ANEXĂ nr. 0/2015

Notă

Conținută de Ordinul ministrului sănătății și al președintelui Casei Naționale de Asigurări de Sănătate nr. 815/468/2015, publicat în Monitorul Oficial, Partea I, nr. 480 din 1 iulie 2015.

ANEXA 1

SECȚIUNEA C2 - LISTA denumirilor comerciale și a preturilor de decontare a medicamentelor care se acordă bolnavilor cuprinși in cadrul programele nationale de sănătate, in tratamentul ambulatoriu si spitalicesc, corespunzătoare denumirilor comune internaționale cuprinse în sec țiunea C2 a sublistei C – din HG nr. 720/2008, cu modificările și completările ulterioare, elaborată în temeiul Ordinului MS/CNAS nr. 1605/875/2014, cu modificarile si competarile ulterioare,

VALABILĂ ÎNCEPÂND CU 01 IULIE 2015

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

3

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

W05444001

A07AA11

RIFAXIMINUM

NORMIX 200 mg

COMPR. FILM. 200mg

ALFA WASSERMANN SPA

ITALIA

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

P-RF 12 1,942500 2,625833 0,000000 2

W05444002

A07AA11

RIFAXIMINUM

NORMIX 200 mg

COMPR. FILM. 200mg

ALFA WASSERMANN SPA

ITALIA

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

P-RF 36 1,908611 2,413333 0,000000 3

W05445001

A07AA11

RIFAXIMINUM

NORMIX 200mg/10ml

GRAN. PT. SUSP. ORALA 200mg/10 ml

ALFA WASSERMANN SPA

ITALIA

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

1 MASURA DOZATOARE MARCATA LA 5, 10 SI 15 ML

P-RF 1 14,660000 19,810000 0,000000 4

W13742001

D01AC02

MICONAZOLUM

MICONAZOL NITRAT 2%

CREMA 2%

SLAVIA PHARM SRL

ROMANIA

CUTIE X 1 TUB X 20 G

P-RF 1 5,190000 7,010000 0,000000 5

W00040001

D06BB03

ACICLOVIRUM

ZOVIRAX

CREMA 5%

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

CUTIE X 1 TUB X 5G CREMA

P-RF 1 4,584000 6,192000 15,658000 6

W55641001

D06BB03

ACICLOVIRUM

ACICLOVIR 50mg/g

CREMA 5%

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 1 TUB X 5 G CREMA

P-RF 1 3,820000 5,160000 0,000000 7

W55641002

D06BB03

ACICLOVIRUM

ACICLOVIR 50mg/g

CREMA 5%

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE X 1 TUB X 15 G CREMA

P-RF 1 4,176000 5,640000 2,250000 8

W55128002

D06BB03

ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

CREMA 50mg/g

SLAVIA PHARM S.R.L.

ROMANIA

CUTIE CU 1 TUB AL X 5 G CREMA

P-RF 1 4,140000 5,590000 0,000000 9

W58038001

D06BB03

ACICLOVIRUM

ACICLOVIR TERAPIA 50 mg/g

CREMA 50mg/g

TERAPIA S.A.

ROMANIA

CUTIE CU 1 TUB DIN AL X 15 G CREMA

PRF 1 4,176000 5,640000 1,320000 10

W60557001

D06BB03

ACICLOVIRUM

ACICLOVIR-RICHTER 50mg/g

CREMA 50mg/g

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU 1 TUB AL X 5 G CREMA

PRF 1 3,820000 5,160000 0,000000 11

W60557002

D06BB03

ACICLOVIRUM

ACICLOVIR-RICHTER 50mg/g

CREMA 50mg/g

GEDEON RICHTER ROMANIA SA

ROMANIA

CUTIE CU 1 TUB AL X 15 G CREMA

PRF 1 4,176000 5,640000 2,250000 12

W52146002

D06BB03

ACICLOVIRUM

ACICLOVIR HYPERION

CREMA 50mg/g

HYPERION S.A.

ROMANIA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-RF 1 4,176000 5,640000 1,690000 13

W53041001

D06BB03

ACICLOVIRUM

ACICLOVIR TIS 50mg/g

CREMA 50mg/g

TIS FARMACEUTIC SA

ROMANIA

CUTIE X 1 TUB DIN PEJD X 15 G CREMA

P-RF 1 3,480000 4,700000 0,000000 14

W55128001

D06BB03

ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

CREMA 50mg/g

SLAVIA PHARM S.R.L.

ROMANIA

CUTIE CU 1 TUB AL X 15 G CREMA

P-RF 1 4,176000 5,640000 1,320000 15

W51339001

G01AF04

MICONAZOLUM

GYNOZOL 200

CAPS. VAG. 200mg

PHARCO IMPEX 93 S.R.L.

ROMANIA

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

P-RF 6 0,763333 1,031666 0,000000 16

W51340001

G01AF04

MICONAZOLUM

GYNOZOL 400

CAPS. VAG. 400mg

PHARCO IMPEX 93 S.R.L.

ROMANIA

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

P-RF 3 1,463333 1,976666 0,000000 17

W04675003

J01CF04

OXACILLINUM

OXACILINA ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMANIA

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

P-RF/S 1000 0,251650 0,307220 0,000000 18

W11729001

J01CF04

OXACILLINUM

OXACILINA 250 mg

CAPS. 250mg

ANTIBIOTICE SA

ROMANIA

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

P-RF 20 0,289500 0,368664 0,022836 19

W04675002

J01CF04

OXACILLINUM

OXACILINA ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMANIA

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

P-RF 20 0,272500 0,368500 0,000000 20

W43090001

J01CF04

OXACILLINUM

OXACILINA SANDOZ 250 mg

CAPS. 250mg

SANDOZ SRL

ROMANIA

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

P-RF 20 0,296000 0,368664 0,031336 21

W13743001

J01CF04

OXACILLINUM

OXACILINA ARENA 500 mg

CAPS. 500mg

ARENA GROUP SA

ROMANIA

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

P-RF 10 0,468216 0,571608 0,071392 22

W43092001

J01CF04

OXACILLINUM

OXACILINA SANDOZ 500 mg

CAPS. 500mg

SANDOZ SRL

ROMANIA

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

P-RF 10 0,468216 0,571608 0,158392 23

W12910002

J01CF04

OXACILLINUM

OXACILINA FORTE 500 mg

CAPS. 500mg

FARMEX COMPANY SRL

ROMANIA

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

P-RF/S 500 0,390180 0,476340 0,000000 24

W12910001

J01CF04

OXACILLINUM

OXACILINA FORTE 500 mg

CAPS. 500mg

FARMEX COMPANY SRL

ROMANIA

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

P-RF 20 0,413000 0,558500 0,000000 25

W07274001

J01CF04

OXACILLINUM

OXACILINA 500 mg

CAPS. 500mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 1 BLIST. X 10 CAPS.

P-RF 10 0,468216 0,571608 0,206392 26

W60469001

J01CF04

OXACILLINUM

OXACILINA ATB 1000 mg

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

ANTIBIOTICE SA

ROMANIA

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

PRF 1 4,090000 5,530000 0,000000 27

W60469003

J01CF04

OXACILLINUM

OXACILINA ATB 1000 mg

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

ANTIBIOTICE SA

ROMANIA

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

PRF 100 3,890600 4,622300 0,000000 28

W60468003

J01CF04

OXACILLINUM

OXACILINA ATB 500 mg

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

ANTIBIOTICE S.A.

ROMANIA

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

PRF 100 3,612900 4,319600 0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 29

W60468001

J01CF04

OXACILLINUM

OXACILINA ATB 500 mg

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

ANTIBIOTICE S.A.

ROMANIA

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

PRF 1 3,770000 5,100000 0,000000 30

W04684004

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 500 mg

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

ANTIBIOTICE SA

ROMANIA

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

P-RF 1 3,770000 5,100000 0,000000 31

W04684002

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 500 mg

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

ANTIBIOTICE SA

ROMANIA

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

P-RF/S 100 3,612900 4,319600 0,000000 32

W04682003

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 1 g

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

ANTIBIOTICE SA

ROMANIA

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

P-RF 1 4,090000 5,530000 0,000000 33

W04682002

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 1 g

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

ANTIBIOTICE SA

ROMANIA

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

P-RF/S 100 3,890600 4,622300 0,000000 34

W58901002

J01CR01

AMPICILLINUM

SULBACTAM

AMPIPLUS 1000 mg/500 mg

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

ANTIBIOTICE S.A.

