ANEXĂ nr. 0/2014

ANEXĂ din 23 decembrie 2014 privind modul de calcul al prețurilor de decontare a medicamentelor care se acordă bolnavilor cuprinși în cadrul programelor naționale de sănătate nominalizate prin hotărâre a Guvernului, în condițiile legii (Anexa nr. 1)

Intrare în vigoare 1 ianuarie 2015

Notă

Conținută de Ordinul ministrului sănătății și al președintelui Casei Naționale de Asigurări de Sănătate nr. 1.605/875/201 4, publicat în Monitorul Oficial, Partea I, nr. 951 din 29 decembrie 2014.

ANEXA 1

MODUL DE CALCUL

al prețurilor de decontare a medicamentelor care se acordă bolnavilor cuprinși

în cadrul programelor naționale de sănătate nominalizate prin hotărâre a Guvernului, în condițiile legii

ART. 1

(1) Pentru medicamentele din sublista C secțiunea C2 din anexa nr. 1 la Hotărârea Guvernului nr. 720/2008 pentru aprobarea Listei cuprinzând denumirile comune internaționale corespunzătoare medicamentelor de care beneficiază asigurații, cu sau fără contribuție personală, pe bază de prescripție medicală, în sistemul de asigurări sociale de sănătate, precum și denumirile comune internaționale corespunzătoare medicamentelor care se acordă în cadrul programelor naționale de sănătate, cu modificările și completările ulterioare, care se eliberează prin farmacii cu circuit deschis, prețul de decontare se stabilește prin aplicarea procentului de 120% la prețul cu amănuntul maximal cu TVA, cel mai mic pe unitate terapeutică pe fiecare denumire comună internațională (DCI), formă farmaceutică asimilabilă/cale de administrare și concentrație.

(2) Pentru medicamentele prevăzute la alin. (1) al căror preț cu amănuntul maximal cu TVA, calculat pe unitatea terapeutică, este mai mic decât prețul de decontare calculat potrivit alin. (1), prețul cu amănuntul maximal cu TVA devine preț de decontare.

(3) Prin excepție de la prevederile alin. (1), prețul de achiziție al medicamentelor corespunzătoare denumirii comune internaționale Natrii Iodidum (131I) reprezintă prețul de decontare al acestora de la nivelul unității sanitare.

(4) În cazul inițierii sau menținerii unui tratament cu medicamente de referință având denumirea comună internațională Imatinibum, pentru adulții cu leucemie granulocitară cronică cu cromozom Philadelphia pozitiv (LGC Ph

recent diagnosticată, la care transplantul de măduvă osoasă nu este considerat un tratament de prima linie, pentru adulții cu leucemie granulocitară cronică cu cromozom Philadelphia pozitiv (LGC Ph

în faza cronică, după eșecul tratamentului cu alfa-interferon sau în faza accelerată, care au obținut, în condițiile legii, aprobarea comisiilor de la nivelul Casei Naționale de Asigurări de Sănătate pentru medicamentul de referință, prețul cu amănuntul maximal cu TVA, calculat pe unitatea terapeutică, devine preț de decontare.

ART. 2

Pentru medicamentele prevăzute la art. 1 alin. (1) care se eliberează prin farmaciile cu circuit închis, prețurile de decontare nu pot depăși prețurile cu ridicata corespunzătoare prețurilor de decontare prevăzute la art. 1 alin. (1), la care se adaugă TVA.

ART. 3

În cazul inițierii sau menținerii unui tratament cu medicamente imunosupresoare pentru bolnavii în status posttransplant, în condițiile legii, prețul cu amănuntul maximal cu TVA, calculat pe unitatea terapeutică, devine preț de decontare.

ANEXA 2

4

SECȚIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaționale corespunzătoare medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de sănătate cu scop curativ in tratamentul ambulatoriu si spitalicesc – DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS/CNAS NR. 1605/875 VALABILĂ ÎNCEPÂND CU 01 ianuarie 2015

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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

W05444

A07AA11

RIFAXIMINUM

NORMIX 200 mg

COMPR. FILM. 200mg

ALFA WASSERMANN SPA

ITALIA

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

P- RF 36 72,18 2,005000 2,005000 91,26 2,535000 2,535000 2

W05444

A07AA11

RIFAXIMINUM

NORMIX 200 mg

COMPR. FILM. 200mg

ALFA WASSERMANN SPA

ITALIA

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

P- RF 12 24,49 2,040833 2,040833 33,10 2,758333 2,758333 3

W05445

A07AA11

RIFAXIMINUM

NORMIX 100mg/5ml

GRAN. PT. SUSP. ORALA 100mg/5 ml

ALFA WASSERMANN SPA

ITALIA

CUTIE X 1 FLAC. GRAN. PT. 60 ML SUSP. ORALA

1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

P- RF 1 14,14 14,140000 14,140000 19,11 19,110000 19,110000 4

W13742

D01AC02

MICONAZOLUM

MICONAZOL NITRAT 2%

CREMA 2%

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 TUB X 20 G

P- RF 1 5,05 5,050000 5,050000 6,83 6,830000 6,830000 5

W00040

D06BB03

ACICLOVIRUM

ZOVIRAX

CREMA 5%

THE WELLCOME FOUNDATION LTD.

MAREA BRITAN IE

CUTIE X 1 TUB X 5G CREMA

P- RF 1 15,58 15,580000 4,416000 21,06 21,060000 5,976000 6

W55641

D06BB03

ACICLOVIRUM

ACICLOVIR 50mg/g

CREMA 5%

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 1 TUB X 5 G CREMA

P- RF 1 3,68 3,680000 3,680000 4,98 4,980000 4,980000 7

W55641

D06BB03

ACICLOVIRUM

ACICLOVIR 50mg/g

CREMA 5%

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 1 TUB X 15 G CREMA

P- RF 1 5,62 5,620000 4,176000 7,60 7,600000 5,640000 8

W53041

D06BB03

ACICLOVIRUM

ACICLOVIR TIS 50mg/g

CREMA 50mg/g

TIS FARMACEUTIC SA

ROMAN IA

CUTIE X 1 TUB DIN PEJD X 15 G CREMA

P- RF 1 3,48 3,480000 3,480000 4,70 4,700000 4,700000 9

W55128

D06BB03

ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

CREMA 50mg/g

SLAVIA PHARM S.R.L.

ROMAN IA

CUTIE CU 1 TUB AL X 15 G CREMA

P- RF 1 4,97 4,970000 4,176000 6,72 6,720000 5,640000 10

W52146

D06BB03

ACICLOVIRUM

ACICLOVIR HYPERION

CREMA 50mg/g

HYPERION S.A.

ROMAN IA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF 1 5,42 5,420000 4,176000 7,33 7,330000 5,640000 11

W60557

D06BB03

ACICLOVIRUM

ACICLOVIR-RICHTER 50mg/g

CREMA 50mg/g

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE CU 1 TUB AL X 5 G CREMA

PR F 1 3,68 3,680000 3,680000 4,98 4,980000 4,980000 12

W60557

D06BB03

ACICLOVIRUM

ACICLOVIR-RICHTER 50mg/g

CREMA 50mg/g

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE CU 1 TUB AL X 15 G CREMA

PR F 1 5,62 5,620000 4,176000 7,60 7,600000 5,640000 13

W55128

D06BB03

ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

CREMA 50mg/g

SLAVIA PHARM S.R.L.

ROMAN IA

CUTIE CU 1 TUB AL X 5 G CREMA

P- RF 1 3,99 3,990000 3,990000 5,39 5,390000 5,390000 14

W58038

D06BB03

ACICLOVIRUM

ACICLOVIR TERAPIA 50 mg/g

CREMA 50mg/g

TERAPIA S.A.

ROMAN IA

CUTIE CU 1 TUB DIN AL X 15 G CREMA

PR F 1 4,97 4,970000 4,176000 6,72 6,720000 5,640000 15

W51339

G01AF04

MICONAZOLUM

GYNOZOL 200

CAPS. VAG. 200mg

PHARCO IMPEX 93 S.R.L.

ROMAN IA

CUTIE X 2 BLIST. X 3 CAPS. VAG. MOI

P- RF 6 4,41 0,735000 0,735000 5,96 0,993333 0,993333 16

W51340

G01AF04

MICONAZOLUM

GYNOZOL 400

CAPS. VAG. 400mg

PHARCO IMPEX 93 S.R.L.

ROMAN IA

CUTIE X 1 BLIST. X 3 CAPS. VAG. MOI

P- RF 3 4,23 1,410000 1,410000 5,72 1,906666 1,906666 17

W04675

J01CF04

OXACILLINUM

OXACILINA ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMAN IA

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

P- RF/ S 1.000 242,55 0,242550 0,242550 296,11 0,296110 0,296110 18

W11729

J01CF04

OXACILLINUM

OXACILINA 250 mg

CAPS. 250mg

ANTIBIOTICE SA

ROMAN IA

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

P- RF 20 5,59 0,279500 0,279500 7,55 0,377500 0,355332 19

W43090

J01CF04

OXACILLINUM

OXACILINA SANDOZ 250 mg

CAPS. 250mg

SANDOZ SRL

ROMAN IA

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

P- RF 20 5,70 0,285000 0,285000 7,70 0,385000 0,355332 20

W04675

J01CF04

OXACILLINUM

OXACILINA ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMAN IA

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

P- RF 20 5,25 0,262500 0,262500 7,10 0,355000 0,355000 21

W07274

J01CF04

OXACILLINUM

OXACILINA 500 mg

CAPS. 500mg

ANTIBIOTICE SA

ROMAN IA

CUTIE X 1 BLIST. X 10 CAPS.

P- RF 10 5,55 0,555000 0,468216 7,50 0,750000 0,571608 22

W13743

J01CF04

OXACILLINUM

OXACILINA ARENA 500 mg

CAPS. 500mg

ARENA GROUP SA

ROMAN IA

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

P- RF 10 4,58 0,458000 0,458000 6,19 0,619000 0,571608 23

W12910

J01CF04

OXACILLINUM

OXACILINA FORTE 500 mg

CAPS. 500mg

FARMEX COMPANY SRL

ROMAN IA

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

P- RF/ S 500 195,09 0,390180 0,390180 238,17 0,476340 0,476340 24

W43092

J01CF04

OXACILLINUM

OXACILINA SANDOZ 500 mg

CAPS. 500mg

SANDOZ SRL

ROMAN IA

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

P- RF 10 5,21 0,521000 0,468216 7,04 0,704000 0,571608 25

W12910

J01CF04

OXACILLINUM

OXACILINA FORTE 500 mg

CAPS. 500mg

FARMEX COMPANY SRL

ROMAN IA

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

P- RF 20 8,26 0,413000 0,413000 11,17 0,558500 0,558500 26

W60469

J01CF04

OXACILLINUM

OXACILINA ATB 1000 mg

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

ANTIBIOTICE SA

ROMAN IA

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

PR F 1 3,94 3,940000 3,940000 5,33 5,330000 5,330000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 27

W60469

J01CF04

OXACILLINUM

OXACILINA ATB 1000 mg

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

ANTIBIOTICE SA

ROMAN IA

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

PR F 100 376,06 3,760600 3,760600 448,06 4,480600 4,480600 28

W60468

J01CF04

OXACILLINUM

OXACILINA ATB 500 mg

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

ANTIBIOTICE S.A.

ROMAN IA

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

PR F 1 3,64 3,640000 3,640000 4,92 4,920000 4,920000 29

W60468

J01CF04

OXACILLINUM

OXACILINA ATB 500 mg

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

ANTIBIOTICE S.A.

ROMAN IA

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

PR F 100 349,30 3,493000 3,493000 418,89 4,188900 4,188900 30

W04684

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 500 mg

PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg

ANTIBIOTICE SA

ROMAN IA

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

P- RF/ S 100 349,30 3,493000 3,493000 418,89 4,188900 4,188900 31

W04684

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 500 mg

PULB. PT. SOL. INJ./PERF. I.M./I.V. 500mg

ANTIBIOTICE SA

ROMAN IA

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

P- RF 1 3,64 3,640000 3,640000 4,92 4,920000 4,920000 32

W04682

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 1 g

PULB. PT. SOL. INJ./PERF.I. M./I.V. 1g

ANTIBIOTICE SA

ROMAN IA

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

P- RF/ S 100 376,06 3,760600 3,760600 448,06 4,480600 4,480600 33

W04682

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 1 g

PULB. PT. SOL. INJ./PERF.I. M./I.V. 1g

ANTIBIOTICE SA

ROMAN IA

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

P- RF 1 3,94 3,940000 3,940000 5,33 5,330000 5,330000 34

W58901

J01CR01

AMPICILLINUM

SULBACTAM

AMPIPLUS 1000 mg/500 mg

PULB. PT. SOL. INJ./PERF. 1000mg/5 00mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR, PR F 50 633,77 12,675400 12,675400 728,96 14,579200 14,579200 35

W55354

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN SR 1000 mg/62,5 mg

COMPR. ELIB. PREL. 1000mg/6 2,5mg

BEECHAM GROUP PLC

MAREA BRITAN IE

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

P- RF 28 34,28 1,224285 1,224285 44,84 1,601428 1,601428 36

W00400

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 2 x 1000 mg

COMPR. FILM. 1000mg

LEK PHARMACEUTICALS D.D.

SLOVE NIA

CUTIE X 2 BLIST. AL/AL X 7 COMPR.FILM.

P- RF 14 29,92 2,137142 1,086000 39,13 2,795000 1,467428 37

W57628

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

ENHANCIN 500 mg/125mg

COMPR. FILM. 500 mg/125 mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF 28 24,47 0,873928 0,630857 33,07 1,181071 0,852857 38

W54453

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXIPLUS 500/125 mg

COMPR. FILM. 500/125m g

ANTIBIOTICE S.A.

ROMAN IA

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

P- RF 14 8,01 0,572142 0,572142 10,83 0,773571 0,773571 39

W55163

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN 500 mg/125 mg

COMPR. FILM. 500mg/12 5mg

BEECHAM GROUP PLC

MAREA BRITAN IE

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

FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

P- RF 14 11,33 0,809285 0,630857 15,32 1,094285 0,852857 40

W54971

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg

COMPR. FILM. 500mg/12 5mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

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

P- RF 14 7,36 0,525714 0,525714 9,95 0,710714 0,710714 41

W00401

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 2 x 625 mg

COMPR. FILM. 625mg

LEK PHARMACEUTICALS D.D.

SLOVE NIA

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

P- RF 14 20,76 1,482857 0,630857 28,06 2,004285 0,852857 42

W54972

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg

COMPR. FILM. 875mg/12 5mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

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

P- RF 14 12,67 0,905000 0,905000 17,12 1,222857 1,222857 43

W55164

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN 875 mg/125 mg

COMPR. FILM. 875mg/12 5mg

BEECHAM GROUP PLC

MAREA BRITAN IE

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

FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

P- RF 14 19,50 1,392857 1,086000 26,35 1,882142 1,467428 44

W55401

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXIPLUS 875 mg/125 mg

COMPR. FILM. 875mg/12 5mg

ANTIBIOTICE S.A.

ROMAN IA

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

P- RF 14 14,04 1,002857 1,002857 18,97 1,355000 1,355000 45

W51992

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 1000 mg

COMPR. PT. DISPERSIE ORALA/OR ODISPERS ABILE 1000mg

BIOMEDIAL PHARMA S.R.L.

ROMAN IA

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

P- RF 14 18,55 1,325000 1,086000 25,07 1,790714 1,467428 46

W51991

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 625 mg

COMPR. PT. DISPERSIE ORALA/OR ODISPERS ABILE 625mg

BIOMEDIAL PHARMA S.R.L.

ROMAN IA

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

P- RF 14 12,23 0,873571 0,630857 16,53 1,180714 0,852857 5

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 47

W59739

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXIPLUS 1000 mg/200 mg

PULB. PT. SOL. INJ./PERF. 1000mg/2 00mg

ANTIBIOTICE SA

ROMAN IA

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

PR F 50 355,00 7,100000 7,100000 425,10 8,502000 8,502000 48

W10678

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

MEDOCLAV 156,25 mg/5 ml

PULB. PT. SUSP. ORALA 125mg

3 1,25/5ml

MEDOCHEMIE LTD.

CIPRU

CUTIE X 1 FLAC. CU PULB. PT. 100ML SUSP. ORALA

LINGURITA DOZATOARE

P- RF 1 11,02 11,020000 10,380000 14,90 14,900000 14,028000 49

W00399

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 156,25mg/5ml

PULB. PT. SUSP. ORALA 156,25mg /5ml

LEK PHARMACEUTICALS D.D.

SLOVE NIA

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

P- RF 1 8,65 8,650000 8,650000 11,69 11,690000 11,690000 50

W10679

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

MEDOCLAV FORTE 312,5mg/5ml

PULB. PT. SUSP. ORALA 250mg

6 2,5mg/5ml

MEDOCHEMIE LTD.

CIPRU

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

P- RF 1 16,36 16,360000 16,360000 22,11 22,110000 22,110000 51

W08783

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 2x

PULB. PT. SUSP. ORALA 400mg

5 7mg/5ml

LEK PHARMACEUTICALS D.D.

SLOVE NIA

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

SERINGA DOZATOARE

P- RF 1 4,78 4,780000 4,780000 6,46 6,460000 6,460000 52

W08783

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 2x

PULB. PT. SUSP. ORALA 400mg

5 7mg/5ml

LEK PHARMACEUTICALS D.D.

SLOVE NIA

CUTIE X 1 FLAC. DIN STICLA BRUNA CU PULB. PT. 70 ML SUSP.ORALA

SERINGA DOZATOARE

P- RF 1 9,57 9,570000 9,570000 12,93 12,930000 12,930000 53

W55355

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA 400mg/57 mg/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

MASURA DOZATOARE

P- RF 1 14,72 14,720000 11,484000 19,89 19,890000 15,516000 54

W55355

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA 400mg/57 mg/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

MASURA DOZATOARE

P- RF 1 7,36 7,360000 5,736000 9,95 9,950000 7,752000 55

W55355

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA 400mg/57 mg/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

1 SERINGA PT. ADM. ORALA

P- RF 1 7,36 7,360000 5,736000 9,95 9,950000 7,752000 56

W59180

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO 400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA 400mg/57 mg/5ml

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 FLAC. PEID CARE CONTINE PULB. PT. SUSP. ORALA PT. OBTINEREA A 35 ML SUSP. RECONSTITUITA

1 SERINGA DE POLISTIREN CU GRADATII LA INTERVALE DE 0,5 ML

PR F 1 4,79 4,790000 4,790000 6,47 6,470000 6,470000 57

W55342

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN (R) ES

PULB. PT. SUSP. ORALA 600 mg/42,9m g/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

1 MASURA DOZATOARE

P- RF 1 26,22 26,220000 26,220000 34,30 34,300000 34,300000 58

W00402

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 312,5mg/5ml

PULB. PT.SUSP. ORALA 312,5mg/ 5ml

LEK PHARMACEUTICALS D.D.

SLOVE NIA

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

LINGURITA DOZATOARE

P- RF 1 17,77 17,770000 17,770000 24,02 24,020000 24,020000 59

W54763

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

MYLAN S.A.S.

FRANT A

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

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 60

W55423

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

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

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 61

W55369

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

TERAPIA SA

ROMAN IA

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

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 62

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

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

S 12 265,41 22,117500 22,117500 324,01 27,000833 27,000833 63

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

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

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 64

W54765

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

MYLAN S.A.S.

FRANT A

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

S 1 40,94 40,940000 40,940000 53,55 53,550000 53,550000 65

W55370

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

TERAPIA SA

ROMAN IA

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

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 66

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

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

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 67

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

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

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 68

W55424

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

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

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 69

W55117

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 6

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 70

W53595

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

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

ROMAN IA

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

S 10 386,57 38,657000 26,541000 459,51 45,951000 32,401000 71

W53596

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF. 4g/0,5g

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

ROMAN IA

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

S 10 389,01 38,901000 38,901000 462,17 46,217000 46,217000 72

W55618

J01DD04

CEFTRIAXONUM

OFRAMAX 1000 mg

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

TERAPIA SA

ROMAN IA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ./PERF.

S 50 456,00 9,120000 4,826400 535,19 10,703800 6,313200 73

W13949

J01DD04

CEFTRIAXONUM

CEFORT 1 g

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

ANTIBIOTICE SA

ROMAN IA

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

S/P RF 10 133,84 13,384000 4,826400 163,39 16,339000 6,313200 74

W59397

J01DD04

CEFTRIAXONUM

CEFTRIAXONA-MIP 1 g

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

MIP PHARMA GMBH

GERMA NIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF.

PR 10 40,22 4,022000 4,022000 52,61 5,261000 5,261000 75

W53779

J01DD04

CEFTRIAXONUM

SEFTRION 1 g

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

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

ROMAN IA

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

S/P RF 1 10,31 10,310000 4,826400 13,94 13,940000 6,313200 76

W13948

J01DD04

CEFTRIAXONUM

CEFORT 250 mg

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

ANTIBIOTICE SA

ROMAN IA

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

S/P RF 10 54,63 5,463000 5,463000 69,07 6,907000 6,907000 77

W55619

J01DD04

CEFTRIAXONUM

OFRAMAX 250 mg

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

TERAPIA SA

ROMAN IA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 5 ML CU PULB. PT. SOL. INJ./PERF.

S 50 246,03 4,920600 4,920600 300,35 6,007000 6,007000 78

W42544

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 10 210,87 21,087000 8,888400 257,43 25,743000 11,238000 79

W13891

J01DD04

CEFTRIAXONUM

CEFORT 2 g

PULB. PT. SOL. INJ./PERF. 2g

ANTIBIOTICE SA

ROMAN IA

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

S/P RF 10 228,45 22,845000 8,888400 278,89 27,889000 11,238000 80

W59398

J01DD04

CEFTRIAXONUM

CEFTRIAXONA-MIP 2 g

PULB. PT. SOL. INJ./PERF. 2g

MIP PHARMA GMBH

GERMA NIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 50 ML CONTINAND PULB. PT. SOL. INJ./PERF.

PR 10 74,07 7,407000 7,407000 93,65 9,365000 9,365000 81

W53778

J01DD04

CEFTRIAXONUM

SEFTRION 500 mg

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

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

ROMAN IA

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

S/P RF 1 7,74 7,740000 7,740000 10,46 10,460000 10,460000 82

W56096

J01DD04

CEFTRIAXONUM

SEFTRION 2 g

PULB. PT. SOL. PERF. 2g

EIPICO MED SRL

ROMAN IA

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

P- RF 1 12,94 12,940000 8,888400 17,49 17,490000 11,238000 83

W51335

J01DD04

CEFTRIAXONUM

ROCEPHIN (R)

PULB. PT. SOL. PERF. 2g

ROCHE ROMANIA S.R.L.

ROMAN IA

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

S/P RF 1 44,01 44,010000 8,888400 57,56 57,560000 11,238000 84

W57455

J01DD08

CEFIXIMUM

EFICEF 100 mg

CAPS. 100mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR F 10 15,95 1,595000 1,595000 21,56 2,156000 2,156000 85

W13701

J01DD08

CEFIXIMUM

EFICEF (R) 200 mg

CAPS. 200mg

ANTIBIOTICE SA

ROMAN IA

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

P- RF 10 26,58 2,658000 2,658000 34,77 3,477000 3,477000 86

W60256

J01DD08

CEFIXIMUM

XIFIA 400mg

COMPR. FILM. 400mg

INN-FARM D.O.O.

SLOVE NIA

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

PR F 5 42,81 8,562000 8,562000 55,99 11,198000 11,198000 87

W60256

J01DD08

CEFIXIMUM

XIFIA 400mg

COMPR. FILM. 400mg

INN-FARM D.O.O.

SLOVE NIA

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

PR F 10 80,08 8,008000 8,008000 101,25 10,125000 10,125000 88

W13676

J01DD12

CEFOPERAZONUM

MEDOCEF 1 g

PULB. PT. SOL. INJ. 1g

MEDOCHEMIE LTD.

CIPRU

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

S/P RF 10 154,50 15,450000 8,448000 188,61 18,861000 11,412000 89

W13677

J01DD12

CEFOPERAZONUM

MEDOCEF 2 g

PULB. PT. SOL. INJ. 2g

MEDOCHEMIE LTD.

CIPRU

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

S/P RF 10 187,44 18,744000 13,932000 228,83 22,883000 18,828000 90

W44045

J01DD12

CEFOPERAZONUM

CEFOZON 500 mg

PULB. PT. SOL. INJ. 500mg

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

ROMAN IA

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

S/P RF 1 3,88 3,880000 3,880000 5,24 5,240000 5,240000 91

W52795

J01DD12

CEFOPERAZONUM

CEFOZON 2 g

PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g

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

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

S/P RF 1 11,61 11,610000 11,610000 15,69 15,690000 15,690000 92

W44061

J01DD12

CEFOPERAZONUM

CEFOZON 1 g

PULB. PT. SOL. INJ./PERF.I. M./I.V. 1g

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

ROMAN IA

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 7,04 7,040000 7,040000 9,51 9,510000 9,510000 93

W53787

J01DD62

COMBINATII (CEFOPERAZONUM

SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMAN IA

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

S/P RF 1 18,67 18,670000 18,670000 25,24 25,240000 22,273440 94

W53787

J01DD62

COMBINATII (CEFOPERAZONUM

SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMAN IA

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

S/P RF 10 180,16 18,016000 18,016000 219,94 21,994000 21,994000 7

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 95

W53787

J01DD62

COMBINATII (CEFOPERAZONUM

SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMAN IA

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

S/P RF 50 848,93 16,978600 16,978600 963,48 19,269600 19,269600 96

W53787

J01DD62

COMBINATII (CEFOPERAZONUM

SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMAN IA

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

S 100 1.667,86 16,678600 16,678600 1.856,12 18,561200 18,561200 97

W13605

J01DE02

CEFPIROMUM

CEFROM (R) 1 g

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

LAB. AVENTIS

FRANT A

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

S/P RF 1 59,93 59,930000 59,930000 75,78 75,780000 75,780000 98

W13606

J01DE02

CEFPIROMUM

CEFROM (R) 2 g

PULB. PT. SOL. INJ./PERF. 2g

LAB. AVENTIS

FRANT A

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

S/P RF 1 104,25 104,250000 104,250000 127,27 127,270000 127,270000 99

W55475

J01DH02

MEROPENEMUM

MERONEM IV 1 g

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

ASTRAZENECA UK LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.

S 10 1.030,68 103,068000 63,118800 1.161,59 116,159000 73,377600 100

W55465

J01DH02

MEROPENEMUM

MERONEM IV 500 mg

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

ASTRAZENECA UK LIMITED

MAREA BRITAN IE

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

S 10 539,60 53,960000 36,430800 626,31 62,631000 44,287200 101

W60705

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 1000 mg

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

ZENTIVA, K.S.

REPUB LICA CEHA

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

PR 10 680,44 68,044000 63,118800 779,83 77,983000 73,377600 102

W60703

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 500 mg

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

ZENTIVA, K.S.

REPUB LICA CEHA

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

PR 10 361,24 36,124000 36,124000 431,90 43,190000 43,190000 103

W56827

J01DH02

MEROPENEMUM

LODITER 1000 mg

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

TERAPIA S.A.

ROMAN IA

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

PR 1 72,84 72,840000 63,118800 92,10 92,100000 73,377600 104

W58974

J01DH02

MEROPENEMUM

MEROPENEM ATB 1000 mg

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

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC,

SIGILAT CU CAPSA

PR F 10 680,43 68,043000 63,118800 779,82 77,982000 73,377600 105

W61143

J01DH02

MEROPENEMUM

ARCHIFAR 1000 mg

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

MEDOCHEMIE ROMANIA SRL

ROMAN IA

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

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

PR 10 525,99 52,599000 52,599000 611,48 61,148000 61,148000 106

W56331

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 1 g

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

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

PR 10 540,86 54,086000 54,086000 627,69 62,769000 62,769000 107

W56125

J01DH02

MEROPENEMUM

MEROPENEM KABI 1 g

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

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 10 680,43 68,043000 63,118800 779,82 77,982000 73,377600 108

W58973

J01DH02

MEROPENEMUM

MEROPENEM ATB 500 mg

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

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC,

SIGILAT CU CAPSA

PR F 10 361,24 36,124000 36,124000 431,90 43,190000 43,190000 109

W56826

J01DH02

MEROPENEMUM

LODITER 500 mg

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

TERAPIA S.A.

ROMAN IA

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

PR 1 37,77 37,770000 36,430800 49,40 49,400000 44,287200 110

W56124

J01DH02

MEROPENEMUM

MEROPENEM KABI 500 mg

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

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

PR 10 361,25 36,125000 36,125000 431,91 43,191000 43,191000 111

W56330

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 500 mg

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

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

PR 10 303,59 30,359000 30,359000 369,06 36,906000 36,906000 112

W61142

J01DH02

MEROPENEMUM

ARCHIFAR 500 mg

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

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML,

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

PR 10 361,24 36,124000 36,124000 431,90 43,190000 43,190000 113

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

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

S/P RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 114

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

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

S/P RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000 115

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

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

S/P RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 8

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 116

W54532

J01DH51

IMIPENEMUM

CILASTATINUM

IMIPENEM/CILASTATIN KABI 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S/P RF 10 296,98 29,698000 29,698000 362,55 36,255000 36,255000 117

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

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

S/P RF 1 30,31 30,310000 30,310000 39,65 39,650000 39,650000 118

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

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

S/P RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000 119

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

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

S/P RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000 120

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

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

S/P RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 121

W51274

J01DH51

IMIPENEMUM

CILASTATINUM

TIENAM I.V.

PULB. PT. SOL. PERF. 500mg/50 0mg

MERCK SHARP & DOHME

ROMAN IA

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

S/P RF 10 445,46 44,546000 35,102400 523,70 52,370000 42,852000 122

W61198

J01DH51

IMIPENEMUM

CILASTATINUM

IMIPENEM/CILASTATIN ATB 500 mg/500 mg

PULB. PT. SOL. PERF. 500mg/50 0mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III,

CU CAPACITATEA DE 20 ML,

CONTINANAD PULB. PT. SOL. PERF.

PR 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 123

W53671

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

BITRIM 400mg/80mg

COMPR. 400mg/80 mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 20 5,71 0,285500 0,285500 7,72 0,386000 0,386000 124

W05741

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

TAGREMIN

COMPR. 400mg/80 mg

ZENTIVA S.A.

ROMAN IA

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

P- RF 20 5,71 0,285500 0,285500 7,72 0,386000 0,386000 125

W12479

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

CO - TRIM ELL

COMPR. 400mg/80 mg

BIO EEL SRL

ROMAN IA

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

P- RF 20 5,21 0,260500 0,260500 7,04 0,352000 0,352000 126

W05738

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

SUMETROLIM

COMPR. 400mg/80 mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

P- RF 20 5,47 0,273500 0,273500 7,40 0,370000 0,370000 127

W44046

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

EPITRIM

SUSP. ORALA 200mg/40 mg /5ml

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

ROMAN IA

CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML

P- RF 1 3,52 3,520000 3,520000 4,76 4,760000 4,760000 128

W05739

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

SUMETROLIM

SUSP. ORALA 25mg/5m g/ml

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

MASURA DOZATOARE

P- RF 1 7,75 7,750000 7,750000 10,48 10,480000 10,480000 129

W05561

J01FA02

SPIRAMYCINUM

ROVAMYCINE (R) 1,5 Mil. UI

COMPR. FILM. 1,5 M ui

LAB. AVENTIS

FRANT A

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

P- RF 16 7,29 0,455625 0,455625 9,85 0,615625 0,615625 130

W13604

J01FA02

SPIRAMYCINUM

ROVAMYCINE (R) 3 Mil. UI

COMPR. FILM. 3M ui

LAB. AVENTIS

FRANT A

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

P- RF 10 18,91 1,891000 1,891000 25,56 2,556000 2,556000 131

W58242

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR. CU ELIB. PREL. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR F 7 23,71 3,387142 1,405714 32,05 4,578571 1,899428 132

W59000

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. ELIB. PREL. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR F 6 21,73 3,621666 1,405714 29,37 4,895000 1,899428 133

W14043

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 12,35 0,882142 0,647142 16,69 1,192142 0,874285 134

W01326

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR. FILM. 250mg

ABBOTT SPA

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P- RF 14 21,14 1,510000 0,647142 28,57 2,040714 0,874285 135

W58998

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250 mg

COMPR. FILM. 250mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR F 14 8,39 0,599285 0,599285 11,34 0,810000 0,810000 136

W08490

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 14 12,35 0,882142 0,647142 16,69 1,192142 0,874285 137

W60253

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR. FILM. 250mg

SANDOZ S.R.L.

ROMAN IA

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

PR F 14 8,40 0,600000 0,600000 11,36 0,811428 0,811428 138

W44093

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg

COMPR. FILM. 250mg

TERAPIA SA

ROMAN IA

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

P- RF 14 10,85 0,775000 0,647142 14,67 1,047857 0,874285 139

W61223

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 250 mg

COMPR. FILM. 250mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F 14 7,55 0,539285 0,539285 10,20 0,728571 0,728571 140

W54044

J01FA09

CLARITHROMYCINUM

ROCLARIN 500 mg

COMPR. FILM. 500mg

ANTIBIOTICE S.A.

ROMAN IA

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

P- RF 20 33,14 1,657000 1,405714 43,35 2,167500 1,899428 141

W60254

J01FA09

CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR. FILM. 500mg

SANDOZ S.R.L.

ROMAN IA

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

PR F 14 24,13 1,723571 1,405714 32,62 2,330000 1,899428 142

W08491

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 14 24,13 1,723571 1,405714 32,62 2,330000 1,899428 143

W58999

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. FILM. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR F 14 18,22 1,301428 1,301428 24,62 1,758571 1,758571 144

W44087

J01FA09

CLARITHROMYCINUM

KLABAX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMAN IA

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

P- RF 14 23,73 1,695000 1,405714 32,08 2,291428 1,899428 145

W56269

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM. 500mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

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

P- RF 20 40,76 2,038000 1,405714 53,31 2,665500 1,899428 9

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 146

W14044

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 24,13 1,723571 1,405714 32,62 2,330000 1,899428 147

W61224

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 500 mg

COMPR. FILM. 500mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F 14 16,40 1,171428 1,171428 22,16 1,582857 1,582857 148

W44088

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF. 500mg

TERAPIA SA

ROMAN IA

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

P- RF 7 25,34 3,620000 1,405714 33,15 4,735714 1,899428 149

W13607

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL. 500mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

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

P- RF 5 27,85 5,570000 1,405714 36,43 7,286000 1,899428 150

W41838

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL. 500mg

KRKA D.D.

SLOVE NIA

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

P- RF 7 20,78 2,968571 1,405714 28,09 4,012857 1,899428 151

W44092

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF 1 14,01 14,010000 14,010000 18,94 18,940000 18,940000 152

W42258

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5 ml

SANDOZ SRL

ROMAN IA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA

LINGURITA DOZATOARE PP

P- RF 1 19,39 19,390000 16,812000 26,21 26,210000 22,728000 153

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP. ORALA 125mg/5 ml

ABBOTT SPA

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P- RF 1 29,92 29,920000 29,920000 39,14 39,140000 39,140000 154

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP. ORALA 125mg/5 ml

ABBOTT SPA

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P- RF 1 18,11 18,110000 16,812000 24,48 24,480000 22,728000 155

W06981

J01FA09

CLARITHROMYCINUM

FROMILID (R) 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5 ml

KRKA D.D.

SLOVE NIA

CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P- RF 1 17,24 17,240000 16,812000 23,30 23,300000 22,728000 156

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF 1 39,06 39,060000 39,060000 51,09 51,090000 51,090000 157

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF 1 23,44 23,440000 23,440000 31,68 31,680000 31,680000 158

W58393

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5 ml

SANDOZ S.R.L.

ROMAN IA

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

PR F 1 21,29 21,290000 21,290000 28,78 28,780000 28,780000 159

W01329

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF. 500mg

ABBOTT LABORATORIES LTD.

FRANT A

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

S/P RF 1 41,12 41,120000 41,120000 53,78 53,780000 53,780000 160

W42271

J01FA10

AZITHROMYCINUM

AZATRIL 250 mg

CAPS. 250mg

BALKANPHARMA RAZGRAD AD

BULGA RIA

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

P- RF 6 18,87 3,145000 3,145000 25,50 4,250000 4,250000 161

W00517

J01FA10

AZITHROMYCINUM

SUMAMED 250 mg

CAPS. 250mg

PLIVA LJUBLIJANA D.O.O.

SLOVE NIA

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

P- RF 6 29,04 4,840000 3,774000 37,99 6,331666 5,100000 162

W00518

J01FA10

AZITHROMYCINUM

SUMAMED 125 mg

COMPR. FILM. 125mg

PLIVA LJUBLJANA D.O.O.

SLOVE NIA

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

P- RF 6 18,76 3,126666 3,126666 25,36 4,226666 4,226666 163

W52838

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 250 mg

COMPR. FILM. 250mg

TERAPIA SA

ROMAN IA

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

P- RF 6 18,88 3,146666 3,146666 25,52 4,253333 4,253333 164

W42879

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

COMPR. FILM. 250mg

SANDOZ S.R.L.

ROMAN IA

CUTIE X 1 BLIST. X 6 COMPR. FILM.

P- RF 6 37,31 6,218333 3,774000 48,80 8,133333 5,100000 165

W52838

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 250 mg

COMPR. FILM. 250mg

TERAPIA SA

ROMAN IA

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

P- RF 6 18,88 3,146666 3,146666 25,52 4,253333 4,253333 166

W43486

J01FA10

AZITHROMYCINUM

AZIBIOT 500 mg

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 3 18,98 6,326666 6,292000 25,65 8,550000 8,503999 167

W60406

J01FA10

AZITHROMYCINUM

AZITROMICINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMAN IA

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

PR F 3 18,97 6,323333 6,292000 25,64 8,546666 8,503999 168

W42878

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

COMPR. FILM. 500mg

SANDOZ S.R.L.

ROMAN IA

CUTIE X 1 BLIST. X 3 COMPR. FILM.

P- RF 3 37,31 12,436666 6,292000 48,80 16,266666 8,503999 169

W57032

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 16,37 5,456666 5,456666 22,13 7,376666 7,376666 170

W55169

J01FA10

AZITHROMYCINUM

ZITROCIN 500 mg

COMPR. FILM. 500mg

LABORMED PHARMA S.A.

ROMAN IA

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

P- RF 3 18,98 6,326666 6,292000 25,65 8,550000 8,503999 171

W52840

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMAN IA

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

P- RF 3 18,97 6,323333 6,292000 25,64 8,546666 8,503999 172

W00519

J01FA10

AZITHROMYCINUM

SUMAMED 500 mg

COMPR. FILM. 500mg

PLIVA LJUBLJANA D.O.O.

SLOVE NIA

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

P- RF 3 29,18 9,726666 6,292000 38,17 12,723333 8,503999 10

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 173

W60019

J01FA10

AZITHROMYCINUM

AZATRIL 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR F 3 15,73 5,243333 5,243333 21,26 7,086666 7,086666 174

W52840

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMAN IA

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

P- RF 3 18,97 6,323333 6,292000 25,64 8,546666 8,503999 175

W52841

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 600 mg

COMPR. FILM. 600mg

TERAPIA SA

ROMAN IA

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

P- RF 3 34,11 11,370000 11,370000 44,61 14,870000 14,870000 176

W52841

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 600 mg

COMPR. FILM. 600mg

TERAPIA SA

ROMAN IA

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

P- RF 3 34,11 11,370000 11,370000 44,61 14,870000 14,870000 177

W44152

J01FA10

AZITHROMYCINUM

SUMAMED (R)

LIOF. PT. SOL. PERF. 500mg

PLIVA LJUBLJANA D.O.O.

SLOVE NIA

CUTIE X 5 FLAC. LIOF. PT. SOL. PERF.

S/P RF 5 132,49 26,498000 26,498000 161,75 32,350000 32,350000 178

W53281

J01FA10

AZITHROMYCINUM

AZITROX 200 mg/5 ml

PULB.

SOLV. SUSP. ORALA 200mg/5 ml

ZENTIVA S.A.

ROMAN IA

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA

FLAC. CU SOLV. X 7,5 ML SOLV.

P- RF 1 12,10 12,100000 12,100000 16,36 16,360000 16,360000 179

W42901

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 100 mg/5 ml

PULB. PT. SUSP. ORALA 100mg/5 ml

SANDOZ SRL

ROMAN IA

CUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA

SERINGA DOZATOARE DIN PE/PP

P- RF 1 16,61 16,610000 16,610000 22,45 22,450000 22,450000 180

W42877

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 200 mg/5 ml

PULB. PT. SUSP. ORALA 200 mg/5 ml

SANDOZ SRL

ROMAN IA

CCUTIE X 1 FLAC. DIN PEID CONTINAD PULBERE PT. 20 ML SUSP. ORALA

SERINGA DOZATOARE DIN PE/PP

P- RF 1 26,27 26,270000 26,270000 34,36 34,360000 34,360000 181

W00520

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

PULB. PT. SUSP. ORALA 200mg/5 ml

PLIVA LJUBLIJANA D.O.O.

SLOVE NIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 37,5 ML SUSP. ORALA

SERINGA SI LINGURITA DOZATOARE

P- RF 1 46,15 46,150000 46,150000 60,36 60,360000 60,360000 182

W00520

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

PULB. PT. SUSP. ORALA 200mg/5 ml

PLIVA LJUBLIJANA D.O.O.

SLOVE NIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT.15 ML SUSP. ORALA

SERINGA SI LINGURITA DOZATOARE

P- RF 1 18,63 18,630000 13,644000 25,18 25,180000 17,844000 183

W00520

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

PULB. PT. SUSP. ORALA 200mg/5 ml

PLIVA LJUBLIJANA D.O.O.

SLOVE NIA

CUTIE X 1 FLAC. DIN PEID CU PULB. PT. 30 ML SUSP. ORALA

SERINGA SI LINGURITA DOZATOARE

P- RF 1 37,14 37,140000 37,140000 48,58 48,580000 48,580000 184

W03308

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ. 40mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 10 5,28 0,528000 0,528000 7,13 0,713000 0,713000 185

W03309

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ. 80mg/2ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF/ S 50 31,71 0,634200 0,600000 41,48 0,829600 0,811200 186

W03309

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ. 80mg/2ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 10 7,09 0,709000 0,600000 9,58 0,958000 0,811200 187

W08121

J01GB03

GENTAMICINUM

PAN - GENTAMICINE

SOL.INJ. 80mg/2ml

LAB. PANPHARMA

FRANT A

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

P- RF 10 5,00 0,500000 0,500000 6,76 0,676000 0,676000 188

W53277

J01GB06

AMIKACINUM

AMIKOZIT (R) 500 mg/2 ml

SOL. INJ. 500mg/2 ml

ZENTIVA S.A.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA X 2 ML

P- RF 1 5,15 5,150000 5,150000 6,96 6,960000 6,960000 189

W56957

J01MA01

OFLOXACINUM

OFLOXIN 200

COMPR. FILM. 200mg

ZENTIVA K.S.

CEHIA

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

P- RF 10 14,81 1,481000 1,008000 20,02 2,002000 1,363200 190

W07914

J01MA01

OFLOXACINUM

ZANOCIN

COMPR. FILM. 200mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF 10 8,40 0,840000 0,840000 11,36 1,136000 1,136000 191

W54037

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR. FILM. 100mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 20 51,89 2,594500 2,594500 65,61 3,280500 3,280500 192

W54037

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR. FILM. 100mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 10 28,52 2,852000 2,852000 37,31 3,731000 3,731000 193

W44077

J01MA02

CIPROFLOXACINUM

CIPROCIN 250 mg

COMPR. FILM. 250mg

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

ROMAN IA

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

P- RF 10 5,05 0,505000 0,422400 6,83 0,683000 0,571200 194

W56145

J01MA02

CIPROFLOXACINUM

ALVEBAR 250 mg

COMPR. FILM. 250mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

P- RF 10 3,52 0,352000 0,352000 4,76 0,476000 0,476000 195

W54038

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 250 mg

COMPR. FILM. 250mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 10 4,85 0,485000 0,422400 6,56 0,656000 0,571200 196

W54038

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 250 mg

COMPR. FILM. 250mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 20 9,10 0,455000 0,422400 12,30 0,615000 0,571200 197

W01271

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR. FILM. 250mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

P- RF 20 9,10 0,455000 0,422400 12,30 0,615000 0,571200 198

W01273

J01MA02

CIPROFLOXACINUM

CIPRINOL 250 mg

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 10 5,05 0,505000 0,422400 6,83 0,683000 0,571200 199

W07862

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM. 250mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF 10 5,13 0,513000 0,422400 6,93 0,693000 0,571200 200

W01288

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 250 mg

COMPR. FILM. 250mg

AC HELCOR SRL

ROMAN IA

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

P- RF 10 5,05 0,505000 0,422400 6,83 0,683000 0,571200 201

W01271

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR. FILM. 250mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

P- RF 10 5,05 0,505000 0,422400 6,83 0,683000 0,571200 202

W12545

J01MA02

CIPROFLOXACINUM

CIPRO QUIN (R)

COMPR. FILM. 500mg

ANTIBIOTICE SA

ROMAN IA

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

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 203

W01274

J01MA02

CIPROFLOXACINUM

CIPRINOL 500 mg

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 204

W44076

J01MA02

CIPROFLOXACINUM

CIPROCIN 500 mg

COMPR. FILM. 500mg

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

ROMAN IA

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 11

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 205

W56146

J01MA02

CIPROFLOXACINUM

ALVEBAR 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

P- RF 10 4,80 0,480000 0,480000 6,49 0,649000 0,649000 206

W54039

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 10 6,83 0,683000 0,576000 9,23 0,923000 0,778800 207

W54039

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 20 12,16 0,608000 0,576000 16,43 0,821500 0,778800 208

W01272

J01MA02

CIPROFLOXACINUM

CUMINOL 500 mg

COMPR. FILM. 500mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 209

W01289

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 500 mg

COMPR. FILM. 500mg

AC HELCOR SRL

ROMAN IA

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

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 210

W07863

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM. 500mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF 10 6,50 0,650000 0,576000 8,78 0,878000 0,778800 211

W42772

J01MA02

CIPROFLOXACINUM

CIPRINOL 750 mg

COMPR. FILM. 750mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 10 29,43 2,943000 2,943000 38,50 3,850000 3,850000 212

W54040

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 750 mg

COMPR. FILM. 750mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 10 28,52 2,852000 2,852000 37,31 3,731000 3,731000 213

W57948

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 1000 mg

COMPR. FILM. ELIB. PREL. 1000 mg

BAYER PHARMA AG

GERMA NIA

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

P- RF 7 66,99 9,570000 9,570000 84,70 12,100000 12,100000 214

W57949

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 500 mg

COMPR. FILM. ELIB. PREL. 500 mg

BAYER PHARMA AG

GERMA NIA

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

P- RF 3 20,44 6,813333 0,576000 27,63 9,210000 0,778800 215

W54378

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA 100 mg/10 ml

CONC. PT. SOL. PERF. 100mg/10 ml

ZENTIVA S.A.

ROMAN IA

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

S/P RF 5 12,42 2,484000 2,484000 16,79 3,358000 3,277440 216

W01275

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF. 100mg/10 ml

KRKA D.D.

SLOVE NIA

CUTIE X 50 FIOLE X 10 ML

S 50 111,86 2,237200 2,237200 136,56 2,731200 2,731200 217

W01275

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF. 100mg/10 ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 10 ML

S/P RF 5 12,42 2,484000 2,484000 16,79 3,358000 3,277440 218

W60268

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ZENTIVA 10 mg/ml

CONC. PT. SOL. PERF. 100mg/10 ml

ZENTIVA S.A.

ROMAN IA

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

S/P RF 5 12,42 2,484000 2,484000 16,79 3,358000 3,277440 219

W08223

J01MA02

CIPROFLOXACINUM

CIPRINOL

SOL. PERF. 100mg/50 ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

S/P RF 1 3,54 3,540000 2,684640 4,79 4,790000 3,277440 220

W08224

J01MA02

CIPROFLOXACINUM

CIPRINOL

SOL. PERF. 200mg/10 0ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

S/P RF 1 7,09 7,090000 7,090000 9,58 9,580000 9,580000 221

W53353

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML

S 10 69,19 6,919000 6,919000 87,49 8,749000 8,749000 222

W53353

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML

S 10 128,87 12,887000 12,887000 157,33 15,733000 15,733000 223

W42193

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

SOL. PERF. 400mg/20 0ml

KRKA D.D.

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA X 200 ML

S/P RF 1 14,29 14,290000 14,290000 19,31 19,310000 18,879600 224

W52445

J01MA03

PEFLOXACINUM

PEFLOXACIN LAROPHARM

COMPR. FILM. 400mg

LAROPHARM S.R.L.

ROMAN IA

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

P- RF 10 20,61 2,061000 2,061000 27,86 2,786000 2,786000 225

W58303

J01MA06

NORFLOXACINUM

NORFLOXACIN HELCOR 400 mg

COMPR. FILM. 400mg

A.C. HELCOR PHARMA S.R.L.

ROMAN IA

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

P- RF 20 13,02 0,651000 0,549600 17,60 0,880000 0,742800 226

W51610

J01MA06

NORFLOXACINUM

NORFLOX - 400

COMPR. FILM. 400mg

CIPLA (UK) LIMITED

MAREA BRITAN IE

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P- RF 10 4,58 0,458000 0,458000 6,19 0,619000 0,619000 227

W07984

J01MA06

NORFLOXACINUM

NOLICIN 400 mg

COMPR. FILM. 400mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 20 13,02 0,651000 0,549600 17,60 0,880000 0,742800 228

W54101

J01MA06

NORFLOXACINUM

NOR QUIN 400 mg

COMPR. FILM. 400mg

ANTIBIOTICE S.A.

ROMAN IA

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

P- RF/ S 20 13,02 0,651000 0,549600 17,60 0,880000 0,742800 229

W41800

J01MA06

NORFLOXACINUM

NORFLOXACINA LPH 400 mg

COMPR. FILM. 400mg

LABORMED PHARMA SA

ROMAN IA

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

P- RF 20 11,64 0,582000 0,549600 15,73 0,786500 0,742800 230

W56938

J01MA12

LEVOFLOXACINUM

FLERADAY 250 mg

COMPR. FILM. 250 mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

PR F 7 12,87 1,838571 1,838571 17,40 2,485714 2,485714 231

W59047

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA MACLEODS 250 mg

COMPR. FILM. 250mg

MACLEODS PHARMA UK LIMITED

MAREA BRITAN IE

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

PR F 10 17,49 1,749000 1,749000 23,64 2,364000 2,364000 232

W56992

J01MA12

LEVOFLOXACINUM

LEVOTOR 250 mg

COMPR. FILM. 250mg

TORRENT PHARMA S.R.L.

ROMAN IA

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

P- RF 7 12,87 1,838571 1,838571 17,40 2,485714 2,485714 233

W52786

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS 250 mg

COMPR. FILM. 250mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

P- RF 7 12,88 1,840000 1,840000 17,41 2,487142 2,487142 12

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 234

W55699

J01MA12

LEVOFLOXACINUM

TAVANIC 250 mg

COMPR. FILM. 250mg

TERAPIA S.A.

ROMAN IA

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

P- RF 7 19,81 2,830000 2,098800 26,78 3,825714 2,836800 235

W56939

J01MA12

LEVOFLOXACINUM

FLERADAY 500 mg

COMPR. FILM. 500 mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

PR F 7 25,88 3,697142 3,697142 33,85 4,835714 4,835714 236

W59048

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA MACLEODS 500 mg

COMPR. FILM. 500mg

MACLEODS PHARMA UK LIMITED

MAREA BRITAN IE

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

PR F 10 32,06 3,206000 3,206000 41,93 4,193000 4,193000 237

W52787

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

P- RF 7 25,89 3,698571 3,698571 33,86 4,837142 4,837142 238

W55700

J01MA12

LEVOFLOXACINUM

TAVANIC 500 mg

COMPR. FILM. 500mg

TERAPIA S.A.

ROMAN IA

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

P- RF 7 39,82 5,688571 3,847200 52,08 7,440000 5,031600 239

W56993

J01MA12

LEVOFLOXACINUM

LEVOTOR 500 mg

COMPR. FILM. 500mg

TORRENT PHARMA S.R.L.

ROMAN IA

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

P- RF 7 25,73 3,675714 3,675714 33,65 4,807142 4,807142 240

W59048

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA MACLEODS 500 mg

COMPR. FILM. 500mg

MACLEODS PHARMA UK LIMITED

MAREA BRITAN IE

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

PR F 5 17,49 3,498000 3,498000 23,64 4,728000 4,728000 241

W55815

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS 5 mg/ml

SOL. PERF. 5mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

S 1 74,10 74,100000 74,100000 93,69 93,690000 93,690000 242

W54108

J01MA12

LEVOFLOXACINUM

LEVOFLOXACIN KABI 5 mg/ml

SOL. PERF. 5mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE X 1 FLAC. PEJD KABIPAC X 100 ML CONTINAD 100 ML SOL. PERF. (500MG LEVOFLOXACINA)

S 1 74,25 74,250000 74,250000 93,88 93,880000 93,880000 243

W55456

J01MA12

LEVOFLOXACINUM

EVOLOX 5 mg/ml

SOL. PERF. 5mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

S 1 74,25 74,250000 74,250000 93,88 93,880000 93,880000 244

W55702

J01MA12

LEVOFLOXACINUM

TAVANIC I.V. 500 mg

SOL. PERF. 5mg/ml

TERAPIA S.A.

ROMAN IA

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

P- RF/ S 1 112,19 112,190000 88,920000 136,96 136,960000 112,428000 245

W55456

J01MA12

LEVOFLOXACINUM

EVOLOX 5 mg/ml

SOL. PERF. 5mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

S 1 37,79 37,790000 37,790000 49,43 49,430000 49,430000 246

W55815

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS 5 mg/ml

SOL. PERF. 5mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

S 1 37,71 37,710000 37,710000 49,33 49,330000 49,330000 247

W60943

J01MA14

MOXIFLOXACINUM

MOFLAXA 400 mg

COMPR. FILM. 400mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE

PR F 5 38,76 7,752000 7,387200 50,70 10,140000 9,662400 248

W59332

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA AUROBINDO 400 mg

COMPR. FILM. 400mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F 5 30,78 6,156000 6,156000 40,26 8,052000 8,052000 249

W60545

J01MA14

MOXIFLOXACINUM

MOFIL 400 mg

COMPR. FILM. 400mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR F 5 35,34 7,068000 7,068000 46,22 9,244000 9,244000 250

W60311

J01MA14

MOXIFLOXACINUM

MOFINACIN 400 mg

COMPR. FILM. 400mg

ALVOGEN IPCO S.A.R.L

LUXEM BURG

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

PR F 5 42,18 8,436000 7,387200 55,17 11,034000 9,662400 251

W57939

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg

COMPR. FILM. 400mg

BAYER PHARMA AG

GERMA NIA

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

P- RF 5 58,59 11,718000 7,387200 74,08 14,816000 9,662400 252

W60727

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA KABI 400 mg/250 ml

SOL. PERF. 400mg/25 0ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

PR 1 82,20 82,200000 82,200000 103,94 103,940000 103,940000 253

W57938

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg/250 ml

SOL. PERF. 400mg/25 0ml

BAYER PHARMA AG

GERMA NIA

CUTIE X 5 FLACOANE DIN STICLA X 250 ML

S 5 594,69 118,938000 98,640000 686,36 137,272000 124,728000 254

W43348

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF. 1g

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGAR IA

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

S/P RF 1 48,56 48,560000 48,560000 63,52 63,520000 63,520000 255

W43347

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF. 500mg

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGAR IA

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

S/P RF 1 24,28 24,280000 24,280000 32,82 32,820000 32,820000 256

W56449

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 1000 mg

PULB. PT. SOL. PERF. 1000mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUB LICA CEHA

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

PR 10 456,00 45,600000 45,600000 535,19 53,519000 53,519000 257

W56448

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 500 mg

PULB. PT. SOL. PERF. 500mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUB LICA CEHA

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

PR 10 234,30 23,430000 23,430000 286,03 28,603000 28,603000 258

W57042

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 1000 mg

PULB. PT.CONC. PT.SOL. PERF. 1000mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

PR 1 48,39 48,390000 48,390000 63,30 63,300000 63,300000 259

W57041

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 500 mg

PULB. PT.CONC. PT.SOL. PERF. 500mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

PR 1 24,17 24,170000 24,170000 32,67 32,670000 32,670000 260

W06051

J01XA01

VANCOMYCINUM

EDICIN

PULB.LIOF. PT.SOL.PE RF./INJ 1g

LEK PHARMACEUTICALS D.D.

SLOVE NIA

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

S/P RF 1 56,90 56,900000 54,720000 71,94 71,940000 64,222800 13

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 261

W13105

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF.

SOLV. PT. SOL. INJ. 400mg

AVENTIS PHARMA LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. LIOF.

O FIOLA SOLV.

P- RF 1 109,84 109,840000 109,840000 134,09 134,090000 134,090000 262

W52501

J01XB01

COLISTINUM

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL. INJ./PERF. 1000000u i

ANTIBIOTICE SA

ROMAN IA

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

S 10 173,48 17,348000 17,348000 211,79 21,179000 21,179000 263

W53689

J01XD01

METRONIDAZOLUM

METRONIDAZOL ARENA 250 mg (J01XD01)

COMPR. 250mg

ARENA GROUP SA

ROMAN IA

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

P- RF 30 5,71 0,190333 0,190333 7,72 0,257333 0,257333 264

W08257

J01XD01

METRONIDAZOLUM

FLAGYL ( vezi J01XD01)

COMPR. FILM. 250mg

LABORATOIRE AVENTIS

FRANT A

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

P- RF 20 5,25 0,262500 0,228400 7,09 0,354500 0,308800 265

W42139

J01XD01

METRONIDAZOLUM

METRONIDAZOL A 5 g/l

SOL. PERF. 5g/l

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 12 FLACOANE X 200 ML

S/P RF 12 79,29 6,607500 6,607500 100,25 8,354166 8,354166 266

W42139

J01XD01

METRONIDAZOLUM

METRONIDAZOL A 5 g/l

SOL. PERF. 5g/l

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 1 FLACON X 200 ML

S/P RF 1 6,74 6,740000 6,740000 9,11 9,110000 9,110000 267

W42138

J01XD01

METRONIDAZOLUM

METRONIDAZOL B 5 g/l

SOL. PERF. 5g/l

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 12 FLACOANE X 200 ML

S/P RF 12 77,74 6,478333 6,478333 98,29 8,190833 8,190833 268

W42138

J01XD01

METRONIDAZOLUM

METRONIDAZOL B 5 g/l

SOL. PERF. 5g/l

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 1 FLACON X 200 ML

S/P RF 1 6,59 6,590000 6,590000 8,91 8,910000 8,910000 269

W08927

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN 5mg/ml

SOL. PERF. 5mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

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

S/P RF 20 228,10 11,405000 4,437600 278,47 13,923500 5,804400 270

W08927

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN 5mg/ml

SOL. PERF. 5mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. DIN PEJD X 100 ML SOL. PERF.

S/P RF 10 36,98 3,698000 3,698000 48,37 4,837000 4,837000 271

W08927

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN 5mg/ml

SOL. PERF. 5mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

S/P RF 10 37,40 3,740000 3,740000 48,92 4,892000 4,892000 272

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF 10 1.603,26 160,326000 160,326000 1.785,71 178,571000 178,571000 273

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA 100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP.

1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF 1 879,36 879,360000 879,360000 996,65 996,650000 996,650000 274

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF. 2mg/ml

SANDOZ S.R.L.

ROMAN IA

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 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 275

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE 300 ML SOL. PERF.

PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 276

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR

PR 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 277

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL.,

ECHIPA

PR F 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 278

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF. 2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S 10 1.603,26 160,326000 126,314400 1.785,71 178,571000 142,261200 279

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS. 100mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 4 CAPS.

P- RF 4 18,95 4,737500 3,615428 25,61 6,402500 4,887428 280

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS. 100mg

BALKANPHARMA RAZGRAD AD

BULGA RIA

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

P- RF 16 65,37 4,085625 3,615428 82,66 5,166250 4,887428 281

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100 mg

CAPS. 100mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F 7 21,09 3,012857 3,012857 28,51 4,072857 4,072857 282

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF 2 6,98 3,490000 3,490000 9,43 4,715000 4,715000 283

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- RF 7 23,31 3,330000 3,330000 31,51 4,501428 4,501428 14

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 284

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM 150 mg

CAPS. 150mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

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

PR F 1 9,57 9,570000 5,340000 12,94 12,940000 7,212000 285

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS. 150mg

LABORMED PHARMA S.A.

ROMAN IA

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

PR F 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 286

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS. 150mg

ZENTIVA K.S.

REPUB LICA CEHA

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

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 287

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS. 150mg

SLAVIA PHARM SRL

ROMAN IA

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

P- RF 1 7,16 7,160000 5,340000 9,68 9,680000 7,212000 288

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS. 150mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 FLAC. X 1 CAPS.

