITABINUM

GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML CU PULB. PT. SOL. PERF. CARE CONTINE 200MG GEMCITABINA S

1

21,580000

29,170000

0,000000

71 W55531003 L01BC05 GEMCITABINUM

GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 1000MG GEMCITABINA S

1

93,564000

118,296000

39,494000

72 W54381002 L01BC05 GEMCITABINUM

GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. CARE CONTINE 1000MG GEMCITABINA S

1

77,970000

98,580000

0,000000

73 W54381004 L01BC05 GEMCITABINUM

GEMCIRENA 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML CU PULB. PT. SOL. PERF. CARE CONTINE 2000MG GEMCITABINA S

1

122,868000

150,000000

22,000000

74 W55531004 L01BC05 GEMCITABINUM

GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 2000MG GEMCITABINA S

1

122,868000

150,000000

188,890000

75 W55531002 L01BC05 GEMCITABINUM

GITRABIN 38 mg/ml PULB. PT. SOL. PERF. 38mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLAC. STICLA INCOLORA CU PULB. PT SOL. PERF. CARE CONTINE 200MG GEMCITABINA S

1

22,510000

30,420000

0,000000

76 W59086001 L01BC06 CAPECITABINUM

CAPECITABINA FRESENIUS KABI 150 mg COMPR. FILM. 150mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 6 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10 COMPR. FILM. PR

60

0,937000

1,184666

0,000000

77 W60217005 L01BC06 CAPECITABINUM

ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPRIMATE FILMATE PR

60

0,936500

1,184166

0,000000

78 W60217002 L01BC06 CAPECITABINUM

ECANSYA 150mg COMPR. FILM. 150mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE PR

60

0,936500

1,184166

0,000000

79 W61795001 L01BC06 CAPECITABINUM

CAPECITABINE ACCORD 150 mg COMPR. FILM. 150mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 60X1 COMPR. FILM. PR

60

0,937000

1,184666

0,000000

80 W60219006 L01BC06 CAPECITABINUM

ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. PVC/PVDC/AL X 120 COMPRIMATE FILMATE PR

120

1,942200

2,371000

0,000166

81 W58926006 L01BC06 CAPECITABINUM

CAPECITABINA GLENMARK 500 mg COMPR. FILM. 500mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 12 BLIST. PVC/PVDC-AL X 120 (12X10) COMPR. FILM. PR

120

1,942200

2,371000

0,000083

82 W60255001 L01BC06 CAPECITABINUM

CAPECITABINA DR. REDDY'S 500 mg COMPR. FILM. 500mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLISTERE PVC-PE-PVDC/AL-PET-HARTIE X 120 COMPRIMATE FILMATE PR

120

1,942200

2,371000

0,000166

83 W59424002 L01BC06 CAPECITABINUM

CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 (12X10) COMPR. FILM. PR

120

1,942200

2,371000

1,259333

84 W61796001 L01BC06 CAPECITABINUM

CAPECITABINE ACCORD 500 mg COMPR. FILM. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PERFORAT PT. ELIBERAREA UNEI UNITATI DOZATE DIN PVC/PVDC/AL X 120X1 COMPR. FILM. PR

120

1,618500

1,975833

0,000000

85 W59424001 L01BC06 CAPECITABINUM

CEREX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 120 (12X10) COMPR. FILM. PR

120

1,942200

2,371000

1,259333

86 W59087001 L01BC06 CAPECITABINUM

CAPECITABINA FRESENIUS KABI 500 mg COMPR. FILM. 500mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 12 BLIST. CU PERFORATIE DIN PVC-PVDC/AL X 10 COMPR. FILM. PR

120

1,942200

2,371000

1,221666

87 W60219003 L01BC06 CAPECITABINUM

ECANSYA 500mg COMPR. FILM. 500mg KRKA D.D. SLOVENIA CUTIE CU BLIST. AL/AL X 120 COMPRIMATE FILMATE PR

120

1,942200

2,371000

0,000166

88 W53879001 L01BC07 AZACITIDINUM **1

VIDAZA PULB. PT. SUSP. INJ. 25mg/ml CELGENE EUROPE LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 100MG PULB. PT. SUSP. INJ. S

1

1.439,000000

1.606,660000

0,000000

89 W59587001 L01BC08 DECITABINUM **1

DACOGEN PULB. PT. CONC. PT. SOL. PERF. 50mg JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE CU 1 FL. DIN STICLA CE CONTINE 50MG DECITABINA PR

1

4.562,900000

5.011,720000

0,000000

90 W59211001 L01CA01 VINBLASTINUM 4)

VINBLASTINA TEVA 1 mg/ml SOL INJ. 1mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 10 ML SOL. INJ. PR

1

32,380000

42,350000

0,000000

91 W52220001 L01CA02 VINCRISTINUM

SINDOVIN 1 mg PULB. PT. SOL. INJ./PERF. 1mg ACTAVIS S.R.L. ROMANIA CUTIE CU 1 FLACON DE CAPACITATE 10ML CE CONTINE 1MG PULB. PT. SOL. INJ./PERF. I.V. S

1

27,900000

36,490000

0,000000

92 W64718001 L01CA02 VINCRISTINUM

SINDOVIN 1 mg PULB. PT. SOL. INJ./PERF. I V 1mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF. I.V. PR

1

27,900000

36,490000

0,000000

93 W42512002 L01CA04 VINORELBINUM

NAVELBINE 20 mg CAPS. MOI 20mg PIERRE FABRE MEDICAMENT FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF

1

196,660000

240,080000

0,000000

94 W42513002 L01CA04 VINORELBINUM

NAVELBINE 30 mg CAPS. MOI 30mg PIERRE FABRE MEDICAMENT FRANTA CUTIE X 1 BLIST. PVC-PVDC/AL-PETP X 1 CAPS. MOALE P-RF

1

293,770000

358,640000

0,000000

95 W52194002 L01CA04 VINORELBINUM

VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S

1

130,890000

159,790000

0,000000

96 W63584001 L01CA04 VINORELBINUM

VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR

1

25,400000

33,220000

0,000000

97 W63584002 L01CA04 VINORELBINUM

VINORELBINA ACCORD 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR

1

122,520000

149,570000

0,000000

98 W52194001 L01CA04 VINORELBINUM

VINORELBIN ACTAVIS 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 1 ML CONC. PT. SOL. PERF. S

1

30,480000

39,864000

2,196000

18

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

19

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

99 W08035001 L01CB01 ETOPOSIDUM

VEPESID

CAPS. MOI 100mg

BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF

10

22,957000

28,026000

0,000000

100 W08036001 L01CB01 ETOPOSIDUM

VEPESID

CAPS. MOI 50mg

BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF

20

11,536000

14,083000

0,000000

101 W52210001 L01CB01 ETOPOSIDUM

SINTOPOZID 100 mg/5 ml

CONC. PT. SOL. PERF. 100mg/5ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S

1

18,910000

25,560000

0,000000

102 W60599002 L01CB01 ETOPOSIDUM

ETOPOZIDA KABI 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

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

1

53,380000

67,500000

0,000000

103 W52574001 L01CB01 ETOPOSIDUM

ETOPOSIDE – TEVA

CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S

1

22,692000

30,672000

2,918000

104 W52574002 L01CB01 ETOPOSIDUM

ETOPOSIDE – TEVA

CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S

1

56,710000

71,700000

0,000000

105 W54068003 L01CD01 PACLITAXELUM

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF. 6mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,7 ML CONC. PT. SOL. PERF. S

1

60,690000

76,740000

0,000000

106 W64717002 L01CD01 PACLITAXELUM

SINDAXEL 6 mg/ml

CONC. PT. SOL. PERF. 6mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. PR

1

67,368000

85,176000

46,144000

107 W64717003 L01CD01 PACLITAXELUM

SINDAXEL 6 mg/ml

CONC. PT. SOL. PERF. 6mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. PR

1

104,040000

131,544000

569,896000

108 W56078002 L01CD01 PACLITAXELUM

PACLITAXEL ACCORD 6 mg/ml

CONC. PT. SOL. PERF. 6mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL S

1

56,140000

70,980000

0,000000

109 W64717004 L01CD01 PACLITAXELUM

SINDAXEL 6 mg/ml

CONC. PT. SOL. PERF. 6mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. PR

1

893,700000

1.012,280000

0,000000

110 W64717001 L01CD01 PACLITAXELUM

SINDAXEL 6 mg/ml

CONC. PT. SOL. PERF. 6mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR

1

20,568000

27,804000

17,036000

111 W64717005 L01CD01 PACLITAXELUM

SINDAXEL 6 mg/ml

CONC. PT. SOL. PERF. 6mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. PR

1

166,272000

202,980000

196,950000

112 W54068001 L01CD01 PACLITAXELUM

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF. 6mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S

1

20,568000

27,804000

13,706000

113 W56078003 L01CD01 PACLITAXELUM

PACLITAXEL ACCORD 6 mg/ml

CONC. PT. SOL. PERF. 6mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL S

1

138,560000

169,150000

0,000000

114 W52212004 L01CD01 PACLITAXELUM

SINDAXEL

CONC. PT. SOL. PERF. 6mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S

1

166,272000

202,980000

196,950000

115 W52212005 L01CD01 PACLITAXELUM

SINDAXEL

CONC. PT. SOL. PERF. 6mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 43,33 ML CONC. PT. SOL. PERF. S

1

893,700000

1.012,280000

0,000000

116 W52212003 L01CD01 PACLITAXELUM

SINDAXEL

CONC. PT. SOL. PERF. 6mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X, 25 ML CONC. PT. SOL. PERF. S

1

104,040000

131,544000

569,896000

117 W52212002 L01CD01 PACLITAXELUM

SINDAXEL

CONC. PT. SOL. PERF. 6mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 16,67 ML CONC. PT. SOL. PERF. S

1

67,368000

85,176000

46,144000

118 W52212001 L01CD01 PACLITAXELUM

SINDAXEL

CONC. PT. SOL. PERF. 6mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S

1

20,568000

27,804000

17,036000

119 W54068005 L01CD01 PACLITAXELUM

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF. 6mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML CONC. PT. SOL. PERF. S

1

166,272000

202,980000

4,940000

120 W54068007 L01CD01 PACLITAXELUM

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF. 6mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 25 ML CONC. PT. SOL. PERF. S

1

86,700000

109,620000

0,000000

121 W56078001 L01CD01 PACLITAXELUM

PACLITAXEL ACCORD 6 mg/ml

CONC. PT. SOL. PERF. 6mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL S

1

17,140000

23,170000

0,000000

122 W55670001 L01CD02 DOCETAXELUM

DOCETAXEL ACTAVIS 20 mg/0,5 ml CONC. + SOLV. PT. SOL. PERF. 20mg/0,5ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLISTER DIN POLIESTER TERMOFORMAT X 1 FLACON DIN STICLA INCOLORA X 0,5ML CONCENTRAT PT. SOL. PERFUZABILA + 1 FLACON DIN STICLA INCOLORA X 1,5ML SOLVENT PT. CONCENTRAT PT. SOL. PERFUZABILA S

1

45,708000

59,784000

409,846000

123 W55671001 L01CD02 DOCETAXELUM

DOCETAXEL ACTAVIS 80 mg/2 ml CONC. + SOLV. PT. SOL. PERF. 80mg/2ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 BLISTER DIN POLIESTER TERMOFORMAT X 1 FLACON DIN STICLA INCOLORA X 2ML CONCENTRAT PT. SOLUTIE PERFUZABILA + 1 FLACON DIN STICLA INCOLORA X 6ML SOLVENT PT. CONCENTRAT PT. SOLUTIE PERFUZABILA S

1

176,436000

215,388000

1.450,942000

124 W61799001 L01CD02 DOCETAXELUM

DOCETAXEL ACCORD 160 mg/8 ml CONC. PT. SOL. PERF. 160mg/8ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 8 ML PR

1

139,460000

170,250000

0,000000

125 W59570001 L01CD02 DOCETAXELUM

DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 20 mg/1 ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FL DIN STICLA INCOLORA X 6 ML CONCENTRAT PENTRU SOL. PERFUZABILA PR

1

938,100000

1.060,680000

0,000000

126 W61797001 L01CD02 DOCETAXELUM

DOCETAXEL ACCORD 20 mg/1 ml CONC. PT. SOL. PERF. 20mg/1ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 1 ML PR

1

38,090000

49,820000

0,000000

127 W64533001 L01CD02 DOCETAXELUM

DOCETAXEL KABI 120 mg/6 ml CONC. PT. SOL. PERF. 20mg/1ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 6 ML CONCENTRAT CE CONTINE 120 MG DOCETAXEL PR

1

938,100000

1.060,680000

0,000000

128 W59573001 L01CD02 DOCETAXELUM

DOCETAXEL KABI 80 mg/4 ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FL DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL PR

1

176,436000

215,388000

59,672000

129 W55902003 L01CD02 DOCETAXELUM

DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA PR

1

1.140,320000

1.281,100000

0,000000

130 W55902002 L01CD02 DOCETAXELUM

DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX PR

1

162,850000

198,810000

0,000000

131 W55902001 L01CD02 DOCETAXELUM

DOCETAXEL ACTAVIS 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX PR

1

45,708000

59,784000

41,126000

132 W61077003 L01CD02 DOCETAXELUM

DOCETAXEL TEVA 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU 1 FLAC. UNIDOZA X 7 ML CONC. PT. SOL. PERF. PR

1

961,350000

1.086,020000

0,000000

133 W64537001 L01CD02 DOCETAXELUM

DOCETAXEL KABI 80 mg/4 ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 4 ML CONCENTRAT CE CONTINE 80 MG DOCETAXEL PR

1

176,436000

215,388000

59,672000

134 W64536001 L01CD02 DOCETAXELUM

DOCETAXEL KABI 20mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 20 MG DOCETAXEL PR

1

45,708000

59,784000

9,316000

135 W59826001 L01CD02 DOCETAXELUM

DOCETAXEL KABI 20mg/ml CONC. PT. SOL. PERF. 20mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 1ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 20MG DOCETAXEL PR

1

45,708000

59,784000

9,316000

136 W61798001 L01CD02 DOCETAXELUM

DOCETAXEL ACCORD 80 mg/4 ml CONC. PT. SOL. PERF. 80mg/4ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA (TIP I) CONTINAND CONCENTRAT 4 ML PR

1

147,030000

179,490000

0,000000

137 W59593001 L01CD04 CABAZITAXELUM **1

JEVTANA CONC. + SOLV. PT. SOL. PERF. 60mg SANOFI-AVENTIS GROUPE FRANTA CUTIE CU 1 FL. DIN STICLA X 1,5 ML CONCENTRAT + 1 FL. DIN STICLA X 4,5 ML SOLVENT PR

1

15.707,210000

17.159,030000

0,000000

138 W52365001 L01CX01 TRABECTEDINUM **1

YONDELIS 0,25mg PULB. PT.CONC. PT.SOL. PERF. 0,25mg PHARMA MAR S.A. SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S

1

1.879,910000

2.087,260000

0,000000

139 W52366001 L01CX01 TRABECTEDINUM **1

YONDELIS 1mg PULB. PT.CONC. PT.SOL. PERF. 1mg PHARMA MAR S.A. SPANIA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. S

1

7.271,870000

7.964,500000

0,000000

140 W59712001 L01DA01 DACTINOMICINUM 4)

COSMEGEN LYOVAC 0,5mg PULB. PT. SOL. INJ. 0,5mg CN UNIFARM S.A. ROMANIA CUTIE X 1 FLAC. CU PULB. PT SOL INJ. PR

1

363,620000

434,500000

0,000000

141 W56397002 L01DB01 DOXORUBICINUM

DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA PR

1

35,560000

46,510000

0,000000

142 W58281001 L01DB01 DOXORUBICINUM

CAELYX 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE X 1 FLACON DIN STICLA X 10 ML S

1

1.487,110000

1.659,100000

0,000000

143 W56397003 L01DB01 DOXORUBICINUM

DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA PR

1

137,220000

167,520000

0,000000

144 W58172005 L01DB01 DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 25 ML CONC. PT. SOL. PERF. CARE CONTINE 50 MG DOXORUBICINA PR

1

42,672000

55,812000

34,178000

145 W58172007 L01DB01 DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 75 ML CONC. PT. SOL. PERF. CARE CONTINE 150 MG DOXORUBICINA PR

1

285,840000

348,950000

0,000000

146 W58172003 L01DB01 DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 10 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOXORUBICINA PR

1

22,692000

30,672000

55,438000

147 W58172006 L01DB01 DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 50 ML CONC. PT. SOL. PERF. CARE CONTINE 100 MG DOXORUBICINA PR

1

92,160000

116,520000

54,150000

148 W56397005 L01DB01 DOXORUBICINUM

DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CONC. PT. SOL. PERF. CONTINAND 100 MG DOXORUBICINA PR

1

76,800000

97,100000

0,000000

149 W58172001 L01DB01 DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 5 ML CONC. PT. SOL. PERF. CARE CONTINE 10 MG DOXORUBICINA PR

1

10,224000

13,812000

5,758000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

150 W56397004 L01DB01 DOXORUBICINUM

DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. CONTINAND 20 MG DOXORUBICINA PR

1

18,910000

25,560000

0,000000

151 W58172008 L01DB01 DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. A 100 ML CONC. PT. SOL. PERF. CARE CONTINE 200 MG DOXORUBICINA PR

1

164,664000

201,024000

140,306000

152 W56397001 L01DB01 DOXORUBICINUM

DOXORUBICINA ACCORD 2 mg/ml CONC. PT. SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA PR

1

8,520000

11,510000

0,000000

153 W62998001 L01DB01 DOXORUBICINUM

MYOCET 50mg

PULB. + AMESTC. PT. CONC. PT.DISP.LIPOZOM.PT.PERF 50mg

TEVA B.V.

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

PR

2

2.048,095000

2.251,500000

0,000000

154 W52903001 L01DB01 DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF. 2mg/ml

ACTAVIS S.R.L

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

S

1

10,224000

13,812000

25,028000

155 W52903002 L01DB01 DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF. 2mg/ml

ACTAVIS S.R.L

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

S

1

42,672000

55,812000

82,628000

156 W64434001 L01DB03 EPIRUBICINUM

EPISINDAN 10 mg

PULB. PT. SOL. INJ. 10mg

TEVA B.V.

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

PR

1

25,212000

34,080000

27,000000

157 W52209001 L01DB03 EPIRUBICINUM

EPISINDAN 10 mg

PULB. PT. SOL. INJ. 10mg

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLACON STICLA INCOLORA TIPI, CAPACITATE DE UMPLERE 8ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 10MG CLORHIDRAT DE EPIRUBICINA

S

1

25,212000

34,080000

27,000000

158 W64435001 L01DB03 EPIRUBICINUM

EPISINDAN 50 mg

PULB. PT. SOL. INJ. 50mg

TEVA B.V.

OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, AVAND CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ.

PR

1

111,084000

140,448000

0,772000

159 W52208001 L01DB03 EPIRUBICINUM

EPISINDAN 50 mg

PULB. PT. SOL. INJ. 50mg

ACTAVIS S.R.L.

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

S

1

111,084000

140,448000

0,772000

160 W53325003 L01DB03 EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML)

S

1

92,570000

117,040000

0,000000

161 W64517002 L01DB03 EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA B.V.

OLANDA CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML)

PR

1

47,870000

62,610000

0,000000

162 W64517003 L01DB03 EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA B.V.

OLANDA CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML)

PR

1

92,570000

117,040000

0,000000

163 W64517004 L01DB03 EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA B.V.

OLANDA CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML)

PR

1

224,320000

273,850000

0,000000

164 W53325005 L01DB03 EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML)

S

1

409,720000

484,740000

0,000000

165 W53325004 L01DB03 EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML)

S

1

224,320000

273,850000

0,000000

166 W53325001 L01DB03 EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

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

S

1

21,010000

28,400000

0,000000

167 W53325002 L01DB03 EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMANIA CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML)

S

1

47,870000

62,610000

0,000000

168 W03575001 L01DB06 IDARUBICINUM

ZAVEDOS

CAPS. 10mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

198,220000

241,990000

0,000000

169 W03581001 L01DB06 IDARUBICINUM

ZAVEDOS 5 mg

PULB. PT. SOL. INJ. 5mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S

1

88,848000

112,344000

25,606000

170 W63523001 L01DB06 IDARUBICINUM

IDARUBICINA ACCORD 5 mg/5 ml

SOL. INJ. 5mg/5ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. INCOLOR CARE CONTINE 5 ML SOL. INJ. PR

1

74,040000

93,620000

0,000000

171 W42735002 L01DB07 MITOXANTRONUM **

ONKOTRONE

CONC. PT. SOL. INJ. 2mg/ml

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S

1

337,250000

405,750000

0,000000

172 W58249002 L01DC01 BLEOMYCINUM SULFAS

BLEOMYCIN MEDAC 15000 UI

PULB. PT. SOL. INJ. 15000UI

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR

1

104,510000

127,580000

0,000000

173 W63065002 L01DC01 BLEOMYCINUM SULFAS

BLEOMICINA ACCORD 15000UI

PULB. PT. SOL. INJ./PERF. 15000UI

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 6 ML CU PULB. PT. SOL. INJ./PERF PR

10

96,308000

108,791000

0,000000

174 W63065001 L01DC01 BLEOMYCINUM SULFAS

BLEOMICINA ACCORD 15000UI

PULB. PT. SOL. INJ./PERF. 15000UI

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 6 ML CU PULB. PT. SOL. INJ./PERF PR

1

104,510000

127,580000

0,000000

175 W52187001 L01XA01 CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S

1

8,832000

11,940000

2,190000

176 W52187002 L01XA01 CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S

1

25,210000

32,970000

0,000000

177 W56390004 L01XA01 CISPLATINUM

CISPLATINA ACCORD 1 mg/ml

CONC. PT. SOL. PERF. 1mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR

1

45,310000

59,270000

0,000000

178 W56390002 L01XA01 CISPLATINUM

CISPLATINA ACCORD 1 mg/ml

CONC. PT. SOL. PERF. 1mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLACON X 30ML (PENTRU 25ML) DIN STICLA BRUNA CU CONCENTRAT PENTRU SOLUTIE PERFUZABILA S

1

20,320000

27,460000

0,000000

179 W56390001 L01XA01 CISPLATINUM

CISPLATINA ACCORD 1 mg/ml

CONC. PT. SOL. PERF. 1mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S

1

7,360000

9,950000

0,000000

180 W56390003 L01XA01 CISPLATINUM

CISPLATINA ACCORD 1 mg/ml

CONC. PT. SOL. PERF. 1mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S

1

22,650000

30,620000

0,000000

181 W53000003 L01XA02 CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. S

1

141,600000

172,860000

0,000000

182 W64519002 L01XA02 CARBOPLATINUM

CARBOPLATIN TEVA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. PR

1

47,750000

62,460000

0,000000

183 W64519003 L01XA02 CARBOPLATINUM

CARBOPLATIN TEVA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. PR

1

141,600000

172,860000

0,000000

184 W58740001 L01XA02 CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA PR

1

19,650000

26,560000

0,000000

185 W58740004 L01XA02 CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

1

191,010000

233,190000

0,000000

186 W58740003 L01XA02 CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

1

144,170000

176,000000

0,000000

187 W58740002 L01XA02 CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

1

50,310000

63,610000

0,000000

188 W53000002 L01XA02 CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. S

1

47,750000

62,460000

0,000000

189 W55804002 L01XA03 OXALIPLATINUM

OXALIPLATIN ACCORD 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 20 ML CONC. PT. SOL. PERF. X 100 MG OXALIPLATINA S

1

65,000000

82,190000

0,000000

190 W56696001 L01XA03 OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. CONTINAND 50 MG OXALIPLATINA PR

1

33,880000

44,320000

0,000000

191 W55804003 L01XA03 OXALIPLATINUM

OXALIPLATIN ACCORD 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA INCOLORA A 40 ML CONC. PT. SOL. PERF. X 200 MG OXALIPLATINA PR

1

144,570000

176,490000

0,000000

192 W55804001 L01XA03 OXALIPLATINUM

OXALIPLATIN ACCORD 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CONC. PT. SOL. PERF. X 50 MG OXALIPLATINA S

1

33,880000

44,320000

0,000000

193 W56696002 L01XA03 OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. CONTINAND 100 MG OXALIPLATINA PR

1

64,280000

81,270000

0,000000

194 W56696005 L01XA03 OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA PR

1

130,780000

159,660000

0,000000

195 W52195002 L01XA03 OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

LIOF. PT. SOL. PERF. 5mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 100 MG LIOF. PT. SOL. PERF. S

1

77,136000

97,524000

203,426000

196 W52468003 L01XA03 OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF. 5mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT PR

1

1.753,000000

1.948,920000

0,000000

197 W59766001 L01XB01 PROCARBAZINUM 4)

NATULAN

CAPS. 50 mg

CN UNIFARM S.A. ROMANIA CUTIE CU 1 FLAC. X 50 CAPSULE PRF

50

22,220000

24,982800

0,000000

198 W64512001 L01XC02 RITUXIMABUM **1

RIXATHON 100 mg

CONC. PT. SOL. PERF. 100mg

SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR

2

758,615000

845,965000

0,000000

199 W64512002 L01XC02 RITUXIMABUM **1

RIXATHON 100 mg

CONC. PT. SOL. PERF. 100mg

SANDOZ GMBH AUSTRIA CUTIE CU 3 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR

3

753,616666

834,160000

0,000000

200 W64422001 L01XC02 RITUXIMABUM **1

BLITZIMA 100 mg

CONC. PT. SOL. PERF. 100mg

CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 FLAC. DIN STICLA X 10 ML (100 MG RITUXIMAB IN 10 ML-10MG/ML) PR

2

702,450000

784,745000

0,000000

20

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

21

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

201 W07200001 L01XC02 RITUXIMABUM **1

MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S

1

4.161,468000

4.581,792000

681,968000

202 W64385001 L01XC02 RITUXIMABUM **1

MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 2 FLACOANE X 10 ML CARE CONTIN 100 MG RITUXIMABUM PR

2

842,940000

941,694000

127,131000

203 W64386001 L01XC02 RITUXIMABUM **1

MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR

1

4.161,468000

4.581,792000

681,968000

204 W07199001 L01XC02 RITUXIMABUM **1

MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S

2

842,940000

941,694000

127,131000

205 W64513001 L01XC02 RITUXIMABUM **1

RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR

1

3.771,750000

4.149,360000

0,000000

206 W64513002 L01XC02 RITUXIMABUM **1

RIXATHON 500 mg CONC. PT. SOL. PERF. 500mg SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR

2

3.756,745000

4.113,935000

0,000000

207 W64421001 L01XC02 RITUXIMABUM **1

BLITZIMA 500 mg CONC. PT. SOL. PERF. 500mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML (500 MG RITUXIMAB IN 50 ML-10MG/ML) PR

1

3.467,890000

3.818,160000

0,000000

208 W64387001 L01XC02 RITUXIMABUM **1

MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML) SOL. INJ. PT. ADM. SUBCUTANATA PR

1

6.764,110000

7.411,040000

0,000000

209 W62893001 L01XC02 RITUXIMABUM **1

MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML PR

1

6.764,110000

7.411,040000

0,000000

210 W64586001 L01XC03 TRASTUZUMABUM **1

HERZUMA 150 mg PULB. PT. CONC. PT. SOL. PERF. 150mg CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 1 FLAC. CU CAPACITATEA DE 20 ML DIN STICLA TRANSPARENTA CONTINAND 150 MG TRASTUZUMAB PR

1

1.716,670000

1.909,320000

0,000000

211 W64381001 L01XC03 TRASTUZUMABUM **1

HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. CONTINÂND 150 MG TRASTUZUMAB PR

1

2.005,630000

2.224,290000

0,000000

212 W07881001 L01XC03 TRASTUZUMABUM **1

HERCEPTIN 150mg PULB. PT. CONC. PT. SOL. PERF. 150mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF. PR

1

2.005,630000

2.224,290000

0,000000

213 W64382001 L01XC03 TRASTUZUMABUM **1

HERCEPTIN 600mg/5ml SOL INJ. 600mg/5ml ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB) PR

1

6.421,850000

7.037,980000

0,000000

214 W60341001 L01XC03 TRASTUZUMABUM **1

HERCEPTIN 600mg/5ml SOL. INJ. 600mg/5ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB) S

1

6.421,850000

7.037,980000

0,000000

215 W52549002 L01XC06 CETUXIMABUM **1

ERBITUX 5mg/ml SOL. PERF. 5mg/ml MERCK KGAA GERMANIA CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF. S

1

767,710000

874,960000

0,000000

216 W42165002 L01XC07 BEVACIZUMABUM **1

AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. S

1

4.372,950000

4.804,670000

0,000000

217 W42165002 L01XC07 BEVACIZUMABUM **1

AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. S

1

4.372,950000

4.804,670000

0,000000

218 W64373001 L01XC07 BEVACIZUMABUM **1

AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. PR

1

1.130,890000

1.270,820000

0,000000

219 W64373001 L01XC07 BEVACIZUMABUM **1

AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. PR

1

1.130,890000

1.270,820000

0,000000

220 W64373002 L01XC07 BEVACIZUMABUM **1

AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. PR

1

4.372,950000

4.804,670000

0,000000

221 W64373002 L01XC07 BEVACIZUMABUM **1

AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF. PR

1

4.372,950000

4.804,670000

0,000000

222 W42165001 L01XC07 BEVACIZUMABUM **1

AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. S

1

1.130,890000

1.270,820000

0,000000

223 W42165001 L01XC07 BEVACIZUMABUM **1

AVASTIN 25mg/ml CONC. PT. SOL. PERF. 25mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF. S

1

1.130,890000

1.270,820000

0,000000

224 W52724001 L01XC08 PANITUMUMABUM **1

VECTIBIX 20mg/ml CONC. PT. SOL. PERF. 20mg/ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC. X 100MG PANITUMUMAB X 5ML S

1

1.366,560000

1.527,700000

0,000000

225 W52724003 L01XC08 PANITUMUMABUM **1

VECTIBIX 20mg/ml CONC. PT. SOL. PERF. 20mg/ml AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC. X 400MG PANITUMUMAB X 20ML S

1

5.376,230000

5.898,250000

0,000000

226 W61692001 L01XC10 OFATUMUMAB **1

ARZERRA 1000mg CONC. PT. SOL. PERF. 20mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA X 50 ML (20 MG/ML) CONCENTRAT PT. SOL. PERF. +2 SETURI DE EXTENSIE S

1

9.234,990000

10.104,300000

0,000000

227 W61691002 L01XC10 OFATUMUMAB **1

ARZERRA 100mg CONC. PT. SOL. PERF. 20mg/ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 3 FLACOANE DIN STICLA X 5 ML CONCENTRAT PT. SOL. PERF. (100MG OFATUMUMAB) S

3

957,156666

1.056,020000

0,000000

228 W57560002 L01XC11 IPILIMUMABUM **1

YERVOY 5mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE CU 1FLACON DIN STICLA X 40ML CONCENTRAT PT SOL. PERF. (200MG IPILIMUMAB) PR

1

61.909,920000

67.520,050000

0,000000

229 W57560001 L01XC11 IPILIMUMABUM **1

YERVOY 5mg/ml CONC. PT. SOL. PERF. 5mg/ml BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE CU 1FLACON DIN STICLA X 10ML CONCENTRAT PT SOL. PERF. (50MG IPILIMUMAB) PR

1

15.499,980000

16.933,150000

0,000000

230 W61128001 L01XC12 BRENTUXIMAB VEDOTIN **1

ADCETRIS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50 mg TAKEDA PHARMA A/S DANEMARCA CUTIE CU 1 FLACON X 50MG PULBERE PENTRU CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR

1

13.355,590000

14.595,760000

0,000000

231 W60245001 L01XC13 PERTUZUMABUM **1

PERJETA 420mg CONC. PT. SOL. PERF. 420mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 14ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 420MG PERTUZUMAB PR

1

11.010,660000

12.039,790000

0,000000

232 W64394001 L01XC13 PERTUZUMABUM **1

PERJETA 420mg CONC. PT. SOL. PERF. 420mg ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 14ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA X 420MG PERTUZUMAB PR

1

11.010,660000

12.039,790000

0,000000

233 W60860001 L01XC14 TRASTUZUMABUM EMTANSINUM **1

KADCYLA 100mg PULB. CONC. PT. SOL. PERF. 100mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU UN FLACON A 15ML X100 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR

1

7.155,000000

7.837,110000

0,000000

234 W60861001 L01XC14 TRASTUZUMABUM EMTANSINUM **1

KADCYLA 160mg PULB. CONC. PT. SOL. PERF. 160mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU UN FLACON A 20ML X160 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR

1

11.423,510000

12.489,790000

0,000000

235 W64383001 L01XC14 TRASTUZUMABUM EMTANSINUM **1

KADCYLA 100mg PULB. PT.CONC. PT. SOL. PERF. 100mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON A 15ML X100 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR

1

7.155,000000

7.837,110000

0,000000

236 W64384001 L01XC14 TRASTUZUMABUM EMTANSINUM **1

KADCYLA 160mg PULB. PT.CONC. PT. SOL. PERF. 160mg ROCHE REGISTRATION GMBH GERMANIA CUTIE CU UN FLACON A 20ML X160 MG CONCENTRAT PENTRU SOLUTIE PERFUZABILA PR

1

11.423,510000

12.489,790000

0,000000

237 W62831001 L01XC15 OBINUTUZUMABUM **1

GAZYVARO 1000 mg CONC. PT. SOL. PERF. 1000mg ROCHE REGISTRATION LTD. MAREA BRITANIE FLAC. DIN STICLA DE 50 ML CARE CONTINE 40 ML CONCENTRAT PR

1

14.664,280000

16.022,240000

0,000000

238 W64380001 L01XC15 OBINUTUZUMABUM **1

GAZYVARO 1000 mg CONC. PT. SOL. PERF. 1000mg ROCHE REGISTRATION GMBH GERMANIA FLAC. DIN STICLA DE 50 ML CARE CONTINE 40 ML CONCENTRAT PR

1

14.664,280000

16.022,240000

0,000000

239 W61901002 L01XC17 NIVOLUMABUM **1

OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 100 MG CONC. PT. SOL. PERF. PR

1

6.328,500000

6.936,220000

0,000000

240 W61901001 L01XC17 NIVOLUMABUM **1

OPDIVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml BRISTOL-MYERS SQUIBB PHARMA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA DE TIP I X 40 MG CONC. PT. SOL. PERF. PR

1

2.549,400000

2.817,000000

0,000000

241 W62021001 L01XC18 PEMBROLIZUMABUM **1

KEYTRUDA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP DOHME MAREA BRITANIE FLAC. DIN STICLA DE TIP I CE CONTINE 50 MG PEMBROLIZUMAB PR

1

7.605,870000

8.328,560000

0,000000

242 W62507001 L01XC19 BLINATUMOMABUM **1

BLINCYTO 38,5 micrograme PULB. PT. CONC. SI SOL. PT. SOL. PERF. 38,5micrograme AMGEN EUROPE B.V. OLANDA AMBALAJ CU 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. X 38,5 MICROGRAME +1 FLAC. CU SOLUTIE STABILIZATA X 10 ML PR

1

10.345,620000

11.314,890000

0,000000

243 W61463001 L01XC21 RAMUCIRUMABUM **1

CYRAMZA CONC. PT. SOL. PERF. 10 mg/ml ELI LILLY NEDERLAND BV OLANDA AMBALAJ CU 2 FLACOANE A 10ML PR

2

2.651,965000

2.909,720000

0,000000

244 W62902001 L01XC24 DARATUMUMABUM **1

DARZALEX 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF. PR

1

1.989,880000

2.207,120000

0,000000

245 W62902002 L01XC24 DARATUMUMABUM **1

DARZALEX 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml JANSSEN-CILAG INTERNATIONAL NV BELGIA 1 FLACON DIN STICLA X 20 ML CONC. PT. SOL. PERF. PR

1

7.869,520000

8.615,940000

0,000000

246 W63494002 L01XC27 OLARATUMAB **1

LARTRUVO 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml ELI LILLY NEDERLAND BV OLANDA CUTIE CU 2 FLAC. DE 19 ML CE CONTIN 190 MG OLARATUMAB PR

2

2.160,815000

2.374,365000

0,000000

247 W06844004 L01XE01 IMATINIBUM **1

GLIVEC 100 mg CAPS. 100mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 120 CAPS. PR

120

4,153500

4,908799

15,112701

248 W59679004 L01XE01 IMATINIBUM **1

NIBIX 100 mg CAPS. 100mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS. PR

120

4,153500

4,908799

47,544617

249 W61684004 L01XE01 IMATINIBUM **1

IMATINIB FRESENIUS KABI 100 mg COMPR. FILM. 100mg FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 60 COMPR. FILM. PR

60

4,153500

4,908799

16,811867

250 W59852011 L01XE01 IMATINIBUM **1

MEAXIN 100 mg COMPR. FILM. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR

120

3,461250

4,090666

0,000000

251 W59500004 L01XE01 IMATINIBUM **1

IMATINIB ZENTIVA 100 mg COMPR. FILM. 100mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 12 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PR

120

4,153500

4,908799

20,968367

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

252 W64730003 L01XE01 IMATINIBUM **1

IMATINIB KOANAA 100 mg COMPR. FILM. 100mg

KOANAA HEALTHCARE GMBH AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 120 COMPR. FILM. PR

120

3,915083

4,585333

0,000000

253 W59486006 L01XE01 IMATINIBUM **1

IMAKREBIN 100 mg COMPR. FILM. 100mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR

120

4,153500

4,908799

37,679201

254 W59589001 L01XE01 IMATINIBUM **1

IMATINIB TEVA 100 mg COMPR. FILM. 100mg

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 120 X 1 COMPRIMAT PR

120

4,153500

4,908799

1,751867

255 W59541007 L01XE01 IMATINIBUM **1

IMATINIB GLENMARK 100 mg COMPR. FILM. 100mg

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM. PR

120

4,153500

4,908799

1,327534

256 W61800001 L01XE01 IMATINIBUM **1

IMATINIB ACCORD 100 mg COMPR. FILM. 100mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PVC/PVDC/AL X 60 COMPR. FILM. PR

60

3,942333

4,812833

0,000000

257 W59590001 L01XE01 IMATINIBUM **1

IMATINIB TEVA 400 mg COMPR. FILM. 400 mg

TEVA PHARMA B.V. OLANDA CUTIE CU BLIST. OPA/AL/PVC/AL A CATE 30 X 1 COMPRIMAT PR

30

19,020799

22,258800

4,383866

258 W59542002 L01XE01 IMATINIBUM **1

IMATINIB GLENMARK 400 mg COMPR. FILM. 400mg

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR

30

19,020799

22,258800

11,490533

259 W61686003 L01XE01 IMATINIBUM **1

IMATINIB FRESENIUS KABI 400 mg COMPR. FILM. 400mg

FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR

30

19,020799

22,258800

133,007866

260 W59501001 L01XE01 IMATINIBUM **1

IMATINIB ZENTIVA 400 mg COMPR. FILM. 400mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PR

30

19,020799

22,258800

96,811200

261 W61801001 L01XE01 IMATINIBUM **1

IMATINIB ACCORD 400 mg COMPR. FILM. 400mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR

30

15,850666

18,549000

0,000000

262 W59853006 L01XE01 IMATINIBUM **1

MEAXIN 400 mg COMPR. FILM. 400mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR

30

19,020799

22,258800

19,761533

263 W59487003 L01XE01 IMATINIBUM **1

IMAKREBIN 400 mg COMPR. FILM. 400mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. PR

30

19,020799

22,258800

148,093200

264 W64731002 L01XE01 IMATINIBUM **1

IMATINIB KOANAA 400 mg COMPR. FILM. 400mg

KOANAA HEALTHCARE GMBH AUSTRIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR

30

19,020799

22,258800

4,072533

265 W54587001 L01XE02 GEFITINIBUM **1 O

IRESSA COMPR. FILM. 250 mg

ASTRAZENECA AB SUEDIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. FILM. P-RF/R

30

250,999666

274,861666

0,000000

266 W63901001 L01XE03 ERLOTINIBUM **1

ERLOTINIB MYLAN 100 mg COMPR. FILM. 100mg

MYLAN S.A.S. FRANTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

121,985000

134,235666

0,000000

267 W63228001 L01XE03 ERLOTINIBUM **1

VARLOTA 100 mg COMPR. FILM. 100mg

ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF

30

103,078000

113,627000

0,000000

268 W64299002 L01XE03 ERLOTINIBUM **1

ERLOTINIB HEATON 100 mg COMPR. FILM. 100mg

HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

123,693600

136,352400

10,654933

269 W64328001 L01XE03 ERLOTINIBUM **1

ERLOTINIB ZENTIVA 100 mg COMPR. FILM. 100mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR

30

123,693600

136,352400

0,010933

270 W64328002 L01XE03 ERLOTINIBUM **1

ERLOTINIB ZENTIVA 100 mg COMPR. FILM. 100mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

123,693600

136,352400

0,010933

271 W63790001 L01XE03 ERLOTINIBUM **1

ERLOTINIB GLENMARK 100 mg COMPR. FILM. 100mg

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

123,693600

136,352400

9,187600

272 W64000001 L01XE03 ERLOTINIBUM **1

ERLOTINIB SANDOZ 100 mg COMPR. FILM. 100mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

103,080666

113,629666

0,000000

273 W42501001 L01XE03 ERLOTINIBUM **1

TARCEVA 100 mg COMPR. FILM. 100mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM., (BLIST. AL/PVC) P-RF/R

30

123,693600

136,352400

77,293933

274 W64407001 L01XE03 ERLOTINIBUM **1

TARCEVA 100 mg COMPR. FILM. 100mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST PVC/AL X 30 COMPR. FILM. PR

30

123,693600

136,352400

77,293933

275 W63902001 L01XE03 ERLOTINIBUM **1

ERLOTINIB MYLAN 150 mg COMPR. FILM. 150mg

MYLAN S.A.S. FRANTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

151,678000

166,601000

0,000000

276 W63229001 L01XE03 ERLOTINIBUM **1

VARLOTA 150 mg COMPR. FILM. 150mg

ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PRF

30

153,868399

169,242799

2,537534

277 W64300002 L01XE03 ERLOTINIBUM **1

ERLOTINIB HEATON 150 mg COMPR. FILM. 150mg

HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

153,868399

169,242799

11,556201

278 W64329001 L01XE03 ERLOTINIBUM **1

ERLOTINIB ZENTIVA 150 mg COMPR. FILM. 150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PR

30

153,868399

169,242799

0,007534

279 W64329002 L01XE03 ERLOTINIBUM **1

ERLOTINIB ZENTIVA 150 mg COMPR. FILM. 150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

153,868399

169,242799

0,007534

280 W63791001 L01XE03 ERLOTINIBUM **1

ERLOTINIB GLENMARK 150 mg COMPR. FILM. 150mg

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

153,868399

169,242799

9,746534

281 W64001001 L01XE03 ERLOTINIBUM **1

ERLOTINIB SANDOZ 150 mg COMPR. FILM. 150mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR

30

128,223666

141,035666

0,000000

282 W42502001 L01XE03 ERLOTINIBUM **1

TARCEVA 150 mg COMPR. FILM. 150mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 30 COMPR. FILM. (BLIST. AL/PVC) P-RF/R

30

153,868399

169,242799

93,763201

283 W64408001 L01XE03 ERLOTINIBUM **1

TARCEVA 150 mg COMPR. FILM. 150mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST PVC/AL X 30 COMPR. FILM. PR

30

153,868399

169,242799

93,763201

284 W43546001 L01XE04 SUNITINIBUM **1

SUTENT 12,5 mg CAPS. 12,5mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R

30

155,388333

170,645000

0,000000

285 W43556001 L01XE04 SUNITINIBUM **1

SUTENT 25mg CAPS. 25mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R

30

309,592666

338,728000

0,000000

286 W43557001 L01XE04 SUNITINIBUM **1

SUTENT 50 mg CAPS. 50mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN PEID X 30 CAPS. P-RF/R

30

617,321333

674,152666

0,000000

287 W61565001 L01XE05 SORAFENIBUM **1

NEXAVAR 200 mg COMPR. FILM. 200mg

BAYER PHARMA AG GERMANIA CUTIE X 4 BLIST. PP/ AL X 28 COMPR.FILM. PR

112

117,022232

127,895000

0,000000

288 W63886001 L01XE05 SORAFENIBUM **1

NEXAVAR 200 mg COMPR. FILM. 200mg

BAYER AG GERMANIA CUTIE CU 4 BLIST. PP/AL X 28 COMPR.FILM. PR

112

117,022232

127,895000

0,000000

289 W54613001 L01XE06 DASATINIBUM **1

SPRYCEL 100mg COMPR. FILM. 100 mg

BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 30 COMPR. FILM. P-RF/R

30

427,907000

467,691000

0,000000

290 W51768001 L01XE06 DASATINIBUM **1

SPRYCEL 20mg COMPR. FILM. 20 mg

BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R

60

96,137500

105,425833

0,000000

291 W51769001 L01XE06 DASATINIBUM **1

SPRYCEL 50mg COMPR. FILM. 50 mg

BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R

60

213,953500

233,845500

0,000000

292 W51770001 L01XE06 DASATINIBUM **1

SPRYCEL 70mg COMPR. FILM. 70 mg

BRISTOL-MYERS SQUIBB MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID X 60 COMPR. FILM. P-RF/R

60

213,953500

233,845500

0,000000

293 W64592005 L01XE07 LAPATINIBUM **1 O

TYVERB COMPR. FILM. 250mg

NOVARTIS EUROPHARM LTD. IRLANDA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT X 140 COMPR. FILM. PR

140

53,302214

58,372000

0,000000

294 W61702006 L01XE07 LAPATINIBUM **1 O

TYVERB COMPR. FILM. 250mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT X 140 COMPR. FILM. PR

140

53,302214

58,372000

0,000000

295 W56489001 L01XE08 NILOTINIBUM **1

TASIGNA CAPS. 150mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) P-RF/R

28

90,312857

99,803571

0,000000

296 W64607001 L01XE08 NILOTINIBUM **1

TASIGNA CAPS. 150mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) (CUTIE DIN CARTON) PR

28

90,312857

99,803571

0,000000

297 W64606001 L01XE08 NILOTINIBUM **1

TASIGNA CAPS. 200mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR

28

102,396428

112,974642

0,000000

298 W52708003 L01XE08 NILOTINIBUM **1

TASIGNA CAPS. 200mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 CAPS.(BLIST. PVC/PVDC/AL) PR

28

102,396428

112,974642

0,000000

299 W64608001 L01XE08 NILOTINIBUM **1

TASIGNA CAPS. 50mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 120(3X40) CAPS. (BLIST. PVC/PVDC/AL) PR

120

41,912583

46,002666

0,000000

300 W64785001 L01XE09 TEMSIROLIMUSUM

TORISEL 30 mg CONC. + SOLV. PT. SOL. PERF. 30mg

PFIZER EUROPE MA EEIG BELGIA CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT PR

1

3.254,920000

3.586,020000

0,000000

301 W61483001 L01XE09 TEMSIROLIMUSUM

TORISEL 30mg CONC. + SOLV. PT. SOL. PERF. 30mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. X 1,2ML CONCENTRAT (30MG)+ 1 FLAC. X 1,8 SOLVENT S

1

3.254,920000

3.586,020000

0,000000

302 W54589001 L01XE10 EVEROLIMUS **1

AFINITOR 10 mg COMPR. 10 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 3 BLIST. AL/PA/PVC/AL X 10 COMPR. P-RF

30

436,079333

476,598666

0,000000

22

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

23

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

303 W64505001 L01XE10 EVEROLIMUS **1

AFINITOR 10 mg

COMPR.