ROMANIA

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

PR, PRF 50 13,129000 15,073600 0,000000 35

W55354004

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN SR 1000 mg/62,5 mg

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

BEECHAM GROUP PLC

MAREA BRITANIE

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

P-RF 28 1,256071 1,642857 0,000000 36

W00400003

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 2 x 1000 mg

COMPR. FILM. 1000mg

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

P-RF 14 0,712142 0,962142 0,000000 37

W57628002

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

ENHANCIN 500 mg/125mg

COMPR. FILM. 500 mg/125 mg

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF 28 0,437142 0,591071 0,000000 38

W54453002

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXIPLUS 500/125 mg

COMPR. FILM. 500/125m g

ANTIBIOTICE S.A.

ROMANIA

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

P-RF 14 0,437142 0,590714 0,000000 39

W54971008

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO 500 mg/125 mg

COMPR. FILM. 500mg/12 5mg

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

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

P-RF 14 0,437142 0,590714 0,000000 40

W55163002

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN 500 mg/125 mg

COMPR. FILM. 500mg/12 5mg

BEECHAM GROUP PLC

MAREA BRITANIE

CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE,

FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT,

CONTINAND UN DESICANT

P-RF 14 0,524570 0,708857 0,200428 41

W00401004

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 2 x 625 mg

COMPR. FILM. 625mg

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

P-RF 14 0,437142 0,590714 0,000000 42

W55164001

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN 875 mg/125 mg

COMPR. FILM. 875mg/12 5mg

BEECHAM GROUP PLC

MAREA BRITANIE

CUTIE X 2 BLISTERE PVC-PVDC/AL X 7 COMPRIMATE FILMATE,

FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTOARE DIN AL LAMINAT,

CONTINAND UN DESICANT

P-RF 14 0,854570 1,154570 0,324715 43

W55401002

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXIPLUS 875 mg/125 mg

COMPR. FILM. 875mg/12 5mg

ANTIBIOTICE S.A.

ROMANIA

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

P-RF 14 0,712142 0,962142 0,000000 44

W54972008

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO 875 mg/125 mg

COMPR. FILM. 875mg/12 5mg

AUROBINDO PHARMA LIMITED

MAREA BRITANIE

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

P-RF 14 0,712142 0,962142 0,000000 45

W51992004

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 1000 mg

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

BIOMEDIAL PHARMA S.R.L.

ROMANIA

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

P-RF 14 0,854570 1,154570 0,703287 46

W51991002

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB 625 mg

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

BIOMEDIAL PHARMA S.R.L.

ROMANIA

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

P-RF 14 0,524570 0,708857 0,516143 47

W59739002

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOXIPLUS 1000 mg/200 mg

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

ANTIBIOTICE SA

ROMANIA

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

PRF 50 7,344200 8,768200 0,000000 48

W00399001

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 156,25mg/5ml

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

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

P-RF 1 8,010000 10,820000 0,000000 49

W08783001

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 2x

PULB. PT. SUSP. ORALA 400mg

5 7mg/5ml

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

SERINGA DOZATOARE

P-RF 1 4,960000 6,700000 0,000000 4

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 50

W08783002

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 2x

PULB. PT. SUSP. ORALA 400mg

5 7mg/5ml

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

SERINGA DOZATOARE

P-RF 1 9,920000 13,410000 0,000000 51

W55355002

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

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

SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

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

MASURA DOZATOARE

P-RF 1 11,904000 16,092000 4,538000 52

W59180001

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

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

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

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

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

PRF 1 4,960000 6,700000 0,000000 53

W55355004

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

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

SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

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

MASURA DOZATOARE

P-RF 1 5,952000 8,040000 2,280000 54

W55355001

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57 mg/5 ml

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

SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

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

1 SERINGA PT. ADM. ORALA

P-RF 1 5,952000 8,040000 2,280000 55

W55342003

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AUGMENTIN (R) ES

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

SMITHKLINE BEECHAM LTD.

MAREA BRITANIE

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

1 MASURA DOZATOARE

P-RF 1 27,200000 35,580000 0,000000 56

W00402001

J01CR02

AMOXICILLINUM

ACIDUM CLAVULANICUM

AMOKSIKLAV 312,5mg/5ml

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

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

LINGURITA DOZATOARE

P-RF 1 14,060000 19,000000 0,000000 57

W55629002

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

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

ROMASTRU TRADING SRL

ROMANIA

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

S 12 4,044000 5,472000 22,543000 58

W54763001

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 2g/0,25 g

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

MYLAN S.A.S.

FRANTA

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

S 1 3,370000 4,560000 0,000000 59

W55369001

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 2 g/0,25 g

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

TERAPIA SA

ROMANIA

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

S 1 4,044000 5,472000 26,688000 60

W55629001

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

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

ROMASTRU TRADING SRL

ROMANIA

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

S 1 4,044000 5,472000 26,688000 61

W55423001

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 2g/0,25 g

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

ANTIBIOTICE S.A.

ROMANIA

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

S 1 4,044000 5,472000 26,688000 62

W55424001

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PERASIN 4g/0,5 g

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

ANTIBIOTICE S.A.

ROMANIA

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

S 1 21,346800 26,060400 29,479600 63

W55370001

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

BACTACIN 4 g/0,5 g

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

TERAPIA SA

ROMANIA

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

S 1 21,346800 26,060400 29,479600 64

W55630001

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

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

ROMASTRU TRADING SRL

ROMANIA

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

S 1 21,346800 26,060400 29,479600 65

W55630002

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

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

ROMASTRU TRADING SRL

ROMANIA

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

S 12 21,346800 26,060400 20,445433 66

W54765001

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILINA/TAZOBACTAM MYLAN 4g/0,5 g

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

MYLAN S.A.S.

FRANTA

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

S 1 21,346800 26,060400 10,049600 67

W53595006

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 2g/0,25 g

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

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

ROMANIA

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

S 10 4,044000 5,472000 10,127000 68

W53596003

J01CR05

PIPERACILLINUM

TAZOBACTAMUM

PIPERACILLIN/TAZOBACTAM KABI 4g/0.5g

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

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

ROMANIA

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

S 10 17,789000 21,717000 0,000000 69

W55618001

J01DD04

CEFTRIAXONUM

OFRAMAX 1000 mg

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

TERAPIA SA

ROMANIA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA,

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

S 50 4,826400 6,313200 4,739400 70

W13949006

J01DD04

CEFTRIAXONUM

CEFORT 1 g

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

ANTIBIOTICE SA

ROMANIA

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

PR 10 4,826400 6,313200 10,025800 71

W13949009

J01DD04

CEFTRIAXONUM

CEFORT 1 g

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

ANTIBIOTICE SA

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF.

PR 10 4,826400 6,313200 10,025800 72

W13949012

J01DD04

CEFTRIAXONUM

CEFORT 1 g

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

ANTIBIOTICE SA

ROMANIA

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

PR 10 4,826400 6,313200 10,025800 73

W13949003

J01DD04

CEFTRIAXONUM

CEFORT 1 g

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

ANTIBIOTICE SA

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 17 ML CU PULB. PT. SOL. INJ./PERF.

S/P-RF 10 4,826400 6,313200 10,025800 5

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 74

W59397002

J01DD04

CEFTRIAXONUM

CEFTRIAXONA-MIP 1 g

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

MIP PHARMA GMBH

GERMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

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

PR 10 4,022000 5,261000 0,000000 75

W53779001

J01DD04

CEFTRIAXONUM

SEFTRION 1 g

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

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

ROMANIA

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

S/P-RF 1 4,826400 6,313200 7,416800 76

W13948008

J01DD04

CEFTRIAXONUM

CEFORT 250 mg

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

ANTIBIOTICE SA

ROMANIA

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

PR 10 5,668000 7,167000 0,000000 77

W13948004

J01DD04

CEFTRIAXONUM

CEFORT 250 mg

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

ANTIBIOTICE SA

ROMANIA

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

S/P-RF 10 5,668000 7,167000 0,000000 78

W55619001

J01DD04

CEFTRIAXONUM

OFRAMAX 250 mg

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

TERAPIA SA

ROMANIA

CUTIE CU 50 FLAC. DIN STICLA INCOLORA,

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

S 50 5,105400 6,232600 0,000000 79

W13891008

J01DD04

CEFTRIAXONUM

CEFORT 2 g

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

ANTIBIOTICE SA

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 30 ML CU PULB. PT. SOL. INJ./PERF.

PR 10 8,888400 11,238000 17,698000 80

W59398002

J01DD04

CEFTRIAXONUM

CEFTRIAXONA-MIP 2 g

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

MIP PHARMA GMBH

GERMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

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

PR 10 7,407000 9,365000 0,000000 81

W13891004

J01DD04

CEFTRIAXONUM

CEFORT 2 g

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

ANTIBIOTICE SA

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CAPACITATE 50 ML,

CU PULB. PT. SOL. INJ./PERF.