P- RF 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 289

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS. 150mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 290

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg

CAPS. 150mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

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

P- RF 1 6,07 6,070000 5,340000 8,20 8,200000 7,212000 291

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS. 150mg

SANDOZ SRL

GERMA NIA

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

P- RF 1 10,79 10,790000 5,340000 14,58 14,580000 7,212000 292

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS. 150mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR F 1 7,44 7,440000 5,340000 10,06 10,060000 7,212000 293

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS. 150mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P- RF 4 48,24 12,060000 5,340000 63,10 15,775000 7,212000 294

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS. 150mg

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

ROMAN IA

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

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 295

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS. 150mg

ARENA GROUP SA

ROMAN IA

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

P- RF 1 6,68 6,680000 5,340000 9,03 9,030000 7,212000 296

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS. 150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

P- RF 1 18,56 18,560000 5,340000 25,08 25,080000 7,212000 297

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS. 150mg

TERAPIA SA

ROMAN IA

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

P- RF 1 13,95 13,950000 5,340000 18,86 18,860000 7,212000 298

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg

CAPS. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F 1 4,45 4,450000 4,450000 6,01 6,010000 6,010000 299

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS. 150mg

ZENTIVA K.S.

CEHIA

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

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 300

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200 mg

CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- RF 7 30,10 4,300000 4,300000 39,37 5,624285 5,624285 301

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS. 50mg

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

ROMAN IA

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

P- RF 7 11,66 1,665714 1,665714 15,76 2,251428 2,251428 302

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS. 50mg

LABORMED PHARMA S.A.

ROMAN IA

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

PR F 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 303

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50 MG

CAPS. 50mg

ARENA GROUP SA

ROMAN IA

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

P- RF 7 14,15 2,021428 1,777714 19,12 2,731428 2,403428 304

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS. 50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

P- RF 7 43,23 6,175714 1,777714 56,54 8,077142 2,403428 305

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg

CAPS. 50mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- RF 7 12,35 1,764285 1,764285 16,69 2,384285 2,384285 306

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS. 50mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 7 CAPS.

P- RF 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 307

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS. 50mg

SLAVIA PHARM SRL

ROMAN IA

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

P- RF 7 14,49 2,070000 1,777714 19,58 2,797142 2,403428 308

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 50 mg

CAPS. 50mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

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

P- RF 7 11,95 1,707142 1,707142 16,15 2,307142 2,307142 309

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS. 50mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P- RF 7 21,91 3,130000 1,777714 29,61 4,230000 2,403428 310

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS. 50mg

SANDOZ SRL

ROMAN IA

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

P- RF 7 32,06 4,580000 1,777714 41,93 5,990000 2,403428 311

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F 7 10,37 1,481428 1,481428 14,02 2,002857 2,002857 312

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID,

DE CAPACITATE 60 ML

1 LINGURITA DOZATOARE A 5 ML,

CU PULB. PT. 35 ML SUSP.O

PR F 1 23,46 23,460000 23,460000 31,71 31,710000 31,710000 313

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 34,28 34,280000 20,737200 44,84 44,840000 25,316400 314

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 15

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 315

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 81,95 81,950000 81,950000 103,62 103,620000 103,620000 316

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 317

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

S 1 88,14 88,140000 88,140000 111,45 111,450000 103,986000 318

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 319

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 320

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF. 2mg/ml

ARENA GROUP S.A.

ROMAN IA

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

S 1 40,63 40,630000 20,737200 53,14 53,140000 25,316400 321

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 350,00 17,500000 17,500000 419,65 20,982500 20,982500 322

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 630,00 31,500000 20,737200 724,85 36,242500 25,316400 323

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 18,84 18,840000 18,840000 25,47 25,470000 25,179000 324

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

S 10 770,66 77,066000 77,066000 878,17 87,817000 87,817000 325

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF. 2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F 1 35,03 35,030000 20,737200 45,82 45,820000 25,316400 326

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.

S 10 454,59 45,459000 20,737200 533,65 53,365000 25,316400 327

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

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

S 20 796,39 39,819500 20,737200 906,22 45,311000 25,316400 328

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 10 760,00 76,000000 76,000000 866,55 86,655000 86,655000 329

W43051

J02AC02

ITRACONAZOLUM

ITRACONAZOL 100 mg

CAPS. 100mg

SLAVIA PHARM SRL

ROMAN IA

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

P- RF 15 40,18 2,678666 2,678666 52,56 3,504000 3,504000 330

W53958

J02AC02

ITRACONAZOLUM

MICOGAL 100 mg

CAPS. 100mg

ROMPHARM COMPANY SRL

ROMAN IA

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

P- RF 15 40,18 2,678666 2,678666 52,55 3,503333 3,503333 331

W59235

J02AC02

ITRACONAZOLUM

ITRACONAZOL ARENA 100 mg

CAPS. 100mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 15 40,18 2,678666 2,678666 52,56 3,504000 3,504000 332

W52343

J02AC02

ITRACONAZOLUM

OMICRAL 100 mg

CAPS. 100mg

MEDICO UNO PHARMACEUTICAL SRL

ROMAN IA

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

P- RF 15 40,18 2,678666 2,678666 52,56 3,504000 3,504000 333

W03837

J02AC02

ITRACONAZOLUM

ORUNGAL

CAPS. 100mg

JANSSEN PHARMACEUTICA N.V.

BELGIA

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

P- RF 15 60,84 4,056000 3,214399 76,92 5,128000 4,204000 334

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED

MAREA BRITAN IE

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

P- RF 28 3.559,23 127,115357 127,115357 3.917,72 139,918571 139,918571 335

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM. 50mg

PFIZER LIMITED

MAREA BRITAN IE

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

P- RF 28 912,09 32,574642 32,574642 1.032,33 36,868928 36,868928 336

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF 1 458,07 458,070000 458,070000 537,45 537,450000 537,450000 337

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

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

1 MASURA DOZATOARE (23 ML)

1 SERINGA

P- RF 1 2.203,52 2.203,520000 2.203,520000 2.439,99 2.439,990000 2.439,990000 338

W60913

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS. GASTROR EZ. 100mg

MERCK SHARP & DOHME LTD.

MAREA BRITAN IE

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

PR 24 3.330,00 138,750000 138,750000 3.667,85 152,827083 152,827083 16

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 339

W58194

J02AC04

POSACONAZOLUM**

NOXAFIL SP 40mg/ml

SUSP. ORALA 40mg/ml

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P- RF/ R 1 2.488,19 2.488,190000 2.488,190000 2.750,28 2.750,280000 2.750,280000 340

W06665

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF. 50mg

MERCK SHARP & DOHME

MAREA BRITAN IE

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

S 1 1.202,39 1.202,390000 1.202,390000 1.348,76 1.348,760000 1.348,760000 341

W06670

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP & DOHME

MAREA BRITAN IE

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

S 1 1.560,14 1.560,140000 1.560,140000 1.738,70 1.738,700000 1.738,700000 342

W55841

J02AX06

ANIDULAFUNGINUM

ECALTA 100mg

PULB. PT. CONC. PT. SOL. PERF. 100mg

PFIZER LIMITED

MAREA BRITAN IE

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

S 1 1.458,70 1.458,700000 1.458,700000 1.628,13 1.628,130000 1.628,130000 343

W58576

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 100 mg

COMPR. 100mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR 1.500 159,50 0,106333 0,106333 194,72 0,129813 0,129813 344

W58577

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 300 mg

COMPR. 300mg

ANTIBIOTICE SA

ROMAN IA

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

S/P RF 1.500 395,00 0,263333 0,263333 468,70 0,312466 0,312466 345

W60582

J04AC01

ISONIAZIDUM

ISONIAZID

SIROP 100mg/5 ml

CN UNIFARM S.A.

ROMAN IA

CUTIE X 1 FLAC. X 200 ML SIROP

PR 1 29,01 29,010000 29,010000 37,95 37,950000 37,950000 346

W60594

J04AC01

ISONIAZIDUM

BITUB

SOL INJ. 100mg/ml

CN UNIFARM S.A.

ROMAN IA

CUTIE CU 10 FIOLE A 5ML

PR 10 14,16 1,416000 1,416000 19,14 1,914000 1,914000 347

W60213

J04AK01

PYRAZINAMIDUM

PIRAZINAMIDA ATB 500 mg

COMPR. 500mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR 1.500 434,58 0,289720 0,289720 511,84 0,341226 0,341226 348

W53682

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMAN IA

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

P- RF 20 3,54 0,177000 0,177000 4,79 0,239500 0,239500 349

W59648

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMAN IA

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

PR F 20 5,54 0,277000 0,277000 7,49 0,374500 0,374500 350

W59648

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

PR F 50 13,72 0,274400 0,274400 18,54 0,370800 0,370800 351

W42943

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 250 mg

COMPR. FILM. 250mg

ANTIBIOTICE SA

ROMAN IA

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

S 1.500 314,54 0,209693 0,209693 381,00 0,254000 0,254000 352

W42861

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 400 mg

COMPR. FILM. 400mg

ANTIBIOTICE SA

ROMAN IA

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

S 1.500 485,00 0,323333 0,323333 566,80 0,377866 0,377866 353

W60583

J04AK02

ETHAMBUTOLUM

INBUTOL

SOL INJ. 100mg/ml

CN UNIFARM S.A.

ROMAN IA

FLAC. X 10 ML SOL. INJ

PR 1 15,55 15,550000 15,550000 21,02 21,020000 21,020000 354

W14071

J04AM02

COMBINATII (RIFAMPICINUM

IZONIAZIDUM)

SINERDOL ISO

CAPS. 300mg

1 50mg

ANTIBIOTICE SA

ROMAN IA

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

S 1.000 580,00 0,580000 0,580000 670,35 0,670350 0,670350 355

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS. 200mg

FARMEX COMPANY S.R.L.

ROMAN IA

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

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 356

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

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

P- RF/ S 1.000 704,14 0,704140 0,613200 805,66 0,805660 0,805660 357

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS. 200mg

SLAVIA PHARM SRL

ROMAN IA

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

P- RF 20 14,97 0,748500 0,613200 20,23 1,011500 0,828600 358

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

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

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 359

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 10 14,41 1,441000 1,441000 19,48 1,948000 1,948000 360

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

PR F 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 361

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 20 10,22 0,511000 0,511000 13,81 0,690500 0,690500 362

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR. 200mg

LAROPHARM S.R.L.

ROMAN IA

CUTIE X 2 BLIST. X 10 COMPR.

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 363

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 364

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR. 200mg

TERAPIA SA

ROMAN IA

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

P- RF 20 12,69 0,634500 0,613200 17,15 0,857500 0,828600 365

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR. 400mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 10 20,11 2,011000 1,729200 27,18 2,718000 2,337600 366

W00058

J05AB01

ACICLOVIRUM

VIROLEX

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

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P RF 5 231,79 46,358000 46,358000 282,97 56,594000 56,594000 367

W60057

J05AB04

RIBAVIRINUM

REBETOL 200 mg

CAPS. 200mg

MERCK SHARP & DOHME

MAREA BRITAN IE

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

P- RF/ R 140 1.085,34 7,752428 7,752428 1.221,17 8,722642 8,722642 368

W53326

J05AB04

RIBAVIRINUM

COPEGUS 200mg

COMPR. FILM. 200mg

ROCHE ROMANIA SRL

ROMAN IA

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

P- RF/ R 168 2.406,37 14,323630 9,302914 2.661,10 15,839880 10,467170 17

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 369

W51337

J05AB06

GANCICLOVIRUM

CYMEVENE

LIOF. PT. SOL. INJ. 500mg

ROCHE ROMANIA S.R.L.

ROMAN IA

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

S 1 87,17 87,170000 87,170000 110,22 110,220000 110,220000 370

W61213

J05AB06

GANCICLOVIRUM

CYMEVENE 500 mg

PULB. PT. SOL. PERF. 500mg

ROCHE ROMANIA S.R.L.

ROMAN IA

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

PR 1 87,17 87,170000 87,170000 110,22 110,220000 110,220000 371

W58707

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR. FILM. 500 mg

THE WELLCOME FOUNDATION LTD.

MAREA BRITAN IE

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

PR F 10 43,54 4,354000 3,396000 56,95 5,695000 4,441200 372

W60087

J05AB11

VALACYCLOVIRUM

VALACICLOVIR ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM.

PR F 10 28,30 2,830000 2,830000 37,01 3,701000 3,701000 373

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR F 60 3.171,52 52,858666 52,858666 3.495,11 58,251833 58,251833 374

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR. FILM. 450mg

ROCHE ROMANIA SRL

ROMAN IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P- RF 60 4.863,09 81,051500 63,430399 5.338,93 88,982166 69,902200 375

W12651

J05AB15

BRIVUDINUM

BRIVAL 125mg

COMPR. 125mg

BERLIN CHEMIE AG MENARINI GROUP

GERMA NIA

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

P- RF 7 272,43 38,918571 38,918571 332,58 47,511428 47,511428 376

W42514

J05AE01

SAQUINAVIRUM

INVIRASE 500 mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P- RF/ R 120 1.013,90 8,449166 8,449166 1.143,30 9,527500 9,527500 377

W59955

J05AE03

RITONAVIRUM**

NORVIR 100 mg

COMPR. FILM. 100mg

ABBVIE LTD MAIDENHEAD

MAREA BRITAN IE

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

P- RF/ R 30 93,39 3,113000 3,113000 118,08 3,936000 3,936000 378

W55487

J05AE03

RITONAVIRUM**

NORVIR 100 mg

COMPR. FILM. 100mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

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

P- RF/ R 30 93,39 3,113000 3,113000 118,08 3,936000 3,936000 379

W43277

J05AE06

LOPINAVIRUM

RITONAVIRUM**

KALETRA 200mg/50mg

COMPR. FILM. 200mg/50 mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

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

P- RF/ R 120 1.401,42 11,678500 11,678500 1.565,70 13,047500 13,047500 380

W59948

J05AE06

LOPINAVIRUM

RITONAVIRUM**

KALETRA 200mg/50mg

COMPR. FILM. 200mg/50 mg

ABBVIE LTD MAIDENHEAD

MAREA BRITAN IE

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

PR 120 1.401,42 11,678500 11,678500 1.565,70 13,047500 13,047500 381

W59947

J05AE06

LOPINAVIRUM

RITONAVIRUM**

KALETRA 80mg/ml

20mg/ml

SOL. ORALA 80mg/ml

20mg/ml

ABBVIE LTD MAIDENHEAD

MAREA BRITAN IE

CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML

5 SERINGI GRADATE A 5 ML

PR 5 1.177,17 235,434000 235,434000 1.321,27 264,254000 264,254000 382

W41772

J05AE07

FOSAMPRENAVIRUM**

TELZIR 700mg

COMPR. FILM. 700mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII

P- RF/ R 60 1.219,58 20,326333 20,326333 1.367,49 22,791500 22,791500 383

W41773

J05AE07

FOSAMPRENAVIRUM**

TELZIR 50mg/ml

SUSP. ORALA 50mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII

P- RF/ R 1 384,56 384,560000 384,560000 457,32 457,320000 457,320000 384

W14087

J05AE08

ATAZANAVIRUM

REYATAZ 150 mg

CAPS. 150mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P- RF/ R 60 1.579,88 26,331333 26,331333 1.760,22 29,337000 29,337000 385

W53181

J05AE08

ATAZANAVIRUM

REYATAZ 300 mg

CAPS. 300mg

BRISTOL-MYERS SQUIBB PHARMA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID X 30 CAPS.

P- RF/ R 30 1.691,40 56,380000 56,380000 1.881,78 62,726000 62,726000 386

W51426

J05AE09

TIPRANAVIRUM**

APTIVUS 250mg

CAPS. MOI 250mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMA NIA

CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI

P- RF/ R 120 2.969,40 24,745000 24,745000 3.274,80 27,290000 27,290000 387

W53878

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 2.015,15 33,585833 33,585833 2.234,67 37,244500 37,244500 388

W53877

J05AE10

DARUNAVIRUM**

PREZISTA 600mg

COMPR. FILM. 600mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

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

P- RF/ R 60 2.841,59 47,359833 47,359833 3.135,49 52,258166 52,258166 389

W06151

J05AF01

ZIDOVUDINUM

RETROVIR (R)

CAPS. 100mg

VIIV HEALTHCARE UK LIMITED

UK

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

P- RF 100 354,20 3,542000 3,542000 424,23 4,242300 4,242300 390

W57996

J05AF01

ZIDOVUDINUM

RETROVIR®

SOL. ORALA 1%

VIIV HEALTHCARE UK LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON DIN STICLA BRUNA X 200 ML

1 ADAPTOR DE DOZARE

1 SERINGA PT. ADM. ORALA A 10 ML

S/P RF 1 43,52 43,520000 43,520000 56,92 56,920000 56,920000 18

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 391

W10724

J05AF02

DIDANOSINUM

VIDEX EC 250 mg

CAPS. GASTROR EZ. 250mg

BRISTOL MYERS SQUIBB KFT

UNGAR IA

CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

S/P RF 30 421,93 14,064333 14,064333 498,05 16,601666 16,601666 392

W10725

J05AF02

DIDANOSINUM

VIDEX EC 400 mg

CAPS. GASTROR EZ. 400mg

BRISTOL MYERS SQUIBB KFT

UNGAR IA

CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

S/P RF 30 657,08 21,902666 21,902666 754,37 25,145666 25,145666 393

W12057

J05AF04

STAVUDINUM

ZERIT 30 mg

CAPS. 30mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P- RF/ R 56 487,42 8,703928 8,703928 569,44 10,168571 10,168571 394

W12056

J05AF04

STAVUDINUM

ZERIT 40 mg

CAPS. 40mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P- RF/ R 56 502,69 8,976607 8,976607 586,08 10,465714 10,465714 395

W55473

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA B.V. 150 mg

COMPR. FILM. 150 mg

TEVA PHARMA B.V.

OLAND A

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

P- RF/ R 60 319,27 5,321166 5,321166 386,16 6,436000 6,436000 396

W59320

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 60 319,27 5,321166 5,321166 386,16 6,436000 6,436000 397

W03923

J05AF05

LAMIVUDINUM

EPIVIR 150mg

COMPR. FILM. 150mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P- RF/ R 60 476,54 7,942333 6,385399 557,58 9,293000 7,723200 398

W55474

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA B.V. 300 mg

COMPR. FILM. 300 mg

TEVA PHARMA B.V.

OLAND A

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

P- RF/ R 30 319,27 10,642333 10,642333 386,16 12,872000 12,872000 399

W03924

J05AF05

LAMIVUDINUM

EPIVIR 10mg/ml

SOL. ORALA 10mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA

1 SERINGA DOZATOARE

1 ADAPTOR

P- RF/ R 1 131,82 131,820000 131,820000 160,92 160,920000 160,920000 400

W12820

J05AF06

ABACAVIRUM

ZIAGEN 300 mg

COMPR. FILM. 300mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 60 COMPR. FILM.

P- RF/ R 60 787,53 13,125500 13,125500 896,56 14,942666 14,942666 401

W07524

J05AF06

ABACAVIRUM

ZIAGEN 20 mg/ml

SOL. ORALA 20mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA

SERINGA DOZATOARE PP X 10 ML

ADAPTOR PE

P- RF/ R 1 209,91 209,910000 209,910000 256,26 256,260000 256,260000 402

W51800

J05AF07

TENOFOVIRUM DISOPROXIL FUMARATE

VIREAD 245mg

COMPR. FILM. 245mg

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITAN IE

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

P- RF/ R 30 1.097,01 36,567000 36,567000 1.233,89 41,129666 41,129666 403

W51482

J05AF09

EMTRICITABINUM

EMTRIVA 200mg

CAPS. 200mg

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN PEID X 30 CAPS.

P- RF/ R 30 656,22 21,874000 21,874000 753,43 25,114333 25,114333 404

W59667

J05AG01

NEVIRAPINUM

NEVIRAPINA SANDOZ 200 mg

COMPR. 200mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/AL X 60 COMPR.

PR 60 327,53 5,458833 5,458833 395,16 6,586000 6,586000 405

W59595

J05AG01

NEVIRAPINUM

NEVIRAPINA TEVA 200mg

COMPR. 200mg

TEVA PHARMA B.V.

OLAND A

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

P- RF/ R 60 416,84 6,947333 6,550600 492,51 8,208500 7,903200 406

W04513

J05AG01

NEVIRAPINUM

VIRAMUNE 200mg

COMPR. 200mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMA NIA

CUTIE X 6 BLIST. X 10 COMPR.

PR 60 625,14 10,419000 6,550600 719,55 11,992500 7,903200 407

W57322

J05AG01

NEVIRAPINUM

VIRAMUNE 100mg

COMPR. ELIB. PREL. 100mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMA NIA

CUTIE CU UN FLACON DIN PEID X 90 COMPR. CU ELIB. PRELUNGITA

PR 90 731,60 8,128888 8,128888 835,60 9,284444 9,284444 408

W57323

J05AG01

NEVIRAPINUM

VIRAMUNE 400mg

COMPR. ELIB. PREL. 400mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMA NIA

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

PR 30 966,78 32,226000 32,226000 1.091,94 36,398000 36,398000 409

W57321

J05AG01

NEVIRAPINUM

VIRAMUNE 50mg

COMPR. ELIB. PREL. 50mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMA NIA

CUTIE CU UN FLACON DIN PEID X 180 COMPR. CU ELIB. PRELUNGITA

PR 180 731,60 4,064444 4,064444 835,60 4,642222 4,642222 410

W13091

J05AG01

NEVIRAPINUM

VIRAMUNE 50mg/5ml

SUSP. ORALA 50mg/5ml

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMA NIA

CUTIE X 1 FLACON PEID X 240 ML

O SERINGA X 5 ML

UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON

PR 1 186,84 186,840000 186,840000 228,10 228,100000 228,100000 411

W12025

J05AG03

EFAVIRENZUM

STOCRIN 600 mg

COMPR. FILM. 600mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII

P- RF/ R 30 67,45 2,248333 2,248333 85,28 2,842666 2,842666 19

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 412

W53549

J05AG04

ETRAVIRINUM

INTELENCE

COMPR. 100mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

CUTIE X 1 FLAC. PEID X 120 COMPR.

P- RF/ R 120 1.947,00 16,225000 16,225000 2.160,38 18,003166 18,003166 413

W56750

J05AR01

COMBINATII (LAMIVUDINUM

ZIDOVUDINUM)**

LAMIVUDINA/ZIDOVUDINA TEVA

COMPR. FILM. 150 mg/300 mg

TEVA PHARMA B.V.

OLAND A

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

P- RF 60 677,93 11,298833 9,408000 777,10 12,951666 11,017800 414

W02028

J05AR01

COMBINATII (LAMIVUDINUM

ZIDOVUDINUM)**

COMBIVIR 150mg/300mg

COMPR. FILM. 150mg/30 0mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 6 BLIST. X 10 COMPR. FILM.

P- RF/ R 60 1.026,84 17,114000 9,408000 1.157,41 19,290166 11,017800 415

W59832

J05AR01

COMBINATII (LAMIVUDINUM

ZIDOVUDINUM)**

LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg

COMPR. FILM. 150mg/30 0mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR 60 470,40 7,840000 7,840000 550,89 9,181500 9,181500 416

W42301

J05AR02

ABACAVIRUM

LAMIVUDINUM**

KIVEXA 600mg/300mg

COMPR. FILM. 600mg/30 0mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P- RF/ R 30 1.328,77 44,292333 44,292333 1.486,51 49,550333 49,550333 417

W08336

J05AR04

ABACAVIRUM

LAMIVUDINUM

ZIDOVUDIN UM**

TRIZIVIR 300mg/150mg/300mg

COMPR. FILM. 300mg/15 0mg/300 mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P- RF/ R 60 1.675,67 27,927833 27,927833 1.864,63 31,077166 31,077166 418

W08336

J05AR04

ABACAVIRUM

LAMIVUDINUM

ZIDOVUDIN UM**

TRIZIVIR 300mg/150mg/300mg

COMPR. FILM. 300mg/15 0mg/300 mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P- RF/ R 60 1.675,67 27,927833 27,927833 1.864,63 31,077166 31,077166 419

W13961

J05AX07

ENFUVIRTIDUM**

FUZEON 90mg/ml

PULB.

SOLV. PT. SOL. INJ. 90mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 60 FLAC. PULB. PT. SOL. INJ.

60 FLAC. SOLV.

60 SERINGI X 3 ML

60 SERINGI X 1 ML, 180 T

P- RF/ R 60 6.090,78 101,513000 101,513000 6.677,11 111,285166 111,285166 420

W52764

J05AX08

RALTEGRAVIRUM

ISENTRESS 400mg

COMPR. FILM. 400 mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE

P- RF/ R 60 3.480,67 58,011166 58,011166 3.832,08 63,868000 63,868000 421

W52349

J05AX09

MARAVIROCUM

CELSENTRI 150mg

COMPR. FILM. 150mg

PFIZER LIMITED

MAREA BRITAN IE

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

P- RF/ R 60 3.352,86 55,881000 55,881000 3.692,77 61,546166 61,546166 422

W52350

J05AX09

MARAVIROCUM

CELSENTRI 300mg

COMPR. FILM. 300mg

PFIZER LIMITED

MAREA BRITAN IE

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

P- RF/ R 60 3.352,86 55,881000 55,881000 3.692,77 61,546166 61,546166 423

W60635

J05AX12

DOLUTEGRAVIRUM**

TIVICAY 50mg

COMPR. FILM. 50mg

VIIV HEALTHCARE UK LIMITED

MAREA BRITAN IE

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 2.832,00 94,400000 94,400000 3.125,03 104,167666 104,167666 424

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

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

S 1 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,460000 425

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

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

S 1 3.821,35 3.821,350000 3.821,350000 4.203,43 4.203,430000 4.203,430000 426

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

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

S 1 202,26 202,260000 202,260000 246,92 246,920000 246,920000 427

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

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

S 1 925,45 925,450000 909,000000 1.046,89 1.046,890000 1.036,596000 428

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

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

S 1 1.857,75 1.857,750000 1.782,000000 2.063,10 2.063,100000 1.988,160000 429

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF. 10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 1.485,00 1.485,000000 1.485,000000 1.656,80 1.656,800000 1.656,800000 430

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF. 1g/20ml

KEDRION SPA

ITALIA

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

1 SET ADMINISTRARE

S 1 197,39 197,390000 197,390000 240,98 240,980000 240,980000 431

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF. 2,5g/50ml

KEDRION SPA

ITALIA

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

1 SET ADMINISTRARE

S 1 393,75 393,750000 393,750000 467,34 467,340000 467,340000 432

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF. 50mg/ml

INSTITUTO GRIFOLS S.A.

SPANIA

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

S 1 102,55 102,550000 102,550000 125,19 125,190000 125,190000 433

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF. 5g/100ml

KEDRION SPA

ITALIA

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

1 SET ADMINISTRARE

S 1 757,50 757,500000 757,500000 863,83 863,830000 863,830000 434

W59944

J06BB16

PALIVIZUMABUM**

SYNAGIS 50 mg

PULB.

SOLV. PT. SOL. INJ. 50mg

ABBVIE LTD MAIDENHEAD

MAREA BRITAN IE

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

FIOLA X 1 ML SOLV.

P- RF 1 1.853,66 1.853,660000 1.853,660000 2.058,64 2.058,640000 2.058,640000 435

W51424

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ. 30MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 267,05 267,050000 194,520000 326,02 326,020000 237,468000 20

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 436

W51423

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ. 48MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 436,57 436,570000 313,092000 514,01 514,010000 382,224000 437

W53892

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 162,10 162,100000 162,100000 197,89 197,890000 197,890000 438

W53893

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 260,91 260,910000 260,910000 318,52 318,520000 318,520000 439

W55756

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF. 120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF 5 418,45 83,690000 83,690000 494,26 98,852000 98,852000 440

W53520

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF. 300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

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

S/P RF/ R 1 214,16 214,160000 194,520000 261,45 261,450000 237,468000 441

W55757

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF. 300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

P- RF 5 1.001,12 200,224000 194,520000 1.129,37 225,874000 225,874000 442

W53523

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF. 480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

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

S/P RF/ R 1 355,90 355,900000 313,092000 426,08 426,080000 382,224000 443

W55758

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF. 480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

P- RF 5 1.656,30 331,260000 313,092000 1.843,52 368,704000 368,704000 444

W54015

P01BC02

MEFLOQUINUM 4)

ELOQUINE 250 mg

COMPR. 250mg

CN UNIFARM

ROMAN IA

CUTIE X 10 BLIST. X 10 COMPR.

X 100 140,58 1,405800 1,405800 171,62 1,716200 1,716200 445

W12757

S01AA23

NETILMICINUM

NETTACIN (R)

PIC. OFT., SOL 0,3%

S.I.F.I. SPA

ITALIA

CUTIE X 1 FLACON X 5ML

P- RF 1 10,49 10,490000 10,490000 14,18 14,180000 14,180000 446

W41510

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 21,41 1,427333 1,427333 28,94 1,929333 1,929333 447

W43512

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 24,05 24,050000 12,588000 32,50 32,500000 17,016000 448

W55950

S01BA01

DEXAMETHASONUM

OZURDEX

IMPLANT 700 microgram e

ALLERGAN PHARMACEUTICALS IRELAND

IRLAND A

CUTIE X 1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGITA X 700MCG DEXAMETAZONA DISPUS IN ACUL (OTEL INOXIDABIL) UNUI APLICATOR DE UNICA FOLOSINTA

P- RF 1 4.694,69 4.694,690000 4.694,690000 5.155,37 5.155,370000 5.155,370000 449

W55648

S01BA01

DEXAMETHASONUM

DEXAMETAZONA ROMPHARM 1mg/ml

PIC. OFT. SUSP. 1mg/ml

ROMPHARM COMPANY SRL

ROMAN IA

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

SUSPENSIE

P- RF 1 7,49 7,490000 7,490000 10,12 10,120000 10,120000 450

W55648

S01BA01

DEXAMETHASONUM

DEXAMETAZONA ROMPHARM 1mg/ml

PIC. OFT. SUSP. 1mg/ml

ROMPHARM COMPANY SRL

ROMAN IA

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT.,

SUSPENSIE

P- RF 1 4,11 4,110000 4,110000 5,55 5,550000 5,550000 451

W02427

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 6,33 6,330000 4,932000 8,55 8,550000 6,660000 452

W51513

S03AAN2

NORFLOXACINUM

NORFLOX

PICATURI OFT./AURI C.-SOL. 0,3%

CIPLA (UK) LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON PEJD X 5 ML

P- RF 1 3,52 3,520000 3,520000 4,76 4,760000 4,760000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE 21

B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA 1

W42822

A11HA02

PYRIDOXINUM

VITAMINA B6 250 mg

COMPR. 250 mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 FLACON DIN PE X 20 COMPR.

P- 6L 20 6,74 0,337000 0,337000 9,11 0,455500 0,455500 2

W56760

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 250 mg

COMPR. 250mg

ZENTIVA SA

ROMAN IA

CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P- 6L 20 6,74 0,337000 0,337000 9,11 0,455500 0,455500 3

W56758

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 250 mg/5 ml

SOL. INJ. 250mg/5 ml

ZENTIVA SA

ROMAN IA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.

P- RF 5 7,65 1,530000 1,530000 10,34 2,068000 2,068000 4

W56757

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 50 mg/2ml

SOL. INJ. 50mg/2ml

ZENTIVA SA

ROMAN IA

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

P- RF 5 5,16 1,032000 1,032000 6,98 1,396000 1,396000 5

W13686

H02AB07

PREDNISONUM

PREDNISON 5 mg

COMPR. 5mg

SINTOFARM SA

ROMAN IA

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

P- RF 30 2,74 0,091333 0,053316 3,71 0,123666 0,069744

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 6

W53341

H02AB07

PREDNISONUM

PREDNISON - RICHTER 5 mg

COMPR. 5mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

P- RF 20 1,90 0,095000 0,053316 2,57 0,128500 0,069744 7

W12565

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR. 5mg

ARENA GROUP SA

ROMAN IA

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

P- RF/ S #### 44,43 0,044430 0,044430 58,12 0,058120 0,058120 8

W12565

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR. 5mg

ARENA GROUP SA

ROMAN IA

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

P- RF 30 1,94 0,064666 0,053316 2,62 0,087333 0,069744 9

W05242

H02AB07

PREDNISONUM

PREDNISON MCC 5 mg

COMPR. 5mg

MAGISTRA C&C S.R.L.

ROMAN IA

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

P- RF 20 1,96 0,098000 0,053316 2,65 0,132500 0,069744 10

W58242

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR. CU ELIB. PREL. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR F 7 23,71 3,387142 1,405714 32,05 4,578571 1,899428 11

W59000

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. ELIB. PREL. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR F 6 21,73 3,621666 1,405714 29,37 4,895000 1,899428 12

W14043

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 12,35 0,882142 0,647142 16,69 1,192142 0,874285 13

W01326

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR. FILM. 250mg

ABBOTT SPA

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P- RF 14 21,14 1,510000 0,647142 28,57 2,040714 0,874285 14

W58998

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250 mg

COMPR. FILM. 250mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR F 14 8,39 0,599285 0,599285 11,34 0,810000 0,810000 15

W08490

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 14 12,35 0,882142 0,647142 16,69 1,192142 0,874285 16

W60253

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR. FILM. 250mg

SANDOZ S.R.L.

ROMAN IA

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

PR F 14 8,40 0,600000 0,600000 11,36 0,811428 0,811428 17

W44093

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg

COMPR. FILM. 250mg

TERAPIA SA

ROMAN IA

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

P- RF 14 10,85 0,775000 0,647142 14,67 1,047857 0,874285 18

W61223

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 250 mg

COMPR. FILM. 250mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F 14 7,55 0,539285 0,539285 10,20 0,728571 0,728571 19

W54044

J01FA09

CLARITHROMYCINUM

ROCLARIN 500 mg

COMPR. FILM. 500mg

ANTIBIOTICE S.A.

ROMAN IA

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

P- RF 20 33,14 1,657000 1,405714 43,35 2,167500 1,899428 20

W60254

J01FA09

CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR. FILM. 500mg

SANDOZ S.R.L.

ROMAN IA

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

PR F 14 24,13 1,723571 1,405714 32,62 2,330000 1,899428 21

W08491

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 14 24,13 1,723571 1,405714 32,62 2,330000 1,899428 22

W58999

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. FILM. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR F 14 18,22 1,301428 1,301428 24,62 1,758571 1,758571 23

W44087

J01FA09

CLARITHROMYCINUM

KLABAX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMAN IA

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

P- RF 14 23,73 1,695000 1,405714 32,08 2,291428 1,899428 24

W56269

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM. 500mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

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

P- RF 20 40,76 2,038000 1,405714 53,31 2,665500 1,899428 25

W14044

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 24,13 1,723571 1,405714 32,62 2,330000 1,899428 26

W61224

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 500 mg

COMPR. FILM. 500mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F 14 16,40 1,171428 1,171428 22,16 1,582857 1,582857 27

W44088

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF. 500mg

TERAPIA SA

ROMAN IA

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

P- RF 7 25,34 3,620000 1,405714 33,15 4,735714 1,899428 28

W13607

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL. 500mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

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

P- RF 5 27,85 5,570000 1,405714 36,43 7,286000 1,899428 29

W41838

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL. 500mg

KRKA D.D.

SLOVE NIA

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

P- RF 7 20,78 2,968571 1,405714 28,09 4,012857 1,899428 30

W44092

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF 1 14,01 14,010000 14,010000 18,94 18,940000 18,940000 31

W42258

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5 ml

SANDOZ SRL

ROMAN IA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA

LINGURITA DOZATOARE PP

P- RF 1 19,39 19,390000 16,812000 26,21 26,210000 22,728000 32

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP. ORALA 125mg/5 ml

ABBOTT SPA

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P- RF 1 29,92 29,920000 29,920000 39,14 39,140000 39,140000 33

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP. ORALA 125mg/5 ml

ABBOTT SPA

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P- RF 1 18,11 18,110000 16,812000 24,48 24,480000 22,728000 34

W06981

J01FA09

CLARITHROMYCINUM

FROMILID (R) 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5 ml

KRKA D.D.

SLOVE NIA

CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P- RF 1 17,24 17,240000 16,812000 23,30 23,300000 22,728000 22

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 35

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF 1 39,06 39,060000 39,060000 51,09 51,090000 51,090000 36

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF 1 23,44 23,440000 23,440000 31,68 31,680000 31,680000 37

W58393

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5 ml

SANDOZ S.R.L.

ROMAN IA

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

PR F 1 21,29 21,290000 21,290000 28,78 28,780000 28,780000 38

W01329

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF. 500mg

ABBOTT LABORATORIES LTD.

FRANT A

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

S/P RF 1 41,12 41,120000 41,120000 53,78 53,780000 53,780000 39

W57336

J01GA01

STREPTOMYCINUM

STREPTOMICINA SULFAT BP

PULB. PT. SOL. INJ. 1g

ANTIBIOTICE S.A.

ROMAN IA

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

PR F 50 139,72 2,794400 2,794400 170,57 3,411400 3,411400 40

W14119

J01GA01

STREPTOMYCINUM

STREVITAL 1 g

PULB. PT. SOL. INJ. 1g

ANTIBIOTICE SA

ROMAN IA

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

S 50 139,72 2,794400 2,794400 170,57 3,411400 3,411400 41

W14119

J01GA01

STREPTOMYCINUM

STREVITAL 1 g

PULB. PT. SOL. INJ. 1g

ANTIBIOTICE SA

ROMAN IA

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

S 100 277,91 2,779100 2,779100 339,27 3,392700 3,392700 42

W08827

J01GB04

KANAMYCINUM

PAN - KANAMYCINE

PULB. PT. SOL. INJ. 1g

LAB. PANPHARMA

FRANT A

CUTIE X 50 FLAC. X 1 G

P- RF/ S 50 81,11 1,622200 1,622200 102,56 2,051200 2,051200 43

W53277

J01GB06

AMIKACINUM

AMIKOZIT (R) 500 mg/2 ml

SOL. INJ. 500mg/2 ml

ZENTIVA S.A.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA X 2 ML

P- RF 1 5,15 5,150000 5,150000 6,96 6,960000 6,960000 44

W56957

J01MA01

OFLOXACINUM

OFLOXIN 200

COMPR. FILM. 200mg

ZENTIVA K.S.

CEHIA

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

P- RF 10 14,81 1,481000 1,008000 20,02 2,002000 1,363200 45

W07914

J01MA01

OFLOXACINUM

ZANOCIN

COMPR. FILM. 200mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF 10 8,40 0,840000 0,840000 11,36 1,136000 1,136000 46

W54037

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR. FILM. 100mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 20 51,89 2,594500 2,594500 65,61 3,280500 3,280500 47

W54037

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR. FILM. 100mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 10 28,52 2,852000 2,852000 37,31 3,731000 3,731000 48

W44077

J01MA02

CIPROFLOXACINUM

CIPROCIN 250 mg

COMPR. FILM. 250mg

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

ROMAN IA

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

P- RF 10 5,05 0,505000 0,422400 6,83 0,683000 0,571200 49

W56145

J01MA02

CIPROFLOXACINUM

ALVEBAR 250 mg

COMPR. FILM. 250mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

P- RF 10 3,52 0,352000 0,352000 4,76 0,476000 0,476000 50

W54038

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 250 mg

COMPR. FILM. 250mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 10 4,85 0,485000 0,422400 6,56 0,656000 0,571200 51

W54038

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 250 mg

COMPR. FILM. 250mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 20 9,10 0,455000 0,422400 12,30 0,615000 0,571200 52

W01271

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR. FILM. 250mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

P- RF 20 9,10 0,455000 0,422400 12,30 0,615000 0,571200 53

W01273

J01MA02

CIPROFLOXACINUM

CIPRINOL 250 mg

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 10 5,05 0,505000 0,422400 6,83 0,683000 0,571200 54

W07862

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM. 250mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF 10 5,13 0,513000 0,422400 6,93 0,693000 0,571200 55

W01288

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 250 mg

COMPR. FILM. 250mg

AC HELCOR SRL

ROMAN IA

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

P- RF 10 5,05 0,505000 0,422400 6,83 0,683000 0,571200 56

W01271

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR. FILM. 250mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

P- RF 10 5,05 0,505000 0,422400 6,83 0,683000 0,571200 57

W12545

J01MA02

CIPROFLOXACINUM

CIPRO QUIN (R)

COMPR. FILM. 500mg

ANTIBIOTICE SA

ROMAN IA

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

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 58

W01274

J01MA02

CIPROFLOXACINUM

CIPRINOL 500 mg

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 59

W44076

J01MA02

CIPROFLOXACINUM

CIPROCIN 500 mg

COMPR. FILM. 500mg

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

ROMAN IA

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 60

W56146

J01MA02

CIPROFLOXACINUM

ALVEBAR 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

P- RF 10 4,80 0,480000 0,480000 6,49 0,649000 0,649000 61

W54039

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 10 6,83 0,683000 0,576000 9,23 0,923000 0,778800 62

W54039

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 20 12,16 0,608000 0,576000 16,43 0,821500 0,778800 63

W01272

J01MA02

CIPROFLOXACINUM

CUMINOL 500 mg

COMPR. FILM. 500mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 64

W01289

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 500 mg

COMPR. FILM. 500mg

AC HELCOR SRL

ROMAN IA

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

P- RF 10 9,78 0,978000 0,576000 13,22 1,322000 0,778800 65

W07863

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM. 500mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF 10 6,50 0,650000 0,576000 8,78 0,878000 0,778800 23

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 66

W42772

J01MA02

CIPROFLOXACINUM

CIPRINOL 750 mg

COMPR. FILM. 750mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P- RF 10 29,43 2,943000 2,943000 38,50 3,850000 3,850000 67

W54040

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 750 mg

COMPR. FILM. 750mg

ARENA GROUP S.A.

ROMAN IA

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

P- RF 10 28,52 2,852000 2,852000 37,31 3,731000 3,731000 68

W57948

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 1000 mg

COMPR. FILM. ELIB. PREL. 1000 mg

BAYER PHARMA AG

GERMA NIA

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

P- RF 7 66,99 9,570000 9,570000 84,70 12,100000 12,100000 69

W57949

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 500 mg

COMPR. FILM. ELIB. PREL. 500 mg

BAYER PHARMA AG

GERMA NIA

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

P- RF 3 20,44 6,813333 0,576000 27,63 9,210000 0,778800 70

W54378

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA 100 mg/10 ml

CONC. PT. SOL. PERF. 100mg/10 ml

ZENTIVA S.A.

ROMAN IA

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

S/P RF 5 12,42 2,484000 2,484000 16,79 3,358000 3,277440 71

W01275

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF. 100mg/10 ml

KRKA D.D.

SLOVE NIA

CUTIE X 50 FIOLE X 10 ML

S 50 111,86 2,237200 2,237200 136,56 2,731200 2,731200 72

W01275

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF. 100mg/10 ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 10 ML

S/P RF 5 12,42 2,484000 2,484000 16,79 3,358000 3,277440 73

W60268

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ZENTIVA 10 mg/ml

CONC. PT. SOL. PERF. 100mg/10 ml

ZENTIVA S.A.

ROMAN IA

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

S/P RF 5 12,42 2,484000 2,484000 16,79 3,358000 3,277440 74

W08223

J01MA02

CIPROFLOXACINUM

CIPRINOL

SOL. PERF. 100mg/50 ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

S/P RF 1 3,54 3,540000 2,684640 4,79 4,790000 3,277440 75

W08224

J01MA02

CIPROFLOXACINUM

CIPRINOL

SOL. PERF. 200mg/10 0ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

S/P RF 1 7,09 7,090000 7,090000 9,58 9,580000 9,580000 76

W53353

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML

S 10 69,19 6,919000 6,919000 87,49 8,749000 8,749000 77

W53353

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML

S 10 128,87 12,887000 12,887000 157,33 15,733000 15,733000 78

W42193

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

SOL. PERF. 400mg/20 0ml

KRKA D.D.

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA X 200 ML

S/P RF 1 14,29 14,290000 14,290000 19,31 19,310000 18,879600 79

W60943

J01MA14

MOXIFLOXACINUM

MOFLAXA 400 mg

COMPR. FILM. 400mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE

PR F 5 38,76 7,752000 7,387200 50,70 10,140000 9,662400 80

W59332

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA AUROBINDO 400 mg

COMPR. FILM. 400mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F 5 30,78 6,156000 6,156000 40,26 8,052000 8,052000 81

W60545

J01MA14

MOXIFLOXACINUM

MOFIL 400 mg

COMPR. FILM. 400mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR F 5 35,34 7,068000 7,068000 46,22 9,244000 9,244000 82

W60311

J01MA14

MOXIFLOXACINUM

MOFINACIN 400 mg

COMPR. FILM. 400mg

ALVOGEN IPCO S.A.R.L

LUXEM BURG

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

PR F 5 42,18 8,436000 7,387200 55,17 11,034000 9,662400 83

W57939

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg

COMPR. FILM. 400mg

BAYER PHARMA AG

GERMA NIA

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

P- RF 5 58,59 11,718000 7,387200 74,08 14,816000 9,662400 84

W60727

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA KABI 400 mg/250 ml

SOL. PERF. 400mg/25 0ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

PR 1 82,20 82,200000 82,200000 103,94 103,940000 103,940000 85

W57938

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg/250 ml

SOL. PERF. 400mg/25 0ml

BAYER PHARMA AG

GERMA NIA

CUTIE X 5 FLACOANE DIN STICLA X 250 ML

S 5 594,69 118,938000 98,640000 686,36 137,272000 124,728000 86

W52079

J04AB01

CICLOSERINUM

CICLOSERINA ANTIBIOTICE 250 mg

CAPS. 250mg

ANTIBIOTICE S.A.

ROMAN IA

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

P- RF 100 425,06 4,250600 4,250600 501,47 5,014700 5,014700 87

W08238

J04AB01

CICLOSERINUM

HELPOCERIN

CAPS. 250mg

HELP PHARMACEUTICALS LTD.

GRECIA

CUTIE X 5 BLIST. X 10 CAPS.

S/P RF 50 190,37 3,807400 3,807400 232,40 4,648000 4,648000 88

W41998

J04AB02

RIFAMPICINUM

SINERDOL 150 mg

CAPS. 150mg

ANTIBIOTICE SA

ROMAN IA

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

S 1.000 163,52 0,163520 0,163520 199,62 0,199620 0,199620 89

W41999

J04AB02

RIFAMPICINUM

SINERDOL 300 mg

CAPS. 300mg

ANTIBIOTICE SA

ROMAN IA

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

S 1.000 530,00 0,530000 0,530000 615,85 0,615850 0,615850 90

W58576

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 100 mg

COMPR. 100mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR 1.500 159,50 0,106333 0,106333 194,72 0,129813 0,129813 91

W58577

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 300 mg

COMPR. 300mg

ANTIBIOTICE SA

ROMAN IA

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

S/P RF 1.500 395,00 0,263333 0,263333 468,70 0,312466 0,312466 92

W60582

J04AC01

ISONIAZIDUM

ISONIAZID

SIROP 100mg/5 ml

CN UNIFARM S.A.

ROMAN IA

CUTIE X 1 FLAC. X 200 ML SIROP

PR 1 29,01 29,010000 29,010000 37,95 37,950000 37,950000 93

W60594

J04AC01

ISONIAZIDUM

BITUB

SOL INJ. 100mg/ml

CN UNIFARM S.A.

ROMAN IA

CUTIE CU 10 FIOLE A 5ML

PR 10 14,16 1,416000 1,416000 19,14 1,914000 1,914000 94

W55916

J04AD01

PROTIONAMIDUM

PETEHA 250 mg

COMPR. FILM. 250 mg

ANTIBIOTICE SA

ROMAN IA

CUTIE X 10 BLISTERE X 10 COMPRIMATE FILMATE

PR 100 98,56 0,985600 0,985600 124,62 1,246200 1,246200 95

W60213

J04AK01

PYRAZINAMIDUM

PIRAZINAMIDA ATB 500 mg

COMPR. 500mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR 1.500 434,58 0,289720 0,289720 511,84 0,341226 0,341226 24

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 96

W53682

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMAN IA

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

P- RF 20 3,54 0,177000 0,177000 4,79 0,239500 0,239500 97

W59648

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMAN IA

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

PR F 20 5,54 0,277000 0,277000 7,49 0,374500 0,374500 98

W59648

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

PR F 50 13,72 0,274400 0,274400 18,54 0,370800 0,370800 99

W42943

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 250 mg

COMPR. FILM. 250mg

ANTIBIOTICE SA

ROMAN IA

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

S 1.500 314,54 0,209693 0,209693 381,00 0,254000 0,254000 100

W42861

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 400 mg

COMPR. FILM. 400mg

ANTIBIOTICE SA

ROMAN IA

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

S 1.500 485,00 0,323333 0,323333 566,80 0,377866 0,377866 101

W60583

J04AK02

ETHAMBUTOLUM

INBUTOL

SOL INJ. 100mg/ml

CN UNIFARM S.A.

ROMAN IA

FLAC. X 10 ML SOL. INJ

PR 1 15,55 15,550000 15,550000 21,02 21,020000 21,020000 102

W14071

J04AM02

COMBINATII (RIFAMPICINUM

IZONIAZIDUM)

SINERDOL ISO

CAPS. 300mg

1 50mg

ANTIBIOTICE SA

ROMAN IA

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

S 1.000 580,00 0,580000 0,580000 670,35 0,670350 0,670350

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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

1

W08867

J05AH01

ZANAMIVIRUM

RELENZA 5 mg

PULB. UNIDOZA DE INHALAT 5mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE

DISPOZITIV DE ADMINISTRARE DISKHALER

P- RF 5 59,59 11,918000 11,918000 75,34 15,068000 15,068000 2

W52316

J05AH02

OSELTAMIVIRUM

TAMIFLU 30mg

CAPS. 30mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P- RF 10 37,94 3,794000 3,794000 49,62 4,962000 4,962000 3

W13633

J05AH02

OSELTAMIVIRUM

TAMIFLU 75 mg

CAPS. 75mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P- RF 10 60,15 6,015000 6,015000 76,06 7,606000 7,606000

25

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1

W58800

G03HA01

CYPROTERONUM

ANDROCUR

COMPR. 50mg

BAYER PHARMA AG

GERMA NIA

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

P- RF 50 85,78 1,715600 1,715600 108,46 2,169200 2,169200 2

W12490

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ. 50mg

BAXTER ONCOLOGY GMBH

GERMA NIA

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

P- RF 50 19,33 0,386600 0,386600 26,13 0,522600 0,522600 3

W52215

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ. I.V. 200mg

ACTAVIS S.R.L.

ROMAN IA

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

S 1 11,76 11,760000 11,760000 15,89 15,890000 15,890000 4

W58866

L01AA02

CHLORAMBUCILUM

LEUKERAN

COMPR. FILM. 2mg

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE X 1 FLAC. X 25 COMPR. FILM.

P- RF 25 238,56 9,542400 9,542400 291,24 11,649600 11,649600 5

W58865

L01AA03

MELPHALANUM

ALKERAN 2 mg

COMPR. FILM. 2mg

ASPEN PHARMA TRADING LIMITED

IRLAND A

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

P- RF 25 288,54 11,541600 11,541600 352,25 14,090000 14,090000 6

W60631

L01AA03

MELPHALANUM

ALKERAN 50 mg

PULB

SOL V. PT. SOL. INJ./PERF. 50mg

CN UNIFARM S.A.

ROMAN IA

CUTIE CU 1 FIOLA PULB.

1 FIOLA SOLVENT

PR 1 654,63 654,630000 654,630000 751,70 751,700000 751,700000 7

W12497

L01AA06

IFOSFAMIDUM

HOLOXAN 1 g

PULB. PT. SOL. PERF. 1g

BAXTER ONCOLOGY GMBH

GERMA NIA

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

S 1 92,66 92,660000 92,660000 117,16 117,160000 117,160000 8

W58856

L01AB01

BUSULFANUM

MYLERAN

COMPR. FILM. 2mg

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM.

P- RF 100 1.028,76 10,287600 10,287600 1.159,50 11,595000 11,595000 9

W51454

L01AB01

BUSULFANUM

BUSILVEX 6mg/ml

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

PIERRE FABRE MEDICAMENT

FRANT A

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

S 8 9.151,91 1.143,988750 1.143,988750 10.013,75 1.251,718750 1.251,718750 10

W59709

L01AD02

LOMUSTINUM 4)

CECENU

CAPS. 40mg

CN UNIFARM S.A.

ROMAN IA

CUTIE X 1 FLACON X 20 CAPSULE

PR 20 1.858,81 92,940500 92,940500 2.064,26 103,213000 103,213000 11

W59705

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS. 100mg

ROMASTRU TRADING SRL

ROMAN IA

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 5 393,55 78,710000 78,710000 467,12 93,424000 93,424000 12

W59451

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 100 mg

CAPS. 100mg

ALVOGEN IPCO S.AR.L.

LUXEM BURG

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F 5 472,26 94,452000 94,452000 552,91 110,582000 110,582000 13

W59506

L01AX03

TEMOZOLOMIDUM**

NOGRON 100 mg

CAPS. 100mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F 5 629,66 125,932000 94,452000 724,48 144,896000 112,108800 14

W59705

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS. 100mg

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 393,55 78,710000 78,710000 467,12 93,424000 93,424000 15

W56780

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 100 mg

CAPS. 100mg

STADA HEMOFARM SRL

ROMAN IA

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

PR 5 495,60 99,120000 94,452000 578,35 115,670000 112,108800

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 16

W58092

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE SUN 100 mg

CAPS. 100mg

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

OLAND A

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PR F 5 675,04 135,008000 94,452000 773,95 154,790000 112,108800 17

W55335

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 100 mg

CAPS. 100mg

TEVA PHARMA B.V.

OLAND A

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

P- RF/ R 5 393,55 78,710000 78,710000 467,12 93,424000 93,424000 18

W59699

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 100 mg

CAPS. 100mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 479,26 95,852000 94,452000 560,54 112,108000 112,108000 19

W59614

L01AX03

TEMOZOLOMIDUM**

TEMODAL 100 mg

CAPS. 100mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P- RF/ R 5 589,30 117,860000 94,452000 680,49 136,098000 112,108800 20

W61245

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS. 100mg

NEOLA PHARMA S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 393,55 78,710000 78,710000 467,12 93,424000 93,424000 21

W61245

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS. 100mg

NEOLA PHARMA S.R.L.

ROMAN IA

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 5 393,55 78,710000 78,710000 467,12 93,424000 93,424000 22

W56781

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 140 mg

CAPS. 140mg

STADA HEMOFARM SRL

ROMAN IA

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

PR 5 709,00 141,800000 141,800000 810,96 162,192000 162,192000 23

W58093

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE SUN 140 mg

CAPS. 140mg

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

OLAND A

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PR F 5 1.648,19 329,638000 170,160000 1.834,68 366,936000 194,630400 24

W59507

L01AX03

TEMOZOLOMIDUM**

NOGRON 140 mg

CAPS. 140mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F 5 929,60 185,920000 170,160000 1.051,42 210,284000 194,630400 25

W59706

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 140 mg

CAPS. 140mg

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 857,79 171,558000 170,160000 973,14 194,628000 194,628000 26

W59706

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 140 mg

CAPS. 140mg

ROMASTRU TRADING SRL

ROMAN IA

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 5 857,79 171,558000 170,160000 973,14 194,628000 194,628000 27

W59615

L01AX03

TEMOZOLOMIDUM**

TEMODAL 140mg

CAPS. 140mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P- RF/ R 5 825,68 165,136000 165,136000 938,14 187,628000 187,628000 28

W59616

L01AX03

TEMOZOLOMIDUM**

TEMODAL 180 mg

CAPS. 180mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P- RF/ R 5 1.019,21 203,842000 203,842000 1.149,09 229,818000 229,818000 29

W56782

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 180 mg

CAPS. 180mg

STADA HEMOFARM SRL

ROMAN IA

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

PR 5 903,00 180,600000 180,600000 1.022,42 204,484000 204,484000 30

W59508

L01AX03

TEMOZOLOMIDUM**

NOGRON 180 mg

CAPS. 180mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F 5 1.247,53 249,506000 216,720000 1.397,96 279,592000 245,380800 31

W59450

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 20 mg

CAPS. 20mg

ALVOGEN IPCO S.AR.L.

LUXEM BURG

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F 5 107,00 21,400000 21,400000 130,63 26,126000 26,126000 32

W59505

L01AX03

TEMOZOLOMIDUM**

NOGRON 20 mg

CAPS. 20mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F 5 131,91 26,382000 22,298400 161,04 32,208000 28,195200 33

W56779

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 20 mg

CAPS. 20mg

STADA HEMOFARM SRL

ROMAN IA

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

PR 5 93,94 18,788000 18,788000 118,78 23,756000 23,756000 34

W59617

L01AX03

TEMOZOLOMIDUM**

TEMODAL 20 mg

CAPS. 20mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P- RF/ R 5 140,39 28,078000 22,298400 171,39 34,278000 28,195200 35

W59704

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS. 20mg

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 92,91 18,582000 18,582000 117,48 23,496000 23,496000 36

W59704

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS. 20mg

ROMASTRU TRADING SRL

ROMAN IA

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 92,91 18,582000 18,582000 117,48 23,496000 23,496000 37

W58091

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE SUN 20 mg

CAPS. 20mg

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

OLAND A

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PR F 5 141,91 28,382000 22,298400 173,24 34,648000 28,195200

26

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 38

W59698

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 20 mg

CAPS. 20mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 115,47 23,094000 22,298400 140,96 28,192000 28,192000 39

W55334

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 20 mg

CAPS. 20mg

TEVA PHARMA B.V.

OLAND A

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

P- RF/ R 5 92,91 18,582000 18,582000 117,48 23,496000 23,496000 40

W61244

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS. 20mg

NEOLA PHARMA S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 92,91 18,582000 18,582000 117,48 23,496000 23,496000 41

W61244

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS. 20mg

NEOLA PHARMA S.R.L.

ROMAN IA

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 92,91 18,582000 18,582000 117,48 23,496000 23,496000 42

W59702

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 250 mg

CAPS. 250mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 1.557,48 311,496000 310,096800 1.735,81 347,162000 347,162000 43

W60017

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS. 250mg

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 1.557,47 311,494000 310,096800 1.735,80 347,160000 347,160000 44

W60017

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS. 250mg

ROMASTRU TRADING SRL

ROMAN IA

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 1.557,47 311,494000 310,096800 1.735,80 347,160000 347,160000 45

W59454

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 250 mg

CAPS. 250mg

ALVOGEN IPCO S.AR.L.

LUXEM BURG

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F 5 1.550,35 310,070000 310,070000 1.728,03 345,606000 345,606000 46

W56783

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 250 mg

CAPS. 250mg

STADA HEMOFARM SRL

ROMAN IA

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

PR 5 1.292,07 258,414000 258,414000 1.446,51 289,302000 289,302000 47

W58097

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE SUN 250 mg

CAPS. 250mg

SUN PHARMACEUTICAL INDUSTRIES EUROPE B.V.

OLAND A

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PR F 5 2.539,46 507,892000 310,096800 2.806,17 561,234000 347,162400 48

W55336

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 250 mg

CAPS. 250mg

TEVA PHARMA B.V.

OLAND A

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

P- RF/ R 5 1.557,48 311,496000 310,096800 1.735,81 347,162000 347,162000 49

W61248

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS. 250mg

NEOLA PHARMA S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 1.557,47 311,494000 310,096800 1.735,80 347,160000 347,160000 50

W61248

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS. 250mg

NEOLA PHARMA S.R.L.

ROMAN IA

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 1.557,47 311,494000 310,096800 1.735,80 347,160000 347,160000 51

W59613

L01AX03

TEMOZOLOMIDUM**

TEMODAL 2,5mg/ml

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

MERCK SHARP & DOHME

MAREA BRITAN IE

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

P- RF/ R 1 582,04 582,040000 582,040000 672,57 672,570000 672,570000 52

W56549

L01AX04

DACARBAZINUM

DACARBAZINE MEDAC 500 mg

PULB. PT. SOL. INJ. 500mg

CN UNIFARM S.A.

ROMAN IA

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

PR /P RF 1 66,94 66,940000 66,940000 84,64 84,640000 84,640000 53

W58779

L01AX04

DACARBAZINUM

DACARBAZINA LIPOMED 200 mg

PULB. PT. SOL. INJ./PERF. 200 mg

LIPOMED GMBH

GERMA NIA

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 10 730,98 73,098000 73,098000 834,92 83,492000 83,492000 54

W59710

L01AX04

DACARBAZINUM

DACARBAZIN MEDAC 200mg

PULB. PT. SOL. INJ./PERF. 200mg

CN UNIFARM S.A.

ROMAN IA

CUTIE X 10 FLACOANE

PR 10 795,44 79,544000 79,544000 905,18 90,518000 90,518000 55

W58569

L01BA01

METHOTREXATUM

METHOTREXATE PCH 10mg

COMPR. 10mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 10COMPR.

P6 L 10 21,32 2,132000 2,132000 28,81 2,881000 2,881000 56

W58568

L01BA01

METHOTREXATUM

METHOTREXATE PCH 2,5mg

COMPR. 2,5mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X30 COMPRIMATE

P6 L 30 16,00 0,533333 0,533333 21,62 0,720666 0,720666 57

W12733

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF. 100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S 1 70,91 70,910000 70,910000 89,66 89,660000 89,660000 58

W04185

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 500 mg

CONC. PT. SOL. INJ./PERF. 100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 5 FIOLE X 5 ML

S 5 197,47 39,494000 39,494000 241,07 48,214000 48,214000 59

W12735

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF. 100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 50 ML

S 1 332,72 332,720000 332,720000 400,81 400,810000 400,810000

27

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 60

W59856

L01BA01

METHOTREXATUM

BENDATREXAT

SOL INJ. 25mg/ml

CN UNIFARM S.A.