10 mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR

30

436,079333

476,598666

0,000000

304 W61703002 L01XE11 PAZOPANIB **1

VOTRIENT 200 mg

COMPR. FILM.

200 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. S

90

84,291666

92,301888

0,000000

305 W61703002 L01XE11 PAZOPANIB **1 O

VOTRIENT 200 mg

COMPR. FILM.

200 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 90 COMPR. FILM. S

90

84,291666

92,301888

0,000000

306 W61704002 L01XE11 PAZOPANIB **1

VOTRIENT 400 mg

COMPR. FILM.

400 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. S

60

171,197333

187,241166

0,000000

307 W61704002 L01XE11 PAZOPANIB **1 O

VOTRIENT 400 mg

COMPR. FILM.

400 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU FLACON DIN PEID X 60 COMPR. FILM. S

60

171,197333

187,241166

0,000000

308 W60260003 L01XE13 AFATINIBUM **1 O

GIOTRIF 20mg

COMPR. FILM.

20mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC / PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28 X1 COMPRIMATE PR

28

284,348928

311,303214

0,000000

309 W60261003 L01XE13 AFATINIBUM **1 O

GIOTRIF 30mg

COMPR. FILM.

30mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC / PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28 X1 COMPRIMATE PR

28

284,348928

311,303214

0,000000

310 W60262003 L01XE13 AFATINIBUM **1 O

GIOTRIF 40mg

COMPR. FILM.

40mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU BLIST. PVC / PVDC PERFORAT PENTRU ELIBERAREA UNEI UNITATI DOZATE CONTINAND 28 X1 COMPRIMATE PR

28

284,348928

311,303214

0,000000

311 W64815001 L01XE14 BOSUTINIBUM **1

BOSULIF 100 mg

COMPR. FILM.

100 mg

PFIZER EUROPE MA EEIG BELGIA CUTIE CU 28 COMPR. FILM. (CUTIE CU 2 BLIST. DIN PVC/PCTFE/PVC) PR

28

93,245357

103,000000

0,000000

312 W60984001 L01XE14 BOSUTINIBUM **1

BOSULIF 100 mg

COMPR. FILM.

100 mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR

28

93,245357

103,000000

0,000000

313 W64816001 L01XE14 BOSUTINIBUM **1

BOSULIF 500 mg

COMPR. FILM.

500 mg

PFIZER EUROPE MA EEIG BELGIA CUTIE CU 28 COMPR. FILM. (CUTIE CU 2 BLIST. DIN PVC/PCTFE/PVC) PR

28

495,548214

541,510714

0,000000

314 W60985001 L01XE14 BOSUTINIBUM **1

BOSULIF 500 mg

COMPR. FILM.

500 mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU 28 COMPRIMATE FILMATE (CUTIE CU 2 BLISTERE DIN PVC/ACLAR/PVC) PR

28

495,548214

541,510714

0,000000

315 W64409001 L01XE15 VEMURAFENIBUM **1 O

ZELBORAF

COMPR. FILM.

240mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR. FILM PR

56

118,691607

130,055357

0,000000

316 W58517001 L01XE15 VEMURAFENIBUM **1 O

ZELBORAF

COMPR. FILM.

240mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU BLIST. AL/AL PERFORATE PENTRU UNITATI DOZATE 56X1 COMPR.FILM PR

56

118,691607

130,055357

0,000000

317 W59306001 L01XE16 CRIZOTINIBUM **1 O

XALKORI

CAPS.

200mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR

60

308,732833

337,155000

0,000000

318 W59307001 L01XE16 CRIZOTINIBUM **1 O

XALKORI

CAPS.

250 mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 60 CAPSULE PR

60

350,990166

383,215666

0,000000

319 W59304002 L01XE17 AXITINIBUM **1 O

INLYTA

COMPR. FILM.

1 mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR

56

55,562142

61,244107

0,000000

320 W59305002 L01XE17 AXITINIBUM **1 O

INLYTA

COMPR. FILM.

5 mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL. X 56 COMPRIMATE FILMATE PR

56

268,187321

293,005714

0,000000

321 W64596001 L01XE18 RUXOLITINIBUM **1

JAKAVI

COMPR.

10 mg

NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR

56

239,060714

261,257678

0,000000

322 W64594001 L01XE18 RUXOLITINIBUM **1

JAKAVI

COMPR.

15 mg

NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR

56

239,060714

261,257678

0,000000

323 W59310002 L01XE18 RUXOLITINIBUM **1

JAKAVI

COMPR.

15 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR

56

239,060714

261,257678

0,000000

324 W59311002 L01XE18 RUXOLITINIBUM **1

JAKAVI

COMPR.

20 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR

56

239,060714

261,257678

0,000000

325 W64595001 L01XE18 RUXOLITINIBUM **1

JAKAVI

COMPR.

20 mg

NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR

56

239,060714

261,257678

0,000000

326 W59309002 L01XE18 RUXOLITINIBUM **1

JAKAVI

COMPR.

5 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE AMBALAJ CU BLIST. DIN PVC/PCTFE/ALUMINIU X 56 COMPR. PR

56

121,411785

133,020178

0,000000

327 W64593001 L01XE18 RUXOLITINIBUM **1

JAKAVI

COMPR.

5 mg

NOVARTIS EUROPHARM LTD. IRLANDA AMBALAJ CU BLIST. DIN PVC/PCTFE/AL X 56 COMPR. PR

56

121,411785

133,020178

0,000000

328 W64724002 L01XE23 DABRAFENIBUM **1 O

TAFINLAR 50mg

CAPS.

50mg

NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR

120

154,485916

168,707750

0,000000

329 W61700002 L01XE23 DABRAFENIBUM **1 O

TAFINLAR 50mg

CAPS.

50mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR

120

154,485916

168,707750

0,000000

330 W64725002 L01XE23 DABRAFENIBUM **1 O

TAFINLAR 75mg

CAPS.

75mg

NOVARTIS EUROPHARM LTD. IRLANDA FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR

120

231,603916

252,766500

0,000000

331 W61701002 L01XE23 DABRAFENIBUM **1 O

TAFINLAR 75mg

CAPS.

75mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLACON ALB OPAC DIN POLIETILENA DE INALTA DENSITATE (HDPE) CU CAPAC FILETAT DIN POLIPROPILENA SI AGENT DESHIDRATANT SILICAGEL X 120 CAPSULE PR

120

231,603916

252,766500

0,000000

332 W63164001 L01XE24 PONATINIBUM **1

ICLUSIG 15 mg

COMPR. FILM.

15mg

INCYTE BIOSCIENCES UK LTD. MAREA BRITANIE FLAC. DIN PEID CU DOP CU FILET X 60 COMPR. FILM. PR

60

412,912833

450,711333

0,000000

333 W63165001 L01XE24 PONATINIBUM **1

ICLUSIG 45 mg

COMPR. FILM.

45mg

INCYTE BIOSCIENCES UK LTD. MAREA BRITANIE FLAC. DIN PEID CU DOP CU FILET X 30 COMPR. FILM. PR

30

825,825666

901,422666

0,000000

334 W62208002 L01XE25 TRAMETINIBUM **1 O

MEKINIST 0,5 mg

COMPR. FILM.

0,5mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR

30

269,036000

294,521333

0,000000

335 W64448002 L01XE25 TRAMETINIBUM **1 O

MEKINIST 0,5 mg

COMPR. FILM.

0,5mg

NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM PR

30

269,036000

294,521333

0,000000

336 W62210002 L01XE25 TRAMETINIBUM **1 O

MEKINIST 2 mg

COMPR. FILM.

2mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE FLAC. DIN PEID CU 30 COMPR. FILM. PR

30

1.073,143333

1.170,999333

0,000000

337 W64449002 L01XE25 TRAMETINIBUM **1 O

MEKINIST 2 mg

COMPR. FILM.

2mg

NOVARTIS EUROPHARM LTD. IRLANDA FLAC. DIN PEID CU 30 COMPR. FILM. PR

30

1.073,143333

1.170,999333

0,000000

338 W61749001 L01XE27 IBRUTINIBUM **1

IMBRUVICA 140 mg

CAPS.

140mg

JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PT. COPII DIN POLIPROPILENA X 90 CAPS. X

90

268,068666

292,619111

0,000000

339 W61749002 L01XE27 IBRUTINIBUM **1

IMBRUVICA 140 mg

CAPS.

140mg

JANSSEN-CILAG INTERNATIONAL NV BELGIA FLACON DIN PEID CU SISTEM DE INCHIDERE SECURIZAT PT. COPII DIN POLIPROPILENA X 120 CAPS. X

120

267,985166

292,422166

0,000000

340 W64763001 L01XE33 PALBOCICLIBUM **1

IBRANCE 100 mg

CAPS.

100mg

PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR

21

486,909523

532,548571

0,000000

341 W63120001 L01XE33 PALBOCICLIBUM **1

IBRANCE 100 mg

CAPS.

100mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR

21

486,909523

532,548571

0,000000

342 W64764001 L01XE33 PALBOCICLIBUM **1

IBRANCE 125 mg

CAPS.

125mg

PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR

21

486,909523

532,548571

0,000000

343 W63121001 L01XE33 PALBOCICLIBUM **1

IBRANCE 125 mg

CAPS.

125mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR

21

486,909523

532,548571

0,000000

344 W64762001 L01XE33 PALBOCICLIBUM **1

IBRANCE 75 mg

CAPS.

75mg

PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR

21

486,909523

532,548571

0,000000

345 W63119001 L01XE33 PALBOCICLIBUM **1

IBRANCE 75 mg

CAPS.

75mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU BLIST. DIN PVC-PCTFE-PVC/AL X 21 CAPSULE PR

21

486,909523

532,548571

0,000000

346 W62649002 L01XE35 OSIMERTINIB **1

TAGRISSO 80 mg

COMPR. FILM.

80mg

ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PERFORATE UNIDOZA AL/AL X 28X1 COMPR. FILM. PR

28

917,878571

1.001,851428

0,000000

347 W64278001 L01XX02 ASPARAGINAZUM

KIDROLASE 10000 U.I. PULB+SOLV. PT. SOL. INJ. 10000U.I. DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 10 FLAC. CU PULB. PT. SOL. INJ. PR

10

328,870000

362,284000

0,000000

348 W64915001 L01XX02 ASPARAGINAZUM

ERWINASE PULB. PT. SOL. INJ. 10000 unitati/flacon DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 5 FLAC. DIN STICLA NEUTRA CU 10000UI/FLACON PULB. PT. SOL. INJ. PR

5

3.013,256000

3.292,084000

0,000000

349 W03542001 L01XX05 HYDROXYCARBAMIDUM

HYDREA CAPS. 500mg BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 CAPS. P-RF

100

0,717900

0,907700

0,000000

350 W62137001 L01XX14 TRETINOINUM 4)

VESANOID 10mg CAPS. MOI 10mg CN Unifarm SA ROMANIA CUTIE X 100 CAPSULE MOI PR

100

11,059200

12,436000

0,000000

351 W61694001 L01XX17 TOPOTECAMUM

HYCAMTIN 1 mg CAPS. 1mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X BLIST. PVC/PCTFE/AL X 10 CAPS. P-RF

10

110,933000

124,732000

0,000000

352 W63037001 L01XX17 TOPOTECAMUM

TOPOTECAN TEVA 1 mg/1ml CONC. PT. SOL. PERF. 1mg/1ml TEVA B.V. OLANDA CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML PR

1

85,212000

107,736000

22,004000

353 W58988001 L01XX17 TOPOTECAMUM

TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE CAPACITATE 2 ML, DIN STICLA BRUNA PREVAZUT CU SIGILIU DIN AL FLIP-OFF A 1 ML CONC. PT. SOL. PERF. CARE CONTINE 1 MG TOPOTECAN PR

1

71,010000

89,780000

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

354 W58988003 L01XX17 TOPOTECAMUM

TOPOTECAN ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE CAPACITATE 5 ML, DIN STICLA BRUNA PREVAZUT CU SIGILIU DIN AL FLIP-OFF A 4 ML CONC. PT. SOL. PERF. CARE CONTINE 4 MG TOPOTECAN PR

1

186,040000

227,120000

0,000000

355 W56744001 L01XX17 TOPOTECAMUM

POTACTASOL 4mg PULB. PT. CONC. PT. SOL. PERF. 4mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA PR

1

155,520000

189,860000

0,000000

356 W56597001 L01XX19 IRINOTECANUM

IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 2 ML CONC. PT. SOL. PERF. PR

1

27,900000

37,704000

20,616000

357 W56597002 L01XX19 IRINOTECANUM

IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 6 ML X 5 ML CONC. PT. SOL. PERF. PR

1

74,844000

94,632000

39,048000

358 W56597003 L01XX19 IRINOTECANUM

IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 20 ML X 15 ML CONC. PT. SOL. PERF. PR

1

220,524000

269,220000

120,640000

359 W56597004 L01XX19 IRINOTECANUM

IRINOTECAN KABI 20 mg/ml CONC. PT. SOL. PERF. 20 mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLACON STICLA BRUNA DE 30 ML X 25 ML CONC. PT. SOL. PERF. PR

1

367,548000

446,412000

157,328000

360 W52206004 L01XX19 IRINOTECANUM

IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. S

1

220,524000

269,220000

362,050000

361 W62980003 L01XX19 IRINOTECANUM

IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 20 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 15 ML CONC. PT. SOL. PERF. PR

1

183,770000

224,350000

0,000000

362 W64574001 L01XX19 IRINOTECANUM

IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. PERF. PR

1

27,900000

37,704000

22,136000

363 W64574002 L01XX19 IRINOTECANUM

IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL.PERF. PR

1

74,844000

94,632000

40,098000

364 W64574003 L01XX19 IRINOTECANUM

IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. PERF. PR

1

367,548000

446,412000

184,858000

365 W64574004 L01XX19 IRINOTECANUM

IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL.PERF. PR

1

220,524000

269,220000

362,050000

366 W52206002 L01XX19 IRINOTECANUM

IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 5 ML CONC. PT. SOL. INJ. S

1

74,844000

94,632000

40,098000

367 W52206003 L01XX19 IRINOTECANUM

IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 ML CONC. PT. SOL. INJ. S

1

367,548000

446,412000

184,858000

368 W62980001 L01XX19 IRINOTECANUM

IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 5 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 2 ML CONC. PT. SOL. PERF. PR

1

23,250000

31,420000

0,000000

369 W62980002 L01XX19 IRINOTECANUM

IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 5 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA ROSIE DIN AL CU 5 ML CONC. PT. SOL. PERF. PR

1

62,370000

78,860000

0,000000

370 W52206001 L01XX19 IRINOTECANUM

IRINOTESIN 20mg/ml CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 2 ML CONC. PT. SOL. INJ. S

1

27,900000

37,704000

22,136000

371 W62980004 L01XX19 IRINOTECANUM

IRINOTECAN ACCORD 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA BRUNA DE TIP I, AVÂND CAPACITATEA DE 30 ML, CU DOP DIN CAUCIUC CLOROBUTILIC SI CAPSA DETASABILA PORTOCALIE DIN AL CU 25 ML CONC. PT. SOL. PERF. PR

1

306,290000

372,010000

0,000000

372 W51535001 L01XX23 MITOTANUM

LYSODREN 500mg COMPR. 500mg

LABORATOIRE HRA PHARMA FRANTA CUTIE X 1 FLAC. DIN PEID X 100 COMPR. P-RF/R

100

22,760000

25,189900

0,000000

373 W61990001 L01XX32 BORTEZOMIBUM **1

BORTEZOMIB ACTAVIS 3,5 mg PULB. PT. SOL. INJ. 3,5mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE PULB. PT. SOL. INJ. PR

1

667,944000

773,844000

1.143,106000

374 W62045001 L01XX32 BORTEZOMIBUM **1

BORTEGA 3,5 mg PULB. PT. SOL. INJ. 3,5mg

HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 8 ML, PREVAZUT CU CAPSA DIN AL TIP FLIP-OFF SI DISC ALB DE PP PR

1

667,944000

773,844000

2.216,636000

375 W62997001 L01XX32 BORTEZOMIBUM **1

BORTEZOMIB DR. REDDY'S 3,5 mg PULB. PT. SOL. INJ. 3,5mg

DR. REDDY'S LABORATORIES ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATE DE 10 ML CARE CONTINE PULB. PT. SOL. INJ. PR

1

556,620000

644,870000

0,000000

376 W61926001 L01XX32 BORTEZOMIBUM **1

BORTEZOMIB ACCORD 3,5 mg PULB. PT. SOL. INJ. 3,5mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE FLACON DIN STICLA DE TIP I CU CAPACITATEA DE 10 ML, PREVAZUT CU DOP DIN CAUCIUC CLOROBUTILIC SI O CAPSA DIN ALUMINIU, CU UN CAPAC ROSU, CE CONTINE BORTEZOMIB 3,5 MG PR

1

667,944000

773,844000

1.225,226000

377 W64104001 L01XX32 BORTEZOMIBUM **1

BORTEZOMIB ZENTIVA 3,5 mg PULB. PT. SOL. INJ. 3,5mg

ZENTIVA K.S. CEHIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. SOL. INJ. PR

1

652,890000

749,800000

0,000000

378 W64875001 L01XX32 BORTEZOMIBUM **1

BORTEZOMIB HOSPIRA 3,5 mg PULB. PT. SOL. INJ. 3,5mg

PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLACON DIN STICLA CE CONTINE 3,5 MG PULB. PENTRU SOL. INJ. PR

1

603,400000

695,860000

0,000000

379 W61907001 L01XX32 BORTEZOMIBUM **1

VORTEMYEL 3,5 mg PULB. PT. SOL. INJ. 3,5mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA INCOLORA (VOLUM NOMINAL DE 10 ML), CARE CONTINE PULB. PT. SOL. INJ. PR

1

667,944000

773,844000

1.347,056000

380 W63461001 L01XX32 BORTEZOMIBUM **1

BORTEZOMIB HOSPIRA 3,5 mg PULB. PT. SOL. INJ. 3,5mg

HOSPIRA UK LIMITED MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA CE CONTINE 3,5 MG PULB. PENTRU SOL. INJ. PR

1

603,400000

695,860000

0,000000

381 W61918001 L01XX32 BORTEZOMIBUM **1

BORTEZOMIB GLENMARK 3,5 mg PULB. PT. SOL. INJ. 3,5mg

GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE TIP I CU CAPACITATE DE 10 ML PR

1

667,944000

773,844000

1.612,186000

382 W64673001 L01XX32 BORTEZOMIBUM **1

BORTEZOMIB SUN 3,5 mg PULB. PT. SOL. INJ. 3,5mg

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE 10ML CE CONTINE 3,5 BORTEZOMIB PR

1

667,944000

773,844000

2.113,786000

383 W64437001 L01XX42 PANOBINOSTATUM **1 O

FARYDAK 10 mg CAPS. 10mg

NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR

6

3.142,553333

3.431,746666

0,000000

384 W62215001 L01XX42 PANOBINOSTATUM **1 O

FARYDAK 10 mg CAPS. 10mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR

6

3.142,553333

3.431,746666

0,000000

385 W64438001 L01XX42 PANOBINOSTATUM **1 O

FARYDAK 15 mg CAPS. 15mg

NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR

6

3.142,553333

3.431,746666

0,000000

386 W62216001 L01XX42 PANOBINOSTATUM **1 O

FARYDAK 15 mg CAPS. 15mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR

6

3.142,553333

3.431,746666

0,000000

387 W62217001 L01XX42 PANOBINOSTATUM **1 O

FARYDAK 20 mg CAPS. 20mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE BLIST. PVC/PCTFE/AL X 6 CAPS. PR

6

3.142,553333

3.431,746666

0,000000

388 W64439001 L01XX42 PANOBINOSTATUM **1 O

FARYDAK 20 mg CAPS. 20mg

NOVARTIS EUROPHARM LTD. IRLANDA BLIST. PVC/PCTFE/AL X 6 CAPS. PR

6

3.142,553333

3.431,746666

0,000000

389 W59956003 L01XX44 AFLIBERCEPTUM **1

ZALTRAP CONC. PT. SOL. PERF. 25mg/ ml

SANOFI – AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 10 ML X 8 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 200 MG AFLIBERCEPT PR

1

2.722,790000

3.005,990000

0,000000

390 W59956001 L01XX44 AFLIBERCEPTUM **1

ZALTRAP CONC. PT. SOL. PERF. 25mg/ ml

SANOFI – AVENTIS GROUPE FRANTA CUTIE CU 1 FLACON A 5 ML X 4 ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CONTINAND 100 MG AFLIBERCEPT PR

1

1.376,400000

1.538,430000

0,000000

391 W62506001 L01XX45 CARFILZOMIBUM **1

KYPROLIS 60 mg PULB. PT. SOL. PERF. 60mg

AMGEN EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I PT. UTILIZARE UNICA, DOP ELASTOMERIC LAMINAT CU FLUOROPOLIMERI SI O CAPSA DE ALUMINIU DE TIP FLIP OFF PR

1

4.428,220000

4.864,920000

0,000000

392 W61522002 L01XX46 OLAPARIBUM **1

LYNPARZA CAPS. 50mg

ASTRA ZENECA AB SUEDIA CUTIE X 448 CAPSULE (4 FLACOANE X112 CAPSULE) PR

448

46,188794

50,431004

0,000000

393 W63379001 L01XX52 VENETOCLAX **1

VENCLYXTO 100 mg COMPR. FILM. 100mg

ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR

7

223,550000

249,120000

0,000000

394 W63379002 L01XX52 VENETOCLAX **1

VENCLYXTO 100 mg COMPR. FILM. 100mg

ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR

14

221,406428

244,058571

0,000000

395 W63379003 L01XX52 VENETOCLAX **1

VENCLYXTO 100 mg COMPR. FILM. 100mg

ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 112 COMPR. FILM. (4 CUTII X 28 COMPR. FILM.) AMBALAJ MULTIPLU PR

112

219,531785

239,630625

0,000000

396 W63377002 L01XX52 VENETOCLAX **1

VENCLYXTO 10 mg COMPR. FILM. 10mg

ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 14 COMPR. FILM. PR

14

24,069285

28,960714

0,000000

397 W63378002 L01XX52 VENETOCLAX **1

VENCLYXTO 50 mg COMPR. FILM. 50mg

ABBVIE LTD. MAREA BRITANIE CUTIE CU BLIST. DIN AL DIN PVC/PE/PCTFE X 7 COMPR. FILM. PR

7

113,918571

129,621428

0,000000

398 W64575001 L02AB01 MEGESTROLUM

MEGESIN 160 mg COMPR. 160mg

TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF

30

2,989000

3,779333

0,000000

399 W52184001 L02AB01 MEGESTROLUM

MEGESIN 160 mg COMPR. 160mg

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P-RF

30

2,989000

3,779333

0,000000

400 W61373001 L02AE02 LEUPRORELINUM **

LEPTOPROL 5 mg IMPLANT 5mg

SANDOZ SRL ROMANIA CUTIE CU O SERINGA PREUMPLUTA DIN POLICARBONAT CU PISTON DIN COPOLIMER ACRILONITRIL-BUTADIENSTIRENIC SI AC SIGILATE ÎNTR-O PUNGA DIN POLIETILENTEREFTALAT/AL-PE. SERINGA PREUMPLUTA CONTINE UN IMPLANT PR

1

563,400000

652,260000

0,000000

401 W43179004 L02AE02 LEUPRORELINUM **

ELIGARD 22,5 mg PULB+SOLV.PT.SOL.INJ 22,5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 SET X 2 SERINGI DIN PP/COPOLIMER ACID OLEFINIC CICLIC PREUMPLUTE (O SERINGA A SI O SERINGA B) IN TAVI TERMOFORMATE S

1

646,950000

743,330000

0,000000

402 W52321002 L02AE02 LEUPRORELINUM **

ELIGARD 45 mg PULB+SOLV.PT.SOL.INJ 45mg

ASTELLAS PHARMA EUROPE BV OLANDA O CUTIE X 1 SET X 2 TAVITE TERMOFORMATE CE CONTIN 2 SERINGI PREUMPLUTE (O SERINGA A SI O SERINGA B) S

1

1.194,100000

1.339,720000

0,000000

403 W10731001 L02AE03 GOSERELINUM **

ZOLADEX LA 10,8 mg IMPLANT 10,8 mg

ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE PROT S

1

518,890000

603,740000

0,000000

404 W10173001 L02AE03 GOSERELINUM **

ZOLADEX (R) IMPLANT 3,6mg

ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 1 PLIC X 1 SERINGA PRE-UMPLUTA X 3,6 MG S/P-RF

1

161,400000

197,040000

0,000000

24

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

25

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

405 W62379001 L02AE03 GOSERELINUM **

RESELIGO 10,8 mg

IMPLANT IN SERINGA PREUMPLUTA 10,8mg

ALVOGEN IPCO S.AR.L.

LUXEMBURG CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR

1

493,470000

576,030000

0,000000

406 W62378001 L02AE03 GOSERELINUM **

RESELIGO 3,6 mg

IMPLANT IN SERINGA PREUMPLUTA 3,6mg

ALVOGEN IPCO S.AR.L.

LUXEMBURG CUTIE CU 1 PUNGA CU UN IMPLANT IN SERINGA PREUMPLUTA PR/PRF

1

161,400000

197,040000

0,000000

407 W55725001 L02AE04 TRIPTORELINUM **

DIPHERELINE 0,1 mg

PULB+SOLV. PT. SOL. INJ. 0,1mg

IPSEN PHARMA

FRANTA CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV. S/P-RF

7

11,392857

14,405714

0,000000

408 W55726001 L02AE04 TRIPTORELINUM **

DIPHERELINE PR 11,25 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 11,25mg

IPSEN PHARMA

FRANTA CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SUSP. INJ. + 1 FIOLA DIN STICLA INCOLORA X 2 ML SOLV. + 1 BLIST. CU 1 SERINGA X 3 ML + 1 BLIST. CU 2 ACE STERILE S/P-RF

1

606,950000

699,730000

0,000000

409 W55727001 L02AE04 TRIPTORELINUM **

DIPHERELINE 3,75 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 3,75mg

IPSEN PHARMA

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

1

312,420000

378,690000

0,000000

410 W58059001 L02AE04 TRIPTORELINUM **

GONAPEPTYL ZILNIC 0,1 mg/ml

SOL. INJ. 0,1mg/ml

FERRING GMBH

GERMANIA CUTIE X 7 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF

7

13,671428

17,286857

8,987428

411 W58059002 L02AE04 TRIPTORELINUM **

GONAPEPTYL ZILNIC 0,1 mg/ml

SOL. INJ. 0,1mg/ml

FERRING GMBH

GERMANIA CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ S/P-RF

28

13,671428

17,286857

5,931714

412 W53654002 L02BA01 TAMOXIFENUM

TAMOXIFEN SANDOZ 10 mg

COMPR. FILM. 10mg

HEXAL AG

GERMANIA CUTIE X 10 BLIST. X 10 COMPR. FILM. P-RF/S

100

0,397800

0,520300

0,000000

413 W51514002 L02BA03 FULVESTRANTUM **

FASLODEX 250mg SOL. INJ. 250mg/5ml ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 SERINGI PREUMPLUTE DIN STICLA X 5ML SOLUTIE INJECTABILA + 2 ACE CU SISTEM DE SIGURANTA P-RF

2

1.061,395000

1.175,995000

0,000000

414 W64402002 L02BA03 FULVESTRANTUM **

FASLODEX 250 mg SOL. INJ. 250mg/5ml ASTRAZENECA AB SUEDIA CUTIE X 2 SERINGI PREUMPLUTE DIN STICLA X 5ML SOLUTIE INJECTABILA + 2 ACE CU SISTEM DE SIGURANTA PRF

2

1.061,395000

1.175,995000

0,000000

415 W03217002 L02BB01 FLUTAMIDUM

FLUTAN COMPR. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 10 BLIST. AL/PVC X 10 COMPR. P-RF

100

1,245300

1,520300

0,000000

416 W53572001 L02BB03 BICALUTAMIDUM

BICALUTAMID TERAPIA 150 mg COMPR. FILM. 150mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 28 COMPR. FILM. P-6L

28

9,032500

11,026785

0,000000

417 W12048001 L02BB03 BICALUTAMIDUM

CASODEX 150 mg COMPR. FILM. 150mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. X 14 COMPR. FILM. P-6L

28

10,291285

12,563570

3,736430

418 W61109001 L02BB03 BICALUTAMIDUM

YONISTIB 150 mg COMPR. FILM. 150mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

28

9,032500

11,026785

0,000000

419 W58040001 L02BB03 BICALUTAMIDUM

BICALUTAMIDA ALVOGEN 150 mg COMPR. FILM. 150mg ALVOGEN ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM P6L

28

8,576071

10,469642

0,000000

420 W64314001 L02BB03 BICALUTAMIDUM

BICALUTAMIDA ALVOGEN 150 mg COMPR. FILM. 150mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P6L

28

8,576071

10,469642

0,000000

421 W56707002 L02BB03 BICALUTAMIDUM

BICALUTAMIDA KABI 50 mg COMPR. FILM. 50 mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 (2X14) COMPR. FILM. P6L

28

0,924857

1,250142

2,625929

422 W56123003 L02BB03 BICALUTAMIDUM

BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. P-6L

28

0,770714

1,041785

0,000000

423 W54851001 L02BB03 BICALUTAMIDUM

CALUMID COMPR. FILM. 50mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVDC-PVC X 15 COMPR. FILM. P-6L

30

0,924857

1,250142

2,625858

424 W56123004 L02BB03 BICALUTAMIDUM

BICALUTAMIDA ACCORD 50 mg COMPR. FILM. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 COMPR. FILM. P-6L

30

0,771000

1,042000

0,000000

425 W61108001 L02BB03 BICALUTAMIDUM

YONISTIB 50 mg COMPR. FILM. 50mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-6L

28

0,924857

1,250142

1,062358

426 W10174001 L02BB03 BICALUTAMIDUM

CASODEX 50 mg COMPR. FILM. 50mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L

28

0,924857

1,250142

4,405215

427 W60465001 L02BB04 ENZALUTAMIDUM **1 O

XTANDI 40 mg CAPS. MOI 40mg ASTELLAS PHARMA EUROPE BV OLANDA COMPARTIMENT EXTERIOR CARE CONTINE UN BLISTER DE ALUMINIU/PVC/PCTFE CU 28 CAPS. MOI. FIECARE CUTIE ARE 4 COMPARTIMENTE EXTERIOARE (112 CPAS. MOI) PR

112

109,667142

119,877946

0,000000

428 W61107001 L02BG03 ANASTROZOLUM

KYARESTA 1 mg COMPR. FILM. 1mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL A CATE 14 COMPR. FILM. P-6L

28

1,185332

1,498666

0,314191

429 W53147002 L02BG03 ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 28 COMPR. FILM. P6L

28

1,185332

1,498666

0,295976

430 W53147004 L02BG03 ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 50 COMPR. FILM. P6L

50

1,185332

1,498666

1,186334

431 W00468001 L02BG03 ANASTROZOLUM

ARIMIDEX 1 mg COMPR. FILM. 1mg ASTRAZENECA UK LTD. MAREA BRITANIE CUTIE X 2 BLIST. TIP CALENDAR AL/PVC X 14 COMPR. FILM. P-6L

28

1,185332

1,498666

2,779548

432 W53266005 L02BG03 ANASTROZOLUM

EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU, BLIST. PVC-PE- PVDC/AL X 30 COMPR.FILM. PR

30

1,005000

1,314666

0,000000

433 W53147001 L02BG03 ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 20 COMPR. FILM. P6L

20

1,185332

1,498666

1,429834

434 W53147008 L02BG03 ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 300 COMPR. FILM. P6L

300

1,185332

1,498666

0,878167

435 W53266010 L02BG03 ANASTROZOLUM

EGISTROZOL 1 mg COMPR. FILM. 1mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU, BLIST. PVC-PE- PVDC/AL X 90 COMPR.FILM. PR

90

0,987777

1,248888

0,000000

436 W56267005 L02BG03 ANASTROZOLUM

ANASTROZOL TEVA 1 mg COMPR. FILM. 1mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

30

1,185332

1,498666

0,314000

437 W53147007 L02BG03 ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 100 COMPR. FILM. P6L

100

1,185332

1,498666

1,138634

438 W57886001 L02BG03 ANASTROZOLUM

ANASTROZOL KABI 1 mg COMPR. FILM. 1mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 14 (1X14) COMPR. FILM. P6L

14

1,185332

1,498666

1,429191

439 W53147006 L02BG03 ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 98 COMPR. FILM. P6L

98

1,185332

1,498666

1,138578

440 W53147005 L02BG03 ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg COMPR. FILM. 1mg TERAPIA SA ROMANIA CUTIE X BLIST. PVC/AL X 84 COMPR. FILM. P6L

84

1,185332

1,498666

1,138834

441 W56632005 L02BG04 LETROZOLUM

LETROZOL TERAPIA 2,5 mg COMPR. FILM. 2,5 mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC – AL X 30 COMPR. FILM. P6L

30

2,030333

2,567000

0,000000

442 W51409001 L02BG04 LETROZOLUM

FEMARA 2,5 mg COMPR. FILM. 2,5mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L

30

2,030333

2,567000

0,000000

443 W56911001 L02BG04 LETROZOLUM

LETROZOL ATB 2,5 mg COMPR. FILM. 2,5mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. PVDC-PE-PVC/AL X 10 COMPR. FILM. P6L

30

2,030333

2,567000

0,000000

444 W53743003 L02BG04 LETROZOLUM

ETRUZIL 2,5 mg COMPR. FILM. 2,5mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. DIN PVC/AL X 30 COMPR. FILM. P-6L

30

1,911666

2,417000

0,000000

445 W57606001 L02BG04 LETROZOLUM

LETROZOL KABI 2,5 mg COMPR. FILM. 2,5mg FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. P6L

10

2,063200

2,608800

0,183200

446 W59547004 L02BG04 LETROZOLUM

LORTANDA 2,5 mg COMPR. FILM. 2,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L

30

1,719333

2,174000

0,000000

447 W58106004 L02BG04 LETROZOLUM

TROZEL 2,5 mg COMPR. FILM. 2,5mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. DIN PVC-PVDC/AL X 30 COMPR. FILM. P-6L

30

2,030333

2,567333

0,000000

448 W55646003 L02BG04 LETROZOLUM

LETROZOL ALVOGEN 2,5 mg COMPR. FILM. 2,5mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L

30

1,928000

2,437666

0,000000

449 W55449003 L02BG04 LETROZOLUM

LEZRA 2,5 mg COMPR. FILM. 2,5mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. P-6L

30

2,030333

2,567333

0,000000

450 W55787007 L02BG04 LETROZOLUM

ELOZORA 2,5 mg COMPR. FILM. 2,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-6L

30

2,030333

2,567333

0,000000

451 W62173002 L02BG04 LETROZOLUM

ZEQUIPRA 2,5 mg COMPR. FILM. 2,5mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC X 30 COMPR. FILM. P6L

30

2,029333

2,566000

0,000000

452 W59268003 L02BG06 EXEMESTANUM

ESCEPRAN 25 mg COMPR. FILM. 25mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF

30

2,367333

2,993333

0,000000

453 W55888004 L02BG06 EXEMESTANUM

EXEMESTAN ACCORD 25 mg COMPR. FILM. 25mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF

30

2,438333

3,083000

0,000000

454 W55874002 L02BG06 EXEMESTANUM

EXEMESTAN GLENMARK 25mg COMPR. FILM. 25mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P-RF

30

2,657200

3,359599

0,378067

455 W61219001 L02BG06 EXEMESTANUM

XANEPRA 25 mg COMPR. FILM. 25mg NEOLA PHARMA S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM PRF

30

2,657200

3,359599

0,378067

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

456 W56479002 L02BG06 EXEMESTANUM

EXEMESTAN ALVOGEN 25 mg COMPR. FILM. 25mg ALVOGEN IPCO S.A.R.L LUXEMBURG CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF

30

2,214333

2,799666

0,000000

457 W08074001 L02BG06 EXEMESTANUM

AROMASIN 25 mg DRAJ. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ. P-RF

30

2,657200

3,359599

0,214734

458 W58139001 L02BX03 ABIRATERONUM **1 O

ZYTIGA COMPR. 250mg JANSSEN CILAG INTERNATIONALL NV BELGIA CUTIE CU FLACON DIN PEÎD X 120 COMPRIMATE PRF

120

113,265250

123,777166

0,000000

459 W53892001 L03AA02 FILGRASTIMUM (G-CSF)

ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

1

69,700000

88,130000

0,000000

460 W53893001 L03AA02 FILGRASTIMUM (G-CSF)

ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

1

107,407200

126,230400

27,419600

461 W61793001 L03AA02 FILGRASTIMUM (G-CSF)

ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

1

66,110000

83,590000

0,000000

462 W61794001 L03AA02 FILGRASTIMUM (G-CSF)

ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

1

105,780000

126,230400

2,909600

463 W62176005 L03AA02 FILGRASTIMUM (G-CSF)

TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

1

69,220000

87,520000

0,000000

464 W64857002 L03AA02 FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

5

65,892000

79,452000

0,000000

465 W55757002 L03AA02 FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

5

65,892000

79,452000

0,000000

466 W64858002 L03AA02 FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

5

89,506000

105,192000

0,000000

467 W55758002 L03AA02 FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

5

89,506000

105,192000

0,000000

468 W62177005 L03AA02 FILGRASTIMUM (G-CSF)

TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

1

107,407200

126,230400

8,839600

469 W64949001 L03AA13 PEGFILGRASTIMUM **

PELGRAZ 6 mg SOL INJ. IN SERINGA PREUMPLUTA 6mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA CARE CONTINE 0,6 ML SOL. INJ. PR

1

2.601,180000

2.873,440000

0,000000

470 W51563001 L03AA13 PEGFILGRASTIMUM **

NEULASTA 6mg SOL. INJ. 6mg AMGEN EUROPE B.V. OLANDA CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR

1

3.121,416000

3.448,128000

88,042000

471 W51329001 L03AB04 INTERFERONUM ALFA 2A **

ROFERON A SOL. INJ. 9Mui/0,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. + AC STERIL PR

1

151,790000

185,300000

0,000000

472 W59599002 L03AB05 INTERFERONUM ALFA 2B **

INTRON A 18 milioane U.I. SOL. INJ. PEN MULTIDOZA 18 milioane U.I. MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ. + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R

1

339,350000

408,040000

0,000000

473 W59600001 L03AB05 INTERFERONUM ALFA 2B **

INTRON A 30 milioane U.I. SOL. INJ. PEN MULTIDOZA 30 milioane U.I. MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML + 12 ACE + 12 TAMPOANE DEZINFECTANTE P-RF/R

1

541,150000

628,000000

0,000000

474 W61952001 L04AX02 TALIDOMIDUM **1

THALIDOMIDE CELGENE 50 mg CAPS. 50mg CELGENE EUROPE LIMITED MAREA BRITANIE CUTIE TIP PORTOFEL X 28 CAPS. (14 CAPS. X 2 BLISTERE PVC/PE/ACLAR/AL) P-RF/R

28

55,194285

61,524285

0,000000

475 W57665001 M05BA02 ACIDUM CLODRONICUM **

BONEFOS® 800 mg COMPR. FILM. 800mg BAYER OY FINLANDA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM. P-6L

60

6,440166

7,655666

0,000000

476 W64719001 M05BA02 ACIDUM CLODRONICUM **

SINDRONAT 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR

1

21,840000

29,520000

0,000000

477 W52199001 M05BA02 ACIDUM CLODRONICUM **

SINDRONAT (R) 300 mg/5 ml CONC. PT. SOL. PERF. 300mg/5ml ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA X 5 ML S

1

21,840000

29,520000

0,000000

478 W58123006 M05BA03 ACIDUM PAMIDRONICUM **

PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML PR

1

146,810000

179,220000

0,000000

479 W58123007 M05BA03 ACIDUM PAMIDRONICUM **

PAMIDRONAT TORREX CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML PR

1

281,810000

344,030000

0,000000

480 W63020001 M05BA06 ACIDUM IBANDRONICUM **

ACID IBANDRONIC TEVA 50 mg COMPR. FILM. 50mg TEVA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 28 COMPRIMATE FILMATE PR

28

9,781714

11,941285

0,882286

481 W59829025 M05BA06 ACIDUM IBANDRONICUM **

ACID IBANDRONIC GLENMARK 50 mg COMPR. FILM. 50mg GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM. P6L

28

9,781714

11,941285

0,882286

482 W56932004 M05BA06 ACIDUM IBANDRONICUM **

IASIBON 50 mg COMPR. FILM. 50mg PHARMATHEN S.A. GRECIA CUTIE CU BLIST. PA/ALL/PVC/ALU X 28 COMPR. FILM PR

28

8,151428

9,951071

0,000000

483 W61790001 M05BA06 ACIDUM IBANDRONICUM **

ACID IBANDRONIC ACCORD 6 mg CONC. PT. SOL. PERF. 6mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. CU CAPACITATEA DE 6 ML, DIN STICLA DE TIP I SI FLUOROTEC PR

1

269,990000

329,610000

0,000000

484 W58937001 M05BA06 ACIDUM IBANDRONICUM **

ACID IBANDRONIC TEVA 6 mg CONC. PT. SOL. PERF. 6mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC SI CAPSA DE CULOARE TURCOAZ (ALBASTRU VERZUI) X 6 ML CONC. PT. SOL. PERF. PR

1

278,376000

339,840000

45,480000

485 W56933001 M05BA06 ACIDUM IBANDRONICUM **

IASIBON 6mg/6ml CONC. PT. SOL. PERF. 6mg/6ml PHARMATHEN S.A. GRECIA CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF. PR

1

231,980000

283,200000

0,000000

486 W59588001 M05BA08 ACIDUM ZOLEDRONICUM **

ACID ZOLEDRONIC ACTAVIS 4mg/5ml CONC. PT. SOL. PERF. 4mg/5ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 1 FLACON PLASTIC TRANSPARENT, INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PER PR

1

58,644000

76,704000

22,196000

487 W59090002 M05BA08 ACIDUM ZOLEDRONICUM **

ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF. PR

4

58,644000

76,704000

16,548500

488 W61792001 M05BA08 ACIDUM ZOLEDRONICUM **

ACID ZOLEDRONIC ACCORD 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. CU CAPACITATEA DE 5 ML DIN COPOLIMER CICLOOLEFINIC TRANSPARENT PRF