S/P-RF 10 8,888400 11,238000 17,698000 82

W42544001

J01DD04

CEFTRIAXONUM

MEDAXONE 2 g

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

MEDOCHEMIE LTD.

CIPRU

CUTIE X 10 FLACOANE X 2 G PULB. PT. SOL. INJ./PERF.

S/P-RF 10 8,888400 11,238000 15,471000 83

W53778001

J01DD04

CEFTRIAXONUM

SEFTRION 500 mg

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

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

ROMANIA

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

S/P-RF 1 6,370000 8,610000 0,000000 84

W56096001

J01DD04

CEFTRIAXONUM

SEFTRION 2 g

PULB. PT. SOL. PERF. 2g

EIPICO MED SRL

ROMANIA

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

P-RF 1 8,888400 11,238000 6,252000 85

W51335001

J01DD04

CEFTRIAXONUM

ROCEPHIN (R)

PULB. PT. SOL. PERF. 2g

ROCHE ROMANIA S.R.L.

ROMANIA

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

S/P-RF 1 8,888400 11,238000 42,222000 86

W57455001

J01DD08

CEFIXIMUM

EFICEF 100 mg

CAPS. 100mg

ANTIBIOTICE S.A.

ROMANIA

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

PRF 10 1,655000 2,237000 0,000000 87

W13701001

J01DD08

CEFIXIMUM

EFICEF (R) 200 mg

CAPS. 200mg

ANTIBIOTICE SA

ROMANIA

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

P-RF 10 2,759000 3,609000 0,000000 88

W60256001

J01DD08

CEFIXIMUM

XIFIA 400mg

COMPR. FILM. 400mg

INN-FARM D.O.O.

SLOVENIA

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

PRF 5 7,660000 10,020000 0,000000 89

W60256003

J01DD08

CEFIXIMUM

XIFIA 400mg

COMPR. FILM. 400mg

INN-FARM D.O.O.

SLOVENIA

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

PRF 10 7,526000 9,516000 0,000000 90

W13676001

J01DD12

CEFOPERAZONUM

MEDOCEF 1 g

PULB. PT. SOL. INJ. 1g

MEDOCHEMIE LTD.

CIPRU

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

S/P-RF 10 8,412000 11,376000 6,538000 91

W13677001

J01DD12

CEFOPERAZONUM

MEDOCEF 2 g

PULB. PT. SOL. INJ. 2g

MEDOCHEMIE LTD.

CIPRU

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

S/P-RF 10 12,576000 16,992000 6,670000 92

W44045001

J01DD12

CEFOPERAZONUM

CEFOZON 500 mg

PULB. PT. SOL. INJ. 500mg

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

ROMANIA

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

S/P-RF 1 3,190000 4,310000 0,000000 93

W52795001

J01DD12

CEFOPERAZONUM

CEFOZON 2 g

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

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

ROMANIA

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

S/P-RF 1 10,480000 14,160000 0,000000 94

W44061001

J01DD12

CEFOPERAZONUM

CEFOZON 1 g

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

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

ROMANIA

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

S/P-RF 1 7,010000 9,480000 0,000000 95

W53787001

J01DD62

COMBINATII (CEFOPERAZONUM

SULBACTAMUM)

SULCEF 1000 mg/1000 mg

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

MEDOCHEMIE S.R.L.

ROMANIA

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

S/P-RF 1 19,370000 23,076840 3,103160 96

W53787004

J01DD62

COMBINATII (CEFOPERAZONUM

SULBACTAMUM)

SULCEF 1000 mg/1000 mg

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

MEDOCHEMIE S.R.L.

ROMANIA

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

S 100 17,292800 19,230700 0,000000 97

W53787003

J01DD62

COMBINATII (CEFOPERAZONUM

SULBACTAMUM)

SULCEF 1000 mg/1000 mg

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

MEDOCHEMIE S.R.L.

ROMANIA

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

S/P-RF 50 17,592800 19,939200 0,000000 98

W53787002

J01DD62

COMBINATII (CEFOPERAZONUM

SULBACTAMUM)

SULCEF 1000 mg/1000 mg

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

MEDOCHEMIE S.R.L.

ROMANIA

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

S/P-RF 10 18,691000 22,818000 0,000000 99

W60705002

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 1000 mg

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

ZENTIVA, K.S.

REPUBLIC A CEHA

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

PR 10 27,211200 33,219600 44,763400 6

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 100

W60703002

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 500 mg

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

ZENTIVA, K.S.

REPUBLIC A CEHA

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

PR 10 16,826400 20,541600 22,648400 101

W56827001

J01DH02

MEROPENEMUM

LODITER 1000 mg

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

TERAPIA S.A.

ROMANIA

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

PR 1 27,211200 33,219600 62,340400 102

W58974002

J01DH02

MEROPENEMUM

MEROPENEM ATB 1000 mg

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

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 20 ML SAU 30 ML CU DOP DIN CAUCIUC,

SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC

PRF 10 27,211200 33,219600 47,425400 103

W61143002

J01DH02

MEROPENEMUM

ARCHIFAR 1000 mg

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

MEDOCHEMIE ROMANIA SRL

ROMANIA

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

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

PR 10 27,211200 33,219600 29,959400 104

W56125002

J01DH02

MEROPENEMUM

MEROPENEM KABI 1 g

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 10 27,211200 33,219600 16,867400 105

W56331002

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 1 g

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

HOSPIRA UK LIMITED

MAREA BRITANIE

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

PR 10 22,676000 27,683000 0,000000 106

W56826001

J01DH02

MEROPENEMUM

LODITER 500 mg

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

TERAPIA S.A.

ROMANIA

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

PR 1 16,826400 20,541600 30,708400 107

W56124002

J01DH02

MEROPENEMUM

MEROPENEM KABI 500 mg

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

PR 10 16,826400 20,541600 6,620400 108

W56330002

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 500 mg

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

HOSPIRA UK LIMITED

MAREA BRITANIE

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

PR 10 14,022000 17,118000 0,000000 109

W61142002

J01DH02

MEROPENEMUM

ARCHIFAR 500 mg

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

MEDOCHEMIE ROMANIA SRL

ROMANIA

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

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

PR 10 16,826400 20,541600 24,002400 110

W58973002

J01DH02

MEROPENEMUM

MEROPENEM ATB 500 mg

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

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC,

SIGILAT CU CAPSA DIN ALUMINIU PREVAZUTA CU DISC DIN MATERIAL PLASTIC

PRF 10 16,826400 20,541600 24,004400 111

W59077002

J01DH51

IMIPENEMUM

CILASTATINUM

TIENAM I.V. 500 mg/500 mg

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

MERCK SHARP & DOHME

ROMANIA

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

PR 10 22,297200 27,220800 7,679200 112

W54471006

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

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

TERAPIA SA

ROMANIA

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

S/P-RF 10 22,297200 27,220800 9,677200 113

W54471009

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

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

TERAPIA SA

ROMANIA

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

S/P-RF 10 22,297200 27,220800 6,801200 114

W61198003

J01DH51

IMIPENEMUM

CILASTATINUM

IMIPENEM/CILASTATIN ATB 500 mg/500 mg

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

ANTIBIOTICE S.A.

ROMANIA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III,

CU CAPACITATEA DE 20 ML,

CONTINANAD PULB. PT. SOL. PERF.

PR 10 18,582000 22,685000 0,000000 115

W54471007

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

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

TERAPIA SA

ROMANIA

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

S/P-RF 1 22,297200 27,220800 10,559200 116

W54471008

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

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

TERAPIA SA

ROMANIA

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

S/P-RF 5 22,297200 27,220800 6,803200 117

W54471002

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

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

TERAPIA SA

ROMANIA

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

S/P-RF 5 18,922000 23,924000 0,000000 118

W54471003

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

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

TERAPIA SA

ROMANIA

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

S/P-RF 10 18,582000 22,685000 0,000000 119

W54471005

J01DH51

IMIPENEMUM

CILASTATINUM

CILOPEN 500mg/500mg

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

TERAPIA SA

ROMANIA

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

S/P-RF 5 22,297200 27,220800 9,829200 120

W54532001

J01DH51

IMIPENEMUM

CILASTATINUM

IMIPENEM/CILASTATIN KABI 500mg/500mg

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S/P-RF 10 18,581000 22,684000 0,000000 121

W53671001

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

BITRIM 400mg/80mg

COMPR. 400mg/80 mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 20 0,296500 0,400500 0,000000 122

W12479001

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

CO - TRIM ELL

COMPR. 400mg/80 mg

BIO EEL SRL

ROMANIA

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

P-RF 20 0,270000 0,365000 0,000000 123

W05738001

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

SUMETROLIM

COMPR. 400mg/80 mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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

P-RF 20 0,257500 0,348000 0,000000 124

W05741001

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

TAGREMIN

COMPR. 400mg/80 mg

ZENTIVA S.A.