ROMAN IA

CUTIE CU 1 FLAC. X 2 ML

PR 1 65,37 65,370000 65,370000 82,65 82,650000 82,650000 61

W04186

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 5 mg

SOL. INJ. 5mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 10 FIOLE X 1 ML

S 10 17,62 1,762000 1,762000 23,82 2,382000 2,382000 62

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

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

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJ

PR 1 45,60 45,600000 45,600000 59,64 59,640000 59,640000 63

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

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

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJE

PR 1 100,34 100,340000 100,340000 122,50 122,500000 122,500000 64

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

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

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJE

PR 1 62,22 62,220000 62,220000 78,67 78,670000 78,670000 65

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

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

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJE

PR 1 87,07 87,070000 87,070000 110,09 110,090000 110,090000 66

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

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

P- RF 1 62,22 62,220000 62,220000 78,67 78,670000 78,670000 67

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF 1 59,16 59,160000 54,720000 74,80 74,800000 71,568000 68

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

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

P- RF 1 101,74 101,740000 101,740000 124,21 124,210000 124,210000 69

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

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

P- RF 1 86,63 86,630000 86,630000 109,54 109,540000 109,540000 70

W42003

L01BA04

PEMETREXEDUM

ALIMTA 500mg

PULB. PT. CONC. PT. SOL. PERF. 500mg

ELI LILLY NEDERLAND BV

OLAND A

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

S 1 4.944,17 4.944,170000 4.944,170000 5.537,28 5.537,280000 5.537,280000 71

W58868

L01BB02

MERCAPTOPURINUM

PURI - NETHOL

COMPR. 50mg

ASPEN PHARMA TRADING LIMITED

IRLAND A

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

P- RF 25 300,20 12,008000 12,008000 365,37 14,614800 14,614800 72

W58869

L01BB03

TIOGUANINUM

LANVIS

COMPR. 40mg

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE X 1 FLAC. X 25 COMPR.

P- RF 25 638,68 25,547200 25,547200 734,31 29,372400 29,372400 73

W60721

L01BB03

TIOGUANINUM

THIOGUANIN ASPEN 40 mg

COMPR. 40mg

CN UNIFARM S.A.

ROMAN IA

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

PR 25 638,68 25,547200 25,547200 734,31 29,372400 29,372400 74

W44114

L01BB04

CLADRIBINUM

LITAK 2 mg/ml

SOL. INJ. 2mg/ml

LIPOMED GMBH

GERMA NIA

CUTIE X 1 FLACON X 5 ML

S 1 1.435,80 1.435,800000 1.435,800000 1.603,17 1.603,170000 1.603,170000 75

W56210

L01BB05

FLUDARABINUM

FLUDARA ORAL 10 mg

COMPR. FILM. 10mg

GENZYME EUROPE B.V.

OLAND A

CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

P- RF/ S 20 1.094,66 54,733000 54,733000 1.231,33 61,566500 61,566500 76

W56211

L01BB05

FLUDARABINUM

FLUDARA

LIOF. PT. SOL. INJ./PERF. 50mg

GENZYME EUROPE B.V.

OLAND A

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

S 5 513,08 102,616000 102,616000 597,41 119,482000 119,482000 77

W53700

L01BB05

FLUDARABINUM

FLUDARABINA ACTAVIS 25 mg/ml

PULB. PT. SOL. INJ./PERF. 25mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 340,13 340,130000 123,139200 408,89 408,890000 143,378400 78

W53291

L01BB06

CLOFARABINUM

EVOLTRA 1mg/ml

CONC. PT. SOL. PERF. 1mg/ml

GENZYME EUROPE BV

OLAND A

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

PR 1 6.346,63 6.346,630000 6.346,630000 6.955,99 6.955,990000 6.955,990000 79

W52264

L01BB07

NELARABINUM

ATRIANCE

SOL. PERF. 5mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 6 FLAC. X 50 ML

S 6 7.484,57 1.247,428333 1.247,428333 8.196,34 1.366,056666 1.366,056666 80

W13946

L01BC01

CYTARABINUM

ALEXAN 20mg/ml

SOL. INJ. 20mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S 10 97,56 9,756000 9,756000 123,36 12,336000 12,336000 81

W42933

L01BC01

CYTARABINUM

ALEXAN 50mg/ml

SOL. INJ. 50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S 1 45,22 45,220000 30,300000 59,15 59,150000 39,636000

28

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 82

W42933

L01BC01

CYTARABINUM

ALEXAN 50mg/ml

SOL. INJ. 50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S 1 76,34 76,340000 60,600000 96,52 96,520000 76,620000 83

W59016

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF. 100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA X 5 ML SOL. INJ. SAU PERF.

PR 1 25,25 25,250000 25,250000 33,03 33,030000 33,030000 84

W59016

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF. 100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 50,50 50,500000 50,500000 63,85 63,850000 63,850000 85

W59016

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF. 100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 99,23 99,230000 99,230000 125,47 125,470000 125,470000 86

W53814

L01BC01

CYTARABINUM

DEPOCYTE 50mg

SUSP. INJ. 50mg

PACIRA LIMITED

MAREA BRITAN IE

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

S 1 6.970,59 6.970,590000 6.970,590000 7.636,10 7.636,100000 7.636,100000 87

W43451

L01BC02

FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF. 50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF.

S 1 68,66 68,660000 68,660000 86,81 86,810000 86,810000 88

W43451

L01BC02

FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF. 50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF.

S 1 6,32 6,320000 6,320000 8,54 8,540000 8,540000 89

W43451

L01BC02

FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF. 50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S 1 13,64 13,640000 13,640000 18,44 18,440000 18,440000 90

W43451

L01BC02

FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF. 50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF.

S 1 11,17 11,170000 11,170000 15,10 15,100000 15,100000 91

W60304

L01BC02

FLUOROURACILUM

FLUOROURACIL PCH 50 mg/ml

SOL INJ. 50 mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

FLACON X 10ML SOLUTIE INJECTABILA

PR 1 11,53 11,530000 11,530000 15,58 15,580000 15,580000 92

W60304

L01BC02

FLUOROURACILUM

FLUOROURACIL PCH 50 mg/ml

SOL INJ. 50 mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

FLACON X 100ML SOLUTIE INJECTABILA

PR 1 99,35 99,350000 82,392000 125,62 125,620000 104,172000 93

W59237

L01BC05

GEMCITABINUM**

GEMCITABINA EBEWE PHARMA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

AUSTRI A

CUTIE CU UN FLAC. DIN STICLA INCOLORA CU INVELIS PROTECTOR,,ONCO-SAFE" A 100 ML CONC. PT. SOL. PERF

S 1 185,77 185,770000 185,770000 226,79 226,790000 226,790000 94

W59237

L01BC05

GEMCITABINUM**

GEMCITABINA EBEWE PHARMA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

AUSTRI A

CUTIE CU UN FLAC. DIN STICLA INCOLORA CU INVELIS PROTECTOR,,ONCO-SAFE" A 20 ML CONC. PT. SOL. PERF.

S 1 41,54 41,540000 41,540000 54,34 54,340000 54,340000 95

W56583

L01BC05

GEMCITABINUM**

GEMSOL 40 mg/ml

CONC. PT. SOL. PERF. 40 mg/ml

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

AUSTRI A

CUTIE CU 1 FLACOANE STICLA INCOLORA SIST.,,ONCO-SAFE" A 25 ML CONC.SOL. PERF. X 1000 MG

PR 1 185,77 185,770000 185,770000 226,79 226,790000 226,790000 96

W56583

L01BC05

GEMCITABINUM**

GEMSOL 40 mg/ml

CONC. PT. SOL. PERF. 40 mg/ml

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

AUSTRI A

CUTIE CU 1 FLACON STICLA INCOLORA SIST.,,ONCO-SAFE" A 50 ML CONC.SOL. PERF. X 2000 MG

PR 1 367,76 367,760000 367,760000 439,01 439,010000 439,010000 97

W56583

L01BC05

GEMCITABINUM**

GEMSOL 40 mg/ml

CONC. PT. SOL. PERF. 40 mg/ml

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

AUSTRI A

CUTIE CU 1 FLACON STICLA INCOLORA FARA SIST.,,ONCO-SAFE" A 5 ML CONC.SOL. PERF. X 200 MG

PR 1 41,54 41,540000 41,540000 54,34 54,340000 54,340000 98

W59510

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA,

PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA,

CU DISC DIN PP, A 1000 MG/25 ML CONC. PT. SOL. PERF.

PR 1 184,80 184,800000 184,800000 225,60 225,600000 225,600000 99

W59510

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA,

PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VIOLET,

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

PR 1 367,00 367,000000 367,000000 438,18 438,180000 438,180000 100

W59316

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 185,77 185,770000 185,770000 226,79 226,790000 226,790000 101

W59316

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 367,76 367,760000 367,760000 439,01 439,010000 439,010000

29

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 102

W56425

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 518,45 518,450000 440,400000 603,26 603,260000 525,816000 103

W59510

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA,

PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VERDE,

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

PR 1 41,04 41,040000 41,040000 53,68 53,680000 53,680000 104

W56425

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 41,54 41,540000 41,540000 54,34 54,340000 54,340000 105

W56425

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 185,77 185,770000 185,770000 226,79 226,790000 226,790000 106

W56246

L01BC05

GEMCITABINUM**

GEMZAR 1000 mg

PULB. PT. SOL. PERF. 1000 mg

LILLY FRANCE SAS

FRANT A

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

S 1 285,80 285,800000 217,632000 348,91 348,910000 265,680000 107

W56371

L01BC05

GEMCITABINUM**

GEMCITABINA ATB 1000 mg

PULB. PT. SOL. PERF. 1000mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR 1 185,77 185,770000 185,770000 226,79 226,790000 226,790000 108

W55552

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 1000 mg

PULB. PT. SOL. PERF. 1000mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

S 1 185,77 185,770000 185,770000 226,79 226,790000 226,790000 109

W56150

L01BC05

GEMCITABINUM**

DAPLAX 1 g

PULB. PT. SOL. PERF. 1g

DR. REDDY'S LABORATORIES

ROMAN IA

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

S 1 185,76 185,760000 185,760000 226,77 226,770000 226,770000 110

W55553

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 2000 mg

PULB. PT. SOL. PERF. 2000mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

S 1 367,77 367,770000 367,770000 439,02 439,020000 439,020000 111

W55551

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 200 mg

PULB. PT. SOL. PERF. 200mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

S 1 41,54 41,540000 41,540000 54,34 54,340000 54,340000 112

W03290

L01BC05

GEMCITABINUM**

GEMZAR (R) 200 mg

PULB. PT. SOL. PERF. 200mg

LILLY FRANCE SAS

FRANT A

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

S 1 62,79 62,790000 49,248000 79,39 79,390000 64,416000 113

W56370

L01BC05

GEMCITABINUM**

GEMCITABINA ATB 200 mg

PULB. PT. SOL. PERF. 200mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR 1 41,54 41,540000 41,540000 54,34 54,340000 54,340000 114

W56149

L01BC05

GEMCITABINUM**

DAPLAX 200 mg

PULB. PT. SOL. PERF. 200mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

S 1 41,54 41,540000 41,540000 54,34 54,340000 54,340000 115

W54381

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 368,80 368,800000 368,800000 440,14 440,140000 440,140000 116

W54270

L01BC05

GEMCITABINUM**

GEMCITABINE MYLAN 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

MYLAN S.A.S.

FRANT A

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

S 1 62,79 62,790000 49,248000 79,39 79,390000 64,416000 117

W54381

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 181,36 181,360000 181,360000 221,40 221,400000 221,400000 118

W54270

L01BC05

GEMCITABINUM**

GEMCITABINE MYLAN 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

MYLAN S.A.S.

FRANT A

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

S 1 285,80 285,800000 217,632000 348,91 348,910000 265,680000 119

W54381

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 41,54 41,540000 41,540000 54,34 54,340000 54,340000 120

W55531

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

S 1 185,77 185,770000 185,770000 226,79 226,790000 226,790000 121

W55531

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

S 1 367,76 367,760000 367,760000 439,01 439,010000 439,010000 122

W55531

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

S 1 41,54 41,540000 41,540000 54,34 54,340000 54,340000 123

W59385

L01BC06

CAPECITABINUM

XALVOBIN 150 mg

COMPR. FILM. 150mg

ALVOGEN IPCO S.AR.L.

LUXEM BURG

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

PR 60 156,07 2,601166 1,635199 190,53 3,175500 2,067600 124

W59385

L01BC06

CAPECITABINUM

XALVOBIN 150 mg

COMPR. FILM. 150mg

ALVOGEN IPCO S.AR.L.

LUXEM BURG

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

PR 60 156,07 2,601166 1,635199 190,53 3,175500 2,067600 125

W60217

L01BC06

CAPECITABINUM

ECANSYA 150mg

COMPR. FILM. 150mg

KRKA D.D.

SLOVE NIA

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

PR 60 101,24 1,687333 1,635199 123,60 2,060000 2,060000

30

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 126

W59427

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 150 mg

COMPR. FILM. 150mg

ZENTIVA, K.S.

REPUB LICA CEHA

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

PR 60 101,61 1,693500 1,635199 124,05 2,067500 2,067500 127

W08338

L01BC06

CAPECITABINUM

XELODA 150 mg

COMPR. FILM. 150mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P- RF/ R 60 206,50 3,441666 1,635199 252,09 4,201500 2,067600 128

W59873

L01BC06

CAPECITABINUM

CAPECITABINA SANDOZ 150 mg

COMPR. FILM. 150mg

SANDOZ SRL ROMANIA

ROMAN IA

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

PR 60 81,76 1,362666 1,362666 103,38 1,723000 1,723000 129

W58925

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK 150 mg

COMPR. FILM. 150mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

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

PR 60 101,61 1,693500 1,635199 124,04 2,067333 2,067333 130

W59366

L01BC06

CAPECITABINUM

CAPECITABINA ACTAVIS 150 mg

COMPR. FILM. 150mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 60 92,94 1,549000 1,549000 117,51 1,958500 1,958500 131

W59654

L01BC06

CAPECITABINUM

ARXEDA 150 mg

COMPR. FILM. 150mg

ROMASTRU TRADING SRL

ROMAN IA

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

PR F 60 101,61 1,693500 1,635199 124,04 2,067333 2,067333 132

W59427

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 150 mg

COMPR. FILM. 150mg

ZENTIVA, K.S.

REPUB LICA CEHA

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

PR 60 101,61 1,693500 1,635199 124,05 2,067500 2,067500 133

W59086

L01BC06

CAPECITABINUM

CAPECITABINA FRESENIUS KABI 150 mg

COMPR. FILM. 150mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR 60 91,84 1,530666 1,530666 116,12 1,935333 1,935333 134

W60217

L01BC06

CAPECITABINUM

ECANSYA 150mg

COMPR. FILM. 150mg

KRKA D.D.

SLOVE NIA

CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE

PR 60 101,24 1,687333 1,635199 123,60 2,060000 2,060000 135

W59654

L01BC06

CAPECITABINUM

ARXEDA 150 mg

COMPR. FILM. 150mg

ROMASTRU TRADING SRL

ROMAN IA

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

PR F 60 101,61 1,693500 1,635199 124,04 2,067333 2,067333 136

W60278

L01BC06

CAPECITABINUM

CAPECITABINE TEVA 150 mg

COMPR. FILM. 150mg

TEVA PHARMA B.V.

OLAND A

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

PR 60 81,76 1,362666 1,362666 103,38 1,723000 1,723000 137

W60218

L01BC06

CAPECITABINUM

ECANSYA 300mg

COMPR. FILM. 300mg

KRKA D.D.

SLOVE NIA

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

PR 60 312,14 5,202333 5,202333 378,38 6,306333 6,306333 138

W60218

L01BC06

CAPECITABINUM

ECANSYA 300mg

COMPR. FILM. 300mg

KRKA D.D.

SLOVE NIA

CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE

PR 60 312,14 5,202333 5,202333 378,38 6,306333 6,306333 139

W59386

L01BC06

CAPECITABINUM

XALVOBIN 500 mg

COMPR. FILM. 500mg

ALVOGEN IPCO S.AR.L.

LUXEM BURG

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

PR 120 624,09 5,200750 5,142400 718,41 5,986750 5,986699 140

W59428

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 500 mg

COMPR. FILM. 500mg

ZENTIVA, K.S.

REPUB LICA CEHA

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

PR 120 624,09 5,200750 5,142400 718,41 5,986750 5,986699 141

W59428

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 500 mg

COMPR. FILM. 500mg

ZENTIVA, K.S.

REPUB LICA CEHA

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

PR 120 624,09 5,200750 5,142400 718,41 5,986750 5,986699 142

W59424

L01BC06

CAPECITABINUM

CEREX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMAN IA

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

PR 120 971,30 8,094166 5,142400 1.096,87 9,140583 5,986699 143

W59059

L01BC06

CAPECITABINUM

COLOXET 500 mg

COMPR. FILM. 500mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

PR 120 624,00 5,200000 5,142400 718,31 5,985916 5,985916 144

W59087

L01BC06

CAPECITABINUM

CAPECITABINA FRESENIUS KABI 500 mg

COMPR. FILM. 500mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR 120 580,00 4,833333 4,833333 670,35 5,586250 5,586250 145

W08339

L01BC06

CAPECITABINUM

XELODA 500 mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P- RF/ R 120 1.275,41 10,628416 5,142400 1.428,35 11,902916 5,986699 146

W59059

L01BC06

CAPECITABINUM

COLOXET 500 mg

COMPR. FILM. 500mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

PR 120 624,00 5,200000 5,142400 718,31 5,985916 5,985916 147

W59367

L01BC06

CAPECITABINUM

CAPECITABINA ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 120 580,39 4,836583 4,836583 670,78 5,589833 5,589833 148

W59655

L01BC06

CAPECITABINUM

ARXEDA 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING SRL

ROMAN IA

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

PR F 120 624,00 5,200000 5,142400 718,31 5,985916 5,985916 149

W59655

L01BC06

CAPECITABINUM

ARXEDA 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING SRL

ROMAN IA

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

PR F 120 624,00 5,200000 5,142400 718,31 5,985916 5,985916 150

W59874

L01BC06

CAPECITABINUM

CAPECITABINA SANDOZ 500 mg

COMPR. FILM. 500mg

SANDOZ SRL ROMANIA

ROMAN IA

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

PR 120 514,24 4,285333 4,285333 598,67 4,988916 4,988916 151

W59424

L01BC06

CAPECITABINUM

CEREX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMAN IA

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

PR 120 971,30 8,094166 5,142400 1.096,87 9,140583 5,986699 152

W60219

L01BC06

CAPECITABINUM

ECANSYA 500mg

COMPR. FILM. 500mg

KRKA D.D.

SLOVE NIA

CUTIE CU BLIST. AL/AL X 120 COMPRIMATE FILMATE

PR 120 622,25 5,185416 5,142400 716,40 5,970000 5,970000 153

W59386

L01BC06

CAPECITABINUM

XALVOBIN 500 mg

COMPR. FILM. 500mg

ALVOGEN IPCO S.AR.L.

LUXEM BURG

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

PR 120 624,09 5,200750 5,142400 718,41 5,986750 5,986699 154

W60219

L01BC06

CAPECITABINUM

ECANSYA 500mg

COMPR. FILM. 500mg

KRKA D.D.

SLOVE NIA

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

PR 120 622,25 5,185416 5,142400 716,40 5,970000 5,970000 155

W60279

L01BC06

CAPECITABINUM

CAPECITABINE TEVA 500 mg

COMPR. FILM. 500mg

TEVA PHARMA B.V.

OLAND A

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

PR 120 514,24 4,285333 4,285333 598,67 4,988916 4,988916

31

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 156

W60255

L01BC06

CAPECITABINUM

CAPECITABINA DR. REDDY'S 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

PR 120 971,30 8,094166 5,142400 1.096,87 9,140583 5,986699 157

W58926

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK 500 mg

COMPR. FILM. 500mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

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

PR 120 624,00 5,200000 5,142400 718,31 5,985916 5,985916 158

W59587

L01BC08

DECITABINUM

DACOGEN

PULB. PT. CONC. PT. SOL. PERF. 50mg

JANSSEN CILAG INTERNATIONALL NV

BELGIA

CUTIE CU 1 FL. DIN STICLA CE CONTINE 50MG DECITABINA

PR 1 5.755,43 5.755,430000 5.755,430000 6.311,58 6.311,580000 6.311,580000 159

W59211

L01CA01

VINBLASTINUM 4)

VINBLASTINA TEVA 1 mg/ml

SOL INJ. 1mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 29,63 29,630000 29,630000 38,75 38,750000 38,750000 160

W52220

L01CA02

VINCRISTINUM

SINDOVIN 1 mg

LIOF. PT. SOL. INJ./PERF. I.V. 1mg

ACTAVIS S.R.L.

ROMAN IA

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

S 1 25,54 25,540000 25,540000 33,40 33,400000 33,400000 161

W42512

L01CA04

VINORELBINUM

NAVELBINE 20 mg

CAPS. MOI 20mg

PIERRE FABRE MEDICAMENT PRODUCTION

FRANT A

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

P- RF 1 195,08 195,080000 195,080000 238,15 238,150000 238,150000 162

W42513

L01CA04

VINORELBINUM

NAVELBINE 30 mg

CAPS. MOI 30mg

PIERRE FABRE MEDICAMENT PRODUCTION

FRANT A

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

P- RF 1 292,59 292,590000 292,590000 357,19 357,190000 357,190000 163

W43735

L01CA04

VINORELBINUM

VINORELBIN EBEWE 10 mg/ ml

CONC. PT. SOL. INJ./PERF. 10mg/ml

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

AUSTRI A

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

S 1 352,01 352,010000 352,010000 421,84 421,840000 421,840000 164

W43735

L01CA04

VINORELBINUM

VINORELBIN EBEWE 10 mg/ ml

CONC. PT. SOL. INJ./PERF. 10mg/ml

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

AUSTRI A

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

S 1 72,14 72,140000 72,140000 91,21 91,210000 91,210000 165

W52194

L01CA04

VINORELBINUM

VINORELBIN ACTAVIS 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 72,15 72,150000 72,150000 91,23 91,230000 91,230000 166

W53906

L01CA04

VINORELBINUM

TELBINE 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

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

S 1 72,14 72,140000 72,140000 91,21 91,210000 91,210000 167

W53906

L01CA04

VINORELBINUM

TELBINE 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

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

S 1 352,01 352,010000 352,010000 421,84 421,840000 421,840000 168

W52194

L01CA04

VINORELBINUM

VINORELBIN ACTAVIS 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 448,89 448,890000 422,412000 527,44 527,440000 506,208000 169

W08035

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI 100mg

BRISTOL MYERS SQUIBB KFT

UNGAR IA

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

P- RF 10 311,36 31,136000 31,136000 377,53 37,753000 37,753000 170

W08036

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI 50mg

BRISTOL MYERS SQUIBB KFT

UNGAR IA

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

P- RF 20 308,57 15,428500 15,428500 374,49 18,724500 18,724500 171

W52210

L01CB01

ETOPOSIDUM

SINTOPOZID 100 mg/5 ml

CONC. PT. SOL. PERF. 100mg/5 ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 32,83 32,830000 32,830000 42,94 42,940000 42,940000 172

W03065

L01CB01

ETOPOSIDUM

ETOPOSID "EBEWE" 100 mg/5 ml

CONC. PT. SOL. PERF. 100mg/5 ml

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

AUSTRI A

CUTIE X 1 FLACON X 5 ML

S 1 39,04 39,040000 38,352000 51,07 51,070000 50,172000 173

W60599

L01CB01

ETOPOSIDUM

ETOPOZIDA KABI 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 61,04 61,040000 61,040000 77,18 77,180000 77,180000 174

W52574

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

S 1 31,96 31,960000 31,960000 41,81 41,810000 41,810000 175

W52574

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

S 1 61,07 61,070000 61,070000 77,22 77,220000 77,220000 176

W54068

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

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

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 448,50 448,500000 448,500000 527,02 527,020000 527,020000 177

W56078

L01CD01

PACLITAXELUM**

PACLITAXEL ACCORD 6 mg/ml

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

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL

S 1 114,66 114,660000 114,660000 139,98 139,980000 132,744000 178

W56078

L01CD01

PACLITAXELUM**

PACLITAXEL ACCORD 6 mg/ml

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

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL

S 1 356,77 356,770000 356,770000 427,03 427,030000 425,271000

32

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 179

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMAN IA

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

S 1 909,41 909,410000 909,410000 1.029,41 1.029,410000 1.029,410000 180

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMAN IA

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

S 1 114,95 114,950000 114,950000 140,33 140,330000 132,744000 181

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMAN IA

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

S 1 356,99 356,990000 356,990000 427,27 427,270000 425,271000 182

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMAN IA

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

S 1 1.100,68 1.100,680000 1.100,680000 1.237,89 1.237,890000 1.237,890000 183

W54068

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

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

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 338,86 338,860000 338,860000 407,51 407,510000 407,510000 184

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMAN IA

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

S 1 559,41 559,410000 538,200000 647,91 647,910000 632,424000 185

W52058

L01CD01

PACLITAXELUM**

PACLITAXEL 6 mg/ml

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

PHARMEXPRESS S.R.L.

ROMAN IA

CUTIE X 4 FLAC. X 16,7 ML

S 4 1.265,52 316,380000 316,380000 1.417,57 354,392500 354,392500 186

W43372

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

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

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

AUSTRI A

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

S 1 832,08 832,080000 538,200000 945,12 945,120000 632,424000 187

W54978

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

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

ARCHIE SAMUEL S.R.O.

REPUB LICA CEHA

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

S 1 356,96 356,960000 356,960000 427,24 427,240000 425,271000 188

W54978

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

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

ARCHIE SAMUEL S.R.O.

REPUB LICA CEHA

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

S 1 114,92 114,920000 114,920000 140,30 140,300000 132,744000 189

W54068

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

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

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 106,15 106,150000 106,150000 129,59 129,590000 129,590000 190

W43372

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

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

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

AUSTRI A

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

S 1 1.100,68 1.100,680000 1.100,680000 1.237,89 1.237,890000 1.237,890000 191

W43372

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

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

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

AUSTRI A

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

S 1 356,99 356,990000 356,990000 427,27 427,270000 425,271000 192

W43372

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

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

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

AUSTRI A

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

S 1 114,95 114,950000 114,950000 140,33 140,330000 132,744000 193

W54978

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

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

ARCHIE SAMUEL S.R.O.

REPUB LICA CEHA

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

S 1 1.100,65 1.100,650000 1.100,650000 1.237,86 1.237,860000 1.237,860000 194

W54978

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

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

ARCHIE SAMUEL S.R.O.

REPUB LICA CEHA

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

S 1 559,30 559,300000 538,200000 647,79 647,790000 632,424000 195

W52058

L01CD01

PACLITAXELUM**

PACLITAXEL 6 mg/ml

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

PHARMEXPRESS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 50 ML

S 1 1.010,91 1.010,910000 1.010,910000 1.140,04 1.140,040000 1.140,040000 196

W56078

L01CD01

PACLITAXELUM**

PACLITAXEL ACCORD 6 mg/ml

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

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL

S 1 1.100,51 1.100,510000 1.100,510000 1.237,71 1.237,710000 1.237,710000 197

W52058

L01CD01

PACLITAXELUM**

PACLITAXEL 6 mg/ml

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

PHARMEXPRESS S.R.L.

ROMAN IA

CUTIE X 10 FLAC. X 5 ML

S 10 979,86 97,986000 97,986000 1.106,20 110,620000 110,620000 198

W54068

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

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

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S 1 1.010,86 1.010,860000 1.010,860000 1.139,99 1.139,990000 1.139,990000 199

W12995

L01CD02

DOCETAXELUM**

TAXOTERE 20 mg

CONC.

SOLV. PT. SOL. PERF. 20mg

AVENTIS PHARMA SA

FRANT A

CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF.

1 FLACON X 1,5 ML SOLV.

S 1 227,82 227,820000 77,952000 278,12 278,120000 98,568000 200

W55406

L01CD02

DOCETAXELUM**

DOCETAXEL TEVA 20mg

CONC.

SOLV. PT. SOL. PERF. 20mg

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.

1 FLAC.X1,5ML SOLV.

S 1 148,08 148,080000 77,952000 180,78 180,780000 98,568000 201

W55670

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20 mg/0,5 ml

CONC.

SOLV. PT. SOL. PERF. 20mg/0,5 ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONC. PT. SOL.

S 1 364,79 364,790000 77,952000 435,77 435,770000 98,568000 202

W12994

L01CD02

DOCETAXELUM**

TAXOTERE 80 mg

CONC.

SOLV. PT. SOL. PERF. 80mg

AVENTIS PHARMA SA

FRANT A

CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF.

1 FLACON X 6 ML SOLV.

S 1 1.043,54 1.043,540000 307,296000 1.175,61 1.175,610000 375,144000

33

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 203

W55407

L01CD02

DOCETAXELUM**

DOCETAXEL TEVA 80mg

CONC.

SOLV. PT. SOL. PERF. 80mg

TEVA PHARMA B.V.

OLAND A

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

1 FLAC.X 6ML SOLV.

S 1 787,79 787,790000 307,296000 896,84 896,840000 375,144000 204

W55671

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 80 mg/2 ml

CONC.

SOLV. PT. SOL. PERF. 80mg/2ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE

S 1 1.369,45 1.369,450000 307,296000 1.530,85 1.530,850000 375,144000 205

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

HOSPIRA UK LTD

MAREA BRITAN IE

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

S/P RF 1 256,08 256,080000 256,080000 312,62 312,620000 312,620000 206

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

HOSPIRA UK LTD

MAREA BRITAN IE

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

S/P RF 1 64,96 64,960000 64,960000 82,14 82,140000 82,140000 207

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA IN FOLIE PROTECTOARE ONCO-TAIN X 2 ML CONC. PT. SOL. PERF.

S/P RF 1 64,96 64,960000 64,960000 82,14 82,140000 82,140000 208

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA IN FOLIE PROTECTOARE ONCO-TAIN X 8 ML CONC. PT. SOL. PERF.

S/P RF 1 256,08 256,080000 256,080000 312,62 312,620000 312,620000 209

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA IN FOLIE PROTECTOARE ONCO-TAIN X 16 ML CONC. PT. SOL. PERF.

S/P RF 1 466,50 466,500000 466,500000 546,64 546,640000 546,640000 210

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

HOSPIRA UK LTD

MAREA BRITAN IE

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

S/P RF 1 466,50 466,500000 466,500000 546,64 546,640000 546,640000 211

W57028

L01CD02

DOCETAXELUM**

DOCETAXEL EBEWE 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

AUSTRI A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO

P- RF/ R 1 1.542,65 1.542,650000 559,800000 1.719,64 1.719,640000 655,968000 212

W57028

L01CD02

DOCETAXELUM**

DOCETAXEL EBEWE 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

AUSTRI A

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

P- RF/ R 1 924,39 924,390000 307,296000 1.045,74 1.045,740000 375,144000 213

W57028

L01CD02

DOCETAXELUM**

DOCETAXEL EBEWE 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

AUSTRI A

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

P- RF/ R 1 261,95 261,950000 77,952000 319,79 319,790000 98,568000 214

W59128

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

PR 1 1.577,91 1.577,910000 1.577,910000 1.758,07 1.758,070000 1.758,070000 215

W59128

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

PR 1 261,95 261,950000 77,952000 319,79 319,790000 98,568000 216

W59128

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

PR 1 2.411,40 2.411,400000 2.411,400000 2.666,58 2.666,580000 2.666,580000 217

W59128

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

PR 1 924,39 924,390000 307,296000 1.045,74 1.045,740000 375,144000 218

W57271

L01CD02

DOCETAXELUM**

TAXOTERE 160 mg/8ml

CONC. PT. SOL. PERF. 160 mg/8 ml

AVENTIS PHARMA SA

FRANT A

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

PR 1 2.361,67 2.361,670000 559,800000 2.612,37 2.612,370000 655,968000 219

W59570

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 120 mg/6 ml

CONC. PT. SOL. PERF. 20 mg/1 ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR 1 1.359,59 1.359,590000 1.359,590000 1.520,11 1.520,110000 1.520,110000 220

W55044

L01CD02

DOCETAXELUM**

TAXOTERE 20 mg/1ml

CONC. PT. SOL. PERF. 20mg/1ml

AVENTIS PHARMA SA

FRANT A

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

PR 1 287,07 287,070000 77,952000 350,45 350,450000 98,568000 221

W59571

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 160 mg/8 ml

CONC. PT. SOL. PERF. 20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FL DIN STICLA INCOLORA X 8 ML CONCENTRAT CE CONTINE 160 MG DOCETAXEL

PR 1 1.706,08 1.706,080000 559,800000 1.897,78 1.897,780000 655,968000 222

W59826

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 20mg/ml

CONC. PT. SOL. PERF. 20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR 1 256,30 256,300000 77,952000 312,89 312,890000 98,568000

34

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 223

W55902

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX

PR 1 261,95 261,950000 77,952000 319,79 319,790000 98,568000 224

W55902

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX

PR 1 924,39 924,390000 307,296000 1.045,74 1.045,740000 375,144000 225

W59877

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

CUTIE CU 1 FLAC. DIN STICLA,

DE CAPACITATE 5 ML,

PREVAZUT CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE PORTOCALIE, A 8 ML CONC. PT. SOL. PERF. CARE CONTINE 160 MG DOCETAXEL

PR 1 566,74 566,740000 559,800000 655,90 655,900000 655,900000 226

W59877

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

CUTIE CU 1 FLAC. DIN STICLA,

DE CAPACITATE 5 ML,

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

PR 1 309,04 309,040000 307,296000 375,00 375,000000 375,000000 227

W59877

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

CUTIE CU 1 FLAC. DIN STICLA,

DE CAPACITATE 5 ML,

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

PR 1 77,91 77,910000 77,910000 98,51 98,510000 98,510000 228

W55902

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA

PR 1 2.373,51 2.373,510000 2.373,510000 2.625,28 2.625,280000 2.625,280000 229

W59572

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 180 mg/9 ml

CONC. PT. SOL. PERF. 20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FL DIN STICLA INCOLORA X 9 ML CONCENTRAT CE CONTINE 180 MG DOCETAXEL

PR 1 2.024,40 2.024,400000 2.024,400000 2.244,75 2.244,750000 2.244,750000 230

W59573

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 80 mg/4 ml

CONC. PT. SOL. PERF. 20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR 1 916,40 916,400000 307,296000 1.037,03 1.037,030000 375,144000 231

W55045

L01CD02

DOCETAXELUM**

TAXOTERE 80 mg/4ml

CONC. PT. SOL. PERF. 80mg/4ml

AVENTIS PHARMA SA

FRANT A

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

PR 1 1.195,82 1.195,820000 307,296000 1.341,60 1.341,600000 375,144000 232

W57150

L01CD02

DOCETAXELUM**

TAXEGIS 20 mg

CONC. SI SOLV. PT. SOL. PERF. 20mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU 0,5 ML CONC. PT. SOL. PERF.

1 FLAC UNIDOZA CU 1,5 ML SOLV. PT. SOL. PERF

PR 1 148,08 148,080000 77,952000 180,78 180,780000 98,568000 233

W57152

L01CD02

DOCETAXELUM**

TAXEGIS 80 mg

CONC. SI SOLV. PT. SOL. PERF. 80mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU 2 ML CONC. PT. SO

PR 1 787,78 787,780000 307,296000 896,83 896,830000 375,144000 234

W52365

L01CX01

TRABECTEDINUM

YONDELIS 0,25mg

PULB. PT.CONC. PT.SOL. PERF. 0,25mg

PHARMA MAR S.A.

SPANIA

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

S 1 2.068,12 2.068,120000 2.068,120000 2.292,40 2.292,400000 2.292,400000 235

W52366

L01CX01

TRABECTEDINUM

YONDELIS 1mg

PULB. PT.CONC. PT.SOL. PERF. 1mg

PHARMA MAR S.A.

SPANIA

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

S 1 7.697,96 7.697,960000 7.697,960000 8.428,94 8.428,940000 8.428,940000 236

W59712

L01DA01

DACTINOMICINUM 4)

COSMEGEN LYOVAC 0,5 mg

PULB. PT. SOL. INJ. 0,5mg

CN UNIFARM S.A.

ROMAN IA

CUTIE X 1 FLACON PULBERE LIOFILIZATA PENTRU SOLUTIE PERFUZABILA

PR 1 128,87 128,870000 128,870000 157,32 157,320000 157,320000 237

W42736

L01DB01

DOXORUBICINUM

DOXORUBICIN "EBEWE" 2mg/ml

CONC. PT. SOL. PERF. 2mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S 1 28,22 28,220000 28,220000 36,91 36,910000 36,910000 238

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 269,92 269,920000 269,920000 329,52 329,520000 329,520000 239

W56501

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ROMASTRU TRADING S.R.L.

ROMAN IA

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

PR 1 101,03 101,030000 101,030000 123,34 123,340000 123,340000 240

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 62,33 62,330000 62,330000 78,81 78,810000 78,810000 241

W57533

L01DB01

DOXORUBICINUM

DOXORUBICINA TEVA 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 20 MG CLORHIDRAT DE DOXORUBICINA

PR 1 63,03 63,030000 63,030000 79,70 79,700000 79,700000

35

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 242

W57533

L01DB01

DOXORUBICINUM

DOXORUBICINA TEVA 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 50 MG CLORHIDRAT DE DOXORUBICINA

PR 1 89,23 89,230000 89,230000 112,82 112,820000 112,820000 243

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 27,18 27,180000 27,180000 35,55 35,550000 35,550000 244

W60643

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

NEOLA PHARMA S.R.L.

ROMAN IA

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

PR 1 27,42 27,420000 27,420000 35,86 35,860000 35,860000 245

W60643

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

NEOLA PHARMA S.R.L.

ROMAN IA

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

PR 1 66,23 66,230000 66,230000 83,74 83,740000 83,740000 246

W60643

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

NEOLA PHARMA S.R.L.

ROMAN IA

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

PR 1 101,03 101,030000 101,030000 123,34 123,340000 123,340000 247

W56397

L01DB01

DOXORUBICINUM

DOXORUBICINA ACCORD 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA

PR 1 28,22 28,220000 28,220000 36,91 36,910000 36,910000 248

W56397

L01DB01

DOXORUBICINUM

DOXORUBICINA ACCORD 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA

PR 1 89,23 89,230000 89,230000 112,82 112,820000 112,820000 249

W56397

L01DB01

DOXORUBICINUM

DOXORUBICINA ACCORD 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA

PR 1 225,68 225,680000 225,680000 275,51 275,510000 275,510000 250

W42736

L01DB01

DOXORUBICINUM

DOXORUBICIN "EBEWE" 2mg/ml

CONC. PT. SOL. PERF. 2mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S 1 110,17 110,170000 107,076000 134,49 134,490000 134,490000 251

W56501

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ROMASTRU TRADING S.R.L.

ROMAN IA

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

PR 1 27,42 27,420000 27,420000 35,86 35,860000 35,860000 252

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 105,66 105,660000 105,660000 128,99 128,990000 128,990000 253

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 208,14 208,140000 208,140000 254,10 254,100000 254,100000 254

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 261,57 261,570000 261,570000 319,32 319,320000 319,320000 255

W56501

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ROMASTRU TRADING S.R.L.

ROMAN IA

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

PR 1 66,23 66,230000 66,230000 83,74 83,740000 83,740000 256

W58281

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 1.445,08 1.445,080000 1.445,080000 1.613,29 1.613,290000 1.613,290000 257

W60636

L01DB01

DOXORUBICINUM

MYOCET 50mg

PULB.

AMESTC. PT. CONC. PT.DISP.LI POZOM.PT. PERF 50mg

TEVA PHARMA B.V.

OLAND A

CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB.

1 FLAC.LIPOZOMI

1 FLAC. SOL.TAMP.)

S 2 3.751,62 1.875,810000 1.875,810000 4.127,42 2.063,710000 2.063,710000 258

W52903

L01DB01

DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF. 2mg/ml

ACTAVIS S.R.L

ROMAN IA

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

S 1 105,66 105,660000 105,660000 128,99 128,990000 128,990000 259

W52903

L01DB01

DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF. 2mg/ml

ACTAVIS S.R.L

ROMAN IA

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

S 1 27,18 27,180000 27,180000 35,55 35,550000 35,550000 260

W41876

L01DB03

EPIRUBICINUM

EPIRUBICIN "EBEWE" 2 mg/ml

CONC. PT. SOL. INJ. 2mg/ml

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

AUSTRI A

CUTIE X 1 FLACON X 5 ML

S 1 48,67 48,670000 45,636000 63,66 63,660000 59,688000 261

W41876

L01DB03

EPIRUBICINUM

EPIRUBICIN "EBEWE" 2 mg/ml

CONC. PT. SOL. INJ. 2mg/ml

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

AUSTRI A

CUTIE X 1 FLACON X 25 ML

S 1 231,77 231,770000 165,624000 282,94 282,940000 202,188000 262

W41876

L01DB03

EPIRUBICINUM

EPIRUBICIN "EBEWE" 2 mg/ml

CONC. PT. SOL. INJ. 2mg/ml

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

AUSTRI A

CUTIE X 1 FLACON X 50 ML

S 1 454,46 454,460000 260,400000 533,51 533,510000 317,892000 263

W52209

L01DB03

EPIRUBICINUM

EPISINDAN 10 mg

LIOF. PT. SOL. INJ. 10mg

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.

S 1 42,74 42,740000 42,740000 55,90 55,900000 55,900000 264

W52208

L01DB03

EPIRUBICINUM

EPISINDAN 50 mg

LIOF. PT. SOL. INJ. 50mg

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.

S 1 233,65 233,650000 165,624000 285,24 285,240000 202,188000

36

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 265

W56698

L01DB03

EPIRUBICINUM

EPIRUBICINA KABI 2 mg/ml

SOL. INJ./PERF. 2 mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML SOL. INJ./PERF. X 50 MG

PR 1 138,02 138,020000 138,020000 168,49 168,490000 168,490000 266

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF. X 50 MG EPIRUBICINA

S 1 198,48 198,480000 165,624000 242,30 242,300000 202,188000 267

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

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

S 1 588,06 588,060000 588,060000 679,14 679,140000 679,140000 268

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

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

S 1 773,38 773,380000 476,772000 881,13 881,130000 565,464000 269

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF. X 50 MG EPIRUBICINA

S 1 198,48 198,480000 165,624000 242,30 242,300000 202,188000 270

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML)

S 1 197,39 197,390000 165,624000 240,97 240,970000 202,188000 271

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML)

S 1 217,00 217,000000 217,000000 264,91 264,910000 264,910000 272

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML)

S 1 397,31 397,310000 397,310000 471,22 471,220000 471,220000 273

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

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

S 1 42,50 42,500000 42,500000 55,59 55,590000 55,590000 274

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

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

S 1 83,38 83,380000 83,380000 105,42 105,420000 105,420000 275

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA

S 1 39,99 39,990000 39,990000 52,31 52,310000 52,310000 276

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA

S 1 80,83 80,830000 80,830000 102,20 102,200000 102,200000 277

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML)

S 1 81,95 81,950000 81,950000 103,62 103,620000 103,620000 278

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA

S 1 39,99 39,990000 39,990000 52,31 52,310000 52,310000 279

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

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

S 1 204,65 204,650000 165,624000 249,84 249,840000 202,188000 280

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF. X 100 MG EPIRUBICINA

S 1 450,99 450,990000 260,400000 529,73 529,730000 317,892000 281

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA

S 1 771,75 771,750000 476,772000 879,36 879,360000 565,464000 282

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 38,03 38,030000 38,030000 49,74 49,740000 49,740000 283

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF. X 100 MG EPIRUBICINA

S 1 450,99 450,990000 260,400000 529,73 529,730000 317,892000 284

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA

S 1 771,75 771,750000 476,772000 879,36 879,360000 565,464000 285

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA

S 1 80,83 80,830000 80,830000 102,20 102,200000 102,200000 286

W03575

L01DB06

IDARUBICINUM

ZAVEDOS

CAPS. 10mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 1 CAPS.

P- RF 1 203,33 203,330000 203,330000 248,22 248,220000 248,220000 287

W03581

L01DB06

IDARUBICINUM

ZAVEDOS 5 mg

PULB. PT. SOL. INJ. 5mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

S 1 143,35 143,350000 143,350000 175,00 175,000000 175,000000 288

W42735

L01DB07

MITOXANTRONUM**

ONKOTRONE

CONC. PT. SOL. INJ. 2mg/ml

BAXTER ONCOLOGY GMBH

GERMA NIA

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

S 1 555,48 555,480000 555,480000 643,62 643,620000 643,620000 289

W58249

L01DC01

BLEOMYCINUM SULFAS

BLEOMYCIN MEDAC 15000 UI

PULB. PT. SOL. INJ. 15000UI

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

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

PR 1 105,44 105,440000 105,440000 128,72 128,720000 128,720000 290

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF. 0,5 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 19,75 19,750000 19,750000 26,70 26,700000 26,700000

37

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 291

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF. 0,5 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 35,38 35,380000 35,380000 46,28 46,280000 46,280000 292

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF. 0,5 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 11,00 11,000000 11,000000 14,87 14,870000 14,868000 293

W56665

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF. 1 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 67,91 67,910000 67,910000 85,86 85,860000 85,860000 294

W56665

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF. 1 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 35,38 35,380000 35,380000 46,28 46,280000 46,280000 295

W01315

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 10 mg/20 ml

CONC. PT. SOL. PERF. 10mg/20 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF.

S 1 9,17 9,170000 9,170000 12,39 12,390000 12,390000 296

W52187

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 48,45 48,450000 37,884000 63,37 63,370000 49,560000 297

W52187

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 18,81 18,810000 11,004000 25,42 25,420000 14,868000 298

W01316

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 25 mg/50 ml

CONC. PT. SOL. PERF. 25mg/50 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.

S 1 22,06 22,060000 22,060000 29,81 29,810000 29,810000 299

W01317

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 50 mg/100 ml

CONC. PT. SOL. PERF. 50mg/100 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S 1 31,57 31,570000 31,570000 41,30 41,300000 41,300000 300

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

AUSTRI A

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

S 1 21,86 21,860000 21,624000 29,55 29,550000 29,220000 301

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 133,04 133,040000 133,040000 162,41 162,410000 162,410000 302

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 1 174,90 174,900000 174,900000 213,52 213,520000 213,520000 303

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

AUSTRI A

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

S 1 178,07 178,070000 158,400000 217,39 217,390000 193,380000 304

W52579

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

S 1 47,45 47,450000 47,450000 62,06 62,060000 62,060000 305

W52579

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

S 1 132,81 132,810000 132,810000 162,14 162,140000 162,140000 306

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

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

AUSTRI A

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

S 1 62,52 62,520000 56,904000 79,05 79,050000 74,436000 307

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 18,05 18,050000 18,050000 24,39 24,390000 24,390000 308

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC,

SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA

PR 1 18,02 18,020000 18,020000 24,35 24,350000 24,350000 309

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 47,42 47,420000 47,420000 62,03 62,030000 62,030000 310

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 1 132,00 132,000000 132,000000 161,15 161,150000 161,150000 311

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 50,00 50,000000 50,000000 63,22 63,220000 63,220000

38

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 312

W57278

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF. 5 mg/ml

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

AUSTRI A

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

PR 1 1.396,48 1.396,480000 143,700000 1.560,32 1.560,320000 175,428000 313

W57278

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF. 5 mg/ml

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

AUSTRI A

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

PR 1 264,15 264,150000 37,236000 322,48 322,480000 48,708000 314

W57278

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF. 5 mg/ml

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

AUSTRI A

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

PR 1 523,31 523,310000 73,152000 608,56 608,560000 92,496000 315

W57175

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 1.396,51 1.396,510000 143,700000 1.560,35 1.560,350000 175,428000 316

W55804

L01XA03

OXALIPLATINUM

OXALIPLATIN ACCORD 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

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

S 1 615,78 615,780000 73,152000 709,35 709,350000 92,496000 317

W56696

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 31,03 31,030000 31,030000 40,59 40,590000 40,590000 318

W56696

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 60,96 60,960000 60,960000 77,08 77,080000 77,080000 319

W57175

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 615,78 615,780000 73,152000 709,35 709,350000 92,496000 320

W54318

L01XA03

OXALIPLATINUM

OXALIPLATINA TEVA 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 165,76 165,760000 37,236000 202,36 202,360000 48,708000 321

W54318

L01XA03

OXALIPLATINUM

OXALIPLATINA TEVA 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR 1 331,41 331,410000 73,152000 399,39 399,390000 92,496000 322

W42983

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF. 5mg/ml

SANOFI-AVENTIS FRANCE

FRANT A

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

S 1 957,36 957,360000 143,700000 1.081,67 1.081,670000 175,428000 323

W60404

L01XA03

OXALIPLATINUM

OXALIPLATIN HAEMATO 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

HAEMATO PHARM AG

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE DE 10 ML X 50 MG OXALIPLATINA

PR 1 165,76 165,760000 37,236000 202,36 202,360000 48,708000 324

W60404

L01XA03

OXALIPLATINUM

OXALIPLATIN HAEMATO 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

HAEMATO PHARM AG

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE DE 20 ML X 100 MG OXALIPLATINA

PR 1 331,41 331,410000 73,152000 399,39 399,390000 92,496000 325

W60404

L01XA03

OXALIPLATINUM

OXALIPLATIN HAEMATO 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

HAEMATO PHARM AG

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE DE 40 ML X 200 MG OXALIPLATINA

PR 1 632,78 632,780000 143,700000 727,88 727,880000 175,428000 326

W55804

L01XA03

OXALIPLATINUM

OXALIPLATIN ACCORD 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

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

S 1 322,25 322,250000 37,236000 389,40 389,400000 48,708000 327

W42983

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF. 5mg/ml

SANOFI-AVENTIS FRANCE

FRANT A

CUTIE X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF.

S 1 493,70 493,700000 73,152000 576,28 576,280000 92,496000 328

W42983

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF. 5mg/ml

SANOFI-AVENTIS FRANCE

FRANT A

CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF.

S 1 255,01 255,010000 37,236000 311,32 311,320000 48,708000 329

W57175

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 1 322,26 322,260000 37,236000 389,41 389,410000 48,708000 330

W56696

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA

PR 1 119,75 119,750000 119,750000 146,19 146,190000 146,190000 331

W52195

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

LIOF. PT. SOL. PERF. 5mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 615,78 615,780000 73,152000 709,35 709,350000 92,496000 332

W52195

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

LIOF. PT. SOL. PERF. 5mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 322,26 322,260000 37,236000 389,41 389,410000 48,708000

39

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 333

W52977

L01XA03

OXALIPLATINUM

OXALIPLATIN STADA 5 mg/ml

PULB. PT. SOL. PERF. 5mg/ml

STADA ARZNEIMITTEL AG

GERMA NIA

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

PR 1 302,25 302,250000 73,152000 367,60 367,600000 92,496000 334

W54761

L01XA03

OXALIPLATINUM

REZIDOL 5 mg/ml

PULB. PT. SOL. PERF. 5mg/ml

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

S 1 165,75 165,750000 37,236000 202,35 202,350000 48,708000 335

W52468

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF. 5mg/ml

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

AUSTRI A

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

PR 1 457,29 457,290000 37,236000 536,60 536,600000 48,708000 336

W52468

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF. 5mg/ml

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

AUSTRI A

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

PR 1 871,57 871,570000 73,152000 988,16 988,160000 92,496000 337

W52468

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF. 5mg/ml

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

AUSTRI A

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

PR 1 1.609,04 1.609,040000 1.609,040000 1.792,01 1.792,010000 1.792,010000 338

W54761

L01XA03

OXALIPLATINUM

REZIDOL 5 mg/ml

PULB. PT. SOL. PERF. 5mg/ml

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

S 1 331,40 331,400000 73,152000 399,38 399,380000 92,496000 339

W52977

L01XA03

OXALIPLATINUM

OXALIPLATIN STADA 5 mg/ml

PULB. PT. SOL. PERF. 5mg/ml

STADA ARZNEIMITTEL AG

GERMA NIA

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

PR 1 144,33 144,330000 37,236000 176,20 176,200000 48,708000 340

W59766

L01XB01

PROCARBAZINUM 4)

NATULAN

CAPS. 50 mg

CN UNIFARM S.A.

ROMAN IA

CUTIE X 50CAPSULE

PR F 50 669,00 13,380000 13,380000 767,36 15,347200 15,347200 341

W07199

L01XC02

RITUXIMABUM

MABTHERA 100 mg

CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 2 FLACOANE X 10 ML

S 2 2.221,55 1.110,775000 1.110,775000 2.459,64 1.229,820000 1.229,820000 342

W07200

L01XC02

RITUXIMABUM

MABTHERA 500 mg

CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

S 1 5.509,03 5.509,030000 5.509,030000 6.043,00 6.043,000000 6.043,000000 343

W07881

L01XC03

TRASTUZUMABUM

HERCEPTIN 150mg

PULB. PT. CONC. PT. SOL. PERF. 150mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

PR 1 2.621,74 2.621,740000 2.621,740000 2.895,85 2.895,850000 2.895,850000 344

W60341

L01XC03

TRASTUZUMABUM

HERCEPTIN 600mg/5ml

SOL. INJ. 600mg/5 ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB)

S 1 8.534,12 8.534,120000 8.534,120000 9.340,35 9.340,350000 9.340,350000 345

W52549

L01XC06

CETUXIMABUM

ERBITUX 5mg/ml

SOL. PERF. 5mg/ml

MERCK KGAA

GERMA NIA

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

S 1 871,19 871,190000 871,190000 987,75 987,750000 987,750000 346

W42165

L01XC07

BEVACIZUMABUM

AVASTIN 25mg/ml

CONC. PT. SOL. PERF. 25mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

S 1 1.332,54 1.332,540000 1.332,540000 1.490,62 1.490,620000 1.490,620000 347

W42165

L01XC07

BEVACIZUMABUM

AVASTIN 25mg/ml

CONC. PT. SOL. PERF. 25mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

S 1 5.246,58 5.246,580000 5.246,580000 5.756,93 5.756,930000 5.756,930000 348

W57375

L01XC10

OFATUMUMAB

ARZERRA 1000mg

CONC. PT. SOL. PERF. 20mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE CU 1 FLACON DIN STICLA X 50 ML CONCENTRAT PT. SOL. PERF. (1000MG OFATUMUMAB)

2 SETURI DE EXTEN

S 1 8.805,58 8.805,580000 8.805,580000 9.636,25 9.636,250000 9.636,250000 349

W06844

L01XE01

IMATINIBUM

GLIVEC 100 mg

CAPS. 100mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 120 CAPS.

PR 120 8.091,78 67,431500 52,699900 8.858,20 73,818333 57,824500 350

W59881

L01XE01

IMATINIBUM

EGITINID 100 mg

CAPS. 100mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500 351

W59827

L01XE01

IMATINIBUM

IMATINIB ACTAVIS 100 mg

CAPS. 100mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR 120 5.269,99 43,916583 43,916583 5.782,45 48,187083 48,187083 352

W59679

L01XE01

IMATINIBUM

NIBIX 100 mg

CAPS. 100mg

TERAPIA S.A.

ROMAN IA

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500 353

W59589

L01XE01

IMATINIBUM

IMATINIB TEVA 100 mg

COMPR. FILM. 100mg

TEVA PHARMA B.V.

OLAND A

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500 354

W59937

L01XE01

IMATINIBUM

NEOXELL 100 mg

COMPR. FILM. 100mg

ROMASTRU TRADING SRL

ROMAN IA

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500 355

W59541

L01XE01

IMATINIBUM

IMATINIB GLENMARK 100 mg

COMPR. FILM. 100mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500 356

W59500

L01XE01

IMATINIBUM

IMATINIB ZENTIVA 100 mg

COMPR. FILM. 100mg

ZENTIVA, K.S.

REPUB LICA CEHA

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500

40

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 357

W59486

L01XE01

IMATINIBUM

IMAKREBIN 100 mg

COMPR. FILM. 100mg

ALVOGEN IPCO S.AR.L.

LUXEM BURG

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500 358

W59852

L01XE01

IMATINIBUM

MEAXIN 100 mg

COMPR. FILM. 100mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500 359

W59852

L01XE01

IMATINIBUM

MEAXIN 100 mg

COMPR. FILM. 100mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500 360

W61215

L01XE01

IMATINIBUM

NEOXELL 100 mg

COMPR. FILM. 100mg

NEOLA PHARMA SRL

ROMAN IA

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

PR 120 5.270,15 43,917916 43,917916 5.782,62 48,188500 48,188500 361

W59590

L01XE01

IMATINIBUM

IMATINIB TEVA 400 mg

COMPR. FILM. 400 mg

TEVA PHARMA B.V.

OLAND A

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

PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000 362

W59542

L01XE01

IMATINIBUM

IMATINIB GLENMARK 400 mg

COMPR. FILM. 400mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

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

PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000 363

W59487

L01XE01

IMATINIBUM

IMAKREBIN 400 mg

COMPR. FILM. 400mg

ALVOGEN IPCO S.AR.L.

LUXEM BURG

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

PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000 364

W59936

L01XE01

IMATINIBUM

NEOXELL 400 mg

COMPR. FILM. 400mg

ROMASTRU TRADING SRL

ROMAN IA

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

PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000 365

W59853

L01XE01

IMATINIBUM

MEAXIN 400 mg

COMPR. FILM. 400mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

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

PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000 366

W59853

L01XE01

IMATINIBUM

MEAXIN 400 mg

COMPR. FILM. 400mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

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

PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000 367

W61216

L01XE01

IMATINIBUM

NEOXELL 400 mg

COMPR. FILM. 400mg

NEOLA PHARMA SRL

ROMAN IA

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

PR 30 5.270,15 175,671666 175,671666 5.782,62 192,754000 192,754000 368

W42501

L01XE03

ERLOTINIBUM

TARCEVA 100 mg

COMPR. FILM. 100mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P- RF/ R 30 6.304,73 210,157666 210,157666 6.910,31 230,343666 230,343666 369

W42502

L01XE03

ERLOTINIBUM

TARCEVA 150 mg

COMPR. FILM. 150mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P- RF/ R 30 8.391,10 279,703333 279,703333 9.184,46 306,148666 306,148666 370

W43546

L01XE04

SUNITINIBUM

SUTENT 12,5 mg

CAPS. 12,5mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P- RF/ R 30 5.042,42 168,080666 168,080666 5.534,39 184,479666 184,479666 371

W43556

L01XE04

SUNITINIBUM

SUTENT 25mg

CAPS. 25mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P- RF/ R 30 10.054,84 335,161333 335,161333 10.997,94 366,598000 366,598000 372

W43557

L01XE04

SUNITINIBUM

SUTENT 50 mg

CAPS. 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P- RF/ R 30 20.079,69 669,323000 669,323000 21.925,04 730,834666 730,834666 373

W54280

L01XE05

SORAFENIBUM

NEXAVAR 200 mg

COMPR. FILM. 200mg

BAYER SCHERING PHARMA AG

GERMA NIA

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

P- RF/ R 112 14.588,00 130,250000 130,250000 15.939,09 142,313303 142,313303 374

W54613

L01XE06

DASATINIBUM

SPRYCEL 100mg

COMPR. FILM. 100 mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P- RF/ R 30 16.311,93 543,731000 543,731000 17.818,18 593,939333 593,939333 375

W51768

L01XE06

DASATINIBUM

SPRYCEL 20mg

COMPR. FILM. 20 mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P- RF/ R 60 7.697,81 128,296833 128,296833 8.428,77 140,479500 140,479500 376

W51769

L01XE06

DASATINIBUM

SPRYCEL 50mg

COMPR. FILM. 50 mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P- RF/ R 60 15.365,65 256,094166 256,094166 16.786,73 279,778833 279,778833 377

W51770

L01XE06

DASATINIBUM

SPRYCEL 70mg

COMPR. FILM. 70 mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P- RF/ R 60 15.365,65 256,094166 256,094166 16.786,73 279,778833 279,778833 378

W56489

L01XE08

NILOTINIBUM

TASIGNA

CAPS. 150mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

P- RF/ R 28 2.813,91 100,496785 100,496785 3.105,32 110,904285 110,904285 379

W56489

L01XE08

NILOTINIBUM

TASIGNA

CAPS. 150mg

NOVARTIS EUROPHARM LTD.

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

P- RF/ R 112 11.165,63 99,693125 99,693125 12.208,70 109,006250 109,006250 380

W52708

L01XE08

NILOTINIBUM

TASIGNA

CAPS. 200mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

PR 28 3.828,97 136,748928 136,748928 4.211,73 150,418928 150,418928

41

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 381

W52708

L01XE08

NILOTINIBUM

TASIGNA

CAPS. 200mg

NOVARTIS EUROPHARM LTD.

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

PR 112 15.225,88 135,945357 135,945357 16.634,38 148,521250 148,521250 382

W52721

L01XE09

TEMSIROLIMUSUM

TORISEL 25mg/ml

CONC.