1

48,870000

63,920000

0,000000

489 W59191004 M05BA08 ACIDUM ZOLEDRONICUM **

ACID ZOLEDRONIC TERAPIA 4 mg/5 ml CONC. PT. SOL. PERF. 4mg/5ml TERAPIA SA ROMANIA CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA CU CAPACITATEA DE 6 ML INCHIS CU DOP DIN CAUCIUC DE CULOARE GRI SI SIGILAT CU CAPAC DIN AL, TIP "FLIP OFF" DE CULOARE GRI CARE CONTINE CONC. PT. SOL. PERF. PR

1

58,644000

76,704000

314,396000

490 W60543001 M05BA08 ACIDUM ZOLEDRONICUM **

ZERLINDA 4 mg/100 ml SOL. PERF. 4mg/100ml ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 PUNGA A 100 ML SOL. PERF. PR

1

58,644000

76,704000

57,906000

491 W04133001 V03AF01 MESNUM

UROMITEXAN (R) 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR

15

3,268666

4,275333

0,000000

492 W54980002 V03AF03 CALCII FOLINAS

FOLINAT DE CALCIU TEVA 10 mg/ml SOL. INJ. 10mg/ml TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. X 10 ML SOL. INJ. P-RF/S

1

19,520000

26,390000

0,000000

493 W62525006 V03AF03 CALCII FOLINAS

FOLINAT DE CALCIU KABI 10 mg/ml SOL. INJ./PERF. 10mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA CUTIE CU 10 FLACOANE DIN STICLA BRUNA, PREVAZUTE CU DOP DIN CAUCIUC CLOROBUTILIC SI SIGILATE CU CAPSA DIN AL TIP FLIP-OFF SI DISC DE CULOARE GALBENA, CARE CONTIN 10 ML SOL. INJ./PERF.PR

10

23,424000

31,668000

3,583000

494 W64436002 V03AF03 CALCII FOLINAS

FOLCASIN 10 mg/ml SOL. INJ./PERF. 10mg/ml TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SOL. INJ./PERF. PR

1

23,424000

31,668000

9,542000

495 W52218002 V03AF03 CALCII FOLINAS

FOLCASIN 10 mg/ml SOL. INJ./PERF. 10mg/ml ACTAVIS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 10 ML SOL. INJ./PERF. S/P-RF

1

23,424000

31,668000

9,542000

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Subprogramul de tratament al sclerozei multiple

1 W42705001 L03AB07 INTERFERONUM BETA 1A **1

AVONEX 30 mcg BIO-SET PULB. + SOLV. PT. SOL. INJ. 30mcg (6 mil. UI) BIOGEN IDEC LIMITED MAREA BRITANIE CUTIE X (1 FLAC. DIN STICLA X 30 G PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUTE CU DISPOZITIV BIO-SET + 4 SERINGI PRE-UMPLUTE) PR

4

671,897500

741,907500

0,000000

2 W62420001 L03AB07 INTERFERONUM BETA 1A **1

REBIF 44 micrograme/0.5 ml SOL INJ. IN CARTUS 44micrograme/0,5ml MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 4 CARTUSE (DIN STICLA DE TIP I), CU DOP CU PISTON (DIN CAUCIUC) SI UN CAPAC FARA FILET (DIN ALUMINIU SI CAUCIUC HALOBUTILIC) CONTINAND 1.5 ML SOLUTIE INJECTABILA PR

4

792,382500

873,235000

0,000000

3 W08473003 L03AB07 INTERFERONUM BETA 1A **1

REBIF 44 micrograme SOL. INJ. IN SERINGA PREUMPLUTA 44mcg MERCK SERONO EUROPE LIMITED MAREA BRITANIE CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ. P-RF/R

12

276,040000

304,063333

0,000000

4 W59967001 L03AB07 INTERFERONUM BETA 1A **1

AVONEX 30μg/0,5ml PEN SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 30μg/0,5ml BIOGEN IDEC LIMITED MAREA BRITANIE AMBALAJ X 4 CUTII INDIVIDUALE FIECARE CONTINAND 1 STILOU INJECTOR (PEN) DE UNICA FOLOSINTA, 1 AC DE INJECTIE SI 1 CAPAC PENTRU STILOU INJECTOR (PEN) X 0.5ML PR

4

690,407500

762,082500

0,000000

5 W61580007 L03AB08 INTERFERONUM BETA 1-B **1

BETAFERON 250μg/ml PULB. + SOLV. PT. SOL. INJ. 250μg/ml BAYER PHARMA AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. + ADAPTOR CU AC SI 2 TAMPOANE CU ALCOOL PR

15

175,341333

193,665333

0,000000

6 W63878007 L03AB08 INTERFERONUM BETA 1-B **1

BETAFERON 250μg/ml PULB. + SOLV. PT. SOL. INJ. 250μg/ml BAYER AG GERMANIA CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV. + ADAPTOR CU AC SI 2 TAMPOANE CU ALCOOL PR

15

175,341333

193,665333

0,000000

26

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

7 W61550002 L03AX13 GLATIRAMER ACETAT **1

COPAXONE 20 mg/ml

SOL INJ. IN SERINGA PREUMPLUTA 20mg/ml

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 28 SERINGI PREUMPLUTE CARE CONTIN SOL. INJ. PR

28

63,228571

70,281785

0,000000

8 W62547002 L03AX13 GLATIRAMER ACETAT **1

COPAXONE 40 mg/ml

SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 12 SERINGI PREUMPLUTE A CATE 1 ML SOL. INJ. IN SERINGA PREUMPLUTA PR

12

178,155833

197,369166

0,000000

9 W64563002 L03AX13 GLATIRAMER ACETAT **1

REMUREL 40 mg/ml

SOL INJ. IN SERINGA PREUMPLUTA 40mg/ml

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 12 SERINGI PREUMPLUTE X 1 ML SOL. INJ. PR

12

171,966666

190,623333

0,000000

10 W63124002 L03AX13 GLATIRAMER ACETAT **1

REMUREL 20 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA 20mg/ml

ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU 28 SERINGI PREUMPLUTE DIN STICLA DE UNICA FOLOSINTA, CU AC INCORPORAT, ACOPERIT CU UN CAPAC PROTECTOR CARE CONTIN SOL. INJ. PR

28

60,087142

66,857500

0,000000

11 W61577001 L04AA23 NATALIZUMABUM **1

TYSABRI 300mg

CONC. PT. SOL. PERF. 20mg/ml

BIOGEN IDEC LTD INNOVATION HOUSE MAREA BRITANIE CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF PR

1

5.468,520000

5.998,840000

0,000000

12 W60449002 L04AA31 TERIFLUNOMIDUM **1

AUBAGIO

COMPR. FILM. 14mg

SANOFI – AVENTIS GROUPE FRANTA CUTIE CU 28 COMPR. FILM. PR

28

112,011428

123,455000

0,000000

13 W60846001 L04AX01 AZATHIOPRINUM

IMURAN®

COMPR. FILM. 50mg

ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF

100

0,542900

0,686400

0,000000

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

27

Tratamentul medicamentos al bolnavilor cu diabet zaharat

1 W52999002 A10AB01 INSULINE UMANE

HUMULIN R

SOL. INJ. 100UI/ml

LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P-RF

5

17,688000

22,366000

0,000000

2 W52999001 A10AB01 INSULINE UMANE

HUMULIN R

SOL. INJ. 100UI/ml

LILLY FRANCE SAS FRANTA CUTIE X 1 FLAC. X 10 ML SOL. INJ.

P-RF

1

45,620000

59,670000

0,000000

3 W08452003 A10AB01 INSULINE UMANE

INSUMAN RAPID 100UI/ml

SOL. INJ. IN CARTUS 100UI/ml

SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ.

P-RF

5

17,364000

21,956000

0,000000

4 W08451001 A10AB01 INSULINE UMANE

INSUMAN RAPID 100UI/ml

SOL. INJ. IN FLACON 100UI/ml

SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P-RF

5

22,254000

27,168000

0,000000

5 W53811003 A10AB01 INSULINE UMANE

INSUMAN RAPID 100 UI/ml SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml

SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

P-RF

5

16,526000

20,896000

0,000000

6 W64009002 A10AB04 INSULINUM LISPRO **

HUMALOG 100 unitati/ml JUNIOR KWIKPEN SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml ELI LILLY NEDERLAND BV OLANDA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE A CATE 3 ML SOL. INJ. PRF

5

29,740800

36,307200

0,148800

7 W62269001 A10AB04 INSULINUM LISPRO **

HUMALOG 200 UNITATI/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 200unitati/ml ELI LILLY NEDERLAND BV OLANDA 5 STILOURI INJECTOARE (PEN) PREUMPLUTE A 3 ML (KWIKPEN) PRF

5

58,520000

71,442000

0,000000

8 W52601001 A10AB04 INSULINUM LISPRO **

HUMALOG 100 U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SOL.INJ. P-RF

5

24,784000

30,256000

0,000000

9 W53873001 A10AB04 INSULINUM LISPRO **

HUMALOG KWIKPEN100U/ml SOL. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PRE-UMPLUTE X 3 ML SOL. INJ. P-RF

5

29,076000

35,496000

0,000000

10 W63977001 A10AB05 INSULINUM ASPART **

FIASP 100 unitati/ml SOL INJ. IN FLAC. 100unitati/ml NOVO NORDISK A/S DANEMARCA 1 FLAC. (STICLA) X 10 ML SOL. PRF

1

84,590000

106,950000

0,000000

11 W63975005 A10AB05 INSULINUM ASPART **

FIASP 100 unitati/ml SOL INJ. IN STILOU INJECTOR PREUMPLUT 100unitati/ml NOVO NORDISK A/S DANEMARCA 5 STILOURI INJECTOARE PREUMPLUTE (STICLA) (FLEXTOUCH) X 3 ML SOL. PRF

5

29,748000

36,316800

0,069200

12 W08932002 A10AB05 INSULINUM ASPART **

NOVORAPID FLEXPEN 100U/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML P-RF

5

29,748000

36,316800

1,015200

13 W07268001 A10AB05 INSULINUM ASPART **

NOVORAPID PENFILL 100 U/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF

5

24,790000

30,264000

0,000000

14 W41740004 A10AB06 INSULINUM GLULIZINA **

APIDRA 100U/ml SOL. INJ. IN CARTUS 100U/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE X 3 ML SOL. INJ. P-RF

5

22,306000

27,230000

0,000000

15 W52538004 A10AB06 INSULINUM GLULIZINA **

APIDRA 100U/ml SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100U/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ. P-RF

5

22,326000

27,256000

0,000000

16 W52986002 A10AC01 INSULINE UMANE

HUMULIN N SUSP. INJ. 100UI/ml LILLY FRANCE SAS FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

5

17,840000

22,556000

0,000000

17 W08444003 A10AC01 INSULINE UMANE

INSUMAN BASAL 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

5

17,364000

21,956000

0,000000

18 W53808003 A10AC01 INSULINE UMANE

INSUMAN BASAL 100UI/ml SoloStar SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

5

17,358000

21,948000

0,000000

19 W53106002 A10AD01 INSULINE UMANE

HUMULIN M3 SUSP. INJ. 100ui/ml LILLY FRANCE S.A.S FRANTA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

5

17,840000

22,556000

0,000000

20 W08446003 A10AD01 INSULINE UMANE

INSUMAN COMB 25 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

5

17,364000

21,956000

0,000000

21 W03703002 A10AD01 INSULINE UMANE

MIXTARD 30 PENFILL 100 UI/ml SUSP. INJ. IN CARTUS 100UI/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF

5

20,406000

24,912000

0,000000

22 W08449003 A10AD01 INSULINE UMANE

INSUMAN COMB 50 100UI/ml SUSP. INJ. IN CARTUS 100UI/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

5

17,364000

21,956000

0,000000

23 W08445002 A10AD01 INSULINE UMANE

INSUMAN COMB 25 100UI/ml SUSP. INJ. IN FLACON 100UI/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ. P-RF

5

30,056000

36,692000

0,000000

24 W53810003 A10AD01 INSULINE UMANE

INSUMAN COMB 25 100UI/ml SoloStar SUSP. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS, DIN STICLA INCOLORA X 3 ML SUSP. INJ. P-RF

5

17,358000

21,948000

0,000000

25 W53874001 A10AD04 INSULINUM LISPRO **

HUMALOG MIX25 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3 ML, SUSP. INJ. P-RF

5

28,894000

35,274000

0,000000

26 W52602001 A10AD04 INSULINUM LISPRO **

HUMALOG MIX25 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP.INJ. P-RF

5

25,986000

31,724000

0,000000

27 W53875001 A10AD04 INSULINUM LISPRO **

HUMALOG MIX50 KWIKPEN 100U/ml SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 STILOURI INJECTOARE (PEN-URI), PREUMPLUTE X 3 ML, SUSP. INJ. P-RF

5

28,894000

35,274000

0,000000

28 W03665001 A10AD04 INSULINUM LISPRO **

HUMALOG MIX50 SUSP. INJ. 100U/ml ELI LILLY NEDERLAND BV OLANDA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF

5

25,184000

30,744000

0,000000

29 W08973001 A10AD05 INSULINUM ASPART **

NOVOMIX 30 FLEXPEN SUSP. INJ. 100UIml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3ML P-RF

5

31,266000

38,170000

0,000000

30 W08254001 A10AD05 INSULINUM ASPART **

NOVOMIX 30 PENFILL 100 U/ml SUSP. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML SUSP. INJ. P-RF

5

26,532000

32,390000

0,000000

31 W62014001 A10AE04 INSULINUM GLARGINE **

ABASAGLAR SOL INJ. 100UI/ml ELI LILLY REGIONAL OPERATIONS GMBH AUSTRIA AMBALAJ X10 CARTUSE (2 CUTII X5 CARTUSE) A 3ML PRF

10

34,321000

41,225000

0,000000

32 W62015002 A10AE04 INSULINUM GLARGINE **

ABASAGLAR SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100UI/ml ELI LILLY REGIONAL OPERATIONS GMBH AUSTRIA AMBALAJ X10 STILOURI PRE-UMPLUTE/PEN (2 CUTII X 5 PEN) A 3ML DOZAJ 80U PRF

10

33,862000

40,725000

0,000000

33 W64292003 A10AE04 INSULINUM GLARGINE **

SEMGLEE 100 unitati/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml MYLAN S.A.S. FRANTA CUTIE X 5 STILOURI INJECTOARE PREUMPLUTE (PEN) – 3ML PRF

5

32,232000

39,350000

0,000000

34 W08054002 A10AE04 INSULINUM GLARGINE **

LANTUS 100UI/ml SOL. INJ. IN CARTUS 100UI/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ. P-RF

5

37,646000

45,958000

0,000000

35 W10010005 A10AE04 INSULINUM GLARGINE **

LANTUS 100UI/ml SOL. INJ. IN FLACON 100UI/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ. P-RF

1

126,170000

154,030000

0,000000

36 W61744003 A10AE04 INSULINUM GLARGINE **

TOUJEO 300 unitati/ml SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300unitati/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE CU 5 STILOURI INJECTAOARE PRF

5

54,580000

66,632000

0,000000

37 W52628008 A10AE04 INSULINUM GLARGINE **

LANTUS SoloStar SOL. INJ. IN STILOU INJECTOR PREUMPLUT 100UI/ml SANOFI – AVENTIS DEUTSCHLAND GMBH GERMANIA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF

5

37,652000

45,966000

0,000000

38 W41731002 A10AE05 INSULINUM DETEMIR **

LEVEMIR FLEXPEN 100 U/ml SOL. INJ. 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE X 3 ML P-RF

5

48,664000

59,410000

0,000000

39 W41732002 A10AE05 INSULINUM DETEMIR **

LEVEMIR PENFILL 100 U/ml SOL. INJ. IN CARTUS 100U/ml NOVO NORDISK A/S DANEMARCA CUTIE X 5 CARTUSE X 3 ML P-RF

5

45,714000

55,808000

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

40 W63475001 A10AE54 COMBINATII (INSULINE GLARGINE+LIXISENATIDUM) ** SULIQUA 100 unitati/ml+50 micrograme/ml SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 100unitati/ml+50micrograme/ml SANOFI – AVENTIS GROUPE FRANTA CUTIE CU 5 STILOURI INJECTOARE (PEN-URI) PREUMPUTE X 3 ML SOLUTIE PRF

5

130,110000

149,450000

0,000000

41 W53953001 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA CUTIE X 10 BLIST. AL/PVC X 5 COMPR. P-RF

50

0,138000

0,186400

0,000000

42 W53953002 A10BA02 METFORMINUM METFORMIN ARENA 1000 MG COMPR. 1000mg ARENA GROUP S.A. ROMANIA FLACON DIN PE X 200 COMPR. P-RF/S

200

0,137500

0,179850

0,000000

43 W53951003 A10BA02 METFORMINUM METFORMIN ARENA 500 MG COMPR. 500mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. DIN PE X 60 COMPR. P-RF

60

0,065166

0,088166

0,000000

44 W63931002 A10BA02 METFORMINUM GLUCOPHAGE XR 1000 mg COMPR. ELIB. PREL. 1000mg MERCK SANTE S.A.S. FRANTA CUTIE CU 3 BLIST. PVC/PVDC/AL X 10 COMPR. ELIB. PREL. PRF

30

0,146400

0,198000

0,585666

45 W63799009 A10BA02 METFORMINUM METFORMIN ACCORD 500 mg COMPR. ELIB. PREL. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. ELIB. PREL. P6L

30

0,078199

0,105799

0,203534

46 W43318002 A10BA02 METFORMINUM GLUCOPHAGE XR COMPR. ELIB. PREL. 500mg MERCK SANTE S.A.S. FRANTA CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL. P6L

30

0,078199

0,105799

0,311201

47 W63930002 A10BA02 METFORMINUM GLUCOPHAGE XR 750 mg COMPR. ELIB. PREL. 750mg MERCK SANTE S.A.S. FRANTA CUTIE CU 2 BLIST. PVC/PVDC/AL X 15 COMPR. ELIB. PREL. PRF

30

0,432666

0,585000

0,000000

48 W42349002 A10BA02 METFORMINUM SIOFOR 1000 COMPR. FILM. 1000mg BERLIN CHEMIE AG MENARINI GROUP GERMANIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM. P-RF

60

0,144000

0,194666

0,000000

49 W43828002 A10BA02 METFORMINUM METFOGAMMA 1000mg COMPR. FILM. 1000mg WORWAG PHARMA GMBH CO. KG GERMANIA CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM P6L

120

0,144083

0,194750

0,000000

50 W59641002 A10BA02 METFORMINUM METFORMIN AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L

30

0,122000

0,165000

0,000000

51 W13583011 A10BA02 METFORMINUM GLUCOPHAGE 1000 mg COMPR. FILM. 1000mg MERCK SANTE FRANTA CUTIE CU BLIST. PVC/AL, X 60 COMPR. FILM. P-6L

60

0,146400

0,198000

0,101666

52 W13955001 A10BA02 METFORMINUM MEGUAN (R) 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L

20

0,078199

0,105799

0,133701

53 W59639003 A10BA02 METFORMINUM METFORMIN AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L

30

0,078199

0,105799

0,008867

54 W59640003 A10BA02 METFORMINUM METFORMIN AUROBINDO 850 mg COMPR. FILM. 850mg AUROBINDO PHARMA LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L

30

0,085000

0,115000

0,000000

55 W14102001 A10BA02 METFORMINUM MEGUAN (R) 850 mg COMPR. FILM. 850mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L

20

0,089000

0,120000

0,000000

56 W41858002 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S

100

0,051800

0,070000

0,000000

57 W41858003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF

30

0,051666

0,070000

0,000000

58 W41858004 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 1,75 mg COMPR. 1,75mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S

1000

0,051760

0,065440

0,000000

59 W41859002 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 1 FLAC. PEID X 100 COMPR. P-RF/S

100

0,037400

0,050500

0,000000

60 W41859003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF

30

0,037666

0,051000

0,000000

61 W41859004 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 3,5 mg COMPR. 3,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S

1000

0,037330

0,048830

0,000000

62 W53679003 A10BB01 GLIBENCLAMIDUM GLIBENCLAMID ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF

30

0,154333

0,208666

0,000000

63 W03348001 A10BB07 GLIPIZIDUM GLUCOTROL XL 10 mg COMPR. FILM. ELIB. MODIF. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E P-RF

30

1,287333

1,684000

0,000000

64 W03349001 A10BB07 GLIPIZIDUM GLUCOTROL XL 5mg COMPR. FILM. ELIB. MODIF. 5mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL P-RF

30

0,607000

0,820333

0,000000

65 W03352001 A10BB08 GLIQUIDONUM GLURENORM COMPR. 30mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 6 BLIST. AL/PVC X 10 COMPR. P-RF

60

0,322500

0,436000

0,000000

66 W42334001 A10BB09 GLICLAZIDUM

ESQUEL (R) 80 mg

COMPR.

80mg

GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 15 COMPR.

P6L

30

0,354000

0,478333

0,000000

67 W59674006 A10BB09 GLICLAZIDUM

GLYCLADA 60 mg

COMPR. CU ELIB. MODIF.

60mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. CU ELIB. MODIF.

PRF

60

0,283466

0,383200

0,092966

68 W59674016 A10BB09 GLICLAZIDUM

GLYCLADA 60 mg

COMPR. CU ELIB. MODIF.

60mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. CU ELIB. MODIF.

PRF

60

0,283466

0,383200

0,092966

69 W62197002 A10BB09 GLICLAZIDUM

GLICLAZIDA TERAPIA 60 mg

COMPR. ELIB. MOD.

60mg

TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA/AL/PVC/AL X 60 COMPR. ELIB. MODIF.

P6L

60

0,283466

0,383200

0,092966

70 W62197005 A10BB09 GLICLAZIDUM

GLICLAZIDA TERAPIA 60 mg

COMPR. ELIB. MOD.

60mg

TERAPIA S.A. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 60 COMPR. ELIB. MODIF.

P6L

60

0,283466

0,383200

0,092966

71 W55137009 A10BB09 GLICLAZIDUM

DIAPREL MR 60 mg

COMPR. ELIB. MODIF.

60mg

LES LABORATOIRES SERVIER FRANTA CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.

P-RF

60

0,283466

0,383200

0,122466

72 W61093002 A10BB09 GLICLAZIDUM

GLICLAZIDA ZENTIVA 60 mg

COMPR. ELIB. MODIF.

60mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 90 COMPR. ELIB. MODIF.

PRF

90

0,236222

0,319333

0,000000

73 W54001003 A10BB09 GLICLAZIDUM

GLYCLADA 30 mg

COMPR. ELIB. PREL.

30mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL.

P-6L

60

0,196833

0,266000

0,000000

74 W54001004 A10BB09 GLICLAZIDUM

GLYCLADA 30 mg

COMPR. ELIB. PREL.

30mg

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

P-6L

60

0,196833

0,266000

0,000000

75 W57489005 A10BB12 GLIMEPIRIDUM

AMARYL 1mg

COMPR.

1mg

SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,132666

0,179333

0,000000

76 W62433005 A10BB12 GLIMEPIRIDUM

AMARYL 1mg

COMPR.

1mg

SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,132666

0,179333

0,000000

77 W57490004 A10BB12 GLIMEPIRIDUM

AMARYL 2 mg

COMPR.

2mg

SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,172800

0,233599

0,062401

78 W44007003 A10BB12 GLIMEPIRIDUM

GLIMEPIRIDE 2 mg

COMPR.

2mg

ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-RF

30

0,144000

0,194666

0,000000

79 W62434004 A10BB12 GLIMEPIRIDUM

AMARYL 2 mg

COMPR.

2mg

SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,172800

0,233599

0,062401

80 W44010003 A10BB12 GLIMEPIRIDUM

GLIMEPIRIDE 3 mg

COMPR.

3mg

ACTAVIS GROUP HF. ISLANDA CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-RF

30

0,258666

0,349666

0,000000

81 W62435004 A10BB12 GLIMEPIRIDUM

AMARYL 3 mg

COMPR.

3mg

SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,310399

0,419599

0,082734

82 W57492004 A10BB12 GLIMEPIRIDUM

AMARYL 3 mg

COMPR.

3mg

SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,310399

0,419599

0,082734

83 W62436004 A10BB12 GLIMEPIRIDUM

AMARYL 4 mg

COMPR.

4mg

SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,406333

0,549000

0,000000

84 W57494004 A10BB12 GLIMEPIRIDUM

AMARYL 4 mg

COMPR.

4mg

SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,406333

0,549000

0,000000

85 W62437004 A10BB12 GLIMEPIRIDUM

AMARYL 6 mg

COMPR.

6mg

SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,695000

0,939333

0,000000

86 W57495004 A10BB12 GLIMEPIRIDUM

AMARYL 6 mg

COMPR.

6mg

SANOFI-AVENTIS ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-RF

30

0,695000

0,939333

0,000000

87 W42117002 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg

CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 5 CAPS.

P-RF/S

500

0,191700

0,242380

0,000000

88 W42117001 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) BIDIAB 400 mg/2,5 mg

CAPS. 400mg+2,5mg ARENA GROUP SA ROMANIA CUTIE X 4 BLIST. AL/PVC X 5 CAPS.

P-RF

20

0,195000

0,263500

0,000000

89 W10546002 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLIBOMET 400 mg/2,5mg

COMPR. FILM. 400mg/2,5mg LAB. GUIDOTTI SPA ITALIA CUTIE X 3 BLIST. X 20 COMPR. FILM.

P6L

60

0,230040

0,290856

0,126144

90 W13594006 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/2,5 mg COMPR. FILM. 500mg/2,5mg MERCK SANTE FRANTA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P6L 60

0,370666

0,501000

0,000000

28

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

29

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

91 W13595006 A10BD02 COMBINATII (METFORMINUM+GLIBENCLAMIDUM) GLUCOVANCE® 500 mg/5 mg

COMPR. FILM. 500mg/5mg MERCK SANTE FRANTA CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM. P6L

60

0,370666

0,501000

0,000000

92 W64669002 A10BD07 COMBINATII ( SITAGLIPTINUM+METFORMINUM) ** JANUMET 50 mg/1000 mg

COMPR. FILM. 50mg/1000mg MERCK SHARP DOHME OLANDA CUTIE CU BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. PRF

28

2,476785

3,131785

0,000000

93 W53295002 A10BD07 COMBINATII ( SITAGLIPTINUM+METFORMINUM) ** JANUMET 50 mg/1000 mg

COMPR. FILM. 50mg/1000mg MERCK SHARP DOHME MAREA BRITANIE CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM. P-RF

28

2,476785

3,131785

0,000000

94 W64469003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/1000mg

COMPR. FILM. 50mg/1000mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) PRF

60

2,099333

2,562833

0,000000

95 W64184003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** DALTEX 50 mg/1000 mg

COMPR. FILM. 50mg/1000mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

1,854666

2,264166

0,000000

96 W52552003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/1000mg

COMPR. FILM. 50mg/1000mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) P-RF

60

2,099333

2,562833

0,000000

97 W64183003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** DALTEX 50 mg/850 mg

COMPR. FILM. 50mg/850mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

1,858000

2,268333

0,000000

98 W64470003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/850mg

COMPR. FILM. 50mg/850mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) PRF

60

2,229600

2,722000

0,768000

99 W52551003 A10BD08 COMBINATII ( VILDAGLIPTINUM + METFORMINUM) ** EUCREAS 50mg/850mg

COMPR. FILM. 50mg/850mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 60 COMPR. FILM. (BLIST. PA/AL/PVC/AL) P-RF

60

2,229600

2,722000

0,768000

100 W62421003 A10BD10 COMBINATII (SAXAGLIPTINUM + METFORMINUM) ** Komboglyze 2,5 mg/1000 mg

COMPR. FILM. 2,5mg/1000mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. AL/AL NEPERFORATE CU 60 COMPR. FILM. PRF

60

2,099333

2,562833

0,000000

101 W63069001 A10BD21 COMBINATII (SAXAGLIPTIN+DAPAGLIFLOZINUM) ** QTERN 5 mg/10 mg

COMPR. FILM. 5mg/10mg ASTRA ZENECA AB SUEDIA CUTIE CU BLIST. PA/ALU/PVC-ALU X 30 COMPR. FILM. PRF

30

10,241666

12,435000

0,000000

102 W63883002 A10BF01 ACARBOSUM

GLUCOBAY 100

COMPR.

100mg

BAYER AG

GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR.

P6L

120

0,457333

0,578250

0,000000

103 W57947002 A10BF01 ACARBOSUM

GLUCOBAY® 100

COMPR.

100mg

BAYER PHARMA AG

GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR.

P6L

120

0,457333

0,578250

0,000000

104 W63882002 A10BF01 ACARBOSUM

GLUCOBAY 50

COMPR.

50mg

BAYER AG

GERMANIA CUTIE CU 8 BLIST. PP/AL X 15 COMPR.

P6L

120

0,257916

0,337333

0,000000

105 W57946002 A10BF01 ACARBOSUM

GLUCOBAY® 50

COMPR.

50mg

BAYER PHARMA AG

GERMANIA CUTIE X 8 BLIST. AL/PP X 15 COMPR.

P6L

120

0,257916

0,337333

0,000000

106 W61804002 A10BG03 PIOGLITAZONUM **

PIOGLITAZONE ACCORD 15 mg

COMPR.

15mg

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE BLIST. AL/AL X 30 COMPR.

PRF

30

1,006666

1,316666

0,000000

107 W58030002 A10BG03 PIOGLITAZONUM **

PIOGLITAZONA TORRENT 15 mg

COMPR.

15mg

TORRENT PHARMA S.R.L.

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

PRF

30

0,976666

1,277333

0,000000

108 W58030008 A10BG03 PIOGLITAZONUM **

PIOGLITAZONA TORRENT 15 mg

COMPR.

15mg

TORRENT PHARMA S.R.L.

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

PRF

30

0,976666

1,277333

0,000000

109 W61805002 A10BG03 PIOGLITAZONUM **

PIOGLITAZONE ACCORD 30 mg

COMPR.

30mg

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE BLIST. AL/AL X 30 COMPR.

PRF

30

1,088000

1,423000

0,000000

110 W58031002 A10BG03 PIOGLITAZONUM **

PIOGLITAZONA TORRENT 30 mg

COMPR.

30mg

TORRENT PHARMA S.R.L.

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

PRF

30

1,052333

1,376666

0,000000

111 W58031008 A10BG03 PIOGLITAZONUM **

PIOGLITAZONA TORRENT 30 mg

COMPR.

30mg

TORRENT PHARMA S.R.L.

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

PRF

30

1,052333

1,376666

0,000000

112 W58032002 A10BG03 PIOGLITAZONUM **

PIOGLITAZONA TORRENT 45 mg

COMPR.

45mg

TORRENT PHARMA S.R.L.

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

PRF

30

1,305600

1,707600

0,771066

113 W61806002 A10BG03 PIOGLITAZONUM **

PIOGLITAZONE ACCORD 45 mg

COMPR.

45mg

ACCORD HEALTHCARE LIMITED

MAREA BRITANIE BLIST. AL/AL X 30 COMPR.

PRF

30

1,088000

1,423000

0,000000

114 W58032008 A10BG03 PIOGLITAZONUM **

PIOGLITAZONA TORRENT 45 mg

COMPR.

45mg

TORRENT PHARMA S.R.L.

ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR.

PRF

30

1,305600

1,707600

0,771066

115 W64831002 A10BH01 SITAGLIPTINUM **

JANUVIA 100 mg

COMPR. FILM.

100mg

MERCK SHARP DOHME

OLANDA CUTIE CU 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)

PRF

28

4,608928

5,626785

0,000000

116 W51928002 A10BH01 SITAGLIPTINUM **

JANUVIA 100mg COMPR. FILM. 100mg

MERCK SHARP DOHME MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL) P-RF

28

4,608928

5,626785

0,000000

117 W64467005 A10BH02 VILDAGLIPTINUM **

GALVUS 50 mg COMPR. 50mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC//AL X 56 COMPR. PRF

56

1,855000

2,264642

0,000000

118 W64117005 A10BH02 VILDAGLIPTINUM **

DALMEVIN 50 mg COMPR. 50mg

MEDOCHEMIE LTD CIPRU CUTIE CU BLIST. PA-AL-PVC/AL X 56 COMPR. PRF

56

1,789642

2,184821

0,000000

119 W52375005 A10BH02 VILDAGLIPTINUM **

GALVUS 50mg COMPR. 50mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X, 56 COMPR. (BLISTER PA/AL/PVC//AL) P-RF

56

1,855000

2,264642

0,000000

120 W62289009 A10BH03 SAXAGLIPTIN **

ONGLYZA COMPR. FILM. 5 mg

ASTRAZENECA AB SUEDIA CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM. P-RF

30

4,893666

5,974333

0,000000

121 W61462002 A10BJ05 DULAGLUTIDUM **

TRULICITY 1,5 mg/0,5ml SOL INJ. IN PEN PREUMPLUT 1,5 mg/0,5ml

ELI LILLY NEDERLAND BV OLANDA AMBALAJ MULTIPLU: 12 (3 PACHETE A CÂTE 4) PENURI PREUMPLUTE CU 0,5 ML SOL. PRF

12

92,358333

103,850000

0,000000

122 W60940001 A10BK03 EMPAGLIFLOZINUM **

JARDIANCE 10mg COMPR. FILM. 10mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X BLISTERE PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 30 COMPRIMATE FILMATE (30X1) PRF

30

5,810666

7,093666

0,000000

123 W60941001 A10BK03 EMPAGLIFLOZINUM **

JARDIANCE 25mg COMPR. FILM. 25mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X BLISTERE PERFORATE DIN PVC/AL PENTRU ELIBERAREA UNEI UNITATI DOZATE X 30 COMPRIMATE FILMATE (30X1) PRF

30

5,810666

7,093666

0,000000

124 W56718002 A10BX02 REPAGLINIDUM

RENEOS 0,5 mg COMPR. 0,5 mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF

90

0,119732

0,161866

0,169578

125 W61807002 A10BX02 REPAGLINIDUM

REPAGLINIDE ACCORD 0,5 mg COMPR. 0,5mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF

90

0,099777

0,134888

0,000000

126 W64096005 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg

ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF

100

0,119732

0,161866

0,169534

127 W64096001 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF

30

0,119732

0,161866

0,169467

128 W64096002 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF

90

0,119732

0,161866

0,169578

129 W64096003 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF

120

0,119732

0,161866

0,158884

130 W64096004 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 0,5 mg COMPR. 0,5mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF

270

0,119732

0,161866

0,142763

131 W56719002 A10BX02 REPAGLINIDUM

RENEOS 1 mg COMPR. 1 mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR. PRF

90

0,228266

0,308533

0,022911

132 W64097005 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 1 mg COMPR. 1mg

ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF

100

0,228266

0,308533

0,022867

133 W61808001 A10BX02 REPAGLINIDUM

REPAGLINIDE ACCORD 1 mg COMPR. 1mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF

90

0,190222

0,257111

0,000000

134 W64097002 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 1 mg COMPR. 1mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF

90

0,228266

0,308533

0,022911

135 W64097001 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 1 mg COMPR. 1mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF

30

0,228266

0,308533

0,022800

136 W64097003 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 1 mg COMPR. 1mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF

120

0,228266

0,308533

0,012217

137 W64097004 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 1 mg COMPR. 1mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF

270

0,228266

0,304629

0,000000

138 W56720002 A10BX02 REPAGLINIDUM

RENEOS 2 mg COMPR. 2 mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR. PRF

90

0,245222

0,331444

0,000000

139 W64098001 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 2 mg COMPR. 2mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 30 COMPR PRF

30

0,245000

0,331333

0,000000

140 W64098002 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 2 mg COMPR. 2mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 90 COMPR PRF

90

0,245222

0,331444

0,000000

141 W64098003 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 2 mg COMPR. 2mg

ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 120 COMPR PRF

120

0,245250

0,320750

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

142 W64098004 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PA/AL/PVC-AL X 270 COMPR PRF

270

0,240925

0,304629

0,000000

143 W64098005 A10BX02 REPAGLINIDUM

REPAGLINIDA ARENA 2 mg COMPR. 2mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 FLAC. PEJD X 100 COMPR PRF

100

0,245200

0,331400

0,000000

144 W61809001 A10BX02 REPAGLINIDUM

REPAGLINIDE ACCORD 2 mg COMPR. 2mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. AL/AL X 90 COMPR. PRF

90

0,240000

0,324444

0,000000

145 W61955001 A10BX04 EXENATIDUM **

BYDUREON 2 mg PULB. + SOLV. PT. SUSP. INJ. CU ELIB. PREL. 2mg ASTRAZENECA AB SUEDIA AMBALAJ X 4 STILOURI INJECTOARE (PEN-URI) PREUMPLUTE CU DOZA UNICA PRF

4

93,285000

111,217500

0,000000

146 W61682001 A10BX04 EXENATIDUM **

BYETTA 10μg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 10μg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF

1

328,500000

396,220000

0,000000

147 W61681001 A10BX04 EXENATIDUM **

BYETTA 5μg/doza SOL. INJ. IN STILOU INJECTOR PREUMPLUT 5μg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE) P-RF

1

218,910000

267,250000

0,000000

148 W62286004 A10BX09 DAPAGLIFLOZINUM **

FORXIGA 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNITATE DOZATA) PRF

30

5,544000

6,768000

0,000000

149 W59970001 A10BX10 LIXISENATIDUM **

LYXUMIA 10 micrograme SOL INJ. 50 μg/ml SANOFI – AVENTIS GROUPE FRANTA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT X 3ML (1X14 DOZE) PRF

1

155,820000

190,220000

0,000000

150 W41932004 A11DA03 BENFOTIAMINUM

BENFOGAMMA DRAJ. 50mg WORWAG PHARMA GMBH CO. KG GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-6L

50

0,411800

0,556600

0,000000

151 W62898002 A11DAN1 BENFOTIAMINUM

NEUROSSEN 300 mg COMPR. FILM. 300mg AAA-PHARMA GMBH GERMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P6L

30

2,137666

2,703000

0,000000

152 W01610002 A11DBN1 COMBINATII **

MILGAMMA N CAPS. MOI FARA CONCENTRATIE WORWAG PHARMA GMBH CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI P-6L

50

0,775200

1,014000

0,000000

153 W56297001 A11DBN1 COMBINATII **

NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 1 BLIST. PVC/AL X 20 COMPR. FILM. P-6L

20

0,353000

0,466440

0,010560

154 W56297002 A11DBN1 COMBINATII **

NEUROMULTIVIT COMPR. FILM. FARA CONCENTRATIE LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 5 BLIST. PVC/AL X 20 COMPR. FILM. P-6L

100

0,297200

0,388700

0,000000

155 W42092002 A11DBN1 COMBINATII **

MILGAMMA (R) 100+100mg DRAJ. 100mg+100mg WORWAG PHARMA GMBH CO. KG GERMANIA CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ. P-6L

60

1,295666

1,638166

0,000000

156 W01731002 A11DBN1 COMBINATII **

MILGAMMA (R) (vezi B03BA51) DRAJ. FARA CONCENTRATIE WORWAG PHARMA GMBH CO. KG GERMANIA CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ. P-6L

50

0,783200

1,024400

0,000000

157 W62895003 A11DBN1 COMBINATII **

NEUROSSEN INJEKT SOL. INJ. FARA CONCENTRATIE AAA-PHARMA GMBH GERMANIA CUTIE X 10 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML SOL. INJ. PRF

10

2,660000

3,479000

0,000000

158 W41647001 A11DBN1 COMBINATII **

MILGAMMA (R) NA SOL. INJ. FARA CONCENTRATIE WORWAG PHARMA GMBH CO. KG GERMANIA CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML P-RF

5

2,994000

4,046000

0,000000

159 W64733001 H04AA01 GLUCAGONUM

GLUCAGEN HYPOKIT 1 mg/ml PULB+SOLV. PT. SOL. INJ. 1mg/ml CN UNIFARM S.A. ROMANIA CUTIE X 1 FLACON CU PULBERE +1 SERINGA PREUMPLUTA CU SOLVENT PT. SOL. INJ. PR

1

59,760000

75,560000

0,000000

160 T0001 FARA ATC FARA DCI

Teste de automonitorizare a glicemiei pentru bolnavii cu diabet zaharat FARA FORMA FARA CONCENTRATIE FARA PRODUCATOR ROMANIA FARA FORMA AMB X

1

0,000000

1,200000

0,000000

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

P6.1: HEMOFILIE SI TALASEMIE

1 W56025001 B02BD02 FACTOR VIII DE COAGULARE

HAEMOCTIN SDH 1000

PULB+SOLV. PT. SOL. INJ. 100UI/ml

BIOTEST PHARMA GMBH

GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR

1

1.573,380000

1.760,772000

608,178000

2 W56023001 B02BD02 FACTOR VIII DE COAGULARE

HAEMOCTIN SDH 250

PULB+SOLV. PT. SOL. INJ. 50UI/ml

BIOTEST PHARMA GMBH

GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR

1

430,416000

514,932000

133,808000

3 W56024001 B02BD02 FACTOR VIII DE COAGULARE

HAEMOCTIN SDH 500

PULB+SOLV. PT. SOL. INJ. 50UI/ml

BIOTEST PHARMA GMBH

GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ. + 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOLV. PT. SOL. INJ. + 1 SERINGA DE UNICA FOLOSINTA + 1 CANULA DUBLA CU DOUA FILTRE SI 1 CANULA TIP FLUTURE PR

1

804,828000

923,040000

306,430000

4 W61672001 B02BD02 FACTOR VIII DE COAGULARE

BERIATE 1000 UI

PULB+SOLV. PT. SOL. INJ./PERF. 1000UI

CSL BEHRING GMBH

GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 10ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 10 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR

1

1.573,380000

1.760,772000

176,508000

5 W61673001 B02BD02 FACTOR VIII DE COAGULARE

BERIATE 2000 UI

PULB+SOLV. PT. SOL. INJ./PERF. 2000UI

CSL BEHRING GMBH

GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 10 ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 10 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR

1

4.632,460000

5.087,540000

0,000000

6 W61671001 B02BD02 FACTOR VIII DE COAGULARE

BERIATE 500 UI

PULB+SOLV. PT. SOL. INJ./PERF. 500UI

CSL BEHRING GMBH

GERMANIA CUTIE CU1 FLAC.DIN STICLA INCOLORA CU PULB.PT.SOL.INJ/PERF+1FLAC.DIN STICLA CU SOLV. CU 5ML APA PT. PREPARATE INJ. SI CUTIE CU DISPOZ. DE ADM. COMPUS DIN:1DISPOZ. DE TRANSFER CU FILTRU 20/20,1SERINGA DE 5 ML,1SET PT. PUNCTIE VENOASA,2TAMP+PLASTURE PR

1

804,828000

923,040000

25,760000

7 W43393001 B02BD02 FACTOR VIII DE COAGULARE

FANHDI 100ui/ml

PULB+SOLV.PT.SOL.INJ 1000ui

INSTITUTO GRIFOLS S.A.

SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL S

1

1.493,730000

1.666,320000

0,000000

8 W43391001 B02BD02 FACTOR VIII DE COAGULARE

FANHDI 25 ui/ml

PULB+SOLV.PT.SOL.INJ 250ui

INSTITUTO GRIFOLS S.A.

SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLVENT + 1 CANULA + 2 TAMPOANE ALCOOL S

1

396,320000

470,140000

0,000000

9 W43392001 B02BD02 FACTOR VIII DE COAGULARE

FANHDI 50 ui/ml

PULB+SOLV.PT.SOL.INJ 500ui

INSTITUTO GRIFOLS S.A.

SPANIA CUTIE X 1 FLAC. CU PULB. X 1 SERINGA PREUMPLUTA X 10 ML SOLV. + 1 CANULA + 2 TAMPOANE CU ALCOOL S

1

762,180000

868,930000

0,000000

10 W56663001 B02BD02 FACTOR VIII DE COAGULARE

OCTANATE 100 UI/ml

PULB. + SOLV. PT. SOL. INJ. 100 UI/ml

OCTAPHARMA (IP) LTD.

MAREA BRITANIE CUTIE CU 1FLAC. DIN STICLA INCOLORA CU PULB.PT.SOL. INJ.(100UI/ML)+CUTIE CU 1 SET PT. RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 10ML APA PT. PREPARATE INJ.(1000UI/FLAC)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR

1

1.311,150000

1.467,310000

0,000000

11 W56662002 B02BD02 FACTOR VIII DE COAGULARE

OCTANATE 50 UI/ml

PULB. + SOLV. PT. SOL. INJ. 50 UI/ml

OCTAPHARMA (IP) LTD.

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.(50UI/ML)+CUTIE CU SET DE RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 10 ML APA PT. PREPARATE INJ(500UI/FLAC.)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR

1

670,690000

769,200000

0,000000

12 W56662001 B02BD02 FACTOR VIII DE COAGULARE

OCTANATE 50 UI/ml

PULB. + SOLV. PT. SOL. INJ. 50 UI/ml

OCTAPHARMA (IP) LTD.

MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ.(50UI/ML)+CUTIE CU SET DE RECONSTITUIRE SI ADM.:1FLAC. DIN STICLA CU 5 ML APA PT. PREPARATE INJ(250UI/FLAC.)+1SERINGA+1SET TRANSFERMIX2VIAL+1AC PT. INJECTIE TIP FLUTURE+2 TAMPOANE CU ALCOOL PR

1

358,680000

429,110000

0,000000

13 W13336001 B02BD02 FACTOR VIII DE COAGULARE

EMOCLOT 500 UI

PULB.+SOLV. SOL. PERF. 500 UI

KEDRION SPA

ITALIA CUTIE X 1 FLACON DIN STICLA NEUTRA TIP I DIN ELASTOMER TIP I CONTINAND PULBERE, 1 FLACON DIN STICLA NEUTRA TIP I CU DOP DIN ELASTOMER TIP I CONTINAND SOLVENT, 1 SET PENTRU RECONST. SI ADM. PR

1

804,828000

923,040000

80,810000

14 W62271001 B02BD02 MOROCTOCOG ALFA **

REFACTO AF 500 UI

PULB+SOLV. PT. SOL. INJ. IN SERINGA PREUMPLUTA 500UI

PFIZER LIMITED

MAREA BRITANIE 1 SERINGA PREUMPLUTA+1 TIJA A PISTONULUI+ 1 SET DE PERFUZIE STERIL+2 TAMPOANE CU ALCOOL MEDICINAL+1 PLASTURE+1 BUCATA DE TIFON+1 CAPAC STERIL PT AERISIRE PR

1

1.223,120000

1.371,350000

0,000000

15 W61061001 B02BD02 MOROCTOCOG ALFA **

REFACTO AF 1000UI

PULB. + SOL. PT. SOL. INJ. 1000 UI

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR

1

2.406,890000

2.661,660000

0,000000

16 W61062001 B02BD02 MOROCTOCOG ALFA **

REFACTO AF 2000UI

PULB. + SOL. PT. SOL. INJ. 2000 UI

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR

1

4.878,980000

5.356,240000

0,000000

17 W61059001 B02BD02 MOROCTOCOG ALFA **

REFACTO AF 250UI

PULB. + SOL. PT. SOL. INJ. 250 UI

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR

1

638,880000

734,530000

0,000000

18 W61060001 B02BD02 MOROCTOCOG ALFA **

REFACTO AF 500UI

PULB. + SOL. PT. SOL. INJ. 500 UI

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON PR

1

1.223,120000

1.371,350000

0,000000

19 W64715001 B02BD02 OCTOCOG ALFA **

KOVALTRY 1000 UI

PULB+SOLV. PT. SOL. INJ. 1000UI

BAYER AG

GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR

1

2.731,750000

3.015,760000

0,000000

20 W64716001 B02BD02 OCTOCOG ALFA **

KOVALTRY 2000 UI

PULB+SOLV. PT. SOL. INJ. 2000UI

BAYER AG

GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR

1

5.433,540000

5.960,720000

0,000000

21 W64713001 B02BD02 OCTOCOG ALFA **

KOVALTRY 250 UI

PULB+SOLV. PT. SOL. INJ. 250UI

BAYER AG

GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR

1

705,480000

807,120000

0,000000

22 W64714001 B02BD02 OCTOCOG ALFA **

KOVALTRY 500 UI

PULB+SOLV. PT. SOL. INJ. 500UI

BAYER AG

GERMANIA CUTIE CU 1 FLAC. 10 ML DIN STICLA TRANSPARENTA CU PULB.+1 SERINGA PREUMPLUTA CU 2,5 ML SOLVENT+1 ADAPTOR PT. FLAC.+1SET PT. PUNCTIE VENOASA PR

1

1.377,000000

1.539,080000

0,000000

23 W61172001 B02BD02 OCTOCOG ALFA **

KOGENATE BAYER 1000UI

PULB+SOLV.PT.SOL.INJ 1000UI

BAYER PHARMA AG

GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR

1

2.530,170000

2.796,040000

0,000000

24 W51449001 B02BD02 OCTOCOG ALFA **

ADVATE 1000UI

PULB+SOLV.PT.SOL.INJ 1000UI

BAXTER AG

AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R

1

2.709,920000

2.991,970000

0,000000

25 W63909001 B02BD02 OCTOCOG ALFA **

KOGENATE BAYER 1000UI

PULB+SOLV.PT.SOL.INJ 1000UI

BAYER AG

GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR

1

2.530,170000

2.796,040000

0,000000

26 W51450001 B02BD02 OCTOCOG ALFA **

ADVATE 1500UI

PULB+SOLV.PT.SOL.INJ 1500UI

BAXTER AG

AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R

1

4.253,650000

4.674,640000

0,000000

27 W61175001 B02BD02 OCTOCOG ALFA **

KOGENATE BAYER 2000UI

PULB+SOLV.PT.SOL.INJ 2000UI

BAYER PHARMA AG

GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. P-RF/R

1

5.344,660000

5.863,840000

0,000000

30

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

28 W63910001 B02BD02 OCTOCOG ALFA **

KOGENATE BAYER 2000UI PULB+SOLV.PT.SOL.INJ 2000UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 5,0ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR

1

5.344,660000

5.863,840000

0,000000

29 W63907001 B02BD02 OCTOCOG ALFA **

KOGENATE BAYER 250UI PULB+SOLV.PT.SOL.INJ 250UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR

1

705,540000

807,190000

0,000000

30 W61168001 B02BD02 OCTOCOG ALFA **

KOGENATE BAYER 250UI PULB+SOLV.PT.SOL.INJ 250UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. P-RF/R

1

705,540000

807,190000

0,000000

31 W51448001 B02BD02 OCTOCOG ALFA **

ADVATE 500UI PULB+SOLV.PT.SOL.INJ 500 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II P-RF/R

1

1.364,070000

1.524,990000

0,000000

32 W61170001 B02BD02 OCTOCOG ALFA **

KOGENATE BAYER 500UI PULB+SOLV.PT.SOL.INJ 500UI BAYER PHARMA AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. P-RF/R

1

1.357,690000

1.518,030000

0,000000

33 W63908001 B02BD02 OCTOCOG ALFA **

KOGENATE BAYER 500UI PULB+SOLV.PT.SOL.INJ 500UI BAYER AG GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA PREUMPLUTA X 2,5ML SOL. + AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM. PR

1

1.357,690000

1.518,030000

0,000000

34 W53183001 B02BD02 OCTOCOG ALFA **

ADVATE 2000UI PULB+SOLV.PT.SOL.INJ. 2000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R

1

5.732,630000

6.286,730000

0,000000

35 W51447001 B02BD02 OCTOCOG ALFA **

ADVATE 250UI PULB+SOLV.PT.SOL.INJ. 250 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II PR

1

710,280000

812,360000

0,000000

36 W53185001 B02BD02 OCTOCOG ALFA **

ADVATE 3000UI PULB+SOLV.PT.SOL.INJ. 3000 UI BAXTER AG AUSTRIA CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II P-RF/R

1

8.583,950000

9.394,670000

0,000000

37 W62498002 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII **

FEIBA 25 U/ml PULB+SOLV. PT. SOL. PERF. 25U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA,CU CAPAC. DE 50 ML CARE CONTINE 500 U FEIBA PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA INCOLORA, CU CAPAC. DE 20 ML CARE CONTINE 20 ML APA PURIFICATA PT. PREPARATE INJ.,1 DISPOZ.BAXJECT II HIFLOW PR

1

1.533,740000

1.709,930000

0,000000

38 W62499002 B02BD03 COMPLEX DE ANTIINHIBITORI AI COAGULARII **

FEIBA 50 U/ml PULB+SOLV. PT. SOL. PERF. 50U/ml BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA,CU CAPAC. DE 50 ML CARE CONTINE 1000 U FEIBA PULB. PT. SOL. PERF. +1 FLAC. DIN STICLA INCOLORA, CU CAPAC. DE 20 ML CARE CONTINE 20 ML APA PURIFICATA PT. PREPARATE INJ.,1 DISPOZ.BAXJECT II HIFLOW PR

1

3.121,060000

3.440,110000

0,000000

39 W56231001 B02BD04 FACTOR IX DE COAGULARE **

OCTANINE F 1000 UI PULB. + SOLV. PT. SOL. PERF. 1000UI OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 10 ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT. RECONSTITUIRE SI ADM. CU 1 SET TRANSFER MIX2VIAL TM +1 SET DE PERFUZARE+1 SERINGA+2 TAMP. CU ALCOOL S

1

1.415,030000

1.580,540000

0,000000

40 W56230001 B02BD04 FACTOR IX DE COAGULARE **

OCTANINE F 500 UI PULB. + SOLV. SOL. PERF. 500 UI OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. PERF. + 1 FLAC. DIN STICLA CU 5 ML SOLV. PT. SOL. PERF.+ DISPOZITIV PT. RECONSTITUIRE SI ADM. CU 1 AC CU CAP DUBLU+1 FILTRU PT. AC+1 SET DE PERFUZARE+1 SERINGA+2 TAMP. CU ALCOOL S

1

819,290000

931,180000

0,000000

41 W62890001 B02BD04 FACTOR IX DE COAGULARE **

IMMUNINE 1200 UI PULB.+SOLV. PT. SOL. INJ./PERF. 1200UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./ PERF. + 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 10 ML SOLV. +1 AC PT. TRANSFER+1 AC PT. AERARE+1 AC PT. FILTRARE+1 AC DE UNICA FOLOSINTA+1 SERINGA DE UNICA FOLOSINTA+1 SET DE TRANSFER PR

1

1.818,520000

2.020,340000

0,000000

42 W60173002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **

BENEFIX 1000UI PULB+SOLV.PT.SOL.INJ 1000UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR

1

1.698,036000

1.896,648000

545,452000

43 W60172002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **

BENEFIX 2000UI PULB+SOLV.PT.SOL.INJ 2000UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR

1

5.470,470000

6.000,970000

0,000000

44 W60175002 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **

BENEFIX 250UI PULB+SOLV.PT.SOL.INJ 250UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR

1

573,860000

663,660000

0,000000

45 W60174001 B02BD04 NONACOG ALPHA (FACTOR IX DE COAGULARE) **

BENEFIX 500UI PULB+SOLV.PT.SOL.INJ 500UI PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ. + 1 SERINGA UMPLUTA. X 5ML SOL. INJ. + 1 SET STERIL DE PERF. + 2 TAMP. ALCOOL + 1 PLASTURE + 1 TAMP. TIFON PR

1

983,148000

1.117,416000

139,064000

46 W58455001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND **

WILATE 1000 1000 UI FVIII/1000 UI FVW PULB+SOLV. PT. SOL. INJ 1000 UI FVIII/1000 UI FVW OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) PR

1

1.862,890000

2.068,700000

0,000000

47 W58454001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND **

WILATE 500 500 UI FVIII/500 UI FVW PULB+SOLV. PT. SOL. INJ 500 UI FVIII/500 UI FVW OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL) PR

1

943,580000

1.066,650000

0,000000

48 W61007001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND **

IMMUNATE 1000 UI FVIII/750 UI FVW PULB.+SOLV. PT. SOL. INJ. 1000 UI /750 UI BAXTER AG AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR

1

1.326,310000

1.483,830000

0,000000

49 W62888001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND **

IMMUNATE 1000 UI FVIII/750 UI FVW PULB.+SOLV. PT. SOL. INJ. 1000 UI /750 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE PR

1

1.326,310000

1.483,830000

0,000000

50 W62886001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND **

IMMUNATE 250 UI FVIII/190 UI FVW PULB.+SOLV. PT. SOL. INJ. 250 UI /190 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIEPR

1

352,180000

422,030000

0,000000

51 W61005001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND **

IMMUNATE 250 UI FVIII/190 UI FVW PULB.+SOLV. PT. SOL. INJ. 250 UI /190 UI BAXTER AG AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIEPR

1

352,180000

422,030000

0,000000

52 W62887001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND **

IMMUNATE 500 UI FVIII/375 UI FVW PULB.+SOLV. PT. SOL. INJ. 500 UI /375 UI BAXALTA INNOVATIONS GMBH AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIEPR

1

640,540000

736,340000

0,000000

53 W61006001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND **

IMMUNATE 500 UI FVIII/375 UI FVW PULB.+SOLV. PT. SOL. INJ. 500 UI /375 UI BAXTER AG AUSTRIA CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIEPR

1

640,540000

736,340000

0,000000

54 W52389001 B02BD06 FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND **

HAEMATE P 500 UI PULB.+SOLV. PT. SOL. INJ. SAU PERF. 500UI+1200UI CSL BEHRING GMBH GERMANIA PACHET DE 500 UI CONTINE:1 CUTIE CU 1 FL.PULB+1 FL. CU 10ML APA PT PREP.INJ. 1 CUTIE CU DIZPOZ. DE ADMINISTRARE CONTINE:1DISPOZ. DE TRANSFER CU FILTRU 20/20+1SERINGA CU CAPAC. 10 ML+1SET PT PUNCTIE VENOASA+2 TAMPOANE ALCOOL+1PANSAMENT NESTERIL P-RF

1

982,470000

1.109,040000

0,000000

55 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM **

NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR

1

2.459,210000

2.718,690000

0,000000

56 W53034001 B02BD08 EPTACOG ALFA ACTIVATUM **

NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE PR

1

2.431,230000

2.688,190000

0,000000

57 W02408001 V03AC01 DEFEROXAMINUM ** 3)

DESFERAL PULB. PT. SOL. INJ./PERF. 500mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF. PR

10

11,240000

13,722000

0,000000

58 W64440001 V03AC03 DEFERASIROXUM **1

EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR

28

25,252142

28,887500

0,000000

59 W51484001 V03AC03 DEFERASIROXUM **1

EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR

28

25,252142

28,887500

0,000000

60 W51485001 V03AC03 DEFERASIROXUM **1

EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR

28

46,320714

51,852142

0,000000

61 W64441001 V03AC03 DEFERASIROXUM **1

EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR

28

46,320714

51,852142

0,000000

62 W64442001 V03AC03 DEFERASIROXUM **1

EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR

28

91,288928

100,867500

0,000000

63 W51486001 V03AC03 DEFERASIROXUM **1

EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR

28

91,288928

100,867500

0,000000

64 W64443001 V03AC03 DEFERASIROXUM **1

EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR

30

46,439666

51,891000

0,000000

65 W63463001 V03AC03 DEFERASIROXUM **1

EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR

30

46,439666

51,891000

0,000000

66 W64444001 V03AC03 DEFERASIROXUM **1

EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR

30

91,878666

101,419666

0,000000

67 W63464001 V03AC03 DEFERASIROXUM **1

EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR

30

91,878666

101,419666

0,000000

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

31

P6.2: EPIDERMOLIZA BULOASA

1 W53799002 D05BB02 ACITRETINUM

NEOTIGASON 10 mg

CAPS.

10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.

P-RF

30

1,253666

1,639666

0,000000

2 W54946001 D06AA04 TETRACYCLINUM

TETRACICLINA ATB 30 mg/g

UNGUENT

30mg/g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 TUB AL X 12 G UNGUENT

P-RF

1

6,220000

8,410000

0,000000

3 W59985001 D06AX01 ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

CREMA

20mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

1

8,350000

11,290000

0,000000

4 W59986001 D06AX01 ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

UNGUENT

20mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-RF

1

8,430000

11,400000

0,000000

5 W54309001 D06BA01 SULFADIAZINUM

FLAMMAZINE

CREMA

1% CN UNIFARM ROMANIA CUTIE X 500 G CREMA

PRF

1

83,630000

105,740000

0,000000

6 W60525001 D07CA01 COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

FUCIDIN H

CREMA

20mg/g+10mg/g LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF

1

16,400000

22,160000

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

7 W59725001 D07CC01 BETAMETHASONUM+GENTAMICINUM+CLOTRIMAZOLUM TRESYL CREMA FARA CONCENTRATIE FITERMAN PHARMA S.R.L. ROMANIA CUTIE CU 1 TUB DIN AL FILMAT LA INTERIOR CU LAC EPOXIFENOLIC X 15 G CREMA P6L

1

7,800000

10,540000

0,000000

8 W57219001 D07CC01 COMBINATII TRIDERM® CREMA 0,5mg+10mg+1mg/g MERCK SHARP DOHME ROMANIA CUTIE X 1 TUB AL X 15 G P-RF

1

7,170000

9,690000

0,000000

9 W57648001 D07CC01 COMBINATII DIPROGENTA 0,5 mg/1 mg pe gram CREMA 0,5mg/1mg/g MERCK SHARP DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF

1

5,100000

6,900000

0,340000

10 W57224001 D07CC01 COMBINATII TRIDERM UNGUENT 0,5mg+10mg+1mg/g MERCK SHARP DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF

1

8,604000

11,628000

5,032000

11 W57649001 D07CC01 COMBINATII DIPROGENTA 0,5 mg/1 mg pe gram UNGUENT 0,5mg/1mg/g MERCK SHARP DOHME ROMANIA CUTIE X 1 TUB DIN AL X 15 G UNGUENT P-RF

1

4,250000

5,750000

0,000000

12 W59984002 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMA A/S DANEMARCA CUTIE CU 1 TUB DIN AL X 20 G CREMA PRF

1

21,920000

29,630000

0,000000

13 W59984001 D07CC01 COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM) FUCICORT 20 mg/1mg pe gram CREMA 20mg/1mg pe gram LEO PHARMA A/S DANEMARCA CUTIE X 1 TUB DIN AL X 15 G CREMA P-RF

1

16,870000

22,800000

0,000000

14 W12701002 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 50 BLIST., AL/PVC X 10 CAPS. P-RF/S

500

0,112120

0,141760

0,000000

15 W12701001 J01AA07 TETRACYCLINUM TETRACICLINA ARENA 250 mg CAPS. 250mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST., AL/PVC X 10 CAPS. P-RF

20

0,121000

0,163500

0,000000

16 W56910001 J01AA07 TETRACYCLINUM TETRACICLINA ATB 250 mg CAPS. 250mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. PRF

20

0,134544

0,170112

0,183388

17 W12143001 N03AB02 PHENYTOINUM FENITOINA RICHTER 100 mg COMPR. 100mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-6L

20

0,111500

0,151000

0,000000

18 W64010002 N03AB02 PHENYTOINUM FENITOINA SODICA ACCORD 50 mg/ml SOL INJ./PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FIOLE IN TAVITA DIN POLISTIREN, DIN STICLA TRANSPARENTA CU CAPACITATEA DE 5 ML X 5 ML SOL. INJ./PERF. PRF

5

10,292000

13,014000

0,000000

19 W64010005 N03AB02 PHENYTOINUM FENITOINA SODICA ACCORD 50 mg/ml SOL INJ./PERF. 50mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 5 FIOLE IN BLISTER DIN PVC/HARTIE, DIN STICLA TRANSPARENTA CU CAPACITATEA DE 5 ML X 5 ML SOL. INJ./PERF. PRF

5

10,292000

13,014000

0,000000

20 W55235001 N03AB02 PHENYTOINUM PHENHYDAN 250 mg/5 ml SOL. INJ. 250mg/5ml DESITIN ARZNEIMITTEL GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ. P-RF

5

11,502000

14,544000

0,000000

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

P6.3: HIPERTENSIUNE PULMONARA

1 W43049001 C02KX01 BOSENTANUM **

TRACLEER 125 mg

COMPR. FILM. 125mg

ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. P-RF/R

56

32,556000

36,303642

53,258500

2 W63291002 C02KX01 BOSENTANUM **

BOPAHO 125 mg

COMPR. FILM. 125mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR

56

27,130000

30,253035

0,000000

3 W60937001 C02KX04 MACITENTANUM ** OPSUMIT COMPR. FILM. 10mg ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X BLISTERE ALBE DIN FOLIE OPACA PVC-PE-PVDC/AL X 30 COMPRIMATE FILMATE PR

30

290,522000

317,941000

0,000000

4 W63713001 C02KX05 RIOCIGUAT **

ADEMPAS 0,5mg

COMPR. FILM. 0,5mg

BAYER AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

5 W60680001 C02KX05 RIOCIGUAT **

ADEMPAS 0,5mg

COMPR. FILM. 0,5mg

BAYER PHARMA AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

6 W60682001 C02KX05 RIOCIGUAT **

ADEMPAS 1,5mg

COMPR. FILM. 1,5mg

BAYER PHARMA AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

7 W63715001 C02KX05 RIOCIGUAT **

ADEMPAS 1,5mg

COMPR. FILM. 1,5mg

BAYER AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

8 W63714001 C02KX05 RIOCIGUAT **

ADEMPAS 1mg

COMPR. FILM. 1mg

BAYER AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

9 W60681001 C02KX05 RIOCIGUAT **

ADEMPAS 1mg

COMPR. FILM. 1mg

BAYER PHARMA AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

10 W63717001 C02KX05 RIOCIGUAT **

ADEMPAS 2,5mg

COMPR. FILM. 2,5mg

BAYER AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

11 W60684001 C02KX05 RIOCIGUAT **

ADEMPAS 2,5mg

COMPR. FILM. 2,5mg

BAYER PHARMA AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

12 W63716001 C02KX05 RIOCIGUAT **

ADEMPAS 2mg

COMPR. FILM. 2mg

BAYER AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

13 W60683001 C02KX05 RIOCIGUAT **

ADEMPAS 2mg

COMPR. FILM. 2mg

BAYER PHARMA AG

GERMANIA CUTIE X BLISTERE DIN FOLIE DE AL/PP X 42 COMPRIMATE FILMATE

PR

42

105,886666

116,325000

0,000000

14 W63139001 G04BE03 SILDENAFILUM **

MYSILDECARD 20 mg

COMPR. FILM. 20mg

MYLAN S.A.S

FRANTA CUTIE CU BLIST. PVC-AL X 90 COMPR. FILM.

PR

90

10,491466

11,944399

3,526489

15 W63429002 G04BE03 SILDENAFILUM **

BALCOGA 20 mg

COMPR. FILM. 20mg

SANDOZ S.R.L.

ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 90 COMPR. FILM.

PRF

90

10,171000

11,510333

0,000000

16 W63675002 G04BE03 SILDENAFILUM **

SILDENAFIL TEVA 20 mg

COMPR. FILM. 20mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 90 COMPR. FILM. PR

90

9,241111

10,496666

0,000000

17 W42831001 G04BE03 SILDENAFILUM **

REVATIO 20 mg

COMPR. FILM. 20mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM. PR

90

10,265666

11,613444

0,000000

18 W63626001 G04BE03 SILDENAFILUM **

GRANPIDAM 20 mg

COMPR. FILM. 20mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PR

90

8,742888

9,953666

0,000000

19 W63626002 G04BE03 SILDENAFILUM **

GRANPIDAM 20 mg

COMPR. FILM. 20mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 90X1 COMPR. FILM. PR

90

8,742888

9,953666

0,000000

20 W60083001 G04BE03 SILDENAFILUM **

REVATIO 10mg/ml

SUSP. ORALA 10mg/ml

PFIZER LIMITED MAREA BRITANIE CUTIE CU UN FLACON DIN STICLA BRUNA CE CONTINE 32,27 G DE PULBERE PENTRU SUSP. ORALA PR

1

1.004,570000

1.133,130000

0,000000

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

P6.4: MUCOVISCIDOZA

1 W63492001 J01FA09 CLARITHROMYCINUM

KLACID SR 500 mg

COMPR. ELIB. PREL. 500mg

MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF

5

1,578000

2,132570

0,653430

2 W62391001 J01FA09 CLARITHROMYCINUM

KLACID SR 500 mg

COMPR. ELIB. PREL. 500mg

BGP PRODUCTS LTD. MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF

5

1,578000

2,132570

0,653430

3 W62390002 J01FA09 CLARITHROMYCINUM

KLACID 250 mg

COMPR. FILM. 250mg

BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF

14

0,786000

1,062857

0,987857

4 W08490001 J01FA09 CLARITHROMYCINUM

FROMILID 250

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF

14

0,786000

1,062857

0,237857

5 W44093001 J01FA09 CLARITHROMYCINUM

KLABAX 250 mg

COMPR. FILM. 250mg

TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

14

0,786000

1,062857

0,082857

6 W14043001 J01FA09 CLARITHROMYCINUM

KLERIMED (R) 250

COMPR. FILM. 250mg

MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF

14

0,786000

1,062857

0,156428

32

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

7 W60253004 J01FA09 CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR. FILM. 250mg

SANDOZ S.R.L.

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

14

0,655000

0,885714

0,000000

8 W60254003 J01FA09 CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR. FILM. 500mg

SANDOZ S.R.L.

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

14

1,315000

1,777142

0,000000

9 W14044001 J01FA09 CLARITHROMYCINUM

KLERIMED (R) 500

COMPR. FILM. 500mg

MEDOCHEMIE LTD.

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

14

1,489285

2,012857

0,000000

10 W54044001 J01FA09 CLARITHROMYCINUM

ROCLARIN 500 mg

COMPR. FILM. 500mg

ANTIBIOTICE S.A.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM. P-RF

20

1,489000

1,947500

0,000000

11 W08491001 J01FA09 CLARITHROMYCINUM

FROMILID 500

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

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

14

1,497857

2,024285

0,000000

12 W44087001 J01FA09 CLARITHROMYCINUM

KLABAX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF

14

1,578000

2,132570

0,016001

13 W41838002 J01FA09 CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL. 500mg

KRKA D.D.

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

7

1,578000

2,132570

0,431715

14 W62389002 J01FA09 CLARITHROMYCINUM

KLACID 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF

1

20,470000

27,670000

0,000000

15 W44092001 J01FA09 CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF

1

9,990000

13,500000

0,000000

16 W62389001 J01FA09 CLARITHROMYCINUM

KLACID 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5ml BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 FLAC. PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML PRF

1

11,988000

16,200000

4,570000

17 W44091001 J01FA09 CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5ml TERAPIA SA ROMANIA CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA P-RF

1

15,804000

21,360000

12,130000

18 W58393002 J01FA09 CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA PRF

1

13,170000

17,800000

0,000000

19 W62343001 J01FA09 CLARITHROMYCINUM

KLACID I.V. 500 mg

PULB. PT. CONC. PT. SOL. PERF. 500mg MYLAN MEDICAL SAS FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA I, DE CAPACITATE 15 ML CONTINAND PULB. PT. CONC. PT. SOL. PERF. PRF

1

31,830000

41,630000

0,000000

20 W63722001 J01GB01 TOBRAMYCINUM **

TOBRAMICINA VIA PHARMA 300 mg/5 ml

SOL. DE INHALAT PRIN NEBULIZ. 300mg/5ml UAB VIA PHARMA LITUANIA CUTIE CU 56 DE FIOLE DE UNICA FOLOSINTA DIN PJD A CATE 5 ML SOL. DE INHALAT PRIN NEBULIZATOR, DISPUSE IN 8 PUNGI SIGILATE CU CATE 7 FIOLEPRF

56

60,529464

66,658392

0,000000

21 W52060001 J01GB01 TOBRAMYCINUM **

TOBI (R)

SOL. INHAL. 300mg/5ml NOVARTIS PHARMA GMBH GERMANIA CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5 ML SOL. DE INHALAT PRIN N P-RF

56

58,080892

63,989464

0,000000

22 W63762001 J01GB01 TOBRAMYCINUM **

TOBRAMICINA SUN 300 mg

SOL. PT. NEBULIZATOR 300mg SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V. OLANDA CUTIE CU 56 FIOLE AMBALATE IN PUNGI DE FOLIE LAMINATA DIN PEJD A CATE 5 ML SOL. DE INHALAT PRIN NEBULIZATOR, DISPUSE IN 14 PUNGI SIGILATE CU CATE 4 FIOLE PRF

56

60,529464

66,658392

0,000000

23 W61214001 R05CB13 DORNAZA ALFA **

PULMOZYME 2500 U/2,5 ml

SOL. DE INHALAT PRIN NEBULIZATOR 2500U/2,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL PR

6

72,890000

85,808333

0,000000

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

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

33

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

1 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR

10

1.466,208000

1.601,984000

0,000000

2 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR

1

396,840000

470,710000

0,000000

3 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR

10

360,762000

397,046000

0,000000

4 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR

10

186,420000

207,013000

0,000000

5 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR

1

763,680000

870,560000

0,000000

6 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR

10

736,680000

806,797000

0,000000

7 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR

1

1.497,410000

1.670,330000

0,000000

8 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR

10

612,682000

671,639000

0,000000

9 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR

1

641,400000

737,280000

0,000000

10 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR

1

932,550000

1.054,630000

0,000000

11 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR

1

408,030000

482,900000

0,000000

12 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR

1

3.674,450000

4.043,310000

0,000000

13 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR

1

1.835,250000

2.038,570000

0,000000

14 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

PANZYGA 100 mg/ml

SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR

1

966,910000

1.092,080000

0,000000

15 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 10g/200ml

SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

2.028,690000

2.249,430000

0,000000

16 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 1g/20ml

SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

219,860000

268,400000

0,000000

17 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 2,5g/50ml

SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

529,670000

615,490000

0,000000

18 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF

1

205,730000

251,160000

0,000000

19 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF

1

1.040,030000

1.171,780000

0,000000

20 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF

1

1.900,320000

2.109,500000

0,000000

21 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF

1

523,800000

609,090000

0,000000

22 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM

SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S

1

490,690000

573,000000

0,000000

23 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM

SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S

1

1.859,420000

2.064,920000

0,000000

24 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM

SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S

1

949,870000

1.073,510000

0,000000

25 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 5g/100ml

SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

1.029,340000

1.160,130000

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

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

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

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

1 W12590001 N07XX02 RILUZOLUM ** RILUTEK 50 mg COMPR. FILM. 50mg AVENTIS PHARMA SA FRANTA CUTIE X 4 BLIST. X 14 COMPR. PR 56 6,094107 7,323750 0,000000

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

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.3: Tratamentul medicamentos al bolnavilor cu polineuropatie familială amiloidă cu transtiretină

1 W64784001 N07XX08 TAFAMIDIS **

VYNDAQEL

CAPS. MOI 20mg

PFIZER EUROPE MA EEIG BELGIA CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR

30

1.248,817000

1.362,484000

0,000000

2 W59336001 N07XX08 TAFAMIDIS **

VYNDAQEL

CAPS. MOI 20mg

PFIZER LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI PR

30

1.248,817000

1.362,484000

0,000000

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

P6.6: OSTEOGENEZA IMPERFECTA

1 W58123006 M05BA03 ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 2 ML

PR

1

146,810000

179,220000

0,000000

2 W58123007 M05BA03 ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF. 15mg/ml CHIESI PHARMACEUTICALS GMBH AUSTRIA CUTIE X 1 FIOLA PE X 4 ML

PR

1

281,810000

344,030000

0,000000

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

P6.7: SINDROM PRADER WILLI

1 W05539002 H01AC01 SOMATROPINUM **

GENOTROPIN 16 UI/ml (5,3 mg/ml) PULB. + SOLV. PT. SOL. INJ. 16UI/ml (5,3mg/ml) PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ. P-RF

1

334,270000

402,500000

0,000000

2 W64823002 H01AC01 SOMATROPINUM **

GENOTROPIN 16 UI/ml (5,3 mg/ml) PULB. + SOLV. PT. SOL. INJ. 16UI/ml(5,3mg/ml) PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 CARTUS BICAMERAL MULTIDOZA CARE CONTINE PULB. SI SOLV. PT. SOL. INJ. PRF

1

334,270000

402,500000

0,000000

3 W07530001 H01AC01 SOMATROPINUM **

ZOMACTON PULB. + SOLV. PT. SOL. INJ. 4mg (12ui) FERRING GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV. PR/PRF

1

394,140000

467,760000

0,000000

4 W63194001 H01AC01 SOMATROPINUM **

OMNITROPE 10 mg/1,5 ml SOL INJ. IN CARTUS 10mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. (PENTRU SUREPAL 10) PR/PRF

1

632,710000

727,810000

0,000000

5 W63193001 H01AC01 SOMATROPINUM **

OMNITROPE 5 mg/1,5 ml SOL INJ. IN CARTUS 5mg/1,5ml SANDOZ GMBH AUSTRIA CUTIE X 1 CARTUS X 1,5 ML SOL.INJ. (PENTRU SUREPAL 5) PR/PRF

1

325,180000

392,600000

0,000000

6 W52345001 H01AC01 SOMATROPINUM **

OMNITROPE 3,3mg/ml SOL. INJ. 3,3mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R

1

334,090000

402,310000

0,000000

7 W52346001 H01AC01 SOMATROPINUM **

OMNITROPE 6,7mg/ml SOL. INJ. 6,7mg/ml SANDOZ GMBH AUSTRIA CUTIE X 1CARTUS X 1,5 ML SOL.INJ. P-RF/R

1

650,180000

746,850000

0,000000

8 W54046001 H01AC01 SOMATROPINUM **

NORDITROPIN SIMPLEXx 10 mg/1,5ml SOL. INJ. IN CARTUS 10mg/1,5ml NOVO NORDISK A/S DANEMARCA CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ. P-RF

1

759,252000

873,372000

286,498000

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

P6.8: BOALA FABRY

1 W08961001 A16AB04 AGALSIDASUM BETA ** FABRAZYME 35 mg PULB. PT. CONC. PT. SOL. PERF. 35mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF. PR 1 11.852,200000 12.957,070000 0,000000

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

P6.9: BOALA POMPE

34

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

1 W51536001 A16AB07 ALGLUCOSIDASUM ALPHA ** MYOZYME 50mg PULB. PT. CONC. PT. SOL. PERF. 50mg GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF. PR 1 1.911,990000 2.122,220000 0,000000

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

P6.10: TIROZINEMIE

1 W51629001 A16AX04 NITISINONUM

ORFADIN 10mg

CAPS.

10mg

SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-RF/R

60

199,600833

218,201000

0,000000

2 W51622001 A16AX04 NITISINONUM

ORFADIN 2mg

CAPS.

2mg

SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-RF/R

60

43,474166

48,022666

0,000000

3 W51627001 A16AX04 NITISINONUM

ORFADIN 5mg

CAPS.

5mg

SWEDISH ORPHAN INTERNATIONAL AB SUEDIA CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-RF/R

60

103,423833

113,368000

0,000000

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

P6.12: MUCOPOLIZAHARIDOZĂ TIP II (SINDROM HUNTER)

1 W51481002 A16AB09 IDURSULFASUM ** ELAPRASE 2mg/ml CONC. PT. SOL. PERF. 2mg/ml SHIRE HUMAN GENETIC THERAPIES AB SUEDIA CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF. S 4 11.059,400000 12.064,300000 0,000000

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

P6.13: MUCOPOLIZAHARIDOZĂ TIP I (SINDROM HURLER)

1 W42203001 A16AB05 LARONIDAZUM ** ALDURAZYME 100UI/ml CONC. PT. SOL. PERF. 100UI/ml GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC. X 5 ML S 1 2.186,500000 2.421,440000 0,000000

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

P6.14: Afibrinogenemie congenitală

1 W13381003 B02BB01 FIBRINOGEN UMAN ** HAEMOCOMPLETTAN P 1 g PULB. PT. SOL. INJ./PERF. 1g CSL BEHRING GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ/PERF. PR 1 1.713,130000 1.905,460000 0,000000

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

35

P6.15: Sindrom de imunodeficienţă primară

1 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ.

165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR

10

1.466,208000

1.601,984000

0,000000

2 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ.

165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR

1

396,840000

470,710000

0,000000

3 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ.

165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR

10

360,762000

397,046000

0,000000

4 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ.

165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR

10

186,420000

207,013000

0,000000

5 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ.

165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR

1

763,680000

870,560000

0,000000

6 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ.

165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR

10

736,680000

806,797000

0,000000

7 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ.

165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR

1

1.497,410000

1.670,330000

0,000000

8 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ.

165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR

10

612,682000

671,639000

0,000000

9 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ.

165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR

1

641,400000

737,280000

0,000000

10 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF.

100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR

1

932,550000

1.054,630000

0,000000

11 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF.

100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR

1

408,030000

482,900000

0,000000

12 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF.

100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR

1

3.674,450000

4.043,310000

0,000000

13 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF.

100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR

1

1.835,250000

2.038,570000

0,000000

14 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

PANZYGA 100 mg/ml

SOL. PERF.

100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR

1

966,910000

1.092,080000

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

15 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 10g/200ml

SOL. PERF. 10g/200ml

KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

2.028,690000

2.249,430000

0,000000

16 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 1g/20ml

SOL. PERF. 1g/20ml

KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

219,860000

268,400000

0,000000

17 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 2,5g/50ml

SOL. PERF. 2,5g/50ml

KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

529,670000

615,490000

0,000000

18 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l

BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF

1

205,730000

251,160000

0,000000

19 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l

BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF

1

1.040,030000

1.171,780000

0,000000

20 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l

BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF

1

1.900,320000

2.109,500000

0,000000

21 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l

BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF

1

523,800000

609,090000

0,000000

22 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM

SOL. PERF. 50mg/ml

OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S

1

490,690000

573,000000

0,000000

23 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM

SOL. PERF. 50mg/ml

OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S

1

1.859,420000

2.064,920000

0,000000

24 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM

SOL. PERF. 50mg/ml

OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S

1

949,870000

1.073,510000

0,000000

25 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 5g/100ml

SOL. PERF. 5g/100ml

KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

1.029,340000

1.160,130000

0,000000

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

P6.16: Scleroza sistemică şi ulcere digitale evolutive

1 W43049001 C02KX01 BOSENTANUM **

TRACLEER 125 mg

COMPR. FILM. 125mg

ACTELION REGISTRATION LTD. MAREA BRITANIE CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM. P-RF/R

56

32,556000

36,303642

53,258500

2 W63291002 C02KX01 BOSENTANUM **

BOPAHO 125 mg

COMPR. FILM. 125mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPACE PVC-PE-PVDC/AL X 56 COMPR. FILM. PR

56

27,130000

30,253035

0,000000

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

P6.17: Purpura trombocitopenică imună idiopatică cronică

1 W53894001 B02BX04 ROMIPLOSTIMUM **1

NPLATE 250mcg

PULB. PT. SOL. INJ. 250mcg

AMGEN EUROPE B.V. OLANDA CUTIE X 1 FLAC X 250MCG PULB. PT. SOL. INJ. S

1

2.414,010000

2.669,420000

0,000000

2 W61698002 B02BX05 ELTROMBOPAG **1 O

REVOLADE 25 mg

COMPR. FILM. 25 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. P-RF/R

28

129,108214

142,090714

0,000000

3 W64445002 B02BX05 ELTROMBOPAG **1 O

REVOLADE 25 mg

COMPR. FILM. 25 mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR

28

129,108214

142,090714

0,000000

4 W64446002 B02BX05 ELTROMBOPAG **1 O

REVOLADE 50 mg

COMPR. FILM. 50 mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. PR

28

257,206428

281,717857

0,000000

5 W61699002 B02BX05 ELTROMBOPAG **1 O

REVOLADE 50 mg

COMPR. FILM. 50 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC/AL X 28 COMPR. FILM. P-RF/R

28

257,206428

281,717857

0,000000

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

P6.18: Pacienţi adulţi şi copii cu hiperfenilalaninemie diagnosticaţi cu fenilcetonurie sau deficit de tetrahidrobiopterină (BH4)

1 W62473002 A16AX07 SAPROPTERINUM **1 KUVAN COMPR. SOLUBILE 100 mg BIOMARIN INTERNATIONAL LIMITED IRLANDA CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE PR 120 94,444083 103,262083 0,000000

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

P6.19: Scleroză tuberoasă

1 W64600002 L01XE10 EVEROLIMUS **1

VOTUBIA

COMPR.

2,5 mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR

30

191,971000

210,520333

0,000000

2 W57284002 L01XE10 EVEROLIMUS **1

VOTUBIA

COMPR.

2,5 mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PR

30

191,971000

210,520333

0,000000

3 W64601001 L01XE10 EVEROLIMUS **1

VOTUBIA

COMPR.

5mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PR

30

375,798000

410,892000

0,000000

4 W57285001 L01XE10 EVEROLIMUS **1

VOTUBIA

COMPR.

5mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PR

30

375,798000

410,892000

0,000000

5 W64603001 L01XE10 EVEROLIMUS **1

VOTUBIA 2 mg

COMPR. PT. DISP. ORALA

2mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR

30

154,139333

169,283666

0,000000

6 W63465001 L01XE10 EVEROLIMUS **1

VOTUBIA 2 mg

COMPR. PT. DISP. ORALA

2mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR

30

154,139333

169,283666

0,000000

7 W64604001 L01XE10 EVEROLIMUS **1

VOTUBIA 3 mg

COMPR. PT. DISP. ORALA

3mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR

30

227,408666

249,147333

0,000000

8 W63466001 L01XE10 EVEROLIMUS **1

VOTUBIA 3 mg

COMPR. PT. DISP. ORALA

3mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR

30

227,408666

249,147333

0,000000

9 W64605001 L01XE10 EVEROLIMUS **1

VOTUBIA 5 mg

COMPR. PT. DISP. ORALA

5mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. AL/PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR

30

375,797333

410,891333

0,000000

36

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

10 W63467001 L01XE10 EVEROLIMUS **1 VOTUBIA 5 mg COMPR. PT. DISP. ORALA 5mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PA/AL/PVC X 30 COMPR. PT. DISPERSIE ORALA PR 30 375,797333 410,891333 0,000000

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

P6.20: Fibroza pulmonară idiopatică

1 W61689002 L01XE31 NINTEDANIBUM **1

OFEV 100 mg

CAPS. MOI 100mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA AMBALAJ CU 60X1 CAPSULE MOI ÎN BLISTERE PERFORATE DIN ALUMINIU PENTRU ELIBERAREA UNUI UNITATII DOZATE

PR

60

78,999333

86,745166

0,000000

2 W61690002 L01XE31 NINTEDANIBUM **1

OFEV 150 mg

CAPS. MOI 150mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA AMBALAJ CU 60X1 CAPSULE MOI ÎN BLISTERE PERFORATE DIN ALUMINIU PENTRU ELIBERAREA UNUI UNITATII DOZATE

PR

60

157,498500

172,309500

0,000000

3 W61951001 L04AX05 PIRFENIDONUM **1

ESBRIET 267mg

CAPS. 267mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE CU BLIST. X 63 CAPSULE

PR

63

35,952698

39,794126

0,000000

4 W64377001 L04AX05 PIRFENIDONUM **1

ESBRIET 267 mg

CAPS. 267mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE CU BLIST. X 63 CAPSULE

PR

63

35,952698

39,794126

0,000000

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

P6.21: Distrofia musculară Duchenne

1 W62140001 M09AX03 ATALURENUM **1

TRANSLARNA 1000 mg

GRANULE PT. SUSP. ORALA 1000mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI

PRF

30

3.409,177666

3.717,280333

0,000000

2 W62138001 M09AX03 ATALURENUM **1

TRANSLARNA 125 mg

GRANULE PT. SUSP. ORALA 125mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI

PRF

30

427,023000

466,727333

0,000000

3 W62139001 M09AX03 ATALURENUM **1

TRANSLARNA 250 mg

GRANULE PT. SUSP. ORALA 250mg PTC THERAPEUTICS INTERNATIONAL LIMITED IRLANDA CUTIE CU 30 PLICURI

PRF

30

853,044333

931,091333

0,000000

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

P6.22: Angioedem ereditar

1 W62758001 B06AC02 ICATIBANTUM **1 FIRAZYR 30 mg SOL. INJ. IN SERINGA PREUMPLUTA 10mg/ml SHIRE ORPHAN THERAPIES GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 3 ML + AC HIPODERMIC P-RF 1 6.885,520000 7.543,380000 0,000000

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

P6.23: Neuropatia optică ereditară Leber

1 W62508001 N06BX13 IDEBENONUM **1 RAXONE 150 mg COMPR. FILM. 150mg SANTHERA PHARMACEUTICALS (DEUTSCHLAND) GMBH GERMANIA CUTIE CU FLAC. PEID X 180 COMPR. FILM. PR 180 95,709888 104,535833 0,000000

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

P6.24: Amiotrofia spinală musculară

1 W64093001 M09AX07 NUSINERSENUM **1 SPINRAZA 12 mg SOL INJ. 2,4mg/ml BIOGEN IDEC LTD MAREA BRITANIE CUTIE CU 1 FLAC. DE 5 ML CONTINE 12 MG NUSINERSEN PR 1 325.900,580000 355.270,240000 0,000000

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

37

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

1 W00231001 A11CC03 ALFACALCIDOLUM

ALPHA D3 0,25 mcg

CAPS. MOI 0,25mcg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF

50

0,459000

0,620400

0,000000

2 W58167002 A11CC03 ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,25 mcg

CAPS. MOI 0,25μg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

30

0,550800

0,744480

0,061853

3 W44042001 A11CC03 ALFACALCIDOLUM

ALPHA D3 0,50 mcg

CAPS. MOI 0,50mcg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF

30

0,846666

1,107333

0,000000

4 W58168002 A11CC03 ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,5 mcg

CAPS. MOI 0,5μg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

30

0,913000

1,194000

0,000000

5 W55847001 A11CC03 ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. S

10

11,558000

14,110000

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

10

22,044000

26,911000

0,000000

100

0,565500

0,715000

0,000000

1

10,770000

14,560000

0,000000

1

36,610000

47,890000

0,000000

28

1,264285

1,653571

0,000000

28

1,264285

1,653571

0,000000

28

1,953928

2,470357

0,000000

2

1.362,240000

1.503,920000

0,000000

  1. 6 W55847002 A11CC03 ALFACALCIDOLUM ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. S

  2. 7 W51334002 A11CC04 CALCITRIOLUM ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI. P6L

  3. 8 W55402001 G03CA03 ESTRADIOLUM OESTROGEL 0,6 mg/g GEL 0,6mg/g LABORATOIRES BESINS INTERNATIONAL FRANTA CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN P-6L

    10 W63437001 G03CX01 TIBOLONUM

    LIVIAL 2,5 mg

    COMPR.