ROMANIA

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

P-RF 20 0,296500 0,400500 0,000000 7

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 125

W44046001

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

EPITRIM

SUSP. ORALA 200mg/40 mg /5ml

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

ROMANIA

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

P-RF 1 3,480000 4,710000 0,000000 126

W05739001

J01EE01

SULFAMETHOXAZOLUM

TRIMETHOPRIMUM

SUMETROLIM

SUSP. ORALA 25mg/5m g/ml

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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

MASURA DOZATOARE

P-RF 1 7,300000 9,860000 0,000000 127

W05561001

J01FA02

SPIRAMYCINUM

ROVAMYCINE (R) 1,5 Mil. UI

COMPR. FILM. 1,5 M ui

LAB. AVENTIS

FRANTA

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

P-RF 16 0,472500 0,638750 0,000000 128

W13604002

J01FA02

SPIRAMYCINUM

ROVAMYCINE (R) 3 Mil. UI

COMPR. FILM. 3M ui

LAB. AVENTIS

FRANTA

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

P-RF 10 1,933000 2,613000 0,000000 129

W13604003

J01FA02

SPIRAMYCINUM

ROVAMYCINE 3 Mil. UI

COMPR. FILM. 3MilU.I.

LABORATOIRES AVENTIS

FRANTA

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

PRF 10 1,933000 2,613000 0,000000 130

W58242002

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR. CU ELIB. PREL. 500mg

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PRF 7 1,458000 1,970570 0,463715 131

W59000002

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. ELIB. PREL. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PRF 6 1,458000 1,970570 0,464430 132

W44093001

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg

COMPR. FILM. 250mg

TERAPIA SA

ROMANIA

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

P-RF 14 0,672000 0,907714 0,179428 133

W08490001

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 14 0,672000 0,907714 0,328000 134

W14043001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 250

COMPR. FILM. 250mg

MEDOCHEMIE LTD.

CIPRU

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

P-RF 14 0,672000 0,907714 0,264428 135

W60253004

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR. FILM. 250mg

SANDOZ S.R.L.

ROMANIA

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

PRF 14 0,622857 0,842142 0,000000 136

W61223003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 250 mg

COMPR. FILM. 250mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF 14 0,560000 0,756428 0,000000 137

W01326002

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR. FILM. 250mg

ABBOTT S.R.L.

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-RF 14 0,672000 0,907714 1,039428 138

W58998015

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250 mg

COMPR. FILM. 250mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PRF 14 0,622142 0,840714 0,000000 139

W44087001

J01FA09

CLARITHROMYCINUM

KLABAX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMANIA

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

P-RF 14 1,458000 1,970570 0,068715 140

W54044001

J01FA09

CLARITHROMYCINUM

ROCLARIN 500 mg

COMPR. FILM. 500mg

ANTIBIOTICE S.A.

ROMANIA

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

P-RF 20 1,458000 1,970570 0,277930 141

W60254003

J01FA09

CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR. FILM. 500mg

SANDOZ S.R.L.

ROMANIA

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

PRF 14 1,414285 1,911428 0,000000 142

W56269001

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM. 500mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

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

P-RF 20 1,458000 1,970570 0,385430 143

W61224003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 500 mg

COMPR. FILM. 500mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF 14 1,215000 1,642142 0,000000 144

W14044001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 500

COMPR. FILM. 500mg

MEDOCHEMIE LTD.

CIPRU

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

P-RF 14 1,414285 1,911428 0,000000 145

W08491001

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 14 1,421428 1,921428 0,000000 146

W58999014

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. FILM. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PRF 14 1,350000 1,825000 0,000000 147

W44088001

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF. 500mg

TERAPIA SA

ROMANIA

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

P-RF 7 1,458000 1,970570 0,463715 148

W41838002

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL. 500mg

KRKA D.D.

SLOVENIA

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

P-RF 7 1,458000 1,970570 0,463715 149

W13607002

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL. 500mg

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

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

P-RF 5 1,458000 1,970570 1,777430 150

W01327001

J01FA09

CLARITHROMYCINUM

KLACID (R)

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

ABBOTT S.R.L.

ITALIA

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

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF 1 22,180000 29,980000 0,000000 151

W01327002

J01FA09

CLARITHROMYCINUM

KLACID (R)

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

ABBOTT S.R.L.

ITALIA

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

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF 1 11,388000 15,384000 4,336000 152

W44092001

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

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

TERAPIA SA

ROMANIA

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

P-RF 1 9,490000 12,820000 0,000000 153

W42258001

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

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

SANDOZ SRL

ROMANIA

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

LINGURITA DOZATOARE PP

P-RF 1 9,490000 12,820000 0,000000 8

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 154

W44091001

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

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

TERAPIA SA

ROMANIA

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

P-RF 1 24,320000 32,870000 0,000000 155

W44091002

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

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

TERAPIA SA

ROMANIA

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

P-RF 1 40,530000 53,010000 0,000000 156

W58393002

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

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

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. PEID

SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA

PRF 1 22,090000 29,860000 0,000000 157

W01329001

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF. 500mg

ABBOTT LABORATORIES LTD.

FRANTA

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

S/P-RF 1 30,230000 39,540000 0,000000 158

W42271001

J01FA10

AZITHROMYCINUM

AZATRIL 250 mg

CAPS. 250mg

BALKANPHARMA RAZGRAD AD

BULGARIA

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

P-RF 6 2,435000 3,291666 0,000000 159

W00517001

J01FA10

AZITHROMYCINUM

SUMAMED 250 mg

CAPS. 250mg

PLIVA LJUBLIJANA D.O.O.

SLOVENIA

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

P-RF 6 2,922000 3,949999 1,116667 160

W00518001

J01FA10

AZITHROMYCINUM

SUMAMED 125 mg

COMPR. FILM. 125mg

PLIVA LJUBLJANA D.O.O.

SLOVENIA

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

P-RF 6 3,068333 4,146666 0,000000 161

W42879004

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

COMPR. FILM. 250mg

SANDOZ S.R.L.

ROMANIA

CUTIE X 1 BLIST. X 6 COMPR. FILM.

P-RF 6 2,435000 3,291666 0,000000 162

W52838002

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 250 mg

COMPR. FILM. 250mg

TERAPIA SA

ROMANIA

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

P-RF 6 2,435000 3,291666 0,000000 163

W52838001

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 250 mg

COMPR. FILM. 250mg

TERAPIA SA

ROMANIA

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

P-RF 6 2,435000 3,291666 0,000000 164

W57032001

J01FA10

AZITHROMYCINUM

AZITROX (R) 500

COMPR. FILM. 500mg

ZENTIVA K.S.

CEHIA

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

P-RF 3 3,607999 4,876000 0,700666 165

W52840002

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMANIA

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

P-RF 3 3,607999 4,876000 0,700666 166

W42878001

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 500 mg COMPRIMATE FILMATE

COMPR. FILM. 500mg

SANDOZ S.R.L.

ROMANIA

CUTIE X 1 BLIST. X 3 COMPR. FILM.

P-RF 3 3,006666 4,063333 0,000000 167

W60019004

J01FA10

AZITHROMYCINUM

AZATRIL 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PRF 3 3,607999 4,876000 0,254000 168

W52840001

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMANIA

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

P-RF 3 3,607999 4,876000 0,700666 169

W00519001

J01FA10

AZITHROMYCINUM

SUMAMED 500 mg

COMPR. FILM. 500mg

PLIVA LJUBLJANA D.O.O.

SLOVENIA

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

P-RF 3 3,607999 4,876000 3,707333 170

W60406001

J01FA10

AZITHROMYCINUM

AZITROMICINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMANIA

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

PRF 3 3,607999 4,876000 0,700666 171

W43486001

J01FA10

AZITHROMYCINUM

AZIBIOT 500 mg

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 3 3,607999 4,876000 0,440666 172

W52841002

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 600 mg

COMPR. FILM. 600mg

TERAPIA SA

ROMANIA

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

P-RF 3 11,793333 15,426666 0,000000 173

W52841001

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA 600 mg

COMPR. FILM. 600mg

TERAPIA SA

ROMANIA

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

P-RF 3 11,793333 15,426666 0,000000 174

W53281001

J01FA10

AZITHROMYCINUM

AZITROX 200 mg/5 ml

PULB.