SOLV. PT. SOL. PERF. 25mg/ml

WYETH EUROPA LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. X 1,2ML CONCENTRAT

1 FLAC. X 1,8 SOLVENT

S 1 3.737,17 3.737,170000 3.737,170000 4.111,67 4.111,670000 4.111,670000 383

W59310

L01XE18

RUXOLITINIBUM

JAKAVI

COMPR. 15 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

FLACON DIN PEÎD,

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

PR 60 17.353,45 289,224166 289,224166 18.953,43 315,890500 315,890500 384

W59311

L01XE18

RUXOLITINIBUM

JAKAVI

COMPR. 20 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

FLACON DIN PEÎD,

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

PR 60 17.353,45 289,224166 289,224166 18.953,43 315,890500 315,890500 385

W59309

L01XE18

RUXOLITINIBUM

JAKAVI

COMPR. 5 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

FLACON DIN PEÎD,

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

PR 60 8.622,14 143,702333 143,702333 9.436,29 157,271500 157,271500 386

W10506

L01XX02

ASPARAGINAZUM

ASPARAGINASE 10000 MEDAC

LIOF. PT. SOL. INJ./PERF. 10000ui

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.

S 1 314,90 314,900000 314,900000 381,39 381,390000 381,390000 387

W10508

L01XX02

ASPARAGINAZUM

ASPARAGINASE 5000 MEDAC

LIOF. PT. SOL. INJ./PERF. 5000ui

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.

S 1 262,42 262,420000 262,420000 320,36 320,360000 320,360000 388

W03542

L01XX05

HYDROXYCARBAMIDUM

HYDREA

CAPS. 500mg

BRISTOL MYERS SQUIBB KFT

UNGAR IA

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

P- RF 100 65,72 0,657200 0,657200 83,10 0,831000 0,831000 389

W54018

L01XX14

TRETINOINUM 4)

VESANOID 10 mg

CAPS. MOI 10mg

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE X 100 CAPS. MOI

PR F 100 625,29 6,252900 6,252900 719,72 7,197200 7,197200 390

W53177

L01XX17

TOPOTECAMUM

HYCAMTIN 1 mg

CAPS. 1mg

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

P- RF 10 1.582,86 158,286000 158,286000 1.763,47 176,347000 176,347000 391

W54750

L01XX17

TOPOTECAMUM

TOPOTECAN TEVA 1 mg/1ml

CONC. PT. SOL. PERF. 1mg/1ml

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML

P- RF/ R 1 170,26 170,260000 170,260000 207,85 207,850000 207,850000 392

W56261

L01XX17

TOPOTECAMUM

TOPOTECAN EBEWE 1 mg/ml

CONC. PT. SOL. PERF. 1mg/ml

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

AUSTRI A

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

PR 1 649,10 649,100000 649,100000 745,67 745,670000 745,670000 393

W54751

L01XX17

TOPOTECAMUM

TOPOTECAN TEVA 4 mg/4ml

CONC. PT. SOL. PERF. 4mg/4ml

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML

P- RF/ R 1 649,09 649,090000 649,090000 745,66 745,660000 745,660000 394

W57231

L01XX17

TOPOTECAMUM

TOPOTECAN ATB 1 mg

PULB. PT. CONC. PT. SOL. PERF. 1mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR 1 170,26 170,260000 170,260000 207,85 207,850000 207,850000 395

W57232

L01XX17

TOPOTECAMUM

TOPOTECAN ATB 4 mg

PULB. PT. CONC. PT. SOL. PERF. 4mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR 1 649,09 649,090000 649,090000 745,66 745,660000 745,660000 396

W55110

L01XX17

TOPOTECAMUM

TOPOTECAN ACCORD 4 mg

PULB. PT. CONC. PT. SOL. PERF. 4mg

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

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

S 1 647,70 647,700000 647,700000 744,14 744,140000 744,140000 397

W56744

L01XX17

TOPOTECAMUM

POTACTASOL 4mg

PULB. PT. CONC. PT. SOL. PERF. 4mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA

PR 1 649,10 649,100000 649,100000 745,67 745,670000 745,670000 398

W05958

L01XX17

TOPOTECAMUM

HYCAMTIN 4 mg

PULB.CON C.SOL.PER F. 4mg

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

S 1 982,46 982,460000 777,240000 1.109,03 1.109,030000 892,968000 399

W55816

L01XX19

IRINOTECANUM

IRINOTECAN EBEWE 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

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

AUSTRI A

CUTIE X 1 FLACON DIN STICLA BRUNA,

CU DOP CAUCIUC FARA PLASTIC DE PROTECTIE TIP ONCO-SAFE A 15ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CARE CONTINE 300MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT

S 1 1.345,75 1.345,750000 1.345,750000 1.505,02 1.505,020000 1.505,020000

42

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 400

W54336

L01XX19

IRINOTECANUM

IRINOTECAN MEDAC 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 2 ML CONC. PR. SOL. PERF.

S 1 167,11 167,110000 167,110000 204,01 204,010000 204,010000 401

W52206

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 1.295,74 1.295,740000 1.295,740000 1.450,51 1.450,510000 1.450,510000 402

W57602

L01XX19

IRINOTECANUM

LUDIRADOL 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 6 ML X 100 MG IRINOTECAN

PR 1 355,85 355,850000 196,188000 426,03 426,030000 239,508000 403

W54336

L01XX19

IRINOTECANUM

IRINOTECAN MEDAC 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

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

S 1 1.394,57 1.394,570000 1.394,570000 1.558,23 1.558,230000 1.558,230000 404

W54336

L01XX19

IRINOTECANUM

IRINOTECAN MEDAC 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

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

S 1 426,18 426,180000 196,188000 502,69 502,690000 239,508000 405

W52802

L01XX19

IRINOTECANUM

CAMPTO

CONC. PT. SOL. PERF. 20mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

S 1 639,39 639,390000 196,188000 735,09 735,090000 239,508000 406

W52802

L01XX19

IRINOTECANUM

CAMPTO

CONC. PT. SOL. PERF. 20mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

S 1 2.129,33 2.129,330000 1.554,888000 2.359,12 2.359,120000 1.740,612000 407

W58369

L01XX19

IRINOTECANUM

IRINOTECAN ATB 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ANTIBIOTICE S.A.

ROMAN IA

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

PR 1 426,10 426,100000 196,188000 502,60 502,600000 239,508000 408

W52206

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 163,74 163,740000 163,740000 199,89 199,890000 199,890000 409

W53956

L01XX19

IRINOTECANUM

IRINOTECAN HOSPIRA 20mg/ml

CONC. PT. SOL. PERF. 20mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

S 1 374,64 374,640000 196,188000 446,51 446,510000 239,508000 410

W54854

L01XX19

IRINOTECANUM

IRINOTECAN STADA 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

STADA ARZNEIMITTEL AG

GERMA NIA

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

S 1 163,49 163,490000 163,490000 199,59 199,590000 199,590000 411

W55816

L01XX19

IRINOTECANUM

IRINOTECAN EBEWE 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

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

AUSTRI A

CUTIE X 1 FLACON DIN STICLA BRUNA,

CU DOP DIN CAUCIUC FARA PLASTIC DE PROTECTIE TIP "ONCO-SAFE", A 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CARE CONTINE 100MG CLORHIDRAT DE IRINOTECAN TRIHIDRAT

S 1 416,85 416,850000 196,188000 492,52 492,520000 239,508000 412

W52206

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 2.010,90 2.010,900000 2.010,900000 2.230,03 2.230,030000 2.230,030000 413

W53956

L01XX19

IRINOTECANUM

IRINOTECAN HOSPIRA 20mg/ml

CONC. PT. SOL. PERF. 20mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

S 1 1.753,18 1.753,180000 1.753,180000 1.949,12 1.949,120000 1.949,120000 414

W53956

L01XX19

IRINOTECANUM

IRINOTECAN HOSPIRA 20mg/ml

CONC. PT. SOL. PERF. 20mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

S 1 152,48 152,480000 152,480000 186,15 186,150000 186,150000 415

W52206

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S 1 402,16 402,160000 196,188000 476,50 476,500000 239,508000 416

W51535

L01XX23

MITOTANUM

LYSODREN 500mg

COMPR. 500mg

LABORATOIRE HRA PHARMA

FRANT A

CUTIE X 1 FLAC. DIN PEID X 100 COMPR.

P- RF/ R 100 2.567,46 25,674600 25,674600 2.836,68 28,366800 28,366800 417

W42249

L01XX32

BORTEZOMIBUM

VELCADE 3,5 mg

PULB. PT. SOL. INJ. 3,5mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

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

INTRODUS INTR-UN BLISTER TRANSPARENT

P- RF/ R 1 4.587,17 4.587,170000 4.587,170000 5.038,17 5.038,170000 5.038,170000 418

W52184

L02AB01

MEGESTROLUM

MEGESIN 160 mg

COMPR. 160mg

ACTAVIS S.R.L.

ROMAN IA

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

P- RF 30 97,75 3,258333 3,258333 123,59 4,119666 4,119666 419

W07196

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 11,25mg

LIOF.

SOLV. PT. SUSP. INJ. ELIB. PREL. 11,25mg

ABBOTT LABORATORIES LTD.

SPANIA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE)

1 FIOLA X 2 ML SOLV.

1 SERINGA

2 ACE SI TA

S/P RF 1 525,01 525,010000 525,010000 610,41 610,410000 610,410000

43

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 420

W07197

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 3,75mg

LIOF.

SOLV. PT. SUSP. INJ. ELIB. PREL. 3,75mg

ABBOTT LABORATORIES LTD.

SPANIA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE)

1 FIOLA X 2 ML SOLV.

1 SERINGA SI TAMPON IMB

S/P RF 1 194,95 194,950000 194,950000 237,99 237,990000 237,990000 421

W43179

L02AE02

LEUPRORELINUM**

ELIGARD 22,5 mg

PULB

SOL V.PT.SOL.I NJ 22,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B),

IN TAVI TERMOFORMATE

S 1 736,20 736,200000 736,200000 840,61 840,610000 840,610000 422

W52321

L02AE02

LEUPRORELINUM**

ELIGARD 45 mg

PULB

SOL V.PT.SOL.I NJ 45mg

ASTELLAS PHARMA EUROPE BV

OLAND A

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

S 1 2.030,80 2.030,800000 2.030,800000 2.251,73 2.251,730000 2.251,730000 423

W43178

L02AE02

LEUPRORELINUM**

ELIGARD 7,5 mg

PULB

SOL V.PT.SOL.I NJ 7,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B),

IN TAVI TERMOFORMATE

S 1 257,84 257,840000 257,840000 314,77 314,770000 314,770000 424

W60959

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 11,25mg

PULB. PT. SUSP. INJ. CU ELIB. PREL. 11,25mg

ABBVIE FARMACEUTICA S.L.U.

SPANIA

CUTIE CU1 KIT CU 1 FLAC. DIN STICLA INCOLORA,O FIOLA DIN STICLA INCOLORA CU PUNCT DE RUPERE A 2 ML SOLV,O SERINGA STERILA,APIROGENA DE UNICA FOLOSINTA A 2,5 ML,2 ACE(23G 1½)STERILE,DE UNICA FOLOSINTA SI 1 TAMPON IMBIBAT CU ALCOOL IZOPROPILIC 70%.

PR /P RF 1 525,01 525,010000 525,010000 610,41 610,410000 610,410000 425

W60960

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 3,75mg

PULB. PT. SUSP. INJ. CU ELIB. PREL. 3,75mg

ABBVIE FARMACEUTICA S.L.U.

SPANIA

CUTIE CU1 KIT CU 1 FLAC. DIN STICLA INCOLORA,O FIOLA DIN STICLA INCOLORA CU PUNCT DE RUPERE A 2 ML SOLV,O SERINGA STERILA,APIROGENA DE UNICA FOLOSINTA A 2,5 ML,2 ACE(22G 1½)STERILE,DE UNICA FOLOSINTA SI 1 TAMPON IMBIBAT CU ALCOOL IZOPROPILIC 70%.

PR /P RF 1 194,95 194,950000 194,950000 237,99 237,990000 237,990000 426

W10731

L02AE03

GOSERELINUM**

ZOLADEX LA 10,8 mg

IMPLANT 10,8 mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

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 1.040,75 1.040,750000 1.040,750000 1.172,57 1.172,570000 1.172,570000 427

W10173

L02AE03

GOSERELINUM**

ZOLADEX (R)

IMPLANT 3,6mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

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

S/P RF 1 365,48 365,480000 365,480000 436,52 436,520000 436,520000 428

W55725

L02AE04

TRIPTORELINUM**

DIPHERELINE 0,1 mg

LIOF.

SOLV. PT. SOL. INJ. 0,1mg

IPSEN PHARMA

FRANT A

CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ.

7 FIOLE X 1 ML SOLV.

S/P RF 7 110,27 15,752857 15,752857 134,62 19,231428 19,231428 429

W55726

L02AE04

TRIPTORELINUM**

DIPHERELINE PR 11,25 mg

PULB.

SOLV. PT. SUSP. INJ. CU ELIB. PREL. 11,25mg

IPSEN PHARMA

FRANT A

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 1.051,98 1.051,980000 1.051,980000 1.184,81 1.184,810000 1.184,810000 430

W55727

L02AE04

TRIPTORELINUM**

DIPHERELINE 3,75 mg

PULB.

SOLV. PT. SUSP. INJ. CU ELIB. PREL. 3,75mg

IPSEN PHARMA

FRANT A

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 1 369,20 369,200000 369,200000 440,58 440,580000 440,580000 431

W58059

L02AE04

TRIPTORELINUM**

GONAPEPTYL ZILNIC 0,1 mg/ml

SOL. INJ. 0,1mg/ml

FERRING GMBH

GERMA NIA

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

S/P RF 28 543,42 19,407857 18,903428 630,48 22,517142 22,517142 432

W53654

L02BA01

TAMOXIFENUM

TAMOXIFEN SANDOZ 10 mg

COMPR. FILM. 10mg

HEXAL AG

GERMA NIA

CUTIE X 10 BLIST. X 10 COMPR. FILM.

P- RF/ S 100 39,78 0,397800 0,397800 52,03 0,520300 0,520300 433

W51514

L02BA03

FULVESTRANTUM**

FASLODEX 250mg

SOL. INJ. 250mg/5 ml

ASTRAZENECA UK LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 5 ML

1 AC

P- RF 1 1.551,89 1.551,890000 1.551,890000 1.729,71 1.729,710000 1.729,710000 434

W52204

L02BB01

FLUTAMIDUM

FLUTASIN 250 mg

COMPR. 250mg

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. STICLA BRUNA X 30 COMPR.

P- RF 30 30,83 1,027666 1,027666 40,32 1,344000 1,344000 435

W03217

L02BB01

FLUTAMIDUM

FLUTAN

COMPR. 250mg

MEDOCHEMIE LTD.

CIPRU

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

P- RF 100 113,97 1,139700 1,139700 139,14 1,391400 1,391400 436

W55157

L02BB03

BICALUTAMIDUM

YONISTIB 150 mg

COMPR. FILM. 150mg

ROMASTRU TRADING S.R.L.

ROMAN IA

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

P- 6L 28 394,41 14,086071 14,086071 468,06 16,716428 16,716428 437

W54719

L02BB03

BICALUTAMIDUM

BICALUTAMIDA SANDOZ 150 mg

COMPR. FILM. 150mg

SANDOZ S.R.L.

ROMAN IA

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

P- 6L 30 415,88 13,862666 13,862666 491,46 16,382000 16,382000 438

W58040

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ALVOGEN 150 mg

COMPR. FILM. 150mg

ALVOGEN ROMANIA S.R.L.

ROMAN IA

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

P6 L 28 381,97 13,641785 13,641785 454,50 16,232142 16,232142

44

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 439

W12048

L02BB03

BICALUTAMIDUM

CASODEX 150 mg

COMPR. FILM. 150mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P- 6L 28 590,67 21,095357 15,249428 681,98 24,356428 18,256714 440

W58166

L02BB03

BICALUTAMIDUM

BICALUTAMIDA KABI 150 mg

COMPR. FILM. 150mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

P6 L 28 355,82 12,707857 12,707857 425,99 15,213928 15,213928 441

W53572

L02BB03

BICALUTAMIDUM

BICALUTAMID TERAPIA 150 mg

COMPR. FILM. 150mg

TERAPIA SA

ROMAN IA

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

P- 6L 28 356,54 12,733571 12,733571 426,78 15,242142 15,242142 442

W61109

L02BB03

BICALUTAMIDUM

YONISTIB 150 mg

COMPR. FILM. 150mg

NEOLA PHARMA S.R.L.

ROMAN IA

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

P- 6L 28 394,41 14,086071 14,086071 468,06 16,716428 16,716428 443

W56707

L02BB03

BICALUTAMIDUM

BICALUTAMIDA KABI 50 mg

COMPR. FILM. 50 mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

P6 L 28 140,25 5,008928 5,008928 171,22 6,115000 6,115000 444

W58725

L02BB03

BICALUTAMIDUM

BICALUTAMIDA RANBAXY 50 mg

COMPR. FILM. 50 mg

RANBAXY (U.K.) LIMITED

MAREA BRITAN IE

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

P6 L 28 168,59 6,021071 5,983999 205,82 7,350714 7,305199 445

W58725

L02BB03

BICALUTAMIDUM

BICALUTAMIDA RANBAXY 50 mg

COMPR. FILM. 50 mg

RANBAXY (U.K.) LIMITED

MAREA BRITAN IE

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

P6 L 28 168,59 6,021071 5,983999 205,82 7,350714 7,305199 446

W58039

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ALVOGEN 50 mg

COMPR. FILM. 50mg

ALVOGEN ROMANIA S.R.L.

ROMAN IA

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

P6 L 28 152,77 5,456071 5,456071 186,50 6,660714 6,660714 447

W53339

L02BB03

BICALUTAMIDUM

BICALUTAMIDA SANDOZ 50 mg

COMPR. FILM. 50mg

SANDOZ S.R.L.

ROMAN IA

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

P- 6L 30 149,60 4,986666 4,986666 182,63 6,087666 6,087666 448

W54851

L02BB03

BICALUTAMIDUM

CALUMID

COMPR. FILM. 50mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

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

P- 6L 30 200,69 6,689666 5,983999 245,00 8,166666 7,305199 449

W55156

L02BB03

BICALUTAMIDUM

YONISTIB 50 mg

COMPR. FILM. 50mg

ROMASTRU TRADING S.R.L.

ROMAN IA

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

P- 6L 28 167,54 5,983571 5,983571 204,53 7,304642 7,304642 450

W10174

L02BB03

BICALUTAMIDUM

CASODEX 50 mg

COMPR. FILM. 50mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

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

P- 6L 28 288,09 10,288928 5,983999 351,70 12,560714 7,305199 451

W56520

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ATB 50 mg

COMPR. FILM. 50mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR 30 179,30 5,976666 5,976666 218,89 7,296333 7,296333 452

W56123

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ACCORD 50 mg

COMPR. FILM. 50mg

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

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

P- 6L 28 141,19 5,042500 5,042500 172,37 6,156071 6,156071 453

W61108

L02BB03

BICALUTAMIDUM

YONISTIB 50 mg

COMPR. FILM. 50mg

NEOLA PHARMA S.R.L.

ROMAN IA

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

P- 6L 28 167,54 5,983571 5,983571 204,53 7,304642 7,304642 454

W58828

L02BG03

ANASTROZOLUM

ELOZA 1 mg

COMPR. FILM. 1mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

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

PR 30 91,40 3,046666 3,046666 115,56 3,852000 3,852000 455

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR. FILM. 1mg

TERAPIA SA

ROMAN IA

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

PR 84 285,45 3,398214 3,398214 348,48 4,148571 4,148571 456

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR. FILM. 1mg

TERAPIA SA

ROMAN IA

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

PR 98 332,75 3,395408 3,395408 400,85 4,090306 4,090306 457

W53266

L02BG03

ANASTROZOLUM

EGISTROZOL 1 mg

COMPR. FILM. 1mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

PR 90 338,63 3,762555 3,461142 407,26 4,525111 4,324200 458

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR. FILM. 1mg

TERAPIA SA

ROMAN IA

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

PR 20 69,20 3,460000 3,460000 87,50 4,375000 4,324200 459

W53266

L02BG03

ANASTROZOLUM

EGISTROZOL 1 mg

COMPR. FILM. 1mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

PR 30 113,17 3,772333 3,461142 138,16 4,605333 4,324200 460

W54874

L02BG03

ANASTROZOLUM

ANASTRAZE 1 mg

COMPR. FILM. 1mg

SANDOZ SRL

ROMAN IA

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

P- 6L 28 94,64 3,380000 3,380000 119,66 4,273571 4,273571 461

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR. FILM. 1mg

TERAPIA SA

ROMAN IA

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

PR 300 956,79 3,189300 3,189300 1.081,05 3,603500 3,603500 462

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR. FILM. 1mg

TERAPIA SA

ROMAN IA

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

PR 28 96,88 3,460000 3,460000 122,50 4,375000 4,324200 463

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR. FILM. 1mg

TERAPIA SA

ROMAN IA

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

PR 30 103,80 3,460000 3,460000 126,72 4,224000 4,224000 464

W57886

L02BG03

ANASTROZOLUM

ANASTROZOL KABI 1 mg

COMPR. FILM. 1mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

P6 L 14 40,38 2,884285 2,884285 52,82 3,772857 3,772857 465

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR. FILM. 1mg

TERAPIA SA

ROMAN IA

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

PR 50 169,90 3,398000 3,398000 207,42 4,148400 4,148400 466

W56262

L02BG03

ANASTROZOLUM

OZOLAN 1 mg

COMPR. FILM. 1mg

ALVOGEN IPCO S.A.R.L

LUXEM BURG

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

P- 6L 28 95,20 3,400000 3,400000 120,37 4,298928 4,298928

45

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 467

W53245

L02BG03

ANASTROZOLUM

ENZAMIDEX 1mg

COMPR. FILM. 1mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRI A

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

PR 30 91,46 3,048666 3,048666 115,64 3,854666 3,854666 468

W56267

L02BG03

ANASTROZOLUM

ANASTROZOL TEVA 1 mg

COMPR. FILM. 1mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- 6L 30 91,46 3,048666 3,048666 115,64 3,854666 3,854666 469

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1 mg

COMPR. FILM. 1mg

TERAPIA SA

ROMAN IA

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

PR 100 338,93 3,389300 3,389300 407,58 4,075800 4,075800 470

W55859

L02BG03

ANASTROZOLUM

KYARESTA 1 mg

COMPR. FILM. 1mg

ROMASTRU TRADING SRL

ROMAN IA

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

P- 6L 28 95,19 3,399642 3,399642 120,36 4,298571 4,298571 471

W00468

L02BG03

ANASTROZOLUM

ARIMIDEX 1 mg

COMPR. FILM. 1mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

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

P- 6L 28 128,99 4,606785 3,461142 157,47 5,623928 4,324200 472

W56083

L02BG03

ANASTROZOLUM

ANASTROZOL ATB 1 mg

COMPR. FILM. 1mg

ANTIBIOTICE S.A.

ROMAN IA

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

P - 6L 30 91,40 3,046666 3,046666 115,56 3,852000 3,852000 473

W61107

L02BG03

ANASTROZOLUM

KYARESTA 1 mg

COMPR. FILM. 1mg

NEOLA PHARMA S.R.L.

ROMAN IA

CUTIE CU 2 BLIST. PVC/AL A CATE 14 COMPR. FILM.

P- 6L 28 95,19 3,399642 3,399642 120,36 4,298571 4,298571 474

W56632

L02BG04

LETROZOLUM

LETROZOL TERAPIA 2,5 mg

COMPR. FILM. 2,5 mg

TERAPIA S.A.

ROMAN IA

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

P6 L 30 198,16 6,605333 2,607199 241,92 8,064000 3,296800 475

W58927

L02BG04

LETROZOLUM

LETROZOL POLIPHARMA 2,5 mg

COMPR. FILM. 2,5mg

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

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

P6 L 30 164,45 5,481666 2,607199 200,76 6,692000 3,296800 476

W55449

L02BG04

LETROZOLUM

LEZRA 2,5 mg

COMPR. FILM. 2,5mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

P- 6L 30 77,28 2,576000 2,576000 97,71 3,257000 3,257000 477

W53124

L02BG04

LETROZOLUM

LETROZOL TEVA 2,5 mg

COMPR. FILM. 2,5mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- 6L 30 228,64 7,621333 2,607199 279,12 9,304000 3,296800 478

W56502

L02BG04

LETROZOLUM

LETROZOL STADA 2,5 mg

COMPR. FILM. 2,5mg

STADA ARZNEIMITTEL AG

GERMA NIA

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

P6 L 100 280,55 2,805500 2,607199 342,50 3,425000 3,296800 479

W53743

L02BG04

LETROZOLUM

ETRUZIL 2,5 mg

COMPR. FILM. 2,5mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

P- 6L 30 77,84 2,594666 2,594666 98,42 3,280666 3,280666 480

W55367

L02BG04

LETROZOLUM

ZEQUIPRA 2,5 mg

COMPR. FILM. 2,5mg

ROMASTRU TRADING S.R.L.

ROMAN IA

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

P- 6L 30 78,22 2,607333 2,607199 98,90 3,296666 3,296666 481

W51409

L02BG04

LETROZOLUM

FEMARA 2,5 mg

COMPR. FILM. 2,5mg

NOVARTIS PHARMA GMBH

GERMA NIA

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

P- 6L 30 473,58 15,786000 2,607199 554,35 18,478333 3,296800 482

W56911

L02BG04

LETROZOLUM

LETROZOL ATB 2,5 mg

COMPR. FILM. 2,5mg

ANTIBIOTICE S.A.

ROMAN IA

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

P6 L 30 74,74 2,491333 2,491333 94,50 3,150000 3,150000 483

W55646

L02BG04

LETROZOLUM

LETROZOL ALVOGEN 2,5 mg

COMPR. FILM. 2,5mg

ALVOGEN IPCO S.A.R.L

LUXEM BURG

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

P- 6L 30 78,21 2,607000 2,607000 98,89 3,296333 3,296333 484

W53742

L02BG04

LETROZOLUM

ZOTROL 2,5 mg

COMPR. FILM. 2,5mg

SANDOZ S.R.L.

ROMAN IA

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

P- 6L 30 164,45 5,481666 2,607199 200,76 6,692000 3,296800 485

W59547

L02BG04

LETROZOLUM

LORTANDA 2,5 mg

COMPR. FILM. 2,5mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

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

P6 L 30 65,18 2,172666 2,172666 82,42 2,747333 2,747333 486

W58106

L02BG04

LETROZOLUM

TROZEL 2,5 mg

COMPR. FILM. 2,5mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

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

P- 6L 30 73,81 2,460333 2,460333 93,32 3,110666 3,110666 487

W57606

L02BG04

LETROZOLUM

LETROZOL KABI 2,5 mg

COMPR. FILM. 2,5mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

P6 L 10 72,53 7,253000 2,607199 91,71 9,171000 3,296800 488

W55787

L02BG04

LETROZOLUM

ELOZORA 2,5 mg

COMPR. FILM. 2,5mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P- 6L 30 96,38 3,212666 2,607199 121,86 4,062000 3,296800 489

W55679

L02BG04

LETROZOLUM

LETROZOL SANOFI- AVENTIS 2,5 mg

COMPR. FILM. 2,5mg

SANOFI - AVENTIS ROMANIA S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM.

P- 6L 30 165,05 5,501666 2,607199 201,49 6,716333 3,296800 490

W57212

L02BG06

EXEMESTANUM

AROSTANIL 25 mg

COMPR. FILM. 25 mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

PR F 30 154,58 5,152666 2,705200 188,71 6,290333 3,420400 491

W55888

L02BG06

EXEMESTANUM

EXEMESTAN ACCORD 25 mg

COMPR. FILM. 25mg

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P- RF 30 201,38 6,712666 2,705200 245,85 8,195000 3,420400 492

W55664

L02BG06

EXEMESTANUM

EXEMESTAN TEVA 25 mg

COMPR. FILM. 25mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM

P- RF 30 81,15 2,705000 2,705000 102,61 3,420333 3,420333 493

W57021

L02BG06

EXEMESTANUM

EXEMESTAN TERAPIA 25 mg

COMPR. FILM. 25mg

TERAPIA S.A.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM.

PR F 30 185,48 6,182666 2,705200 226,44 7,548000 3,420400 494

W57409

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR. FILM. 25mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM

PR F 30 81,15 2,705000 2,705000 102,61 3,420333 3,420333 495

W57409

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR. FILM. 25mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM

PR F 30 81,15 2,705000 2,705000 102,61 3,420333 3,420333 496

W59268

L02BG06

EXEMESTANUM

ESCEPRAN 25 mg

COMPR. FILM. 25mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P- RF 30 67,63 2,254333 2,254333 85,51 2,850333 2,850333 497

W59431

L02BG06

EXEMESTANUM

EXEMESTAN POLIPHARMA 25 mg

COMPR. FILM. 25mg

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

PR F 30 154,58 5,152666 2,705200 188,71 6,290333 3,420400 498

W57688

L02BG06

EXEMESTANUM

EXEMESTAN MEDISON PHARMA 25 mg

COMPR. FILM. 25mg

MEDISON PHARMA S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 30 COMPR. FILM.

PR F 30 201,50 6,716666 2,705200 245,99 8,199666 3,420400

46

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 499

W55874

L02BG06

EXEMESTANUM

EXEMESTAN GLENMARK 25mg

COMPR. FILM. 25mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P- RF 30 81,15 2,705000 2,705000 102,61 3,420333 3,420333 500

W57687

L02BG06

EXEMESTANUM

INPLAVIA 25 mg

COMPR. FILM. 25mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL X 30 (30X1) COMPR. FILM.

PR F 30 176,84 5,894666 2,705200 215,89 7,196333 3,420400 501

W56479

L02BG06

EXEMESTANUM

EXEMESTAN ALVOGEN 25 mg

COMPR. FILM. 25mg

ALVOGEN IPCO S.A.R.L

LUXEM BURG

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P- RF 30 81,15 2,705000 2,705000 102,61 3,420333 3,420333 502

W55665

L02BG06

EXEMESTANUM

EXESTRALAN 25 mg

COMPR. FILM. 25mg

ICN POLFA RZESZOW S.A.

POLONI A

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P- RF 30 185,49 6,183000 2,705200 226,45 7,548333 3,420400 503

W56510

L02BG06

EXEMESTANUM

EXEMESTAN ACTAVIS 25 mg

COMPR. FILM. 25mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. AL/PVC X 30 COMPR. FILM.

PR F 30 183,66 6,122000 2,705200 224,21 7,473666 3,420400 504

W61219

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR. FILM. 25mg

NEOLA PHARMA S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM

PR F 30 81,15 2,705000 2,705000 102,61 3,420333 3,420333 505

W61219

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR. FILM. 25mg

NEOLA PHARMA S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM

PR F 30 81,15 2,705000 2,705000 102,61 3,420333 3,420333 506

W08074

L02BG06

EXEMESTANUM

AROMASIN 25 mg

DRAJ. 25mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ.

P- RF 30 310,19 10,339666 2,705200 376,26 12,542000 3,420400 507

W51424

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ. 30MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 267,05 267,050000 194,520000 326,02 326,020000 237,468000 508

W51423

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ. 48MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 436,57 436,570000 313,092000 514,01 514,010000 382,224000 509

W53892

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 162,10 162,100000 162,100000 197,89 197,890000 197,890000 510

W53893

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 260,91 260,910000 260,910000 318,52 318,520000 318,520000 511

W55756

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF. 120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF 5 418,45 83,690000 83,690000 494,26 98,852000 98,852000 512

W53520

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF. 300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P RF/ R 1 214,16 214,160000 194,520000 261,45 261,450000 237,468000 513

W55757

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF. 300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF 5 1.001,12 200,224000 194,520000 1.129,37 225,874000 225,874000 514

W53523

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF. 480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P RF/ R 1 355,90 355,900000 313,092000 426,08 426,080000 382,224000 515

W55758

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF. 480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF 5 1.656,30 331,260000 313,092000 1.843,52 368,704000 368,704000 516

W51563

L03AA13

PEGFILGRASTIMUM

NEULASTA 6mg

SOL. INJ. 6 mg

AMGEN EUROPE B.V.

OLAND A

CUTIE CU 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ. IN BLISTER,

CU PROTECTIE A ACULUI

PR 1 3.307,67 3.307,670000 3.307,670000 3.643,51 3.643,510000 3.643,510000 517

W51563

L03AA13

PEGFILGRASTIMUM

NEULASTA 6mg

SOL. INJ. 6mg

AMGEN EUROPE B.V.

OLAND A

CUTIE X BLISTER X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

PR 1 3.307,67 3.307,670000 3.307,670000 3.643,51 3.643,510000 3.643,510000 518

W51327

L03AB04

INTERFERONUM ALFA 2A

ROFERON A

SOL. INJ. 3Mui/0,5m l

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML

AC STERIL

PR 1 69,15 69,150000 69,150000 87,43 87,430000 87,430000 519

W51329

L03AB04

INTERFERONUM ALFA 2A

ROFERON A

SOL. INJ. 9Mui/0,5m l

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ.

AC STERIL

PR 1 140,84 140,840000 140,840000 171,94 171,940000 171,940000 520

W59599

L03AB05

INTERFERONUM ALFA 2B

INTRON A 18 milioane U.I.

SOL. INJ. PEN MULTIDOZ A 18 milioane U.I.

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML SOL. INJ.

12 ACE

12 TAMPOANE DEZINFECTANTE

P- RF/ R 1 363,48 363,480000 363,480000 434,34 434,340000 434,340000 521

W59600

L03AB05

INTERFERONUM ALFA 2B

INTRON A 30 milioane U.I.

SOL. INJ. PEN MULTIDOZ A 30 milioane U.I.

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 STILOU INJECTOR (PEN) X 1,2 ML

12 ACE

12 TAMPOANE DEZINFECTANTE

P- RF/ R 1 621,78 621,780000 621,780000 715,89 715,890000 715,890000 522

W57665

M05BA02

ACIDUM CLODRONICUM**

BONEFOS® 800 mg

COMPR. FILM. 800mg

BAYER OY

FINLAN DA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR. FILM.

P- 6L 60 586,00 9,766666 9,766666 676,89 11,281500 11,281500 523

W52199

M05BA02

ACIDUM CLODRONICUM**

SINDRONAT (R) 300 mg/5 ml

CONC. PT. SOL. PERF. 300mg/5 ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA X 5 ML

S 1 20,75 20,750000 20,750000 28,04 28,040000 28,040000

47

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 524

W58123

M05BA03

ACIDUM PAMIDRONICUM**

PAMIDRONAT TORREX

CONC. PT. SOL. PERF. 15mg/ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 2 ML

S/P RF 1 158,95 158,950000 158,950000 194,05 194,050000 194,050000 525

W58123

M05BA03

ACIDUM PAMIDRONICUM**

PAMIDRONAT TORREX

CONC. PT. SOL. PERF. 15mg/ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 4 ML

S/P RF 1 361,86 361,860000 285,384000 432,58 432,580000 348,396000 526

W58123

M05BA03

ACIDUM PAMIDRONICUM**

PAMIDRONAT TORREX

CONC. PT. SOL. PERF. 15mg/ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 1 ML

S/P RF 1 102,98 102,980000 102,980000 125,72 125,720000 125,720000 527

W07918

M05BA03

ACIDUM PAMIDRONICUM**

AREDIA (R) 15 mg

LIOF.

SOLV. PT. SOL. PERF. 15mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF.

4 FIOLE DIN STICLA X 5 ML SOLV.

S/P RF 4 595,85 148,962500 123,576000 687,63 171,907500 150,864000 528

W57926

M05BA03

ACIDUM PAMIDRONICUM**

PAMIRED 30mg pulbere pentru solutie perfuzabila

PULB. PT. SOL. PERF. 30mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

PR 1 152,87 152,870000 152,870000 186,63 186,630000 186,630000 529

W57925

M05BA03

ACIDUM PAMIDRONICUM**

PAMIRED 60mg pulbere pentru solutie perfuzabila

PULB. PT. SOL.PERF. 60mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

PR 1 237,82 237,820000 237,820000 290,33 290,330000 290,330000 530

W60664

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC AUROBINDO 150 mg

COMPR. FILM. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P6 L 1 29,66 29,660000 29,660000 38,80 38,800000 38,800000 531

W57730

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC SANDOZ 50 mg

COMPR. FILM. 50 mg

SANDOZ PHARMACEUTICALS GMBH

GERMA NIA

CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PR 28 519,62 18,557857 18,557857 604,54 21,590714 21,590714 532

W56748

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 50 mg

COMPR. FILM. 50 mg

TEVA PHARMA B.V.

OLAND A

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 28 COMPRIMATE FILMATE

PR 28 637,14 22,755000 22,269428 732,63 26,165357 25,908857 533

W56932

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 28 629,47 22,481071 22,269428 724,27 25,866785 25,866785 534

W59829

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC GLENMARK 50 mg

COMPR. FILM. 50mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM.

PR 28 562,00 20,071428 20,071428 650,73 23,240357 23,240357 535

W41499

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 50mg

COMPR. FILM. 50mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.

S 28 964,08 34,431428 22,269428 1.089,00 38,892857 25,908857 536

W57712

M05BA06

ACIDUM IBANDRONICUM**

HOLMEVIS 50 mg

COMPR. FILM. 50mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

PR 28 637,16 22,755714 22,269428 732,65 26,166071 25,908857 537

W58937

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 6 mg

CONC. PT. SOL. PERF. 6mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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 1 596,39 596,390000 596,390000 688,22 688,220000 688,220000 538

W56933

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 1 596,39 596,390000 596,390000 688,22 688,220000 688,220000 539

W41498

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 6mg/6ml

CONC. PT. SOL. PERF. 6mg/6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.

S 1 901,37 901,370000 715,668000 1.020,64 1.020,640000 825,864000 540

W59742

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC TEVA 4 mg/5 ml

CONC. PT. SOL. PERF. 4 mg/5 ml

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLACON DIN STICLA CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA

PR 1 377,14 377,140000 356,400000 449,23 449,230000 435,096000 541

W59137

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC SANDOZ 4 mg/100 ml

CONC. PT. SOL. PERF. 4mg/100 ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR,

DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP- OFF" X 100 ML CONC. PT. SOL. PERF.

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 542

W59191

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC TERAPIA 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

TERAPIA SA

ROMAN IA

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 1 724,49 724,490000 356,400000 827,84 827,840000 435,096000 543

W59167

M05BA08

ACIDUM ZOLEDRONICUM**

OSPORIL 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PERF.

PR 1 676,71 676,710000 356,400000 775,76 775,760000 435,096000 544

W59476

M05BA08

ACIDUM ZOLEDRONICUM**

ZOLACITOR 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE CU 4 FLAC.,

DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL. PERF.

PR 4 2.807,00 701,750000 356,400000 3.097,78 774,445000 435,096000

48

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 545

W59588

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC ACTAVIS 4mg/5ml

CONC. PT. SOL. PERF. 4mg/5ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE X 1 FLACON PLASTIC TRANSPARENT,

INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PER

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 546

W59914

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC PFIZER 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN PP PREVAZUT CU CAPSA FLIP-OFF DIN AL CU CONC. PT. SOL. PERF.

PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,096000 547

W59476

M05BA08

ACIDUM ZOLEDRONICUM**

ZOLACITOR 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE CU 1 FLAC.,

DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL. PERF.

PR 1 724,40 724,400000 356,400000 827,75 827,750000 435,096000 548

W59840

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC HOSPIRA 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON CU CAPACITATE DE 5ML DIN PLASTIC CU DOP BROMOBUTIL,

ACOPERIT CU UN STRAT DE FLUOROPOLIMER SI CAPAC DIN AL CU COMPONENTA "FLIP-OFF"

PR 1 364,11 364,110000 356,400000 435,03 435,030000 435,030000 549

W58621

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR,

INCHIS CU DOP DIN CAUCIUC BROMOB

PR 1 459,66 459,660000 356,400000 539,18 539,180000 435,096000 550

W59044

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC RICHTER 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 1 FLACON TRANSPARENT,

INCOLOR DIN POLIMER CICLO-OLEFENIC INCHIS CU DOP GRI INCHIS DIN CAUCIUC CU STRAT FLUOROPOLIMERIC,

CAPSA DIN AL SI SISTEM "FLIP-OFF" DIN PLASTIC ROSU X 5ML CONC. PT. SOL. PERF.

PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,096000 551

W60989

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR,

INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC,

SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIP-OFF DIN PP CARE CONTINE 4 MG/5 ML CONC. PT. SOL. PERF.

PR 1 459,66 459,660000 356,400000 539,18 539,180000 435,096000 552

W59889

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 4 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF.

PR 4 1.418,88 354,720000 354,720000 1.584,73 396,182500 396,182500 553

W59136

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC SANDOZ 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR,

DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP- OFF" X 5 ML CONC. PT. SOL. PERF.

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 554

W60216

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC MEDAC 4mg/5ml

CONC. PT. SOL. PERF. 4mg/5ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 FLACON DIN PLASTIC CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 555

W59090

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF.

PR 4 1.417,59 354,397500 354,397500 1.583,33 395,832500 395,832500 556

W59520

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR. REDDY'S 4mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 5 ML CU CONC. PT. SOL. PERF.

PR 1 297,00 297,000000 297,000000 362,58 362,580000 362,580000 557

W59889

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF.

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 558

W58886

M05BA08

ACIDUM ZOLEDRONICUM**

DESINOBON 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

ALVOGEN IPCO S.A.R.L

LUXEM BOURG

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT,

INCOLOR DE 5 ML DIN COPOLIMER CICLOOLEFINIC CU DOP DE CAUCIUC SI CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" CARE CONTINE CONC. PT. SOL. PERF.

PR 1 452,56 452,560000 356,400000 531,44 531,440000 435,096000 559

W58735

M05BA08

ACIDUM ZOLEDRONICUM**

FAYTON 4 mg/ 5 ml

CONC. PT. SOL. PERF. 4mg/5ml

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN COPOLIMER CICLOOLEFINIC SI CAPAC PP CU CAPACITATEA DE 5 ML CARE CONTINE CONC. P

PR 1 676,00 676,000000 356,400000 774,99 774,990000 435,096000 560

W08426

M05BA08

ACIDUM ZOLEDRONICUM**

ZOMETA 4 mg

PULB.

SOLV. SOL. PERF. 4mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF.

1 FIOLA X 5 ML SOLV.

PR 1 1.098,45 1.098,450000 356,400000 1.235,46 1.235,460000 435,096000

49

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 561

W60382

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC HOSPIRA 4 mg/100 ml

SOL. PERF. 4 mg/100 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 PUNGA DIN POLIPROPILENA DE 100ML CU UN PORT "TWIST-OFF" DIN POLIPROPILENA CU CAPAC SI CU UN INVELIS DIN POLIESTER/POLIPROPILENA

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 562

W60543

M05BA08

ACIDUM ZOLEDRONICUM**

ZERLINDA 4 mg/100 ml

SOL. PERF. 4mg/100 ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 PUNGA A 100 ML SOL. PERF.

PR 1 724,00 724,000000 356,400000 827,31 827,310000 435,096000 563

W60980

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR. REDDY'S 4mg/100 ml

SOL. PERF. 4mg/100 ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN CAUCIUC CLOROBUTILIC,

SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF"A 100 ML SOL. PERF.

PR 1 297,00 297,000000 297,000000 362,58 362,580000 362,580000 564

W60215

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC MEDAC 4mg/100ml

SOL. PERF. 4mg/100 ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 FLACON DIN PLASTIC CU 100 ML SOLUTIE PERFUZABILA

PR 1 522,14 522,140000 356,400000 607,28 607,280000 435,096000 565

W59355

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC ZENTIVA 4 mg/5 ml

SOL. PERF. 4mg/5ml

ZENTIVA, K.S.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE CONC. PT. SOL. PERF.

PR 1 676,71 676,710000 356,400000 775,76 775,760000 435,096000 566

W04133

V03AF01

MESNUM

UROMITEXAN (R) 400 mg

SOL. INJ. 400mg/4 ml

BAXTER ONCOLOGY GMBH

GERMA NIA

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML

S 15 44,87 2,991333 2,991333 58,69 3,912666 3,912666 567

W00734

V03AF03

CALCII FOLINAS

CALCIUM FOLINAT "EBEWE" 15 mg

CAPS. 15mg

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE X1 FLAC. X 20 CAPS.

P- 6L 20 29,11 1,455500 1,455500 38,08 1,904000 1,904000 568

W52217

V03AF03

CALCII FOLINAS

FOLCASIN (R) 100 mg/10 ml

SOL. INJ. 10mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON X 10 ML

S/P RF 1 29,47 29,470000 29,470000 38,55 38,550000 38,550000 569

W54980

V03AF03

CALCII FOLINAS

FOLINAT DE CALCIU TEVA 10 mg/ml

SOL. INJ. 10mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. X 10 ML SOL. INJ.

P- RF/ S 1 29,50 29,500000 29,500000 38,59 38,590000 38,590000 570

W00735

V03AF03

CALCII FOLINAS

CALCIUMFOLINAT "EBEWE" 10 mg/ml

SOL. INJ./PERF. 10mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 5 FIOLE X 3 ML

P- RF 5 50,23 10,046000 10,046000 63,51 12,702000 12,702000 571

W00735

V03AF03

CALCII FOLINAS

CALCIUMFOLINAT "EBEWE" 10 mg/ml

SOL. INJ./PERF. 10mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 5 FIOLE X 10 ML

P- RF 5 142,16 28,432000 28,432000 173,55 34,710000 34,710000 572

W52219

V03AF03

CALCII FOLINAS

FOLCASIN (R) 3 mg/ml

SOL. INJ./PERF. 3mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON X 10 ML

S/P RF 1 13,53 13,530000 12,055200 18,29 18,290000 15,242400

50

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Subprogramul de tratament al sclerozei multiple

1

W42705

L03AB07

INTERFERONUM BETA 1A

AVONEX 30 mcg BIO-SET

PULB.

SOLV. PT. SOL. INJ. 30mcg (6 mil. UI)

BIOGEN IDEC LIMITED

MAREA BRITAN IE

CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE

1 SERINGA PRE-UMPLUTA

1 ML SOLV.

4 FIOLE PREVAZUT

P- RF/ R 4 3.085,23 771,307500 771,307500 3.401,05 850,262500 850,262500 2

W08473

L03AB07

INTERFERONUM BETA 1A

REBIF 44 micrograme

SOL. INJ. 44mcg

SERONO EUROPE LTD.

MAREA BRITAN IE

CUTIE X 12 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

P- RF/ R 12 4.183,50 348,625000 348,625000 4.598,17 383,180833 383,180833 3

W53186

L03AB08

INTERFERONUM BETA 1-B

EXTAVIA 250 mcg/ ml

PULB

SOL V.PT.SOL.I NJ 250mcg/m l

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 15 FLAC. CU PULBERE

15 SERINGI PREUMPLUTE CU SOLVENT

P- RF/ R 15 3.506,14 233,742666 233,742666 3.859,85 257,323333 257,323333 4

W52752

L03AB08

INTERFERONUM BETA 1-B

BETAFERON 250mcg/ml

PULB.

SOLV. PT. SOL. INJ. 250mcg/m l

BAYER SCHERING AG

GERMA NIA

CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU SOLV.

P- RF/ P 15 3.301,14 220,076000 220,076000 3.636,40 242,426666 242,426666 5

W44044

L03AX13

GLATIRAMER ACETAT

COPAXONE

SOL. INJ. 20mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 28 BLIST. PVC X 1 SERINGA PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX

S/P RF 28 3.083,08 110,110000 110,110000 3.398,71 121,382500 121,382500 6

W51764

L04AA23

NATALIZUMABUM

TYSABRI 300mg

CONC. PT. SOL. PERF. 20mg/ml

ELAN PHARMA INTERNATIONAL LTD

IRLAND A

CUTIE X 1 FLAC. X 15ML CONC. PT. SOL. PERF

S 1 6.951,95 6.951,950000 6.951,950000 7.615,78 7.615,780000 7.615,780000 7

W56928

L04AX01

AZATHIOPRINUM*

IMURAN®

COMPR. FILM. 50mg

ASPEN EUROPE GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P RF 100 55,53 0,555300 0,555300 70,21 0,702100 0,702100 8

W56508

L04AX01

AZATHIOPRINUM*

IMMUNOPRIN 75 mg

COMPR. FILM. 75mg

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR 100 62,39 0,623900 0,623900 78,89 0,788900 0,788900

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

Tratamentul medicamentos al bolnavilor cu diabet zaharat

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

1

W52999

A10AB01

INSULINE UMANE

HUMULIN R

SOL. INJ. 100UI/ml

LILLY FRANCE SAS

FRANT A

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P- RF 5 90,98 18,196000 18,196000 115,03 23,006000 23,006000 2

W52999

A10AB01

INSULINE UMANE

HUMULIN R

SOL. INJ. 100UI/ml

LILLY FRANCE SAS

FRANT A

CUTIE X 1 FLAC. X 10 ML SOL. INJ.

P- RF 1 43,32 43,320000 43,320000 56,66 56,660000 56,660000 3

W08452

A10AB01

INSULINE UMANE

INSUMAN RAPID 100UI/ml

SOL. INJ. IN CARTUS 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SOL. INJ.

P- RF 5 81,26 16,252000 16,252000 102,75 20,550000 20,550000 4

W08451

A10AB01

INSULINE UMANE

INSUMAN RAPID 100UI/ml

SOL. INJ. IN FLACON 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P- RF 5 105,39 21,078000 21,078000 128,66 25,732000 25,732000 5

W53811

A10AB01

INSULINE UMANE

INSUMAN RAPID 100 UI/ml SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLU T 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

P- RF 5 81,26 16,252000 16,252000 102,75 20,550000 20,550000 6

W53873

A10AB04

INSULINUM LISPRO**

HUMALOG KWIKPEN100U/ml

SOL. INJ. 100U/ml

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 5 STILOURI INJECTOARE (PEN- URI) PRE-UMPLUTE X 3 ML SOL. INJ.

P- RF 5 156,50 31,300000 30,950400 191,06 38,212000 37,785600 7

W52601

A10AB04

INSULINUM LISPRO**

HUMALOG 100 U/ml

SOL. INJ. 100U/ml

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 5 CARTUSE X 3 ML SOL.INJ.

P- RF 5 128,96 25,792000 25,792000 157,44 31,488000 31,488000 8

W07268

A10AB05

INSULINUM ASPART**

NOVORAPID PENFILL 100 U/ml

SOL. INJ. IN CARTUS 100Uml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P- RF 5 130,56 26,112000 26,112000 159,39 31,878000 31,878000 9

W41740

A10AB06

INSULINUM GLULIZINA**

APIDRA 100U/ml

SOL. INJ. IN CARTUS 100U/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P- RF 5 108,80 21,760000 21,760000 132,82 26,564000 26,564000 10

W52538

A10AB06

INSULINUM GLULIZINA**

APIDRA 100U/ml

SOL. INJ. IN STILOU INJECTOR PREUMPLU T 100U/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 STILOURI INJECTOARE (PEN- URI) PREUMPLUTE (SOLOSTAR) X 3 ML SOL. INJ.

P- RF 5 108,80 21,760000 21,760000 132,82 26,564000 26,564000 11

W52986

A10AC01

INSULINE UMANE

HUMULIN N

SUSP. INJ. 100UI/ml

LILLY FRANCE SAS

FRANT A

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 10 ML SUSP. INJ.

P- RF 1 43,32 43,320000 43,320000 56,66 56,660000 56,660000 12

W52986

A10AC01

INSULINE UMANE

HUMULIN N

SUSP. INJ. 100UI/ml

LILLY FRANCE SAS

FRANT A

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P- RF 5 90,98 18,196000 18,196000 115,03 23,006000 23,006000 13

W08444

A10AC01

INSULINE UMANE

INSUMAN BASAL 100UI/ml

SUSP. INJ. IN CARTUS 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P- RF 5 81,26 16,252000 16,252000 102,75 20,550000 20,550000 14

W08381

A10AC01

INSULINE UMANE

INSUMAN BASAL 100UI/ml

SUSP. INJ. IN FLACON 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

P- RF 5 111,21 22,242000 22,242000 135,77 27,154000 27,154000 15

W53808

A10AC01

INSULINE UMANE

INSUMAN BASAL 100UI/ml SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLU T 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P- RF 5 81,26 16,252000 16,252000 102,75 20,550000 20,550000 16

W53876

A10AC04

INSULINUM LISPRO**

HUMALOG BASAL KWIKPEN 100U/ml

SUSP. INJ. 100U/ml

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 5 STILOURI INJECTOARE (PEN- URI) X 3 ML SUSP. INJ.

P- RF 5 156,50 31,300000 31,300000 191,06 38,212000 38,212000 17

W53106

A10AD01

INSULINE UMANE

HUMULIN M3

SUSP. INJ. 100ui/ml

LILLY FRANCE S.A.S

FRANT A

CUTIE X 1 FLACON DIN STICLA INCOLORA X 10 ML SUSP. INJ.

P- RF 1 43,32 43,320000 43,320000 56,66 56,660000 56,660000 18

W53106

A10AD01

INSULINE UMANE

HUMULIN M3

SUSP. INJ. 100ui/ml

LILLY FRANCE S.A.S

FRANT A

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P- RF 5 90,98 18,196000 18,196000 115,03 23,006000 23,006000 19

W03703

A10AD01

INSULINE UMANE

MIXTARD 30 PENFILL 100 UI/ml

SUSP. INJ. IN CARTUS 100UI/ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P- RF 5 105,07 21,014000 19,502400 128,27 25,654000 24,660000 20

W08446

A10AD01

INSULINE UMANE

INSUMAN COMB 25 100UI/ml

SUSP. INJ. IN CARTUS 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P- RF 5 81,26 16,252000 16,252000 102,75 20,550000 20,550000 21

W08449

A10AD01

INSULINE UMANE

INSUMAN COMB 50 100UI/ml

SUSP. INJ. IN CARTUS 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 CARTUSE DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P- RF 5 81,26 16,252000 16,252000 102,75 20,550000 20,550000 22

W08445

A10AD01

INSULINE UMANE

INSUMAN COMB 25 100UI/ml

SUSP. INJ. IN FLACON 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

P- RF 5 137,51 27,502000 27,502000 167,87 33,574000 33,574000 23

W53810

A10AD01

INSULINE UMANE

INSUMAN COMB 25 100UI/ml SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLU T 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P- RF 5 81,26 16,252000 16,252000 102,75 20,550000 20,550000 24

W53874

A10AD04

INSULINUM LISPRO**

HUMALOG MIX25 KWIKPEN 100U/ml

SUSP. INJ. 100U/ml

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 5 STILOURI INJECTOARE (PEN- URI) PREUMPLUTE X 3 ML SUSP. INJ.

P- RF 5 156,50 31,300000 31,300000 191,06 38,212000 38,212000 25

W53875

A10AD04

INSULINUM LISPRO**

HUMALOG MIX50 KWIKPEN 100U/ml

SUSP. INJ. 100U/ml

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 5 STILOURI INJECTOARE (PEN- URI) PREUMPLUTE X 3 ML SUSP. INJ.

P- RF 5 156,50 31,300000 31,300000 191,06 38,212000 38,212000 26

W03665

A10AD04

INSULINUM LISPRO**

HUMALOG MIX50

SUSP. INJ. 100U/ml

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P- RF 5 134,73 26,946000 26,946000 164,48 32,896000 32,896000 27

W52602

A10AD04

INSULINUM LISPRO**

HUMALOG MIX25

SUSP. INJ. 100U/ml

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 5 CARTUSE X 3 ML SUSP.INJ.

P- RF 5 136,03 27,206000 27,206000 166,07 33,214000 33,214000

51

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 28

W08254

A10AD05

INSULINUM ASPART**

NOVOMIX 30 PENFILL 100 U/ml

SUSP. INJ. IN CARTUS 100U/ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P- RF 5 140,58 28,116000 28,116000 171,62 34,324000 34,324000 29

W08054

A10AE04

INSULINUM GLARGINE**

LANTUS 100UI/ml

SOL. INJ. IN CARTUS 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 CARTUSE DIN STICLA X 3 ML SOL. INJ.

P- RF 5 203,05 40,610000 40,610000 247,88 49,576000 49,576000 30

W10010

A10AE04

INSULINUM GLARGINE**

LANTUS 100UI/ml

SOL. INJ. IN FLACON 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 1 FLACON DIN STICLA X 10 ML SOL. INJ.

P- RF 1 146,86 146,860000 146,860000 179,29 179,290000 179,290000 31

W52628

A10AE04

INSULINUM GLARGINE**

LANTUS SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLU T 100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 STILOURI INJECTOARE (PEN- URI) PREUMPLUTE X 3 ML

P- RF 5 200,05 40,010000 40,010000 244,22 48,844000 48,844000 32

W41732

A10AE05

INSULINUM DETEMIR**

LEVEMIR PENFILL 100 U/ml

SOL. INJ. IN CARTUS 100U/ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 5 CARTUSE X 3 ML

P- RF 5 245,54 49,108000 49,108000 299,76 59,952000 59,952000 33

W53953

A10BA02

METFORMINUM

METFORMIN ARENA 1000 MG

COMPR. 1000mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 10 BLIST. AL/PVC X 5 COMPR.

P- RF 50 6,30 0,126000 0,126000 8,52 0,170400 0,170400 34

W53953

A10BA02

METFORMINUM

METFORMIN ARENA 1000 MG

COMPR. 1000mg

ARENA GROUP S.A.

ROMAN IA

FLACON DIN PE X 200 COMPR.

P- RF/ S 200 25,16 0,125800 0,125800 32,91 0,164550 0,164550 35

W53951

A10BA02

METFORMINUM

METFORMIN ARENA 500 MG

COMPR. 500mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 FLAC. DIN PE X 60 COMPR.

P- RF 60 3,58 0,059666 0,059666 4,84 0,080666 0,080666 36

W53952

A10BA02

METFORMINUM

METFORMIN ARENA 850 MG

COMPR. 850mg

ARENA GROUP SA

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 5 COMPR.

P- RF 15 1,69 0,112666 0,112666 2,28 0,152000 0,152000 37

W43318

A10BA02

METFORMINUM

GLUCOPHAGE XR

COMPR. ELIB. PREL. 500mg

MERCK SANTE S.A.S.

FRANT A

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 COMPR. ELIB. PREL.

P- RF 30 11,34 0,378000 0,071599 15,33 0,511000 0,096799 38

W43318

A10BA02

METFORMINUM

GLUCOPHAGE XR

COMPR. ELIB. PREL. 500mg

MERCK SANTE S.A.S.

FRANT A

CUTIE X 2 BLIST. AL/PVC-PVDC X 15 COMPR. ELIB. PREL.

P- RF 30 11,34 0,378000 0,071599 15,33 0,511000 0,096799 39

W56835

A10BA02

METFORMINUM

SERDENIS 1000 mg

COMPR. FILM. 1000mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6 L 30 4,38 0,146000 0,146000 5,92 0,197333 0,197333 40

W13583

A10BA02

METFORMINUM

GLUCOPHAGE 1000 mg

COMPR. FILM. 1000mg

MERCK SANTE

FRANT A

CUTIE CU BLIST. PVC/AL X 60 COMPR. FILM.

P- 6L 60 20,74 0,345666 0,150960 28,03 0,467166 0,197460 41

W59641

A10BA02

METFORMINUM

METFORMIN AUROBINDO 1000 mg

COMPR. FILM. 1000mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P6 L 30 4,34 0,144666 0,144666 5,86 0,195333 0,195333 42

W43828

A10BA02

METFORMINUM

METFOGAMMA 1000mg

COMPR. FILM. 1000mg

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM

P6 L 120 15,93 0,132750 0,132750 21,53 0,179416 0,179416 43

W42349

A10BA02

METFORMINUM

SIOFOR 1000

COMPR. FILM. 1000mg

BERLIN CHEMIE AG MENARINI GROUP

GERMA NIA

CUTIE X 4 BLIST. PVC/AL X 15 COMPR. FILM.

P- RF 60 13,42 0,223666 0,150960 18,14 0,302333 0,197460 44

W56835

A10BA02

METFORMINUM

SERDENIS 1000 mg

COMPR. FILM. 1000mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6 L 90 13,13 0,145888 0,145888 17,75 0,197222 0,197222 45

W56835

A10BA02

METFORMINUM

SERDENIS 1000 mg

COMPR. FILM. 1000mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6 L 60 8,75 0,145833 0,145833 11,83 0,197166 0,197166 46

W13955

A10BA02

METFORMINUM

MEGUAN (R) 500 mg

COMPR. FILM. 500mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6 L 20 3,24 0,162000 0,071599 4,38 0,219000 0,096799 47

W59639

A10BA02

METFORMINUM

METFORMIN AUROBINDO 500 mg

COMPR. FILM. 500mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P6 L 30 2,55 0,085000 0,071599 3,45 0,115000 0,096799 48

W59639

A10BA02

METFORMINUM

METFORMIN AUROBINDO 500 mg

COMPR. FILM. 500mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P6 L 60 5,10 0,085000 0,071599 6,89 0,114833 0,096799 49

W42688

A10BA02

METFORMINUM

DIPIMET 500 mg

COMPR. FILM. 500mg

ANTIBIOTICE SA

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM.