    2,5mg

    11 W12902001 G03CX01 TIBOLONUM

    LIVIAL (R) 2,5 mg

    COMPR.

    2,5mg

  4. 9 W62058001 G03CA03 ESTRADIOLUM LENZETTO 1,53 mg/doza SPRAY TRANSDERMIC, SOL. 1,53mg/doza GEDEON RICHTER ROMANIA S.A. ROMANIA CUTIE CU UN FLAC. DIN STICLA CARE CONTINE 8,1 ML SOL., PREVAZUT CU O POMPA DOZATOARE P6L

12 W53455002 G03XC01 RALOXIFENUM

EVISTA 60mg

COMPR. FILM. 60mg

13 W42160002 H01AB01 TIREOTROPINUM ALFA

THYROGEN 0,9 mg

PULB. PT. SOL. INJ. 0,9mg

14 W04224001 H02AB04 METHYLPREDNISOLONUM

MEDROL A 16

COMPR. 16mg

MERCK SHARP DOHME ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 28 COMPR. PRF ORGANON NV OLANDA CUTIE X 1 BLIST. X 28 COMPR. P-RF DAIICHI SANKYO EUROPE GMBH GERMANIA CUTIE X 28 COMPR. FILM. (BLIST. ACLAR) P-RF

GENZYME EUROPE BV OLANDA CUTIE X 2 FLACOANE S

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

50

0,423400

0,572200

0,000000

15 W04222001 H02AB04 METHYLPREDNISOLONUM MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

20

0,961500

1,299500

0,000000

16 W04237001 H02AB04 METHYLPREDNISOLONUM

SOLU – MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV P-RF

1

15,960000

21,570000

0,000000

17 W08307001 H02AB04 METHYLPREDNISOLONUM

LEMOD SOLU 125 mg PULB+SOLV. PT. SOL. INJ./PERF. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML PRF

1

6,870000

9,280000

0,000000

18 W08310001 H02AB04 METHYLPREDNISOLONUM

LEMOD SOLU 500 mg

PULB+SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML PRF 1 24,170000 32,670000 0,000000

19 W57399003 H03AA01 LEVOTHYROXINUM

EUTHYROX 100μg

COMPR. 100μg MERCK KGAA GERMANIA CUTIE X 4 BLIST. PVC/AL X 25 COMPR. P-6L 100 0,094600 0,127900 0,000000

20 W57396003 H03AA01 LEVOTHYROXINUM

EUTHYROX 25μg

COMPR.

25μg

MERCK KGAA

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

P-6L

100

0,066900

0,090400

0,000000

21 W57398002 H03AA01 LEVOTHYROXINUM

EUTHYROX 50μg

COMPR.

50μg

MERCK KGAA

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

P-6L

100

0,066900

0,090400

0,000000

22 W61162002 H03AA01 LEVOTHYROXINUM

ACCU-THYROX 100 micrograme/5 ml SOL. ORALA 100micrograme/5ml GALENICA S.A.

GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L

2

15,785000

20,650000

0,000000

23 W61160002 H03AA01 LEVOTHYROXINUM

ACCU-THYROX 25 micrograme/5 ml SOL. ORALA 25micrograme/5ml GALENICA S.A.

GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L

2

14,460000

18,915000

0,000000

24 W61161002 H03AA01 LEVOTHYROXINUM

ACCU-THYROX 50 micrograme/5 ml SOL. ORALA 50micrograme/5ml GALENICA S.A.

GRECIA CUTIE CU 2 FLAC. DIN STICLA BRUNA CONTINAND 75 ML SOL. ORALA SI 1 SERINGA DOZATOARE DE 5 ML GRADATA LA 0,1 ML SI 1 ADAPTOR PT. FLACON SAU O LINGURITA DUBLA DIN PLASTIC DE 2,5/5 ML P6L

2

14,460000

18,915000

0,000000

25 W54546003 H03BB02 THIAMAZOLUM

THYROZOL 10 mg

COMPR. FILM. 10mg

MERCK KGAA

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L

50

0,334200

0,451800

0,000000

26 W54545003 H03BB02 THIAMAZOLUM

THYROZOL 20mg

COMPR. FILM. 20mg

MERCK KGAA

GERMANIA CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM. P-6L

50

0,412400

0,557400

0,000000

27 W54547004 H03BB02 THIAMAZOLUM

THYROZOL 5 mg

COMPR. FILM. 5mg

MERCK KGAA

GERMANIA CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM. P6L

100

0,249600

0,337300

0,000000

28 W03843004 H03CA01 KALII IODIDUM

JODID 100

COMPR. 100mcg

MERCK KGAA

GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. P-RF

100

0,099200

0,134100

0,000000

29 W54297001 M05BA04 ACIDUM ALENDRONICUM ** TEVANAT 70 mg COMPR. 70 mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L

4

2,107500

2,847500

0,000000

30 W58352002 M05BA04 ACIDUM ALENDRONICUM ** ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR. P6L

4

1,937500

2,620000

0,000000

31 W60296004 M05BA04 ACIDUM ALENDRONICUM **

FOSAMAX 70 mg

COMPR.

70mg

MERCK SHARP DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L

2

2,325000

3,144000

6,176000

32 W60296002 M05BA04 ACIDUM ALENDRONICUM **

FOSAMAX 70 mg

COMPR.

70mg

MERCK SHARP DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L

4

2,325000

3,144000

5,878500

33 W52948001 M05BA04 ACIDUM ALENDRONICUM ** ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 2,325000 3,144000 2,011000

34 W56763002 M05BA04 ACIDUM ALENDRONICUM **

ADRONIK 70 mg

COMPR. FILM. 70mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L

2

2,325000

3,144000

6,176000

35 W56763001 M05BA04 ACIDUM ALENDRONICUM **

ADRONIK 70 mg

COMPR. FILM. 70mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L

12

2,325000

3,144000

5,425166

36 W56763003 M05BA04 ACIDUM ALENDRONICUM **

ADRONIK 70 mg

COMPR. FILM. 70mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L

4

2,325000

3,144000

5,878500

37 W60074002 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT SODIC ZENTIVA 35mg COMPR. FILM. 35mg ZENTIVA KS REPUBLICA CEHA CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE P-6L 4

2,892500

3,910000

0,000000

38 W54377002 M05BA07 ACIDUM RISEDRONICUM ** LORINE 35mg COMPR. FILM. 35mg ANTIBIOTICE S.A. ROMANIA CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM. P-6L 4

3,471000

4,692000

2,915500

39 W59460003 M05BA07 ACIDUM RISEDRONICUM **

RISEDRONAT AUROBINDO 35 mg COMPR. FILM. 35mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L

4

2,892500

3,910000

0,000000

40 W61163003 M05BA07 ACIDUM RISEDRONICUM **

ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L

4

3,471000

4,692000

6,633000

41 W55565003 M05BA07 ACIDUM RISEDRONICUM **

OSODENS 35 mg

COMPR. FILM. 35mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM. P-6L 4 3,471000 4,692000 2,913000

42 W61164001 M05BA07 ACIDUM RISEDRONICUM ** ACTONEL 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L

2

17,975000

23,510000

0,000000

43 W62565001 M05BA07 ACIDUM RISEDRONICUM ** RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L

2

17,070000

22,330000

0,000000

44 W64472001 M05BA08 ACIDUM ZOLEDRONICUM **

ACLASTA 5mg/100ml SOL. PERF.

5mg/100ml NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP. PR

1

815,860000

927,440000

0,000000

45 W42407001 M05BA08 ACIDUM ZOLEDRONICUM **

ACLASTA 5mg/100ml SOL. PERF.

5mg/100ml NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLACON PLASTIC (POLIMER CICLOOLEFINIC) X 100ML SOLUTIE PERFUZABILA INCHIS CU UN DOP DIN CAUCIUC BROMOBUTILIC ACOPERIT CU FLUORO-POLIMER + 1 CAPAC ALUMINIU/POLIPROPILENA CU COMPONENTA FLIP PR

1

815,860000

927,440000

0,000000

46 W42702002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) **

FOSAVANCE 70mg/2800UI COMPR.

70mg/2800UI MERCK SHARP DOHME MAREA BRITANIE CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P-6L

4

6,060000

8,190000

0,832500

47 W64728002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) **

FOSAVANCE 70mg/2800UI COMPR.

70mg/2800UI MERCK SHARP DOHME OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L

4

6,060000

8,190000

0,832500

48 W63914002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) **

ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/2800 UI COMPR.

70mg/2800UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L

4

5,050000

6,825000

0,000000

49 W63922002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) **

ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/2800 UI COMPR.

70mg/2800UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L

4

6,060000

8,190000

4,670000

50 W62143003 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) **

DA-BONE 70 mg/5600 UI COMPR.

70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR P6L

4

4,622500

6,247500

0,000000

51 W63074002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL SANDOZ 70 mg/5600 UI COMPR. 70mg/5600UI SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. AL/AL X 4 COMPR. P6L 4

5,547000

7,497000

0,058000

52 W62143001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR.

70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. P6L

4

5,547000

7,497000

0,118000

53 W62143002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** DA-BONE 70 mg/5600 UI COMPR.

70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4X1 COMPR. P6L

4

5,547000

7,497000

0,118000

54 W64729001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** FOSAVANCE 70mg/5600UI COMPR.

70mg/5600UI MERCK SHARP DOHME OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L

2

5,547000

7,497000

1,823000

55 W63915002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/5600 UI COMPR.

70mg/5600UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L

4

5,050000

6,825000

0,000000

56 W63923002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ** ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/5600 UI COMPR.

70mg/5600UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L

4

5,447500

7,362500

0,000000

38

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

57 W52559001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) **

FOSAVANCE 70mg/5600UI

COMPR.

70mg/5600UI MERCK SHARP DOHME MAREA BRITANIE CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P-6L

2

5,547000

7,497000

1,823000

58 W62746005 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 2.59 GBQ S

1

58,212000

76,140000

880,780000

59 W62746008 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 370 MBQ S

1

270,770000

330,560000

0,000000

60 W62746006 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 259 MBQ S

1

355,170000

425,290000

0,000000

61 W62746002 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 1.85 GBQ S

1

25,824000

34,908000

616,932000

62 W62746007 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 3.7 GBQ S

1

1.064,030000

1.197,940000

0,000000

63 W62746010 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 74 MBQ S

1

335,670000

404,030000

0,000000

64 W62746004 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 185 MBQ S

1

247,690000

302,380000

0,000000

65 W62746001 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 1.11 GBQ S

1

543,750000

630,840000

0,000000

66 W62746003 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 111 MBQ S

1

335,670000

404,030000

0,000000

67 W62746009 V10XA01 NATRII IODIDUM (131I)

THERACAP 131

CAPS.

37MBq-5,55GBq GE HEALTHCARE LIMITED MAREA BRITANIE CONTAINER DIN PLUMB X 1 CAPSULA 37 MBQ S

1

229,350000

279,990000

0,000000

68 W62679007 V10XA01 NATRII IODIDUM (131I)

THYROTOP-131 38-7400 MBq

CAPS. PT UZ TERAPEUTIC

38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 2590 MBQ PR

1

48,510000

63,450000

0,000000

69 W62679006 V10XA01 NATRII IODIDUM (131I)

THYROTOP-131 38-7400 MBq

CAPS. PT UZ TERAPEUTIC

38-7400MBq CN UNIFARM S.A. ROMANIA CONTAINER DIN PLUMB AMBALAT INTR-UN CONTAINER DIN METAL, SIGILAT CU UN INVELIS DETASABIL CARE CONTINE O CAPSULA PT. UZ TERAPEUTIC 1850 MBQ PR

1

21,520000

29,090000

0,000000

70 W58679006 V10XA01 NATRII IODIDUM (131I)

MONIYOT-131

SOL. ORALA PT. UZ TERAPEUTIC

14,8-3700MBq MONROL EUROPE S.R.L. ROMANIA CUTIE CU 1 CONTAINER DIN PLUMB CU 1 FLAC. A 10 ML SOL. ORALA 25 MCI PR

1

248,460000

303,320000

0,000000

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

39

P9.1: TRANSPLANT MEDULAR

1 W56153001 A04AA01 ONDANSETRONUM **

OSETRON 4 mg

COMPR. FILM. 4mg

DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF

10

1,539000

2,080000

0,000000

2 W56154001 A04AA01 ONDANSETRONUM **

OSETRON 8 mg

COMPR. FILM. 8mg

DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM. P-RF

10

2,692000

3,521000

0,000000

3 W63617005 A04AA01 ONDANSETRONUM **

ONDANSETRON AUROBINDO 2 mg/ml

SOL INJ./PERF. 2mg/ml

AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 4 ML SOL. INJ./PERF. PR

5

7,236000

9,466000

0,000000

4 W63617002 A04AA01 ONDANSETRONUM **

ONDANSETRON AUROBINDO 2 mg/ml

SOL INJ./PERF. 2mg/ml

AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I, PREVAZUTE CU PUNCT DE RUPERE SAU MARCAJ LINIAR X 2 ML SOL. INJ./PERF. PR

5

3,808000

5,146000

0,000000

5 W57424001 A04AA01 ONDANSETRONUM **

OSETRON 8 mg SOLUTIE INJECTABILA

SOL. INJ. 2mg/ml

DR. REDDY'S LABORATORIES ROMANIA CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ. S/P-RF

5

7,310000

9,562000

0,000000

6 W57423001 A04AA01 ONDANSETRONUM **

OSETRON 4 mg SOLUTIE INJECTABILA

SOL. INJ. 2mg/ml

DR. REDDY'S LABORATORIES ROMANIA CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ. S/P-RF

5

3,846000

5,198000

0,000000

7 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS. P-6L

50

0,937200

1,225800

0,000000

8 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS. P6L

100

0,920800

1,164200

0,000000

9 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM. 500mg

DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM. P6L

100

2,219100

2,709100

0,000000

10 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP. ORALA 250mg/5ml

DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L

1

81,200000

102,670000

0,000000

11 W64629001 B02AA02 ACIDUM TRANEXAMICUM 4)

ACIDO TRANEXAMICO BIOINDUSTRIA L.I.M. 500 mg/5 ml

SOL. INJ. PT. ADM. I.V.SI ORALA 500mg/5ml

CN UNIFARM S.A. ROMANIA CUTIE CU 5 FIOLE X 5 ML SOL. INJ. PR

5

2,728000

3,686000

0,000000

12 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM **

NOVOSEVEN 1 mg (50 KUI)

PULB. + SOLV. PT. SOL. INJ. 50 KIU

NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR

1

2.459,210000

2.718,690000

0,000000

13 W53034001 B02BD08 EPTACOG ALFA ACTIVATUM **

NOVOSEVEN 1mg (50 KUI)

PULB. + SOLV. PT. SOL. INJ. 50 KIU

NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE PR

1

2.431,230000

2.688,190000

0,000000

14 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

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

1

21,688800

26,478000

5,082000

15 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S

10

13,458000

16,429000

0,000000

16 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2 g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

10

12,977000

15,842000

0,000000

17 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2 g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

1

13,450000

18,180000

0,000000

18 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4 g/0,50 g

PULB. PT. SOL. PERF. 4g/0,50g

ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

10

18,074000

22,065000

0,000000

19 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4 g/0,50 g

PULB. PT. SOL. PERF. 4g/0,50g

ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

1

18,730000

25,320000

0,000000

20 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g

PULB. PT. SOL. PERF. 4g/0,5g

S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S

10

18,736000

22,873000

0,000000

21 W60705002 J01DH02 MEROPENEMUM

MEROPENEM ZENTIVA 1000 mg

PULB. PT. SOL. INJ. SAU PERF. 1000 mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR

10

27,806400

33,945600

30,726400

22 W60703002 J01DH02 MEROPENEMUM

MEROPENEM ZENTIVA 500 mg

PULB. PT. SOL. INJ. SAU PERF. 500 mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML PR

10

16,683600

20,367600

18,189400

23 W56827001 J01DH02 MEROPENEMUM

LODITER 1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg

TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR

1

27,806400

33,945600

66,694400

24 W58974002 J01DH02 MEROPENEMUM

MEROPENEM ATB 1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg

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

10

27,806400

33,945600

50,614400

25 W61143002 J01DH02 MEROPENEMUM

ARCHIFAR 1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg

MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR

10

25,092000

30,632000

0,000000

26 W56125002 J01DH02 MEROPENEMUM

MEROPENEM KABI 1 g

PULB. PT. SOL. INJ./PERF. 1g

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. S

10

27,806400

33,945600

5,829400

27 W62533002 J01DH02 MEROPENEMUM

MEROPENEM AUROBINDO 1 g

PULB. PT. SOL. INJ./PERF. 1g

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR

10

23,172000

28,288000

0,000000

28 W64244003 J01DH02 MEROPENEMUM

MEROPENEM ACCORD 1 g

PULB. PT. SOL. INJ./PERF. 1g

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR

10

27,806400

33,945600

31,429400

29 W56124002 J01DH02 MEROPENEMUM

MEROPENEM KABI 500 mg

PULB. PT. SOL. INJ./PERF. 500mg

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF. PR

10

16,683600

20,367600

8,238400

30 W62532002 J01DH02 MEROPENEMUM

MEROPENEM AUROBINDO 500 mg

PULB. PT. SOL. INJ./PERF. 500mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 30 ML CARE CONTIN PULB. PT. SOL. INJ./PERF. PR

10

13,903000

16,973000

0,000000

31 W58973002 J01DH02 MEROPENEMUM

MEROPENEM ATB 500 mg

PULB. PT. SOL. INJ./PERF. 500mg

ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC PRF

10

16,683600

20,367600

26,172400

32 W56826001 J01DH02 MEROPENEMUM

LODITER 500 mg

PULB. PT. SOL. INJ./PERF. 500mg

TERAPIA S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF. PR

1

16,683600

20,367600

33,612400

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

33 W64243003 J01DH02 MEROPENEMUM MEROPENEM ACCORD 500 mg PULB. PT. SOL. INJ./PERF. 500mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA INCOLORA CARE CONTIN PULB. PT. SOL. INJ./PERF. PR

10

16,683600

20,367600

15,538400

34 W61142002 J01DH02 MEROPENEMUM ARCHIFAR 500 mg PULB. PT. SOL. INJ./PERF. 500mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF. PR

10

15,619000

19,068000

0,000000

35 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10

19,372000

23,649000

0,000000

36 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF

10

23,246400

28,378800

7,453200

37 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF

10

23,246400

28,378800

10,279200

38 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF

5

23,246400

28,378800

7,455200

39 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF

5

19,928000

25,198000

0,000000

40 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A.

ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR

10

19,572000

23,893000

0,000000

41 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF

5

23,246400

28,378800

10,643200

42 W57042001 J01XA01 VANCOMYCINUM VANCOMICINA KABI 1000 mg PULB. PT.CONC. PT.SOL. PERF. 1000mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1

21,430000

28,970000

0,000000

43 W57041001 J01XA01 VANCOMYCINUM

VANCOMICINA KABI 500 mg

PULB. PT.CONC. PT.SOL. PERF. 500mg

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

18,310000

24,750000

0,000000

44 W13105001 J01XA02 TEICOPLANINUM

TARGOCID (R) 400 mg

PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg

AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) P-RF

1

110,100000

134,410000

0,000000

45 W64490001 J01XA02 TEICOPLANINUM

TARGOCID 400 mg

PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg

SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF

1

110,100000

134,410000

0,000000

46 W52799001 J01XX08 LINEZOLIDUM

ZYVOXID 600 mg

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF

10

86,731200

99,115200

6,775800

47 W62497001 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 600 mg

COMPR. FILM. 600mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

10

72,276000

82,596000

0,000000

48 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1

689,840000

790,080000

0,000000

49 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1

117,147600

132,268800

17,451200

50 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10

114,492000

128,611000

0,000000

51 W64055001 J01XX08 LINEZOLIDUM

LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml

AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR

1

117,147600

132,268800

12,181200

52 W63515002 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

10

113,362000

127,380000

0,000000

53 W61561001 J01XX08 LINEZOLIDUM

LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR

10

97,623000

110,224000

0,000000

54 W64206001 J01XX08 LINEZOLIDUM

LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR

10

110,566000

124,332000

0,000000

55 W61756002 J01XX08 LINEZOLIDUM

LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR

10

114,432000

128,546000

0,000000

56 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR

1

112,480000

132,268800

5,051200

57 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

1

117,147600

132,268800

15,921200

58 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

7

2,478571

3,350000

0,000000

59 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4

2,974285

4,020000

2,720000

60 W43597002 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg CAPS.

100mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

2,974285

4,020000

0,741428

61 W58226001 J02AC01 FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg CAPS.

150mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF

1

4,660000

6,300000

0,000000

62 W42693001 J02AC01 FLUCONAZOLUM

FLUCONAZOL 150 mg CAPS.

150mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

63 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1

5,570000

7,530000

0,000000

64 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

65 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

66 W60221003 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

67 W57239001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LPH 150 mg CAPS.

150mg

LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF

1

5,570000

7,530000

0,000000

68 W51994001 J02AC01 FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg CAPS.

150mg

MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,570000

7,530000

0,000000

69 W52334001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LAROPHARM 150 mg CAPS.

150mg

LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF

1

5,570000

7,530000

0,000000

70 W08373001 J02AC01 FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,590000

7,550000

0,000000

71 W43598001 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg CAPS.

150mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF

1

4,930000

6,660000

0,000000

72 W60221001 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

73 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,592000

7,560000

4,060000

74 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

4,698571

6,145714

0,000000

75 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

2,433428

76 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7

1,532570

2,070857

0,449143

77 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

7

1,277142

1,725714

0,000000

78 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

0,854857

  1. 79 W44098001 J02AC01 FLUCONAZOLUM

  2. 80 W53942002 J02AC01 FLUCONAZOLUM

FLUCORIC 50 mg CAPS.

FLUCONAZOL ARENA 50 MG CAPS.

50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285

50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285

81 W43596001 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg CAPS.

50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1,532570 2,070857 0,000571

7

1,532570

2,070857

0,856285

1

22,810000

30,830000

0,000000

  1. 82 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF

  2. 83 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF

40

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

41

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

84 W55502018 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

10

37,499000

44,689000

0,000000

85 W55502003 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

20

9,211000

11,244500

0,000000

86 W55502011 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

20

18,749500

22,344500

0,000000

87 W60056005 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml

ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S

10

18,885000

23,055000

0,000000

88 W58456001 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL. PERF. PR

20

11,053200

13,493400

9,107100

89 W58456002 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR

20

22,499400

26,813400

12,463600

90 W55502017 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

1

38,180000

49,940000

0,000000

91 W58456003 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR

10

44,998800

53,626800

40,412200

92 W57368003 J02AC01 FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S

1

22,499400

26,813400

31,246600

93 W55502001 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

1

9,540000

12,900000

0,000000

94 W55502009 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

1

19,080000

25,790000

0,000000

95 W61017005 J02AC03 VORICONAZOLUM **

VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg

DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

52,854714

96 W62033006 J02AC03 VORICONAZOLUM **

VORAMOL 200 mg COMPR. FILM. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

11,761714

14,358857

60,507143

97 W64073003 J02AC03 VORICONAZOLUM **

VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

11,761714

14,358857

71,690428

98 W64073005 J02AC03 VORICONAZOLUM **

VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

69,160071

99 W64073008 J02AC03 VORICONAZOLUM **

VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

11,761714

14,358857

67,894893

100 W08947008 J02AC03 VORICONAZOLUM **

VFEND 200mg COMPR. FILM. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

28

11,761714

14,358857

43,581143

101 W61628005 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

9,801428

11,965714

0,000000

102 W61628006 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

9,801666

11,966000

0,000000

103 W61817001 J02AC03 VORICONAZOLUM **

VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF

28

9,801428

11,965714

0,000000

104 W64072003 J02AC03 VORICONAZOLUM **

VERRIA 50 mg COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

22,530000

27,282857

0,000000

105 W64072005 J02AC03 VORICONAZOLUM **

VERRIA 50 mg COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

21,554285

24,856785

0,000000

106 W64072008 J02AC03 VORICONAZOLUM **

VERRIA 50 mg COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

21,018571

23,591607

0,000000

107 W62396001 J02AC03 VORICONAZOLUM **

VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg

PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF

1

270,192000

329,844000

83,166000

108 W60659001 J02AC03 VORICONAZOLUM **

VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg

SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF

1

225,160000

274,870000

0,000000

109 W62814001 J02AC03 VORICONAZOLUM **

VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

21,646000

110 W61664001 J02AC03 VORICONAZOLUM **

VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF

1

225,160000

274,870000

0,000000

111 W62122001 J02AC03 VORICONAZOLUM **

VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

112 W62815001 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

113 W10489001 J02AC03 VORICONAZOLUM **

VFEND 200mg PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF

1

270,192000

329,844000

41,206000

114 W41889001 J02AC03 VORICONAZOLUM **

VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF

1

1.383,700000

1.546,390000

0,000000

115 W60913001 J02AC04 POSACONAZOLUM **

NOXAFIL 100mg COMPR. GASTROREZ. 100mg

MERCK SHARP DOHME LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE PR

24

131,322916

144,731666

0,000000

116 W61578001 J02AC04 POSACONAZOLUM **

NOXAFIL 300mg CONC. PT. SOL. PERF. 300mg

MERCK SHARP DOHME LTD. MAREA BRITANIE CUTIE CU UN FL X 16,7ML CONC. PT SOL PERF (18MG POSACONAZOL/ML) PR

1

1.333,540000

1.491,710000

0,000000

117 W58194001 J02AC04 POSACONAZOLUM **

NOXAFIL 40mg/ml SUSP. ORALA 40mg/ml

MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R

1

2.529,930000

2.795,780000

0,000000

118 W63403001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

119 W64793001 J02AX04 CASPOFUNGINUM **

CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR

1

854,310000

969,350000

0,000000

120 W63457001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA ZENTIVA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

121 W63758001 J02AX04 CASPOFUNGINUM **

CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

122 W06665001 J02AX04 CASPOFUNGINUM **

CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

1

854,310000

969,350000

0,000000

123 W63505001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

124 W63508001 J02AX04 CASPOFUNGINUM **

DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg

ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR

1

810,730000

921,850000

0,000000

125 W63404001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

126 W63458001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA ZENTIVA 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

127 W64792001 J02AX04 CASPOFUNGINUM **

CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP DOHME OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR

1

1.105,860000

1.243,540000

0,000000

128 W06670001 J02AX04 CASPOFUNGINUM **

CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

1

1.105,860000

1.243,540000

0,000000

129 W63759001 J02AX04 CASPOFUNGINUM **

CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

130 W63509001 J02AX04 CASPOFUNGINUM **

DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR

1

1.051,440000

1.184,220000

0,000000

131 W63506001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

132 W62968001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg

STADA M D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

133 W62969001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg

STADA M D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,810000

1.243,480000

0,000000

134 W53675003 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 200 mg CAPS. 200mg

ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S

1000

0,670200

0,873850

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

135 W42857001 J05AB01 ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

20

0,670200

0,906000

0,198000

136 W53675001 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

20

0,670200

0,906000

0,263500

137 W56038001 J05AB01 ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS.

200mg

FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF

20

0,670200

0,906000

0,222000

138 W53676001 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF

10

1,574000

2,128000

0,000000

139 W60558001 J05AB01 ACICLOVIRUM

ACICLOVIR-RICHTER 200 mg

COMPR.

200mg

GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF

20

0,670200

0,906000

0,035500

140 W53225001 J05AB01 ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR.

200mg

LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF

20

0,670200

0,906000

0,035500

141 W06667003 J05AB01 ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

20

0,558500

0,755000

0,000000

142 W00044001 J05AB01 ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR.

200mg

TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

20

0,670200

0,906000

0,031000

143 W06668003 J05AB01 ACICLOVIRUM

ACICLOVIR 400 mg

COMPR.

400mg

EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

10

1,888800

2,553600

0,350400

144 W00058001 J05AB01 ACICLOVIRUM

VIROLEX

PULB. PT. SOL. INJ./PERF.

250mg

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF

5

40,340000

49,248000

0,000000

145 W58707001 J05AB11 VALACYCLOVIRUM

VALTREX 500 mg

COMPR. FILM.

500 mg

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF

10

2,926800

3,956400

0,929600

146 W60087001 J05AB11 VALACYCLOVIRUM

VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF

10

2,439000

3,297000

0,000000

147 W61519003 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

0,775566

148 W61605001 J05AB14 VALGANCICLOVIRUM **

ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

25,394566

149 W62786001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF

60

17,207000

19,391500

0,000000

150 W61515001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

15,644566

151 W60756001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF

60

14,422500

16,356333

0,000000

152 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR

10

1.466,208000

1.601,984000

0,000000

153 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR

1

396,840000

470,710000

0,000000

154 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR

10

360,762000

397,046000

0,000000

155 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR

10

186,420000

207,013000

0,000000

156 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR

1

763,680000

870,560000

0,000000

157 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR

10

736,680000

806,797000

0,000000

158 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR

1

1.497,410000

1.670,330000

0,000000

159 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR

10

612,682000

671,639000

0,000000

160 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR

1

641,400000

737,280000

0,000000

161 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR

1

932,550000

1.054,630000

0,000000

162 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR

1

408,030000

482,900000

0,000000

163 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR

1

3.674,450000

4.043,310000

0,000000

164 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10% SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR

1

1.835,250000

2.038,570000

0,000000

165 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

PANZYGA 100 mg/ml SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR

1

966,910000

1.092,080000

0,000000

166 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 10g/200ml SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

2.028,690000

2.249,430000

0,000000

167 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 1g/20ml SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

219,860000

268,400000

0,000000

168 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 2,5g/50ml SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

529,670000

615,490000

0,000000

169 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF

1

205,730000

251,160000

0,000000

170 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF

1

1.040,030000

1.171,780000

0,000000

171 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF

1

1.900,320000

2.109,500000

0,000000

172 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF

1

523,800000

609,090000

0,000000

173 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S

1

490,690000

573,000000

0,000000

174 W63860002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 50 ML PR

1

803,040000

913,460000

0,000000

175 W63860001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

PENTAGLOBIN SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 100 ML PR

1

1.565,740000

1.744,810000

0,000000

176 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S

1

1.859,420000

2.064,920000

0,000000

177 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S

1

949,870000

1.073,510000

0,000000

178 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 5g/100ml SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR

1

1.029,340000

1.160,130000

0,000000

179 W12490001 L01AA01 CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF

50

0,422800

0,571400

0,000000

180 W52215001 L01AA01 CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S

1

12,380000

16,730000

0,000000

181 W64372001 L01AA01 CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg PULB. PT. SOL. PERF./INJ. I.V. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR

1

12,380000

16,730000

0,000000

182 W58865001 L01AA03 MELPHALANUM

ALKERAN 2 mg COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM. P-RF

25

10,654800

13,007600

0,000000

183 W12497001 L01AA06 IFOSFAMIDUM

HOLOXAN 1 g PULB. PT. SOL. PERF. 1g BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF. S

1

100,840000

123,110000

0,000000

184 W58856002 L01AB01 BUSULFANUM

MYLERAN COMPR. FILM. 2mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM. P-RF

100

10,538800

11,868800

0,000000

185 W62395001 L01AB01 BUSULFANUM

BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC. X10ML) PR

8

690,921250

757,873750

0,000000

42

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

43

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

186 W64538001 L01AB01 BUSULFANUM

BUSULFAN FRESENIUS KABI 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml FRESENIUS KABI DEUTSCHLAND GMBH GERMANIA AMBALAJ COLECTIV CU 8 FLAC. (8 CUTII A CATE 1 FLAC.) X 10 ML

PR

8

690,921250

757,873750

0,000000

187 W62979001 L01AB01 BUSULFANUM

BUSULFAN ACCORD 6 mg/ml CONC. PT. SOL. PERF. 6mg/ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML CONC. PT. SOL. PERF.

PR

1

710,200000

812,270000

0,000000

188 W62602001 L01BA01 METHOTREXATUM

METHOTREXATE 2,5 mg COMPR. FILM. 2,5mg CN UNIFARM S.A. ROMANIA CUTIE CU 10 BLIST. X 10 COMPR. FILM.

PR

100

0,285000

0,372800

0,000000

189 W12735001 L01BA01 METHOTREXATUM

METHOTREXAT "EBEWE" 5000 mg CONC. PT. SOL. INJ./PERF. 100mg/ml EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE X 1 FLACON X 50 ML

S

1

324,600000

391,960000

0,000000

190 W62233002 L01BA01 METHOTREXATUM

NAMAXIR 10 mg

SOL INJ. IN SERINGA PREUMPLUTA

10mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,40 ML SOL. INJ.

PR

4

29,200000

35,647500

0,000000

191 W63589010 L01BA01 METHOTREXATUM

METORTHRIT 10 mg/ml

SOL INJ. IN SERINGA PREUMPLUTA

10mg/ml

ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. DIN PVC/AL CU O SERINGA PREUMPLUTA DIN STICLA INCOLORA, CU CAPACITATEA DE 2,25 ML, CARE CONTINE 2 ML SOL. INJ. SI UN AC STERIL PENTRU INJECTIE, PENTRU ADMINISTRARE SUBCUTANATA

PR

1

55,281000

67,488000

65,012000

192 W63589001 L01BA01 METHOTREXATUM

METORTHRIT 10 mg/ml

SOL INJ. IN SERINGA PREUMPLUTA

10mg/ml

ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. DIN PVC/AL CU O SERINGA PREUMPLUTA DIN STICLA INCOLORA, CU CAPACITATEA DE 1 ML, CARE CONTINE 0,75 ML SOL. INJ. SI UN AC STERIL PENTRU INJECTIE, PENTRU ADMINISTRARE SUBCUTANATA

PR

1

26,670000

33,720000

30,800000

193 W63589004 L01BA01 METHOTREXATUM

METORTHRIT 10 mg/ml

SOL INJ. IN SERINGA PREUMPLUTA

10mg/ml

ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. DIN PVC/AL CU O SERINGA PREUMPLUTA DIN STICLA INCOLORA, CU CAPACITATEA DE 1 ML, CARE CONTINE 1 ML SOL. INJ. SI UN AC STERIL PENTRU INJECTIE, PENTRU ADMINISTRARE SUBCUTANATA

PR

1

35,040000

42,777000

5,933000

194 W63589007 L01BA01 METHOTREXATUM

METORTHRIT 10 mg/ml

SOL INJ. IN SERINGA PREUMPLUTA

10mg/ml

ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. DIN PVC/AL CU O SERINGA PREUMPLUTA DIN STICLA INCOLORA, CU CAPACITATEA DE 2,25 ML, CARE CONTINE 1,5 ML SOL. INJ. SI UN AC STERIL PENTRU INJECTIE, PENTRU ADMINISTRARE SUBCUTANATA

PR

1

41,463000

50,619000

32,461000

195 W62235002 L01BA01 METHOTREXATUM

NAMAXIR 15 mg

SOL INJ. IN SERINGA PREUMPLUTA

15mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,38 ML SOL. INJ.

PR

4

34,552500

42,182500

0,000000

196 W62237002 L01BA01 METHOTREXATUM

NAMAXIR 20 mg

SOL INJ. IN SERINGA PREUMPLUTA

20mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,50 ML SOL. INJ.

PR

4

46,067500

56,240000

0,000000

197 W62239002 L01BA01 METHOTREXATUM

NAMAXIR 25 mg

SOL INJ. IN SERINGA PREUMPLUTA

25mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,63 ML SOL. INJ.

PR

4

57,592500

70,310000

0,000000

198 W62232002 L01BA01 METHOTREXATUM

NAMAXIR 7,5 mg

SOL INJ. IN SERINGA PREUMPLUTA

7,5mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 4 SERINGI PREUMPLUTE DIN STICLA INCOLORA, PREVAZUTE CU AC PT. INJECTIE SI TAMPON CU ALCOOL A 0,30 ML SOL. INJ.

PR

4

22,225000

28,100000

0,000000

199 W58316001 L01BA01 METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

PR

1

26,670000

33,720000

31,440000

200 W58316004 L01BA01 METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

35,040000

42,777000

6,443000

201 W58316010 L01BA01 METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

55,281000

67,488000

66,372000

202 W58316007 L01BA01 METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLUTA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG AUSTRIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

41,463000

50,619000

33,311000

203 W56210002 L01BB05 FLUDARABINUM

FLUDARA ORAL 10 mg COMPR. FILM. 10mg

GENZYME EUROPE B.V. OLANDA CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM. P-RF/S

20

56,044000

62,995500

0,000000

204 W64515001 L01BB05 FLUDARABINUM

FLUDARABINA TEVA 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml

TEVA B.V. OLANDA CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDARABINA PR

1

71,490000

90,390000

0,000000

205 W53700001 L01BB05 FLUDARABINUM

FLUDARABINA ACTAVIS 25 mg/ml PULB. PT. SOL. INJ./PERF. 25mg/ml

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

1

71,480000

90,380000

0,000000

206 W08035001 L01CB01 ETOPOSIDUM

VEPESID CAPS. MOI 100mg

BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 1 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF

10

22,957000

28,026000

0,000000

207 W08036001 L01CB01 ETOPOSIDUM

VEPESID CAPS. MOI 50mg

BRISTOL MYERS SQUIBB KFT UNGARIA CUTIE CU 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS. MOI P-RF

20

11,536000

14,083000

0,000000

208 W52210001 L01CB01 ETOPOSIDUM

SINTOPOZID 100 mg/5 ml CONC. PT. SOL. PERF. 100mg/5ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. S

1

18,910000

25,560000

0,000000

209 W60599002 L01CB01 ETOPOSIDUM

ETOPOZIDA KABI 20 mg/ml CONC. PT. SOL. PERF. 20mg/ml

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

1

53,380000

67,500000

0,000000

210 W52574001 L01CB01 ETOPOSIDUM

ETOPOSIDE – TEVA CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF. S

1

22,692000

30,672000

2,918000

211 W52574002 L01CB01 ETOPOSIDUM

ETOPOSIDE – TEVA CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF. S

1

56,710000

71,700000

0,000000

212 W03575001 L01DB06 IDARUBICINUM

ZAVEDOS CAPS. 10mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 1 CAPS. P-RF

1

198,220000

241,990000

0,000000

213 W03581001 L01DB06 IDARUBICINUM

ZAVEDOS 5 mg PULB. PT. SOL. INJ. 5mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ. S

1

88,848000

112,344000

25,606000

214 W63523001 L01DB06 IDARUBICINUM

IDARUBICINA ACCORD 5 mg/5 ml SOL. INJ. 5mg/5ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. INCOLOR CARE CONTINE 5 ML SOL. INJ. PR

1

74,040000

93,620000

0,000000

215 W42735002 L01DB07 MITOXANTRONUM **

ONKOTRONE CONC. PT. SOL. INJ. 2mg/ml

BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ. S

1

337,250000

405,750000

0,000000

216 W52187001 L01XA01 CISPLATINUM

SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF. S

1

8,832000

11,940000

2,190000

217 W52187002 L01XA01 CISPLATINUM

SINPLATIN 1 mg/1 ml CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF. S

1

25,210000

32,970000

0,000000

218 W56390004 L01XA01 CISPLATINUM

CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA CARE CONTINE 100 ML CONC. PT. SOL. PERF. PR

1

45,310000

59,270000

0,000000

219 W56390002 L01XA01 CISPLATINUM

CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE X 1 FLACON X 30ML (PENTRU 25ML) DIN STICLA BRUNA CU CONCENTRAT PENTRU SOLUTIE PERFUZABILA S

1

20,320000

27,460000

0,000000

220 W56390001 L01XA01 CISPLATINUM

CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 10 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S

1

7,360000

9,950000

0,000000

221 W56390003 L01XA01 CISPLATINUM

CISPLATINA ACCORD 1 mg/ml CONC. PT. SOL. PERF. 1mg/ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DE 50 ML DIN STICLA BRUNA CU CONC. PT. SOL. PERF. S

1

22,650000

30,620000

0,000000

222 W53000003 L01XA02 CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. S

1

141,600000

172,860000

0,000000

223 W64519002 L01XA02 CARBOPLATINUM

CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. PR

1

47,750000

62,460000

0,000000

224 W64519003 L01XA02 CARBOPLATINUM

CARBOPLATIN TEVA 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml

TEVA B.V. OLANDA CUTIE CU 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF. PR

1

141,600000

172,860000

0,000000

225 W58740001 L01XA02 CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA PR

1

19,650000

26,560000

0,000000

226 W58740004 L01XA02 CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml

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

1

191,010000

233,190000

0,000000

227 W58740003 L01XA02 CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml

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

1

144,170000

176,000000

0,000000

228 W58740002 L01XA02 CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml CONC. PT. SOL. PERF. 10mg/ml

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

1

50,310000

63,610000

0,000000

229 W53000002 L01XA02 CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF. S

1

47,750000

62,460000

0,000000

230 W64512001 L01XC02 RITUXIMABUM **

RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg

SANDOZ GMBH AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR

2

758,615000

845,965000

0,000000

231 W64512002 L01XC02 RITUXIMABUM **

RIXATHON 100 mg CONC. PT. SOL. PERF. 100mg

SANDOZ GMBH AUSTRIA CUTIE CU 3 FLAC. DIN STICLA DE 10 ML X 100 MG RITUXIMAB PR

3

753,616666

834,160000

0,000000

232 W64422001 L01XC02 RITUXIMABUM **

BLITZIMA 100 mg CONC. PT. SOL. PERF. 100mg

CELLTRION HEALTHCARE HUNGARY KFT. UNGARIA CUTIE CU 2 FLAC. DIN STICLA X 10 ML (100 MG RITUXIMAB IN 10 ML-10MG/ML) PR

2

702,450000

784,745000

0,000000

233 W07200001 L01XC02 RITUXIMABUM **

MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML) S

1

4.161,468000

4.581,792000

681,968000

234 W64385001 L01XC02 RITUXIMABUM **

MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 2 FLACOANE X 10 ML CARE CONTIN 100 MG RITUXIMABUM PR

2

842,940000

941,694000

127,131000

235 W64386001 L01XC02 RITUXIMABUM **

MABTHERA 500 mg CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON X 50 ML (500MG RITUXIMAB IN 50ML- 10MG/ML) PR

1

4.161,468000

4.581,792000

681,968000

236 W07199001 L01XC02 RITUXIMABUM **

MABTHERA 100 mg CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 2 FLACOANE X 10 ML S

2

842,940000

941,694000

127,131000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

237 W64513001 L01XC02 RITUXIMABUM **

RIXATHON 500 mg

CONC. PT. SOL. PERF. 500mg

SANDOZ GMBH

AUSTRIA CUTIE CU 1 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR

1

3.771,750000

4.149,360000

0,000000

238 W64513002 L01XC02 RITUXIMABUM **

RIXATHON 500 mg

CONC. PT. SOL. PERF. 500mg

SANDOZ GMBH

AUSTRIA CUTIE CU 2 FLAC. DIN STICLA DE 50 ML X 500 MG RITUXIMAB PR

2

3.756,745000

4.113,935000

0,000000

239 W64421001 L01XC02 RITUXIMABUM **

BLITZIMA 500 mg

CONC. PT. SOL. PERF. 500mg

CELLTRION HEALTHCARE HUNGARY KFT.

UNGARIA CUTIE CU 1 FLAC. DIN STICLA X 50 ML (500 MG RITUXIMAB IN 50 ML-10MG/ML) PR

1

3.467,890000

3.818,160000

0,000000

240 W64387001 L01XC02 RITUXIMABUM ** MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML) SOL. INJ. PT. ADM. SUBCUTANATA PR

1

6.764,110000

7.411,040000

0,000000

241 W62893001 L01XC02 RITUXIMABUM ** MABTHERA 1400 mg SOL INJ. 120mg/ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 FLACON (1400 MG RITUXIMAB /11,7 ML PR

1

6.764,110000

7.411,040000

0,000000

242 W53892001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 30MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

1

69,700000

88,130000

0,000000

243 W53893001 L03AA02 FILGRASTIMUM (G-CSF) ** ZARZIO 48MU/0,5ml SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

1

107,407200

126,230400

27,419600

244 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

1

66,110000

83,590000

0,000000

245 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ** ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

1

105,780000

126,230400

2,909600

246 W62176005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

1

69,220000

87,520000

0,000000

247 W64857002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

5

65,892000

79,452000

0,000000

248 W55757002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

5

65,892000

79,452000

0,000000

249 W64858002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

5

89,506000

105,192000

0,000000

250 W55758002 L03AA02 FILGRASTIMUM (G-CSF) ** NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

5

89,506000

105,192000

0,000000

251 W62177005 L03AA02 FILGRASTIMUM (G-CSF) ** TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

1

107,407200

126,230400

8,839600

252 W54580001 L03AX16 PLERIXAFOR ** MOZOBIL 20mg/ml SOL. INJ. 20 mg/ml GENZYME EUROPE B.V. OLANDA FLACON CU 1,2 ML SOL. X 20 MG/ML S

1

21.970,790000

23.986,340000

0,000000

253 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR

1

1.300,620000

1.455,830000

0,000000

254 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

2,479916

3,027500

0,000000

255 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

4,758916

5,505166

0,000000

256 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,470200

1,794800

0,000000

257 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS.