SOLV. SUSP. ORALA 200mg/5 ml

ZENTIVA S.A.

ROMANIA

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

FLACON CU SOLVENT X 7.5ML SOLVENT

1 SERINGA PENTRU ADMINISTRAREA ORALA

O LINGURITA DOZATOARE

P-RF 1 10,710000 14,470000 0,000000 175

W42901001

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 100 mg/5 ml

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

SANDOZ SRL

ROMANIA

CUTIE CU 1 FLAC. PEID

1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (400 MG) SUSP. ORALA

P-RF 1 14,310000 19,340000 0,000000 176

W42877002

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 200 mg/5 ml

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

SANDOZ SRL

ROMANIA

CUTIE CU 1 FLAC. PEID

1 SERINGA DOZATOARE DIN PE/PP (10 ML) GRADATA IN DIVIZIUNI DE 0,25 ML CONTINAND PULB. PT 20 ML (800 MG) SUSP. ORALA

P-RF 1 21,260000 28,740000 0,000000 177

W00520001

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

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

PLIVA LJUBLIJANA D.O.O.

SLOVENIA

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

SERINGA SI LINGURITA DOZATOARE

P-RF 1 30,340000 39,680000 0,000000 178

W00520002

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

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

PLIVA LJUBLIJANA D.O.O.

SLOVENIA

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

SERINGA SI LINGURITA DOZATOARE

P-RF 1 12,852000 17,364000 4,896000 179

W00520003

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

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

PLIVA LJUBLIJANA D.O.O.

SLOVENIA

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

SERINGA SI LINGURITA DOZATOARE

P-RF 1 46,150000 60,360000 0,000000 180

W03308001

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ. 40mg/ml

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 10 0,547000 0,740000 0,000000 181

W03309002

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ. 80mg/2ml

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF/S 50 0,658000 0,860600 0,000000 182

W03309001

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ. 80mg/2ml

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 10 0,735000 0,994000 0,000000 183

W53277001

J01GB06

AMIKACINUM

AMIKOZIT (R) 500 mg/2 ml

SOL. INJ. 500mg/2 ml

ZENTIVA S.A.

ROMANIA

CUTIE X 1 FLACON DIN STICLA X 2 ML

P-RF 1 5,350000 7,230000 0,000000 184

W07914001

J01MA01

OFLOXACINUM

ZANOCIN

COMPR. FILM. 200mg

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF 10 0,872000 1,179000 0,000000 9

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 185

W56957001

J01MA01

OFLOXACINUM

OFLOXIN 200

COMPR. FILM. 200mg

ZENTIVA K.S.

CEHIA

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

P-RF 10 1,046400 1,414800 0,662200 186

W54037002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR. FILM. 100mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 20 2,692000 3,404000 0,000000 187

W54037001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR. FILM. 100mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 10 2,959000 3,871000 0,000000 188

W54038002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 250 mg

COMPR. FILM. 250mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 20 0,472000 0,638000 0,000000 189

W01288001

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 250 mg

COMPR. FILM. 250mg

AC HELCOR SRL

ROMANIA

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

P-RF 10 0,505000 0,683000 0,000000 190

W01271002

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR. FILM. 250mg

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-RF 10 0,525000 0,709000 0,000000 191

W07862001

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM. 250mg

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF 10 0,533000 0,720000 0,000000 192

W44077004

J01MA02

CIPROFLOXACINUM

CIPROCIN 250 mg

COMPR. FILM. 250mg

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

ROMANIA

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

P-RF 10 0,505000 0,683000 0,000000 193

W01273001

J01MA02

CIPROFLOXACINUM

CIPRINOL 250 mg

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 10 0,523000 0,707000 0,000000 194

W54038001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 250 mg

COMPR. FILM. 250mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 10 0,504000 0,681000 0,000000 195

W54039002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 20 0,630500 0,852000 0,000000 196

W01289001

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 500 mg

COMPR. FILM. 500mg

AC HELCOR SRL

ROMANIA

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

P-RF 10 0,756600 1,022400 0,299600 197

W07863001

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM. 500mg

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF 10 0,674000 0,911000 0,000000 198

W12545001

J01MA02

CIPROFLOXACINUM

CIPRO QUIN (R)

COMPR. FILM. 500mg

ANTIBIOTICE SA

ROMANIA

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

P-RF 10 0,756600 1,022400 0,348600 199

W44076001

J01MA02

CIPROFLOXACINUM

CIPROCIN 500 mg

COMPR. FILM. 500mg

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

ROMANIA

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF 10 0,681000 0,920000 0,000000 200

W01272001

J01MA02

CIPROFLOXACINUM

CUMINOL 500 mg

COMPR. FILM. 500mg

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-RF 10 0,756600 1,022400 0,348600 201

W54039001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 10 0,708000 0,957000 0,000000 202

W01274001

J01MA02

CIPROFLOXACINUM

CIPRINOL 500 mg

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 10 0,756600 1,022400 0,160600 203

W54040001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 750 mg

COMPR. FILM. 750mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 10 0,915600 1,237200 2,633800 204

W42772001

J01MA02

CIPROFLOXACINUM

CIPRINOL 750 mg

COMPR. FILM. 750mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 10 0,763000 1,031000 0,000000 205

W57948001

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 1000 mg

COMPR. FILM. ELIB. PREL. 1000 mg

BAYER PHARMA AG

GERMANIA

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

P-RF 7 9,928571 12,554285 0,000000 206

W57949001

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 500 mg

COMPR. FILM. ELIB. PREL. 500 mg

BAYER PHARMA AG

GERMANIA

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

P-RF 3 0,756600 1,022400 8,530933 207

W60268001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ZENTIVA 10 mg/ml

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

ZENTIVA S.A.

ROMANIA

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

S/P-RF 5 2,580000 3,400560 0,085440 208

W01275001

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

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

KRKA D.D.

SLOVENIA

CUTIE X 5 FIOLE X 10 ML

S/P-RF 5 2,570000 3,400560 0,073440 209

W01275002

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

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

KRKA D.D.

SLOVENIA

CUTIE X 50 FIOLE X 10 ML

S 50 2,321200 2,833800 0,000000 210

W61489001

J01MA02

CIPROFLOXACINUM

CIPRO INF 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF.

PR 10 6,972000 8,815000 0,000000 211

W61489002

J01MA02

CIPROFLOXACINUM

CIPRO INF 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF.

PR 50 6,617800 7,976400 0,000000 212

W61489003

J01MA02

CIPROFLOXACINUM

CIPRO INF 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF.

PR 10 13,125000 16,023000 0,000000 213

W61489004

J01MA02

CIPROFLOXACINUM

CIPRO INF 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF.

PR 30 12,828000 15,254333 0,000000 214

W53353002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML

S 10 6,972000 8,815000 0,000000 215

W53353003

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML

S 10 13,125000 16,023000 0,000000 216

W52445001

J01MA03

PEFLOXACINUM

PEFLOXACIN LAROPHARM

COMPR. FILM. 400mg

LAROPHARM S.R.L.

ROMANIA

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

P-RF 10 2,139000 2,891000 0,000000 217

W58303001

J01MA06

NORFLOXACINUM

NORFLOXACIN HELCOR 400 mg

COMPR. FILM. 400mg

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

ROMANIA

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

P-RF 20 0,651000 0,880000 0,000000 10

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 218

W07984001

J01MA06

NORFLOXACINUM

NOLICIN 400 mg

COMPR. FILM. 400mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 20 0,586000 0,792000 0,000000 219

W41800001

J01MA06

NORFLOXACINUM

NORFLOXACINA LPH 400 mg

COMPR. FILM. 400mg

LABORMED PHARMA SA

ROMANIA

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

P-RF 20 0,603500 0,816000 0,000000 220

W55699003

J01MA12

LEVOFLOXACINUM

TAVANIC 250 mg

COMPR. FILM. 250mg

TERAPIA S.A.

ROMANIA

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

P-RF 7 1,381714 1,866857 1,984571 221

W56992002

J01MA12

LEVOFLOXACINUM

LEVOTOR 250 mg

COMPR. FILM. 250mg

TORRENT PHARMA S.R.L.

ROMANIA

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

P-RF 7 1,151428 1,555714 0,000000 222

W52786004

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS 250 mg

COMPR. FILM. 250mg

ACTAVIS GROUP PTC EHF.

ISLANDA

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

P-RF 7 1,151428 1,555714 0,000000 223

W56939002

J01MA12

LEVOFLOXACINUM

FLERADAY 500 mg

COMPR. FILM. 500 mg

DR. REDDY'S LABORATORIES

ROMANIA

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

PRF 7 2,866285 3,874285 0,552857 224

W56993002

J01MA12

LEVOFLOXACINUM

LEVOTOR 500 mg

COMPR. FILM. 500mg

TORRENT PHARMA S.R.L.