P- RF 30 2,85 0,095000 0,071599 3,85 0,128333 0,096799 50

W56834

A10BA02

METFORMINUM

SERDENIS 850 mg

COMPR. FILM. 850mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6 L 30 3,64 0,121333 0,121333 4,92 0,164000 0,164000 51

W59640

A10BA02

METFORMINUM

METFORMIN AUROBINDO 850 mg

COMPR. FILM. 850mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P6 L 30 3,60 0,120000 0,120000 4,87 0,162333 0,162333 52

W13873

A10BA02

METFORMINUM

GLUCOPHAGE 850 mg

COMPR. FILM. 850mg

MERCK SANTE

FRANT A

CUTIE X 10 BLIST. AL/PVC X 10 COMPR. FILM.

P6 L 100 18,70 0,187000 0,135199 25,27 0,252700 0,182400 53

W56197

A10BA02

METFORMINUM

SIOFOR 850 mg

COMPR. FILM. 850mg

BERLIN-CHEMIE AG (MENARINI GROUP)

GERMA NIA

CUTIE CU 4 BLIST. AL/PVC X 15 COMPR. FILM.

P- 6L 60 13,45 0,224166 0,135199 18,18 0,303000 0,182400 54

W08499

A10BA02

METFORMINUM

METFOGAMMA 850 mg

COMPR. FILM. 850mg

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM.

P6 L 120 13,54 0,112833 0,112833 18,30 0,152500 0,152500

52

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 55

W56834

A10BA02

METFORMINUM

SERDENIS 850 mg

COMPR. FILM. 850mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6 L 90 10,90 0,121111 0,121111 14,73 0,163666 0,163666 56

W14102

A10BA02

METFORMINUM

MEGUAN (R) 850 mg

COMPR. FILM. 850mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6 L 20 5,65 0,282500 0,135199 7,64 0,382000 0,182400 57

W56834

A10BA02

METFORMINUM

SERDENIS 850 mg

COMPR. FILM. 850mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6 L 60 7,27 0,121166 0,121166 9,82 0,163666 0,163666 58

W59640

A10BA02

METFORMINUM

METFORMIN AUROBINDO 850 mg

COMPR. FILM. 850mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P6 L 60 7,18 0,119666 0,119666 9,71 0,161833 0,161833 59

W53919

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ATB 1,75 MG

COMPR. 1,75 mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 1,41 0,047000 0,047000 1,91 0,063666 0,063666 60

W41858

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 1,75 mg

COMPR. 1,75mg

ARENA GROUP SA

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 1,52 0,050666 0,050666 2,05 0,068333 0,068333 61

W41858

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 1,75 mg

COMPR. 1,75mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 FLAC. PEID X 100 COMPR.

P- RF/ S 100 8,60 0,086000 0,056400 11,62 0,116200 0,076399 62

W41858

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 1,75 mg

COMPR. 1,75mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

P- RF/ S #### 55,56 0,055560 0,055560 70,25 0,070250 0,070250 63

W07202

A10BB01

GLIBENCLAMIDUM

MANINIL 1,75 mg

COMPR. 1,75mg

BERLIN CHEMIE AG MENARINI GROUP

GERMA NIA

CUTIE X 1 FLAC. X 120 COMPR.

P- RF/ S 120 8,75 0,072916 0,056400 11,82 0,098500 0,076399 64

W41859

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 3,5 mg

COMPR. 3,5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 FLAC. PEID X 100 COMPR.

P- RF/ S 100 10,64 0,106400 0,040399 14,38 0,143800 0,054799 65

W41859

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 3,5 mg

COMPR. 3,5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

P- RF/ S #### 76,44 0,076440 0,040399 96,65 0,096650 0,054799 66

W53920

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ATB 3,5 MG

COMPR. 3,5mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 1,01 0,033666 0,033666 1,37 0,045666 0,045666 67

W41859

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 3,5 mg

COMPR. 3,5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 4,15 0,138333 0,040399 5,61 0,187000 0,054799 68

W07206

A10BB01

GLIBENCLAMIDUM

MANINIL 3,5 mg

COMPR. 3,5mg

BERLIN CHEMIE AG MENARINI GROUP

GERMA NIA

CUTIE X 1 FLAC. X 120 COMPR.

P- RF/ S 120 6,34 0,052833 0,040399 8,57 0,071416 0,054799 69

W53679

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 5 mg

COMPR. 5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 4,24 0,141333 0,141333 5,73 0,191000 0,191000 70

W54934

A10BB07

GLIPIZIDUM

GLIPIZIDA ATB 5mg

COMPR. 5mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P- 6L 30 11,49 0,383000 0,383000 15,53 0,517666 0,517666 71

W03348

A10BB07

GLIPIZIDUM

GLUCOTROL XL 10 mg

COMPR. FILM. ELIB. MODIF. 10mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN PEID,

PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E

P- RF 30 35,35 1,178333 1,178333 46,24 1,541333 1,541333 72

W03349

A10BB07

GLIPIZIDUM

GLUCOTROL XL 5mg

COMPR. FILM. ELIB. MODIF. 5mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL

P- RF 30 17,67 0,589000 0,459600 23,88 0,796000 0,621199 73

W03352

A10BB08

GLIQUIDONUM

GLURENORM

COMPR. 30mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMA NIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P- RF 60 20,38 0,339666 0,339666 27,55 0,459166 0,459166 74

W42334

A10BB09

GLICLAZIDUM

ESQUEL (R) 80 mg

COMPR. 80mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 2 BLIST. X 15 COMPR.

P6 L 30 9,71 0,323666 0,323666 13,13 0,437666 0,437666 75

W59674

A10BB09

GLICLAZIDUM

GLYCLADA 60 mg

COMPR. CU ELIB. MODIF. 60mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. CU ELIB. MODIF.

PR F 60 21,90 0,365000 0,365000 29,60 0,493333 0,493333 76

W08547

A10BB09

GLICLAZIDUM

DIAPREL MR

COMPR. ELIB. MODIF. 30mg

LES LABORATOIRES SERVIER

FRANT A

CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF.

P- RF 60 18,67 0,311166 0,240799 25,24 0,420666 0,325600 77

W55137

A10BB09

GLICLAZIDUM

DIAPREL MR 60 mg

COMPR. ELIB. MODIF. 60mg

LES LABORATOIRES SERVIER

FRANT A

CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.

P- RF 60 34,89 0,581500 0,438000 45,64 0,760666 0,592000 78

W61093

A10BB09

GLICLAZIDUM

GLICLAZIDA ZENTIVA 60 mg

COMPR. ELIB. MODIF. 60mg

ZENTIVA, K.S.

REPUB LICA CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 90 COMPR. ELIB. MODIF.

PR F 90 34,02 0,378000 0,378000 44,50 0,494444 0,494444 79

W54001

A10BB09

GLICLAZIDUM

GLYCLADA 30 mg

COMPR. ELIB. PREL. 30mg

KRKA

SLOVE NIA

CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL.

P- 6L 60 12,10 0,201666 0,201666 16,36 0,272666 0,272666 80

W57919

A10BB09

GLICLAZIDUM

GLICLAZIDA ATB 30 mg

COMPR. ELIB. PREL. 30mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.

P- RF 30 6,02 0,200666 0,200666 8,14 0,271333 0,271333 81

W54001

A10BB09

GLICLAZIDUM

GLYCLADA 30 mg

COMPR. ELIB. PREL. 30mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

P- 6L 60 12,10 0,201666 0,201666 16,36 0,272666 0,272666 82

W55760

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ATB 1 mg

COMPR. 1mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P- RF 30 3,08 0,102666 0,102666 4,16 0,138666 0,138666

53

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 83

W43299

A10BB12

GLIMEPIRIDUM

MEGLIMID 1 mg

COMPR. 1mg

KRKA D.D.

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 6,73 0,224333 0,123199 9,09 0,303000 0,166399 84

W57489

A10BB12

GLIMEPIRIDUM

AMARYL 1mg

COMPR. 1mg

SANOFI-AVENTIS ROMANIA S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P- RF 30 3,64 0,121333 0,121333 4,92 0,164000 0,164000 85

W44007

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDE 2 mg

COMPR. 2mg

ACTAVIS GROUP HF.

ISLAND A

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P- RF 30 3,97 0,132333 0,132333 5,36 0,178666 0,178666 86

W55761

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ATB 2 mg

COMPR. 2mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P- RF 30 5,08 0,169333 0,158800 6,87 0,229000 0,214399 87

W57490

A10BB12

GLIMEPIRIDUM

AMARYL 2 mg

COMPR. 2mg

SANOFI-AVENTIS ROMANIA S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P- RF 30 6,10 0,203333 0,158800 8,24 0,274666 0,214399 88

W43300

A10BB12

GLIMEPIRIDUM

MEGLIMID 2 mg

COMPR. 2mg

KRKA D.D.

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 13,35 0,445000 0,158800 18,04 0,601333 0,214399 89

W44010

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDE 3 mg

COMPR. 3mg

ACTAVIS GROUP HF.

ISLAND A

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P- RF 30 7,35 0,245000 0,245000 9,94 0,331333 0,331333 90

W43301

A10BB12

GLIMEPIRIDUM

MEGLIMID 3 mg

COMPR. 3mg

KRKA D.D.

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 18,49 0,616333 0,294000 24,99 0,833000 0,397600 91

W57492

A10BB12

GLIMEPIRIDUM

AMARYL 3 mg

COMPR. 3mg

SANOFI-AVENTIS ROMANIA S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P- RF 30 11,31 0,377000 0,294000 15,28 0,509333 0,397600 92

W55762

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ATB 3 mg

COMPR. 3mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P- RF 30 9,43 0,314333 0,294000 12,74 0,424666 0,397600 93

W57494

A10BB12

GLIMEPIRIDUM

AMARYL 4 mg

COMPR. 4mg

SANOFI-AVENTIS ROMANIA S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P- RF 30 11,61 0,387000 0,387000 15,69 0,523000 0,523000 94

W55763

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ATB 4 mg

COMPR. 4mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P- RF 30 10,62 0,354000 0,354000 14,36 0,478666 0,478666 95

W53365

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ACCORD 4mg

COMPR. 4mg

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P- 6L 30 10,64 0,354666 0,354666 14,38 0,479333 0,479333 96

W57495

A10BB12

GLIMEPIRIDUM

AMARYL 6 mg

COMPR. 6mg

SANOFI-AVENTIS ROMANIA S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P- RF 30 19,08 0,636000 0,636000 25,79 0,859666 0,859666 97

W42117

A10BD02

COMBINATII (METFORMINUM

GLIBENCLAMIDUM)

BIDIAB 400 mg/2,5 mg

CAPS. 400mg

2, 5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 5 CAPS.

P- RF/ S 500 178,17 0,356340 0,356340 217,51 0,435020 0,435020 98

W42117

A10BD02

COMBINATII (METFORMINUM

GLIBENCLAMIDUM)

BIDIAB 400 mg/2,5 mg

CAPS. 400mg

2, 5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 4 BLIST. AL/PVC X 5 CAPS.

P- RF 20 7,63 0,381500 0,381199 10,31 0,515500 0,515200 99

W10546

A10BD02

COMBINATII (METFORMINUM

GLIBENCLAMIDUM)

GLIBOMET (R)

COMPR. FILM. 400mg/2, 5mg

LAB. GUIDOTTI SPA

ITALIA

CUTIE X 3 BLIST. X 20 COMPR. FILM.

P- RF 60 19,06 0,317666 0,317666 25,76 0,429333 0,429333 100

W13594

A10BD02

COMBINATII (METFORMINUM

GLIBENCLAMIDUM)

GLUCOVANCE (R) 500 mg/2,5 mg

COMPR. FILM. 500mg/2, 5mg

MERCK SANTE

FRANT A

CUTIE X 4 BLIST. X 15 COMPR. FILM.

P- RF 60 20,35 0,339166 0,339166 27,50 0,458333 0,458333 101

W13594

A10BD02

COMBINATII (METFORMINUM

GLIBENCLAMIDUM)

GLUCOVANCE® 500 mg/2,5 mg

COMPR. FILM. 500mg/2, 5mg

MERCK SANTE

FRANT A

CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM.

P- RF 60 20,35 0,339166 0,339166 27,50 0,458333 0,458333 102

W13595

A10BD02

COMBINATII (METFORMINUM

GLIBENCLAMIDUM)

GLUCOVANCE® 500 mg/5 mg

COMPR. FILM. 500mg/5 mg

MERCK SANTE

FRANT A

CUTIE X 3 BLIST. PVC/AL X 20 COMPR. FILM.

P- RF 60 20,35 0,339166 0,339166 27,50 0,458333 0,458333 103

W13595

A10BD02

COMBINATII (METFORMINUM

GLIBENCLAMIDUM)

GLUCOVANCE (R) 500 mg/5 mg

COMPR. FILM. 500mg/5 mg

MERCK SANTE

FRANT A

CUTIE X 4 BLIST. X 15 COMPR. FILM.

P- RF 60 20,35 0,339166 0,339166 27,50 0,458333 0,458333 104

W52765

A10BD05

COMBINATII ( PIOGLITAZONUM

METFORMINUM)

COMPETACT

COMPR. FILM. 15mg/850 mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITAN IE

CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL )

P- RF 56 159,72 2,852142 2,852142 194,99 3,481964 3,481964 105

W53295

A10BD07

COMBINATII ( SITAGLIPTINUM

METFORMINUM)

JANUMET 50 mg/1000 mg

COMPR. FILM. 50mg/100 0mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

P- RF 28 77,39 2,763928 2,763928 97,85 3,494642 3,494642 106

W58716

A10BD10

COMBINATII ( SAXAGLIPTINUM

METFORMINUM)

KOMBOGLYZE 2,5/1000mg

COMPR. FILM. 2,5mg

10 00mg

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE CU BLIST. AL/AL NEPERFORATE CU 60 COMPR.FILM.

P- RF 60 168,58 2,809666 2,809666 205,80 3,430000 3,430000 107

W57947

A10BF01

ACARBOSUM

GLUCOBAY® 100

COMPR. 100mg

BAYER PHARMA AG

GERMA NIA

CUTIE X 8 BLIST. AL/PP X 15 COMPR.

P- RF 120 51,89 0,432416 0,432416 65,61 0,546750 0,546750 108

W57946

A10BF01

ACARBOSUM

GLUCOBAY® 50

COMPR. 50mg

BAYER PHARMA AG

GERMA NIA

CUTIE X 8 BLIST. AL/PP X 15 COMPR.

P- RF 120 39,95 0,332916 0,332916 52,25 0,435416 0,435416 109

W58660

A10BG03

PIOGLITAZONUM

ZIPION 15 mg

COMPR. 15 mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.

PR F 30 56,24 1,874666 1,465600 71,11 2,370333 1,916800 110

W58030

A10BG03

PIOGLITAZONUM

PIOGLITAZONA TORRENT 15 mg

COMPR. 15mg

TORRENT PHARMA S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PR F 30 43,89 1,463000 1,463000 57,41 1,913666 1,913666 111

W58503

A10BG03

PIOGLITAZONUM

GLIDIPION 15 mg

COMPR. 15mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

PR F 28 34,20 1,221428 1,221428 44,73 1,597500 1,597500 112

W58446

A10BG03

PIOGLITAZONUM

LISPECIP 15 mg

COMPR. 15mg

ALVOGEN IPCO S.A.R.L

LUXEM BURG

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR.

PR F 30 40,47 1,349000 1,349000 52,93 1,764333 1,764333 113

W58686

A10BG03

PIOGLITAZONUM

PIOGLITAZONA AUROBINDO 15 mg

COMPR. 15mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

PR F 30 64,41 2,147000 1,465600 81,44 2,714666 1,916800 114

W08069

A10BG03

PIOGLITAZONUM

ACTOS 15mg

COMPR. 15mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITAN IE

CUTIE X 28 COMPR. (BLIST. AL/AL)

P- RF 28 100,29 3,581785 1,465600 122,43 4,372500 1,916800

54

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 115

W60060

A10BG03

PIOGLITAZONUM

PIOGLITAZONA POLIPHARMA 15 mg

COMPR. 15mg

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR.

P6 L 30 36,64 1,221333 1,221333 47,92 1,597333 1,597333 116

W58661

A10BG03

PIOGLITAZONUM

ZIPION 30 mg

COMPR. 30 mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.

PR F 30 84,33 2,811000 2,811000 106,63 3,554333 3,554333 117

W58504

A10BG03

PIOGLITAZONUM

GLIDIPION 30 mg

COMPR. 30mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

PR F 28 67,20 2,400000 2,400000 84,97 3,034642 3,034642 118

W58687

A10BG03

PIOGLITAZONUM

PIOGLITAZONA AUROBINDO 30 mg

COMPR. 30mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

PR F 30 98,49 3,283000 2,880000 124,53 4,151000 3,641570 119

W58447

A10BG03

PIOGLITAZONUM

LISPECIP 30 mg

COMPR. 30mg

ALVOGEN IPCO S.A.R.L

LUXEM BURG

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR.

PR F 30 82,84 2,761333 2,761333 104,74 3,491333 3,491333 120

W08070

A10BG03

PIOGLITAZONUM

ACTOS 30mg

COMPR. 30mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITAN IE

CUTIE X 28 COMPR.(BLIST. AL/AL)

P- RF 28 150,92 5,390000 2,880000 184,24 6,580000 3,641570 121

W60061

A10BG03

PIOGLITAZONUM

PIOGLITAZONA POLIPHARMA 30 mg

COMPR. 30mg

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR.

P6 L 30 72,00 2,400000 2,400000 91,04 3,034666 3,034666 122

W58031

A10BG03

PIOGLITAZONUM

PIOGLITAZONA TORRENT 30 mg

COMPR. 30mg

TORRENT PHARMA S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PR F 30 86,35 2,878333 2,878333 109,18 3,639333 3,639333 123

W58662

A10BG03

PIOGLITAZONUM

ZIPION 45 mg

COMPR. 45 mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.

PR F 30 143,75 4,791666 3,840000 175,49 5,849666 4,855200 124

W58448

A10BG03

PIOGLITAZONUM

LISPECIP 45 mg

COMPR. 45mg

ALVOGEN IPCO S.A.R.L

LUXEM BURG

CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR.

PR F 30 116,90 3,896666 3,840000 142,71 4,757000 4,757000 125

W08071

A10BG03

PIOGLITAZONUM

ACTOS 45mg

COMPR. 45mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT CENTRE LTD

MAREA BRITAN IE

CUTIE X 28 COMPR.(BLIST. AL/AL)

P- RF 28 206,41 7,371785 3,840000 251,99 8,999642 4,855200 126

W58505

A10BG03

PIOGLITAZONUM

GLIDIPION 45 mg

COMPR. 45mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. AL/AL X 28 COMPR. (BLIST. TIP CALENDAR)

PR F 28 89,60 3,200000 3,200000 113,29 4,046071 4,046071 127

W58032

A10BG03

PIOGLITAZONUM

PIOGLITAZONA TORRENT 45 mg

COMPR. 45mg

TORRENT PHARMA S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC-AL X 30 COMPR.

PR F 30 118,80 3,960000 3,840000 145,03 4,834333 4,834333 128

W60062

A10BG03

PIOGLITAZONUM

PIOGLITAZONA POLIPHARMA 45 mg

COMPR. 45mg

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10 COMPR.

P6 L 30 96,00 3,200000 3,200000 121,38 4,046000 4,046000 129

W58688

A10BG03

PIOGLITAZONUM

PIOGLITAZONA AUROBINDO 45 mg

COMPR. 45mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

PR F 30 130,18 4,339333 3,840000 158,92 5,297333 4,855200 130

W51928

A10BH01

SITAGLIPTINUM

JANUVIA 100mg

COMPR. FILM. 100mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)

P- RF 28 160,75 5,741071 5,741071 196,24 7,008571 7,008571 131

W54993

A10BH03

SAXAGLIPTIN

ONGLYZA

COMPR. FILM. 5 mg

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM.

P- RF 30 161,70 5,390000 5,390000 197,40 6,580000 6,580000 132

W56718

A10BX02

REPAGLINIDUM

RENEOS 0,5 mg

COMPR. 0,5 mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR.

PR F 90 20,20 0,224444 0,224444 27,30 0,303333 0,303333 133

W54877

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 0,5 mg

COMPR. 0,5mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 270 COMPR. FILM.

P- RF 270 131,98 0,488814 0,269333 161,12 0,596740 0,364000 134

W54877

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 0,5 mg

COMPR. 0,5mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.

P- RF 90 45,59 0,506555 0,269333 59,63 0,662555 0,364000 135

W54877

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 0,5 mg

COMPR. 0,5mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 120 COMPR. FILM.

P- RF 120 59,73 0,497750 0,269333 75,52 0,629333 0,364000 136

W54877

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 0,5 mg

COMPR. 0,5mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P- RF 30 15,20 0,506666 0,269333 20,54 0,684666 0,364000 137

W56719

A10BX02

REPAGLINIDUM

RENEOS 1 mg

COMPR. 1 mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR.

PR F 90 20,20 0,224444 0,224444 27,30 0,303333 0,303333 138

W54878

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 1 mg

COMPR. 1mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P- RF 30 20,15 0,671666 0,269333 27,24 0,908000 0,364000 139

W54878

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 1 mg

COMPR. 1mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 270 COMPR. FILM.

P- RF 270 175,06 0,648370 0,269333 213,71 0,791518 0,364000 140

W54878

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 1 mg

COMPR. 1mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.

P- RF 90 59,40 0,660000 0,269333 75,11 0,834555 0,364000 141

W54878

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 1 mg

COMPR. 1mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 120 COMPR. FILM.

P- RF 120 79,22 0,660166 0,269333 100,16 0,834666 0,364000

55

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 142

W56720

A10BX02

REPAGLINIDUM

RENEOS 2 mg

COMPR. 2 mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR.

PR F 90 20,20 0,224444 0,224444 27,30 0,303333 0,303333 143

W54879

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 2 mg

COMPR. 2mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 270 COMPR. FILM.

P- RF 270 213,89 0,792185 0,269333 261,12 0,967111 0,364000 144

W54879

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 2 mg

COMPR. 2mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P- RF 30 24,64 0,821333 0,269333 33,30 1,110000 0,364000 145

W54879

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 2 mg

COMPR. 2mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.

P- RF 90 72,61 0,806777 0,269333 91,81 1,020111 0,364000 146

W54879

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 2 mg

COMPR. 2mg

FARMAL INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 120 COMPR. FILM.

P- RF 120 96,81 0,806750 0,269333 122,41 1,020083 0,364000 147

W60301

A10BX04

EXENATIDUM

BYDUREON 2 mg

PULB.

SOLV. PT. SUSP. INJ. CU ELIB. PREL. 2 mg

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.

1SERINGA PREUMPLUTAX0,65ML SOLVEN

PR F 4 380,67 95,167500 95,167500 453,08 113,270000 113,270000 148

W57092

A10BX04

EXENATIDUM

BYDUREON 2 mg

PULB.

SOLV. PT. SUSP. INJ. CU ELIB. PREL. 2 mg

ELI LILLY NEDERLAND BV

OLAND A

AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.

1SERINGA PREUMPLUTAX0,65ML SOLVEN

PR F 4 380,67 95,167500 95,167500 453,08 113,270000 113,270000 149

W52269

A10BX04

EXENATIDUM

BYETTA 10mcg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU T 10mcg/do za

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P- RF 1 314,81 314,810000 314,810000 381,29 381,290000 381,290000 150

W60353

A10BX04

EXENATIDUM

BYETTA 10μg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU T 10μg/doz a

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P- RF 1 314,81 314,810000 314,810000 381,29 381,290000 381,290000 151

W52268

A10BX04

EXENATIDUM

BYETTA 5mcg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU T 5mcg/doz a

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P- RF 1 303,47 303,470000 303,470000 368,93 368,930000 368,930000 152

W60352

A10BX04

EXENATIDUM

BYETTA 5μg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU T 5μg/doza

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P- RF 1 303,47 303,470000 303,470000 368,93 368,930000 368,930000 153

W59381

A10BX09

DAPAGLIFOZINUM

FORXIGA 10 mg

COMPR. FILM. 10mg

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNITATE DOZATA)

PR F 30 162,69 5,423000 5,423000 198,61 6,620333 6,620333 154

W61097

A11DA03

BENFOTIAMINUM

BENFOTIAMINA BIOMEDIAL 300 mg

COMPR. FILM. 300mg

BIOMEDIAL PHARMA S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM.

P6 L 30 106,68 3,556000 3,556000 130,23 4,341000 4,341000 155

W41932

A11DA03

BENFOTIAMINUM

BENFOGAMMA

DRAJ. 50mg

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P- 6L 50 21,25 0,425000 0,425000 28,72 0,574400 0,574400 156

W01610

A11DBN1

COMBINATII**

MILGAMMA (R) N

CAPS. MOI

FARA CONCEN TRATIE

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI

P- 6L 50 35,84 0,716800 0,716800 46,88 0,937600 0,937600 157

W42092

A11DBN1

COMBINATII**

MILGAMMA (R) 100

100mg

DRAJ. 100mg

1 00mg

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ.

P- 6L 60 71,14 1,185666 1,185666 89,95 1,499166 1,499166 158

W01731

A11DBN1

COMBINATII**

MILGAMMA (R) (vezi B03BA51)

DRAJ.

FARA CONCEN TRATIE

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.

P- 6L 50 35,84 0,716800 0,716800 46,88 0,937600 0,937600 159

W01611

A11DBN1

COMBINATII**

MILGAMMA (R) N

SOL. INJ.

FARA CONCEN TRATIE

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P- RF 5 13,70 2,740000 2,740000 18,52 3,704000 3,704000 160

W41647

A11DBN1

COMBINATII**

MILGAMMA (R) NA

SOL. INJ.

FARA CONCEN TRATIE

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1 ML

P- RF 5 13,70 2,740000 2,740000 18,52 3,704000 3,704000

56

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.1: HEMOFILIE SI TALASEMIE

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 1

W13336

B02BD02

FACTOR VIII DE COAGULARE**

EMOCLOT 500 UI

PULB.

SOL V. 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.

S 1 456,00 456,000000 456,000000 535,19 535,190000 535,190000 2

W61061

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 1000UI

PULB.

SOL. PT. SOL. INJ. 1000 UI

PFIZER LIMITED

MAREA BRITAN IE

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 2.226,90 2.226,900000 2.226,900000 2.465,47 2.465,470000 2.465,470000 3

W61062

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 2000UI

PULB.

SOL. PT. SOL. INJ. 2000 UI

PFIZER LIMITED

MAREA BRITAN IE

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 4.853,36 4.853,360000 4.853,360000 5.328,32 5.328,320000 5.328,320000 4

W61059

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 250UI

PULB.

SOL. PT. SOL. INJ. 250 UI

PFIZER LIMITED

MAREA BRITAN IE

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 1 599,90 599,900000 599,900000 692,04 692,040000 692,040000 5

W61060

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 500UI

PULB.

SOL. PT. SOL. INJ. 500 UI

PFIZER LIMITED

MAREA BRITAN IE

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 1.162,85 1.162,850000 547,200000 1.305,66 1.305,660000 642,228000 6

W54970

B02BD02

OCTOCOG ALFA**

RECOMBINATE 1000 UI

PULB

SOL V. PT. SOL. INJ. 1000UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. PULB.

1 FLAC. SOLV.

DISPOZITIV PT. RECONST. (BAXJECT II)

1 SERINGA

1 SET MINI- PERF.

2 TAMP. ALCOOL

2 PLAST.

S/P RF 1 2.393,60 2.393,600000 2.393,600000 2.647,18 2.647,180000 2.647,180000 7

W59904

B02BD02

OCTOCOG ALFA**

RECOMBINATE 1000 UI/5 ml

PULB

SOL V. PT. SOL. INJ. 1000UI/5 ml

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ., 1 FLAC CU 5 ML SOLV., 1 SERINGA DIN PLASTIC DE UNICA FOLOSINTA, 1 DISPOZITIV PT. RECONSTITUIRE (BAXJECT II),

UN SET DE MINI-PERFUZARE STERIL, 2 TAMPOANE CU ALCOOL MEDICINAL SI 2 PLASTURI

PR F 1 2.393,60 2.393,600000 2.393,600000 2.647,18 2.647,180000 2.647,180000 8

W54968

B02BD02

OCTOCOG ALFA**

RECOMBINATE 250 UI

PULB

SOL V. PT. SOL. INJ. 250UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. PULB.

1 FLAC. SOLV.

DISPOZITIV PT. RECONST. (BAXJECT II)

1 SERINGA

1 SET MINI- PERF.

2 TAMP. ALCOOL

2 PLAST.

S/P RF 1 620,90 620,900000 620,900000 714,93 714,930000 714,930000 9

W59902

B02BD02

OCTOCOG ALFA**

RECOMBINATE 250 UI/5 ml

PULB

SOL V. PT. SOL. INJ. 250UI/5ml

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ., 1 FLAC CU 5 ML SOLV., 1 SERINGA DIN PLASTIC DE UNICA FOLOSINTA, 1 DISPOZITIV PT. RECONSTITUIRE (BAXJECT II),

UN SET DE MINI-PERFUZARE STERIL, 2 TAMPOANE CU ALCOOL MEDICINAL SI 2 PLASTURI

PR F 1 620,90 620,900000 620,900000 714,93 714,930000 714,930000 10

W54969

B02BD02

OCTOCOG ALFA**

RECOMBINATE 500 UI

PULB

SOL V. PT. SOL. INJ. 500UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. PULB.

1 FLAC. SOLV.

DISPOZITIV PT. RECONST. (BAXJECT II)

1 SERINGA

1 SET MINI- PERF.

2 TAMP. ALCOOL

2 PLAST.

S/P RF 1 1.211,80 1.211,800000 547,200000 1.359,01 1.359,010000 642,228000 11

W51449

B02BD02

OCTOCOG ALFA**

ADVATE 1000UI

PULB

SOL V.PT.SOL.I NJ 1000UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC. CU PULB.

1 FLAC. X 5 ML APA PT. SOL. INJ.

1 DISPOZITIV BAXJECT II

P- RF/ R 1 2.482,35 2.482,350000 2.482,350000 2.743,92 2.743,920000 2.743,920000 12

W61172

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 1000UI

PULB

SOL V.PT.SOL.I NJ 1000UI

BAYER PHARMA AG

GERMA NIA

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 2.486,60 2.486,600000 2.486,600000 2.748,55 2.748,550000 2.748,550000 13

W61175

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 2000UI

PULB

SOL V.PT.SOL.I NJ 2000UI

BAYER PHARMA AG

GERMA NIA

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 4.943,22 4.943,220000 4.943,220000 5.426,27 5.426,270000 5.426,270000 14

W61168

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 250UI

PULB

SOL V.PT.SOL.I NJ 250UI

BAYER PHARMA AG

GERMA NIA

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 1 654,52 654,520000 654,520000 751,58 751,580000 751,580000 15

W51448

B02BD02

OCTOCOG ALFA**

ADVATE 500UI

PULB

SOL V.PT.SOL.I NJ 500 UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC. CU PULB.

1 FLAC. X 5 ML APA PT. SOL. INJ.

1 DISPOZITIV BAXJECT II

P- RF/ R 1 1.280,02 1.280,020000 547,200000 1.433,37 1.433,370000 642,228000 16

W61170

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 500UI

PULB

SOL V.PT.SOL.I NJ 500UI

BAYER PHARMA AG

GERMA NIA

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 1.269,02 1.269,020000 547,200000 1.421,38 1.421,380000 642,228000

57

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 17

W53183

B02BD02

OCTOCOG ALFA**

ADVATE 2000UI

PULB

SOL V.PT.SOL.I NJ. 2000 UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC CU PULB.

1 FLAC. X 5 ML SOLVENT

1 DISPOZITIV BAXJECT II

P- RF/ R 1 5.318,10 5.318,100000 5.318,100000 5.834,89 5.834,890000 5.834,890000 18

W51447

B02BD02

OCTOCOG ALFA**

ADVATE 250UI

PULB

SOL V.PT.SOL.I NJ. 250 UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC CU PULB.

1 FLAC. X 5 ML APA PT. SOL. INJ.

1 DISPOZITIV BAXJECT II

P- RF/ R 1 691,02 691,020000 691,020000 791,36 791,360000 791,360000 19

W53185

B02BD02

OCTOCOG ALFA**

ADVATE 3000UI

PULB

SOL V.PT.SOL.I NJ. 3000 UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC CU PULB.

1 FLAC. X 5 ML SOLVENT

1 DISPOZITIV BAXJECT II

P- RF/ R 1 7.962,15 7.962,150000 7.962,150000 8.716,90 8.716,900000 8.716,900000 20

W52173

B02BD03

COMPLEX DE ANTIINHIBITORI AI COAGULARII**

FEIBA NF 1000 U FEIBA

PULB.

SOL V. PT. SOL. INJ. 1000 U

BAXTER A.G.

AUSTRI A

CUTIE X 1 FLACON FEIBA NF 1000U FEIBA PULB. PT. SOL. INJ.

1 FLAC. CU SOLV.

1 DISP. BAXJECT II HI-FLOW1- FARA ACE PT. TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR-O SER. DE UNICA FOLOS.

1AC DE UNICA FOLOS

1AC FLUTURE CU OPRITOR (SET. PT. INJ.)

PR 1 2.849,24 2.849,240000 2.849,240000 3.143,83 3.143,830000 3.143,830000 21

W52172

B02BD03

COMPLEX DE ANTIINHIBITORI AI COAGULARII**

FEIBA NF 500 U FEIBA

PULB.

SOL V. PT. SOL. INJ. 500 U

BAXTER A.G.

AUSTRI A

CUTIE X 1 FLACON FEIBA NF 500U FEIBA PULB. PT. SOL. INJ.

1 FLAC. CU SOLV.

1 DISP. BAXJECT II HI-FLOW1- FARA ACE PT. TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR-O SER. DE UNICA FOLOS.

1AC DE UNICA FOLOS

1AC FLUTURE CU OPRITOR (SET. PT. INJ.)

PR 1 1.421,28 1.421,280000 1.421,280000 1.587,35 1.587,350000 1.587,350000 22

W58659

B02BD04

FACTOR IX DE COAGULARE**

BETAFACT 50 UI/ml

PULB

SOL V. PT. SOL. INJ. 50 UI/ml

LFB - BIOMEDICAMENTS

FRANT A

CUTIE CU 1 FLAC. DIN STICLA CU PULB. (250 UI/5 ML)

1 FLAC. STICLA X 5 ML SOLV. PT. SOL. INJ.

SISTEM DE TRANSFER SI 1 AC CU FILTRU

PR 1 487,95 487,950000 487,950000 570,02 570,020000 570,020000 23

W58659

B02BD04

FACTOR IX DE COAGULARE**

BETAFACT 50 UI/ml

PULB

SOL V. PT. SOL. INJ. 50 UI/ml

LFB - BIOMEDICAMENTS

FRANT A

CUTIE CU 1 FLAC. DIN STICLA CU PULB. (500 UI/10 ML)

1 FLAC. STICLA X 10 ML SOLV. PT. SOL. INJ.

SISTEM DE TRANSFER SI 1 AC CU FILTRU

PR 1 945,90 945,900000 945,900000 1.069,18 1.069,180000 1.069,180000 24

W43970

B02BD04

FACTOR IX DE COAGULARE**

IMMUNINE 1200 UI

PULB.

SOL V. PT. SOL. INJ./PERF. 1200UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF.

1 FLAC. X 10 ML SOLV.

1 SET DE RECONSTITUIRE SI ADMI

S 1 1.685,69 1.685,690000 1.685,690000 1.875,55 1.875,550000 1.875,550000 25

W60173

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 1000UI

PULB

SOL V.PT.SOL.I NJ 1000UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

1 SERINGA UMPLUTA. X 5ML SOL. INJ.

1 SET STERIL DE PERF.

PR 1 2.519,23 2.519,230000 2.519,230000 2.784,11 2.784,110000 2.784,110000 26

W60172

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 2000UI

PULB

SOL V.PT.SOL.I NJ 2000UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

1 SERINGA UMPLUTA. X 5ML SOL. INJ.

1 SET STERIL DE PERF.

PR 1 5.008,50 5.008,500000 5.008,500000 5.497,42 5.497,420000 5.497,420000 27

W60175

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 250UI

PULB

SOL V.PT.SOL.I NJ 250UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

1 SERINGA UMPLUTA. X 5ML SOL. INJ.

1 SET STERIL DE PERF.

PR 1 712,99 712,990000 585,540000 815,31 815,310000 684,024000 28

W60174

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 500UI

PULB

SOL V.PT.SOL.I NJ 500UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

1 SERINGA UMPLUTA. X 5ML SOL. INJ.

1 SET STERIL DE PERF.

PR 1 1.262,20 1.262,200000 1.135,080000 1.413,95 1.413,950000 1.283,016000 29

W58455

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

WILATE 1000 1000 UI FVIII/1000 UI FVW

PULB

SOL V. PT. SOL. INJ 1000 UI FVIII/1000 UI FVW

OCTAPHARMA (IP) LTD.

MAREA BRITAN IE

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 1.734,00 1.734,000000 1.734,000000 1.928,21 1.928,210000 1.928,210000 30

W58454

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

WILATE 500 500 UI FVIII/500 UI FVW

PULB

SOL V. PT. SOL. INJ 500 UI FVIII/500 UI FVW

OCTAPHARMA (IP) LTD.

MAREA BRITAN IE

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 1 882,00 882,000000 882,000000 999,53 999,530000 999,530000 31

W58406

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 1000 UI

PULB.

SOL V. PT. SOL. INJ. 1000UI

BAXTER AG

AUSTRI A

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 1.234,15 1.234,150000 1.234,150000 1.383,38 1.383,380000 1.383,380000

58

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 32

W58404

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 250 UI

PULB.

SOL V. PT. SOL. INJ. 250UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ.

1 FLAC. MONODOZA CU SOLV.

1 SET DE TRANSFER/FILTRU

1 SERINGA DE UNICA FOLOSINTA (5ML)

1 AC DE UNICA FOLOSINTA

1 SET DE PERFUZIE

PR 1 302,86 302,860000 302,860000 368,27 368,270000 368,270000 33

W58405

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 500 UI

PULB.

SOL V. PT. SOL. INJ. 500UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ.

1 FLAC. MONODOZA CU SOLV.

1 SET DE TRANSFER/FILTRU

1 SERINGA DE UNICA FOLOSINTA (5ML)

1 AC DE UNICA FOLOSINTA

1 SET DE PERFUZIE

PR 1 580,68 580,680000 580,680000 671,09 671,090000 671,090000 34

W02408

V03AC01

DEFEROXAMINUM** 3)

DESFERAL

LIOF. PT. SOL. INJ./PERF. 500mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

S/P RF 10 110,64 11,064000 11,064000 135,07 13,507000 13,507000 35

W51484

V03AC03

DEFERASIROXUM

EXJADE 125mg

COMPR. DISP. 125mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

PR 28 687,54 24,555000 24,555000 787,57 28,127500 28,127500 36

W51485

V03AC03

DEFERASIROXUM

EXJADE 250mg

COMPR. DISP. 250mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR 28 1.461,36 52,191428 52,191428 1.631,03 58,251071 58,251071 37

W51486

V03AC03

DEFERASIROXUM

EXJADE 500mg

COMPR. DISP. 500mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR 28 2.660,12 95,004285 95,004285 2.937,68 104,917142 104,917142

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

59

P6.2: EPIDERMOLIZA BULOASA

1

W53799

D05BB02

ACITRETINUM

NEOTIGASON 10 mg

CAPS. 10mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE X 3 BLIST. AL/PVC-PVDC X 10 CAPS.

P- RF 30 59,11 1,970333 1,970333 74,74 2,491333 2,491333 2

W54946

D06AA04

TETRACYCLINUM

TETRACICLINA ATB 30 mg/g

UNGUENT 30mg/g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 TUB AL X 12 G UNGUENT

P- RF 1 5,70 5,700000 5,700000 7,70 7,700000 7,700000 3

W59985

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

CREMA 20mg/g

LEO PHARMA A/S

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF 1 8,83 8,830000 8,830000 11,94 11,940000 11,940000 4

W10102

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

CREMA 20mg/g

LEO PHARMACEUTICAL PRODUCTS

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF 1 8,83 8,830000 8,830000 11,94 11,940000 11,940000 5

W59986

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

UNGUENT 20mg/g

LEO PHARMA A/S

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P- RF 1 9,09 9,090000 9,090000 12,28 12,280000 12,280000 6

W08442

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

UNGUENT 20mg/g

LEO PHARMACEUTICAL PRODUCTS

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P- RF 1 9,09 9,090000 9,090000 12,28 12,280000 12,280000 7

W54309

D06BA01

SULFADIAZINUM

FLAMMAZINE

CREMA 1%

CN UNIFARM

ROMAN IA

BORCAN X 500 G CREMA

PR F 1 76,53 76,530000 76,530000 96,76 96,760000 96,760000 8

W12411

D07CA01

COMBINATII (ACIDUM FUSIDICUM

HYDROCORTISONUM)

FUCIDIN H

CREMA

FARA CONCEN TRATIE

LEO PHARMACEUTICAL PRODUCTS

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF 1 15,00 15,000000 15,000000 20,28 20,280000 20,280000 9

W60525

D07CA01

COMBINATII (ACIDUM FUSIDICUM

HYDROCORTISONUM)

FUCIDIN H

CREMA

FARA CONCEN TRATIE

LEO PHARMA A/S

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF 1 15,00 15,000000 15,000000 20,28 20,280000 20,280000 10

W59725

D07CC01

BETAMETHASONUM

GENTAMICINUM

CL OTRIMAZOLUM

TRESYL

CREMA

FARA CONCEN TRATIE

FITERMAN PHARMA S.R.L.

ROMAN IA

CUTIE CU 1 TUB DIN AL FILMAT LA INTERIOR CU LAC EPOXIFENOLIC X 15 G CREMA

P6 L 1 7,33 7,330000 7,330000 9,91 9,910000 9,910000 11

W57219

D07CC01

COMBINATII

TRIDERM®

CREMA 0,5mg

10 mg

1mg/ g

MERCK SHARP & DOHME

ROMAN IA

CUTIE X 1 TUB AL X 15 G

P- RF 1 11,28 11,280000 11,280000 15,24 15,240000 15,240000 12

W57648

D07CC01

COMBINATII

DIPROGENTA 0,5 mg/1 mg pe gram

CREMA 0,5mg/1m g/g

MERCK SHARP & DOHME

ROMAN IA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF 1 9,26 9,260000 9,260000 12,51 12,510000 12,510000 13

W57224

D07CC01

COMBINATII

TRIDERM

UNGUENT 0,5mg

10 mg

1mg/ g

MERCK SHARP & DOHME

ROMAN IA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P- RF 1 11,28 11,280000 11,280000 15,24 15,240000 15,240000 14

W57649

D07CC01

COMBINATII

DIPROGENTA 0,5 mg/1 mg pe gram

UNGUENT 0,5mg/1m g/g

MERCK SHARP & DOHME

ROMAN IA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P- RF 1 9,26 9,260000 9,260000 12,51 12,510000 12,510000 15

W59984

D07CC01

COMBINATII (ACIDUM FUSIDICUM

BETAMETHASONUM)

FUCICORT 20 mg/1mg pe gram

CREMA 20mg/1m g pe gram

LEO PHARMA A/S

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF 1 15,88 15,880000 15,880000 21,46 21,460000 21,460000 16

W10463

D07CC01

COMBINATII (ACIDUM FUSIDICUM

BETAMETHASONUM)

FUCICORT 20 mg/1mg pe gram

CREMA 20mg/1m g pe gram

LEO PHARMACEUTICAL PRODUCTS

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF 1 15,88 15,880000 15,880000 21,46 21,460000 21,460000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 17

W12701

J01AA07

TETRACYCLINUM

TETRACICLINA ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 2,21 0,110500 0,110500 2,99 0,149500 0,149500 18

W56910

J01AA07

TETRACYCLINUM

TETRACICLINA ATB 250 mg

CAPS. 250mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

PR F 20 4,79 0,239500 0,125304 6,47 0,323500 0,158448 19

W12701

J01AA07

TETRACYCLINUM

TETRACICLINA ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMAN IA

CUTIE X 50 BLIST. AL/PVC X 10 CAPS.

P- RF/ S 500 52,21 0,104420 0,104420 66,02 0,132040 0,132040 20

W12143

N03AB02

PHENYTOINUM

FENITOINA RICHTER 100 mg

COMPR. 100mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 2 BLIST. X 10 COMPR.

P- 6L 20 2,05 0,102500 0,102500 2,77 0,138500 0,138500 21

W55235

N03AB02

PHENYTOINUM

PHENHYDAN 250 mg/5 ml

SOL. INJ. 250mg/5 ml

DESITIN ARZNEIMITTEL GMBH

GERMA NIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P- RF 5 53,57 10,714000 10,714000 67,73 13,546000 13,546000

60

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.3: HIPERTENSIUNE PULMONARA

1

W43049

C02KX01

BOSENTANUM**

TRACLEER 125 mg

COMPR. FILM. 125mg

ACTELION REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P- RF/ R 56 9.529,79 170,174821 170,174821 10.425,63 186,171964 186,171964 2

W43048

C02KX01

BOSENTANUM**

TRACLEER 62,5 mg

COMPR. FILM. 62,5mg

ACTELION REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P- RF/ R 56 9.200,67 164,297678 164,297678 10.066,89 179,765892 179,765892 3

W52981

C02KX02

AMBRISENTANUM**

VOLIBRIS 10mg

COMPR. FILM. 10mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 30 COMP. FILM (BLIST. PVC/PVDC/AL)

P- RF/ R 30 8.848,19 294,939666 294,939666 9.682,69 322,756333 322,756333 4

W52980

C02KX02

AMBRISENTANUM**

VOLIBRIS 5mg

COMPR. FILM. 5mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 30 COMP. FILM (BLIST. PVC/PVDC/AL)

P- RF/ R 30 8.848,19 294,939666 294,939666 9.682,69 322,756333 322,756333 5

W42831

G04BE03

SILDENAFILUM**

REVATIO 20 mg

COMPR. FILM. 20mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM.

PR 90 1.873,53 20,817000 20,817000 2.080,30 23,114444 23,114444 6

W60083

G04BE03

SILDENAFILUM**

REVATIO 10mg/ml

SUSP. ORALA 10mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE CU UN FLACON DIN STICLA BRUNA CE CONTINE 32,27 G DE PULBERE PENTRU SUSP. ORALA

PR 1 1.033,53 1.033,530000 1.033,530000 1.164,70 1.164,700000 1.164,700000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.4: MUCOVISCIDOZA

1

W56031

A09AA02

PANCREATINUM**

KREON 40000

CAPS. GASTROR EZ. 400mg

ABBOTT PRODUCTS GMBH

GERMA NIA

CUTIE X UN FLACON DIN PEID CU 50 CAPS. GASTROREZ.

P- 6L 50 111,16 2,223200 2,223200 135,70 2,714000 2,714000 2

W58242

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR. CU ELIB. PREL. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.

PR F 7 23,71 3,387142 1,405714 32,05 4,578571 1,899428 3

W59000

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. ELIB. PREL. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.

PR F 6 21,73 3,621666 1,405714 29,37 4,895000 1,899428 4

W14043

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 12,35 0,882142 0,647142 16,69 1,192142 0,874285 5

W01326

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR. FILM. 250mg

ABBOTT SPA

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P- RF 14 21,14 1,510000 0,647142 28,57 2,040714 0,874285 6

W58998

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250 mg

COMPR. FILM. 250mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PR F 14 8,39 0,599285 0,599285 11,34 0,810000 0,810000 7

W08490

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P- RF 14 12,35 0,882142 0,647142 16,69 1,192142 0,874285 8

W60253

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR. FILM. 250mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.

PR F 14 8,40 0,600000 0,600000 11,36 0,811428 0,811428 9

W44093

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg

COMPR. FILM. 250mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

P- RF 14 10,85 0,775000 0,647142 14,67 1,047857 0,874285 10

W61223

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 250 mg

COMPR. FILM. 250mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PR F 14 7,55 0,539285 0,539285 10,20 0,728571 0,728571 11

W54044

J01FA09

CLARITHROMYCINUM

ROCLARIN 500 mg

COMPR. FILM. 500mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR. FILM.

P- RF 20 33,14 1,657000 1,405714 43,35 2,167500 1,899428 12

W60254

J01FA09

CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR. FILM. 500mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 14 COMPR. FILM.

PR F 14 24,13 1,723571 1,405714 32,62 2,330000 1,899428 13

W08491

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

P- RF 14 24,13 1,723571 1,405714 32,62 2,330000 1,899428

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 14

W58999

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. FILM. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PR F 14 18,22 1,301428 1,301428 24,62 1,758571 1,758571 15

W44087

J01FA09

CLARITHROMYCINUM

KLABAX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM.

P- RF 14 23,73 1,695000 1,405714 32,08 2,291428 1,899428 16

W56269

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM. 500mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P- RF 20 40,76 2,038000 1,405714 53,31 2,665500 1,899428 17

W14044

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 24,13 1,723571 1,405714 32,62 2,330000 1,899428 18

W61224

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 500 mg

COMPR. FILM. 500mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PR F 14 16,40 1,171428 1,171428 22,16 1,582857 1,582857 19

W44088

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF. 500mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P- RF 7 25,34 3,620000 1,405714 33,15 4,735714 1,899428 20

W13607

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL. 500mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P- RF 5 27,85 5,570000 1,405714 36,43 7,286000 1,899428 21

W41838

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL. 500mg

KRKA D.D.

SLOVE NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P- RF 7 20,78 2,968571 1,405714 28,09 4,012857 1,899428 22

W44092

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5 ml

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP. ORALA

P- RF 1 14,01 14,010000 14,010000 18,94 18,940000 18,940000 23

W42258

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5 ml

SANDOZ SRL

ROMAN IA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA

LINGURITA DOZATOARE PP

P- RF 1 19,39 19,390000 16,812000 26,21 26,210000 22,728000 24

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP. ORALA 125mg/5 ml

ABBOTT SPA

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P- RF 1 29,92 29,920000 29,920000 39,14 39,140000 39,140000 25

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP. ORALA 125mg/5 ml

ABBOTT SPA

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P- RF 1 18,11 18,110000 16,812000 24,48 24,480000 22,728000 26

W06981

J01FA09

CLARITHROMYCINUM

FROMILID (R) 125 mg/5 ml

GRAN. PT. SUSP. ORALA 125mg/5 ml

KRKA D.D.

SLOVE NIA

CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P- RF 1 17,24 17,240000 16,812000 23,30 23,300000 22,728000 27

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5 ml

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP. ORALA

P- RF 1 39,06 39,060000 39,060000 51,09 51,090000 51,090000 28

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5 ml

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP. ORALA

P- RF 1 23,44 23,440000 23,440000 31,68 31,680000 31,680000 29

W58393

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA 250mg/5 ml

SANDOZ S.R.L.

ROMAN IA

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

PR F 1 21,29 21,290000 21,290000 28,78 28,780000 28,780000 30

W01329

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF. 500mg

ABBOTT LABORATORIES LTD.

FRANT A

CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

S/P RF 1 41,12 41,120000 41,120000 53,78 53,780000 53,780000 31

W52060

J01GB01

TOBRAMYCINUM**

TOBI (R)

SOL. INHAL. 300mg/5 ml

NOVARTIS PHARMA GMBH

GERMA NIA

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 8.112,06 144,858214 144,858214 8.880,31 158,576964 158,576964 32

W61214

R05CB13

DORNAZA ALFA**

PULMOZYME 2500 U/2,5 ml

SOL. DE INHALAT PRIN NEBULIZAT OR 2500U/2,5 ml

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC,

DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR,

INTRODUSE INTR-O PUNGA DIN AL

PR 6 416,77 69,461666 69,461666 492,43 82,071666 82,071666 33

W51323

R05CB13

DORNAZA ALFA**

PULMOZYME

SOL. INHAL. 1mg/ml

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR,

INTRODUSE IN PUNGA AL

S/P RF 6 416,77 69,461666 69,461666 492,43 82,071666 82,071666

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

61

P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE

1

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

S 1 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,460000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 2

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

S 1 3.821,35 3.821,350000 3.821,350000 4.203,43 4.203,430000 4.203,430000 3

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

S 1 202,26 202,260000 202,260000 246,92 246,920000 246,920000 4

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

S 1 925,45 925,450000 909,000000 1.046,89 1.046,890000 1.036,596000 5

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

S 1 1.857,75 1.857,750000 1.782,000000 2.063,10 2.063,100000 1.988,160000 6

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF. 10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 1.485,00 1.485,000000 1.485,000000 1.656,80 1.656,800000 1.656,800000 7

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF. 1g/20ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 197,39 197,390000 197,390000 240,98 240,980000 240,980000 8

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF. 2,5g/50ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 393,75 393,750000 393,750000 467,34 467,340000 467,340000 9

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF. 50mg/ml

INSTITUTO GRIFOLS S.A.

SPANIA

CUTIE X 1 FLAC. X 10 ML SOL. PERF.

S 1 102,55 102,550000 102,550000 125,19 125,190000 125,190000 10

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF. 5g/100ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 757,50 757,500000 757,500000 863,83 863,830000 863,830000

62

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

W12590

N07XX02

RILUZOLUM**

RILUTEK 50 mg

COMPR. FILM. 50mg

AVENTIS PHARMA SA

FRANT A

CUTIE X 4 BLIST. X 14 COMPR.

PR 56 535,66 9,565357 9,565357 622,02 11,107500 11,107500

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

W59336

N07XX08

TAFAMIDIS**

VYNDAQEL

CAPS. MOI 20mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI

PR 30 53.258,63 1.775,287666 1.775,287666 58.090,13 1.936,337666 1.936,337666

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.6: OSTEOGENEZA IMPERFECTA

1

W58123

M05BA03

ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF. 15mg/ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 2 ML

S/P RF 1 158,95 158,950000 158,950000 194,05 194,050000 194,050000 2

W58123

M05BA03

ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF. 15mg/ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 4 ML

S/P RF 1 361,86 361,860000 285,384000 432,58 432,580000 348,396000 3

W58123

M05BA03

ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF. 15mg/ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 1 ML

S/P RF 1 102,98 102,980000 102,980000 125,72 125,720000 125,720000 4

W07918

M05BA03

ACIDUM PAMIDRONICUM

AREDIA (R) 15 mg

LIOF.

SOLV. PT. SOL. PERF. 15mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF.

4 FIOLE DIN STICLA X 5 ML SOLV.

S/P RF 4 595,85 148,962500 123,576000 687,63 171,907500 150,864000 5

W57926

M05BA03

ACIDUM PAMIDRONICUM

PAMIRED 30mg pulbere pentru solutie perfuzabila

PULB. PT. SOL. PERF. 30mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

PR 1 152,87 152,870000 152,870000 186,63 186,630000 186,630000 6

W57925

M05BA03

ACIDUM PAMIDRONICUM

PAMIRED 60mg pulbere pentru solutie perfuzabila

PULB. PT. SOL.PERF. 60mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

PR 1 237,82 237,820000 237,820000 290,33 290,330000 290,330000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.7: SINDROM PRADER WILLI

1

W07530

H01AC01

SOMATROPINUM**

ZOMACTON

PULB.

SOLV. PT. SOL. INJ. 4mg (12ui)

FERING GMBH

GERMA NIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ.

1 FIOLA X 3,5 ML SOLV.

P- RF 1 363,94 363,940000 363,940000 434,84 434,840000 434,840000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 2

W05539

H01AC01

SOMATROPINUM**

GENOTROPIN (R) 16 ui (5,3 mg)

PULB.

SOLV. PT. SOL. INJ. 5,3mg/ml (16ui)

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

P- RF 1 474,75 474,750000 474,750000 555,63 555,630000 555,630000 3

W59825

H01AC01

SOMATROPINUM**

OMNITROPE 15mg/1,5ml

SOL INJ. 15mg/1,5 ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 CARTUS X 1,5 ML SOL.INJ.

PR /P RF 1 1.482,36 1.482,360000 1.482,360000 1.653,92 1.653,920000 1.653,920000 4

W52345

H01AC01

SOMATROPINUM**

OMNITROPE 3,3mg/ml

SOL. INJ. 3,3mg/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1CARTUS X 1,5 ML SOL.INJ.

P- RF/ R 1 409,15 409,150000 409,150000 484,12 484,120000 484,120000 5

W52346

H01AC01

SOMATROPINUM**

OMNITROPE 6,7mg/ml

SOL. INJ. 6,7mg/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1CARTUS X 1,5 ML SOL.INJ.

P- RF/ R 1 667,50 667,500000 667,500000 765,73 765,730000 765,730000 6

W54046

H01AC01

SOMATROPINUM**

NORDITROPIN SIMPLEXx 10 mg/1,5ml

SOL. INJ. IN CARTUS 10mg/1,5 ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.

P- RF 1 1.176,67 1.176,670000 801,000000 1.320,72 1.320,720000 918,876000 7

W55238

H01AC01

SOMATROPINUM**

NORDITROPIN FLEXPRO 10 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLU T 10mg/1,5 ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P- RF 1 1.549,07 1.549,070000 801,000000 1.726,64 1.726,640000 918,876000 8

W55237

H01AC01

SOMATROPINUM**

NORDITROPIN FLEXPRO 5 mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLU T 5mg/1,5 ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P- RF 1 789,53 789,530000 490,980000 898,74 898,740000 580,944000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.8: BOALA FABRY

1

W08961

A16AB04

AGALSIDASUM BETA**

FABRAZYME 35 mg

PULB. PT. CONC. PT. SOL. PERF. 35mg

GENZYME EUROPE BV

OLAND A

CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.

PR 1 13.797,28 13.797,280000 13.797,280000 15.077,20 15.077,200000 15.077,200000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.9: BOALA POMPE

1

W51536

A16AB07

ALGLUCOSIDASUM ALPHA**

MYOZYME 50mg

PULB. PT. CONC. PT. SOL. PERF. 50mg

GENZYME EUROPE B.V.

OLAND A

CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF.

PR 1 2.264,71 2.264,710000 2.264,710000 2.506,69 2.506,690000 2.506,690000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.10: TIROZINEMIE

1

W51629

A16AX04

NITISINONUM

ORFADIN 10mg

CAPS. 10mg

SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P- RF/ R 60 12.802,92 213,382000 213,382000 13.993,35 233,222500 233,222500 2

W51622

A16AX04

NITISINONUM

ORFADIN 2mg

CAPS. 2mg

SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P- RF/ R 60 3.522,06 58,701000 58,701000 3.877,20 64,620000 64,620000 3

W51627

A16AX04

NITISINONUM

ORFADIN 5mg

CAPS. 5mg

SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P- RF/ R 60 7.014,11 116,901833 116,901833 7.683,54 128,059000 128,059000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.12: MUCOPOLIZAHARIDOZĂ TIP II (SINDROM HUNTER)

1

W51481

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 49.871,94 12.467,985000 12.467,985000 54.398,63 13.599,657500 13.599,657500

63

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.13: MUCOPOLIZAHARIDOZĂ TIP I (SINDROM HURLER)

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 1

W42203

A16AB05

LARONIDAZUM**

ALDURAZYME 100UI/ml

CONC. PT. SOL. PERF. 100UI/ml

GENZYME EUROPE BV

OLAND A

CUTIE X 1 FLAC. X 5 ML

S 1 2.802,88 2.802,880000 2.802,880000 3.093,29 3.093,290000 3.093,290000

64

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.15: Sindrom de imunodeficiență primară

1

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

S 1 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,460000 2

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

S 1 3.821,35 3.821,350000 3.821,350000 4.203,43 4.203,430000 4.203,430000 3

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

S 1 202,26 202,260000 202,260000 246,92 246,920000 246,920000 4

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

S 1 925,45 925,450000 909,000000 1.046,89 1.046,890000 1.036,596000 5

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

S 1 1.857,75 1.857,750000 1.782,000000 2.063,10 2.063,100000 1.988,160000 6

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF. 10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 1.485,00 1.485,000000 1.485,000000 1.656,80 1.656,800000 1.656,800000 7

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF. 1g/20ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 197,39 197,390000 197,390000 240,98 240,980000 240,980000 8

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF. 2,5g/50ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 393,75 393,750000 393,750000 467,34 467,340000 467,340000 9

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF. 50mg/ml

INSTITUTO GRIFOLS S.A.

SPANIA

CUTIE X 1 FLAC. X 10 ML SOL. PERF.

S 1 102,55 102,550000 102,550000 125,19 125,190000 125,190000 10

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF. 5g/100ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 757,50 757,500000 757,500000 863,83 863,830000 863,830000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.16: Scleroza sistemică și ulcere digitale evolutive

1

W43049

C02KX01

BOSENTANUM**

TRACLEER 125 mg

COMPR. FILM. 125mg

ACTELION REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P- RF/ R 56 9.529,79 170,174821 170,174821 10.425,63 186,171964 186,171964 2

W43048

C02KX01

BOSENTANUM**

TRACLEER 62,5 mg

COMPR. FILM. 62,5mg

ACTELION REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P- RF/ R 56 9.200,67 164,297678 164,297678 10.066,89 179,765892 179,765892

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.17: Purpura trombocitopenică imună cronică la adulții splenectomizați și nesplenectomizați

1

W53894

B02BX04

ROMIPLOSTIMUM

NPLATE 250mcg

PULB. PT. SOL. INJ. 250mcg

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 FLAC X 250MCG PULB. PT. SOL. INJ.