PR

100

1,470200

1,794800

0,000000

258 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM **

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. FILM.

500mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

50

1,746600

2,208400

0,000000

259 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM.

PR

50

2,940400

3,589600

0,000000

260 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

50

2,940400

3,589600

0,000000

261 W61479001 L04AA10 SIROLIMUS **

RAPAMUNE 1mg

DRAJ.

1mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

PR

30

15,278666

17,925333

0,000000

262 W64809001 L04AB01 ETANERCEPTUM **

ENBREL 25mg

PULB. + SOLV. PT. SOL. INJ.

25mg

PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 FLAC. + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PT. FLAC. + 8 TAMPOANE CU ALCOOL MEDICINAL

PR

4

383,505000

427,557500

0,000000

263 W61297001 L04AB01 ETANERCEPTUM **

ENBREL 25mg

PULB. + SOLV. PT. SOL. INJ.

25mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 4 FLACOANE + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PENTRU FLACOANE + 8 TAMPOANE CU ALCOOL

P-RF/R

4

383,505000

427,557500

0,000000

264 W62832001 L04AB01 ETANERCEPTUM **

BENEPALI 50 mg

SOL INJ. IN SERINGA PREUMPLUTA

50mg

SAMSUNG BIOEPIS UK LIMITED MAREA BRITANIE CUTIE CU 4 SERINGI PREUMPLUTE A CATE 50 MG

PR

4

669,842500

739,667500

0,000000

265 W64810001 L04AB01 ETANERCEPTUM **

ENBREL 25mg

SOL. INJ.

25mg

PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL MEDICINAL

PR

4

395,275000

440,387500

0,000000

266 W64811002 L04AB01 ETANERCEPTUM **

ENBREL 50mg

SOL. INJ.

50mg

PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL MEDICINAL

PR

4

748,100000

824,967500

0,000000

267 W64812002 L04AB01 ETANERCEPTUM **

ENBREL 50mg

SOL. INJ.

50mg

PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL MEDICINAL

PR

4

748,100000

824,967500

0,000000

268 W61299001 L04AB01 ETANERCEPTUM **

ENBREL 25mg

SOL. INJ. (INSERINGA PREUMPLUTA)

25mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL

P-RF/R

4

395,275000

440,387500

0,000000

269 W61300002 L04AB01 ETANERCEPTUM **

ENBREL 50mg

SOL. INJ. (INSERINGA PREUMPLUTA)

50mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 4 SERINGI PREUMPLUTE X 4 TAMPOANE CU ALCOOL

P-RF/R

4

748,100000

824,967500

0,000000

270 W62833001 L04AB01 ETANERCEPTUM **

BENEPALI 50 mg

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT

50mg

SAMSUNG BIOEPIS UK LIMITED MAREA BRITANIE CUTIE CU 4 STILOURI INJECTOARE (PEN) PREUMPLUTE A CATE 50 MG

PR

4

669,842500

739,667500

0,000000

271 W61303002 L04AB01 ETANERCEPTUM **

ENBREL 50mg

SOL. INJ. IN STILOU INJECTOR PREUMPLUT

50mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 4 TAMPOANE CU ALCOOL

P-RF/R

4

748,100000

824,967500

0,000000

272 W51399001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

1,413000

1,786600

0,000000

273 W51398001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

2,703600

3,300600

0,000000

274 W53729001 L04AD02 TACROLIMUSUM ** PROGRAF (R) 0,5 mg CAPS. 0,5mg ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

1,864800

2,357800

0,000000

275 W55262007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 0,5 mg

CAPS.

0,5mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR

50

1,301200

1,645200

0,000000

276 W53730001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

3,879800

4,736400

0,000000

277 W55263007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR

50

2,556600

3,121200

0,000000

278 W53731001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

18,476000

20,901800

0,000000

279 W51974002 L04AD02 TACROLIMUSUM **

ADVAGRAF 0,5mg

CAPS. ELIB. PREL.

0,5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

1,864800

2,357800

0,000000

280 W57352002 L04AD02 TACROLIMUSUM **

ADVAGRAF 1mg

CAPS. ELIB. PREL.

1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

3,879800

4,736400

0,000000

281 W51976002 L04AD02 TACROLIMUSUM **

ADVAGRAF 5mg

CAPS. ELIB. PREL.

5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

19,668600

22,201800

0,000000

282 W53732001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S

10

156,564000

174,470000

0,000000

283 W60291001 N02AX02 TRAMADOLUM

TRAMACALM

CAPS.

50mg

A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF

10

0,280800

0,379200

0,025800

284 W12691002 N02AX02 TRAMADOLUM

TRAMADOL

CAPS.

50mg

KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

20

0,234000

0,316000

0,000000

285 W52049001 N02AX02 TRAMADOLUM

TRAMADOL ARENA

CAPS.

50mg

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

20

0,280800

0,379200

0,112300

286 W42440001 N02AX02 TRAMADOLUM

TRAMAG 50

COMPR.

50mg

MAGISTRA C C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

20

0,280800

0,379200

0,040800

287 W42957001 N02AX02 TRAMADOLUM

TRAMADOL EEL

COMPR.

50mg

BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

20

0,280800

0,379200

0,025300

44

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

288 W63391001 N02AX02 TRAMADOLUM

TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF

10

0,493999

0,667600

0,002400

289 W63391003 N02AX02 TRAMADOLUM

TRAMAL RETARD 100 mg COMPR. ELIB. PREL. 100mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR.FILM. CU ELIB. PREL. P-RF

10

0,493999

0,667600

0,002400

290 W60236002 N02AX02 TRAMADOLUM

TRAMADOL SR ZENTIVA 100 mg COMPR. ELIB. PREL. 100mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

30

0,491000

0,663666

0,000000

291 W58072001 N02AX02 TRAMADOLUM

TRAMADOL RETARD 100 mg COMPR. ELIB. PREL. 100mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF

30

0,493999

0,667600

0,021066

292 W61448003 N02AX02 TRAMADOLUM

MABRON RETARD 100 mg COMPR. ELIB. PREL. 100mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,411666

0,556333

0,000000

293 W61449011 N02AX02 TRAMADOLUM

MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

10

0,617000

0,834000

0,000000

294 W61449013 N02AX02 TRAMADOLUM

MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,616666

0,833666

0,000000

295 W63389001 N02AX02 TRAMADOLUM

TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF

10

0,639000

0,864000

0,000000

296 W63389002 N02AX02 TRAMADOLUM

TRAMAL RETARD 150 mg COMPR. ELIB. PREL. 150mg STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PP/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF

10

0,639000

0,864000

0,000000

297 W58893002 N02AX02 TRAMADOLUM

TRADOLAN RETARD 150 mg COMPR. ELIB. PREL. 150mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,638666

0,863000

0,000000

298 W61449001 N02AX02 TRAMADOLUM

MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

10

0,617000

0,834000

0,000000

299 W61449003 N02AX02 TRAMADOLUM

MABRON RETARD 150 mg COMPR. ELIB. PREL. 150mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,616666

0,833666

0,000000

300 W60237002 N02AX02 TRAMADOLUM

TRAMADOL SR ZENTIVA 150 mg COMPR. ELIB. PREL. 150mg ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

30

0,705000

0,952666

0,000000

301 W58894002 N02AX02 TRAMADOLUM

TRADOLAN RETARD 200 mg COMPR. ELIB. PREL. 200mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,851000

1,113000

0,000000

302 W61450003 N02AX02 TRAMADOLUM

MABRON RETARD 200 mg COMPR. ELIB. PREL. 200mg MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,796000

1,076000

0,000000

303 W43360001 N02AX02 TRAMADOLUM

TRAMADOL RETARD 150 mg COMPR. FILM. ELIB. PREL. 150mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

30

0,739999

1,000399

0,306934

304 W43361001 N02AX02 TRAMADOLUM

TRAMADOL RETARD 200 mg COMPR. FILM. ELIB. PREL. 200mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR., FILM. ELIB. PREL. P-RF

30

0,955200

1,291200

0,435133

305 W64091001 N02AX02 TRAMADOLUM

TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 5 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF

5

1,754400

2,371200

0,416800

306 W64091002 N02AX02 TRAMADOLUM

TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 100 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF

100

1,754400

2,371200

0,060400

307 W64091003 N02AX02 TRAMADOLUM

TRAMADOL KALCEKS SOL INJ./PERF. 50mg/ml AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF

10

1,754400

2,371200

0,418800

308 W05961001 N02AX02 TRAMADOLUM

MABRON SOL. INJ. 100mg MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF

5

1,462000

1,976000

0,000000

309 W05966001 N02AX02 TRAMADOLUM

TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF

5

0,796000

1,076000

0,000000

310 W05967001 N02AX02 TRAMADOLUM

TRAMADOL SOL. INJ. 50mg/ml KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF

5

1,754400

2,371200

0,490800

311 W05969001 N02AX02 TRAMADOLUM

TRAMADOL SUPOZ. 100mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ. P-RF

5

0,902000

1,218000

0,000000

312 W61214001 R05CB13 DORNAZA ALFA **

PULMOZYME 2500 U/2,5 ml SOL. DE INHALAT PRIN NEBULIZATOR 2500U/2,5ml ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL PR

6

72,890000

85,808333

0,000000

313 W64440001 V03AC03 DEFERASIROXUM **

EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR

28

25,252142

28,887500

0,000000

314 W51484001 V03AC03 DEFERASIROXUM **

EXJADE 125mg COMPR. DISP. 125mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL) PR

28

25,252142

28,887500

0,000000

315 W51485001 V03AC03 DEFERASIROXUM **

EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR

28

46,320714

51,852142

0,000000

316 W64441001 V03AC03 DEFERASIROXUM **

EXJADE 250mg COMPR. DISP. 250mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR

28

46,320714

51,852142

0,000000

317 W64442001 V03AC03 DEFERASIROXUM **

EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 28 COMPR. DISP. (BLIST. PVC/PE/PVDC/AL) PR

28

91,288928

100,867500

0,000000

318 W51486001 V03AC03 DEFERASIROXUM **

EXJADE 500mg COMPR. DISP. 500mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL) PR

28

91,288928

100,867500

0,000000

319 W64443001 V03AC03 DEFERASIROXUM **

EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR

30

46,439666

51,891000

0,000000

320 W63463001 V03AC03 DEFERASIROXUM **

EXJADE 180 mg COMPR. FILM. 180mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR

30

46,439666

51,891000

0,000000

321 W64444001 V03AC03 DEFERASIROXUM **

EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR

30

91,878666

101,419666

0,000000

322 W63464001 V03AC03 DEFERASIROXUM **

EXJADE 360 mg COMPR. FILM. 360mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU BLIST. PVC/PVDC/ALU X 30 COMPR. FILM. PR

30

91,878666

101,419666

0,000000

323 W04133001 V03AF01 MESNUM

UROMITEXAN (R) 400 mg SOL. INJ. 400mg/4ml BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML PR

15

3,268666

4,275333

0,000000

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

45

P9.2: TRANSPLANT DE CORD

1 W02947002 C01CA24 EPINEPHRINUM

ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml

TERAPIA SA

ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR

10

1,712000

2,314000

0,000000

2 W02947001 C01CA24 EPINEPHRINUM

ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml

TERAPIA SA

ROMANIA CUTIE X 100 FIOLE X 1 ML PR

100

1,652800

2,017700

0,000000

3 W60389001 C01CA24 EPINEPHRINUM

EPIPEN 150 micrograme SOL. INJ. IN STILOU PREUMPLUT 150mcg

MEDA PHARMA GMBH CO KG

GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR

1

146,350000

178,670000

0,000000

4 W60390001 C01CA24 EPINEPHRINUM

EPIPEN 300 micrograme SOL. INJ. IN STILOU PREUMPLUT 300mcg

MEDA PHARMA GMBH CO KG

GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR

1

142,980000

174,550000

0,000000

5 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g

MYLAN S.A.S.

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

1

21,688800

26,478000

5,082000

6 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g

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

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

10

13,458000

16,429000

0,000000

7 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

10

12,977000

15,842000

0,000000

8 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

1

13,450000

18,180000

0,000000

9 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

10

18,074000

22,065000

0,000000

10 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

1

18,730000

25,320000

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

11 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S

10

18,736000

22,873000

0,000000

12 W13676001 J01DD12 CEFOPERAZONUM MEDOCEF 1 g PULB. PT. SOL. INJ. 1g MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ. S/P-RF

10

8,856000

11,976000

6,890000

13 W13677001 J01DD12 CEFOPERAZONUM

MEDOCEF 2 g

PULB. PT. SOL. INJ. 2g

MEDOCHEMIE LTD. CIPRU CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

S/P-RF

10

13,248000

17,904000

7,014000

14 W44045001 J01DD12 CEFOPERAZONUM

CEFOZON 500 mg

PULB. PT. SOL. INJ. 500mg

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. INJ.

S/P-RF

1

3,350000

4,530000

0,000000

15 W52795001 J01DD12 CEFOPERAZONUM

CEFOZON 2 g

PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

S/P-RF

1

11,040000

14,920000

0,000000

16 W44061001 J01DD12 CEFOPERAZONUM

CEFOZON 1 g

PULB. PT. SOL. INJ./PERF.I.M./I.V. 1g

E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

S/P-RF

1

7,380000

9,980000

0,000000

17 W54532001 J01DH51 IMIPENEMUM + CILASTATINUM IMIPENEM/CILASTATINA KABI 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF. PR 10

19,372000

23,649000

0,000000

18 W54471009 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF

10

23,246400

28,378800

7,453200

19 W54471006 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF

10

23,246400

28,378800

10,279200

20 W54471008 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF. S/P-RF

5

23,246400

28,378800

7,455200

21 W54471002 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF. S/P-RF

5

19,928000

25,198000

0,000000

22 W61198003 J01DH51 IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN ATB 500 mg/500 mg PULB. PT. SOL. PERF. 500mg/500mg ANTIBIOTICE S.A.

ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL. PERF. PR

10

19,572000

23,893000

0,000000

23 W54471005 J01DH51 IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg PULB. PT. SOL. PERF. 500mg/500mg TERAPIA SA

ROMANIA CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF. S/P-RF

5

23,246400

28,378800

10,643200

24 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF 10

86,731200

99,115200

6,775800

25 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF 10

72,276000

82,596000

0,000000

26 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1

689,840000

790,080000

0,000000

27 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1

117,147600

132,268800

17,451200

28 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10

114,492000

128,611000

0,000000

29 W64055001 J01XX08 LINEZOLIDUM

LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml

AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR

1

117,147600

132,268800

12,181200

30 W63515002 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

10

113,362000

127,380000

0,000000

31 W61561001 J01XX08 LINEZOLIDUM

LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR

10

97,623000

110,224000

0,000000

32 W64206001 J01XX08 LINEZOLIDUM

LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR

10

110,566000

124,332000

0,000000

33 W61756002 J01XX08 LINEZOLIDUM

LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR

10

114,432000

128,546000

0,000000

34 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR

1

112,480000

132,268800

5,051200

35 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

1

117,147600

132,268800

15,921200

36 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

7

2,478571

3,350000

0,000000

37 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4

2,974285

4,020000

2,720000

38 W43597002 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg CAPS.

100mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

2,974285

4,020000

0,741428

39 W58226001 J02AC01 FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg CAPS.

150mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF

1

4,660000

6,300000

0,000000

40 W42693001 J02AC01 FLUCONAZOLUM

FLUCONAZOL 150 mg CAPS.

150mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

41 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1

5,570000

7,530000

0,000000

42 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

43 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

44 W60221003 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

45 W57239001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LPH 150 mg CAPS.

150mg

LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF

1

5,570000

7,530000

0,000000

46 W51994001 J02AC01 FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg CAPS.

150mg

MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,570000

7,530000

0,000000

47 W52334001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LAROPHARM 150 mg CAPS.

150mg

LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF

1

5,570000

7,530000

0,000000

48 W08373001 J02AC01 FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,590000

7,550000

0,000000

49 W43598001 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg CAPS.

150mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF

1

4,930000

6,660000

0,000000

50 W60221001 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

51 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,592000

7,560000

4,060000

52 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

4,698571

6,145714

0,000000

53 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

2,433428

54 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7

1,532570

2,070857

0,449143

55 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

7

1,277142

1,725714

0,000000

56 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

0,854857

  1. 57 W44098001 J02AC01 FLUCONAZOLUM

  2. 58 W53942002 J02AC01 FLUCONAZOLUM

FLUCORIC 50 mg CAPS.

FLUCONAZOL ARENA 50 MG CAPS.

50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285

50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7 1,532570 2,070857 0,856285

59 W43596001 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg CAPS.

50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7 1,532570 2,070857 0,000571

7

1,532570

2,070857

0,856285

1

22,810000

30,830000

0,000000

  1. 60 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS. P-RF

  2. 61 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML PRF

46

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

47

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

62 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

10

37,499000

44,689000

0,000000

63 W55502003 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

20

9,211000

11,244500

0,000000

64 W55502011 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

20

18,749500

22,344500

0,000000

65 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml

ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S

10

18,885000

23,055000

0,000000

66 W58456001 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL. PERF. PR

20

11,053200

13,493400

9,107100

67 W58456002 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR

20

22,499400

26,813400

12,463600

68 W55502017 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

1

38,180000

49,940000

0,000000

69 W58456003 J02AC01 FLUCONAZOLUM FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR

10

44,998800

53,626800

40,412200

70 W57368003 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S

1

22,499400

26,813400

31,246600

71 W55502001 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

1

9,540000

12,900000

0,000000

72 W55502009 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

1

19,080000

25,790000

0,000000

73 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg

DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

52,854714

74 W62033006 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg COMPR. FILM. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

11,761714

14,358857

60,507143

75 W64073003 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

11,761714

14,358857

71,690428

76 W64073005 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

69,160071

77 W64073008 J02AC03 VORICONAZOLUM ** VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

11,761714

14,358857

67,894893

78 W08947008 J02AC03 VORICONAZOLUM ** VFEND 200mg COMPR. FILM. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

28

11,761714

14,358857

43,581143

79 W61628005 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

9,801428

11,965714

0,000000

80 W61628006 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

9,801666

11,966000

0,000000

81 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF

28

9,801428

11,965714

0,000000

82 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

22,530000

27,282857

0,000000

83 W64072005 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

21,554285

24,856785

0,000000

84 W64072008 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

21,018571

23,591607

0,000000

85 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg

PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF

1

270,192000

329,844000

83,166000

86 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg

SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF

1

225,160000

274,870000

0,000000

87 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg

ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

21,646000

88 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF

1

225,160000

274,870000

0,000000

89 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

90 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

91 W10489001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF

1

270,192000

329,844000

41,206000

92 W41889001 J02AC03 VORICONAZOLUM ** VFEND 40 mg/ml PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF

1

1.383,700000

1.546,390000

0,000000

93 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

0,775566

94 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

25,394566

95 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF

60

17,207000

19,391500

0,000000

96 W61515001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

15,644566

97 W60756001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF

60

14,422500

16,356333

0,000000

98 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml

NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR

1

1.300,620000

1.455,830000

0,000000

99 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

2,479916

3,027500

0,000000

100 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

4,758916

5,505166

0,000000

101 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,470200

1,794800

0,000000

102 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS.

PR

100

1,470200

1,794800

0,000000

103 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM **

MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF

50

1,746600

2,208400

0,000000

104 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg COMPR. FILM. 500mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR

50

2,940400

3,589600

0,000000

105 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg COMPR. FILM. 500mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R

50

2,940400

3,589600

0,000000

106 W51399001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R) CAPS. MOI 25mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF

50

1,413000

1,786600

0,000000

107 W51398001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R) CAPS. MOI 50mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF

50

2,703600

3,300600

0,000000

108 W53729001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 0,5 mg CAPS. 0,5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

1,864800

2,357800

0,000000

109 W55262007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR

50

1,301200

1,645200

0,000000

110 W53730001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 1 mg CAPS. 1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

3,879800

4,736400

0,000000

111 W55263007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 1 mg CAPS. 1mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR

50

2,556600

3,121200

0,000000

112 W53731001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 5 mg CAPS. 5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

18,476000

20,901800

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

113 W51974002 L04AD02 TACROLIMUSUM **

ADVAGRAF 0,5mg

CAPS. ELIB. PREL. 0,5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

1,864800

2,357800

0,000000

114 W57352002 L04AD02 TACROLIMUSUM **

ADVAGRAF 1mg

CAPS. ELIB. PREL. 1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

3,879800

4,736400

0,000000

115 W51976002 L04AD02 TACROLIMUSUM **

ADVAGRAF 5mg

CAPS. ELIB. PREL. 5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

19,668600

22,201800

0,000000

116 W53732001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S

10

156,564000

174,470000

0,000000

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

P9.3: TRANSPLANT HEPATIC

1 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-6L

50

0,937200

1,225800

0,000000

2 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6L

100

0,920800

1,164200

0,000000

3 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM.

500mg

DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6L

100

2,219100

2,709100

0,000000

4 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L

1

81,200000

102,670000

0,000000

5 W62441002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF

10

5,300000

6,701000

0,000000

6 W63590002 B01AB05 ENOXAPARINUM CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF

10

5,300000

6,701000

0,000000

7 W62442002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF

10

9,614000

12,156000

0,000000

8 W63591002 B01AB05 ENOXAPARINUM CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF

10

9,614000

12,156000

0,000000

9 W63592002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF

10

12,800000

15,626000

0,000000

10 W62443002 B01AB05 ENOXAPARINUM CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF

10

12,800000

15,626000

0,000000

11 W62444002 B01AB05 ENOXAPARINUM CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF

6

16,310000

20,621666

0,000000

12 W63593002 B01AB05 ENOXAPARINUM CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF

6

16,310000

20,621666

0,000000

13 W58879001 B01AC11 ILOPROSTUM ** ILOMEDIN 20 CONC. PT. SOL. PERF. 20μg/ml BAYER PHARMA AG GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. S/P-RF

5

136,698000

156,630000

0,000000

14 W63884001 B01AC11 ILOPROSTUM ** ILOMEDIN 20 CONC. PT. SOL. PERF. 20μg/ml BAYER AG GERMANIA CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF. PR

5

136,698000

156,630000

0,000000

15 W00257001 B01AD02 ALTEPLASUM ** ACTILYSE PULB+SOLV. PT. SOL. INJ 50mg BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER S

1

1.501,060000

1.674,310000

0,000000

16 W64629001 B02AA02 ACIDUM TRANEXAMICUM 4) ACIDO TRANEXAMICO BIOINDUSTRIA L.I.M. 500 mg/5 ml SOL. INJ. PT. ADM. I.V.SI ORALA 500mg/5ml CN UNIFARM S.A. ROMANIA CUTIE CU 5 FIOLE X 5 ML SOL. INJ. PR

5

2,728000

3,686000

0,000000

17 W53034002 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1 mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE CU 1 FLAC. PULB. PT. SOL. INJ.+1 SERINGA PREUMPLUTA CU SOLV. PT. RECONSTITUIRE +1 ADAPTOR DE FLACON PR

1

2.459,210000

2.718,690000

0,000000

18 W53034001 B02BD08 EPTACOG ALFA ACTIVATUM ** NOVOSEVEN 1mg (50 KUI) PULB. + SOLV. PT. SOL. INJ. 50 KIU NOVO NORDISK A/S DANEMARCA CUTIE X 1 FLAC. PULB. PT. SOL. INJ. + 1 FLAC. SOLV. PT. RECONSTITUIRE PR

1

2.431,230000

2.688,190000

0,000000

19 W58726003 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUROCARD 50 mg/20 mg CAPS. 50mg/20 mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L

30

0,848666

1,110000

0,000000

20 W07005001 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIUREX 50 mg/20 mg CAPS. 50mg/20mg TERAPIA SA ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-6L

20

0,942000

1,273500

0,000000

21 W60585001 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P6L

20

0,908500

1,228000

0,000000

22 W60585002 C03EB01 COMBINATII (SPIRONOLACTONUM+FUROSEMIDUM) DIOCOR 50 mg/20 mg CAPS. 50mg/20mg SANIENCE S.R.L. ROMANIA CUTIE CU 3 BLIST. PVC/AL X 10 CAPS. P6L

30

0,817666

1,105333

0,000000

23 W53832002 H01BA02 DESMOPRESSINUM DESMOPRESINA TEVA 0,2mg COMPR. 0,2mg TEVA PHARMACEUTICAL S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR. P-RF

30

2,082000

2,632666

0,000000

24 W53992002 H01BA02 DESMOPRESSINUM MINIRIN MELT 120 mcg LIOF. ORAL 120mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF

30

5,216666

6,368666

0,000000

25 W53991002 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF

30

2,639666

3,337666

0,000000

26 W53991001 H01BA02 DESMOPRESSINUM MINIRIN MELT 60 mcg LIOF. ORAL 60mcg FERRING GMBH GERMANIA CUTIE X 1 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL P-RF

10

2,687000

3,515000

0,000000

27 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S

1

21,688800

26,478000

5,082000

28 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S

10

13,458000

16,429000

0,000000

29 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

10

12,977000

15,842000

0,000000

30 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 2 g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

1

13,450000

18,180000

0,000000

31 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

10

18,074000

22,065000

0,000000

32 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PERASIN 4 g/0,50 g PULB. PT. SOL. PERF. 4g/0,50g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

1

18,730000

25,320000

0,000000

33 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S

10

18,736000

22,873000

0,000000

34 W52799001 J01XX08 LINEZOLIDUM ZYVOXID 600 mg COMPR. FILM. 600mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF

10

86,731200

99,115200

6,775800

35 W62497001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 600 mg COMPR. FILM. 600mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

10

72,276000

82,596000

0,000000

36 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF

1

689,840000

790,080000

0,000000

37 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR

1

117,147600

132,268800

17,451200

38 W52801001 J01XX08 LINEZOLIDUM

ZYVOXID 2mg/ml

SOL. PERF. 2mg/ml

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML

S

10

114,492000

128,611000

0,000000

39 W64055001 J01XX08 LINEZOLIDUM

LINEZOLID AUROBINDO 2 mg/ml

SOL. PERF. 2mg/ml

AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF.

PR

1

117,147600

132,268800

12,181200

40 W63515002 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 2 mg/ml

SOL. PERF. 2mg/ml

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT

PRF

10

113,362000

127,380000

0,000000

41 W61561001 J01XX08 LINEZOLIDUM

LINEZOLID KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF.

PR

10

97,623000

110,224000

0,000000

42 W64206001 J01XX08 LINEZOLIDUM

LINEZOLID ACCORD 2 mg/ml

SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF.

PR

10

110,566000

124,332000

0,000000

48

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

49

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

43 W61756002 J01XX08 LINEZOLIDUM LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR

10

114,432000

128,546000

0,000000

44 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR

1

112,480000

132,268800

5,051200

45 W63515001 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 2 mg/ml

SOL. PERF. 2mg/ml

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

1

117,147600

132,268800

15,921200

46 W61017005 J02AC03 VORICONAZOLUM **

VORICONAZOL DR. REDDY'S 200 mg

COMPR. FILM. 200mg

DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

52,854714

47 W62033006 J02AC03 VORICONAZOLUM **

VORAMOL 200 mg

COMPR. FILM. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

11,761714

14,358857

60,507143

48 W64073003 J02AC03 VORICONAZOLUM **

VERRIA 200 mg

COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

11,761714

14,358857

71,690428

49 W64073005 J02AC03 VORICONAZOLUM **

VERRIA 200 mg

COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

69,160071

50 W64073008 J02AC03 VORICONAZOLUM **

VERRIA 200 mg

COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

11,761714

14,358857

67,894893

51 W08947008 J02AC03 VORICONAZOLUM **

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

28

11,761714

14,358857

43,581143

52 W61628005 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg

COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

9,801428

11,965714

0,000000

53 W61628006 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg

COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

9,801666

11,966000

0,000000

54 W61817001 J02AC03 VORICONAZOLUM **

VORICONAZOLE ACCORD 200 mg

COMPR. FILM. 200mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF

28

9,801428

11,965714

0,000000

55 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

22,530000

27,282857

0,000000

56 W64072005 J02AC03 VORICONAZOLUM **

VERRIA 50 mg

COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU

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

28

21,554285

24,856785

0,000000

57 W64072008 J02AC03 VORICONAZOLUM **

VERRIA 50 mg

COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

21,018571

23,591607

0,000000

58 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1

270,192000

329,844000

83,166000

59 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1

225,160000

274,870000

0,000000

60 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1

270,192000

329,844000

21,646000

61 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF.

PRF

1

225,160000

274,870000

0,000000

62 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF.

PRF

1

270,192000

329,844000

41,206000

63 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

64 W10489001 J02AC03 VORICONAZOLUM **

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF

1

270,192000

329,844000

41,206000

65 W41889001 J02AC03 VORICONAZOLUM **

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF

1

1.383,700000

1.546,390000

0,000000

66 W63403001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA MYLAN 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR 1 854,310000 969,350000 0,000000

67 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1

854,310000

969,350000

0,000000

68 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1

854,310000

969,350000

0,000000

69 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

70 W06665001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

1

854,310000

969,350000

0,000000

71 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

72 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR

1

810,730000

921,850000

0,000000

73 W63404001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

MYLAN S.A.S.

FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

74 W63458001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA ZENTIVA 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

ZENTIVA, K.S.

REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

75 W64792001 J02AX04 CASPOFUNGINUM **

CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP DOHME

OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR

1

1.105,860000

1.243,540000

0,000000

76 W06670001 J02AX04 CASPOFUNGINUM **

CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP DOHME

MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

1

1.105,860000

1.243,540000

0,000000

77 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

78 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR

1

1.051,440000

1.184,220000

0,000000

79 W63506001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

80 W62968001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg

STADA M D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

81 W62969001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg

STADA M D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,810000

1.243,480000

0,000000

82 W61519003 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

0,775566

83 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60

17,307000

19,627600

25,394566

84 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60

17,207000

19,391500

0,000000

85 W61515001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR AUROBINDO 450 mg

COMPR. FILM. 450mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

15,644566

86 W60756001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF

60

14,422500

16,356333

0,000000

87 W56595001 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B **

ZUTECTRA

SOL INJ. IN SERINGA PRE-UMPLUTA 500 UI

BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF

5

915,086000

1.005,076000

0,000000

88 W54188003 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B **

HEPATECT CP 50 UI/ml

SOL. PERF. 50 UI/ ml

BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR

1

3.234,390000

3.563,640000

0,000000

89 W54188004 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B **

HEPATECT CP 50 UI/ml

SOL. PERF. 50 UI/ ml

BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. (5000UI) PR

1

7.804,340000

8.544,890000

0,000000

90 W53892001 L03AA02 FILGRASTIMUM (G-CSF)

ZARZIO 30MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml

SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

1

69,700000

88,130000

0,000000

91 W53893001 L03AA02 FILGRASTIMUM (G-CSF)

ZARZIO 48MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml

SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R

1

107,407200

126,230400

27,419600

92 W61793001 L03AA02 FILGRASTIMUM (G-CSF)

ACCOFIL 30 MU/0,5 ml

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

1

66,110000

83,590000

0,000000

93 W61794001 L03AA02 FILGRASTIMUM (G-CSF)

ACCOFIL 48 MU/0,5 ml

SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml

ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

1

105,780000

126,230400

2,909600

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

94 W62176005 L03AA02 FILGRASTIMUM (G-CSF)

TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

1

69,220000

87,520000

0,000000

95 W64857002 L03AA02 FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

5

65,892000

79,452000

0,000000

96 W55757002 L03AA02 FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

5

65,892000

79,452000

0,000000

97 W64858002 L03AA02 FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

5

89,506000

105,192000

0,000000

98 W55758002 L03AA02 FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

5

89,506000

105,192000

0,000000

99 W62177005 L03AA02 FILGRASTIMUM (G-CSF)

TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

1

107,407200

126,230400

8,839600

100 W42264003 L04AA06 MYCOPHENOLATUM **

MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

2,479916

3,027500

0,000000

101 W42265003 L04AA06 MYCOPHENOLATUM **

MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

4,758916

5,505166

0,000000

102 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,470200

1,794800

0,000000

103 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS.

PR

100

1,470200

1,794800

0,000000

104 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM **

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. FILM.

500mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P-RF

50

1,746600

2,208400

0,000000

105 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM.

PR

50

2,940400

3,589600

0,000000

106 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-RF/R

50

2,940400

3,589600

0,000000

107 W61479001 L04AA10 SIROLIMUS **

RAPAMUNE 1mg

DRAJ.

1mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

PR

30

15,278666

17,925333

0,000000

108 W51399001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

1,413000

1,786600

0,000000

109 W51398001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

2,703600

3,300600

0,000000

110 W53729001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

50

1,864800

2,357800

0,000000

111 W55262007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 0,5 mg

CAPS.

0,5mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

PR

50

1,301200

1,645200

0,000000

112 W53730001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

50

3,879800

4,736400

0,000000

113 W55263007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

PR

50

2,556600

3,121200

0,000000

114 W53731001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P-RF

50

18,476000

20,901800

0,000000

115 W51974002 L04AD02 TACROLIMUSUM **

ADVAGRAF 0,5mg

CAPS. ELIB. PREL.

0,5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

50

1,864800

2,357800

0,000000

116 W57352002 L04AD02 TACROLIMUSUM **

ADVAGRAF 1mg

CAPS. ELIB. PREL.

1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

50

3,879800

4,736400

0,000000

117 W51976002 L04AD02 TACROLIMUSUM **

ADVAGRAF 5mg

CAPS. ELIB. PREL.

5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-RF/R

50

19,668600

22,201800

0,000000

118 W53732001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML

S

10

156,564000

174,470000

0,000000

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

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

1 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-6L

50

0,937200

1,225800

0,000000

2 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6L

100

0,920800

1,164200

0,000000

3 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM.

500mg

DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6L

100

2,219100

2,709100

0,000000

4 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L

1

81,200000

102,670000

0,000000

5 W00231001 A11CC03 ALFACALCIDOLUM

ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF

50

0,459000

0,620400

0,000000

6 W58167002 A11CC03 ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

30

0,550800

0,744480

0,061853

7 W44042001 A11CC03 ALFACALCIDOLUM

ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF

30

0,846666

1,107333

0,000000

8 W58168002 A11CC03 ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

30

0,913000

1,194000

0,000000

9 W55847001 A11CC03 ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. S

10

11,558000

14,110000

0,000000

10 W55847002 A11CC03 ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. S

10

22,044000

26,911000

0,000000

11 W64849001 B01AB04 DALTEPARINUM

FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000UI/0,2ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA PR/PRF

10

9,538000

12,060000

0,000000

12 W52808004 B01AB04 DALTEPARINUM

FRAGMIN 5000 UI/0,2 ml SOL. INJ. 5000ui/0,2ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 10 BLISTERE INDIVIDUALE CONTINÂND FIECARE O SERINGA PREUMPLUTA, FARA SISTEM DE BLOCARE A ACULUI NEEDLE-TRAP A 0,2 ML SOLUTIE INJECTABILA S/P-RF

10

9,538000

12,060000

0,000000

13 W62441002 B01AB05 ENOXAPARINUM

CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF

10

5,300000

6,701000

0,000000

14 W63590002 B01AB05 ENOXAPARINUM

CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF

10

5,300000

6,701000

0,000000

15 W62442002 B01AB05 ENOXAPARINUM

CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF

10

9,614000

12,156000

0,000000

16 W63591002 B01AB05 ENOXAPARINUM

CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF

10

9,614000

12,156000

0,000000

17 W63592002 B01AB05 ENOXAPARINUM

CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF

10

12,800000

15,626000

0,000000

18 W62443002 B01AB05 ENOXAPARINUM

CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF

10

12,800000

15,626000

0,000000

19 W62444002 B01AB05 ENOXAPARINUM

CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF

6

16,310000

20,621666

0,000000

20 W63593002 B01AB05 ENOXAPARINUM

CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF

6

16,310000

20,621666

0,000000

21 W42954002 H01CB02 OCTREOTIDUM **

SANDOSTATIN LAR 10 mg PULB.+SOLV. PT. SOL. INJ. 10mg NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR

1

838,600000

952,230000

0,000000

50

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

22 W42955002 H01CB02 OCTREOTIDUM **

SANDOSTATIN LAR 20 mg

PULB.+SOLV. PT. SOL. INJ. 20mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR

1

1.647,200000

1.833,600000

0,000000

23 W42956002 H01CB02 OCTREOTIDUM **

SANDOSTATIN LAR 30 mg

PULB.+SOLV. PT. SOL. INJ. 30mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2 ML SOLVENT + ADAPTOR PT FLACON+1 AC PR

1

2.455,820000

2.715,000000

0,000000

24 W59079001 H01CB02 OCTREOTIDUM **

SANDOSTATIN 0,1 mg/ml

SOL. INJ. 0,1mg/ml

NOVARTIS PHARMA GMBH GERMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOL. INJ. PR

5

7,108000

9,298000

0,000000

25 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

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

1

21,688800

26,478000

5,082000

26 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S

10

13,458000

16,429000

0,000000

27 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2 g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

10

12,977000

15,842000

0,000000

28 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2 g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

1

13,450000

18,180000

0,000000

29 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4 g/0,50 g

PULB. PT. SOL. PERF. 4g/0,50g

ANTIBIOTICE S.A. ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

10

18,074000

22,065000

0,000000

30 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4 g/0,50 g

PULB. PT. SOL. PERF. 4g/0,50g

ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

1

18,730000

25,320000

0,000000

31 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g

PULB. PT. SOL. PERF. 4g/0,5g

S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S

10

18,736000

22,873000

0,000000

32 W13105001 J01XA02 TEICOPLANINUM

TARGOCID (R) 400 mg

PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg

AVENTIS PHARMA LTD. MAREA BRITANIE CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) P-RF

1

110,100000

134,410000

0,000000

33 W64490001 J01XA02 TEICOPLANINUM

TARGOCID 400 mg

PULB+SOLV. PT. SOL. INJ./PERF. SAU SOL. ORALA 400mg

SANOFI ROMANIA SRL ROMANIA CUTIE CU 1 FLACON DIN STICLA INCOLORA TIP I, CARE CONTINE PULBEREA SI O FIOLA DIN STICLA INCOLORA TIP I CARE CONTINE SOLV. (APA PT. PREPARATE INJ., 3 ML) PRF

1

110,100000

134,410000

0,000000

34 W52799001 J01XX08 LINEZOLIDUM

ZYVOXID 600 mg

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF

10

86,731200

99,115200

6,775800

35 W62497001 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 600 mg

COMPR. FILM. 600mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

10

72,276000

82,596000

0,000000

36 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1

689,840000

790,080000

0,000000

37 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1

117,147600

132,268800

17,451200

38 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10

114,492000

128,611000

0,000000

39 W64055001 J01XX08 LINEZOLIDUM

LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml

AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR

1

117,147600

132,268800

12,181200

40 W63515002 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

10

113,362000

127,380000

0,000000

41 W61561001 J01XX08 LINEZOLIDUM

LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR

10

97,623000

110,224000

0,000000

42 W64206001 J01XX08 LINEZOLIDUM

LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR

10

110,566000

124,332000

0,000000

43 W61756002 J01XX08 LINEZOLIDUM

LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR

10

114,432000

128,546000

0,000000

44 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR

1

112,480000

132,268800

5,051200

45 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

1

117,147600

132,268800

15,921200

46 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

7

2,478571

3,350000

0,000000

47 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4

2,974285

4,020000

2,720000

48 W43597002 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg CAPS.

100mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

2,974285

4,020000

0,741428

49 W58226001 J02AC01 FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg CAPS.

150mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF

1

4,660000

6,300000

0,000000

50 W42693001 J02AC01 FLUCONAZOLUM

FLUCONAZOL 150 mg CAPS.

150mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

51 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1

5,570000

7,530000

0,000000

52 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

53 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

54 W60221003 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

55 W57239001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LPH 150 mg CAPS.

150mg

LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF

1

5,570000

7,530000

0,000000

56 W51994001 J02AC01 FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg CAPS.

150mg

MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,570000

7,530000

0,000000

57 W52334001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LAROPHARM 150 mg CAPS.

150mg

LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF

1

5,570000

7,530000

0,000000

58 W08373001 J02AC01 FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,590000

7,550000

0,000000

59 W43598001 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg CAPS.

150mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF

1

4,930000

6,660000

0,000000

60 W60221001 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

61 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,592000

7,560000

4,060000

62 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

4,698571

6,145714

0,000000

63 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

2,433428

64 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7

1,532570

2,070857

0,449143

65 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

7

1,277142

1,725714

0,000000

66 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

0,854857

67 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7

1,532570

2,070857

0,856285

68 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7

1,532570

2,070857

0,856285

69 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7

1,532570

2,070857

0,000571

VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.

P-RF

7

1,532570

2,070857

0,856285

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML

PRF

1

22,810000

30,830000

0,000000

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S 10

37,499000

44,689000

0,000000

  1. 70 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg

  2. 71 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml

    51

  3. 72 W55502018 J02AC01 FLUCONAZOLUM FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

73 W55502003 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

20

9,211000

11,244500

0,000000

74 W55502011 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

20

18,749500

22,344500

0,000000

75 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10

18,885000

23,055000

0,000000

76 W58456001 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL. PERF. PR

20

11,053200

13,493400

9,107100

77 W58456002 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR

20

22,499400

26,813400

12,463600

78 W55502017 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

1

38,180000

49,940000

0,000000

79 W58456003 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR

10

44,998800

53,626800

40,412200

80 W57368003 J02AC01 FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S

1

22,499400

26,813400

31,246600

81 W55502001 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

1

9,540000

12,900000

0,000000

82 W55502009 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

1

19,080000

25,790000

0,000000

83 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg PHARMASWISS CESKA REPUBLIKA S.R.O. REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF

15

1,671333

2,186000

0,000000

84 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg

FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF

15

1,671333

2,186000

0,000000

85 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL 100 mg CAPS. 100mg

SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF

15

1,671333

2,186000

0,000000

86 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg

ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF

15

1,671333

2,186000

0,000000

87 W59235001 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg

ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF

15

1,671333

2,186000

0,000000

88 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL CAPS. 100mg

JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF

15

2,005600

2,623200

0,740800

89 W61017005 J02AC03 VORICONAZOLUM ** VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

52,854714

90 W62033006 J02AC03 VORICONAZOLUM **

VORAMOL 200 mg

COMPR. FILM. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

11,761714

14,358857

60,507143

91 W64073003 J02AC03 VORICONAZOLUM **

VERRIA 200 mg

COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

11,761714

14,358857

71,690428

92 W64073005 J02AC03 VORICONAZOLUM **

VERRIA 200 mg

COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

69,160071

93 W64073008 J02AC03 VORICONAZOLUM **

VERRIA 200 mg

COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

11,761714

14,358857

67,894893

94 W08947008 J02AC03 VORICONAZOLUM **

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

28

11,761714

14,358857

43,581143

95 W61628005 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg

COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

9,801428

11,965714

0,000000

96 W61628006 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg

COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

9,801666

11,966000

0,000000

97 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF

28

9,801428

11,965714

0,000000

98 W64072003 J02AC03 VORICONAZOLUM **

VERRIA 50 mg

COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

22,530000

27,282857

0,000000

99 W64072005 J02AC03 VORICONAZOLUM **

VERRIA 50 mg

COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

21,554285

24,856785

0,000000

100 W64072008 J02AC03 VORICONAZOLUM **

VERRIA 50 mg

COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

21,018571

23,591607

0,000000

101 W62396001 J02AC03 VORICONAZOLUM **

VFEND 200mg

PULB. + SOLV. PT. SOL. PERF. 200mg

PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF

1

270,192000

329,844000

83,166000

102 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1

225,160000

274,870000

0,000000

103 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1

270,192000

329,844000

21,646000

104 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF.

PRF

1

225,160000

274,870000

0,000000

105 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF.

PRF

1

270,192000

329,844000

41,206000

106 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

107 W10489001 J02AC03 VORICONAZOLUM **

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF

1

270,192000

329,844000

41,206000

108 W41889001 J02AC03 VORICONAZOLUM **

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF

1

1.383,700000

1.546,390000

0,000000

109 W63403001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA MYLAN 50 mg

PULB. PT. CONC. PT. SOL. PERF. 50mg

MYLAN S.A.S.

FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF.