ROMANIA

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

P-RF 7 2,388571 3,228571 0,000000 225

W55700002

J01MA12

LEVOFLOXACINUM

TAVANIC 500 mg

COMPR. FILM. 500mg

TERAPIA S.A.

ROMANIA

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

P-RF 7 2,866285 3,874285 2,717143 226

W52787004

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLANDA

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

P-RF 7 2,427142 3,280000 0,000000 227

W55815004

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS 5 mg/ml

SOL. PERF. 5mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

S 1 33,144000 43,356000 11,304000 228

W55456001

J01MA12

LEVOFLOXACINUM

EVOLOX 5 mg/ml

SOL. PERF. 5mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

S 1 20,890000 28,240000 0,000000 229

W54108003

J01MA12

LEVOFLOXACINUM

LEVOFLOXACIN KABI 5 mg/ml

SOL. PERF. 5mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 33,144000 43,356000 11,304000 230

W55702001

J01MA12

LEVOFLOXACINUM

TAVANIC I.V. 500 mg

SOL. PERF. 5mg/ml

TERAPIA S.A.

ROMANIA

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

P-RF/S 1 33,144000 43,356000 36,514000 231

W55456003

J01MA12

LEVOFLOXACINUM

EVOLOX 5 mg/ml

SOL. PERF. 5mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

S 1 27,620000 36,130000 0,000000 232

W57939001

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg

COMPR. FILM. 400mg

BAYER PHARMA AG

GERMANIA

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

P-RF 5 6,612000 8,647200 2,436800 233

W60311001

J01MA14

MOXIFLOXACINUM

MOFINACIN 400 mg

COMPR. FILM. 400mg

ALVOGEN IPCO S.A.R.L

LUXEMBUR G

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

PRF 5 5,510000 7,206000 0,000000 234

W60943001

J01MA14

MOXIFLOXACINUM

MOFLAXA 400 mg

COMPR. FILM. 400mg

KRKA, D.D.,

NOVO MESTO

SLOVENIA

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

PRF 5 5,510000 7,206000 0,000000 235

W60545001

J01MA14

MOXIFLOXACINUM

MOFIL 400 mg

COMPR. FILM. 400mg

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PRF 5 5,510000 7,206000 0,000000 236

W59332001

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA AUROBINDO 400 mg

COMPR. FILM. 400mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF 5 5,510000 7,206000 0,000000 237

W57938004

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg/250 ml

SOL. PERF. 400mg/25 0ml

BAYER PHARMA AG

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA X 250 ML

S 5 69,648000 88,056000 13,026000 238

W60727001

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA KABI 400 mg/250 ml

SOL. PERF. 400mg/25 0ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

PR 1 58,040000 73,380000 0,000000 239

W43348001

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF. 1g

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA

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

S/P-RF 1 25,308000 34,212000 20,538000 240

W43347001

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF. 500mg

TEVA PHARM. WORKS PRIVATE LTD. COMPANY

UNGARIA

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

S/P-RF 1 20,930000 25,840800 2,449200 241

W56449002

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 1000 mg

PULB. PT. SOL. PERF. 1000mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLIC A CEHA

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

PR 10 25,308000 34,212000 10,904000 242

W56448002

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 500 mg

PULB. PT. SOL. PERF. 500mg

PHARMASWISS CESKA REPUBLIKA S.R.O.

REPUBLIC A CEHA

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

PR 10 17,639000 21,534000 0,000000 243

W57042001

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 1000 mg

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

PR 1 21,090000 28,510000 0,000000 244

W57041001

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 500 mg

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

PR 1 19,630000 25,840800 0,689200 245

W06051001

J01XA01

VANCOMYCINUM

EDICIN

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

LEK PHARMACEUTICALS D.D.

SLOVENIA

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

S/P-RF 1 25,308000 34,212000 16,888000 246

W13105001

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF.

SOLV. PT. SOL. INJ. 400mg

AVENTIS PHARMA LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. LIOF.

O FIOLA SOLV.

P-RF 1 106,430000 129,930000 0,000000 247

W52501003

J01XB01

COLISTINUM

COLISTINA ANTIBIOTICE 1000000 UI

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

ANTIBIOTICE SA

ROMANIA

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

S 10 18,000000 21,974000 0,000000 11

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 248

W53689002

J01XD01

METRONIDAZOLUM

METRONIDAZOL ARENA 250 mg (J01XD01)

COMPR. 250mg

ARENA GROUP SA

ROMANIA

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

P-RF 30 0,176666 0,238666 0,000000 249

W08257001

J01XD01

METRONIDAZOLUM

FLAGYL ( vezi J01XD01)

COMPR. FILM. 250mg

LABORATOIRE AVENTIS

FRANTA

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

P-RF 20 0,211999 0,286399 0,081101 250

W42139001

J01XD01

METRONIDAZOLUM

METRONIDAZOL A 5 g/l

SOL. PERF. 5g/l

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 1 FLACON X 200 ML

S/P-RF 1 6,990000 9,450000 0,000000 251

W42139002

J01XD01

METRONIDAZOLUM

METRONIDAZOL A 5 g/l

SOL. PERF. 5g/l

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 12 FLACOANE X 200 ML

S/P-RF 12 6,855000 8,667500 0,000000 252

W42138002

J01XD01

METRONIDAZOLUM

METRONIDAZOL B 5 g/l

SOL. PERF. 5g/l

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 12 FLACOANE X 200 ML

S/P-RF 12 6,721666 8,499166 0,000000 253

W42138001

J01XD01

METRONIDAZOLUM

METRONIDAZOL B 5 g/l

SOL. PERF. 5g/l

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 1 FLACON X 200 ML

S/P-RF 1 6,840000 9,240000 0,000000 254

W08927002

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN 5mg/ml

SOL. PERF. 5mg/ml

B. BRAUN MELSUNGEN AG

GERMANIA

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

S/P-RF 10 3,828000 5,007000 0,000000 255

W08927001

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN 5mg/ml

SOL. PERF. 5mg/ml

B. BRAUN MELSUNGEN AG

GERMANIA

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

S/P-RF 10 3,828000 5,007000 0,000000 256

W08927003

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN 5mg/ml

SOL. PERF. 5mg/ml

B. BRAUN MELSUNGEN AG

GERMANIA

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

S/P-RF 20 3,761000 4,755500 0,000000 257

W52799001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM. 600mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P-RF 10 163,000000 181,485000 0,000000 258

W52800001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

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

P-RF 1 911,260000 1.031,420000 0,000000 259

W60604001

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF. 2mg/ml

ALVOGEN IPCO S.AR.L

LUXEMBUR G

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

PR 1 112,480000 137,320000 0,000000 260

W60734001

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF. 2mg/ml

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE SOL. PERF.

PR 1 116,710000 142,262400 0,217600 261

W52801001

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF. 2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 10 PUNGI X 300 ML

S 10 126,315600 142,262400 42,337600 262

W57578002

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

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

ECHIPATA CU UN CONECTOR (DIN RASINA PE BAZA DE POLIOEFINE)SI CU O SUPRA-PUNGA (DIN COPOLIMER POLIESTER/PROPILENA)

PRF 10 105,263000 118,552000 0,000000 263

W08372001

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS. 100mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 4 CAPS.

P-RF 4 1,998750 2,614500 3,788000 264

W58225007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 100 mg

CAPS. 100mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF 7 1,998750 2,614500 0,805500 265

W42371002

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS. 100mg

BALKANPHARMA RAZGRAD AD

BULGARIA

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

P-RF 16 1,665625 2,178750 0,000000 266

W43597002

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100 mg

CAPS. 100mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

P-RF 7 1,998750 2,614500 2,056928 267

W52224001

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS. 150mg

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

ROMANIA

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

P-RF 1 4,870000 6,580000 0,000000 268

W43598001

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150 mg

CAPS. 150mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

P-RF 1 4,680000 6,320000 0,000000 269

W60221001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150 mg

CAPS. 150mg

ZENTIVA K.S.

REPUBLIC A CEHA

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

P-RF 1 5,300000 7,160000 0,000000 270

W57430001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM 150 mg

CAPS. 150mg

ROMPHARM COMPANY S.R.L.

ROMANIA

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

PRF 1 5,300000 7,160000 0,000000 271

W57239001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS. 150mg

LABORMED PHARMA S.A.