S 1 2.905,50 2.905,500000 2.905,500000 3.205,15 3.205,150000 3.205,150000 2

W53895

B02BX04

ROMIPLOSTIMUM

NPLATE 500mcg

PULB. PT. SOL. INJ. 500mcg

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 FLAC X 500MCG PULB. PT. SOL. INJ.

S 1 5.780,98 5.780,980000 5.780,980000 6.339,43 6.339,430000 6.339,430000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.18: Pacienți adulți și copii cu hiperfenilalaninemie diagnosticați cu fenilcetonurie sau deficit de tetrahidrobiopterină (BH4)

1

W57418

A16AX07

SAPROPTERINUM

KUVAN

COMPR. SOLUBILE 100 mg

MERCK SERONO EUROPE LIMITED

MAREA BRITAN IE

CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE

PR 120 10.927,33 91,061083 91,061083 11.948,96 99,574666 99,574666 2

W57418

A16AX07

SAPROPTERINUM

KUVAN

COMPR. SOLUBILE 100 mg

MERCK SERONO EUROPE LIMITED

MAREA BRITAN IE

CUTIE X FLAC. PEID X 30 COMPR. SOLUBILE

PR 30 2.755,69 91,856333 91,856333 3.041,86 101,395333 101,395333

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.19: Scleroză tuberoasă

1

W57284

L01XE10

EVEROLIMUS

VOTUBIA

COMPR. 2,5 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.

PR 30 5.656,21 188,540333 188,540333 6.203,43 206,781000 206,781000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 2

W57285

L01XE10

EVEROLIMUS

VOTUBIA

COMPR. 5mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.

PR 30 11.282,41 376,080333 376,080333 12.335,99 411,199666 411,199666

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

65

Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

1

W00231

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,25 mcg

CAPS. MOI 0,25mcg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

P- RF 50 25,70 0,514000 0,514000 33,62 0,672400 0,672400 2

W58167

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,25 mcg

CAPS. MOI 0,25μg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PR F 30 16,99 0,566333 0,566333 22,97 0,765666 0,765666 3

W44042

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,50 mcg

CAPS. MOI 0,50mcg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 30 CAPS. MOI

P- RF 30 23,23 0,774333 0,774333 31,40 1,046666 1,046666 4

W58168

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,5 mcg

CAPS. MOI 0,5μg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PR F 30 26,00 0,866666 0,866666 34,01 1,133666 1,133666 5

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ. 2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S 10 203,78 20,378000 20,378000 248,78 24,878000 24,878000 6

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ. 2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

S 10 108,79 10,879000 10,879000 132,81 13,281000 13,281000 7

W51334

A11CC04

CALCITRIOLUM

ROCALTROL

CAPS. MOI 0,25mcg

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI.

P- RF 100 53,88 0,538800 0,538800 68,12 0,681200 0,681200 8

W03025

G03CA03

ESTRADIOLUM

ESTREVA (R)

GEL 0,1%

LAB. THERAMEX

MONAC O

CUTIE X 1 FLACON PE,

INCHIS CU POMPA DOZATOARE X 50 G

P- 6L 1 21,75 21,750000 21,750000 29,40 29,400000 29,400000 9

W55402

G03CA03

ESTRADIOLUM

OESTROGEL 0,6 mg/g

GEL 0,6mg/g

LABORATOIRES BESINS INTERNATIONAL

FRANT A

CUTIE CU 1 TUB AL X 80 G GEL

DISPOZITIV DE DOZARE DIN POLISTIREN

P- 6L 1 12,29 12,290000 12,290000 16,61 16,610000 16,610000 10

W58804

G03CA03

ESTRADIOLUM

CLIMARA

PLASTURE TRANSDER M. 50μg/24or e

BAYER PHARMA AG

GERMA NIA

CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.

P- 6L 4 22,11 5,527500 5,527500 29,89 7,472500 7,472500 11

W12902

G03CX01

TIBOLONUM

LIVIAL (R) 2,5 mg

COMPR. 2,5mg

ORGANON NV

OLAND A

CUTIE X 1 BLIST. X 28 COMPR.

P- RF 28 57,59 2,056785 2,056785 72,82 2,600714 2,600714 12

W53455

G03XC01

RALOXIFENUM

EVISTA 60mg

COMPR. FILM. 60mg

DAIICHI SANKYO EUROPE GMBH

GERMA NIA

CUTIE X 28 COMPR. FILM. (BLIST. ACLAR)

P- RF 28 98,84 3,530000 3,530000 124,97 4,463214 4,463214 13

W42160

H01AB01

TIREOTROPINUM ALFA

THYROGEN 0,9 mg

PULB. PT. SOL. INJ. 0,9mg

GENZYME EUROPE BV

OLAND A

CUTIE X 2 FLACOANE

S 2 3.064,97 1.532,485000 1.532,485000 3.378,97 1.689,485000 1.689,485000 14

W04224

H02AB04

METHYLPREDNISOLONUM

MEDROL A 16

COMPR. 16mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

P- RF 50 24,13 0,482600 0,482600 32,62 0,652400 0,652400 15

W04222

H02AB04

METHYLPREDNISOLONUM

MEDROL 32

COMPR. 32mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.

P- RF 20 21,94 1,097000 1,097000 29,65 1,482500 1,482500 16

W08307

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 125 mg

LIOF. PT. SOL. INJ. 125mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE X 1 FLAC. LIOF.

1 FIOLA SOLV. X 2 ML

S/P RF 1 6,52 6,520000 6,520000 8,81 8,810000 8,810000 17

W08310

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 500 mg

LIOF. PT. SOL. INJ. 500mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE X 1 FLAC. LIOF.

1 FIOLA SOLV. X 7,8 ML

S/P RF 1 22,95 22,950000 22,950000 31,02 31,020000 31,020000 18

W04237

H02AB04

METHYLPREDNISOLONUM

SOLU - MEDROL ACT-O- VIAL

LIOF. SI SOLV.PT.S OL.INJ 250mg/4 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ.

(COMPARTIMENT SUPERIOR) 4ML SOLV

P- RF 1 15,15 15,150000 15,150000 20,48 20,480000 20,480000 19

W57399

H03AA01

LEVOTHYROXINUM

EUTHYROX 100mcg

COMPR. 100mcg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P- 6L 100 8,65 0,086500 0,067440 11,69 0,116900 0,091200 20

W59436

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 100 micrograme

COMPR. 100microg rame

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L 100 5,62 0,056200 0,056200 7,60 0,076000 0,076000 21

W57399

H03AA01

LEVOTHYROXINUM

EUTHYROX 100μg

COMPR. 100μg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P- 6L 100 8,65 0,086500 0,067440 11,69 0,116900 0,091200 22

W59437

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 125 micrograme

COMPR. 125microg rame

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L 100 7,02 0,070200 0,070200 9,49 0,094900 0,094900 23

W59438

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 150 micrograme

COMPR. 150microg rame

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L 100 8,43 0,084300 0,084300 11,40 0,114000 0,114000 24

W59439

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 175 micrograme

COMPR. 175microg rame

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L 100 9,84 0,098400 0,098400 13,30 0,133000 0,133000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 25

W57395

H03AA01

LEVOTHYROXINUM

EUTHYROX 200mcg

COMPR. 200mcg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.

P- 6L 100 17,86 0,178600 0,139440 24,14 0,241400 0,188400 26

W59440

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 200 micrograme

COMPR. 200microg rame

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L 100 11,62 0,116200 0,116200 15,70 0,157000 0,157000 27

W57395

H03AA01

LEVOTHYROXINUM

EUTHYROX 200μg

COMPR. 200μg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR.

P- 6L 100 17,86 0,178600 0,139440 24,14 0,241400 0,188400 28

W57396

H03AA01

LEVOTHYROXINUM

EUTHYROX 25mcg

COMPR. 25mcg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P- 6L 100 7,04 0,070400 0,054840 9,51 0,095100 0,074160 29

W59433

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 25 micrograme

COMPR. 25microgr ame

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L 100 4,57 0,045700 0,045700 6,18 0,061800 0,061800 30

W57396

H03AA01

LEVOTHYROXINUM

EUTHYROX 25μg

COMPR. 25μg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P- 6L 100 7,04 0,070400 0,054840 9,51 0,095100 0,074160 31

W57398

H03AA01

LEVOTHYROXINUM

EUTHYROX 50mcg

COMPR. 50mcg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P- 6L 100 6,12 0,061200 0,047760 8,27 0,082700 0,064560 32

W59434

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 50 micrograme

COMPR. 50microgr ame

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L 100 3,98 0,039800 0,039800 5,38 0,053800 0,053800 33

W57398

H03AA01

LEVOTHYROXINUM

EUTHYROX 50μg

COMPR. 50μg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P- 6L 100 6,12 0,061200 0,047760 8,27 0,082700 0,064560 34

W59435

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 75 micrograme

COMPR. 75microgr ame

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L 100 5,97 0,059700 0,059700 8,07 0,080700 0,080700 35

W54546

H03BB02

THIAMAZOLUM

THYROZOL 10 mg

COMPR. FILM. 10mg

MERCK KGAA

GERMA NIA

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

P- 6L 50 15,54 0,310800 0,310800 21,00 0,420000 0,420000 36

W54545

H03BB02

THIAMAZOLUM

THYROZOL 20mg

COMPR. FILM. 20mg

MERCK KGAA

GERMA NIA

CUTIE CU BLIST. PVC/AL X 50 COMPR. FILM.

P- 6L 50 18,88 0,377600 0,377600 25,52 0,510400 0,510400 37

W54547

H03BB02

THIAMAZOLUM

THYROZOL 5 mg

COMPR. FILM. 5mg

MERCK KGAA

GERMA NIA

CUTIE CU BLIST. PVC/AL X 100 COMPR. FILM.

P6 L 100 22,83 0,228300 0,228300 30,86 0,308600 0,308600 38

W03843

H03CA01

KALII IODIDUM

JODID 100

COMPR. 100mcg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR.

P- RF 100 9,12 0,091200 0,091200 12,33 0,123300 0,123300 39

W03843

H03CA01

KALII IODIDUM

JODID 100

COMPR. 100mcg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.

P- RF 100 9,12 0,091200 0,091200 12,33 0,123300 0,123300 40

W03844

H03CA01

KALII IODIDUM

JODID 200

COMPR. 200mcg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P- RF 100 14,23 0,142300 0,142300 19,23 0,192300 0,192300 41

W03844

H03CA01

KALII IODIDUM

JODID 200

COMPR. 200mcg

MERCK KGAA

GERMA NIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P- RF 100 14,23 0,142300 0,142300 19,23 0,192300 0,192300 42

W55488

H05AA02

TERIPARATIDUM**

FORSTEO 20μg/80μl

SOL. INJ. 20μg/80μl

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20 MCG/80MCL)

P- RF 1 1.473,60 1.473,600000 1.473,600000 1.644,38 1.644,380000 1.644,380000 43

W08119

H05BA01

CALCITONINUM (SOMON)

NYLEX (R)

SOL. INJ. 100UI/ml

PROEL E.P. CORONIS SA

GRECIA

CUTIE X 5 FIOLE X 1ML

P- RF 5 23,94 4,788000 4,788000 32,36 6,472000 6,472000 44

W00756

H05BA01

CALCITONINUM (SOMON)

MIACALCIC (R)

SOL. INJ. 50ui/ml

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 5 FIOLE X 1 ML

P- RF 5 26,35 5,270000 5,270000 34,46 6,892000 6,892000 45

W54297

M05BA04

ACIDUM ALENDRONICUM**

TEVANAT 70 mg

COMPR. 70 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.

P- 6L 4 36,90 9,225000 5,337000 48,27 12,067500 7,212000 46

W53741

M05BA04

ACIDUM ALENDRONICUM**

RANOS 70 mg

COMPR. 70mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR.

P- 6L 4 36,44 9,110000 5,337000 47,66 11,915000 7,212000 47

W60296

M05BA04

ACIDUM ALENDRONICUM**

FOSAMAX 70 mg

COMPR. 70mg

MERCK SHARP & DOHME

ROMAN IA

CUTIE CU 1 BLIST. AL/AL X 2 COMPR.

P6 L 2 28,39 14,195000 5,337000 37,13 18,565000 7,212000 48

W58352

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.

P6 L 4 17,79 4,447500 4,447500 24,04 6,010000 6,010000 49

W56763

M05BA04

ACIDUM ALENDRONICUM**

ADRONIK 70 mg

COMPR. FILM. 70mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P- 6L 4 36,67 9,167500 5,337000 47,97 11,992500 7,212000 50

W56763

M05BA04

ACIDUM ALENDRONICUM**

ADRONIK 70 mg

COMPR. FILM. 70mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.

P- 6L 12 108,06 9,005000 5,337000 131,92 10,993333 7,212000 51

W52948

M05BA04

ACIDUM ALENDRONICUM**

ALENDRONAT SANDOZ 70 mg

COMPR. FILM. 70mg

SANDOZ S.R.L.

ROMAN IA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM

P- 6L 2 9,49 4,745000 4,745000 12,82 6,410000 6,410000 52

W56763

M05BA04

ACIDUM ALENDRONICUM**

ADRONIK 70 mg

COMPR. FILM. 70mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.

P- 6L 2 18,33 9,165000 5,337000 24,78 12,390000 7,212000 53

W56749

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 150 mg

COMPR. FILM. 150 mg

TEVA PHARMA B.V.

OLAND A

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT

P6 L 1 46,96 46,960000 35,592000 61,42 61,420000 46,560000 54

W57485

M05BA06

ACIDUM IBANDRONICUM**

OSAGRAND 150 mg

COMPR. FILM. 150mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM.

P6 L 1 29,66 29,660000 29,660000 38,80 38,800000 38,800000 55

W60664

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC AUROBINDO 150 mg

COMPR. FILM. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P6 L 1 29,66 29,660000 29,660000 38,80 38,800000 38,800000 56

W55441

M05BA06

ACIDUM IBANDRONICUM**

OSSICA 150 mg

COMPR. FILM. 150mg

GEDEON RICHTER PLC.

UNGAR IA

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P- 6L 1 36,32 36,320000 35,592000 47,51 47,510000 46,560000 57

W42716

M05BA06

ACIDUM IBANDRONICUM**

BONVIVA 150mg

COMPR. FILM. 150mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)

P- 6L 1 70,97 70,970000 35,592000 89,74 89,740000 46,560000

66

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 58

W58574

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC SANDOZ 150 mg

COMPR. FILM. 150mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

P6 L 1 40,44 40,440000 35,592000 52,90 52,900000 46,560000 59

W56947

M05BA06

ACIDUM IBANDRONICUM**

QUODIXOR 150 mg

COMPR. FILM. 150mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU BLIST. PA-AL-PVC/AL X 1 COMPR. FILM.

P- 6L 1 56,52 56,520000 35,592000 71,46 71,460000 46,560000 60

W57730

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC SANDOZ 50 mg

COMPR. FILM. 50 mg

SANDOZ PHARMACEUTICALS GMBH

GERMA NIA

CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PR 28 519,62 18,557857 18,557857 604,54 21,590714 21,590714 61

W56748

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 50 mg

COMPR. FILM. 50 mg

TEVA PHARMA B.V.

OLAND A

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 28 COMPRIMATE FILMATE

PR 28 637,14 22,755000 22,269428 732,63 26,165357 25,908857 62

W56932

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 28 629,47 22,481071 22,269428 724,27 25,866785 25,866785 63

W59829

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC GLENMARK 50 mg

COMPR. FILM. 50mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM.

PR 28 562,00 20,071428 20,071428 650,73 23,240357 23,240357 64

W41499

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 50mg

COMPR. FILM. 50mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.

S 28 964,08 34,431428 22,269428 1.089,00 38,892857 25,908857 65

W57712

M05BA06

ACIDUM IBANDRONICUM**

HOLMEVIS 50 mg

COMPR. FILM. 50mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

PR 28 637,16 22,755714 22,269428 732,65 26,166071 25,908857 66

W58937

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 6 mg

CONC. PT. SOL. PERF. 6mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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 1 596,39 596,390000 596,390000 688,22 688,220000 688,220000 67

W56933

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 1 596,39 596,390000 596,390000 688,22 688,220000 688,220000 68

W41498

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 6mg/6ml

CONC. PT. SOL. PERF. 6mg/6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.

S 1 901,37 901,370000 715,668000 1.020,64 1.020,640000 825,864000 69

W58935

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 3 mg

SOL INJ. IN SERINGA PREUMPLU TA 3mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. SI UN AC DE INJECTARE

P6 L 1 232,02 232,020000 179,712000 283,25 283,250000 219,396000 70

W57932

M05BA06

ACIDUM IBANDRONICUM**

OSSICA 3 mg

SOL INJ. IN SERINGA PREUMPLU TA 3mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ.

1 AC PT. INJECTIE

P6 L 1 196,40 196,400000 179,712000 239,77 239,770000 219,396000 71

W57484

M05BA06

ACIDUM IBANDRONICUM**

OSAGRAND 3 mg/3 ml

SOL. INJ. 3mg/3ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

P6 L 1 222,35 222,350000 179,712000 271,45 271,450000 219,396000 72

W43328

M05BA06

ACIDUM IBANDRONICUM**

BONVIVA 3mg/3ml

SOL. INJ. IN SERINGA PREUMPLU TA 1mg/1ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ.

1 AC

P- 6L 1 354,51 354,510000 179,712000 424,57 424,570000 219,396000 73

W58778

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC ALVOGEN 3 mg

SOL.INJ. IN SERINGA PREUMPLU TA 3 mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA SI 1 AC PT. INJECTARE X 3 ML SOL.INJ.

PR /P RF 1 149,76 149,760000 149,760000 182,83 182,830000 182,830000 74

W56414

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT SODIC SANDOZ 35 mg

COMPR. FILM. 35mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/AL X 4 COMPR. FILM.

P6 L 4 21,00 5,250000 3,177000 28,38 7,095000 4,293000 75

W60074

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT SODIC ZENTIVA 35mg

COMPR. FILM. 35mg

ZENTIVA KS

REPUB LICA CEHA

CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE

P- 6L 4 10,59 2,647500 2,647500 14,31 3,577500 3,577500 76

W52144

M05BA07

ACIDUM RISEDRONICUM**

RISENDROS 35 mg

COMPR. FILM. 35mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.

P- 6L 4 10,59 2,647500 2,647500 14,31 3,577500 3,577500 77

W56198

M05BA07

ACIDUM RISEDRONICUM**

ACTONEL SAPTAMANAL 35 mg

COMPR. FILM. 35mg

SANOFI - AVENTIS ROMANIA S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM.

P- 6L 4 52,06 13,015000 3,177000 65,83 16,457500 4,293000 78

W53578

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT TEVA 35 mg

COMPR. FILM. 35mg

TEVA PHARMACEUTICALS SRL

ROMAN IA

CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P- 6L 4 34,61 8,652500 3,177000 45,27 11,317500 4,293000 79

W54377

M05BA07

ACIDUM RISEDRONICUM**

LORINE 35mg

COMPR. FILM. 35mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE X 1BLIST. PVC- PVDC/AL X 4 COMPR. FILM.

P- 6L 4 27,91 6,977500 3,177000 36,50 9,125000 4,293000 80

W55565

M05BA07

ACIDUM RISEDRONICUM**

OSODENS 35 mg

COMPR. FILM. 35mg

TERAPIA SA

ROMAN IA

CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.

P- 6L 4 34,61 8,652500 3,177000 45,27 11,317500 4,293000 81

W59460

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.

P6 L 4 10,59 2,647500 2,647500 14,31 3,577500 3,577500

67

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 82

W61163

M05BA07

ACIDUM RISEDRONICUM**

ACTONEL SAPTAMANAL 35 mg

COMPR. FILM. 35mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM.

P- 6L 4 32,87 8,217500 3,177000 43,00 10,750000 4,293000 83

W54976

M05BA07

ACIDUM RISEDRONICUM**

ACTONEL 75 mg

COMPR. FILM. 75mg

SANOFI - AVENTIS ROMANIA S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.

P- 6L 2 52,51 26,255000 26,255000 66,39 33,195000 33,195000 84

W61164

M05BA07

ACIDUM RISEDRONICUM**

ACTONEL 75 mg

COMPR. FILM. 75mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM.

P6 L 2 52,51 26,255000 26,255000 66,39 33,195000 33,195000 85

W59742

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC TEVA 4 mg/5 ml

CONC. PT. SOL. PERF. 4 mg/5 ml

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLACON DIN STICLA CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA

PR 1 377,14 377,140000 356,400000 449,23 449,230000 435,096000 86

W59137

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC SANDOZ 4 mg/100 ml

CONC. PT. SOL. PERF. 4mg/100 ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR,

DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP- OFF" X 100 ML CONC. PT. SOL. PERF.

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 87

W59191

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC TERAPIA 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

TERAPIA SA

ROMAN IA

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 1 724,49 724,490000 356,400000 827,84 827,840000 435,096000 88

W59167

M05BA08

ACIDUM ZOLEDRONICUM**

OSPORIL 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PERF.

PR 1 676,71 676,710000 356,400000 775,76 775,760000 435,096000 89

W59476

M05BA08

ACIDUM ZOLEDRONICUM**

ZOLACITOR 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE CU 4 FLAC.,

DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL. PERF.

PR 4 2.807,00 701,750000 356,400000 3.097,78 774,445000 435,096000 90

W59588

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC ACTAVIS 4mg/5ml

CONC. PT. SOL. PERF. 4mg/5ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE X 1 FLACON PLASTIC TRANSPARENT,

INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PER

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 91

W59914

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC PFIZER 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN PP PREVAZUT CU CAPSA FLIP-OFF DIN AL CU CONC. PT. SOL. PERF.

PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,096000 92

W59476

M05BA08

ACIDUM ZOLEDRONICUM**

ZOLACITOR 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE CU 1 FLAC.,

DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL. PERF.

PR 1 724,40 724,400000 356,400000 827,75 827,750000 435,096000 93

W59840

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC HOSPIRA 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON CU CAPACITATE DE 5ML DIN PLASTIC CU DOP BROMOBUTIL,

ACOPERIT CU UN STRAT DE FLUOROPOLIMER SI CAPAC DIN AL CU COMPONENTA "FLIP-OFF"

PR 1 364,11 364,110000 356,400000 435,03 435,030000 435,030000 94

W58621

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR,

INCHIS CU DOP DIN CAUCIUC BROMOB

PR 1 459,66 459,660000 356,400000 539,18 539,180000 435,096000 95

W59044

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC RICHTER 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 1 FLACON TRANSPARENT,

INCOLOR DIN POLIMER CICLO-OLEFENIC INCHIS CU DOP GRI INCHIS DIN CAUCIUC CU STRAT FLUOROPOLIMERIC,

CAPSA DIN AL SI SISTEM "FLIP-OFF" DIN PLASTIC ROSU X 5ML CONC. PT. SOL. PERF.

PR 1 724,49 724,490000 356,400000 827,84 827,840000 435,096000 96

W60989

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR,

INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC,

SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIP-OFF DIN PP CARE CONTINE 4 MG/5 ML CONC. PT. SOL. PERF.

PR 1 459,66 459,660000 356,400000 539,18 539,180000 435,096000 97

W59889

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 4 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF.

PR 4 1.418,88 354,720000 354,720000 1.584,73 396,182500 396,182500 98

W59136

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC SANDOZ 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR,

DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP- OFF" X 5 ML CONC. PT. SOL. PERF.

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000

68

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 99

W60216

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC MEDAC 4mg/5ml

CONC. PT. SOL. PERF. 4mg/5ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 FLACON DIN PLASTIC CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 100

W59090

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL. PERF.

PR 4 1.417,59 354,397500 354,397500 1.583,33 395,832500 395,832500 101

W59520

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR. REDDY'S 4mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 5 ML CU CONC. PT. SOL. PERF.

PR 1 297,00 297,000000 297,000000 362,58 362,580000 362,580000 102

W59889

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF.

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 103

W58886

M05BA08

ACIDUM ZOLEDRONICUM**

DESINOBON 4 mg/5 ml

CONC. PT. SOL. PERF. 4mg/5ml

ALVOGEN IPCO S.A.R.L

LUXEM BOURG

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT,

INCOLOR DE 5 ML DIN COPOLIMER CICLOOLEFINIC CU DOP DE CAUCIUC SI CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" CARE CONTINE CONC. PT. SOL. PERF.

PR 1 452,56 452,560000 356,400000 531,44 531,440000 435,096000 104

W58735

M05BA08

ACIDUM ZOLEDRONICUM**

FAYTON 4 mg/ 5 ml

CONC. PT. SOL. PERF. 4mg/5ml

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN COPOLIMER CICLOOLEFINIC SI CAPAC PP CU CAPACITATEA DE 5 ML CARE CONTINE CONC. P

PR 1 676,00 676,000000 356,400000 774,99 774,990000 435,096000 105

W08426

M05BA08

ACIDUM ZOLEDRONICUM**

ZOMETA 4 mg

PULB.

SOLV. SOL. PERF. 4mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF.

1 FIOLA X 5 ML SOLV.

PR 1 1.098,45 1.098,450000 356,400000 1.235,46 1.235,460000 435,096000 106

W60382

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC HOSPIRA 4 mg/100 ml

SOL. PERF. 4 mg/100 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 PUNGA DIN POLIPROPILENA DE 100ML CU UN PORT "TWIST-OFF" DIN POLIPROPILENA CU CAPAC SI CU UN INVELIS DIN POLIESTER/POLIPROPILENA

PR 1 377,22 377,220000 356,400000 449,32 449,320000 435,096000 107

W60543

M05BA08

ACIDUM ZOLEDRONICUM**

ZERLINDA 4 mg/100 ml

SOL. PERF. 4mg/100 ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 PUNGA A 100 ML SOL. PERF.

PR 1 724,00 724,000000 356,400000 827,31 827,310000 435,096000 108

W60980

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR. REDDY'S 4mg/100 ml

SOL. PERF. 4mg/100 ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN CAUCIUC CLOROBUTILIC,

SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF"A 100 ML SOL. PERF.

PR 1 297,00 297,000000 297,000000 362,58 362,580000 362,580000 109

W60215

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC MEDAC 4mg/100ml

SOL. PERF. 4mg/100 ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 FLACON DIN PLASTIC CU 100 ML SOLUTIE PERFUZABILA

PR 1 522,14 522,140000 356,400000 607,28 607,280000 435,096000 110

W59355

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC ZENTIVA 4 mg/5 ml

SOL. PERF. 4mg/5ml

ZENTIVA, K.S.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE CONC. PT. SOL. PERF.

PR 1 676,71 676,710000 356,400000 775,76 775,760000 435,096000 111

W42407

M05BA08

ACIDUM ZOLEDRONICUM**

ACLASTA 5mg/100ml

SOL. PERF. 5mg/100 ml

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. X 100 ML

1 CAPAC AL/PP CU COMPONENTA FLIP.

PR 1 1.399,70 1.399,700000 1.399,700000 1.563,83 1.563,830000 1.563,830000 112

W42702

M05BB03

COMBINATII (ACIDUM ALENDRONICUM

COLECALCIFEROLUM)**

FOSAVANCE 70mg/2800UI

COMPR. 70mg/280 0UI

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P- 6L 4 71,05 17,762500 17,762500 89,84 22,460000 22,460000 113

W42702

M05BB03

COMBINATII (ACIDUM ALENDRONICUM

COLECALCIFEROLUM)**

FOSAVANCE 70mg/2800UI

COMPR. 70mg/280 0UI

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P- 6L 2 36,16 18,080000 18,080000 47,30 23,650000 23,650000 114

W52559

M05BB03

COMBINATII (ACIDUM ALENDRONICUM

COLECALCIFEROLUM)**

FOSAVANCE 70mg/5600UI

COMPR. 70mg/560 0UI

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P- 6L 4 71,05 17,762500 17,762500 89,84 22,460000 22,460000 115

W52559

M05BB03

COMBINATII (ACIDUM ALENDRONICUM

COLECALCIFEROLUM)**

FOSAVANCE 70mg/5600UI

COMPR. 70mg/560 0UI

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P- 6L 2 36,16 18,080000 18,080000 47,30 23,650000 23,650000 116

W42094

M05BX03

STRONTIUM RANELATUM

OSSEOR 2 g

GRAN. PT. SUSP. ORALA 2g

LES LAB. SERVIER

FRANT A

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P- RF 14 82,84 5,917142 5,917142 104,74 7,481428 7,481428 117

W42094

M05BX03

STRONTIUM RANELATUM

OSSEOR 2 g

GRAN. PT. SUSP. ORALA 2g

LES LAB. SERVIER

FRANT A

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P- RF 28 143,02 5,107857 5,107857 174,60 6,235714 6,235714

69

V09FX03 NATRII IODIDUM (131I) V10XA01 NATRII IODIDUM (131I)

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

70

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE,

TESUTURI SI CELULE DE ORIGINE UMANA

P9.1: TRANSPLANT MEDULAR

1

W56153

A04AA01

ONDANSETRONUM**

OSETRON 4 mg

COMPR. FILM. 4mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P- RF 10 14,09 1,409000 1,409000 19,04 1,904000 1,904000 2

W56154

A04AA01

ONDANSETRONUM**

OSETRON 8 mg

COMPR. FILM. 8mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC X 10 COMPR. FILM.

P- RF 10 24,64 2,464000 2,464000 33,31 3,331000 3,331000 3

W57423

A04AA01

ONDANSETRONUM**

OSETRON 4 mg SOLUTIE INJECTABILA

SOL. INJ. 2mg/ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P RF 5 17,60 3,520000 3,520000 23,79 4,758000 4,758000 4

W57424

A04AA01

ONDANSETRONUM**

OSETRON 8 mg SOLUTIE INJECTABILA

SOL. INJ. 2mg/ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/P RF 5 33,45 6,690000 6,690000 43,75 8,750000 8,750000 5

W51505

A04AA01

ONDANSETRONUM**

EMESET 8 mg/4 ml

SOL. INJ./PERF. 2mg/ml

CIPLA (UK) LIMITED

MAREA BRITAN IE

CUTIE X 5 FIOLE STICLA

INEL RUPERE X 4ML SOL. INJ. / PERF.

S/P RF 5 33,43 6,686000 6,686000 43,73 8,746000 8,746000 6

W51504

A04AA01

ONDANSETRONUM**

EMESET 4 mg/2 ml

SOL. INJ./PERF. 2mg/ml

CIPLA (UK) LIMITED

MAREA BRITAN IE

CUTIE X 5 FIOLE STICLA

INEL RUPERE X 2ML SOL. INJ/ PERF.

S/P RF 5 17,60 3,520000 3,520000 23,79 4,758000 4,758000 7

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6 L 100 98,29 0,982900 0,848200 124,28 1,242800 1,109400 8

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P- 6L 50 56,54 1,130800 0,848200 71,49 1,429800 1,109400 9

W59934

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS. 250mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6 L 60 42,41 0,706833 0,706833 55,47 0,924500 0,924500 10

W00188

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS. 250mg

PRO. MED. CS PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P- 6L 50 54,39 1,087800 0,848200 68,77 1,375400 1,109400 11

W53024

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 150 mg

COMPR. 150mg

ZAMBON S.P.A.

ITALIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P- 6L 60 41,43 0,690500 0,690500 54,19 0,903166 0,903166 12

W53025

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 300 mg

COMPR. 300mg

ZAMBON S.P.A.

ITALIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- 6L 20 27,43 1,371500 1,371500 35,88 1,794000 1,794000 13

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM. 500mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6 L 50 111,83 2,236600 2,236600 136,52 2,730400 2,730400 14

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM. 500mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6 L 100 219,67 2,196700 2,196700 268,17 2,681700 2,681700 15

W58363

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP. ORALA 250mg/5 ml

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA

1LINGURITA DOZATOARE DIN PP

P6 L 1 77,10 77,100000 77,100000 97,49 97,490000 97,490000 16

W54011

B02AA02

ACIDUM TRANEXAMICUM 4)

EXACYL

SOL. INJ. 500mg/5 ml

CN UNIFARM

ROMAN IA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X 5 9,47 1,894000 1,894000 12,80 2,560000 2,560000 17

W05892

J01CR03

TICARCILLINUM

ACIDUM CLAVULANICUM

TIMENTIN 3,2 g

PULB. PT. SOL. INJ./PERF. 3,2g

BEECHAM GROUP PLC

MAREA BRITAN IE

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S/P RF 10 212,62 21,262000 21,262000 259,57 25,957000 25,957000 18

W54763

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 19

W55423

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 20

W55369

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 21

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 12 265,41 22,117500 22,117500 324,01 27,000833 27,000833 22

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 23

W54765

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,94 40,940000 40,940000 53,55 53,550000 53,550000 24

W55370

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 25

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 26

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 27

W55424

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 28

W55117

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 29

W53595

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 386,57 38,657000 26,541000 459,51 45,951000 32,401000 30

W53596

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF. 4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 389,01 38,901000 38,901000 462,17 46,217000 46,217000 31

W55475

J01DH02

MEROPENEMUM

MERONEM IV 1 g

PULB. PT. SOL. INJ. I.V./PERF. 1g

ASTRAZENECA UK LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.

S 10 1.030,68 103,068000 63,118800 1.161,59 116,159000 73,377600 32

W55465

J01DH02

MEROPENEMUM

MERONEM IV 500 mg

PULB. PT. SOL. INJ. I.V./PERF. 500mg

ASTRAZENECA UK LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.

S 10 539,60 53,960000 36,430800 626,31 62,631000 44,287200 33

W60705

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 1000 mg

PULB. PT. SOL. INJ. SAU PERF. 1000 mg

ZENTIVA, K.S.

REPUB LICA CEHA

CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML

PR 10 680,44 68,044000 63,118800 779,83 77,983000 73,377600 34

W60703

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 500 mg

PULB. PT. SOL. INJ. SAU PERF. 500 mg

ZENTIVA, K.S.

REPUB LICA CEHA

CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML

PR 10 361,24 36,124000 36,124000 431,90 43,190000 43,190000 35

W56827

J01DH02

MEROPENEMUM

LODITER 1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg

TERAPIA S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

PR 1 72,84 72,840000 63,118800 92,10 92,100000 73,377600 36

W58974

J01DH02

MEROPENEMUM

MEROPENEM ATB 1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC,

SIGILAT CU CAPSA

PR F 10 680,43 68,043000 63,118800 779,82 77,982000 73,377600 37

W61143

J01DH02

MEROPENEMUM

ARCHIFAR 1000 mg

PULB. PT. SOL. INJ./PERF. 1000mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML,

DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF.

PR 10 525,99 52,599000 52,599000 611,48 61,148000 61,148000 38

W56331

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 1 g

PULB. PT. SOL. INJ./PERF. 1g

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PR 10 540,86 54,086000 54,086000 627,69 62,769000 62,769000 39

W56125

J01DH02

MEROPENEMUM

MEROPENEM KABI 1 g

PULB. PT. SOL. INJ./PERF. 1g

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S 10 680,43 68,043000 63,118800 779,82 77,982000 73,377600 40

W58973

J01DH02

MEROPENEMUM

MEROPENEM ATB 500 mg

PULB. PT. SOL. INJ./PERF. 500mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC,

SIGILAT CU CAPSA

PR F 10 361,24 36,124000 36,124000 431,90 43,190000 43,190000 41

W56826

J01DH02

MEROPENEMUM

LODITER 500 mg

PULB. PT. SOL. INJ./PERF. 500mg

TERAPIA S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.

PR 1 37,77 37,770000 36,430800 49,40 49,400000 44,287200 42

W56124

J01DH02

MEROPENEMUM

MEROPENEM KABI 500 mg

PULB. PT. SOL. INJ./PERF. 500mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

PR 10 361,25 36,125000 36,125000 431,91 43,191000 43,191000 43

W56330

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 500 mg

PULB. PT. SOL. INJ./PERF. 500mg

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PR 10 303,59 30,359000 30,359000 369,06 36,906000 36,906000 44

W61142

J01DH02

MEROPENEMUM

ARCHIFAR 500 mg

PULB. PT. SOL. INJ./PERF. 500mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML,

DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF.

PR 10 361,24 36,124000 36,124000 431,90 43,190000 43,190000 45

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 46

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000 47

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000

71

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 48

W54532

J01DH51

IMIPENEMUM

CILASTATINUM

IMIPENEM/CILASTATIN KABI 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P RF 10 296,98 29,698000 29,698000 362,55 36,255000 36,255000 49

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P RF 1 30,31 30,310000 30,310000 39,65 39,650000 39,650000 50

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000 51

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000 52

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 53

W51274

J01DH51

IMIPENEMUM

CILASTATINUM

TIENAM I.V.

PULB. PT. SOL. PERF. 500mg/50 0mg

MERCK SHARP & DOHME

ROMAN IA

TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P RF 10 445,46 44,546000 35,102400 523,70 52,370000 42,852000 54

W61198

J01DH51

IMIPENEMUM

CILASTATINUM

IMIPENEM/CILASTATIN ATB 500 mg/500 mg

PULB. PT. SOL. PERF. 500mg/50 0mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III,

CU CAPACITATEA DE 20 ML,

CONTINANAD PULB. PT. SOL. PERF.

PR 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 55

W43348

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF. 1g

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGAR IA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P RF 1 48,56 48,560000 48,560000 63,52 63,520000 63,520000 56

W43347

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF. 500mg

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGAR IA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P RF 1 24,28 24,280000 24,280000 32,82 32,820000 32,820000 57

W56449

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 1000 mg

PULB. PT. SOL. PERF. 1000mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUB LICA CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR 10 456,00 45,600000 45,600000 535,19 53,519000 53,519000 58

W56448

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 500 mg

PULB. PT. SOL. PERF. 500mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUB LICA CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR 10 234,30 23,430000 23,430000 286,03 28,603000 28,603000 59

W57042

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 1000 mg

PULB. PT.CONC. PT.SOL. PERF. 1000mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR 1 48,39 48,390000 48,390000 63,30 63,300000 63,300000 60

W57041

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 500 mg

PULB. PT.CONC. PT.SOL. PERF. 500mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR 1 24,17 24,170000 24,170000 32,67 32,670000 32,670000 61

W06051

J01XA01

VANCOMYCINUM

EDICIN

PULB.LIOF. PT.SOL.PE RF./INJ 1g

LEK PHARMACEUTICALS D.D.

SLOVE NIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

S/P RF 1 56,90 56,900000 54,720000 71,94 71,940000 64,222800 62

W13105

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF.

SOLV. PT. SOL. INJ. 400mg

AVENTIS PHARMA LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. LIOF.

O FIOLA SOLV.

P- RF 1 109,84 109,840000 109,840000 134,09 134,090000 134,090000 63

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF 10 1.603,26 160,326000 160,326000 1.785,71 178,571000 178,571000 64

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA 100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP.

1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF 1 879,36 879,360000 879,360000 996,65 996,650000 996,650000 65

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF. 2mg/ml

SANDOZ S.R.L.

ROMAN IA

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 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 66

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE 300 ML SOL. PERF.

PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 67

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR

PR 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 68

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL.,

ECHIPA

PR F 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000

72

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 69

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF. 2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S 10 1.603,26 160,326000 126,314400 1.785,71 178,571000 142,261200 70

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS. 100mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 4 CAPS.

P- RF 4 18,95 4,737500 3,615428 25,61 6,402500 4,887428 71

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS. 100mg

BALKANPHARMA RAZGRAD AD

BULGA RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P- RF 16 65,37 4,085625 3,615428 82,66 5,166250 4,887428 72

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100 mg

CAPS. 100mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 21,09 3,012857 3,012857 28,51 4,072857 4,072857 73

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF 2 6,98 3,490000 3,490000 9,43 4,715000 4,715000 74

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 23,31 3,330000 3,330000 31,51 4,501428 4,501428 75

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM 150 mg

CAPS. 150mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 9,57 9,570000 5,340000 12,94 12,940000 7,212000 76

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS. 150mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 77

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS. 150mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 78

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS. 150mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 7,16 7,160000 5,340000 9,68 9,680000 7,212000 79

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS. 150mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 FLAC. X 1 CAPS.

P- RF 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 80

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS. 150mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 81

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg

CAPS. 150mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,07 6,070000 5,340000 8,20 8,200000 7,212000 82

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS. 150mg

SANDOZ SRL

GERMA NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 10,79 10,790000 5,340000 14,58 14,580000 7,212000 83

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS. 150mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PR F 1 7,44 7,440000 5,340000 10,06 10,060000 7,212000 84

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS. 150mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P- RF 4 48,24 12,060000 5,340000 63,10 15,775000 7,212000 85

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS. 150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 86

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS. 150mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,68 6,680000 5,340000 9,03 9,030000 7,212000 87

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS. 150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 18,56 18,560000 5,340000 25,08 25,080000 7,212000 88

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS. 150mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P- RF 1 13,95 13,950000 5,340000 18,86 18,860000 7,212000 89

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg

CAPS. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F 1 4,45 4,450000 4,450000 6,01 6,010000 6,010000 90

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS. 150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 91

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200 mg

CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 30,10 4,300000 4,300000 39,37 5,624285 5,624285 92

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS. 50mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 11,66 1,665714 1,665714 15,76 2,251428 2,251428 93

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS. 50mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR F 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 94

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50 MG

CAPS. 50mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,15 2,021428 1,777714 19,12 2,731428 2,403428 95

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS. 50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 43,23 6,175714 1,777714 56,54 8,077142 2,403428 96

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg

CAPS. 50mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 12,35 1,764285 1,764285 16,69 2,384285 2,384285 97

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS. 50mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 7 CAPS.

P- RF 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 98

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS. 50mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,49 2,070000 1,777714 19,58 2,797142 2,403428

73

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 99

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 50 mg

CAPS. 50mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 11,95 1,707142 1,707142 16,15 2,307142 2,307142 100

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS. 50mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P- RF 7 21,91 3,130000 1,777714 29,61 4,230000 2,403428 101

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS. 50mg

SANDOZ SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 32,06 4,580000 1,777714 41,93 5,990000 2,403428 102

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 10,37 1,481428 1,481428 14,02 2,002857 2,002857 103

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID,

DE CAPACITATE 60 ML

1 LINGURITA DOZATOARE A 5 ML,

CU PULB. PT. 35 ML SUSP.O

PR F 1 23,46 23,460000 23,460000 31,71 31,710000 31,710000 104

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S 1 34,28 34,280000 20,737200 44,84 44,840000 25,316400 105

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 106

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S 1 81,95 81,950000 81,950000 103,62 103,620000 103,620000 107

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 108

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

S 1 88,14 88,140000 88,140000 111,45 111,450000 103,986000 109

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 110

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 111

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF. 2mg/ml

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S 1 40,63 40,630000 20,737200 53,14 53,140000 25,316400 112

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 350,00 17,500000 17,500000 419,65 20,982500 20,982500 113

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 630,00 31,500000 20,737200 724,85 36,242500 25,316400 114

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S 1 18,84 18,840000 18,840000 25,47 25,470000 25,179000 115

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

S 10 770,66 77,066000 77,066000 878,17 87,817000 87,817000 116

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF. 2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F 1 35,03 35,030000 20,737200 45,82 45,820000 25,316400 117

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.

S 10 454,59 45,459000 20,737200 533,65 53,365000 25,316400 118

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.

S 20 796,39 39,819500 20,737200 906,22 45,311000 25,316400 119

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 10 760,00 76,000000 76,000000 866,55 86,655000 86,655000 120

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF 28 3.559,23 127,115357 127,115357 3.917,72 139,918571 139,918571 121

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM. 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF 28 912,09 32,574642 32,574642 1.032,33 36,868928 36,868928 122

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF 1 458,07 458,070000 458,070000 537,45 537,450000 537,450000 123

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA

1 MASURA DOZATOARE (23 ML)

1 SERINGA

P- RF 1 2.203,52 2.203,520000 2.203,520000 2.439,99 2.439,990000 2.439,990000

74

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 124

W60913

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS. GASTROR EZ. 100mg

MERCK SHARP & DOHME LTD.

MAREA BRITAN IE

CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE

PR 24 3.330,00 138,750000 138,750000 3.667,85 152,827083 152,827083 125

W58194

J02AC04

POSACONAZOLUM**

NOXAFIL SP 40mg/ml

SUSP. ORALA 40mg/ml

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P- RF/ R 1 2.488,19 2.488,190000 2.488,190000 2.750,28 2.750,280000 2.750,280000 126

W06665

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF. 50mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S 1 1.202,39 1.202,390000 1.202,390000 1.348,76 1.348,760000 1.348,760000 127

W06670

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S 1 1.560,14 1.560,140000 1.560,140000 1.738,70 1.738,700000 1.738,700000 128

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS. 200mg

FARMEX COMPANY S.R.L.

ROMAN IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 129

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P- RF/ S 1.000 704,14 0,704140 0,613200 805,66 0,805660 0,805660 130

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS. 200mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 14,97 0,748500 0,613200 20,23 1,011500 0,828600 131

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 132

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P- RF 10 14,41 1,441000 1,441000 19,48 1,948000 1,948000 133

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

PR F 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 134

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 20 10,22 0,511000 0,511000 13,81 0,690500 0,690500 135

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR. 200mg

LAROPHARM S.R.L.

ROMAN IA

CUTIE X 2 BLIST. X 10 COMPR.

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 136

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 137

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR. 200mg

TERAPIA SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 12,69 0,634500 0,613200 17,15 0,857500 0,828600 138

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR. 400mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 10 20,11 2,011000 1,729200 27,18 2,718000 2,337600 139

W00058

J05AB01

ACICLOVIRUM

VIROLEX

PULB. PT. SOL. INJ./PERF. 250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P RF 5 231,79 46,358000 46,358000 282,97 56,594000 56,594000 140

W58707

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR. FILM. 500 mg

THE WELLCOME FOUNDATION LTD.

MAREA BRITAN IE

CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.

PR F 10 43,54 4,354000 3,396000 56,95 5,695000 4,441200 141

W60087

J05AB11

VALACYCLOVIRUM

VALACICLOVIR ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM.

PR F 10 28,30 2,830000 2,830000 37,01 3,701000 3,701000 142

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F 60 3.171,52 52,858666 52,858666 3.495,11 58,251833 58,251833 143

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR. FILM. 450mg

ROCHE ROMANIA SRL

ROMAN IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P- RF 60 4.863,09 81,051500 63,430399 5.338,93 88,982166 69,902200 144

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

S 1 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,460000 145

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

S 1 3.821,35 3.821,350000 3.821,350000 4.203,43 4.203,430000 4.203,430000 146

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

S 1 202,26 202,260000 202,260000 246,92 246,920000 246,920000 147

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

S 1 925,45 925,450000 909,000000 1.046,89 1.046,890000 1.036,596000 148

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

S 1 1.857,75 1.857,750000 1.782,000000 2.063,10 2.063,100000 1.988,160000 149

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF. 10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 1.485,00 1.485,000000 1.485,000000 1.656,80 1.656,800000 1.656,800000 150

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF. 1g/20ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 197,39 197,390000 197,390000 240,98 240,980000 240,980000 151

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF. 2,5g/50ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 393,75 393,750000 393,750000 467,34 467,340000 467,340000 152

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF. 50mg/ml

INSTITUTO GRIFOLS S.A.

SPANIA

CUTIE X 1 FLAC. X 10 ML SOL. PERF.

S 1 102,55 102,550000 102,550000 125,19 125,190000 125,190000

75

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 153

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF. 5g/100ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 757,50 757,500000 757,500000 863,83 863,830000 863,830000 154

W12490

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ. 50mg

BAXTER ONCOLOGY GMBH

GERMA NIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P- RF 50 19,33 0,386600 0,386600 26,13 0,522600 0,522600 155

W52215

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ. I.V. 200mg

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

S 1 11,76 11,760000 11,760000 15,89 15,890000 15,890000 156

W58865

L01AA03

MELPHALANUM

ALKERAN 2 mg

COMPR. FILM. 2mg

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25 COMPR. FILM.

P- RF 25 288,54 11,541600 11,541600 352,25 14,090000 14,090000 157

W60631

L01AA03

MELPHALANUM

ALKERAN 50 mg

PULB

SOL V. PT. SOL. INJ./PERF. 50mg

CN UNIFARM S.A.

ROMAN IA

CUTIE CU 1 FIOLA PULB.

1 FIOLA SOLVENT

PR 1 654,63 654,630000 654,630000 751,70 751,700000 751,700000 158

W12497

L01AA06

IFOSFAMIDUM

HOLOXAN 1 g

PULB. PT. SOL. PERF. 1g

BAXTER ONCOLOGY GMBH

GERMA NIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.

S 1 92,66 92,660000 92,660000 117,16 117,160000 117,160000 159

W58856

L01AB01

BUSULFANUM

MYLERAN

COMPR. FILM. 2mg

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE X 1 FLAC. DIN STICLA BRUNA X 100 COMPR. FILM.

P- RF 100 1.028,76 10,287600 10,287600 1.159,50 11,595000 11,595000 160

W51454

L01AB01

BUSULFANUM

BUSILVEX 6mg/ml

CONC. PT. SOL. PERF. 6mg/ml

PIERRE FABRE MEDICAMENT

FRANT A

CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL. INJ.

S 8 9.151,91 1.143,988750 1.143,988750 10.013,75 1.251,718750 1.251,718750 161

W58569

L01BA01

METHOTREXATUM

METHOTREXATE PCH 10mg

COMPR. 10mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 10COMPR.

P6 L 10 21,32 2,132000 2,132000 28,81 2,881000 2,881000 162

W58568

L01BA01

METHOTREXATUM

METHOTREXATE PCH 2,5mg

COMPR. 2,5mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X30 COMPRIMATE

P6 L 30 16,00 0,533333 0,533333 21,62 0,720666 0,720666 163

W12733

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 1000 mg

CONC. PT. SOL. INJ./PERF. 100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML

S 1 70,91 70,910000 70,910000 89,66 89,660000 89,660000 164

W04185

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 500 mg

CONC. PT. SOL. INJ./PERF. 100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 5 FIOLE X 5 ML

S 5 197,47 39,494000 39,494000 241,07 48,214000 48,214000 165

W12735

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 5000 mg

CONC. PT. SOL. INJ./PERF. 100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 50 ML

S 1 332,72 332,720000 332,720000 400,81 400,810000 400,810000 166

W59856

L01BA01

METHOTREXATUM

BENDATREXAT

SOL INJ. 25mg/ml

CN UNIFARM S.A.

ROMAN IA

CUTIE CU 1 FLAC. X 2 ML

PR 1 65,37 65,370000 65,370000 82,65 82,650000 82,650000 167

W04186

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 5 mg

SOL. INJ. 5mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 10 FIOLE X 1 ML

S 10 17,62 1,762000 1,762000 23,82 2,382000 2,382000 168

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJ

PR 1 45,60 45,600000 45,600000 59,64 59,640000 59,640000 169

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJE

PR 1 100,34 100,340000 100,340000 122,50 122,500000 122,500000 170

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJE

PR 1 62,22 62,220000 62,220000 78,67 78,670000 78,670000 171

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJE

PR 1 87,07 87,070000 87,070000 110,09 110,090000 110,090000 172

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF 1 62,22 62,220000 62,220000 78,67 78,670000 78,670000 173

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF 1 59,16 59,160000 54,720000 74,80 74,800000 71,568000 174

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF 1 101,74 101,740000 101,740000 124,21 124,210000 124,210000

76

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 175

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF 1 86,63 86,630000 86,630000 109,54 109,540000 109,540000 176

W56210

L01BB05

FLUDARABINUM

FLUDARA ORAL 10 mg

COMPR. FILM. 10mg

GENZYME EUROPE B.V.

OLAND A

CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

P- RF/ S 20 1.094,66 54,733000 54,733000 1.231,33 61,566500 61,566500 177

W56211

L01BB05

FLUDARABINUM

FLUDARA

LIOF. PT. SOL. INJ./PERF. 50mg

GENZYME EUROPE B.V.

OLAND A

CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.

S 5 513,08 102,616000 102,616000 597,41 119,482000 119,482000 178

W53700

L01BB05

FLUDARABINUM

FLUDARABINA ACTAVIS 25 mg/ml

PULB. PT. SOL. INJ./PERF. 25mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

S 1 340,13 340,130000 123,139200 408,89 408,890000 143,378400 179

W08035

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI 100mg

BRISTOL MYERS SQUIBB KFT

UNGAR IA

CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10 CAPS.

P- RF 10 311,36 31,136000 31,136000 377,53 37,753000 37,753000 180

W08036

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI 50mg

BRISTOL MYERS SQUIBB KFT

UNGAR IA

CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10 CAPS.

P- RF 20 308,57 15,428500 15,428500 374,49 18,724500 18,724500 181

W52210

L01CB01

ETOPOSIDUM

SINTOPOZID 100 mg/5 ml

CONC. PT. SOL. PERF. 100mg/5 ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S 1 32,83 32,830000 32,830000 42,94 42,940000 42,940000 182

W03065

L01CB01

ETOPOSIDUM

ETOPOSID "EBEWE" 100 mg/5 ml

CONC. PT. SOL. PERF. 100mg/5 ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE X 1 FLACON X 5 ML

S 1 39,04 39,040000 38,352000 51,07 51,070000 50,172000 183

W60599

L01CB01

ETOPOSIDUM

ETOPOZIDA KABI 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 61,04 61,040000 61,040000 77,18 77,180000 77,180000 184

W52574

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.

S 1 31,96 31,960000 31,960000 41,81 41,810000 41,810000 185

W52574

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.

S 1 61,07 61,070000 61,070000 77,22 77,220000 77,220000 186

W03575

L01DB06

IDARUBICINUM

ZAVEDOS

CAPS. 10mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 1 CAPS.

P- RF 1 203,33 203,330000 203,330000 248,22 248,220000 248,220000 187

W03581

L01DB06

IDARUBICINUM

ZAVEDOS 5 mg

PULB. PT. SOL. INJ. 5mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.

S 1 143,35 143,350000 143,350000 175,00 175,000000 175,000000 188

W42735

L01DB07

MITOXANTRONUM**

ONKOTRONE

CONC. PT. SOL. INJ. 2mg/ml

BAXTER ONCOLOGY GMBH

GERMA NIA

CUTIE X 1 FLACON X 10 ML CONC. PT. SOL. INJ.

S 1 555,48 555,480000 555,480000 643,62 643,620000 643,620000 189

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF. 0,5 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF.

PR 1 19,75 19,750000 19,750000 26,70 26,700000 26,700000 190

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF. 0,5 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF.

PR 1 35,38 35,380000 35,380000 46,28 46,280000 46,280000 191

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF. 0,5 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF.

PR 1 11,00 11,000000 11,000000 14,87 14,870000 14,868000 192

W56665

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF. 1 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF.

PR 1 67,91 67,910000 67,910000 85,86 85,860000 85,860000 193

W56665

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF. 1 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF.

PR 1 35,38 35,380000 35,380000 46,28 46,280000 46,280000 194

W01315

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 10 mg/20 ml

CONC. PT. SOL. PERF. 10mg/20 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF.

S 1 9,17 9,170000 9,170000 12,39 12,390000 12,390000 195

W52187

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.

S 1 48,45 48,450000 37,884000 63,37 63,370000 49,560000 196

W52187

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF.

S 1 18,81 18,810000 11,004000 25,42 25,420000 14,868000 197

W01316

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 25 mg/50 ml

CONC. PT. SOL. PERF. 25mg/50 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.

S 1 22,06 22,060000 22,060000 29,81 29,810000 29,810000

77

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 198

W01317

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 50 mg/100 ml

CONC. PT. SOL. PERF. 50mg/100 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.

S 1 31,57 31,570000 31,570000 41,30 41,300000 41,300000 199

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF.

S 1 21,86 21,860000 21,624000 29,55 29,550000 29,220000 200

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 45 ML CONC. PT. SOL. PERF.

S 1 133,04 133,040000 133,040000 162,41 162,410000 162,410000 201

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 1 174,90 174,900000 174,900000 213,52 213,520000 213,520000 202

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF.

S 1 178,07 178,070000 158,400000 217,39 217,390000 193,380000 203

W52579

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF.

S 1 47,45 47,450000 47,450000 62,06 62,060000 62,060000 204

W52579

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF.

S 1 132,81 132,810000 132,810000 162,14 162,140000 162,140000 205

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF.

S 1 62,52 62,520000 56,904000 79,05 79,050000 74,436000 206

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S 1 18,05 18,050000 18,050000 24,39 24,390000 24,390000 207

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC,

SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA

PR 1 18,02 18,020000 18,020000 24,35 24,350000 24,350000 208

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 47,42 47,420000 47,420000 62,03 62,030000 62,030000 209

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

CONC. PT. SOL. PERF. 10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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 1 132,00 132,000000 132,000000 161,15 161,150000 161,150000 210

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

CONC. PT. SOL. PERF. 10mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL. PERF.

S 1 50,00 50,000000 50,000000 63,22 63,220000 63,220000 211

W07199

L01XC02

RITUXIMABUM**

MABTHERA 100 mg

CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 2 FLACOANE X 10 ML

S 2 2.221,55 1.110,775000 1.110,775000 2.459,64 1.229,820000 1.229,820000 212

W07200

L01XC02

RITUXIMABUM**

MABTHERA 500 mg

CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

S 1 5.509,03 5.509,030000 5.509,030000 6.043,00 6.043,000000 6.043,000000 213

W51424

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ. 30MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 267,05 267,050000 194,520000 326,02 326,020000 237,468000 214

W51423

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ. 48MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 436,57 436,570000 313,092000 514,01 514,010000 382,224000 215

W53892

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 162,10 162,100000 162,100000 197,89 197,890000 197,890000 216

W53893

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 260,91 260,910000 260,910000 318,52 318,520000 318,520000

78

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 217

W55756

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF. 120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF 5 418,45 83,690000 83,690000 494,26 98,852000 98,852000 218

W53520

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF. 300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P RF/ R 1 214,16 214,160000 194,520000 261,45 261,450000 237,468000 219

W55757

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF. 300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF 5 1.001,12 200,224000 194,520000 1.129,37 225,874000 225,874000 220

W53523

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF. 480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P RF/ R 1 355,90 355,900000 313,092000 426,08 426,080000 382,224000 221

W55758

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF. 480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF 5 1.656,30 331,260000 313,092000 1.843,52 368,704000 368,704000 222

W54580

L03AX16

PLERIXAFOR**

MOZOBIL 20mg/ml

SOL. INJ. 20 mg/ml

GENZYME EUROPE B.V.

OLAND A

FLACON CU 1,2 ML SOL. X 20 MG/ML

S 1 20.861,97 20.861,970000 20.861,970000 22.777,73 22.777,730000 22.777,730000 223

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P- RF/ R 100 452,86 4,528600 4,528600 531,77 5,317700 5,317700 224

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P- RF/ R 50 452,86 9,057200 9,057200 531,77 10,635400 10,635400 225

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR EZ. 180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 557,65 4,647083 4,647083 645,99 5,383250 5,383250 226

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR EZ. 360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 1.041,93 8,682750 8,682750 1.173,85 9,782083 9,782083 227

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 228

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

CAPS. 250 mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR 100 291,62 2,916200 2,916200 356,01 3,560100 3,560100 229

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 230

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS. 250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P- RF/ R 100 302,31 3,023100 3,023100 367,67 3,676700 3,676700 231

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. 500mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P- RF 50 227,17 4,543400 4,543400 277,33 5,546600 5,546600 232

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR. FILM. 250mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900 233

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 500 mg

COMPR. FILM. 500 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR F 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800 234

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 235

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM. 500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 302,31 6,046200 6,046200 367,67 7,353400 7,353400 236

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 237

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800 238

W10576

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ. 1mg

WYETH EUROPA LTD.

MAREA BRITAN IE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P- RF/ R 30 489,29 16,309666 16,309666 571,48 19,049333 19,049333 239

W58975

L04AB01

ETANERCEPTUM**

ENBREL 10mg de uz pediatric

PULB

SOL V. PT. SOL. INJ. 10mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE CU 4 FLACOANE CU PULBERE

4 SERINGI PRE-UMPLUTE X 1ML APA

4 ACE CU INJECTOARE DIN OTEL INOXIDABIL

4 ADAPTOARE PENTRU FLACON

8 TAMPOANE CU ALCOOL MEDICNAL

PR 4 722,92 180,730000 180,730000 826,13 206,532500 206,532500 240

W61297

L04AB01

ETANERCEPTUM**

ENBREL 25mg

PULB.