PR

1

854,310000

969,350000

0,000000

110 W64793001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. X 50 MG PULB. PTR. CONC. PTR. SOL. PERF. PR 1

854,310000

969,350000

0,000000

111 W63457001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ZENTIVA 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1

854,310000

969,350000

0,000000

112 W63758001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 50 MG PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

113 W06665001 J02AX04 CASPOFUNGINUM ** CANCIDAS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg MERCK SHARP DOHME MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

1

854,310000

969,350000

0,000000

114 W63505001 J02AX04 CASPOFUNGINUM ** CASPOFUNGINA ATB 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

115 W63508001 J02AX04 CASPOFUNGINUM ** DALVOCANS 50 mg PULB. PT. CONC. PT. SOL. PERF. 50mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR

1

810,730000

921,850000

0,000000

116 W63404001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA MYLAN 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

MYLAN S.A.S.

FRANTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONCENTRAT PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

117 W63458001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA ZENTIVA 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

ZENTIVA, K.S.

REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

118 W64792001 J02AX04 CASPOFUNGINUM **

CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP DOHME

OLANDA CUTIE X 1 FLAC. X 70 MG PULB. PTR. CONC. PTR. SOL. PERF. PR

1

1.105,860000

1.243,540000

0,000000

119 W06670001 J02AX04 CASPOFUNGINUM **

CANCIDAS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP DOHME

MAREA BRITANIE CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF. S

1

1.105,860000

1.243,540000

0,000000

120 W63759001 J02AX04 CASPOFUNGINUM ** CASPOFUNGIN ACCORD 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 10 ML CARE CONTINE 70 MG PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

121 W63509001 J02AX04 CASPOFUNGINUM ** DALVOCANS 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 10 ML CU PULB. PT. CONC. PT. SOL. PERF. PR

1

1.051,440000

1.184,220000

0,000000

122 W63506001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA ATB 70 mg PULB. PT. CONC. PT. SOL. PERF. 70mg

ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FLAC. DIN STICLA TIP I CU CAPACITATEA DE 10 ML, CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

1.105,850000

1.243,530000

0,000000

123 W62968001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA STADA 50 mg PULB. PT.CONC. PT. SOL. PERF. 50mg

STADA M D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR

1

854,310000

969,350000

0,000000

52

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

53

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

124 W62969001 J02AX04 CASPOFUNGINUM **

CASPOFUNGINA STADA 70 mg PULB. PT.CONC. PT. SOL. PERF. 70mg

STADA M D SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. PERF. PR 1

1.105,810000

1.243,480000

0,000000

125 W53675003 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 200 mg CAPS. 200mg

ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S 1000

0,670200

0,873850

0,000000

126 W42857001 J05AB01 ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

20

0,670200

0,906000

0,198000

127 W53675001 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

20

0,670200

0,906000

0,263500

128 W56038001 J05AB01 ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS.

200mg

FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF

20

0,670200

0,906000

0,222000

129 W53676001 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF

10

1,574000

2,128000

0,000000

130 W60558001 J05AB01 ACICLOVIRUM

ACICLOVIR-RICHTER 200 mg

COMPR.

200mg

GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF

20

0,670200

0,906000

0,035500

131 W53225001 J05AB01 ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR.

200mg

LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF

20

0,670200

0,906000

0,035500

132 W06667003 J05AB01 ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

20

0,558500

0,755000

0,000000

133 W00044001 J05AB01 ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR.

200mg

TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

20

0,670200

0,906000

0,031000

134 W06668003 J05AB01 ACICLOVIRUM

ACICLOVIR 400 mg

COMPR.

400mg

EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

10

1,888800

2,553600

0,350400

135 W00058001 J05AB01 ACICLOVIRUM

VIROLEX

PULB. PT. SOL. INJ./PERF.

250mg

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF

5

40,340000

49,248000

0,000000

136 W58707001 J05AB11 VALACYCLOVIRUM

VALTREX 500 mg

COMPR. FILM.

500 mg

THE WELLCOME FOUNDATION LTD. MAREA BRITANIE CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF

10

2,926800

3,956400

0,929600

137 W60087001 J05AB11 VALACYCLOVIRUM

VALACICLOVIR ARENA 500 mg

COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10

2,439000

3,297000

0,000000

138 W61519003 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR SANDOZ 450 mg

COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60

17,307000

19,627600

0,775566

139 W61605001 J05AB14 VALGANCICLOVIRUM **

ALVANOCYT 450 mg

COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60

17,307000

19,627600

25,394566

140 W62786001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR ZENTIVA 450 mg

COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60

17,207000

19,391500

0,000000

141 W61515001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR AUROBINDO 450 mg

COMPR. FILM. 450mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF 60

17,307000

19,627600

15,644566

142 W60756001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF 60

14,422500

16,356333

0,000000

143 W57505017 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 10

1.466,208000

1.601,984000

0,000000

144 W57505010 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 1

396,840000

470,710000

0,000000

145 W57505011 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 12 ML SOL. INJ. PR 10

360,762000

397,046000

0,000000

146 W57505008 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 6 ML SOL. INJ. PR 10

186,420000

207,013000

0,000000

147 W57505013 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 1

763,680000

870,560000

0,000000

148 W57505014 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 24 ML SOL. INJ. PR 10

736,680000

806,797000

0,000000

149 W57505016 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 48 ML SOL. INJ. PR 1

1.497,410000

1.670,330000

0,000000

150 W57505005 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 10 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 10

612,682000

671,639000

0,000000

151 W57505004 J06BA01 IMUNOGLOBULINA UMANA NORMALA **

GAMMANORM 165 mg/ml

SOL INJ. 165mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA X 20 ML SOL. INJ. PR 1

641,400000

737,280000

0,000000

152 W54752002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML X 50 ML SOL. PERF. PR 1

932,550000

1.054,630000

0,000000

153 W54752001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 30 ML X 20 ML SOL. PERF. PR 1

408,030000

482,900000

0,000000

154 W54752004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA, CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA PR 1

3.674,450000

4.043,310000

0,000000

155 W54752003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM 10%

SOL. PERF. 100 mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 100 ML X 100 ML SOL. PERF. PR 1

1.835,250000

2.038,570000

0,000000

156 W62722003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

PANZYGA 100 mg/ml

SOL. PERF. 100mg/ml OCTAPHARMA (IP) LIMITED MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA, CU CAPACITATEA DE 70 ML, CU 50 ML SOL. PERF. PR 1

966,910000

1.092,080000

0,000000

157 W43965001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 10g/200ml

SOL. PERF. 10g/200ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1

2.028,690000

2.249,430000

0,000000

158 W43962001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 1g/20ml

SOL. PERF. 1g/20ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1

219,860000

268,400000

0,000000

159 W43963001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 2,5g/50ml

SOL. PERF. 2,5g/50ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1

529,670000

615,490000

0,000000

160 W59114001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF. PRF 1

205,730000

251,160000

0,000000

161 W59114003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 100 ML SOL. PERF. PRF 1

1.040,030000

1.171,780000

0,000000

162 W59114004 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 200 ML SOL. PERF. PRF 1

1.900,320000

2.109,500000

0,000000

163 W59114002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

INTRATECT 50 g/l

SOL. PERF. 50g/l BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA A 50 ML SOL. PERF. PRF 1

523,800000

609,090000

0,000000

164 W13462001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM

SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 50 ML S 1

490,690000

573,000000

0,000000

165 W63860002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

PENTAGLOBIN

SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 50 ML PR 1

803,040000

913,460000

0,000000

166 W63860001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

PENTAGLOBIN

SOL. PERF. 50mg/ml CN UNIFARM S.A. ROMANIA FLAC. X 100 ML PR 1

1.565,740000

1.744,810000

0,000000

167 W13462003 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM

SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 200 ML S 1

1.859,420000

2.064,920000

0,000000

168 W13462002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

OCTAGAM

SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON X 100 ML S 1

949,870000

1.073,510000

0,000000

169 W43964001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA **

IG VENA 5g/100ml

SOL. PERF. 5g/100ml KEDRION SPA ITALIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET ADMINISTRARE PR 1

1.029,340000

1.160,130000

0,000000

170 W12490001 L01AA01 CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50

0,422800

0,571400

0,000000

171 W52215001 L01AA01 CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. INJ. / PERF. 200mg ACTAVIS S.R.L. ROMANIA CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ S 1

12,380000

16,730000

0,000000

172 W64372001 L01AA01 CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ. I.V. 200mg TEVA B.V. OLANDA CUTIE CU 1 FLAC. DIN STICLA INCOLORA PULB. PT. SOL. PERF./INJ PR 1

12,380000

16,730000

0,000000

173 W53892001 L03AA02 FILGRASTIMUM (G-CSF)

ZARZIO 30MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 60MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1

69,700000

88,130000

0,000000

174 W53893001 L03AA02 FILGRASTIMUM (G-CSF)

ZARZIO 48MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLUTA 96MU/ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL P-RF/R 1

107,407200

126,230400

27,419600

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

175 W61793001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 30 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 30MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

1

66,110000

83,590000

0,000000

176 W61794001 L03AA02 FILGRASTIMUM (G-CSF) ACCOFIL 48 MU/0,5 ml SOL. INJ. SAU PERF. IN SERINGA PREUMPLUTA 48MU/0,5 ml ACCORD HEALTHCARE LIMITED MAREA BRITANIE AMBALAJ CU 1 SERINGA PREUMPLUTA CU 0,5 ML SOL. INJ. PR

1

105,780000

126,230400

2,909600

177 W62176005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 30MUI/0,5ml SOL. INJ./PERF. 300μg/0,5ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

1

69,220000

87,520000

0,000000

178 W64857002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

5

65,892000

79,452000

0,000000

179 W55757002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 30 MU/0,5 ml SOL. INJ./PERF. 300μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

5

65,892000

79,452000

0,000000

180 W64858002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml PFIZER EUROPE MA EEIG BELGIA CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. PR

5

89,506000

105,192000

0,000000

181 W55758002 L03AA02 FILGRASTIMUM (G-CSF) NIVESTIM 48 MU/0,5 ml SOL. INJ./PERF. 480μg/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF. P-RF

5

89,506000

105,192000

0,000000

182 W62177005 L03AA02 FILGRASTIMUM (G-CSF) TEVAGRASTIM 48MUI/0,8ml SOL. INJ./PERF. 480μg/0,8ml TEVA GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,8 ML SOL. INJ. SAU PERF. CU APARATOARE DE SIG.PT.AC PR

1

107,407200

126,230400

8,839600

183 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR

1

1.300,620000

1.455,830000

0,000000

184 W42264003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 180 mg COMPR. FILM. GASTROREZ. 180mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

2,479916

3,027500

0,000000

185 W42265003 L04AA06 MYCOPHENOLATUM ** MYFORTIC 360 mg COMPR. FILM. GASTROREZ. 360mg NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

4,758916

5,505166

0,000000

186 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS.

P-RF/R

100

1,470200

1,794800

0,000000

187 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS.

PR

100

1,470200

1,794800

0,000000

188 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM **

MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF

50

1,746600

2,208400

0,000000

189 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg COMPR. FILM. 500mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR

50

2,940400

3,589600

0,000000

190 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg COMPR. FILM. 500mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R

50

2,940400

3,589600

0,000000

191 W61479001 L04AA10 SIROLIMUS **

RAPAMUNE 1mg DRAJ. 1mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR

30

15,278666

17,925333

0,000000

192 W13098001 L04AC02 BASILIXIMABUM **

SIMULECT 20 mg LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S

1

4.227,320000

4.645,930000

0,000000

193 W64598001 L04AC02 BASILIXIMABUM **

SIMULECT 20 mg PULB. + SOLV. PT. SOL. INJ. SAU PERF. 20mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR

1

4.227,320000

4.645,930000

0,000000

194 W51399001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R) CAPS. MOI 25mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF

50

1,413000

1,786600

0,000000

195 W51398001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R) CAPS. MOI 50mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF

50

2,703600

3,300600

0,000000

196 W53729001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 0,5 mg CAPS. 0,5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

1,864800

2,357800

0,000000

197 W55262007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 0,5 mg CAPS. 0,5mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR

50

1,301200

1,645200

0,000000

198 W53730001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 1 mg CAPS. 1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

3,879800

4,736400

0,000000

199 W55263007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 1 mg CAPS. 1mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR

50

2,556600

3,121200

0,000000

200 W53731001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 5 mg CAPS. 5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

18,476000

20,901800

0,000000

201 W51974002 L04AD02 TACROLIMUSUM **

ADVAGRAF 0,5mg CAPS. ELIB. PREL. 0,5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

1,864800

2,357800

0,000000

202 W57352002 L04AD02 TACROLIMUSUM **

ADVAGRAF 1mg CAPS. ELIB. PREL. 1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

3,879800

4,736400

0,000000

203 W51976002 L04AD02 TACROLIMUSUM **

ADVAGRAF 5mg CAPS. ELIB. PREL. 5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

19,668600

22,201800

0,000000

204 W53732001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 5 mg/ml CONC. PT. SOL. PERF. 5mg/ml

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 10 FIOLE X 1 ML S

10

156,564000

174,470000

0,000000

205 W60846001 L04AX01 AZATHIOPRINUM

IMURAN® COMPR. FILM. 50mg

ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF

100

0,542900

0,686400

0,000000

206 W54297001 M05BA04 ACIDUM ALENDRONICUM

TEVANAT 70 mg COMPR. 70 mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L

4

2,107500

2,847500

0,000000

207 W58352002 M05BA04 ACIDUM ALENDRONICUM

ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. TRANSPARENTE PVC-ACLAR/AL X 4 COMPR. P6L

4

1,937500

2,620000

0,000000

208 W60296004 M05BA04 ACIDUM ALENDRONICUM

FOSAMAX 70 mg COMPR. 70mg

MERCK SHARP DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L

2

2,325000

3,144000

6,176000

209 W60296002 M05BA04 ACIDUM ALENDRONICUM

FOSAMAX 70 mg COMPR. 70mg

MERCK SHARP DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L

4

2,325000

3,144000

5,878500

210 W52948001 M05BA04 ACIDUM ALENDRONICUM

ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg

SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L

2

2,325000

3,144000

2,011000

211 W56763002 M05BA04 ACIDUM ALENDRONICUM

ADRONIK 70 mg COMPR. FILM. 70mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM. P-6L

2

2,325000

3,144000

6,176000

212 W56763001 M05BA04 ACIDUM ALENDRONICUM

ADRONIK 70 mg COMPR. FILM. 70mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L

12

2,325000

3,144000

5,425166

213 W56763003 M05BA04 ACIDUM ALENDRONICUM

ADRONIK 70 mg COMPR. FILM. 70mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM. P-6L

4

2,325000

3,144000

5,878500

214 W42905002 N02AB02 PETHIDINUM

MIALGIN (R) 100 mg/2 ml SOL. INJ. 50mg/ml

ZENTIVA SA ROMANIA CUTIE X 5 FIOLE DIN STICLA X 2 ML P-TS

5

1,512000

2,044000

0,000000

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

P9.5: TRANSPLANT CELULE PANCREATICE

1 W52799001 J01XX08 LINEZOLIDUM

ZYVOXID 600 mg

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF

10

86,731200

99,115200

6,775800

2 W62497001 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 600 mg

COMPR. FILM. 600mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PRF

10

72,276000

82,596000

0,000000

3 W52800001 J01XX08 LINEZOLIDUM

ZYVOXID 100 mg/5 ml

GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF

1

689,840000

790,080000

0,000000

4 W60734001 J01XX08 LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR

1

117,147600

132,268800

17,451200

5 W52801001 J01XX08 LINEZOLIDUM

ZYVOXID 2mg/ml

SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S

10

114,492000

128,611000

0,000000

6 W64055001 J01XX08 LINEZOLIDUM

LINEZOLID AUROBINDO 2 mg/ml

SOL. PERF. 2mg/ml AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR

1

117,147600

132,268800

12,181200

54

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

7 W63515002 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

10

113,362000

127,380000

0,000000

8 W61561001 J01XX08 LINEZOLIDUM

LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR

10

97,623000

110,224000

0,000000

9 W64206001 J01XX08 LINEZOLIDUM

LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR

10

110,566000

124,332000

0,000000

10 W61756002 J01XX08 LINEZOLIDUM

LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR

10

114,432000

128,546000

0,000000

11 W60604001 J01XX08 LINEZOLIDUM

PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR

1

112,480000

132,268800

5,051200

12 W63515001 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

1

117,147600

132,268800

15,921200

13 W61017005 J02AC03 VORICONAZOLUM **

VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg

DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

52,854714

14 W62033006 J02AC03 VORICONAZOLUM **

VORAMOL 200 mg COMPR. FILM. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

11,761714

14,358857

60,507143

15 W64073003 J02AC03 VORICONAZOLUM **

VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

11,761714

14,358857

71,690428

16 W64073005 J02AC03 VORICONAZOLUM **

VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

69,160071

17 W64073008 J02AC03 VORICONAZOLUM **

VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

11,761714

14,358857

67,894893

18 W08947008 J02AC03 VORICONAZOLUM **

VFEND 200mg COMPR. FILM. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

28

11,761714

14,358857

43,581143

19 W61628005 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

9,801428

11,965714

0,000000

20 W61628006 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

9,801666

11,966000

0,000000

21 W61817001 J02AC03 VORICONAZOLUM **

VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF

28

9,801428

11,965714

0,000000

22 W64072003 J02AC03 VORICONAZOLUM **

VERRIA 50 mg COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

22,530000

27,282857

0,000000

23 W64072005 J02AC03 VORICONAZOLUM **

VERRIA 50 mg COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

21,554285

24,856785

0,000000

24 W64072008 J02AC03 VORICONAZOLUM **

VERRIA 50 mg COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

21,018571

23,591607

0,000000

25 W62396001 J02AC03 VORICONAZOLUM **

VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg

PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF

1

270,192000

329,844000

83,166000

26 W60659001 J02AC03 VORICONAZOLUM **

VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg

SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF

1

225,160000

274,870000

0,000000

27 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

21,646000

28 W61664001 J02AC03 VORICONAZOLUM **

VORAMOL 200 mg

PULB. PT. SOL. PERF. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF. PRF

1

225,160000

274,870000

0,000000

29 W62122001 J02AC03 VORICONAZOLUM **

VORICONAZOL FRESENIUS KABI 200 mg

PULB. PT. SOL. PERF. 200mg

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

30 W62815001 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg

PULB. PT. SOL. PERF. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

31 W10489001 J02AC03 VORICONAZOLUM **

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF

1

270,192000

329,844000

41,206000

32 W41889001 J02AC03 VORICONAZOLUM **

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF

1

1.383,700000

1.546,390000

0,000000

33 W61519003 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR SANDOZ 450 mg

COMPR. FILM. 450mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

0,775566

34 W61605001 J05AB14 VALGANCICLOVIRUM **

ALVANOCYT 450 mg

COMPR. FILM. 450mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

25,394566

35 W62786001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR ZENTIVA 450 mg

COMPR. FILM. 450mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF

60

17,207000

19,391500

0,000000

36 W61515001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR AUROBINDO 450 mg

COMPR. FILM. 450mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

15,644566

37 W60756001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF

60

14,422500

16,356333

0,000000

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

P9.6: TRANSPLANT PULMONAR

1 W62441002 B01AB05 ENOXAPARINUM

CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF

10

5,300000

6,701000

0,000000

2 W63590002 B01AB05 ENOXAPARINUM

CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF

10

5,300000

6,701000

0,000000

3 W62442002 B01AB05 ENOXAPARINUM

CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF

10

9,614000

12,156000

0,000000

4 W63591002 B01AB05 ENOXAPARINUM

CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF

10

9,614000

12,156000

0,000000

5 W63592002 B01AB05 ENOXAPARINUM

CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF

10

12,800000

15,626000

0,000000

6 W62443002 B01AB05 ENOXAPARINUM

CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF

10

12,800000

15,626000

0,000000

7 W62444002 B01AB05 ENOXAPARINUM

CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF

6

16,310000

20,621666

0,000000

8 W63593002 B01AB05 ENOXAPARINUM

CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF

6

16,310000

20,621666

0,000000

9 W64629001 B02AA02 ACIDUM TRANEXAMICUM 4)

ACIDO TRANEXAMICO BIOINDUSTRIA L.I.M. 500 mg/5 ml SOL. INJ. PT. ADM. I.V.SI ORALA 500mg/5ml CN UNIFARM S.A. ROMANIA CUTIE CU 5 FIOLE X 5 ML SOL. INJ. PR

5

2,728000

3,686000

0,000000

10 W02947002 C01CA24 EPINEPHRINUM

ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE CU 10 FIOLE DIN STICLA BRUNA CU PUNCT DE RUPERE X 1 ML SOL. INJ. PR

10

1,712000

2,314000

0,000000

11 W02947001 C01CA24 EPINEPHRINUM

ADRENALINA TERAPIA 1 mg/ml SOL. INJ. 1mg/ml TERAPIA SA ROMANIA CUTIE X 100 FIOLE X 1 ML PR

100

1,652800

2,017700

0,000000

12 W60389001 C01CA24 EPINEPHRINUM

EPIPEN 150 micrograme SOL. INJ. IN STILOU PREUMPLUT 150mcg MEDA PHARMA GMBH CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR

1

146,350000

178,670000

0,000000

13 W60390001 C01CA24 EPINEPHRINUM

EPIPEN 300 micrograme SOL. INJ. IN STILOU PREUMPLUT 300mcg MEDA PHARMA GMBH CO KG GERMANIA CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML PR

1

142,980000

174,550000

0,000000

14 W54765001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g PULB. PT. SOL. INJ./PERF. 4g/0,5g MYLAN S.A.S. FRANTA CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF. S

1

21,688800

26,478000

5,082000

55

15 W53595006 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g PULB. PT. SOL. PERF. 2g/0,25g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 13,458000 16,429000 0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

57 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.

P-RF

7

1,532570

2,070857

0,856285

58 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML

PRF

1

22,810000

30,830000

0,000000

59 W55502018 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

10

37,499000

44,689000

0,000000

60 W55502003 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

20

9,211000

11,244500

0,000000

61 W55502011 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

20

18,749500

22,344500

0,000000

62 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10

18,885000

23,055000

0,000000

63 W58456001 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL. PERF. PR

20

11,053200

13,493400

9,107100

64 W58456002 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR

20

22,499400

26,813400

12,463600

65 W55502017 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

1

38,180000

49,940000

0,000000

66 W58456003 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR

10

44,998800

53,626800

40,412200

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

16 W64263002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2 g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

10

12,977000

15,842000

0,000000

17 W64263001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2 g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP III CU PULB. PT. SOL. PERF. PR

1

13,450000

18,180000

0,000000

18 W64264002 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4 g/0,50 g

PULB. PT. SOL. PERF. 4g/0,50g

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 10 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

10

18,074000

22,065000

0,000000

19 W64264001 J01CR05 PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4 g/0,50 g

PULB. PT. SOL. PERF. 4g/0,50g

ANTIBIOTICE S.A.

ROMANIA CUTIE CU 1 FLAC. DIN STICLA DE TIP I CU PULB. PT. SOL. PERF. PR

1

18,730000

25,320000

0,000000

20 W53596003 J01CR05 PIPERACILLINUM + TAZOBACTAMUM PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g PULB. PT. SOL. PERF. 4g/0,5g S.C. FRESENIUS KABI S.R.L. ROMANIA CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF. S 10 18,736000 22,873000 0,000000

21 W52799001 J01XX08 LINEZOLIDUM

ZYVOXID 600 mg

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. X 10 COMPR. FILM. P-RF

10

86,731200

99,115200

6,775800

22 W62497001 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 600 mg

COMPR. FILM. 600mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 10 COMPR. FILM. PRF

10

72,276000

82,596000

0,000000

23 W52800001 J01XX08 LINEZOLIDUM ZYVOXID 100 mg/5 ml GRAN. PT. SUSP. ORALA 100mg/5ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML P-RF 1

689,840000

790,080000

0,000000

24 W60734001 J01XX08 LINEZOLIDUM LINEZOLID SANDOZ 2 mg/ml SOL. PERF. 2mg/ml SANDOZ S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF. PR 1

117,147600

132,268800

17,451200

25 W52801001 J01XX08 LINEZOLIDUM ZYVOXID 2mg/ml SOL. PERF. 2mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 10 PUNGI X 300 ML S 10

114,492000

128,611000

0,000000

26 W64055001 J01XX08 LINEZOLIDUM

LINEZOLID AUROBINDO 2 mg/ml SOL. PERF. 2mg/ml

AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 PUNGA DIN FILM DUBLU DE PP MULTISTRATIFICATA, PREVAZUTA CU 2 TUBURI DIN PP CARE CONTINE 300 ML SOL. PERF. PR

1

117,147600

132,268800

12,181200

27 W63515002 J01XX08 LINEZOLIDUM

LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 10 PUNGI CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

10

113,362000

127,380000

0,000000

28 W61561001 J01XX08 LINEZOLIDUM

LINEZOLID KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 PUNGI DIN POLIOLEFINE (FREEFLEX) A 300 ML SOL. PERF. PR

10

97,623000

110,224000

0,000000

29 W64206001 J01XX08 LINEZOLIDUM

LINEZOLID ACCORD 2 mg/ml SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LTD. MAREA BRITANIE CUTIE CU 10 PUNGI DIN PLASTIC POLIOLEFINIC (PE) MULTISTRAT CARE CONTIN 300 ML SOL. PERF. PR

10

110,566000

124,332000

0,000000

30 W61756002 J01XX08 LINEZOLIDUM

LINEZOLID INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA 10 PUNGI DIN POLIOLEFINA MULTISTRATIFICATA, FARA LATEX, PREVAZUTA CU UN TUB CONECTOR CU DESCHIDERE PRIN RASUCIRE, SIGILATA ÎNTR-O FOLIE LAMINATA PROTECTOARE CONTINÂND 300 ML SOL. PERF. PR

10

114,432000

128,546000

0,000000

31 W60604001 J01XX08 LINEZOLIDUM PNEUMOLID 2 mg/ml SOL. PERF. 2mg/ml ALVOGEN IPCO S.AR.L LUXEMBURG CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINÂND 300 ML SOL. PERF. PR

1

112,480000

132,268800

5,051200

32 W63515001 J01XX08 LINEZOLIDUM LINEZOLID KRKA 2 mg/ml SOL. PERF. 2mg/ml KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 1 PUNGA CU CAPACITATEA DE 300 ML DIN POLIOLEFINA MULTISTRAT PRF

1

117,147600

132,268800

15,921200

33 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

7

2,478571

3,350000

0,000000

34 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4

2,974285

4,020000

2,720000

35 W43597002 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg CAPS.

100mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

2,974285

4,020000

0,741428

36 W58226001 J02AC01 FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg CAPS.

150mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF

1

4,660000

6,300000

0,000000

37 W42693001 J02AC01 FLUCONAZOLUM

FLUCONAZOL 150 mg CAPS.

150mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

38 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1

5,570000

7,530000

0,000000

39 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

40 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

41 W60221003 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

42 W57239001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LPH 150 mg CAPS.

150mg

LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF

1

5,570000

7,530000

0,000000

43 W51994001 J02AC01 FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg CAPS.

150mg

MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,570000

7,530000

0,000000

44 W52334001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LAROPHARM 150 mg CAPS.

150mg

LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF

1

5,570000

7,530000

0,000000

45 W08373001 J02AC01 FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,590000

7,550000

0,000000

46 W43598001 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg CAPS.

150mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF

1

4,930000

6,660000

0,000000

47 W60221001 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

48 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,592000

7,560000

4,060000

49 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

4,698571

6,145714

0,000000

50 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

2,433428

51 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7

1,532570

2,070857

0,449143

52 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

7

1,277142

1,725714

0,000000

53 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

0,854857

54 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7

1,532570

2,070857

0,856285

55 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7

1,532570

2,070857

0,856285

56 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7

1,532570

2,070857

0,000571

56

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

57

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

67 W57368003 J02AC01 FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF. 2mg/ml

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S

1

22,499400

26,813400

31,246600

68 W55502001 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

1

9,540000

12,900000

0,000000

69 W55502009 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

1

19,080000

25,790000

0,000000

70 W61017005 J02AC03 VORICONAZOLUM **

VORICONAZOL DR. REDDY'S 200 mg

COMPR. FILM. 200mg

DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

52,854714

71 W62033006 J02AC03 VORICONAZOLUM **

VORAMOL 200 mg

COMPR. FILM. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

11,761714

14,358857

60,507143

72 W64073003 J02AC03 VORICONAZOLUM **

VERRIA 200 mg

COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

11,761714

14,358857

71,690428

73 W64073005 J02AC03 VORICONAZOLUM **

VERRIA 200 mg

COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

69,160071

74 W64073008 J02AC03 VORICONAZOLUM **

VERRIA 200 mg

COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

11,761714

14,358857

67,894893

75 W08947008 J02AC03 VORICONAZOLUM **

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

28

11,761714

14,358857

43,581143

76 W61628005 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg

COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

9,801428

11,965714

0,000000

77 W61628006 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg

COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

9,801666

11,966000

0,000000

78 W61817001 J02AC03 VORICONAZOLUM **

VORICONAZOLE ACCORD 200 mg

COMPR. FILM. 200mg

ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF

28

9,801428

11,965714

0,000000

79 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

22,530000

27,282857

0,000000

80 W64072005 J02AC03 VORICONAZOLUM **

VERRIA 50 mg

COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU

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

28

21,554285

24,856785

0,000000

81 W64072008 J02AC03 VORICONAZOLUM **

VERRIA 50 mg

COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

21,018571

23,591607

0,000000

82 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1

270,192000

329,844000

83,166000

83 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1

225,160000

274,870000

0,000000

84 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1

270,192000

329,844000

21,646000

85 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF.

PRF

1

225,160000

274,870000

0,000000

86 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF.

PRF

1

270,192000

329,844000

41,206000

87 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

88 W10489001 J02AC03 VORICONAZOLUM **

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF

1

270,192000

329,844000

41,206000

89 W41889001 J02AC03 VORICONAZOLUM **

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF

1

1.383,700000

1.546,390000

0,000000

90 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S

1000

0,670200

0,873850

0,000000

91 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

20

0,670200

0,906000

0,198000

92 W53675001 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 200 mg CAPS.

200mg

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,670200

0,906000

0,263500

93 W56038001 J05AB01 ACICLOVIRUM

ACICLOVIR FARMEX 200 mg CAPS.

200mg

FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P-RF

20

0,670200

0,906000

0,222000

94 W53676001 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 400 mg CAPS.

400mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

10

1,574000

2,128000

0,000000

95 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20

0,670200

0,906000

0,035500

96 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20

0,670200

0,906000

0,035500

97 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20

0,558500

0,755000

0,000000

98 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20

0,670200

0,906000

0,031000

99 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

10

1,888800

2,553600

0,350400

100 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF

5

40,340000

49,248000

0,000000

101 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60

17,307000

19,627600

0,775566

102 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60

17,307000

19,627600

25,394566

103 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60

17,207000

19,391500

0,000000

104 W61515001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

15,644566

105 W60756001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF

60

14,422500

16,356333

0,000000

106 W61725001 L04AA04 IMUNOGLOBULINA ANTI-LIMFOCITE UMANE ** GRAFALON CONC. PT. SOL. PERF. 20mg/ml

NEOVII BIOTECH GMBH GERMANIA CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF. PR

1

1.300,620000

1.455,830000

0,000000

107 W42264003 L04AA06 MYCOPHENOLATUM **

MYFORTIC 180 mg

COMPR. FILM. GASTROREZ. 180mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

2,479916

3,027500

0,000000

108 W42265003 L04AA06 MYCOPHENOLATUM **

MYFORTIC 360 mg

COMPR. FILM. GASTROREZ. 360mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

4,758916

5,505166

0,000000

109 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R

100

1,470200

1,794800

0,000000

110 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR

100

1,470200

1,794800

0,000000

111 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM ** MICOFENOLAT MOFETIL SANDOZ 500 mg COMPR. FILM. 500mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF 50

1,746600

2,208400

0,000000

112 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR

50

2,940400

3,589600

0,000000

113 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R

50

2,940400

3,589600

0,000000

114 W13098001 L04AC02 BASILIXIMABUM **

SIMULECT 20 mg

LIOF. + SOLV. PT. SOL. INJ./PERF. 20mg

NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ. S

1

4.227,320000

4.645,930000

0,000000

115 W64598001 L04AC02 BASILIXIMABUM **

SIMULECT 20 mg

PULB. + SOLV. PT. SOL. INJ. SAU PERF. 20mg

NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 1 FLAC. CU PULB.+ 1 FIOLA SOLV. APA PT. PREP. INJ. PR

1

4.227,320000

4.645,930000

0,000000

116 W51399001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 25mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF

50

1,413000

1,786600

0,000000

117 W51398001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 50mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI S/P-RF

50

2,703600

3,300600

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

118 W60846001 L04AX01 AZATHIOPRINUM

IMURAN®

COMPR. FILM. 50mg

ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF

100

0,542900

0,686400

0,000000

119 W60291001 N02AX02 TRAMADOLUM

TRAMACALM

CAPS. 50mg

A.C. HELCOR PHARMA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. P-RF

10

0,280800

0,379200

0,025800

120 W12691002 N02AX02 TRAMADOLUM

TRAMADOL

CAPS. 50mg

KRKA D.D. SLOVENIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

20

0,234000

0,316000

0,000000

121 W52049001 N02AX02 TRAMADOLUM

TRAMADOL ARENA

CAPS. 50mg

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF

20

0,280800

0,379200

0,112300

122 W42440001 N02AX02 TRAMADOLUM

TRAMAG 50

COMPR. 50mg

MAGISTRA C C ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

20

0,280800

0,379200

0,040800

123 W42957001 N02AX02 TRAMADOLUM

TRAMADOL EEL

COMPR. 50mg

BIO EEL SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

20

0,280800

0,379200

0,025300

124 W63391001 N02AX02 TRAMADOLUM

TRAMAL RETARD 100 mg

COMPR. ELIB. PREL. 100mg

STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL. P-RF

10

0,493999

0,667600

0,002400

125 W63391003 N02AX02 TRAMADOLUM

TRAMAL RETARD 100 mg

COMPR. ELIB. PREL. 100mg

STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. AL/PP X 10 COMPR.FILM. CU ELIB. PREL. P-RF

10

0,493999

0,667600

0,002400

126 W60236002 N02AX02 TRAMADOLUM

TRAMADOL SR ZENTIVA 100 mg

COMPR. ELIB. PREL. 100mg

ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

30

0,491000

0,663666

0,000000

127 W58072001 N02AX02 TRAMADOLUM

TRAMADOL RETARD 100 mg

COMPR. ELIB. PREL. 100mg

KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL. PRF

30

0,493999

0,667600

0,021066

128 W61448003 N02AX02 TRAMADOLUM

MABRON RETARD 100 mg

COMPR. ELIB. PREL. 100mg

MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,411666

0,556333

0,000000

129 W61449011 N02AX02 TRAMADOLUM

MABRON RETARD 150 mg

COMPR. ELIB. PREL. 150mg

MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLISTER DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

10

0,617000

0,834000

0,000000

130 W61449013 N02AX02 TRAMADOLUM

MABRON RETARD 150 mg

COMPR. ELIB. PREL. 150mg

MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,616666

0,833666

0,000000

131 W63389001 N02AX02 TRAMADOLUM

TRAMAL RETARD 150 mg

COMPR. ELIB. PREL. 150mg

STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF

10

0,639000

0,864000

0,000000

132 W63389002 N02AX02 TRAMADOLUM

TRAMAL RETARD 150 mg

COMPR. ELIB. PREL. 150mg

STADA ARZNEIMITTEL AG GERMANIA CUTIE X 1 BLIST. PP/AL X 10 COMPR.FILM. CU ELIB. PREL. P-RF

10

0,639000

0,864000

0,000000

133 W58893002 N02AX02 TRAMADOLUM

TRADOLAN RETARD 150 mg

COMPR. ELIB. PREL. 150mg

LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,638666

0,863000

0,000000

134 W61449001 N02AX02 TRAMADOLUM

MABRON RETARD 150 mg

COMPR. ELIB. PREL. 150mg

MEDOCHEMIE LTD. CIPRU CUTIE CU 1 BLIST. DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

10

0,617000

0,834000

0,000000

135 W61449003 N02AX02 TRAMADOLUM

MABRON RETARD 150 mg

COMPR. ELIB. PREL. 150mg

MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,616666

0,833666

0,000000

136 W60237002 N02AX02 TRAMADOLUM

TRAMADOL SR ZENTIVA 150 mg

COMPR. ELIB. PREL. 150mg

ZENTIVA AS SLOVACIA CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL. P-RF

30

0,705000

0,952666

0,000000

137 W58894002 N02AX02 TRAMADOLUM

TRADOLAN RETARD 200 mg

COMPR. ELIB. PREL. 200mg

LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,851000

1,113000

0,000000

138 W61450003 N02AX02 TRAMADOLUM

MABRON RETARD 200 mg

COMPR. ELIB. PREL. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU 3 BLISTERE DIN PVC/AL X 10 COMPR. CU ELIB. PREL. PRF

30

0,796000

1,076000

0,000000

139 W43360001 N02AX02 TRAMADOLUM

TRAMADOL RETARD 150 mg

COMPR. FILM. ELIB. PREL. 150mg

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL. P-RF

30

0,739999

1,000399

0,306934

140 W43361001 N02AX02 TRAMADOLUM

TRAMADOL RETARD 200 mg

COMPR. FILM. ELIB. PREL. 200mg

KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR., FILM. ELIB. PREL. P-RF

30

0,955200

1,291200

0,435133

141 W64091001 N02AX02 TRAMADOLUM

TRAMADOL KALCEKS

SOL INJ./PERF. 50mg/ml

AS KALCEKS LETONIA CUTIE CU 5 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF

5

1,754400

2,371200

0,416800

142 W64091002 N02AX02 TRAMADOLUM

TRAMADOL KALCEKS

SOL INJ./PERF. 50mg/ml

AS KALCEKS LETONIA CUTIE CU 100 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF

100

1,754400

2,371200

0,060400

143 W64091003 N02AX02 TRAMADOLUM

TRAMADOL KALCEKS

SOL INJ./PERF. 50mg/ml

AS KALCEKS LETONIA CUTIE CU 2 TAVITE DIN PVC CU 10 FIOLE DIN STICLA TRANSPARENTA, CU PUNCT DE RUPERE, A CATE 2 ML SOL. INJ./PERF. PRF

10

1,754400

2,371200

0,418800

144 W05961001 N02AX02 TRAMADOLUM

MABRON

SOL. INJ. 100mg

MEDOCHEMIE LTD. CIPRU CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ. S/P-RF

5

1,462000

1,976000

0,000000

145 W05966001 N02AX02 TRAMADOLUM

TRAMADOL

SOL. INJ. 50mg/ml

KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 1 ML S/P-RF

5

0,796000

1,076000

0,000000

146 W05967001 N02AX02 TRAMADOLUM

TRAMADOL

SOL. INJ. 50mg/ml

KRKA D.D. SLOVENIA CUTIE X 5 FIOLE X 2 ML S/P-RF

5

1,754400

2,371200

0,490800

147 W05969001 N02AX02 TRAMADOLUM

TRAMADOL

SUPOZ. 100mg

KRKA D.D. SLOVENIA CUTIE X 1 BLIST. X, 5 SUPOZ. P-RF

5

0,902000

1,218000

0,000000

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

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

1 W00187001 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH GERMANIA CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-6L

50

0,937200

1,225800

0,000000

2 W00187002 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA GMBH GERMANIA CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6L

100

0,920800

1,164200

0,000000

3 W58710002 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM.

500mg

DR. FALK PHARMA GMBH GERMANIA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6L

100

2,219100

2,709100

0,000000

4 W58363001 A05AA02 ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml SUSP. ORALA 250mg/5ml DR. FALK PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA DOZATOARE DIN PP P6L

1

81,200000

102,670000

0,000000

5 W04224001 H02AB04 METHYLPREDNISOLONUM

MEDROL A 16 COMPR. 16mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR. P-RF

50

0,423400

0,572200

0,000000

6 W04222001 H02AB04 METHYLPREDNISOLONUM

MEDROL 32 COMPR. 32mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR. P-RF

20

0,961500

1,299500

0,000000

7 W04237001 H02AB04 METHYLPREDNISOLONUM

SOLU – MEDROL ACT-O-VIAL LIOF. SI SOLV.PT.SOL.INJ 250mg/4ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR) 4ML SOLV P-RF

1

15,960000

21,570000

0,000000

8 W08307001 H02AB04 METHYLPREDNISOLONUM

LEMOD SOLU 125 mg PULB+SOLV. PT. SOL. INJ./PERF. 125mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML PRF

1

6,870000

9,280000

0,000000

9 W08310001 H02AB04 METHYLPREDNISOLONUM

LEMOD SOLU 500 mg PULB+SOLV. PT. SOL. INJ./PERF. 500mg STADA HEMOFARM S.R.L. ROMANIA CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML PRF

1

24,170000

32,670000

0,000000

10 W05242001 H02AB07 PREDNISONUM

PREDNISON MCC 5 mg COMPR. 5mg MAGISTRA C C S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF

20

0,058260

0,076212

0,067788

11 W12565003 H02AB07 PREDNISONUM

PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 COMPR. P-RF/S

1000

0,048550

0,063510

0,000000

12 W12565002 H02AB07 PREDNISONUM

PREDNISON ARENA 5 mg COMPR. 5mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. P-RF

30

0,058260

0,076212

0,018788

13 W13686002 H02AB07 PREDNISONUM

PREDNISON 5 mg

COMPR.

5mg

SINTOFARM SA ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-RF

30

0,058260

0,076212

0,054121

14 W53341001 H02AB07 PREDNISONUM

PREDNISON – RICHTER 5 mg

COMPR.

5mg

GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-RF

20

0,058260

0,076212

0,063788

15 W05738001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

SUMETROLIM

COMPR.

400mg/80mg

EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,271000

0,366500

0,000000

16 W53671001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

BITRIM 400mg/80mg

COMPR.

400mg/80mg

ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-RF

20

0,312000

0,421500

0,000000

58

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

59

45 W08374001 J02AC01 FLUCONAZOLUM FLUCOVIM 50 CAPS. 50mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 7 CAPS.

P-RF

7

1,532570

2,070857

0,856285

46 W58322002 J02AC01 FLUCONAZOLUM DIFLUCAN 10 mg/ml PULB. PT. SUSP. ORALA 10mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN PEÎD, DE CAPACITATE 60 ML, PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII, CE CONTINE PULB. PENTRU 35 ML SUSP. ORALA SI O SERINGA DIN PP DE 5 ML CU MARCAJ LA FIECARE 0,2 ML

PRF

1

22,810000

30,830000

0,000000

47 W55502018 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 10 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

10

37,499000

44,689000

0,000000

48 W55502003 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

20

9,211000

11,244500

0,000000

49 W55502011 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 20 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

20

18,749500

22,344500

0,000000

50 W60056005 J02AC01 FLUCONAZOLUM FLUCONAZOL ZENTIVA 2 mg/ml SOL. PERF. 2mg/ml ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL S 10

18,885000

23,055000

0,000000

51 W58456001 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL. PERF. PR

20

11,053200

13,493400

9,107100

52 W58456002 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL. PERF. PR

20

22,499400

26,813400

12,463600

53 W55502017 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF. S

1

38,180000

49,940000

0,000000

54 W58456003 J02AC01 FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L. ROMANIA CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL. PERF. PR

10

44,998800

53,626800

40,412200

55 W57368003 J02AC01 FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml SOL. PERF. 2mg/ml

ARENA GROUP S.A. ROMANIA CUTIE X 1 FLAC. X 100 ML SOL. PERF. S

1

22,499400

26,813400

31,246600

56 W55502001 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF. S

1

9,540000

12,900000

0,000000

57 W55502009 J02AC01 FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF. S

1

19,080000

25,790000

0,000000

58 W61017005 J02AC03 VORICONAZOLUM **

VORICONAZOL DR. REDDY'S 200 mg COMPR. FILM. 200mg

DR. REDDY'S LABORATORIES ROMANIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

52,854714

59 W62033006 J02AC03 VORICONAZOLUM **

VORAMOL 200 mg COMPR. FILM. 200mg

ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

11,761714

14,358857

60,507143

60 W64073003 J02AC03 VORICONAZOLUM **

VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

11,761714

14,358857

71,690428

61 W64073005 J02AC03 VORICONAZOLUM **

VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

11,761714

14,358857

69,160071

62 W64073008 J02AC03 VORICONAZOLUM **

VERRIA 200 mg COMPR. FILM. 200mg

MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

11,761714

14,358857

67,894893

63 W08947008 J02AC03 VORICONAZOLUM **

VFEND 200mg COMPR. FILM. 200mg

PFIZER LIMITED MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL) P-RF

28

11,761714

14,358857

43,581143

64 W61628005 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PRF

28

9,801428

11,965714

0,000000

65 W61628006 J02AC03 VORICONAZOLUM **

VORICONAZOL ZENTIVA 200 mg COMPR. FILM. 200mg

ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF

30

9,801666

11,966000

0,000000

66 W61817001 J02AC03 VORICONAZOLUM ** VORICONAZOLE ACCORD 200 mg COMPR. FILM. 200mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU BLIST. PVC/AL X 28 COMPR. PRF

28

9,801428

11,965714

0,000000

67 W64072003 J02AC03 VORICONAZOLUM ** VERRIA 50 mg COMPR. FILM. 50mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/AL X 14 COMPR. FILM. PRF

14

22,530000

27,282857

0,000000

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

17 W05741001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM TAGREMIN

COMPR.