ROMANIA

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

PRF 1 5,300000 7,160000 0,000000 272

W58226001

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 150 mg

CAPS. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF 1 4,620000 6,240000 0,000000 273

W56446001

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150 mg

CAPS. 150mg

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PRF 1 5,300000 7,160000 0,000000 274

W53943002

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150 MG

CAPS. 150mg

ARENA GROUP SA

ROMANIA

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

P-RF 1 5,300000 7,160000 0,000000 275

W03156001

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS. 150mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF 1 5,544000 7,488000 3,542000 276

W44089001

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS. 150mg

TERAPIA SA

ROMANIA

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

P-RF 1 5,300000 7,160000 0,000000 277

W51994001

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 150 mg

CAPS. 150mg

MEDOCHEMIE ROMANIA SRL

ROMANIA

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

P-RF 1 5,300000 7,160000 0,000000 278

W43288001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 150

CAPS. 150mg

SANDOZ SRL

GERMANIA

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

P-RF 1 5,300000 7,160000 0,000000 279

W42693001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS. 150mg

SLAVIA PHARM SRL

ROMANIA

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

P-RF 1 5,300000 7,160000 0,000000 12

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 280

W08373001

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS. 150mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 FLAC. X 1 CAPS.

P-RF 1 5,300000 7,160000 0,000000 281

W43599002

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200 mg

CAPS. 200mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

P-RF 7 4,460000 5,834285 0,000000 282

W43596001

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50 mg

CAPS. 50mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

P-RF 7 1,356000 1,832570 0,133144 283

W58224007

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO 50 mg

CAPS. 50mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF 7 1,265714 1,710000 0,000000 284

W08374001

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS. 50mg

VIM SPECTRUM SRL

ROMANIA

CUTIE X 1 BLIST. X 7 CAPS.

P-RF 7 1,356000 1,832570 0,947430 285

W57238001

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS. 50mg

LABORMED PHARMA S.A.

ROMANIA

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

PRF 7 1,356000 1,832570 0,947430 286

W44098001

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS. 50mg

TERAPIA SA

ROMANIA

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

P-RF 7 1,356000 1,832570 0,947430 287

W43287001

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R) 50

CAPS. 50mg

SANDOZ SRL

ROMANIA

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

P-RF 7 1,130000 1,527142 0,000000 288

W51993001

J02AC01

FLUCONAZOLUM

FLUCONAZOL MEDOCHEMIE 50 mg

CAPS. 50mg

MEDOCHEMIE ROMANIA SRL

ROMANIA

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

P-RF 7 1,356000 1,832570 0,560287 289

W42321001

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS. 50mg

SLAVIA PHARM SRL

ROMANIA

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

P-RF 7 1,356000 1,832570 0,946001 290

W53942002

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50 MG

CAPS. 50mg

ARENA GROUP SA

ROMANIA

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

P-RF 7 1,356000 1,832570 0,947430 291

W03157001

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS. 50mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

P-RF 7 1,356000 1,832570 2,444572 292

W58322001

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA 10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLACON PEID DE CAPACITATE 60 ML,

PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PENTRU COPII

1 LINGURITA DOZATOARE A 5ML,

CU PULB. PENTRU 35 ML SUSP. ORALA

PRF 1 21,880000 29,570000 0,000000 293

W55502017

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 36,250000 47,420000 0,000000 294

W55502009

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 18,130000 24,500000 0,000000 295

W12072001

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF. 2mg/ml

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/PR-F 1 21,516000 26,266800 21,183200 296

W55502001

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF. 2mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 9,060000 12,250000 0,000000 297

W58456003

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE,

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

PR 10 43,500000 56,904000 32,740000 298

W58456002

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE,

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

PR 20 21,516000 26,266800 11,204200 299

W60056005

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2 mg/ml

SOL. PERF. 2mg/ml

ZENTIVA K.S.

REPUBLIC A CEHA

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

S 10 17,930000 21,889000 0,000000 300

W57368003

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 2mg/ml

SOL. PERF. 2mg/ml

ARENA GROUP S.A.

ROMANIA

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

S 1 21,516000 26,266800 28,873200 301

W58456001

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS S.R.L.

ROMANIA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE,

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

PR 20 10,872000 14,700000 6,937500 302

W43051001

J02AC02

ITRACONAZOLUM

ITRACONAZOL 100 mg

CAPS. 100mg

SLAVIA PHARM SRL

ROMANIA

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

P-RF 15 1,586666 2,144666 0,000000 303

W03837002

J02AC02

ITRACONAZOLUM

ORUNGAL

CAPS. 100mg

JANSSEN PHARMACEUTICA N.V.

BELGIA

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

P-RF 15 1,903999 2,573599 0,620401 304

W53958001

J02AC02

ITRACONAZOLUM

MICOGAL 100 mg

CAPS. 100mg

ROMPHARM COMPANY SRL

ROMANIA

CUTIE CU BLISTERE PVC/AL X 15 CAPSULE

P-RF 15 1,586666 2,144666 0,000000 305

W52343006

J02AC02

ITRACONAZOLUM

OMICRAL 100 mg

CAPS. 100mg

MEDICO UNO PHARMACEUTICAL SRL

ROMANIA

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

P-RF 15 1,586666 2,144666 0,000000 306

W59235001

J02AC02

ITRACONAZOLUM

ITRACONAZOL ARENA 100 mg

CAPS. 100mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 15 1,586666 2,144666 0,000000 307

W08947008

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM. 200mg

PFIZER LIMITED

MAREA BRITANIE

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

P-RF 28 119,853214 132,002857 0,000000 308

W08946008

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM. 50mg

PFIZER LIMITED

MAREA BRITANIE

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

P-RF 28 32,232500 36,496071 0,000000 309

W10489001

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF. 200mg

PFIZER LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P-RF 1 435,570000 512,920000 0,000000 310

W41889001

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA 40mg/ml

PFIZER LIMITED

MAREA BRITANIE

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

1 MASURA DOZATOARE (23 ML)

1 SERINGA PT. ADM. ORALA (5 ML)

1 ADAPTOR

P-RF 1 2.044,020000 2.266,130000 0,000000 311

W60913001

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS. GASTROR EZ. 100mg

MERCK SHARP & DOHME LTD.

MAREA BRITANIE

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

PR 24 133,855416 147,492083 0,000000 13

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 312

W58194001

J02AC04

POSACONAZOLUM**

NOXAFIL 40mg/ml

SUSP. ORALA 40mg/ml

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-RF/R 1 2.405,440000 2.660,080000 0,000000 313

W06665001

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

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

MERCK SHARP & DOHME

MAREA BRITANIE

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

S 1 1.246,420000 1.396,750000 0,000000 314

W06670001

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

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

MERCK SHARP & DOHME

MAREA BRITANIE

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

S 1 1.617,600000 1.801,340000 0,000000 315

W55841001

J02AX06

ANIDULAFUNGINUM

ECALTA 100mg

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

PFIZER LIMITED

MAREA BRITANIE

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

S 1 1.377,370000 1.539,480000 0,000000 316

W58576002

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 100 mg

COMPR. 100mg

ANTIBIOTICE S.A.

ROMANIA

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

PR 1500 0,110333 0,134693 0,000000 317

W58577002

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 300 mg

COMPR. 300mg

ANTIBIOTICE SA

ROMANIA

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

S/P-RF 1500 0,272473 0,322426 0,000000 318

W60582001

J04AC01

ISONIAZIDUM

ISONIAZID

SIROP 100mg/5 ml

CN UNIFARM S.A.

ROMANIA

CUTIE X 1 FLAC. X 200 ML SIROP

PR 1 30,110000 39,380000 0,000000 319

W60594001

J04AC01

ISONIAZIDUM

BITUB

SOL INJ. 100mg/ml

CN UNIFARM S.A.

ROMANIA

CUTIE CU 10 FIOLE A 5ML

PR 10 1,469000 1,986000 0,000000 320

W60213002

J04AK01

PYRAZINAMIDUM

PIRAZINAMIDA ATB 500 mg

COMPR. 500mg

ANTIBIOTICE S.A.

ROMANIA

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

PR 1500 0,299853 0,352273 0,000000 321

W53682002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMANIA

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

P-RF 20 0,184000 0,249000 0,000000 322

W59648001

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMANIA

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

PRF 20 0,287500 0,388500 0,000000 323

W59648003

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

PRF 50 0,284600 0,384600 0,000000 324

W42943002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 250 mg

COMPR. FILM. 250mg

ANTIBIOTICE SA

ROMANIA

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

S 1500 0,217573 0,262586 0,000000 325

W42861002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 400 mg

COMPR. FILM. 400mg

ANTIBIOTICE SA

ROMANIA

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

S 1500 0,334726 0,390286 0,000000 326

W60583001

J04AK02

ETHAMBUTOLUM

INBUTOL

SOL INJ. 100mg/ml

CN UNIFARM S.A.