SOLV. PT. SOL. INJ. 25mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 4 FLACOANE

4 SERINGI PREUMPLUTE

4 ACE

4 ADAPTOARE PENTRU FLACOANE

6 TAMPOANE CU ALCOOL (3 ANI)

P- RF/ R 4 1.748,78 437,195000 437,195000 1.944,32 486,080000 486,080000

79

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 241

W61299

L04AB01

ETANERCEPTUM**

ENBREL 25mg

SOL. INJ. (INSERING A PREUMPLU TA) 25mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL (2 ANI)

P- RF/ R 4 1.722,63 430,657500 430,657500 1.915,82 478,955000 478,955000 242

W61300

L04AB01

ETANERCEPTUM**

ENBREL 50mg

SOL. INJ. (INSERING A PREUMPLU TA) 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL (2 ANI)

P- RF/ R 4 3.432,11 858,027500 858,027500 3.779,16 944,790000 944,790000 243

W61303

L04AB01

ETANERCEPTUM**

ENBREL 50mg

SOL. INJ. IN STILOU INJECTOR PREUMPLU T 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL (3 ANI)

P- RF/ R 4 3.432,11 858,027500 858,027500 3.779,16 944,790000 944,790000 244

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI 100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000 245

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 112,48 2,249600 2,249600 137,32 2,746400 2,746400 246

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI 25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400 247

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI 50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600 248

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 239,32 4,786400 4,786400 292,16 5,843200 5,843200 249

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS. 0,5 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400 250

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS. 0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 91,62 1,832400 1,832400 115,84 2,316800 2,316800 251

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5 mg

CAPS. 0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400 252

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS. 0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 205,39 4,107800 4,107800 250,74 5,014800 5,014800 253

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS. 1 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 254

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS. 1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 255

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 363,74 7,274800 7,274800 434,63 8,692600 8,692600 256

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS. 1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 179,98 3,599600 3,599600 219,72 4,394400 4,394400 257

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS. 5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 1.715,18 34,303600 34,303600 1.907,70 38,154000 38,154000 258

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS. ELIB. PREL. 0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400 259

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS. ELIB. PREL. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 402,53 8,050600 8,050600 476,91 9,538200 9,538200 260

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS. ELIB. PREL. 5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600 261

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S 10 1.545,19 154,519000 154,519000 1.722,41 172,241000 172,241000 262

W42813

N02AX02

TRAMADOLUM

TRALGIT 50

CAPS. 50mg

ZENTIVA A.S.

SLOVA CIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 4,15 0,207500 0,207500 5,61 0,280500 0,280500 263

W41593

N02AX02

TRAMADOLUM

K-ALMA (R)

CAPS. 50mg

ANTIBIOTICE SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 5,67 0,283500 0,249000 7,67 0,383500 0,336600 264

W13570

N02AX02

TRAMADOLUM

TRAMADOL LPH 50 mg

CAPS. 50mg

LABORMED PHARMA SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 5,67 0,283500 0,249000 7,67 0,383500 0,336600 265

W12691

N02AX02

TRAMADOLUM

TRAMADOL

CAPS. 50mg

KRKA D.D.

SLOVE NIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 4,31 0,215500 0,215500 5,82 0,291000 0,291000

80

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 266

W60291

N02AX02

TRAMADOLUM

TRAMACALM

CAPS. 50mg

A.C. HELCOR PHARMA S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.

P- RF 10 2,85 0,285000 0,249000 3,85 0,385000 0,336600 267

W60238

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

CAPS. 50mg

ZENTIVA A.S.

SLOVA CIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 4,15 0,207500 0,207500 5,61 0,280500 0,280500 268

W05960

N02AX02

TRAMADOLUM

MABRON 50 mg

CAPS. 50mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P- RF 10 2,85 0,285000 0,249000 3,85 0,385000 0,336600 269

W52049

N02AX02

TRAMADOLUM

TRAMADOL ARENA

CAPS. 50mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 6,66 0,333000 0,249000 9,00 0,450000 0,336600 270

W42957

N02AX02

TRAMADOLUM

TRAMADOL EEL

COMPR. 50mg

BIO EEL SRL

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 5,67 0,283500 0,249000 7,67 0,383500 0,336600 271

W42440

N02AX02

TRAMADOLUM

TRAMAG 50

COMPR. 50mg

MAGISTRA C & C

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 5,67 0,283500 0,249000 7,67 0,383500 0,336600 272

W13507

N02AX02

TRAMADOLUM

TRAMADOLOR (R) 100 ID

COMPR. ELIB. MODIF. 100mg

HEXAL AG

GERMA NIA

CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.

P- RF 10 4,66 0,466000 0,466000 6,30 0,630000 0,630000 273

W58072

N02AX02

TRAMADOLUM

TRAMADOL RETARD 100 mg

COMPR. ELIB. PREL. 100mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.

PR F 30 13,99 0,466333 0,466333 18,91 0,630333 0,630333 274

W60236

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA 100 mg

COMPR. ELIB. PREL. 100mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF 30 13,98 0,466000 0,466000 18,89 0,629666 0,629666 275

W41922

N02AX02

TRAMADOLUM

TRALGIT SR 100

COMPR. ELIB. PREL. 100mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF 30 13,98 0,466000 0,466000 18,89 0,629666 0,629666 276

W60237

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA 150 mg

COMPR. ELIB. PREL. 150mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF 30 20,38 0,679333 0,679333 27,55 0,918333 0,918333 277

W58893

N02AX02

TRAMADOLUM

TRADOLAN RETARD 150 mg

COMPR. ELIB. PREL. 150mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRI A

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PR F 30 24,72 0,824000 0,815200 33,41 1,113666 1,102000 278

W41923

N02AX02

TRAMADOLUM

TRALGIT SR 150

COMPR. ELIB. PREL. 150mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF 30 20,38 0,679333 0,679333 27,55 0,918333 0,918333 279

W58894

N02AX02

TRAMADOLUM

TRADOLAN RETARD 200 mg

COMPR. ELIB. PREL. 200mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRI A

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PR F 30 26,22 0,874000 0,874000 34,30 1,143333 1,143333 280

W07784

N02AX02

TRAMADOLUM

TRADOLAN 50 mg

COMPR. FILM. 50mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRI A

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

P- RF 30 7,88 0,262666 0,249000 10,65 0,355000 0,336600 281

W07473

N02AX02

TRAMADOLUM

TRAMAL RETARD 100 mg

COMPR. FILM. ELIB. PREL. 100mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P- RF 10 7,17 0,717000 0,559200 9,69 0,969000 0,755599 282

W43360

N02AX02

TRAMADOLUM

TRAMADOL RETARD 150 mg

COMPR. FILM. ELIB. PREL. 150mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P- RF 30 31,78 1,059333 0,815200 41,57 1,385666 1,102000 283

W05978

N02AX02

TRAMADOLUM

TRAMAL RETARD 150 mg

COMPR. FILM. ELIB. PREL. 150mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P- RF 10 16,30 1,630000 0,815200 22,03 2,203000 1,102000 284

W05979

N02AX02

TRAMADOLUM

TRAMAL RETARD 200 mg

COMPR. FILM. ELIB. PREL. 200mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P- RF 10 20,85 2,085000 1,048800 28,18 2,818000 1,372000 285

W43361

N02AX02

TRAMADOLUM

TRAMADOL RETARD 200 mg

COMPR. FILM. ELIB. PREL. 200mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P- RF 30 40,67 1,355666 1,048800 53,20 1,773333 1,372000 286

W60239

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE RSABILE 50mg

ZENTIVA, A.S.

REPUB LICA SLOVA CA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PR F 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600 287

W59163

N02AX02

TRAMADOLUM

TRALGIT 50 mg

COMPR. ORODISPE RSABILE 50mg

ZENTIVA, A.S.

REPUB LICA SLOVA CA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PR F 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600 288

W60239

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE RSABILE 50mg

ZENTIVA, A.S.

REPUB LICA SLOVA CA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE

PR F 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600 289

W05961

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 7,27 1,454000 1,322640 9,83 1,966000 1,614720 290

W05961

N02AX02

TRAMADOLUM

MABRON

SOL. INJ. 100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P RF 100 110,22 1,102200 1,102200 134,56 1,345600 1,345600

81

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 291

W05967

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ. 50mg/ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 2 ML

S/P RF 5 9,69 1,938000 1,322640 13,10 2,620000 1,614720 292

W05966

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ. 50mg/ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 1 ML

S/P RF 5 3,65 0,730000 0,730000 4,93 0,986000 0,986000 293

W05969

N02AX02

TRAMADOLUM

TRAMADOL

SUPOZ. 100mg

KRKA D.D.

SLOVE NIA

CUTIE X 1 BLIST. X 5 SUPOZ.

P- RF 5 4,13 0,826000 0,826000 5,58 1,116000 1,116000 294

W61214

R05CB13

DORNAZA ALFA**

PULMOZYME 2500 U/2,5 ml

SOL. DE INHALAT PRIN NEBULIZAT OR 2500U/2,5 ml

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC,

DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR,

INTRODUSE INTR-O PUNGA DIN AL

PR 6 416,77 69,461666 69,461666 492,43 82,071666 82,071666 295

W51323

R05CB13

DORNAZA ALFA**

PULMOZYME

SOL. INHAL. 1mg/ml

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR,

INTRODUSE IN PUNGA AL

S/P RF 6 416,77 69,461666 69,461666 492,43 82,071666 82,071666 296

W51484

V03AC03

DEFERASIROXUM**

EXJADE 125mg

COMPR. DISP. 125mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

PR 28 687,54 24,555000 24,555000 787,57 28,127500 28,127500 297

W51485

V03AC03

DEFERASIROXUM**

EXJADE 250mg

COMPR. DISP. 250mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR 28 1.461,36 52,191428 52,191428 1.631,03 58,251071 58,251071 298

W51486

V03AC03

DEFERASIROXUM**

EXJADE 500mg

COMPR. DISP. 500mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR 28 2.660,12 95,004285 95,004285 2.937,68 104,917142 104,917142 299

W04133

V03AF01

MESNUM

UROMITEXAN (R) 400 mg

SOL. INJ. 400mg/4 ml

BAXTER ONCOLOGY GMBH

GERMA NIA

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML

S 15 44,87 2,991333 2,991333 58,69 3,912666 3,912666

82

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE,

TESUTURI SI CELULE DE ORIGINE UMANA

P9.2: TRANSPLANT DE CORD

1

W02947

C01CA24

EPINEPHRINUM

ADRENALINA 1 mg

SOL. INJ. 1mg/ml

TERAPIA SA

ROMAN IA

CUTIE X 100 FIOLE X 1 ML

S 100 151,25 1,512500 1,512500 184,65 1,846500 1,846500 2

W60389

C01CA24

EPINEPHRINUM

EPIPEN 150 micrograme

SOL. INJ. IN STILOU PREUMPLU T 150mcg

MEDA PHARMA GMBH & CO KG

GERMA NIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR 1 147,80 147,800000 147,800000 180,43 180,430000 180,430000 3

W60390

C01CA24

EPINEPHRINUM

EPIPEN 300 micrograme

SOL. INJ. IN STILOU PREUMPLU T 300mcg

MEDA PHARMA GMBH & CO KG

GERMA NIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR 1 147,80 147,800000 147,800000 180,43 180,430000 180,430000 4

W54763

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 5

W55423

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 6

W55369

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 7

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 12 265,41 22,117500 22,117500 324,01 27,000833 27,000833 8

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 9

W54765

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,94 40,940000 40,940000 53,55 53,550000 53,550000 10

W55370

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 11

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 12

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 13

W55424

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 14

W55117

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 15

W53595

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 386,57 38,657000 26,541000 459,51 45,951000 32,401000 16

W53596

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF. 4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 389,01 38,901000 38,901000 462,17 46,217000 46,217000 17

W13676

J01DD12

CEFOPERAZONUM

MEDOCEF 1 g

PULB. PT. SOL. INJ. 1g

MEDOCHEMIE LTD.

CIPRU

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

S/P RF 10 154,50 15,450000 8,448000 188,61 18,861000 11,412000 18

W13677

J01DD12

CEFOPERAZONUM

MEDOCEF 2 g

PULB. PT. SOL. INJ. 2g

MEDOCHEMIE LTD.

CIPRU

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

S/P RF 10 187,44 18,744000 13,932000 228,83 22,883000 18,828000 19

W44045

J01DD12

CEFOPERAZONUM

CEFOZON 500 mg

PULB. PT. SOL. INJ. 500mg

E.I.P.I.CO. MED S.R.L.

ROMAN IA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ.

S/P RF 1 3,88 3,880000 3,880000 5,24 5,240000 5,240000 20

W52795

J01DD12

CEFOPERAZONUM

CEFOZON 2 g

PULB. PT. SOL. INJ./PERF. I.M./I.V. 2g

E.I.P.I.CO. MED S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

S/P RF 1 11,61 11,610000 11,610000 15,69 15,690000 15,690000 21

W44061

J01DD12

CEFOPERAZONUM

CEFOZON 1 g

PULB. PT. SOL. INJ./PERF.I. M./I.V. 1g

E.I.P.I.CO. MED S.R.L.

ROMAN IA

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 7,04 7,040000 7,040000 9,51 9,510000 9,510000 22

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 23

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000 24

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL. PERF.

S/P RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 25

W54532

J01DH51

IMIPENEMUM

CILASTATINUM

IMIPENEM/CILASTATIN KABI 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P RF 10 296,98 29,698000 29,698000 362,55 36,255000 36,255000 26

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P RF 1 30,31 30,310000 30,310000 39,65 39,650000 39,650000 27

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000 28

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P RF 5 146,26 29,252000 29,252000 178,55 35,710000 35,710000 29

W54471

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF. 500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P RF 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 30

W51274

J01DH51

IMIPENEMUM

CILASTATINUM

TIENAM I.V.

PULB. PT. SOL. PERF. 500mg/50 0mg

MERCK SHARP & DOHME

ROMAN IA

TAVA DIN PLASTIC X 10 FLAC. DIN STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P RF 10 445,46 44,546000 35,102400 523,70 52,370000 42,852000 31

W61198

J01DH51

IMIPENEMUM

CILASTATINUM

IMIPENEM/CILASTATIN ATB 500 mg/500 mg

PULB. PT. SOL. PERF. 500mg/50 0mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III,

CU CAPACITATEA DE 20 ML,

CONTINANAD PULB. PT. SOL. PERF.

PR 10 292,52 29,252000 29,252000 357,11 35,711000 35,711000 32

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF 10 1.603,26 160,326000 160,326000 1.785,71 178,571000 178,571000 33

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA 100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP.

1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF 1 879,36 879,360000 879,360000 996,65 996,650000 996,650000 34

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF. 2mg/ml

SANDOZ S.R.L.

ROMAN IA

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 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 35

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE 300 ML SOL. PERF.

PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000

83

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 36

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR

PR 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 37

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL.,

ECHIPA

PR F 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 38

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF. 2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S 10 1.603,26 160,326000 126,314400 1.785,71 178,571000 142,261200 39

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS. 100mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 4 CAPS.

P- RF 4 18,95 4,737500 3,615428 25,61 6,402500 4,887428 40

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS. 100mg

BALKANPHARMA RAZGRAD AD

BULGA RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P- RF 16 65,37 4,085625 3,615428 82,66 5,166250 4,887428 41

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100 mg

CAPS. 100mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 21,09 3,012857 3,012857 28,51 4,072857 4,072857 42

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF 2 6,98 3,490000 3,490000 9,43 4,715000 4,715000 43

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 23,31 3,330000 3,330000 31,51 4,501428 4,501428 44

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM 150 mg

CAPS. 150mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 9,57 9,570000 5,340000 12,94 12,940000 7,212000 45

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS. 150mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 46

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS. 150mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 47

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS. 150mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 7,16 7,160000 5,340000 9,68 9,680000 7,212000 48

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS. 150mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 FLAC. X 1 CAPS.

P- RF 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 49

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS. 150mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 50

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg

CAPS. 150mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,07 6,070000 5,340000 8,20 8,200000 7,212000 51

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS. 150mg

SANDOZ SRL

GERMA NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 10,79 10,790000 5,340000 14,58 14,580000 7,212000 52

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS. 150mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PR F 1 7,44 7,440000 5,340000 10,06 10,060000 7,212000 53

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS. 150mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P- RF 4 48,24 12,060000 5,340000 63,10 15,775000 7,212000 54

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS. 150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 55

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS. 150mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,68 6,680000 5,340000 9,03 9,030000 7,212000 56

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS. 150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 18,56 18,560000 5,340000 25,08 25,080000 7,212000 57

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS. 150mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P- RF 1 13,95 13,950000 5,340000 18,86 18,860000 7,212000 58

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg

CAPS. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F 1 4,45 4,450000 4,450000 6,01 6,010000 6,010000 59

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS. 150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 60

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200 mg

CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 30,10 4,300000 4,300000 39,37 5,624285 5,624285 61

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS. 50mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 11,66 1,665714 1,665714 15,76 2,251428 2,251428 62

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS. 50mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR F 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 63

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50 MG

CAPS. 50mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,15 2,021428 1,777714 19,12 2,731428 2,403428 64

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS. 50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 43,23 6,175714 1,777714 56,54 8,077142 2,403428

84

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 65

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg

CAPS. 50mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 12,35 1,764285 1,764285 16,69 2,384285 2,384285 66

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS. 50mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 7 CAPS.

P- RF 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 67

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS. 50mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,49 2,070000 1,777714 19,58 2,797142 2,403428 68

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 50 mg

CAPS. 50mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 11,95 1,707142 1,707142 16,15 2,307142 2,307142 69

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS. 50mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P- RF 7 21,91 3,130000 1,777714 29,61 4,230000 2,403428 70

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS. 50mg

SANDOZ SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 32,06 4,580000 1,777714 41,93 5,990000 2,403428 71

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 10,37 1,481428 1,481428 14,02 2,002857 2,002857 72

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID,

DE CAPACITATE 60 ML

1 LINGURITA DOZATOARE A 5 ML,

CU PULB. PT. 35 ML SUSP.O

PR F 1 23,46 23,460000 23,460000 31,71 31,710000 31,710000 73

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S 1 34,28 34,280000 20,737200 44,84 44,840000 25,316400 74

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 75

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S 1 81,95 81,950000 81,950000 103,62 103,620000 103,620000 76

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 77

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

S 1 88,14 88,140000 88,140000 111,45 111,450000 103,986000 78

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 79

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 80

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF. 2mg/ml

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S 1 40,63 40,630000 20,737200 53,14 53,140000 25,316400 81

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 350,00 17,500000 17,500000 419,65 20,982500 20,982500 82

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 630,00 31,500000 20,737200 724,85 36,242500 25,316400 83

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S 1 18,84 18,840000 18,840000 25,47 25,470000 25,179000 84

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

S 10 770,66 77,066000 77,066000 878,17 87,817000 87,817000 85

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF. 2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F 1 35,03 35,030000 20,737200 45,82 45,820000 25,316400 86

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.

S 10 454,59 45,459000 20,737200 533,65 53,365000 25,316400 87

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.

S 20 796,39 39,819500 20,737200 906,22 45,311000 25,316400 88

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 10 760,00 76,000000 76,000000 866,55 86,655000 86,655000 89

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF 28 3.559,23 127,115357 127,115357 3.917,72 139,918571 139,918571 90

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM. 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF 28 912,09 32,574642 32,574642 1.032,33 36,868928 36,868928

85

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 91

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF 1 458,07 458,070000 458,070000 537,45 537,450000 537,450000 92

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA

1 MASURA DOZATOARE (23 ML)

1 SERINGA

P- RF 1 2.203,52 2.203,520000 2.203,520000 2.439,99 2.439,990000 2.439,990000 93

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F 60 3.171,52 52,858666 52,858666 3.495,11 58,251833 58,251833 94

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR. FILM. 450mg

ROCHE ROMANIA SRL

ROMAN IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P- RF 60 4.863,09 81,051500 63,430399 5.338,93 88,982166 69,902200 95

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P- RF/ R 100 452,86 4,528600 4,528600 531,77 5,317700 5,317700 96

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P- RF/ R 50 452,86 9,057200 9,057200 531,77 10,635400 10,635400 97

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR EZ. 180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 557,65 4,647083 4,647083 645,99 5,383250 5,383250 98

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR EZ. 360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 1.041,93 8,682750 8,682750 1.173,85 9,782083 9,782083 99

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 100

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

CAPS. 250 mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR 100 291,62 2,916200 2,916200 356,01 3,560100 3,560100 101

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 102

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS. 250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P- RF/ R 100 302,31 3,023100 3,023100 367,67 3,676700 3,676700 103

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. 500mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P- RF 50 227,17 4,543400 4,543400 277,33 5,546600 5,546600 104

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR. FILM. 250mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900 105

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 500 mg

COMPR. FILM. 500 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR F 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800 106

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 107

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM. 500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 302,31 6,046200 6,046200 367,67 7,353400 7,353400 108

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 109

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800 110

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI 100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000 111

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 112,48 2,249600 2,249600 137,32 2,746400 2,746400 112

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI 25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400 113

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI 50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600 114

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 239,32 4,786400 4,786400 292,16 5,843200 5,843200 115

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS. 0,5 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400 116

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS. 0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 91,62 1,832400 1,832400 115,84 2,316800 2,316800

86

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 117

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5 mg

CAPS. 0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400 118

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS. 0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 205,39 4,107800 4,107800 250,74 5,014800 5,014800 119

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS. 1 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 120

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS. 1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 121

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 363,74 7,274800 7,274800 434,63 8,692600 8,692600 122

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS. 1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 179,98 3,599600 3,599600 219,72 4,394400 4,394400 123

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS. 5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 1.715,18 34,303600 34,303600 1.907,70 38,154000 38,154000 124

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS. ELIB. PREL. 0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400 125

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS. ELIB. PREL. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 402,53 8,050600 8,050600 476,91 9,538200 9,538200 126

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS. ELIB. PREL. 5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600 127

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S 10 1.545,19 154,519000 154,519000 1.722,41 172,241000 172,241000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE,

TESUTURI SI CELULE DE ORIGINE UMANA

87

P9.3: TRANSPLANT HEPATIC

1

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6 L 100 98,29 0,982900 0,848200 124,28 1,242800 1,109400 2

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P- 6L 50 56,54 1,130800 0,848200 71,49 1,429800 1,109400 3

W59934

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS. 250mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6 L 60 42,41 0,706833 0,706833 55,47 0,924500 0,924500 4

W00188

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS. 250mg

PRO. MED. CS PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P- 6L 50 54,39 1,087800 0,848200 68,77 1,375400 1,109400 5

W53024

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 150 mg

COMPR. 150mg

ZAMBON S.P.A.

ITALIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P- 6L 60 41,43 0,690500 0,690500 54,19 0,903166 0,903166 6

W53025

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 300 mg

COMPR. 300mg

ZAMBON S.P.A.

ITALIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- 6L 20 27,43 1,371500 1,371500 35,88 1,794000 1,794000 7

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM. 500mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6 L 50 111,83 2,236600 2,236600 136,52 2,730400 2,730400 8

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM. 500mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6 L 100 219,67 2,196700 2,196700 268,17 2,681700 2,681700 9

W58363

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP. ORALA 250mg/5 ml

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA

1LINGURITA DOZATOARE DIN PP

P6 L 1 77,10 77,100000 77,100000 97,49 97,490000 97,490000 10

W13613

B01AB05

ENOXAPARINUM

CLEXANE 2000ui anti- Xa/0,2ml

SOL. INJ. 2000ui anti- Xa/0,2ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR /P RF 10 49,00 4,900000 4,900000 64,09 6,409000 6,409000 11

W13612

B01AB05

ENOXAPARINUM

CLEXANE 4000ui anti- Xa/0,4ml

SOL. INJ. 4000ui anti- Xa/0,4ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR /P RF 10 93,99 9,399000 9,399000 118,84 11,884000 11,884000 12

W13611

B01AB05

ENOXAPARINUM

CLEXANE 6000ui anti- Xa/0,6ml

SOL. INJ. 6000ui anti- Xa/0,6ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR /P RF 10 118,32 11,832000 11,832000 144,45 14,445000 14,445000 13

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ. 8000ui anti- Xa/0,8ml

LAB. AVENTIS

FRANT A

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

PR /P RF 2 30,69 15,345000 15,345000 40,14 20,070000 20,070000 14

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ. 8000UI anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANT A

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML,

PREVAZUTA CU A

PR /P RF 6 104,35 17,391666 17,391666 127,39 21,231666 21,231666 15

W58879

B01AC11

ILOPROSTUM**

ILOMEDIN 20

CONC. PT. SOL. PERF. 20μg/ml

BAYER PHARMA AG

GERMA NIA

CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.

S/P RF 5 650,50 130,100000 130,100000 747,20 149,440000 149,440000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 16

W51786

B01AC11

ILOPROSTUM**

VENTAVIS 10mcg/ml

SOL. DE INHALAT PRIN NEBULIZ. 10mcg/ml

BAYER SCHERING PHARMA AG

GERMA NIA

CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.

S 30 1.947,00 64,900000 64,900000 2.160,38 72,012666 72,012666 17

W00257

B01AD02

ALTEPLASUM**

ACTILYSE

PULB

SOL V. PT. SOL. INJ 50mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMA NIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ.

1 FLACON SOLV.

CANULA DE TRANSFER

S 1 1.490,89 1.490,890000 1.490,890000 1.663,22 1.663,220000 1.663,220000 18

W54011

B02AA02

ACIDUM TRANEXAMICUM 4)

EXACYL

SOL. INJ. 500mg/5 ml

CN UNIFARM

ROMAN IA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X 5 9,47 1,894000 1,894000 12,80 2,560000 2,560000 19

W58726

C03EB01

COMBINATII (SPIRONOLACTONUM

FUROSEMIDUM)

DIUROCARD 50 mg/20 mg

CAPS. 50mg/20 mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.

P6 L 30 23,29 0,776333 0,776333 31,48 1,049333 1,049333 20

W60585

C03EB01

COMBINATII (SPIRONOLACTONUM

FUROSEMIDUM)

DIOCOR 50 mg/20 mg

CAPS. 50mg/20 mg

SANIENCE S.R.L.

ROMAN IA

CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.

P6 L 30 23,29 0,776333 0,776333 31,48 1,049333 1,049333 21

W60585

C03EB01

COMBINATII (SPIRONOLACTONUM

FUROSEMIDUM)

DIOCOR 50 mg/20 mg

CAPS. 50mg/20 mg

SANIENCE S.R.L.

ROMAN IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P6 L 20 17,25 0,862500 0,862500 23,31 1,165500 1,165500 22

W07005

C03EB01

COMBINATII (SPIRONOLACTONUM

FUROSEMIDUM)

DIUREX 50

CAPS. 50mg/20 mg

TERAPIA SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- 6L 20 17,25 0,862500 0,862500 23,31 1,165500 1,165500 23

W53989

H01BA02

DESMOPRESSINUM

MINIRIN 0,2 mg

COMPR. 0,2mg

FERRING GMBH

GERMA NIA

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

P- RF 30 95,42 3,180666 3,180666 120,65 4,021666 4,021666 24

W53832

H01BA02

DESMOPRESSINUM

DESMOPRESINA TEVA 0,2mg

COMPR. 0,2mg

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR.

P- RF 30 105,26 3,508666 3,508666 128,50 4,283333 4,283333 25

W53992

H01BA02

DESMOPRESSINUM

MINIRIN MELT 120 mcg

LIOF. ORAL 120mcg

FERRING GMBH

GERMA NIA

CUTIE X 3 BLIST. AL/AL X 10 UNITATI DOZATE LIOF. ORAL

P- RF 30 149,92 4,997333 4,997333 183,02 6,100666 6,100666 26

W53991

H01BA02

DESMOPRESSINUM

MINIRIN MELT 60 mcg

LIOF. ORAL 60mcg

FERRING GMBH

GERMA NIA

CUTIE X 1 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL

P- RF 10 26,04 2,604000 2,604000 34,06 3,406000 3,406000 27

W53991

H01BA02

DESMOPRESSINUM

MINIRIN MELT 60 mcg

LIOF. ORAL 60mcg

FERRING GMBH

GERMA NIA

CUTIE X 3 BLIST AL/AL X 10 UNITATI DOZATE LIOF. ORAL

P- RF 30 76,73 2,557666 2,557666 97,02 3,234000 3,234000 28

W54763

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 29

W55423

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 30

W55369

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 31

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 12 265,41 22,117500 22,117500 324,01 27,000833 27,000833 32

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 33

W54765

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,94 40,940000 40,940000 53,55 53,550000 53,550000 34

W55370

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 35

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 36

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 37

W55424

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 38

W55117

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 39

W53595

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 386,57 38,657000 26,541000 459,51 45,951000 32,401000 40

W53596

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF. 4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 389,01 38,901000 38,901000 462,17 46,217000 46,217000 41

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF 10 1.603,26 160,326000 160,326000 1.785,71 178,571000 178,571000 42

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA 100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP.

1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF 1 879,36 879,360000 879,360000 996,65 996,650000 996,650000

88

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 43

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF. 2mg/ml

SANDOZ S.R.L.

ROMAN IA

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 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 44

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE 300 ML SOL. PERF.

PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 45

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR

PR 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 46

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL.,

ECHIPA

PR F 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 47

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF. 2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S 10 1.603,26 160,326000 126,314400 1.785,71 178,571000 142,261200 48

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF 28 3.559,23 127,115357 127,115357 3.917,72 139,918571 139,918571 49

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM. 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF 28 912,09 32,574642 32,574642 1.032,33 36,868928 36,868928 50

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF 1 458,07 458,070000 458,070000 537,45 537,450000 537,450000 51

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA

1 MASURA DOZATOARE (23 ML)

1 SERINGA

P- RF 1 2.203,52 2.203,520000 2.203,520000 2.439,99 2.439,990000 2.439,990000 52

W06665

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF. 50mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S 1 1.202,39 1.202,390000 1.202,390000 1.348,76 1.348,760000 1.348,760000 53

W06670

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S 1 1.560,14 1.560,140000 1.560,140000 1.738,70 1.738,700000 1.738,700000 54

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F 60 3.171,52 52,858666 52,858666 3.495,11 58,251833 58,251833 55

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR. FILM. 450mg

ROCHE ROMANIA SRL

ROMAN IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P- RF 60 4.863,09 81,051500 63,430399 5.338,93 88,982166 69,902200 56

W51424

L03AA02

FILGRASTIMUM (G-CSF)

NEUPOGEN (R)

SOL. INJ. 30MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 267,05 267,050000 194,520000 326,02 326,020000 237,468000 57

W51423

L03AA02

FILGRASTIMUM (G-CSF)

NEUPOGEN (R)

SOL. INJ. 48MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 436,57 436,570000 313,092000 514,01 514,010000 382,224000 58

W53892

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 30MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 162,10 162,100000 162,100000 197,89 197,890000 197,890000 59

W53893

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 48MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 260,91 260,910000 260,910000 318,52 318,520000 318,520000 60

W55756

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF. 120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF 5 418,45 83,690000 83,690000 494,26 98,852000 98,852000 61

W53520

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF. 300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P RF/ R 1 214,16 214,160000 194,520000 261,45 261,450000 237,468000

89

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 62

W55757

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF. 300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF 5 1.001,12 200,224000 194,520000 1.129,37 225,874000 225,874000 63

W53523

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF. 480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P RF/ R 1 355,90 355,900000 313,092000 426,08 426,080000 382,224000 64

W55758

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF. 480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF 5 1.656,30 331,260000 313,092000 1.843,52 368,704000 368,704000 65

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P- RF/ R 100 452,86 4,528600 4,528600 531,77 5,317700 5,317700 66

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P- RF/ R 50 452,86 9,057200 9,057200 531,77 10,635400 10,635400 67

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR EZ. 180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 557,65 4,647083 4,647083 645,99 5,383250 5,383250 68

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR EZ. 360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 1.041,93 8,682750 8,682750 1.173,85 9,782083 9,782083 69

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 70

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

CAPS. 250 mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR 100 291,62 2,916200 2,916200 356,01 3,560100 3,560100 71

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 72

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS. 250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P- RF/ R 100 302,31 3,023100 3,023100 367,67 3,676700 3,676700 73

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. 500mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P- RF 50 227,17 4,543400 4,543400 277,33 5,546600 5,546600 74

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR. FILM. 250mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900 75

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 500 mg

COMPR. FILM. 500 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR F 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800 76

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 77

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM. 500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 302,31 6,046200 6,046200 367,67 7,353400 7,353400 78

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 79

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800 80

W10576

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ. 1mg

WYETH EUROPA LTD.

MAREA BRITAN IE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P- RF/ R 30 489,29 16,309666 16,309666 571,48 19,049333 19,049333 81

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI 100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000 82

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 112,48 2,249600 2,249600 137,32 2,746400 2,746400 83

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI 25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400 84

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI 50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600 85

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 239,32 4,786400 4,786400 292,16 5,843200 5,843200 86

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS. 0,5 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400

90

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 87

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS. 0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 91,62 1,832400 1,832400 115,84 2,316800 2,316800 88

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5 mg

CAPS. 0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400 89

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS. 0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 205,39 4,107800 4,107800 250,74 5,014800 5,014800 90

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS. 1 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 91

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS. 1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 92

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 363,74 7,274800 7,274800 434,63 8,692600 8,692600 93

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS. 1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 179,98 3,599600 3,599600 219,72 4,394400 4,394400 94

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS. 5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 1.715,18 34,303600 34,303600 1.907,70 38,154000 38,154000 95

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS. ELIB. PREL. 0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400 96

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS. ELIB. PREL. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 402,53 8,050600 8,050600 476,91 9,538200 9,538200 97

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS. ELIB. PREL. 5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600 98

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S 10 1.545,19 154,519000 154,519000 1.722,41 172,241000 172,241000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE,

TESUTURI SI CELULE DE ORIGINE UMANA

91

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

1

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6 L 100 98,29 0,982900 0,848200 124,28 1,242800 1,109400 2

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P- 6L 50 56,54 1,130800 0,848200 71,49 1,429800 1,109400 3

W59934

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS. 250mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6 L 60 42,41 0,706833 0,706833 55,47 0,924500 0,924500 4

W00188

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS. 250mg

PRO. MED. CS PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P- 6L 50 54,39 1,087800 0,848200 68,77 1,375400 1,109400 5

W53024

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 150 mg

COMPR. 150mg

ZAMBON S.P.A.

ITALIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P- 6L 60 41,43 0,690500 0,690500 54,19 0,903166 0,903166 6

W53025

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 300 mg

COMPR. 300mg

ZAMBON S.P.A.

ITALIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- 6L 20 27,43 1,371500 1,371500 35,88 1,794000 1,794000 7

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM. 500mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6 L 50 111,83 2,236600 2,236600 136,52 2,730400 2,730400 8

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM. 500mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6 L 100 219,67 2,196700 2,196700 268,17 2,681700 2,681700 9

W58363

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP. ORALA 250mg/5 ml

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA

1LINGURITA DOZATOARE DIN PP

P6 L 1 77,10 77,100000 77,100000 97,49 97,490000 97,490000 10

W00231

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,25 mcg

CAPS. MOI 0,25mcg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

P- RF 50 25,70 0,514000 0,514000 33,62 0,672400 0,672400 11

W58167

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,25 mcg

CAPS. MOI 0,25μg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PR F 30 16,99 0,566333 0,566333 22,97 0,765666 0,765666 12

W44042

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,50 mcg

CAPS. MOI 0,50mcg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 30 CAPS. MOI

P- RF 30 23,23 0,774333 0,774333 31,40 1,046666 1,046666 13

W58168

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,5 mcg

CAPS. MOI 0,5μg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PR F 30 26,00 0,866666 0,866666 34,01 1,133666 1,133666 14

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ. 2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S 10 203,78 20,378000 20,378000 248,78 24,878000 24,878000 15

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ. 2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

S 10 108,79 10,879000 10,879000 132,81 13,281000 13,281000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 16

W43774

B01AB04

DALTEPARINUM

FRAGMIN 10000 UI/0,4 ml

SOL. INJ. 10000UI/0,4ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.

S/P RF 5 103,19 20,638000 20,638000 125,97 25,194000 25,194000 17

W43775

B01AB04

DALTEPARINUM

FRAGMIN 12500 UI/0,5 ml

SOL. INJ. 12500 UI/0,5ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ.

S/P RF 5 139,97 27,994000 27,994000 170,87 34,174000 34,174000 18

W52805

B01AB04

DALTEPARINUM

FRAGMIN15000 UI/0,6 ml

SOL. INJ. 15000ui/0,6ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P RF 5 169,45 33,890000 33,890000 206,87 41,374000 41,374000 19

W43776

B01AB04

DALTEPARINUM

FRAGMIN 18000 UI/0,72 ml

SOL. INJ. 18000 UI/0,72ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ.

S/P RF 5 192,72 38,544000 38,544000 235,27 47,054000 47,054000 20

W52809

B01AB04

DALTEPARINUM

FRAGMIN 2500 UI/0,2 ml

SOL. INJ. 2500ui/0, 2ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P RF 10 61,36 6,136000 6,136000 77,59 7,759000 7,759000 21

W52808

B01AB04

DALTEPARINUM

FRAGMIN 5000 UI/0,2 ml

SOL. INJ. 5000ui/0, 2ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P RF 10 116,45 11,645000 11,645000 142,16 14,216000 14,216000 22

W52807

B01AB04

DALTEPARINUM

FRAGMIN 7500 UI/0,3 ml

SOL. INJ. 7500ui/0, 3ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

S/P RF 10 166,28 16,628000 16,628000 202,99 20,299000 20,299000 23

W13613

B01AB05

ENOXAPARINUM

CLEXANE 2000ui anti- Xa/0,2ml

SOL. INJ. 2000ui anti- Xa/0,2ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR /P RF 10 49,00 4,900000 4,900000 64,09 6,409000 6,409000 24

W13612

B01AB05

ENOXAPARINUM

CLEXANE 4000ui anti- Xa/0,4ml

SOL. INJ. 4000ui anti- Xa/0,4ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR /P RF 10 93,99 9,399000 9,399000 118,84 11,884000 11,884000 25

W13611

B01AB05

ENOXAPARINUM

CLEXANE 6000ui anti- Xa/0,6ml

SOL. INJ. 6000ui anti- Xa/0,6ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR /P RF 10 118,32 11,832000 11,832000 144,45 14,445000 14,445000 26

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ. 8000ui anti- Xa/0,8ml

LAB. AVENTIS

FRANT A

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

PR /P RF 2 30,69 15,345000 15,345000 40,14 20,070000 20,070000 27

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ. 8000UI anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANT A

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML,

PREVAZUTA CU A

PR /P RF 6 104,35 17,391666 17,391666 127,39 21,231666 21,231666 28

W42955

H01CB02

OCTREOTIDUM**

SANDOSTATIN LAR 20 mg

PULB.

SOLV. PT. SUSP. INJ. (I.M.) CU ELIB. PRELU 20mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 1 FLAC. PULBERE

1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT

2 ACE

S/P RF 1 3.478,41 3.478,410000 3.478,410000 3.829,62 3.829,620000 3.829,620000 29

W42954

H01CB02

OCTREOTIDUM**

SANDOSTATIN LAR 10 mg

PULB.

SOL V.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 10mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 1 FLAC. PULBERE

1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT

2 ACE

S/P RF 1 2.167,33 2.167,330000 2.167,330000 2.400,54 2.400,540000 2.400,540000 30

W42956

H01CB02

OCTREOTIDUM**

SANDOSTATIN LAR 30 mg

PULB.

SOL V.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG. 30mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 1 FLAC. PULB.

1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT

2 ACE

S/P RF 1 4.817,21 4.817,210000 4.817,210000 5.288,92 5.288,920000 5.288,920000 31

W59668

H01CB02

OCTREOTIDUM**

OCTREOTID KABI 0,1 mg/ml

SOL INJ. 0,1mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 5 FLAC. DIN SICLA INCOLORA,

CU CAPACITATEA DE 2 ML X 1 ML SOL. INJ.

PR F 5 75,49 15,098000 15,098000 95,45 19,090000 19,090000 32

W54763

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 33

W55423

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 34

W55369

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 35

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 12 265,41 22,117500 22,117500 324,01 27,000833 27,000833

92

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 36

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 37

W54765

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,94 40,940000 40,940000 53,55 53,550000 53,550000 38

W55370

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 39

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 40

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 41

W55424

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 42

W55117

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 43

W53595

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 386,57 38,657000 26,541000 459,51 45,951000 32,401000 44

W53596

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF. 4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 389,01 38,901000 38,901000 462,17 46,217000 46,217000 45

W13105

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF.

SOLV. PT. SOL. INJ. 400mg

AVENTIS PHARMA LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. LIOF.

O FIOLA SOLV.

P- RF 1 109,84 109,840000 109,840000 134,09 134,090000 134,090000 46

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF 10 1.603,26 160,326000 160,326000 1.785,71 178,571000 178,571000 47

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA 100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP.

1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF 1 879,36 879,360000 879,360000 996,65 996,650000 996,650000 48

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF. 2mg/ml

SANDOZ S.R.L.

ROMAN IA

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 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 49

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE 300 ML SOL. PERF.

PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 50

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR

PR 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 51

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL.,

ECHIPA

PR F 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 52

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF. 2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S 10 1.603,26 160,326000 126,314400 1.785,71 178,571000 142,261200 53

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS. 100mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 4 CAPS.

P- RF 4 18,95 4,737500 3,615428 25,61 6,402500 4,887428 54

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS. 100mg

BALKANPHARMA RAZGRAD AD

BULGA RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P- RF 16 65,37 4,085625 3,615428 82,66 5,166250 4,887428 55

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100 mg

CAPS. 100mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 21,09 3,012857 3,012857 28,51 4,072857 4,072857 56

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF 2 6,98 3,490000 3,490000 9,43 4,715000 4,715000 57

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 23,31 3,330000 3,330000 31,51 4,501428 4,501428 58

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM 150 mg

CAPS. 150mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 9,57 9,570000 5,340000 12,94 12,940000 7,212000

93

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 59

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS. 150mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 60

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS. 150mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 61

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS. 150mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 7,16 7,160000 5,340000 9,68 9,680000 7,212000 62

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS. 150mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 FLAC. X 1 CAPS.

P- RF 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 63

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS. 150mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 64

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg

CAPS. 150mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,07 6,070000 5,340000 8,20 8,200000 7,212000 65

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS. 150mg

SANDOZ SRL

GERMA NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 10,79 10,790000 5,340000 14,58 14,580000 7,212000 66

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS. 150mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PR F 1 7,44 7,440000 5,340000 10,06 10,060000 7,212000 67

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS. 150mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P- RF 4 48,24 12,060000 5,340000 63,10 15,775000 7,212000 68

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS. 150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 69

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS. 150mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,68 6,680000 5,340000 9,03 9,030000 7,212000 70

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS. 150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 18,56 18,560000 5,340000 25,08 25,080000 7,212000 71

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS. 150mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P- RF 1 13,95 13,950000 5,340000 18,86 18,860000 7,212000 72

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg

CAPS. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F 1 4,45 4,450000 4,450000 6,01 6,010000 6,010000 73

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS. 150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 74

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200 mg

CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 30,10 4,300000 4,300000 39,37 5,624285 5,624285 75

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS. 50mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 11,66 1,665714 1,665714 15,76 2,251428 2,251428 76

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS. 50mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR F 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 77

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50 MG

CAPS. 50mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,15 2,021428 1,777714 19,12 2,731428 2,403428 78

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS. 50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 43,23 6,175714 1,777714 56,54 8,077142 2,403428 79

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg

CAPS. 50mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 12,35 1,764285 1,764285 16,69 2,384285 2,384285 80

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS. 50mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 7 CAPS.

P- RF 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 81

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS. 50mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,49 2,070000 1,777714 19,58 2,797142 2,403428 82

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 50 mg

CAPS. 50mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 11,95 1,707142 1,707142 16,15 2,307142 2,307142 83

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS. 50mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P- RF 7 21,91 3,130000 1,777714 29,61 4,230000 2,403428 84

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS. 50mg

SANDOZ SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 32,06 4,580000 1,777714 41,93 5,990000 2,403428 85

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 10,37 1,481428 1,481428 14,02 2,002857 2,002857 86

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID,

DE CAPACITATE 60 ML

1 LINGURITA DOZATOARE A 5 ML,

CU PULB. PT. 35 ML SUSP.O

PR F 1 23,46 23,460000 23,460000 31,71 31,710000 31,710000 87

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S 1 34,28 34,280000 20,737200 44,84 44,840000 25,316400 88

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 89

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S 1 81,95 81,950000 81,950000 103,62 103,620000 103,620000

94

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 90

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 91

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

S 1 88,14 88,140000 88,140000 111,45 111,450000 103,986000 92

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 93

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 94

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF. 2mg/ml

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S 1 40,63 40,630000 20,737200 53,14 53,140000 25,316400 95

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 350,00 17,500000 17,500000 419,65 20,982500 20,982500 96

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 630,00 31,500000 20,737200 724,85 36,242500 25,316400 97

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S 1 18,84 18,840000 18,840000 25,47 25,470000 25,179000 98

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

S 10 770,66 77,066000 77,066000 878,17 87,817000 87,817000 99

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF. 2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F 1 35,03 35,030000 20,737200 45,82 45,820000 25,316400 100

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.

S 10 454,59 45,459000 20,737200 533,65 53,365000 25,316400 101

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.

S 20 796,39 39,819500 20,737200 906,22 45,311000 25,316400 102

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 10 760,00 76,000000 76,000000 866,55 86,655000 86,655000 103

W43051

J02AC02

ITRACONAZOLUM

ITRACONAZOL 100 mg

CAPS. 100mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

P- RF 15 40,18 2,678666 2,678666 52,56 3,504000 3,504000 104

W53958

J02AC02

ITRACONAZOLUM

MICOGAL 100 mg

CAPS. 100mg

ROMPHARM COMPANY SRL

ROMAN IA

CUTIE X 3 BLIST. PVC/AL X 5 CAPS.

P- RF 15 40,18 2,678666 2,678666 52,55 3,503333 3,503333 105

W59235

J02AC02

ITRACONAZOLUM

ITRACONAZOL ARENA 100 mg

CAPS. 100mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

P- RF 15 40,18 2,678666 2,678666 52,56 3,504000 3,504000 106

W52343

J02AC02

ITRACONAZOLUM

OMICRAL 100 mg

CAPS. 100mg

MEDICO UNO PHARMACEUTICAL SRL

ROMAN IA

CUTIE X 3 BLIST. AL/AL X 5 CAPS.

P- RF 15 40,18 2,678666 2,678666 52,56 3,504000 3,504000 107

W03837

J02AC02

ITRACONAZOLUM

ORUNGAL

CAPS. 100mg

JANSSEN PHARMACEUTICA N.V.

BELGIA

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.

P- RF 15 60,84 4,056000 3,214399 76,92 5,128000 4,204000 108

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF 28 3.559,23 127,115357 127,115357 3.917,72 139,918571 139,918571 109

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM. 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF 28 912,09 32,574642 32,574642 1.032,33 36,868928 36,868928 110

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF 1 458,07 458,070000 458,070000 537,45 537,450000 537,450000 111

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA

1 MASURA DOZATOARE (23 ML)

1 SERINGA

P- RF 1 2.203,52 2.203,520000 2.203,520000 2.439,99 2.439,990000 2.439,990000 112

W06665

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF. 50mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S 1 1.202,39 1.202,390000 1.202,390000 1.348,76 1.348,760000 1.348,760000 113

W06670

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF. 70mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S 1 1.560,14 1.560,140000 1.560,140000 1.738,70 1.738,700000 1.738,700000

95

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 114

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS. 200mg

FARMEX COMPANY S.R.L.

ROMAN IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 115

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P- RF/ S #### 704,14 0,704140 0,613200 805,66 0,805660 0,805660 116

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS. 200mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 14,97 0,748500 0,613200 20,23 1,011500 0,828600 117

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 118

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P- RF 10 14,41 1,441000 1,441000 19,48 1,948000 1,948000 119

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

PR F 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 120

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 20 10,22 0,511000 0,511000 13,81 0,690500 0,690500 121

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR. 200mg

LAROPHARM S.R.L.

ROMAN IA

CUTIE X 2 BLIST. X 10 COMPR.

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 122

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 123

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR. 200mg

TERAPIA SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 12,69 0,634500 0,613200 17,15 0,857500 0,828600 124

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR. 400mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 10 20,11 2,011000 1,729200 27,18 2,718000 2,337600 125

W00058

J05AB01

ACICLOVIRUM

VIROLEX

PULB. PT. SOL. INJ./PERF. 250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P RF 5 231,79 46,358000 46,358000 282,97 56,594000 56,594000 126

W58707

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR. FILM. 500 mg

THE WELLCOME FOUNDATION LTD.

MAREA BRITAN IE

CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.

PR F 10 43,54 4,354000 3,396000 56,95 5,695000 4,441200 127

W60087

J05AB11

VALACYCLOVIRUM

VALACICLOVIR ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM.

PR F 10 28,30 2,830000 2,830000 37,01 3,701000 3,701000 128

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F 60 3.171,52 52,858666 52,858666 3.495,11 58,251833 58,251833 129

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR. FILM. 450mg

ROCHE ROMANIA SRL

ROMAN IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P- RF 60 4.863,09 81,051500 63,430399 5.338,93 88,982166 69,902200 130

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 300ML SOL. PERF.(30G/300ML)

S 1 5.558,99 5.558,990000 5.558,990000 6.097,46 6.097,460000 6.097,460000 131

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 200ML SOL. PERF.(20G/200ML)

S 1 3.821,35 3.821,350000 3.821,350000 4.203,43 4.203,430000 4.203,430000 132

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 10ML SOL. PERF.(1G/10ML)

S 1 202,26 202,260000 202,260000 246,92 246,920000 246,920000 133

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 50ML SOL. PERF.(5G/50ML)

S 1 925,45 925,450000 909,000000 1.046,89 1.046,890000 1.036,596000 134

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC X 100ML SOL. PERF.(10G/100ML)

S 1 1.857,75 1.857,750000 1.782,000000 2.063,10 2.063,100000 1.988,160000 135

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF. 10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 1.485,00 1.485,000000 1.485,000000 1.656,80 1.656,800000 1.656,800000 136

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF. 1g/20ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 197,39 197,390000 197,390000 240,98 240,980000 240,980000 137

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF. 2,5g/50ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 50 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 393,75 393,750000 393,750000 467,34 467,340000 467,340000 138

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF. 50mg/ml

INSTITUTO GRIFOLS S.A.

SPANIA

CUTIE X 1 FLAC. X 10 ML SOL. PERF.

S 1 102,55 102,550000 102,550000 125,19 125,190000 125,190000 139

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF. 5g/100ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 757,50 757,500000 757,500000 863,83 863,830000 863,830000 140

W12490

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ. 50mg

BAXTER ONCOLOGY GMBH

GERMA NIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P- RF 50 19,33 0,386600 0,386600 26,13 0,522600 0,522600 141

W52215

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ. I.V. 200mg

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

S 1 11,76 11,760000 11,760000 15,89 15,890000 15,890000 142

W51424

L03AA02

FILGRASTIMUM (G-CSF)

NEUPOGEN (R)

SOL. INJ. 30MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 267,05 267,050000 194,520000 326,02 326,020000 237,468000 143

W51423

L03AA02

FILGRASTIMUM (G-CSF)

NEUPOGEN (R)

SOL. INJ. 48MU/0,5 ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF 1 436,57 436,570000 313,092000 514,01 514,010000 382,224000

96

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 144

W53892

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 30MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 162,10 162,100000 162,100000 197,89 197,890000 197,890000 145

W53893

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 48MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P- RF/ R 1 260,91 260,910000 260,910000 318,52 318,520000 318,520000 146

W55756

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF. 120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF 5 418,45 83,690000 83,690000 494,26 98,852000 98,852000 147

W53520

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF. 300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P RF/ R 1 214,16 214,160000 194,520000 261,45 261,450000 237,468000 148

W55757

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF. 300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF 5 1.001,12 200,224000 194,520000 1.129,37 225,874000 225,874000 149

W53523

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF. 480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P RF/ R 1 355,90 355,900000 313,092000 426,08 426,080000 382,224000 150

W55758

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF. 480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF 5 1.656,30 331,260000 313,092000 1.843,52 368,704000 368,704000 151

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P- RF/ R 100 452,86 4,528600 4,528600 531,77 5,317700 5,317700 152

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P- RF/ R 50 452,86 9,057200 9,057200 531,77 10,635400 10,635400 153

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR EZ. 180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 557,65 4,647083 4,647083 645,99 5,383250 5,383250 154

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR EZ. 360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 1.041,93 8,682750 8,682750 1.173,85 9,782083 9,782083 155

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 156

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

CAPS. 250 mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR 100 291,62 2,916200 2,916200 356,01 3,560100 3,560100 157

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 158

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS. 250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P- RF/ R 100 302,31 3,023100 3,023100 367,67 3,676700 3,676700 159

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. 500mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P- RF 50 227,17 4,543400 4,543400 277,33 5,546600 5,546600 160

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR. FILM. 250mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900 161

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 500 mg

COMPR. FILM. 500 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR F 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800 162

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 163

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM. 500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 302,31 6,046200 6,046200 367,67 7,353400 7,353400 164

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 165

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800 166

W10576

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ. 1mg

WYETH EUROPA LTD.

MAREA BRITAN IE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P- RF/ R 30 489,29 16,309666 16,309666 571,48 19,049333 19,049333

97

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 167

W13098

L04AC02

BASILIXIMABUM**

SIMULECT 20 mg

LIOF.

SOLV. PT. SOL. INJ./PERF. 20mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. CU LIOF.

1 FIOLA SOLV. APA PT. PREP. INJ.

S 1 4.267,46 4.267,460000 4.267,460000 4.689,69 4.689,690000 4.689,690000 168

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI 100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000 169

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 112,48 2,249600 2,249600 137,32 2,746400 2,746400 170

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI 25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400 171

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI 50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600 172

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 239,32 4,786400 4,786400 292,16 5,843200 5,843200 173

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS. 0,5 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400 174

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS. 0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 91,62 1,832400 1,832400 115,84 2,316800 2,316800 175

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5 mg

CAPS. 0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400 176

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS. 0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 205,39 4,107800 4,107800 250,74 5,014800 5,014800 177

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS. 1 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 178

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS. 1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 179

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 363,74 7,274800 7,274800 434,63 8,692600 8,692600 180

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS. 1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 179,98 3,599600 3,599600 219,72 4,394400 4,394400 181

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS. 5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 1.715,18 34,303600 34,303600 1.907,70 38,154000 38,154000 182

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS. ELIB. PREL. 0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400 183

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS. ELIB. PREL. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 402,53 8,050600 8,050600 476,91 9,538200 9,538200 184

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS. ELIB. PREL. 5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600 185

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S 10 1.545,19 154,519000 154,519000 1.722,41 172,241000 172,241000 186

W56928

L04AX01

AZATHIOPRINUM

IMURAN®

COMPR. FILM. 50mg

ASPEN EUROPE GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P RF 100 55,53 0,555300 0,555300 70,21 0,702100 0,702100 187

W56508

L04AX01

AZATHIOPRINUM

IMMUNOPRIN 75 mg

COMPR. FILM. 75mg

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR 100 62,39 0,623900 0,623900 78,89 0,788900 0,788900 188

W54297

M05BA04

ACIDUM ALENDRONICUM

TEVANAT 70 mg

COMPR. 70 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.

P- 6L 4 36,90 9,225000 5,337000 48,27 12,067500 7,212000 189

W53741

M05BA04

ACIDUM ALENDRONICUM

RANOS 70 mg

COMPR. 70mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4 COMPR.

P- 6L 4 36,44 9,110000 5,337000 47,66 11,915000 7,212000 190

W60296

M05BA04

ACIDUM ALENDRONICUM

FOSAMAX 70 mg

COMPR. 70mg

MERCK SHARP & DOHME

ROMAN IA

CUTIE CU 1 BLIST. AL/AL X 2 COMPR.

P6 L 2 28,39 14,195000 5,337000 37,13 18,565000 7,212000 191

W58352

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.

P6 L 4 17,79 4,447500 4,447500 24,04 6,010000 6,010000 192

W56763

M05BA04

ACIDUM ALENDRONICUM

ADRONIK 70 mg

COMPR. FILM. 70mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P- 6L 4 36,67 9,167500 5,337000 47,97 11,992500 7,212000

98

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 193

W56763

M05BA04

ACIDUM ALENDRONICUM

ADRONIK 70 mg

COMPR. FILM. 70mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM.

P- 6L 12 108,06 9,005000 5,337000 131,92 10,993333 7,212000 194

W52948

M05BA04

ACIDUM ALENDRONICUM

ALENDRONAT SANDOZ 70 mg

COMPR. FILM. 70mg

SANDOZ S.R.L.

ROMAN IA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM

P- 6L 2 9,49 4,745000 4,745000 12,82 6,410000 6,410000 195

W56763

M05BA04

ACIDUM ALENDRONICUM

ADRONIK 70 mg

COMPR. FILM. 70mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 COMPR. FILM.

P- 6L 2 18,33 9,165000 5,337000 24,78 12,390000 7,212000 196

W42905

N02AB02

PETHIDINUM

MIALGIN (R) 100 mg/2 ml

SOL. INJ. 50mg/ml

ZENTIVA SA

ROMAN IA

CUTIE X 5 FIOLE DIN STICLA X 2 ML

P- TS 5 6,92 1,384000 1,384000 9,35 1,870000 1,870000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE,

TESUTURI SI CELULE DE ORIGINE UMANA

P9.5: TRANSPLANT CELULE PANCREATICE

1

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF 10 1.603,26 160,326000 160,326000 1.785,71 178,571000 178,571000 2

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA 100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP.

1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF 1 879,36 879,360000 879,360000 996,65 996,650000 996,650000 3

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF. 2mg/ml

SANDOZ S.R.L.

ROMAN IA

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 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 4

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE 300 ML SOL. PERF.

PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 5

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR

PR 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 6

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL.,

ECHIPA

PR F 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 7

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF. 2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S 10 1.603,26 160,326000 126,314400 1.785,71 178,571000 142,261200 8

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF 28 3.559,23 127,115357 127,115357 3.917,72 139,918571 139,918571 9

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM. 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF 28 912,09 32,574642 32,574642 1.032,33 36,868928 36,868928 10

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF 1 458,07 458,070000 458,070000 537,45 537,450000 537,450000 11

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA

1 MASURA DOZATOARE (23 ML)

1 SERINGA

P- RF 1 2.203,52 2.203,520000 2.203,520000 2.439,99 2.439,990000 2.439,990000 12

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F 60 3.171,52 52,858666 52,858666 3.495,11 58,251833 58,251833 13

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR. FILM. 450mg

ROCHE ROMANIA SRL

ROMAN IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P- RF 60 4.863,09 81,051500 63,430399 5.338,93 88,982166 69,902200

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE,

TESUTURI SI CELULE DE ORIGINE UMANA

99

P9.6: TRANSPLANT PULMONAR

1

W13613

B01AB05

ENOXAPARINUM

CLEXANE 2000ui anti- Xa/0,2ml

SOL. INJ. 2000ui anti- Xa/0,2ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR /P RF 10 49,00 4,900000 4,900000 64,09 6,409000 6,409000 2

W13612

B01AB05

ENOXAPARINUM

CLEXANE 4000ui anti- Xa/0,4ml

SOL. INJ. 4000ui anti- Xa/0,4ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR /P RF 10 93,99 9,399000 9,399000 118,84 11,884000 11,884000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 3

W13611

B01AB05

ENOXAPARINUM

CLEXANE 6000ui anti- Xa/0,6ml

SOL. INJ. 6000ui anti- Xa/0,6ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR /P RF 10 118,32 11,832000 11,832000 144,45 14,445000 14,445000 4

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ. 8000ui anti- Xa/0,8ml

LAB. AVENTIS

FRANT A

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

PR /P RF 2 30,69 15,345000 15,345000 40,14 20,070000 20,070000 5

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ. 8000UI anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANT A

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML,

PREVAZUTA CU A

PR /P RF 6 104,35 17,391666 17,391666 127,39 21,231666 21,231666 6

W54011

B02AA02

ACIDUM TRANEXAMICUM 4)

EXACYL

SOL. INJ. 500mg/5 ml

CN UNIFARM

ROMAN IA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X 5 9,47 1,894000 1,894000 12,80 2,560000 2,560000 7

W02947

C01CA24

EPINEPHRINUM

ADRENALINA 1 mg

SOL. INJ. 1mg/ml

TERAPIA SA

ROMAN IA

CUTIE X 100 FIOLE X 1 ML

S 100 151,25 1,512500 1,512500 184,65 1,846500 1,846500 8

W60389

C01CA24

EPINEPHRINUM

EPIPEN 150 micrograme

SOL. INJ. IN STILOU PREUMPLU T 150mcg

MEDA PHARMA GMBH & CO KG

GERMA NIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR 1 147,80 147,800000 147,800000 180,43 180,430000 180,430000 9

W60390

C01CA24

EPINEPHRINUM

EPIPEN 300 micrograme

SOL. INJ. IN STILOU PREUMPLU T 300mcg

MEDA PHARMA GMBH & CO KG

GERMA NIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR 1 147,80 147,800000 147,800000 180,43 180,430000 180,430000 10

W54763

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 11

W55423

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 12

W55369

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 13

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 12 265,41 22,117500 22,117500 324,01 27,000833 27,000833 14

W55629

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL. INJ./PERF. 2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S 1 22,93 22,930000 22,930000 30,99 30,990000 30,990000 15

W54765

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,94 40,940000 40,940000 53,55 53,550000 53,550000 16

W55370

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 17

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 18

W55630

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 19

W55424

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S 1 40,93 40,930000 40,930000 53,53 53,530000 53,530000 20

W55117

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT. SOL. INJ./PERF. 4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S 12 460,81 38,400833 38,400833 540,43 45,035833 45,035833 21

W53595

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF. 2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 386,57 38,657000 26,541000 459,51 45,951000 32,401000 22

W53596

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF. 4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S 10 389,01 38,901000 38,901000 462,17 46,217000 46,217000 23

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF 10 1.603,26 160,326000 160,326000 1.785,71 178,571000 178,571000 24

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA 100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP.