400mg/80mg ZENTIVA S.A.

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

P-RF

20

0,312000

0,421500

0,000000

18 W12479001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM CO – TRIM ELL

COMPR.

400mg/80mg BIO EEL SRL

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

P-RF

20

0,284500

0,384500

0,000000

19 W44046001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM EPITRIM

SUSP. ORALA 200mg/40mg /5ml E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML P-RF

1

3,670000

4,960000

0,000000

20 W05739001 J01EE01 SULFAMETHOXAZOLUM + TRIMETHOPRIMUM SUMETROLIM

SUSP. ORALA 25mg/5mg/ml EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA DOZATOARE P-RF

1

7,670000

10,370000

0,000000

21 W58225007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 100 mg CAPS. 100mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF 7

2,478571

3,350000

0,000000

22 W08372001 J02AC01 FLUCONAZOLUM FLUCOVIM 100 CAPS. 100mg VIM SPECTRUM SRL ROMANIA CUTIE X 1 BLIST. X 4 CAPS. P-RF 4

2,974285

4,020000

2,720000

23 W43597002 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg CAPS.

100mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

2,974285

4,020000

0,741428

24 W58226001 J02AC01 FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg CAPS.

150mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS. PRF

1

4,660000

6,300000

0,000000

25 W42693001 J02AC01 FLUCONAZOLUM

FLUCONAZOL 150 mg CAPS.

150mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

26 W57430001 J02AC01 FLUCONAZOLUM FLUCONAZOL ROMPHARM 150 mg CAPS. 150mg ROMPHARM COMPANY S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF 1

5,570000

7,530000

0,000000

27 W44089001 J02AC01 FLUCONAZOLUM FLUCORIC 150 mg CAPS. 150mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

28 W53943002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 150 MG CAPS. 150mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,590000

7,550000

0,000000

29 W60221003 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. PVC-PE-PVDC/AL X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

30 W57239001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LPH 150 mg CAPS.

150mg

LABORMED PHARMA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 1 CAPS. PRF

1

5,570000

7,530000

0,000000

31 W51994001 J02AC01 FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg CAPS.

150mg

MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,570000

7,530000

0,000000

32 W52334001 J02AC01 FLUCONAZOLUM

FLUCONAZOL LAROPHARM 150 mg CAPS.

150mg

LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 1 CAPSULA P-RF

1

5,570000

7,530000

0,000000

33 W08373001 J02AC01 FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL ROMANIA CUTIE X 1 FLAC. X 1 CAPS.

P-RF

1

5,590000

7,550000

0,000000

34 W43598001 J02AC01 FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg CAPS.

150mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS. P-RF

1

4,930000

6,660000

0,000000

35 W60221001 J02AC01 FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg CAPS.

150mg

ZENTIVA K.S. REPUBLICA CEHA CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF

1

5,590000

7,550000

0,000000

36 W03156001 J02AC01 FLUCONAZOLUM DIFLUCAN 150 mg CAPS. 150mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 1 CAPS. P-RF 1

5,592000

7,560000

4,060000

37 W43599002 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 200 mg CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF

7

4,698571

6,145714

0,000000

38 W03157001 J02AC01 FLUCONAZOLUM DIFLUCAN 50 mg CAPS. 50mg

PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

2,433428

39 W51993001 J02AC01 FLUCONAZOLUM FLUCONAZOL MEDOCHEMIE 50 mg CAPS. 50mg MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7

1,532570

2,070857

0,449143

40 W58224007 J02AC01 FLUCONAZOLUM FLUCONAZOL AUROBINDO 50 mg CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS. PRF

7

1,277142

1,725714

0,000000

41 W42321001 J02AC01 FLUCONAZOLUM FLUCONAZOL 50 mg CAPS. 50mg

SLAVIA PHARM SRL ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF

7

1,532570

2,070857

0,854857

42 W44098001 J02AC01 FLUCONAZOLUM FLUCORIC 50 mg CAPS. 50mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS. P-RF 7

1,532570

2,070857

0,856285

43 W53942002 J02AC01 FLUCONAZOLUM FLUCONAZOL ARENA 50 MG CAPS. 50mg ARENA GROUP SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 7 CAPS. P-RF 7

1,532570

2,070857

0,856285

44 W43596001 J02AC01 FLUCONAZOLUM FLUCONAZOLE TEVA 50 mg CAPS. 50mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS. P-RF 7

1,532570

2,070857

0,000571

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

68 W64072005 J02AC03 VORICONAZOLUM **

VERRIA 50 mg

COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU

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

28

21,554285

24,856785

0,000000

69 W64072008 J02AC03 VORICONAZOLUM **

VERRIA 50 mg

COMPR. FILM. 50mg

MEDOCHEMIE LTD. CIPRU

CUTIE CU BLIST. PVC/AL X 56 COMPR. FILM. PRF

56

21,018571

23,591607

0,000000

70 W62396001 J02AC03 VORICONAZOLUM ** VFEND 200mg PULB. + SOLV. PT. SOL. PERF. 200mg PFIZER LIMITED MAREA BRITANIE 1 FLACON DIN STICLA TRANSPARENTA, CU CAPACITATEA DE 30 ML+1 PUNGA DE PERFUZIE DIN POLIPROPILENA A 50 ML+1 SERINA A 20 ML+1 ADAPTOR PT. FLACON PRF 1

270,192000

329,844000

83,166000

71 W60659001 J02AC03 VORICONAZOLUM ** VORICONAZOL SANDOZ 200 mg PULB. PT. SOL. PERF. 200 mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA, CU CAPACIATEA DE 25 ML CARE CONTINE PULB. PT. SOL. PERF. PRF 1

225,160000

274,870000

0,000000

72 W62814001 J02AC03 VORICONAZOLUM ** VORICONAZOL ACTAVIS 200 mg PULB. PT. SOL. PERF. 200mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU FLAC. DIN STICLA TRANSPARENTA DE TIP I, CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. PERF. PRF 1

270,192000

329,844000

21,646000

73 W61664001 J02AC03 VORICONAZOLUM ** VORAMOL 200 mg PULB. PT. SOL. PERF. 200mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA CU DOP DIN CAUCIUC CLOROBUTILIC, CAPAC DIN AL SI SIGILIU ROSU DIN PLASTIC CONTINAND PULB. PT. SOL. PERF.

PRF

1

225,160000

274,870000

0,000000

74 W62122001 J02AC03 VORICONAZOLUM ** VORICONAZOL FRESENIUS KABI 200 mg PULB. PT. SOL. PERF. 200mg FRESENIUS KABI ROMANIA SRL ROMANIA CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA TIP I, CU CAPACITATEA DE 25 ML, CU PULBERE PT. SOL. PERF.

PRF

1

270,192000

329,844000

41,206000

75 W62815001 J02AC03 VORICONAZOLUM ** VORICONAZOL ZENTIVA 200 mg PULB. PT. SOL. PERF. 200mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. DIN STICLA CU CAPCITATEA DE 25 ML CU PULB. PT. SOL. PERF. PRF

1

270,192000

329,844000

41,206000

76 W10489001 J02AC03 VORICONAZOLUM **

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC. UNIDOZA X 30ML P-RF

1

270,192000

329,844000

41,206000

77 W41889001 J02AC03 VORICONAZOLUM **

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITANIE CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA PT. ADM. ORALA (5 ML) + 1 ADAPTOR P-RF

1

1.383,700000

1.546,390000

0,000000

78 W60913001 J02AC04 POSACONAZOLUM **

NOXAFIL 100mg

COMPR. GASTROREZ. 100mg

MERCK SHARP DOHME LTD.

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

24

131,322916

144,731666

0,000000

79 W61578001 J02AC04 POSACONAZOLUM **

NOXAFIL 300mg

CONC. PT. SOL. PERF. 300mg

MERCK SHARP DOHME LTD.

MAREA BRITANIE CUTIE CU UN FL X 16,7ML CONC. PT SOL PERF (18MG POSACONAZOL/ML) PR

1

1.333,540000

1.491,710000

0,000000

80 W58194001 J02AC04 POSACONAZOLUM **

NOXAFIL 40mg/ml

SUSP. ORALA 40mg/ml

MERCK SHARP DOHME

MAREA BRITANIE CUTIE X 1 FLAC. X 105ML SUSP. ORALA P-RF/R

1

2.529,930000

2.795,780000

0,000000

81 W53675003 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg

ARENA GROUP SA ROMANIA CUTIE X 100 BLIST. AL/PVC X 10 CAPS. P-RF/S

1000

0,670200

0,873850

0,000000

82 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg CAPS. 200mg

SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,670200

0,906000

0,198000

83 W53675001 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 200 mg CAPS.

200mg

ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-RF

20

0,670200

0,906000

0,263500

84 W56038001 J05AB01 ACICLOVIRUM

ACICLOVIR FARMEX 200 mg CAPS.

200mg

FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P-RF

20

0,670200

0,906000

0,222000

85 W53676001 J05AB01 ACICLOVIRUM

ACICLOVIR ARENA 400 mg CAPS.

400mg

ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-RF

10

1,574000

2,128000

0,000000

86 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20

0,670200

0,906000

0,035500

87 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20

0,670200

0,906000

0,035500

88 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20

0,558500

0,755000

0,000000

89 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20

0,670200

0,906000

0,031000

90 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF

10

1,888800

2,553600

0,350400

91 W00058001 J05AB01 ACICLOVIRUM VIROLEX PULB. PT. SOL. INJ./PERF. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF. S/P-RF

5

40,340000

49,248000

0,000000

92 W61519003 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR SANDOZ 450 mg COMPR. FILM. 450mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60

17,307000

19,627600

0,775566

93 W61605001 J05AB14 VALGANCICLOVIRUM ** ALVANOCYT 450 mg COMPR. FILM. 450mg ALVOGEN IPCO S.AR.L. LUXEMBURG CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. FILM. PRF 60

17,307000

19,627600

25,394566

94 W62786001 J05AB14 VALGANCICLOVIRUM ** VALGANCICLOVIR ZENTIVA 450 mg COMPR. FILM. 450mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU 1 FLAC. PEID X 60 COMPR. FILM. PRF 60

17,207000

19,391500

0,000000

95 W61515001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR AUROBINDO 450 mg COMPR. FILM. 450mg

AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. FILM. PRF

60

17,307000

19,627600

15,644566

96 W60756001 J05AB14 VALGANCICLOVIRUM **

VALGANCICLOVIR TEVA 450 mg COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM. PRF

60

14,422500

16,356333

0,000000

97 W62522002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA 100 mg COMPR. FILM. 100 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. P-RF 30

2,333333

2,950333

0,000000

98 W07518002 J05AF05 LAMIVUDINUM ZEFFIX 100 mg COMPR. FILM. 100mg GLAXO GROUP LTD. MAREA BRITANIE CUTIE X 28 COMPR. FILM. (BLIST. PVC-AL/PVC-AL) P-RF/R

28

2,800000

3,540400

0,839957

99 W59320003 J05AF05 LAMIVUDINUM LAMIVUDINA AUROBINDO 150 mg COMPR. FILM. 150mg AUROBINDO PHARMA (MALTA) LIMITED MALTA CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM. PR

60

3,480333

4,248833

0,000000

100 W61523002 J05AF05 LAMIVUDINUM EPIVIR 150mg COMPR. FILM. 150mg VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 60 COMPR. FILM. PR

60

4,176400

5,098600

0,387066

101 W62523002 J05AF05 LAMIVUDINUM LAMIVUDINA TEVA PHARMA B.V. 300 mg COMPR. FILM. 300 mg TEVA B.V. OLANDA CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM. PR 30

6,215000

7,587333

0,000000

102 W61530002 J05AF05 LAMIVUDINUM

EPIVIR 300mg

COMPR. FILM. 300mg

VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PR

30

7,458000

9,104800

1,866533

103 W61531002 J05AF05 LAMIVUDINUM

EPIVIR 10mg/ml

SOL. ORALA 10mg/ml

VIIV HEALTHCARE UK LIMITED MAREA BRITANIE CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR PR

1

84,870000

107,310000

0,000000

104 W42264003 L04AA06 MYCOPHENOLATUM **

MYFORTIC 180 mg

COMPR. FILM. GASTROREZ. 180mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

2,479916

3,027500

0,000000

105 W42265003 L04AA06 MYCOPHENOLATUM **

MYFORTIC 360 mg

COMPR. FILM. GASTROREZ. 360mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE PLIANTA X 12 BLIST. PA-AL-PVC/AL X 10 COMPR. FILM. GASTROREZ. S/P-RF

120

4,758916

5,505166

0,000000

106 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R

100

1,470200

1,794800

0,000000

107 W04406001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 10 BLIST. X 10 CAPS. P-RF/R

100

1,470200

1,794800

0,000000

108 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR

100

1,470200

1,794800

0,000000

109 W64374001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 10 BLIST. PVC/AL X 10 CAPS. PR

100

1,470200

1,794800

0,000000

110 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM **

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. FILM. 500mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF

50

1,746600

2,208400

0,000000

111 W56003001 L04AA06 MYCOPHENOLATUM MOFETILUM **

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. FILM. 500mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM. P-RF

50

1,746600

2,208400

0,000000

112 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR

50

2,940400

3,589600

0,000000

113 W64375001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION GMBH GERMANIA CUTIE X 5 BLIST. PVC/AL X 10 COMPR. FILM. PR

50

2,940400

3,589600

0,000000

114 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM **

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R

50

2,940400

3,589600

0,000000

115 W04407001 L04AA06 MYCOPHENOLATUM MOFETILUM ** CELLCEPT 500mg COMPR. FILM. 500mg ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 5 BLIST. X 10 COMPR. FILM. P-RF/R 50

2,940400

3,589600

0,000000

116 W61479001 L04AA10 SIROLIMUS ** RAPAMUNE 1mg DRAJ. 1mg PFIZER LIMITED MAREA BRITANIE CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR) PR 30

15,278666

17,925333

0,000000

117 W51399001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R) CAPS. MOI 25mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

1,413000

1,786600

0,000000

118 W51398001 L04AD01 CICLOSPORINUM

SANDIMMUN NEORAL (R) CAPS. MOI 50mg

NOVARTIS PHARMA GMBH GERMANIA CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P-RF

50

2,703600

3,300600

0,000000

60

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

119 W53729001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

1,864800

2,357800

0,000000

120 W55262007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 0,5 mg

CAPS.

0,5mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR

50

1,301200

1,645200

0,000000

121 W53730001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

3,879800

4,736400

0,000000

122 W55263007 L04AD02 TACROLIMUSUM **

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS. PR

50

2,556600

3,121200

0,000000

123 W53731001 L04AD02 TACROLIMUSUM **

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT S/P-RF

50

18,476000

20,901800

0,000000

124 W51974002 L04AD02 TACROLIMUSUM **

ADVAGRAF 0,5mg

CAPS. ELIB. PREL.

0,5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

1,864800

2,357800

0,000000

125 W57352002 L04AD02 TACROLIMUSUM **

ADVAGRAF 1mg

CAPS. ELIB. PREL.

1mg

ASTELLAS PHARMA EUROPE BV OLANDA CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

3,879800

4,736400

0,000000

126 W51976002 L04AD02 TACROLIMUSUM **

ADVAGRAF 5mg

CAPS. ELIB. PREL.

5mg

ASTELLAS PHARMA EUROPE B.V. OLANDA CUTIE, X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL) P-RF/R

50

19,668600

22,201800

0,000000

127 W60846001 L04AX01 AZATHIOPRINUM

IMURAN®

COMPR. FILM.

50mg

ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF

100

0,542900

0,686400

0,000000

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

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

1 W56595001 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B ** ZUTECTRA

SOL INJ. IN SERINGA PRE-UMPLUTA 500 UI

BIOTEST PHARMA GMBH GERMANIA CUTIE CU 5 SERINGI PREUMPLUTE DIN STICLA A CATE 1 ML SOL. INJ. (500 UI) AMBALATE ÎN BLISTERE PRF

5

915,086000

1.005,076000

0,000000

2 W54188003 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B ** HEPATECT CP 50 UI/ml

SOL. PERF. 50 UI/ ml

BIOTEST PHARMA GMBH GERMANIA CUTIE X 1 FLAC. DIN STICLA INCOLORA X 40 ML SOL. PERF. (2000UI) PR

1

3.234,390000

3.563,640000

0,000000

3 W54188004 J06BB04 IMUNOGLOBULINA ANTI-HEPATITICA B ** HEPATECT CP 50 UI/ml

SOL. PERF. 50 UI/ ml

BIOTEST PHARMA GMBH GERMANIA CUTIE CU 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. (5000UI) PR

1

7.804,340000

8.544,890000

0,000000

61

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

1 W00231001 A11CC03 ALFACALCIDOLUM

ALPHA D3 0,25 mcg CAPS. MOI 0,25mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI P-RF

50

0,459000

0,620400

0,000000

2 W58167002 A11CC03 ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,25 mcg CAPS. MOI 0,25μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

30

0,550800

0,744480

0,061853

3 W44042001 A11CC03 ALFACALCIDOLUM

ALPHA D3 0,50 mcg CAPS. MOI 0,50mcg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 FLAC. X 30 CAPS. MOI P-RF

30

0,846666

1,107333

0,000000

4 W58168002 A11CC03 ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,5 mcg CAPS. MOI 0,5μg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI PRF

30

0,913000

1,194000

0,000000

5 W55847001 A11CC03 ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ. S

10

11,558000

14,110000

0,000000

6 W55847002 A11CC03 ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml SOL. INJ. 2micrograme/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ. S

10

22,044000

26,911000

0,000000

7 W51334002 A11CC04 CALCITRIOLUM **

ROCALTROL CAPS. MOI 0,25mcg ROCHE ROMANIA S.R.L. ROMANIA CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI. P6L

100

0,565500

0,715000

0,000000

8 W62870001 B01AB01 HEPARINUM **

HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml MESFARMA SRL ROMANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOLUTIE INJECTABILA PR

5

3,452000

4,666000

0,000000

9 W62870002 B01AB01 HEPARINUM **

HEPARINA GALENIKA 5000 UI/ml SOL. INJ. 5000UI/ml MESFARMA SRL ROMANIA CUTIE CU 10 FIOLE DIN STICLA INCOLORA X 5 ML SOLUTIE INJECTABILA PR

10

11,152000

13,614000

0,000000

10 W61666001 B01AB01 HEPARINUM **

HEPARINA SODICA PANPHARMA 5000 UI/ml SOL. INJ. 5000UI/ml PANPHARMA FRANTA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 5 ML SOL. INJ. PR

10

11,265000

13,752000

0,000000

11 W62441002 B01AB05 ENOXAPARINUM **

CLEXANE 2000 UI anti-Xa/0,2ml SOL. INJ. 2000UI anti-Xa/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF

10

5,300000

6,701000

0,000000

12 W63590002 B01AB05 ENOXAPARINUM **

CLEXANE 2000 UI (20 mg)/0,2 ml SOL. INJ. 2000UI(20mg)/0,2ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,2 ML SOL INJ. PR/PRF

10

5,300000

6,701000

0,000000

13 W62442002 B01AB05 ENOXAPARINUM **

CLEXANE 4000 UI anti-Xa/0,4ml SOL. INJ. 4000UI anti-Xa/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF

10

9,614000

12,156000

0,000000

14 W63591002 B01AB05 ENOXAPARINUM **

CLEXANE 4000 UI (40 mg)/0,4 ml SOL. INJ. 4000UI(40mg)/0,4ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 0,5 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,4 ML SOL INJ. PR/PRF

10

9,614000

12,156000

0,000000

15 W63592002 B01AB05 ENOXAPARINUM **

CLEXANE 6000 UI (60 mg)/0,6 ml SOL. INJ. 6000UI(60mg)/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF

10

12,800000

15,626000

0,000000

16 W62443002 B01AB05 ENOXAPARINUM **

CLEXANE 6000 UI anti-Xa/0,6ml SOL. INJ. 6000UIanti-Xa/0,6ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 10 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,6 ML SOL INJ. PR/PRF

10

12,800000

15,626000

0,000000

17 W62444002 B01AB05 ENOXAPARINUM **

CLEXANE 8000ui anti-Xa/0,8ml SOL. INJ. 8000UI anti-Xa/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF

6

16,310000

20,621666

0,000000

18 W63593002 B01AB05 ENOXAPARINUM **

CLEXANE 8000 UI (80 mg)/0,8 ml SOL. INJ. 8000UI(80mg)/0,8ml SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU AC CU UN CAP RIGID DIN PLASTIC FARA FILET SI PISTON X 0,8 ML SOL INJ. PR/PRF

6

16,310000

20,621666

0,000000

19 W61293001 B01AB06 NADROPARINUM **

FRAXIPARINE 3800 UI anti-factor Xa/0,4 ml SOL. INJ. 3800 ui AFXa/0,4ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ. S/P-RF

10

7,078000

8,949000

0,000000

20 W61291001 B01AB06 NADROPARINUM **

FRAXIPARINE 5700 UI anti-factor Xa/0,6 ml SOL. INJ. 5700 ui AFXa/0,6ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ. S/P-RF

10

10,965000

13,386000

0,000000

21 W61292001 B01AB06 NADROPARINUM **

FRAXIPARINE 7600 UI anti-factor Xa/0,8 ml SOL. INJ. 7600 ui AFXa/0,8ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ. S/P-RF

10

13,820000

16,871000

0,000000

22 W61289002 B01AB06 NADROPARINUM **

FRAXIPARINE 9500 UI anti-factor Xa/1 ml multidoza SOL. INJ. 9500 UI AFXa/1 ml ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ. S

10

82,726000

93,986000

0,000000

23 W59473001 B01AB10 TINZAPARINUM **

INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN FLACOANE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT IN AURIU SI CAPSA DE SIGURANTA DIN PP DE CULOARE PORTOCALIE PR/PRF

10

46,737000

54,758000

0,000000

24 W59475001 B01AB10 TINZAPARINUM **

INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN FLACOANE 20000 UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE CULOARE CENUSIE DESCHIS, ARMATURA DE ETANSARE DIN AL LACUIT CU LAC DE CULOARE VERDE SI CAPSA DE SIGURANTA DIN PP DE CULOARE VERDE INCHIS PR/PRF

10

104,198000

117,391000

0,000000

25 W59472004 B01AB10 TINZAPARINUM **

INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN SERINGI PREUMPLUTE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU PR/PRF

10

7,729000

9,773000

0,000000

26 W59472003 B01AB10 TINZAPARINUM **

INNOHEP 10000 UI ANTI-XA/ml SOL. INJ. IN SERINGI PREUMPLUTE 10000UI anti-XA/ml LEO PHARMA A/S DANEMARCA CUTIE CU 10 SERINGI PREUMPLUTE X 0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE PR/PRF

10

10,528000

12,853000

0,000000

27 W59474001 B01AB10 TINZAPARINUM **

INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ROSU PR/PRF

2

30,495000

38,560000

0,000000

28 W59474003 B01AB10 TINZAPARINUM **

INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC ALBASTRU PR/PRF

2

49,285000

62,315000

0,000000

29 W59474002 B01AB10 TINZAPARINUM **

INNOHEP 20000 UI ANTI-Xa/ml SOL. INJ. IN SERINGI PREUMPLUTE 20000UI anti-Xa/ml LEO PHARMA A/S DANEMARCA CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC GALBEN PR/PRF

2

41,575000

52,565000

0,000000

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

30 W51230001 B03AC02 COMPLEX DE HIDROXID DE FER (III) SUCROZA

VENOFER (R) SOL. INJ./PERF. 20mg/ml VIFOR FRANCE S.A. FRANTA CUTIE X 5 FIOLE X 5 ML S/P-RF

5

26,814000

32,734000

0,000000

31 W52283002 B03XA01 EPOETINUM ALFA **

BINOCRIT 2000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/1,0ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ. PR

6

39,156666

47,801666

0,000000

32 W55046001 B03XA01 EPOETINUM ALFA **

BINOCRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. P-RF/R

1

415,600000

491,150000

0,000000

33 W57497004 B03XA01 EPOETINUM ALFA **

EPREX 40000 UI/ml SOL. INJ. IN SERINGA PREUMPLUTA 40 000UI/ml JOHNSON JOHNSON D.O.O. SLOVENIA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. S/P-RF

1

658,632000

763,692000

299,058000

34 W55048001 B03XA01 EPOETINUM ALFA **

BINOCRIT 40000 UI/1 ml SOL. INJ. IN SERINGA PREUMPLUTA 40000 UI/1 ml SANDOZ GMBH AUSTRIA CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. P-RF/R

1

548,860000

636,410000

0,000000

35 W52285002 B03XA01 EPOETINUM ALFA **

BINOCRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml SANDOZ GMBH AUSTRIA CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ. PR

6

78,615000

92,048333

0,000000

36 W07740002 B03XA01 EPOETINUM BETA **

NEORECORMON 10000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE S/P-RF/R

6

258,858333

288,515000

0,000000

37 W64395002 B03XA01 EPOETINUM BETA **

NEORECORMON 10000 UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/0,6ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE PR

6

258,858333

288,515000

0,000000

38 W07741002 B03XA01 EPOETINUM BETA **

NEORECORMON 2000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE S/P-RF/R

6

51,675000

62,685000

0,000000

39 W64396002 B03XA01 EPOETINUM BETA **

NEORECORMON 2000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE PR

6

51,675000

62,685000

0,000000

40 W42097001 B03XA01 EPOETINUM BETA **

NEORECORMON 30000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC S/P-RF/R

1

882,060000

999,600000

0,000000

41 W64397001 B03XA01 EPOETINUM BETA **

NEORECORMON 30000 UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 30000 UI/0,6ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC PR

1

882,060000

999,600000

0,000000

42 W64398002 B03XA01 EPOETINUM BETA **

NEORECORMON 4000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE PR

6

98,175000

113,368333

0,000000

43 W07742002 B03XA01 EPOETINUM BETA **

NEORECORMON 4000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R

6

98,175000

113,368333

0,000000

44 W07744002 B03XA01 EPOETINUM BETA **

NEORECORMON 5000UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE S/P-RF/R

6

139,755000

158,691666

0,000000

45 W64399002 B03XA01 EPOETINUM BETA **

NEORECORMON 5000 UI/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE PR

6

139,755000

158,691666

0,000000

46 W60969001 B03XA01 EPOETINUM ZETA **

RETACRIT 10000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 10000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR

1

189,630000

231,500000

0,000000

47 W60964001 B03XA01 EPOETINUM ZETA **

RETACRIT 2000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 2000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR

1

40,930000

53,530000

0,000000

48 W60967001 B03XA01 EPOETINUM ZETA **

RETACRIT 30000UI/0,75ml SOL. INJ. IN SERINGA PREUMPLUTA 30000UI/0,75ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ. PR

1

429,710000

506,530000

0,000000

49 W60965001 B03XA01 EPOETINUM ZETA **

RETACRIT 3000UI/0,9ml SOL. INJ. IN SERINGA PREUMPLUTA 3000UI/0,9ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ. PR

1

60,300000

76,240000

0,000000

50 W60966001 B03XA01 EPOETINUM ZETA **

RETACRIT 40000UI/1,0ml SOL. INJ. IN SERINGA PREUMPLUTA 40000UI/1,0ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ. PR

1

529,710000

615,530000

0,000000

51 W60973001 B03XA01 EPOETINUM ZETA **

RETACRIT 4000UI/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 4000UI/0,4ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,4ML SOL. INJ. PR

1

80,390000

101,650000

0,000000

52 W60972001 B03XA01 EPOETINUM ZETA **

RETACRIT 5000UI/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 5000UI/0,5ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ. PR

1

100,510000

122,700000

0,000000

53 W60971001 B03XA01 EPOETINUM ZETA **

RETACRIT 6000UI/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 6000UI/0,6ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. PR

1

118,450000

144,600000

0,000000

54 W60970001 B03XA01 EPOETINUM ZETA **

RETACRIT 8000UI/0,8ml SOL. INJ. IN SERINGA PREUMPLUTA 8000UI/0,8ml HOSPIRA UK LIMITED MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA X 0,8ML SOL. INJ. PR

1

169,090000

206,430000

0,000000

55 W41530002 B03XA02 DARBEPOETINUM ALFA **

ARANESP 100mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R

4

551,552500

610,730000

0,000000

56 W41522002 B03XA02 DARBEPOETINUM ALFA **

ARANESP 10mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 10mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R

4

63,295000

77,270000

0,000000

57 W41531002 B03XA02 DARBEPOETINUM ALFA **

ARANESP 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE, A 1 ML X 0,3 ML P-RF/R

4

854,897500

941,377500

0,000000

58 W41524002 B03XA02 DARBEPOETINUM ALFA **

ARANESP 20mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 20mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R

4

120,437500

140,815000

0,000000

59 W41532001 B03XA02 DARBEPOETINUM ALFA **

ARANESP 300mcg/0,6ml SOL. INJ. IN SERINGA PREUMPLUTA 300mcg/0,6ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML P-RF/R

1

1.724,850000

1.918,240000

0,000000

60 W41525002 B03XA02 DARBEPOETINUM ALFA **

ARANESP 30mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 30mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R

4

176,987500

202,455000

0,000000

61 W41526002 B03XA02 DARBEPOETINUM ALFA **

ARANESP 40mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 40mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R

4

233,467500

264,017500

0,000000

62 W41533001 B03XA02 DARBEPOETINUM ALFA **

ARANESP 500mcg/ml SOL. INJ. IN SERINGA PREUMPLUTA 500mcg/ml AMGEN EUROPE BV OLANDA CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML P-RF/R

1

2.854,180000

3.149,210000

0,000000

63 W41527002 B03XA02 DARBEPOETINUM ALFA **

ARANESP 50mcg/0,5ml SOL. INJ. IN SERINGA PREUMPLUTA 50mcg/0,5ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML P-RF/R

4

289,972500

325,607500

0,000000

64 W41528002 B03XA02 DARBEPOETINUM ALFA **

ARANESP 60mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 60mcg/0,3ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML P-RF/R

4

346,440000

387,157500

0,000000

65 W41529002 B03XA02 DARBEPOETINUM ALFA **

ARANESP 80mcg/0,4ml SOL. INJ. IN SERINGA PREUMPLUTA 80mcg/0,4ml AMGEN EUROPE BV OLANDA CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML P-RF/R

4

459,447500

510,335000

0,000000

66 W52309001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA **

MIRCERA 100mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 100mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R

1

705,040000

806,640000

0,000000

67 W64391001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA **

MIRCERA 100 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 100μg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR

1

705,040000

806,640000

0,000000

68 W52310001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA **

MIRCERA 150mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R

1

1.042,000000

1.173,930000

0,000000

69 W64392001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA **

MIRCERA 150 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 150μg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR

1

1.042,000000

1.173,930000

0,000000

70 W52307001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA **

MIRCERA 50 mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 50 mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R

1

367,360000

438,570000

0,000000

71 W64389001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA **

MIRCERA 50 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 50 μg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR

1

367,360000

438,570000

0,000000

72 W52308001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA **

MIRCERA 75mcg/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 75mcg/0,3ml ROCHE REGISTRATION LTD. MAREA BRITANIE CUTIE X 1 SERINGA PREUMPLUTA, X 0,3 ML SOL. INJ. S/P-RF/R

1

536,320000

622,740000

0,000000

73 W64390001 B03XA03 METOXI-POLIETILENGLICOL EPOETINA BETA **

MIRCERA 75 micrograme/0,3ml SOL. INJ. IN SERINGA PREUMPLUTA 75μg/0,3ml ROCHE REGISTRATION GMBH GERMANIA CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ. PR

1

536,320000

622,740000

0,000000

74 W57701001 B05DB COMBINATII

CAPD PERILINE 1,5% F 100 SOL. DIAL. PERIT. 1,5% INFOMED FLUID S.R.L. ROMANIA CUTIE CU 4 PUNGI DIN PE/PP CONTINAND FIECARE 1 PUNGA DIN PVC X 2000 ML SOL. PT. DIALIZA PERITONEALA PREVAZUTA CU TUBULATURA SI DISP. DE ADM. (SETUL PERILINE) S

4

20,642500

26,100000

0,000000

75 W57702001 B05DB COMBINATII

CAPD PERILINE 2,5% F 200 SOL. DIAL. PERIT. 2,5% INFOMED FLUID S.R.L. ROMANIA CUTIE CU 4 PUNGI DIN PE/PP CONTINAND FIECARE 1 PUNGA DIN PVC X 2000 ML SOL. PT. DIALIZA PERITONEALA PREVAZUTA CU TUBULATURA SI DISP. DE ADM. (SETUL PERILINE) S

4

20,935000

26,470000

0,000000

76 W57703001 B05DB COMBINATII

CAPD PERILINE 4% F 400 SOL. DIAL. PERIT. 4% INFOMED FLUID S.R.L. ROMANIA CUTIE CU 4 PUNGI DIN PE/PP CONTINAND FIECARE 1 PUNGA DIN PVC X 2000 ML SOL. PT. DIALIZA PERITONEALA PREVAZUTA CU TUBULATURA SI DISP. DE ADM. (SETUL PERILINE) S

4

21,230000

26,842500

0,000000

77 W13998003 B05DB COMBINATII

BALANCE 4,25% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE CONTINAND CATE 2000 ML SOL. PT. DIALIZA PERITONEALA („STAY SAFE”) S

4

21,705000

27,445000

0,000000

78 W53458003 B05DB COMBINATII

CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM SLEEP-SAFE S

2

21,815000

28,535000

0,000000

79 W53457003 B05DB COMBINATII

CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE S

2

21,815000

28,535000

0,000000

80 W13997003 B05DB COMBINATII

BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2000 ML SOL PT. DIALIZA PERITONEALA („STAY SAFE”) S

4

21,155000

26,747500

0,000000

62

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

81 W13997004 B05DB COMBINATII

BALANCE 1,5% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BIOCOMPARTIMENTATE X 2500 ML SOL PT. DIALIZA PERITONEALA („STAY SAFE”) S

4

21,705000

27,445000

0,000000

82 W53456003 B05DB COMBINATII

CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 2 PUNGI X 5000 ML SOL. PT. DIALIZA PERITONEALA -SIST. SLEEP SAFE S

2

21,815000

28,535000

0,000000

83 W53456002 B05DB COMBINATII

CAPD/DPCA 2 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE S

4

15,625000

19,757500

0,000000

84 W13989003 B05DB COMBINATII

BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2000 ML SOL. PT. DIALIZA PERITONEALA („STAY SAFE”) S

4

21,355000

27,002500

0,000000

85 W53458002 B05DB COMBINATII

CAPD/DPCA 4 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNG DIN PVC X 2000 ML SOL.PT. DIALIZA PERITONEALA -SISTEM STAY-STAFE S

4

17,335000

21,917500

0,000000

86 W13989004 B05DB COMBINATII

BALANCE 2,3% GLUCOZA, 1,75 mmol/l calciu SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI BICOMPARTIMENTATE X 2500 ML SOL. PT. DIALIZA PERITONEALA („STAY SAFE”) S

4

21,907500

27,700000

0,000000

87 W53457002 B05DB COMBINATII

CAPD/DPCA 3 SOL. DIAL. PERIT. FARA CONCENTRATIE FRESENIUS MEDICAL CARE DEUTSCHLAND GMBH GERMANIA CUTIE X 4 PUNGI X 2000 ML SOL. PT. DIALIZA PERITONEALA -SISTEM STAY-SAFE S

4

17,687500

22,365000

0,000000

88 W64166002 H05BX01 CINACALCETUM **

CINACALCET HEATON 30 mg COMPR. 30mg HEATON K.S. REPUBLICA CEHA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 COMPR. FILM. PRF

28

13,467857

16,042500

0,000000

89 W63577002 H05BX01 CINACALCETUM **

CINACALCET ACCORD 30 mg COMPR. FILM 30mg ACCORD HEALTHCARE LIMITED MAREA BRITANIE CUTIE CU 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. PRF

28

11,658928

14,070714

0,000000

90 W43185002 H05BX01 CINACALCETUM **

MIMPARA 30 mg COMPR. FILM. 30mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF

28

13,990714

16,884857

9,485500

91 W43186002 H05BX01 CINACALCETUM **

MIMPARA 60 mg COMPR. FILM. 60mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF

28

43,711428

49,008214

0,000000

92 W43187002 H05BX01 CINACALCETUM **

MIMPARA 90 mg COMPR. FILM. 90mg AMGEN EUROPE B.V. OLANDA CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM. P-RF

28

63,814285

70,920357

0,000000

93 W63199002 H05BX02 PARICALCITOLUM **

ZEMPLAR 1 microgram CAPS. MOI 1micrograme ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI PRF

28

7,575000

9,247500

0,000000

94 W60920002 H05BX02 PARICALCITOLUM **

ZEMPLAR 1μg CAPS. MOI 1μg ABBVIE FARMACEUTICA S.L.U. SPANIA CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI P-RF

28

7,575000

9,247500

0,000000

95 W60961001 H05BX02 PARICALCITOLUM **

ZEMPLAR SOL. INJ. 5 μg/ml ABBVIE FARMACEUTICA S.L.U. SPANIA CUTIE X 5 FIOLE X 1 ML SOL. INJ. S

5

40,722000

49,714000

0,000000

96 W63198001 H05BX02 PARICALCITOLUM **

ZEMPLAR 5 micrograme/ml SOL. INJ. 5micrograme/ml ABBVIE SPAIN S.L.U. SPANIA CUTIE CU 5 FIOLE DIN STICLA INCOLORA TIP I X 1 ML SOL. INJ. PR

5

40,722000

49,714000

0,000000

97 W62911004 V03AE02 SEVELAMER **

CARBONAT DE SEVELAMER HEATON 800 mg COMPR. FILM. 800mg HEATON K.S. REPUBLICA CEHA CUTIE CU 1 FLACON DIN PEÎD CU CAPAC DIN PP PREVAZUT CU SISTEM DE ÎNCHIDERE SECURIZAT PENTRU COPII SI DESICANT CU 180 COMPRIMATE FILMATE PRF

180

1,722555

2,089555

0,000000

98 W08985002 V03AE02 SEVELAMER **

RENAGEL 800mg COMPR. FILM. 800mg GENZYME EUROPE BV OLANDA CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM. P-RF

180

2,067066

2,507466

0,071645

P11: PROGRAM NATIONAL DE SANATATE MINTAL

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

1 W51921003 N07BC02 METHADONUM

SINTALGON 2,5 mg

COMPR.

2,5mg

ZENTIVA S.A.

ROMANIA CUTIE X 2 BLIST. AL/PVC X 25 COMPR. P-TS

50

0,394400

0,533200

0,000000

2 W55532002 N07BC02 METHADONUM

METADON BIOEEL 20 mg

COMPR.

20mg

BIO EEL SRL

ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS

50

1,017000

1,286000

0,000000

3 W55533002 N07BC02 METHADONUM

METADON BIOEEL 5 mg

COMPR.

5mg

BIO EEL SRL

ROMANIA CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR. P-TS

50

0,253800

0,343000

0,000000

4 W60166004 N07BC02 METHADONUM

MISYO 10 mg/ml

CONC. PT. SOL. ORALA

10mg/ml

INN-FARM D.O.O.

SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII, A 1000 ML CONC. PT. SOL. ORALAPS

1

336,510000

404,950000

0,000000

5 W60166003 N07BC02 METHADONUM

MISYO 10 mg/ml

CONC. PT. SOL. ORALA

10mg/ml

INN-FARM D.O.O.

SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPAC DIN PP 28 CU SIGILIU DIN PE A 1000 ML CONC. PT. SOL. ORAL PS

1

336,510000

404,950000

0,000000

6 W62865001 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)

SUBOXONE 2mg/0,5mg

COMPR. SUBLING. 2mg/0,5mg INDIVIOR UK LIMITED MAREA BRITANIE CUTIE X 7 COMPR. SUBLING. (BLIST. DE HARTIE/AL/NYLON/AL/PVC) PS/PR

7

2,788571

3,770000

0,000000

7 W62866001 N07BC51 COMBINATII ( BUPRENORPHINUM + NALAXONE)

SUBOXONE 8mg/2mg

COMPR. SUBLING. 8mg/2mg INDIVIOR UK LIMITED MAREA BRITANIE CUTIE X 7 COMPR. SUBLING. (BLIST. DE HARTIE/AL/NYLON/AL/PVC) PS/PR

7

8,312857

10,510000

0,000000

NOTA:

  • – Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii;

  • – Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**)l se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii şi pot fi administrate şi în regim de spitalizare de zi;

  • – Medicamentul corespunzător DCI-ului notat cu (3) se livrează împreună cu solvent;

  • – Medicamentele corespunzătoare DCI-urilor notate cu (4) se importă cu avizul Agenţiei Naţionale a Medicamentului şi a Dispozitivelor Medicale;

    63

  • – Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (Q) se efectuează în baza contractelor cost-volum încheiate.

64

Anexa nr. 2

(ANEXA nr. 4 la Ordinul MS/CNAS nr. 1605/875/2014)

SECŢIUNEA C2 – LISTA denumirilor comerciale şi a preturilor de decontare ale medicamentelor prevăzute la art. 1 alin.3 lit a) din Ordonanţa de Urgenţă a Guvernului nr. 19/2018 pentru încredinţarea către Compania Naţională "Unifarm" – S.A. a serviciului de interes economic general în vederea realizării activităţii de aprovizionare cu medicamente necesare asigurării activităţii de prevenire a deceselor şi agravării bolilor generate de lipsa imunoglobulinei umane şi suplimentarea bugetului Ministerului Sănătăţii din Fondul de rezervă bugetară la dispoziţia Guvernului, prevăzut în bugetul de stat pe anul 2018, corespunzătoare denumirilor comune internaţionale cuprinse în secţiunea C2 a sublistei C

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

VALABILĂ ÎNCEPÂND CU 01 IANUARIE 2019

Nr.

Grupa

Forma

Concentr

cant/a

Pret cu ridicata

contribuţie

crt Cod CIM

terapeut

Denumire generica Denumire comerciala

farmaceuti atie / U.T. Firma Tara Ambalaj

Prescriptie

mbalaj

maximal de

Pret de decontare maximă asigurat

ica ca

decontare / U.T.

/ U.T.

/ U.T. – farmacii comunitare

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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

1 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR

1

865,370000

0,000000

0,000000

2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S

1

1.159,090000

0,000000

0,000000

3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S

1

1.443,140000

0,000000

0,000000

4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S

1

721,570000

0,000000

0,000000

5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR

1

1.168,260000

0,000000

0,000000

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

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

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

1 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR

1

865,370000

0,000000

0,000000

2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S

1

1.159,090000

0,000000

0,000000

3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S

1

1.443,140000

0,000000

0,000000

4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S

1

721,570000

0,000000

0,000000

5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR

1

1.168,260000

0,000000

0,000000

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

P6.15: Sindrom de imunodeficienţă primară

1 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR

1

865,370000

0,000000

0,000000

2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S

1

1.159,090000

0,000000

0,000000

3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S

1

1.443,140000

0,000000

0,000000

4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S

1

721,570000

0,000000

0,000000

5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR

1

1.168,260000

0,000000

0,000000

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

P9.1: TRANSPLANT MEDULAR

1 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR

1

865,370000

0,000000

0,000000

2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S

1

1.159,090000

0,000000

0,000000

3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S

1

1.443,140000

0,000000

0,000000

4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S

1

721,570000

0,000000

0,000000

5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR

1

1.168,260000

0,000000

0,000000

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

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

1 W65023001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** PRIVIGEN 100 mg/ml solutie perfuzabila SOL. PERF. 100mg/ml CSL BEHRING GMBH GERMANIA CUTIE CU 1 FLACON A 50 ML SOLUTIE PERFUZABILA PR

1

865,370000

0,000000

0,000000

2 W64350001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** FLEBOGAMMA DIF 50 mg/ml SOL. PERF. 50mg/ml INSTITUTO GRIFOLS S.A. SPANIA CUTIE CU 1 FLACON X 100 ML SOLUTIE PERFUZABILA (5G) S

1

1.159,090000

0,000000

0,000000

3 W64293002 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 100 ML SOLUTIE PERFUZABILA S

1

1.443,140000

0,000000

0,000000

4 W64293001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** OCTAGAM 50 mg/ml SOL. PERF. 50mg/ml OCTAPHARMA (IP) LTD. MAREA BRITANIE CUTIE X 1 FLACON DIN STICLA X 50 ML SOLUTIE PERFUZABILA S

1

721,570000

0,000000

0,000000

5 W64430001 J06BA02 IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA ** IG VENA 5g/100ml solutie perfuzabila SOL. PERF. 5g/100ml KEDRION S.P.A. ITALIA CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100ML SOLUTIE PERFUZABILA SI UN SET PENTRU ADMINISTRARE PR

1

1.168,260000

0,000000

0,000000

NOTA:

65

– Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (**) se efectuează pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale Ministerului Sănătăţii;.

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