1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF 1 879,36 879,360000 879,360000 996,65 996,650000 996,650000 25

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF. 2mg/ml

SANDOZ S.R.L.

ROMAN IA

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 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000

100

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 26

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE 300 ML SOL. PERF.

PR 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 27

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR

PR 1 112,48 112,480000 112,480000 137,32 137,320000 137,320000 28

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA 10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL.,

ECHIPA

PR F 10 1.052,62 105,262000 105,262000 1.185,51 118,551000 118,551000 29

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF. 2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S 10 1.603,26 160,326000 126,314400 1.785,71 178,571000 142,261200 30

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS. 100mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 4 CAPS.

P- RF 4 18,95 4,737500 3,615428 25,61 6,402500 4,887428 31

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS. 100mg

BALKANPHARMA RAZGRAD AD

BULGA RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P- RF 16 65,37 4,085625 3,615428 82,66 5,166250 4,887428 32

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100 mg

CAPS. 100mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 21,09 3,012857 3,012857 28,51 4,072857 4,072857 33

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF 2 6,98 3,490000 3,490000 9,43 4,715000 4,715000 34

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 23,31 3,330000 3,330000 31,51 4,501428 4,501428 35

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM 150 mg

CAPS. 150mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 9,57 9,570000 5,340000 12,94 12,940000 7,212000 36

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS. 150mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 37

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS. 150mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 38

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS. 150mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 7,16 7,160000 5,340000 9,68 9,680000 7,212000 39

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS. 150mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 FLAC. X 1 CAPS.

P- RF 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 40

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS. 150mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 41

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg

CAPS. 150mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,07 6,070000 5,340000 8,20 8,200000 7,212000 42

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS. 150mg

SANDOZ SRL

GERMA NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 10,79 10,790000 5,340000 14,58 14,580000 7,212000 43

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS. 150mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PR F 1 7,44 7,440000 5,340000 10,06 10,060000 7,212000 44

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS. 150mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P- RF 4 48,24 12,060000 5,340000 63,10 15,775000 7,212000 45

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS. 150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 46

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS. 150mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,68 6,680000 5,340000 9,03 9,030000 7,212000 47

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS. 150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 18,56 18,560000 5,340000 25,08 25,080000 7,212000 48

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS. 150mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P- RF 1 13,95 13,950000 5,340000 18,86 18,860000 7,212000 49

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg

CAPS. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F 1 4,45 4,450000 4,450000 6,01 6,010000 6,010000 50

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS. 150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 51

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200 mg

CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 30,10 4,300000 4,300000 39,37 5,624285 5,624285 52

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS. 50mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 11,66 1,665714 1,665714 15,76 2,251428 2,251428 53

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS. 50mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR F 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428

101

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 54

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50 MG

CAPS. 50mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,15 2,021428 1,777714 19,12 2,731428 2,403428 55

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS. 50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 43,23 6,175714 1,777714 56,54 8,077142 2,403428 56

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg

CAPS. 50mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 12,35 1,764285 1,764285 16,69 2,384285 2,384285 57

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS. 50mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 7 CAPS.

P- RF 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 58

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS. 50mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,49 2,070000 1,777714 19,58 2,797142 2,403428 59

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 50 mg

CAPS. 50mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 11,95 1,707142 1,707142 16,15 2,307142 2,307142 60

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS. 50mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P- RF 7 21,91 3,130000 1,777714 29,61 4,230000 2,403428 61

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS. 50mg

SANDOZ SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 32,06 4,580000 1,777714 41,93 5,990000 2,403428 62

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 10,37 1,481428 1,481428 14,02 2,002857 2,002857 63

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID,

DE CAPACITATE 60 ML

1 LINGURITA DOZATOARE A 5 ML,

CU PULB. PT. 35 ML SUSP.O

PR F 1 23,46 23,460000 23,460000 31,71 31,710000 31,710000 64

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S 1 34,28 34,280000 20,737200 44,84 44,840000 25,316400 65

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 66

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S 1 81,95 81,950000 81,950000 103,62 103,620000 103,620000 67

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 68

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

S 1 88,14 88,140000 88,140000 111,45 111,450000 103,986000 69

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 70

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 71

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF. 2mg/ml

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S 1 40,63 40,630000 20,737200 53,14 53,140000 25,316400 72

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 350,00 17,500000 17,500000 419,65 20,982500 20,982500 73

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 630,00 31,500000 20,737200 724,85 36,242500 25,316400 74

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S 1 18,84 18,840000 18,840000 25,47 25,470000 25,179000 75

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

S 10 770,66 77,066000 77,066000 878,17 87,817000 87,817000 76

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF. 2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F 1 35,03 35,030000 20,737200 45,82 45,820000 25,316400 77

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.

S 10 454,59 45,459000 20,737200 533,65 53,365000 25,316400 78

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.

S 20 796,39 39,819500 20,737200 906,22 45,311000 25,316400 79

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 10 760,00 76,000000 76,000000 866,55 86,655000 86,655000 80

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF 28 3.559,23 127,115357 127,115357 3.917,72 139,918571 139,918571

102

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 81

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM. 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF 28 912,09 32,574642 32,574642 1.032,33 36,868928 36,868928 82

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF 1 458,07 458,070000 458,070000 537,45 537,450000 537,450000 83

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA

1 MASURA DOZATOARE (23 ML)

1 SERINGA

P- RF 1 2.203,52 2.203,520000 2.203,520000 2.439,99 2.439,990000 2.439,990000 84

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS. 200mg

FARMEX COMPANY S.R.L.

ROMAN IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 85

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P- RF/ S 1.000 704,14 0,704140 0,613200 805,66 0,805660 0,805660 86

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS. 200mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 14,97 0,748500 0,613200 20,23 1,011500 0,828600 87

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 88

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P- RF 10 14,41 1,441000 1,441000 19,48 1,948000 1,948000 89

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

PR F 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 90

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 20 10,22 0,511000 0,511000 13,81 0,690500 0,690500 91

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR. 200mg

LAROPHARM S.R.L.

ROMAN IA

CUTIE X 2 BLIST. X 10 COMPR.

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 92

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 93

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR. 200mg

TERAPIA SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 12,69 0,634500 0,613200 17,15 0,857500 0,828600 94

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR. 400mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 10 20,11 2,011000 1,729200 27,18 2,718000 2,337600 95

W00058

J05AB01

ACICLOVIRUM

VIROLEX

PULB. PT. SOL. INJ./PERF. 250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P RF 5 231,79 46,358000 46,358000 282,97 56,594000 56,594000 96

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F 60 3.171,52 52,858666 52,858666 3.495,11 58,251833 58,251833 97

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR. FILM. 450mg

ROCHE ROMANIA SRL

ROMAN IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P- RF 60 4.863,09 81,051500 63,430399 5.338,93 88,982166 69,902200 98

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P- RF/ R 100 452,86 4,528600 4,528600 531,77 5,317700 5,317700 99

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P- RF/ R 50 452,86 9,057200 9,057200 531,77 10,635400 10,635400 100

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR EZ. 180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 557,65 4,647083 4,647083 645,99 5,383250 5,383250 101

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR EZ. 360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 1.041,93 8,682750 8,682750 1.173,85 9,782083 9,782083 102

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 103

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

CAPS. 250 mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR 100 291,62 2,916200 2,916200 356,01 3,560100 3,560100 104

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 105

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS. 250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P- RF/ R 100 302,31 3,023100 3,023100 367,67 3,676700 3,676700 106

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. 500mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P- RF 50 227,17 4,543400 4,543400 277,33 5,546600 5,546600 107

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR. FILM. 250mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900 108

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 500 mg

COMPR. FILM. 500 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR F 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800

103

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 109

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 110

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM. 500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 302,31 6,046200 6,046200 367,67 7,353400 7,353400 111

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 112

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800 113

W13098

L04AC02

BASILIXIMABUM**

SIMULECT 20 mg

LIOF.

SOLV. PT. SOL. INJ./PERF. 20mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. CU LIOF.

1 FIOLA SOLV. APA PT. PREP. INJ.

S 1 4.267,46 4.267,460000 4.267,460000 4.689,69 4.689,690000 4.689,690000 114

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI 100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000 115

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 112,48 2,249600 2,249600 137,32 2,746400 2,746400 116

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI 25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400 117

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI 50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600 118

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 239,32 4,786400 4,786400 292,16 5,843200 5,843200 119

W56928

L04AX01

AZATHIOPRINUM

IMURAN®

COMPR. FILM. 50mg

ASPEN EUROPE GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P RF 100 55,53 0,555300 0,555300 70,21 0,702100 0,702100 120

W56508

L04AX01

AZATHIOPRINUM

IMMUNOPRIN 75 mg

COMPR. FILM. 75mg

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR 100 62,39 0,623900 0,623900 78,89 0,788900 0,788900 121

W42813

N02AX02

TRAMADOLUM

TRALGIT 50

CAPS. 50mg

ZENTIVA A.S.

SLOVA CIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 4,15 0,207500 0,207500 5,61 0,280500 0,280500 122

W41593

N02AX02

TRAMADOLUM

K-ALMA (R)

CAPS. 50mg

ANTIBIOTICE SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 5,67 0,283500 0,249000 7,67 0,383500 0,336600 123

W13570

N02AX02

TRAMADOLUM

TRAMADOL LPH 50 mg

CAPS. 50mg

LABORMED PHARMA SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 5,67 0,283500 0,249000 7,67 0,383500 0,336600 124

W12691

N02AX02

TRAMADOLUM

TRAMADOL

CAPS. 50mg

KRKA D.D.

SLOVE NIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 4,31 0,215500 0,215500 5,82 0,291000 0,291000 125

W60291

N02AX02

TRAMADOLUM

TRAMACALM

CAPS. 50mg

A.C. HELCOR PHARMA S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.

P- RF 10 2,85 0,285000 0,249000 3,85 0,385000 0,336600 126

W60238

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

CAPS. 50mg

ZENTIVA A.S.

SLOVA CIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 4,15 0,207500 0,207500 5,61 0,280500 0,280500 127

W05960

N02AX02

TRAMADOLUM

MABRON 50 mg

CAPS. 50mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P- RF 10 2,85 0,285000 0,249000 3,85 0,385000 0,336600 128

W52049

N02AX02

TRAMADOLUM

TRAMADOL ARENA

CAPS. 50mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 6,66 0,333000 0,249000 9,00 0,450000 0,336600 129

W42957

N02AX02

TRAMADOLUM

TRAMADOL EEL

COMPR. 50mg

BIO EEL SRL

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 5,67 0,283500 0,249000 7,67 0,383500 0,336600 130

W42440

N02AX02

TRAMADOLUM

TRAMAG 50

COMPR. 50mg

MAGISTRA C & C

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 5,67 0,283500 0,249000 7,67 0,383500 0,336600 131

W13507

N02AX02

TRAMADOLUM

TRAMADOLOR (R) 100 ID

COMPR. ELIB. MODIF. 100mg

HEXAL AG

GERMA NIA

CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.

P- RF 10 4,66 0,466000 0,466000 6,30 0,630000 0,630000 132

W58072

N02AX02

TRAMADOLUM

TRAMADOL RETARD 100 mg

COMPR. ELIB. PREL. 100mg

KRKA, D.D.,

NOVO MESTO

SLOVE NIA

CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.

PR F 30 13,99 0,466333 0,466333 18,91 0,630333 0,630333 133

W60236

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA 100 mg

COMPR. ELIB. PREL. 100mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF 30 13,98 0,466000 0,466000 18,89 0,629666 0,629666 134

W41922

N02AX02

TRAMADOLUM

TRALGIT SR 100

COMPR. ELIB. PREL. 100mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF 30 13,98 0,466000 0,466000 18,89 0,629666 0,629666 135

W60237

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA 150 mg

COMPR. ELIB. PREL. 150mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF 30 20,38 0,679333 0,679333 27,55 0,918333 0,918333 136

W58893

N02AX02

TRAMADOLUM

TRADOLAN RETARD 150 mg

COMPR. ELIB. PREL. 150mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRI A

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PR F 30 24,72 0,824000 0,815200 33,41 1,113666 1,102000 137

W41923

N02AX02

TRAMADOLUM

TRALGIT SR 150

COMPR. ELIB. PREL. 150mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF 30 20,38 0,679333 0,679333 27,55 0,918333 0,918333

104

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 138

W58894

N02AX02

TRAMADOLUM

TRADOLAN RETARD 200 mg

COMPR. ELIB. PREL. 200mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRI A

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PR F 30 26,22 0,874000 0,874000 34,30 1,143333 1,143333 139

W07784

N02AX02

TRAMADOLUM

TRADOLAN 50 mg

COMPR. FILM. 50mg

LANNACHER HEILMITTEL GES.M.B.H.

AUSTRI A

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

P- RF 30 7,88 0,262666 0,249000 10,65 0,355000 0,336600 140

W07473

N02AX02

TRAMADOLUM

TRAMAL RETARD 100 mg

COMPR. FILM. ELIB. PREL. 100mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P- RF 10 7,17 0,717000 0,559200 9,69 0,969000 0,755599 141

W43360

N02AX02

TRAMADOLUM

TRAMADOL RETARD 150 mg

COMPR. FILM. ELIB. PREL. 150mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P- RF 30 31,78 1,059333 0,815200 41,57 1,385666 1,102000 142

W05978

N02AX02

TRAMADOLUM

TRAMAL RETARD 150 mg

COMPR. FILM. ELIB. PREL. 150mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P- RF 10 16,30 1,630000 0,815200 22,03 2,203000 1,102000 143

W05979

N02AX02

TRAMADOLUM

TRAMAL RETARD 200 mg

COMPR. FILM. ELIB. PREL. 200mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P- RF 10 20,85 2,085000 1,048800 28,18 2,818000 1,372000 144

W43361

N02AX02

TRAMADOLUM

TRAMADOL RETARD 200 mg

COMPR. FILM. ELIB. PREL. 200mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P- RF 30 40,67 1,355666 1,048800 53,20 1,773333 1,372000 145

W60239

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE RSABILE 50mg

ZENTIVA, A.S.

REPUB LICA SLOVA CA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PR F 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600 146

W59163

N02AX02

TRAMADOLUM

TRALGIT 50 mg

COMPR. ORODISPE RSABILE 50mg

ZENTIVA, A.S.

REPUB LICA SLOVA CA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PR F 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600 147

W60239

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE RSABILE 50mg

ZENTIVA, A.S.

REPUB LICA SLOVA CA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE

PR F 10 2,84 0,284000 0,249000 3,84 0,384000 0,336600 148

W05961

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 7,27 1,454000 1,322640 9,83 1,966000 1,614720 149

W05961

N02AX02

TRAMADOLUM

MABRON

SOL. INJ. 100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P RF 100 110,22 1,102200 1,102200 134,56 1,345600 1,345600 150

W05967

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ. 50mg/ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 2 ML

S/P RF 5 9,69 1,938000 1,322640 13,10 2,620000 1,614720 151

W05966

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ. 50mg/ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 1 ML

S/P RF 5 3,65 0,730000 0,730000 4,93 0,986000 0,986000 152

W05969

N02AX02

TRAMADOLUM

TRAMADOL

SUPOZ. 100mg

KRKA D.D.

SLOVE NIA

CUTIE X 1 BLIST. X 5 SUPOZ.

P- RF 5 4,13 0,826000 0,826000 5,58 1,116000 1,116000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE,

TESUTURI SI CELULE DE ORIGINE UMANA

105

P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

1

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6 L 100 98,29 0,982900 0,848200 124,28 1,242800 1,109400 2

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS. 250mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P- 6L 50 56,54 1,130800 0,848200 71,49 1,429800 1,109400 3

W59934

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS. 250mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6 L 60 42,41 0,706833 0,706833 55,47 0,924500 0,924500 4

W00188

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS. 250mg

PRO. MED. CS PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P- 6L 50 54,39 1,087800 0,848200 68,77 1,375400 1,109400 5

W53024

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 150 mg

COMPR. 150mg

ZAMBON S.P.A.

ITALIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P- 6L 60 41,43 0,690500 0,690500 54,19 0,903166 0,903166 6

W53025

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 300 mg

COMPR. 300mg

ZAMBON S.P.A.

ITALIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- 6L 20 27,43 1,371500 1,371500 35,88 1,794000 1,794000 7

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM. 500mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6 L 50 111,83 2,236600 2,236600 136,52 2,730400 2,730400 8

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR. FILM. 500mg

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR.FILM.

P6 L 100 219,67 2,196700 2,196700 268,17 2,681700 2,681700 9

W58363

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP. ORALA 250mg/5 ml

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA

1LINGURITA DOZATOARE DIN PP

P6 L 1 77,10 77,100000 77,100000 97,49 97,490000 97,490000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 10

W04224

H02AB04

METHYLPREDNISOLONUM

MEDROL A 16

COMPR. 16mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

P- RF 50 24,13 0,482600 0,482600 32,62 0,652400 0,652400 11

W04222

H02AB04

METHYLPREDNISOLONUM

MEDROL 32

COMPR. 32mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.

P- RF 20 21,94 1,097000 1,097000 29,65 1,482500 1,482500 12

W08307

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 125 mg

LIOF. PT. SOL. INJ. 125mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE X 1 FLAC. LIOF.

1 FIOLA SOLV. X 2 ML

S/P RF 1 6,52 6,520000 6,520000 8,81 8,810000 8,810000 13

W08310

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 500 mg

LIOF. PT. SOL. INJ. 500mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE X 1 FLAC. LIOF.

1 FIOLA SOLV. X 7,8 ML

S/P RF 1 22,95 22,950000 22,950000 31,02 31,020000 31,020000 14

W04237

H02AB04

METHYLPREDNISOLONUM

SOLU - MEDROL ACT-O- VIAL

LIOF. SI SOLV.PT.S OL.INJ 250mg/4 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ.

(COMPARTIMENT SUPERIOR) 4ML SOLV

P- RF 1 15,15 15,150000 15,150000 20,48 20,480000 20,480000 15

W13686

H02AB07

PREDNISONUM

PREDNISON 5 mg

COMPR. 5mg

SINTOFARM SA

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 2,74 0,091333 0,053316 3,71 0,123666 0,069744 16

W53341

H02AB07

PREDNISONUM

PREDNISON - RICHTER 5 mg

COMPR. 5mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P- RF 20 1,90 0,095000 0,053316 2,57 0,128500 0,069744 17

W12565

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR. 5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

P- RF/ S 1.000 44,43 0,044430 0,044430 58,12 0,058120 0,058120 18

W12565

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR. 5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P- RF 30 1,94 0,064666 0,053316 2,62 0,087333 0,069744 19

W05242

H02AB07

PREDNISONUM

PREDNISON MCC 5 mg

COMPR. 5mg

MAGISTRA C&C S.R.L.

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 1,96 0,098000 0,053316 2,65 0,132500 0,069744 20

W53671

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

BITRIM 400mg/80mg

COMPR. 400mg/80 mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 5,71 0,285500 0,285500 7,72 0,386000 0,386000 21

W05741

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

TAGREMIN

COMPR. 400mg/80 mg

ZENTIVA S.A.

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 5,71 0,285500 0,285500 7,72 0,386000 0,386000 22

W12479

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

CO - TRIM ELL

COMPR. 400mg/80 mg

BIO EEL SRL

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 5,21 0,260500 0,260500 7,04 0,352000 0,352000 23

W05738

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

SUMETROLIM

COMPR. 400mg/80 mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 5,47 0,273500 0,273500 7,40 0,370000 0,370000 24

W44046

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

EPITRIM

SUSP. ORALA 200mg/40 mg /5ml

E.I.P.I.CO. MED S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA BRUNA CU MASURA DOZATOARE X 100 ML

P- RF 1 3,52 3,520000 3,520000 4,76 4,760000 4,760000 25

W05739

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

SUMETROLIM

SUSP. ORALA 25mg/5m g/ml

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA

MASURA DOZATOARE

P- RF 1 7,75 7,750000 7,750000 10,48 10,480000 10,480000 26

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS. 100mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 4 CAPS.

P- RF 4 18,95 4,737500 3,615428 25,61 6,402500 4,887428 27

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS. 100mg

BALKANPHARMA RAZGRAD AD

BULGA RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P- RF 16 65,37 4,085625 3,615428 82,66 5,166250 4,887428 28

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100 mg

CAPS. 100mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 21,09 3,012857 3,012857 28,51 4,072857 4,072857 29

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF 2 6,98 3,490000 3,490000 9,43 4,715000 4,715000 30

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 23,31 3,330000 3,330000 31,51 4,501428 4,501428 31

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM 150 mg

CAPS. 150mg

ROMPHARM COMPANY S.R.L.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 9,57 9,570000 5,340000 12,94 12,940000 7,212000 32

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS. 150mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR F 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 33

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS. 150mg

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 34

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS. 150mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 7,16 7,160000 5,340000 9,68 9,680000 7,212000 35

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS. 150mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 FLAC. X 1 CAPS.

P- RF 1 7,35 7,350000 5,340000 9,94 9,940000 7,212000 36

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS. 150mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 37

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg

CAPS. 150mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,07 6,070000 5,340000 8,20 8,200000 7,212000 38

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS. 150mg

SANDOZ SRL

GERMA NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 10,79 10,790000 5,340000 14,58 14,580000 7,212000 39

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS. 150mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 CAPS.

PR F 1 7,44 7,440000 5,340000 10,06 10,060000 7,212000

106

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 40

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS. 150mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P- RF 4 48,24 12,060000 5,340000 63,10 15,775000 7,212000 41

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS. 150mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF 1 4,88 4,880000 4,880000 6,59 6,590000 6,590000 42

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS. 150mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 6,68 6,680000 5,340000 9,03 9,030000 7,212000 43

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS. 150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 18,56 18,560000 5,340000 25,08 25,080000 7,212000 44

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS. 150mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 1 CAPS.

P- RF 1 13,95 13,950000 5,340000 18,86 18,860000 7,212000 45

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg

CAPS. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F 1 4,45 4,450000 4,450000 6,01 6,010000 6,010000 46

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS. 150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF 1 8,90 8,900000 5,340000 12,03 12,030000 7,212000 47

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200 mg

CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 30,10 4,300000 4,300000 39,37 5,624285 5,624285 48

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS. 50mg

LABORATOARELE PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 11,66 1,665714 1,665714 15,76 2,251428 2,251428 49

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS. 50mg

LABORMED PHARMA S.A.

ROMAN IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR F 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 50

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50 MG

CAPS. 50mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,15 2,021428 1,777714 19,12 2,731428 2,403428 51

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS. 50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 43,23 6,175714 1,777714 56,54 8,077142 2,403428 52

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg

CAPS. 50mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF 7 12,35 1,764285 1,764285 16,69 2,384285 2,384285 53

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS. 50mg

VIM SPECTRUM SRL

ROMAN IA

CUTIE X 1 BLIST. X 7 CAPS.

P- RF 7 16,69 2,384285 1,777714 22,56 3,222857 2,403428 54

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS. 50mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 14,49 2,070000 1,777714 19,58 2,797142 2,403428 55

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 50 mg

CAPS. 50mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 11,95 1,707142 1,707142 16,15 2,307142 2,307142 56

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS. 50mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X 7 CAPS.

P- RF 7 21,91 3,130000 1,777714 29,61 4,230000 2,403428 57

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS. 50mg

SANDOZ SRL

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF 7 32,06 4,580000 1,777714 41,93 5,990000 2,403428 58

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F 7 10,37 1,481428 1,481428 14,02 2,002857 2,002857 59

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID,

DE CAPACITATE 60 ML

1 LINGURITA DOZATOARE A 5 ML,

CU PULB. PT. 35 ML SUSP.O

PR F 1 23,46 23,460000 23,460000 31,71 31,710000 31,710000 60

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100 ML SOL. PERF.

S 1 34,28 34,280000 20,737200 44,84 44,840000 25,316400 61

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 62

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200 ML SOL. PERF.

S 1 81,95 81,950000 81,950000 103,62 103,620000 103,620000 63

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 64

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

S 1 88,14 88,140000 88,140000 111,45 111,450000 103,986000 65

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 1 17,91 17,910000 17,910000 24,21 24,210000 24,210000 66

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUB LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S 10 172,81 17,281000 17,281000 210,97 21,097000 21,097000 67

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF. 2mg/ml

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S 1 40,63 40,630000 20,737200 53,14 53,140000 25,316400

107

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 68

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 350,00 17,500000 17,500000 419,65 20,982500 20,982500 69

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 20 630,00 31,500000 20,737200 724,85 36,242500 25,316400 70

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50 ML SOL. PERF.

S 1 18,84 18,840000 18,840000 25,47 25,470000 25,179000 71

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL. PERF.

S 10 770,66 77,066000 77,066000 878,17 87,817000 87,817000 72

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF. 2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F 1 35,03 35,030000 20,737200 45,82 45,820000 25,316400 73

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL. PERF.

S 10 454,59 45,459000 20,737200 533,65 53,365000 25,316400 74

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN 2mg/ml

SOL. PERF. 2mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL. PERF.

S 20 796,39 39,819500 20,737200 906,22 45,311000 25,316400 75

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

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 10 760,00 76,000000 76,000000 866,55 86,655000 86,655000 76

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF 28 3.559,23 127,115357 127,115357 3.917,72 139,918571 139,918571 77

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM. 50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF 28 912,09 32,574642 32,574642 1.032,33 36,868928 36,868928 78

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF 1 458,07 458,070000 458,070000 537,45 537,450000 537,450000 79

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA

1 MASURA DOZATOARE (23 ML)

1 SERINGA

P- RF 1 2.203,52 2.203,520000 2.203,520000 2.439,99 2.439,990000 2.439,990000 80

W60913

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS. GASTROR EZ. 100mg

MERCK SHARP & DOHME LTD.

MAREA BRITAN IE

CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE

PR 24 3.330,00 138,750000 138,750000 3.667,85 152,827083 152,827083 81

W58194

J02AC04

POSACONAZOLUM**

NOXAFIL SP 40mg/ml

SUSP. ORALA 40mg/ml

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P- RF/ R 1 2.488,19 2.488,190000 2.488,190000 2.750,28 2.750,280000 2.750,280000 82

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS. 200mg

FARMEX COMPANY S.R.L.

ROMAN IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 83

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P- RF/ S 1.000 704,14 0,704140 0,613200 805,66 0,805660 0,805660 84

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS. 200mg

SLAVIA PHARM SRL

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 14,97 0,748500 0,613200 20,23 1,011500 0,828600 85

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P- RF 20 15,85 0,792500 0,613200 21,42 1,071000 0,828600 86

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P- RF 10 14,41 1,441000 1,441000 19,48 1,948000 1,948000 87

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

PR F 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 88

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 20 10,22 0,511000 0,511000 13,81 0,690500 0,690500 89

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR. 200mg

LAROPHARM S.R.L.

ROMAN IA

CUTIE X 2 BLIST. X 10 COMPR.

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 90

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P- RF 20 12,75 0,637500 0,613200 17,23 0,861500 0,828600 91

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR. 200mg

TERAPIA SA

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF 20 12,69 0,634500 0,613200 17,15 0,857500 0,828600 92

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR. 400mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF 10 20,11 2,011000 1,729200 27,18 2,718000 2,337600

108

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 93

W00058

J05AB01

ACICLOVIRUM

VIROLEX

PULB. PT. SOL. INJ./PERF. 250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P RF 5 231,79 46,358000 46,358000 282,97 56,594000 56,594000 94

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F 60 3.171,52 52,858666 52,858666 3.495,11 58,251833 58,251833 95

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR. FILM. 450mg

ROCHE ROMANIA SRL

ROMAN IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P- RF 60 4.863,09 81,051500 63,430399 5.338,93 88,982166 69,902200 96

W55472

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA 100 mg

COMPR. FILM. 100 mg

TEVA PHARMA B.V.

OLAND A

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P- RF/ R 30 159,00 5,300000 5,300000 194,11 6,470333 6,470333 97

W07518

J05AF05

LAMIVUDINUM

ZEFFIX 100 mg

COMPR. FILM. 100mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST. PVC- AL/PVC-AL)

P- RF/ R 28 228,32 8,154285 6,360000 278,73 9,954642 7,764400 98

W55473

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA B.V. 150 mg

COMPR. FILM. 150 mg

TEVA PHARMA B.V.

OLAND A

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

P- RF/ R 60 319,27 5,321166 5,321166 386,16 6,436000 6,436000 99

W59320

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 60 319,27 5,321166 5,321166 386,16 6,436000 6,436000 100

W03923

J05AF05

LAMIVUDINUM

EPIVIR 150mg

COMPR. FILM. 150mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.

P- RF/ R 60 476,54 7,942333 6,385399 557,58 9,293000 7,723200 101

W55474

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA B.V. 300 mg

COMPR. FILM. 300 mg

TEVA PHARMA B.V.

OLAND A

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P- RF/ R 30 319,27 10,642333 10,642333 386,16 12,872000 12,872000 102

W03924

J05AF05

LAMIVUDINUM

EPIVIR 10mg/ml

SOL. ORALA 10mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA

1 SERINGA DOZATOARE

1 ADAPTOR

P- RF/ R 1 131,82 131,820000 131,820000 160,92 160,920000 160,920000 103

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS. 250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P- RF/ R 100 452,86 4,528600 4,528600 531,77 5,317700 5,317700 104

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P- RF/ R 50 452,86 9,057200 9,057200 531,77 10,635400 10,635400 105

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR EZ. 180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 557,65 4,647083 4,647083 645,99 5,383250 5,383250 106

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR EZ. 360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF 120 1.041,93 8,682750 8,682750 1.173,85 9,782083 9,782083 107

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 108

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 250 mg

CAPS. 250 mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 100 CAPS.

PR 100 291,62 2,916200 2,916200 356,01 3,560100 3,560100 109

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 250 mg

CAPS. 250 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU 1 FLACON PEID CU CAPAC PP X 100 CAPS.

PR F 100 162,65 1,626500 1,626500 198,56 1,985600 1,985600 110

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS. 250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P- RF/ R 100 302,31 3,023100 3,023100 367,67 3,676700 3,676700 111

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL SANDOZ 500 mg

COMPR. 500mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50 COMPR. FILM.

P- RF 50 227,17 4,543400 4,543400 277,33 5,546600 5,546600 112

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR. FILM. 250mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 100 133,10 1,331000 1,331000 162,49 1,624900 1,624900 113

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL STADA 500 mg

COMPR. FILM. 500 mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

PR F 50 160,05 3,201000 3,201000 195,39 3,907800 3,907800 114

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL DR. REDDY'S 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 115

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM. 500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 302,31 6,046200 6,046200 367,67 7,353400 7,353400 116

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P- RF/ R 50 272,59 5,451800 5,451800 332,78 6,655600 6,655600 117

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X 10 COMPR. FILM.

PR F 50 133,10 2,662000 2,662000 162,49 3,249800 3,249800 118

W10576

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ. 1mg

WYETH EUROPA LTD.

MAREA BRITAN IE

CUTIE X 30 DRAJ. (BLIST. PVC/PE /ACLAR)

P- RF/ R 30 489,29 16,309666 16,309666 571,48 19,049333 19,049333

109

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 119

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI 100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 251,97 5,039400 5,039400 307,60 6,152000 6,152000 120

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 112,48 2,249600 2,249600 137,32 2,746400 2,746400 121

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI 25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 59,45 1,189000 1,189000 75,17 1,503400 1,503400 122

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI 50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF 50 120,89 2,417800 2,417800 147,58 2,951600 2,951600 123

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI 50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF 50 239,32 4,786400 4,786400 292,16 5,843200 5,843200 124

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS. 0,5 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400 125

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS. 0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 91,62 1,832400 1,832400 115,84 2,316800 2,316800 126

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5 mg

CAPS. 0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 133,49 2,669800 2,669800 162,97 3,259400 3,259400 127

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS. 0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 205,39 4,107800 4,107800 250,74 5,014800 5,014800 128

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS. 1 mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 129

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS. 1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF 50 238,62 4,772400 4,772400 291,31 5,826200 5,826200 130

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 363,74 7,274800 7,274800 434,63 8,692600 8,692600 131

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS. 1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F 50 179,98 3,599600 3,599600 219,72 4,394400 4,394400 132

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS. 5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS.

1 PLIC CU DESICANT

S/P RF 50 1.715,18 34,303600 34,303600 1.907,70 38,154000 38,154000 133

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS. ELIB. PREL. 0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 204,92 4,098400 4,098400 250,17 5,003400 5,003400 134

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS. ELIB. PREL. 1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 402,53 8,050600 8,050600 476,91 9,538200 9,538200 135

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS. ELIB. PREL. 5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P- RF/ R 50 1.865,58 37,311600 37,311600 2.071,63 41,432600 41,432600 136

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S 10 1.545,19 154,519000 154,519000 1.722,41 172,241000 172,241000 137

W56928

L04AX01

AZATHIOPRINUM*

IMURAN®

COMPR. FILM. 50mg

ASPEN EUROPE GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P RF 100 55,53 0,555300 0,555300 70,21 0,702100 0,702100 138

W56508

L04AX01

AZATHIOPRINUM*

IMMUNOPRIN 75 mg

COMPR. FILM. 75mg

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR 100 62,39 0,623900 0,623900 78,89 0,788900 0,788900

110

ru urm

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA

1

W00231

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,25 mcg

CAPS. MOI 0,25mcg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

P- RF 50 25,70 0,514000 0,514000 33,62 0,672400 0,672400 2

W58167

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,25 mcg

CAPS. MOI 0,25μg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PR F 30 16,99 0,566333 0,566333 22,97 0,765666 0,765666 3

W44042

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,50 mcg

CAPS. MOI 0,50mcg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 30 CAPS. MOI

P- RF 30 23,23 0,774333 0,774333 31,40 1,046666 1,046666

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 4

W58168

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ 0,5 mcg

CAPS. MOI 0,5μg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC/PVDC-AL X 30 CAPS. MOI

PR F 30 26,00 0,866666 0,866666 34,01 1,133666 1,133666 5

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ. 2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S 10 203,78 20,378000 20,378000 248,78 24,878000 24,878000 6

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ. 2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

S 10 108,79 10,879000 10,879000 132,81 13,281000 13,281000 7

W51334

A11CC04

CALCITRIOLUM**

ROCALTROL

CAPS. MOI 0,25mcg

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. AL/PVC X 20 CAPS. MOI.

P- RF 100 53,88 0,538800 0,538800 68,12 0,681200 0,681200 8

W59619

B01AB01

HEPARINUM**

HEPARIN NATRIUM 25000 RATIOPHARM

SOL INJ. 25000UI/5 ml

TEVA PHARMACEUTICAL S.R.L.

ROMAN IA

CUTIE CU 5 FIOLE A 5 ML X 25000 UI

PR F 5 68,32 13,664000 12,595200 86,38 17,276000 15,376800 9

W58017

B01AB01

HEPARINUM**

HEPARIN NATRIUM 25000 RATIOPHARM

SOL. INJ. 5000 UI/ml

HK&ZY BEST PHARMA DISTRIBUTION

ROMAN IA

CUTIE CU 5 FLACOANE X 25000 UI

P- RF 5 72,53 14,506000 12,595200 91,71 18,342000 15,376800 10

W59962

B01AB01

HEPARINUM**

HEPARINA POLIPHARMA

SOL. INJ. 5000UI/ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOLUTIE INJECTABILA

PR 5 64,90 12,980000 12,980000 82,06 16,412000 16,412000 11

W03447

B01AB01

HEPARINUM**

HEPARINE SODIQUE PANPHARMA

SOL. INJ. 5000ui/ml

LAB. PANPHARMA

FRANT A

CUTIE X 10 FLACOANE DIN STICLA INCOLORA X 5 ML SOL. INJ.

S 10 104,96 10,496000 10,496000 128,14 12,814000 12,814000 12

W59962

B01AB01

HEPARINUM**

HEPARINA POLIPHARMA

SOL. INJ. 5000UI/ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 10 FIOLE DIN STICLA INCOLORA X 5 ML SOLUTIE INJECTABILA

PR 10 142,47 14,247000 12,595200 173,93 17,393000 15,376800 13

W13613

B01AB05

ENOXAPARINUM**

CLEXANE 2000ui anti- Xa/0,2ml

SOL. INJ. 2000ui anti- Xa/0,2ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR /P RF 10 49,00 4,900000 4,900000 64,09 6,409000 6,409000 14

W13612

B01AB05

ENOXAPARINUM**

CLEXANE 4000ui anti- Xa/0,4ml

SOL. INJ. 4000ui anti- Xa/0,4ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR /P RF 10 93,99 9,399000 9,399000 118,84 11,884000 11,884000 15

W13611

B01AB05

ENOXAPARINUM**

CLEXANE 6000ui anti- Xa/0,6ml

SOL. INJ. 6000ui anti- Xa/0,6ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR /P RF 10 118,32 11,832000 11,832000 144,45 14,445000 14,445000 16

W13610

B01AB05

ENOXAPARINUM**

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ. 8000ui anti- Xa/0,8ml

LAB. AVENTIS

FRANT A

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

PR /P RF 2 30,69 15,345000 15,345000 40,14 20,070000 20,070000 17

W13610

B01AB05

ENOXAPARINUM**

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ. 8000UI anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANT A

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML,

PREVAZUTA CU A

PR /P RF 6 104,35 17,391666 17,391666 127,39 21,231666 21,231666 18

W55557

B01AB06

NADROPARINUM**

FRAXIPARINE 2850 UI anti- factor Xa/0,3 ml

SOL. INJ. 2850 ui AFXa/0,3 ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITAN IE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P RF 10 49,12 4,912000 4,912000 64,25 6,425000 6,425000 19

W61290

B01AB06

NADROPARINUM**

FRAXIPARINE 2850 UI anti- factor Xa/0,3 ml

SOL. INJ. 2850 ui AFXa/0,3 ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P RF 10 49,12 4,912000 4,912000 64,25 6,425000 6,425000 20

W55558

B01AB06

NADROPARINUM**

FRAXIPARINE 3800 UI anti- factor Xa/0,4 ml

SOL. INJ. 3800 ui AFXa/0,4 ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITAN IE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P RF 10 64,77 6,477000 6,477000 81,89 8,189000 8,189000 21

W61293

B01AB06

NADROPARINUM**

FRAXIPARINE 3800 UI anti- factor Xa/0,4 ml

SOL. INJ. 3800 ui AFXa/0,4 ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P RF 10 64,77 6,477000 6,477000 81,89 8,189000 8,189000 22

W55559

B01AB06

NADROPARINUM**

FRAXIPARINE 5700 UI anti- factor Xa/0,6 ml

SOL. INJ. 5700 ui AFXa/0,6 ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITAN IE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P RF 10 104,10 10,410000 10,410000 127,08 12,708000 12,708000 23

W61291

B01AB06

NADROPARINUM**

FRAXIPARINE 5700 UI anti- factor Xa/0,6 ml

SOL. INJ. 5700 ui AFXa/0,6 ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P RF 10 104,10 10,410000 10,410000 127,08 12,708000 12,708000 24

W55560

B01AB06

NADROPARINUM**

FRAXIPARINE 7600 UI anti- factor Xa/0,8 ml

SOL. INJ. 7600 ui AFXa/0,8 ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITAN IE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P RF 10 126,46 12,646000 12,646000 154,38 15,438000 15,438000 25

W61292

B01AB06

NADROPARINUM**

FRAXIPARINE 7600 UI anti- factor Xa/0,8 ml

SOL. INJ. 7600 ui AFXa/0,8 ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P RF 10 126,46 12,646000 12,646000 154,38 15,438000 15,438000 26

W55414

B01AB06

NADROPARINUM**

FRAXIPARINE 9500 UI anti- factor Xa/1 ml multidoza

SOL. INJ. 9500 UI AFXa/1 ml

GLAXO GROUP LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.

S 10 759,56 75,956000 75,956000 866,07 86,607000 86,607000 27

W61289

B01AB06

NADROPARINUM**

FRAXIPARINE 9500 UI anti- factor Xa/1 ml multidoza

SOL. INJ. 9500 UI AFXa/1 ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.

S 10 759,56 75,956000 75,956000 866,07 86,607000 86,607000

111

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 28

W59473

B01AB10

TINZAPARINUM**

INNOHEP 10000 UI ANTI- XA/ml

SOL. INJ. IN FLACOANE 10000UI anti-XA/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ.,

CU DOP DE CAUCIUC DE CULO

PR /P RF 10 439,68 43,968000 43,968000 517,40 51,740000 51,740000 29

W59475

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI- Xa/ml

SOL. INJ. IN FLACOANE 20000 UI anti-Xa/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ.,

CU DOP DE CAUCIUC DE CULO

PR /P RF 10 965,50 96,550000 96,550000 1.090,55 109,055000 109,055000 30

W59472

B01AB10

TINZAPARINUM**

INNOHEP 10000 UI ANTI- XA/ml

SOL. INJ. IN SERINGI PREUMPLU TE 10000UI anti-XA/ml

LEO PHARMA A/S

DANEM ARCA

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 /P RF 10 97,33 9,733000 9,733000 123,06 12,306000 12,306000 31

W59472

B01AB10

TINZAPARINUM**

INNOHEP 10000 UI ANTI- XA/ml

SOL. INJ. IN SERINGI PREUMPLU TE 10000UI anti-XA/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 SERINGI PREUMPLUTE X 0.45 ML (4500 UI ANTI-XA) SOL. INJ.,

CU DISPOZITIV DE SIGURANTA PT.

PR /P RF 10 127,04 12,704000 12,704000 155,09 15,509000 15,509000 32

W59474

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI- Xa/ml

SOL. INJ. IN SERINGI PREUMPLU TE 20000UI anti-Xa/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ.,

CU DISPOZITIV DE SIGURANTA PT.

PR /P RF 2 77,76 38,880000 38,880000 98,32 49,160000 49,160000 33

W59474

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI- Xa/ml

SOL. INJ. IN SERINGI PREUMPLU TE 20000UI anti-Xa/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ.,

CU DISPOZITIV DE SIGURANTA PT.

PR /P RF 2 95,03 47,515000 47,515000 120,16 60,080000 60,080000 34

W59474

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI- Xa/ml

SOL. INJ. IN SERINGI PREUMPLU TE 20000UI anti-Xa/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ.,

CU DISPOZITIV DE SIGURANTA PT.

PR /P RF 2 58,25 29,125000 29,125000 73,65 36,825000 36,825000 35

W51230

B03AC02

COMPLEX DE HIDROXID DE FER (III) SUCROZA

VENOFER (R)

SOL. INJ./PERF. 20mg/ml

VIFOR FRANCE S.A.

FRANT A

CUTIE X 5 FIOLE X 5 ML

S/P RF 5 122,68 24,536000 24,536000 149,77 29,954000 29,954000 36

W52289

B03XA01

EPOETINUM ALFA**

BINOCRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA 10000UI/1,0ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P RF/ R 6 1.550,81 258,468333 258,468333 1.728,54 288,090000 288,090000 37

W52282

B03XA01

EPOETINUM ALFA**

BINOCRIT 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA 1000UI/0, 5ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P RF/ R 6 178,92 29,820000 29,820000 218,42 36,403333 36,403333 38

W52283

B03XA01

EPOETINUM ALFA**

BINOCRIT 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA 2000UI/1, 0ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P RF/ R 6 355,67 59,278333 59,278333 425,83 70,971666 70,971666 39

W55046

B03XA01

EPOETINUM ALFA**

BINOCRIT 30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLU TA 30000UI/0,75ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P- RF/ R 1 688,15 688,150000 688,150000 788,23 788,230000 788,230000 40

W52284

B03XA01

EPOETINUM ALFA**

BINOCRIT 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 3000UI/0, 3ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P RF/ R 6 518,88 86,480000 86,480000 603,73 100,621666 100,621666 41

W57497

B03XA01

EPOETINUM ALFA**

EPREX 40000 UI/ml

SOL. INJ. IN SERINGA PREUMPLU TA 40 000UI/ml

JOHNSON & JOHNSON D.O.O.

SLOVE NIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P RF 1 1.206,71 1.206,710000 1.052,784000 1.353,47 1.353,470000 1.193,316000 42

W55048

B03XA01

EPOETINUM ALFA**

BINOCRIT 40000 UI/1 ml

SOL. INJ. IN SERINGA PREUMPLU TA 40000 UI/1 ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P- RF/ R 1 877,32 877,320000 877,320000 994,43 994,430000 994,430000 43

W52285

B03XA01

EPOETINUM ALFA**

BINOCRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA 4000UI/0, 4ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P RF/ R 6 682,04 113,673333 113,673333 781,57 130,261666 130,261666

112

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 44

W52286

B03XA01

EPOETINUM ALFA**

BINOCRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA 5000UI/0, 5ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P RF/ R 6 845,15 140,858333 140,858333 959,37 159,895000 159,895000 45

W07740

B03XA01

EPOETINUM BETA**

NEORECORMON 10000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA 10000UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

6 ACE

S/P RF/ R 6 2.117,84 352,973333 352,973333 2.346,60 391,100000 391,100000 46

W07741

B03XA01

EPOETINUM BETA**

NEORECORMON 2000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 2000UI/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P RF/ R 6 447,82 74,636666 74,636666 526,27 87,711666 87,711666 47

W42097

B03XA01

EPOETINUM BETA**

NEORECORMON 30000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA 30000 UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML

1 AC

S/P RF/ R 1 1.042,55 1.042,550000 1.042,550000 1.174,53 1.174,530000 1.174,530000 48

W07742

B03XA01

EPOETINUM BETA**

NEORECORMON 4000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 4000UI/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ.

6 ACE

S/P RF/ R 6 865,04 144,173333 144,173333 981,05 163,508333 163,508333 49

W07744

B03XA01

EPOETINUM BETA**

NEORECORMON 5000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 5000UI/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ.

6 ACE

S/P RF/ R 6 1.073,53 178,921666 178,921666 1.208,30 201,383333 201,383333 50

W60969

B03XA01

EPOETINUM ZETA**

RETACRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA 10000UI/1,0ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

PR 1 180,07 180,070000 180,070000 219,83 219,830000 219,830000 51

W52733

B03XA01

EPOETINUM ZETA**

RETACRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA 10000UI/1,0ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P RF/ R 6 1.012,10 168,683333 168,683333 1.141,34 190,223333 190,223333 52

W60963

B03XA01

EPOETINUM ZETA**

RETACRIT 1000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 1000UI/0, 3ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3ML SOL. INJ.

PR 1 8,03 8,030000 8,030000 10,85 10,850000 10,850000 53

W52728

B03XA01

EPOETINUM ZETA**

RETACRIT 1000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 1000UI/0, 3ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P RF/ R 6 48,15 8,025000 8,025000 62,98 10,496666 10,496666 54

W52732

B03XA01

EPOETINUM ZETA**

RETACRIT 20000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA 20000UI/0,5ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P RF/ R 6 2.074,80 345,800000 345,800000 2.299,68 383,280000 383,280000 55

W52732

B03XA01

EPOETINUM ZETA**

RETACRIT 20000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA 20000UI/0,5ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ.

S/P RF/ R 1 370,80 370,800000 370,800000 442,32 442,320000 442,320000 56

W52727

B03XA01

EPOETINUM ZETA**

RETACRIT 2000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA 2000UI/0, 6ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ.

S/P RF/ R 6 224,93 37,488333 37,488333 274,59 45,765000 45,765000 57

W60964

B03XA01

EPOETINUM ZETA**

RETACRIT 2000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA 2000UI/0, 6ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

PR 1 38,85 38,850000 38,850000 50,82 50,820000 50,820000 58

W52731

B03XA01

EPOETINUM ZETA**

RETACRIT 30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLU TA 30000UI/0,75ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,75ML SOL. INJ.

S/P RF/ R 6 3.097,20 516,200000 516,200000 3.414,10 569,016666 569,016666

113

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 59

W52731

B03XA01

EPOETINUM ZETA**

RETACRIT 30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLU TA 30000UI/0,75ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

S/P RF/ R 1 541,20 541,200000 541,200000 628,06 628,060000 628,060000 60

W52729

B03XA01

EPOETINUM ZETA**

RETACRIT 3000UI/0,9ml

SOL. INJ. IN SERINGA PREUMPLU TA 3000UI/0, 9ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,9ML SOL. INJ.

S/P RF/ R 6 336,72 56,120000 56,120000 405,17 67,528333 67,528333 61

W60965

B03XA01

EPOETINUM ZETA**

RETACRIT 3000UI/0,9ml

SOL. INJ. IN SERINGA PREUMPLU TA 3000UI/0, 9ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ.

PR 1 57,25 57,250000 57,250000 72,39 72,390000 72,390000 62

W52730

B03XA01

EPOETINUM ZETA**

RETACRIT 40000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA 40000UI/1,0ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P RF/ R 6 4.119,59 686,598333 686,598333 4.528,51 754,751666 754,751666 63

W52730

B03XA01

EPOETINUM ZETA**

RETACRIT 40000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA 40000UI/1,0ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

S/P RF/ R 1 711,60 711,600000 711,600000 813,79 813,790000 813,790000 64

W52737

B03XA01

EPOETINUM ZETA**

RETACRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA 4000UI/0, 4ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P RF/ R 6 438,96 73,160000 73,160000 516,62 86,103333 86,103333 65

W60973

B03XA01

EPOETINUM ZETA**

RETACRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA 4000UI/0, 4ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,4ML SOL. INJ.

PR 1 76,34 76,340000 76,340000 96,52 96,520000 96,520000 66

W52736

B03XA01

EPOETINUM ZETA**

RETACRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA 5000UI/0, 5ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P RF/ R 6 541,20 90,200000 90,200000 628,06 104,676666 104,676666 67

W60972

B03XA01

EPOETINUM ZETA**

RETACRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA 5000UI/0, 5ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ.

PR 1 95,42 95,420000 95,420000 120,65 120,650000 120,650000 68

W52735

B03XA01

EPOETINUM ZETA**

RETACRIT 6000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA 6000UI/0, 6ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ.

S/P RF/ R 6 643,44 107,240000 107,240000 739,50 123,250000 123,250000 69

W60971

B03XA01

EPOETINUM ZETA**

RETACRIT 6000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA 6000UI/0, 6ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

PR 1 112,47 112,470000 112,470000 137,30 137,300000 137,300000 70

W60970

B03XA01

EPOETINUM ZETA**

RETACRIT 8000UI/0,8ml

SOL. INJ. IN SERINGA PREUMPLU TA 8000UI/0, 8ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,8ML SOL. INJ.

PR 1 154,75 154,750000 154,750000 188,92 188,920000 188,920000 71

W52734

B03XA01

EPOETINUM ZETA**

RETACRIT 8000UI/0,8ml

SOL. INJ. IN SERINGA PREUMPLU TA 8000UI/0, 8ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ.

S/P RF/ R 6 847,92 141,320000 141,320000 962,38 160,396666 160,396666 72

W41530

B03XA02

DARBEPOETINUM ALFA**

ARANESP 100mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA 100mcg/0, 5ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P- RF/ R 4 2.876,01 719,002500 719,002500 3.173,01 793,252500 793,252500 73

W41522

B03XA02

DARBEPOETINUM ALFA**

ARANESP 10mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mcg/0,4 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P- RF/ R 4 324,23 81,057500 81,057500 391,56 97,890000 97,890000

114

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 74

W41531

B03XA02

DARBEPOETINUM ALFA**

ARANESP 150mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 150mcg/0, 3ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P- RF/ R 4 4.284,58 1.071,145000 1.071,145000 4.708,35 1.177,087500 1.177,087500 75

W41524

B03XA02

DARBEPOETINUM ALFA**

ARANESP 20mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA 20mcg/0,5 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P- RF/ R 4 609,62 152,405000 152,405000 702,64 175,660000 175,660000 76

W41532

B03XA02

DARBEPOETINUM ALFA**

ARANESP 300mcg/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA 300mcg/0, 6ml

AMGEN EUROPE BV

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P- RF/ R 1 1.991,25 1.991,250000 1.991,250000 2.208,61 2.208,610000 2.208,610000 77

W41525

B03XA02

DARBEPOETINUM ALFA**

ARANESP 30mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 30mcg/0,3 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P- RF/ R 4 891,12 222,780000 222,780000 1.009,47 252,367500 252,367500 78

W41526

B03XA02

DARBEPOETINUM ALFA**

ARANESP 40mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA 40mcg/0,4 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P- RF/ R 4 1.175,04 293,760000 293,760000 1.318,95 329,737500 329,737500 79

W41533

B03XA02

DARBEPOETINUM ALFA**

ARANESP 500mcg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 500mcg/m l

AMGEN EUROPE BV

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P- RF/ R 1 3.298,77 3.298,770000 3.298,770000 3.633,81 3.633,810000 3.633,810000 80

W41527

B03XA02

DARBEPOETINUM ALFA**

ARANESP 50mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mcg/0,5 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P- RF/ R 4 1.457,44 364,360000 364,360000 1.626,76 406,690000 406,690000 81

W41528

B03XA02

DARBEPOETINUM ALFA**

ARANESP 60mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 60mcg/0,3 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P- RF/ R 4 1.742,22 435,555000 435,555000 1.937,17 484,292500 484,292500 82

W41529

B03XA02

DARBEPOETINUM ALFA**

ARANESP 80mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA 80mcg/0,4 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P- RF/ R 4 2.309,91 577,477500 577,477500 2.555,95 638,987500 638,987500 83

W52309

B03XA03

METOXI-POLIETILENGLICOL EPOETINA BETA**

MIRCERA 100mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 100mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R 1 991,26 991,260000 991,260000 1.118,62 1.118,620000 1.118,620000 84

W53532

B03XA03

METOXI-POLIETILENGLICOL EPOETINA BETA**

MIRCERA 120mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 120mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R 1 1.145,31 1.145,310000 1.145,310000 1.286,54 1.286,540000 1.286,540000 85

W52310

B03XA03

METOXI-POLIETILENGLICOL EPOETINA BETA**

MIRCERA 150mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 150mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R 1 1.471,92 1.471,920000 1.471,920000 1.642,54 1.642,540000 1.642,540000 86

W52311

B03XA03

METOXI-POLIETILENGLICOL EPOETINA BETA**

MIRCERA 200mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 200mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R 1 1.952,55 1.952,550000 1.952,550000 2.166,43 2.166,430000 2.166,430000 87

W52312

B03XA03

METOXI-POLIETILENGLICOL EPOETINA BETA**

MIRCERA 250mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 250mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R 1 2.399,00 2.399,000000 2.399,000000 2.653,06 2.653,060000 2.653,060000 88

W53529

B03XA03

METOXI-POLIETILENGLICOL EPOETINA BETA**

MIRCERA 30mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 30mcg/0,3 ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R 1 317,25 317,250000 317,250000 383,95 383,950000 383,950000

115

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. 89

W53533

B03XA03

METOXI-POLIETILENGLICOL EPOETINA BETA**

MIRCERA 360mcg/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA 360mcg/0, 6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

S/P RF/ R 1 3.070,88 3.070,880000 3.070,880000 3.385,41 3.385,410000 3.385,410000 90

W52307

B03XA03

METOXI-POLIETILENGLICOL EPOETINA BETA**

MIRCERA 50 mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 50 mcg/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R 1 510,66 510,660000 510,660000 594,77 594,770000 594,770000 91

W52308

B03XA03

METOXI-POLIETILENGLICOL EPOETINA BETA**

MIRCERA 75mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA 75mcg/0,3 ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R 1 750,96 750,960000 750,960000 856,70 856,700000 856,700000 92

W43185

H05BX01

CINACALCETUM

MIMPARA 30 mg

COMPR. FILM. 30mg

AMGEN EUROPE B.V.

OLAND A

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.

P- RF 28 754,12 26,932857 26,932857 860,14 30,719285 30,719285 93

W43186

H05BX01

CINACALCETUM

MIMPARA 60 mg

COMPR. FILM. 60mg

AMGEN EUROPE B.V.

OLAND A

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.

P- RF 28 1.383,17 49,398928 49,398928 1.545,81 55,207500 55,207500 94

W43187

H05BX01

CINACALCETUM

MIMPARA 90 mg

COMPR. FILM. 90mg

AMGEN EUROPE B.V.

OLAND A

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X 14 COMPR. FILM.

P- RF 28 1.967,81 70,278928 70,278928 2.183,07 77,966785 77,966785 95

W52424

H05BX02

PARICALCITOLUM**

ZEMPLAR 1mcg

CAPS. MOI 1mcg

ABBOTT LABORATORIES S.A.

SPANIA

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI

P- RF 28 206,14 7,362142 7,362142 251,66 8,987857 8,987857 96

W60920

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 28 206,14 7,362142 7,362142 251,66 8,987857 8,987857 97

W52425

H05BX02

PARICALCITOLUM**

ZEMPLAR 2mcg

CAPS. MOI 2mcg

ABBOTT LABORATORIES S.A.

SPANIA

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.

P- RF 28 395,68 14,131428 14,131428 469,44 16,765714 16,765714 98

W60921

H05BX02

PARICALCITOLUM**

ZEMPLAR 2μg

CAPS. MOI 2μg

ABBVIE FARMACEUTICA S.L.U.

SPANIA

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.

P- RF 28 395,68 14,131428 14,131428 469,44 16,765714 16,765714 99

W42936

H05BX02

PARICALCITOLUM**

ZEMPLAR

SOL. INJ. 5 mcg/ml

ABBOTT LABORATORIES S.A.

SPANIA

CUTIE X 5 FIOLE X 1 ML SOL. INJ.

S 5 188,23 37,646000 37,646000 229,79 45,958000 45,958000 100

W60961

H05BX02

PARICALCITOLUM**

ZEMPLAR

SOL. INJ. 5 μg/ml

ABBVIE FARMACEUTICA S.L.U.

SPANIA

CUTIE X 5 FIOLE X 1 ML SOL. INJ.

S 5 188,23 37,646000 37,646000 229,79 45,958000 45,958000 101

W08985

V03AE02

SEVELAMER**

RENAGEL 800mg

COMPR. FILM. 800mg

GENZYME EUROPE BV

OLAND A

CUTIE X 1 FLAC.PEID. X 180 COMPR. FILM.

P- RF 180 625,88 3,477111 3,477111 720,36 4,002000 4,002000

116

P11: PROGRAM NATIONAL DE SANATATE MINTALA

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

1

W60453

N07BB04

NALTREXONUM

NALTREXONA TORREX 50 mg

COMPR. FILM. 50mg

CHIESI PHARMACEUTICALS GMBH

AUSTRI A

CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

PR F 28 215,60 7,700000 7,700000 263,20 9,400000 9,400000 2

W51921

N07BC02

METHADONUM

SINTALGON 2,5 mg

COMPR. 2,5mg

ZENTIVA S.A.

ROMAN IA

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

P- TS 50 18,06 0,361200 0,361200 24,41 0,488200 0,488200 3

W55532

N07BC02

METHADONUM

METADON BIOEEL 20 mg

COMPR. 20mg

BIO EEL SRL

ROMAN IA

CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR.

P- TS 50 46,54 0,930800 0,930800 60,88 1,217600 1,217600 4

W55532

N07BC02

METHADONUM

METADON BIOEEL 20 mg

COMPR. 20mg

BIO EEL SRL

ROMAN IA

CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR.

P- TS 20 18,61 0,930500 0,930500 25,16 1,258000 1,258000 5

W55533

N07BC02

METHADONUM

METADON BIOEEL 5 mg

COMPR. 5mg

BIO EEL SRL

ROMAN IA

CUTIE X 2 BLIST. AL/PVC-PVDC X 10 COMPR.

P- TS 20 4,65 0,232500 0,232500 6,29 0,314500 0,314500 6

W55533

N07BC02

METHADONUM

METADON BIOEEL 5 mg

COMPR. 5mg

BIO EEL SRL

ROMAN IA

CUTIE X 5 BLIST. AL/PVC-PVDC X 10 COMPR.

P- TS 50 11,63 0,232600 0,232600 15,72 0,314400 0,314400 7

W58160

N07BC51

COMBINATII ( BUPRENORPHINUM

NALAXONE)

SUBOXONE 2mg/0,5mg

COMPR. SUBLING. 2mg/0,5m g

RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD.

MAREA BRITAN IE

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P- TS; S 7 18,31 2,615714 2,615714 24,75 3,535714 3,535714 8

W58161

N07BC51

COMBINATII ( BUPRENORPHINUM

NALAXONE)

SUBOXONE 8mg/2mg

COMPR. SUBLING. 8mg/2mg

RECKITT BENCKISER HEALTHCARE INTERNATIONAL LTD.

MAREA BRITAN IE

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P- TS; S 7 55,36 7,908571 7,908571 70,00 10,000000 10,000000

NOTA:

- Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*) se inițiaza de medicul de specialitate in limita competenței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T. - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu

se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate; - Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu

se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;

Medicamentul corespunzator DCI-ului notat cu ( 3 ) se livreaza impreuna cu solvent;

Medicamentele corespunzatoare DCI-urilor notate cu 4 () se importa cu avizul Ministerului Sanatatii;

117

Medicamentele din această sublistă se eliberează atât prin farmacii cu circuit închis câtși prin farmacii cu circuit deschis pe bază de prescripție medicală cu reținere în farmacie (P-RF).

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HOTĂRÂRE nr. 1144 din 23 decembrie 2014

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ORDIN nr. 1527 din 16 decembrie 2014

ORDIN nr. 1.527 din 16 decembrie 2014 privind normele metodologice de aplicare a titlului VI "Efectuarea prelevării și transplantului de organe, țesuturi și celule de origine umană în scop terapeutic" din Legea nr. 95/2006 privind reforma în domeniul sănătății