ROMANIA

FLAC. X 10 ML SOL. INJ

PR 1 16,130000 21,800000 0,000000 327

W14071002

J04AM02

COMBINATII (RIFAMPICINUM

IZONIAZIDUM)

SINERDOL ISO

CAPS. 300mg

1 50mg

ANTIBIOTICE SA

ROMANIA

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

S 1000 0,600660 0,692870 0,000000 328

W56038001

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS. 200mg

FARMEX COMPANY S.R.L.

ROMANIA

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

P-RF 20 0,636000 0,859800 0,211200 329

W42857001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS. 200mg

SLAVIA PHARM SRL

ROMANIA

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

P-RF 20 0,636000 0,859800 0,188700 330

W53675001

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMANIA

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

P-RF 20 0,636000 0,859800 0,251200 331

W53675003

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS. 200mg

ARENA GROUP SA

ROMANIA

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

P-RF/S 1000 0,636000 0,833260 0,000000 332

W53676001

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 10 1,495000 2,020000 0,000000 333

W13972001

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-RF 20 0,636000 0,859800 0,033700 334

W00044001

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200 mg

COMPR. 200mg

TERAPIA SA

ROMANIA

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

P-RF 20 0,636000 0,859800 0,030200 335

W60558001

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200 mg

COMPR. 200mg

GEDEON RICHTER ROMANIA SA

ROMANIA

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

PRF 20 0,636000 0,859800 0,033700 336

W06667003

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR. 200mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P-RF 20 0,530000 0,716500 0,000000 337

W53225001

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM 200 mg

COMPR. 200mg

LAROPHARM S.R.L.

ROMANIA

CUTIE X 2 BLIST. X 10 COMPR.

P-RF 20 0,636000 0,859800 0,033700 338

W06668003

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR. 400mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P-RF 10 1,794000 2,424000 0,334000 339

W00058001

J05AB01

ACICLOVIRUM

VIROLEX

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

KRKA D.D. NOVO MESTO

SLOVENIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P-RF 5 38,600000 47,124000 0,000000 340

W60057003

J05AB04

RIBAVIRINUM

REBETOL 200 mg

CAPS. 200mg

MERCK SHARP & DOHME

MAREA BRITANIE

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

P-RF/R 140 6,981214 7,882071 0,000000 341

W53326004

J05AB04

RIBAVIRINUM

COPEGUS 200mg

COMPR. FILM. 200mg

ROCHE ROMANIA SRL

ROMANIA

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

P-RF/R 168 6,945654 7,797857 0,000000 342

W51337001

J05AB06

GANCICLOVIRUM

CYMEVENE

LIOF. PT. SOL. INJ. 500mg

ROCHE ROMANIA S.R.L.

ROMANIA

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

S 1 90,440000 114,350000 0,000000 343

W61213001

J05AB06

GANCICLOVIRUM

CYMEVENE 500 mg

PULB. PT. SOL. PERF. 500mg

ROCHE ROMANIA S.R.L.

ROMANIA

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

PR 1 90,440000 114,350000 0,000000 14

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 344

W58707001

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR. FILM. 500 mg

THE WELLCOME FOUNDATION LTD.

MAREA BRITANIE

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

PRF 10 2,780400 3,757200 0,903800 345

W60087001

J05AB11

VALACYCLOVIRUM

VALACICLOVIR ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMANIA

CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM.

PRF 10 2,317000 3,131000 0,000000 346

W51832001

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR. FILM. 450mg

ROCHE ROMANIA SRL

ROMANIA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-RF 60 59,167800 65,256000 23,726166 347

W60756001

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA 450 mg

COMPR. FILM. 450mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PRF 60 49,306500 54,380000 0,000000 348

W12651002

J05AB15

BRIVUDINUM

BRIVAL 125mg

COMPR. 125mg

BERLIN CHEMIE AG MENARINI GROUP

GERMANIA

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

P-RF 7 39,321428 48,002857 0,000000 349

W42514001

J05AE01

SAQUINAVIRUM

INVIRASE 500 mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITANIE

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

P-RF/R 120 8,449166 9,527500 0,000000 350

W59955001

J05AE03

RITONAVIRUM**

NORVIR 100 mg

COMPR. FILM. 100mg

ABBVIE LTD.

MAREA BRITANIE

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

P-RF/R 30 3,187666 4,030666 0,000000 351

W59948001

J05AE06

LOPINAVIRUM

RITONAVIRUM**

KALETRA 200mg/50mg

COMPR. FILM. 200mg/50 mg

ABBVIE LTD.

MAREA BRITANIE

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

PR 120 11,833666 13,216666 0,000000 352

W59947002

J05AE06

LOPINAVIRUM

RITONAVIRUM**

KALETRA 80mg/ml

20mg/ml

SOL. ORALA 80mg/ml

20mg/ml

ABBVIE LTD.

MAREA BRITANIE

CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML

5 SERINGI GRADATE A 5 ML

PR 5 243,736000 273,302000 0,000000 353

W41772001

J05AE07

FOSAMPRENAVIRUM**

TELZIR 700mg

COMPR. FILM. 700mg

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN HDPE X 60 COMPR. FILM. PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII

P-RF/R 60 20,084000 22,527500 0,000000 354

W41773001

J05AE07

FOSAMPRENAVIRUM**

TELZIR 50mg/ml

SUSP. ORALA 50mg/ml

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLACON HDPE X 225 ML SUSP. ORALA PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII

1SERINGA PT. ADMINISTRARE ORALA DIN POLIPROPILENA X10ML

1ADAPTOR DIN POLIETILENA

P-RF/R 1 371,490000 443,070000 0,000000 355

W14087002

J05AE08

ATAZANAVIRUM

REYATAZ 150 mg

CAPS. 150mg

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

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

P-RF/R 60 25,246833 28,155000 0,000000 356

W53181001

J05AE08

ATAZANAVIRUM

REYATAZ 300 mg

CAPS. 300mg

BRISTOL-MYERS SQUIBB PHARMA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 30 CAPS.

P-RF/R 30 46,935666 52,431666 0,000000 357

W53878001

J05AE10

DARUNAVIRUM**

PREZISTA 400mg

COMPR. FILM. 400mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

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

P-RF/R 60 26,035166 29,014166 0,000000 358

W53877001

J05AE10

DARUNAVIRUM**

PREZISTA 600mg

COMPR. FILM. 600mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

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

P-RF/R 60 38,805000 42,933333 0,000000 359

W06151002

J05AF01

ZIDOVUDINUM

RETROVIR (R)

CAPS. 100mg

VIIV HEALTHCARE UK LIMITED

UK

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

P-RF 100 3,663800 4,375000 0,000000 360

W60312001

J05AF01

ZIDOVUDINUM

RETROVIR 10 mg/ml

SOL. ORALA 10mg/ml

VIIV HEALTHCARE UK LIMITED

MAREA BRITANIE

CUTIE CU 1 FLACON DIN STICLA BRUNA X 200 ML SOL. ORALA

1 ADAPTOR DE DOZARE

1 SERINGA PT. ADM. ORALA DE 10 ML

PRF 1 44,500000 58,200000 0,000000 361

W10724001

J05AF02

DIDANOSINUM

VIDEX EC 250 mg

CAPS. GASTROR EZ. 250mg

BRISTOL MYERS SQUIBB KFT

UNGARIA

CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

S/P-RF 30 11,946000 14,292666 0,000000 362

W10725001

J05AF02

DIDANOSINUM

VIDEX EC 400 mg

CAPS. GASTROR EZ. 400mg

BRISTOL MYERS SQUIBB KFT

UNGARIA

CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

S/P-RF 30 18,512666 21,450333 0,000000 363

W12057001

J05AF04

STAVUDINUM

ZERIT 30 mg

CAPS. 30mg

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

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

P-RF/R 56 9,010714 10,502857 0,000000 364

W12056001

J05AF04

STAVUDINUM

ZERIT 40 mg

CAPS. 40mg

BRISTOL-MYERS SQUIBB

MAREA BRITANIE

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

P-RF/R 56 9,262142 10,776964 0,000000 365

W59320003

J05AF05

LAMIVUDINUM

LAMIVUDINA AUROBINDO 150 mg

COMPR. FILM. 150mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR 60 3,304500 4,034166 0,000000 366

W03923002

J05AF05

LAMIVUDINUM

EPIVIR 150mg

COMPR. FILM. 150mg

GLAXO GROUP LTD.

MAREA BRITANIE

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

P-RF/R 60 3,965400 4,840999 1,336334 367

W55474002

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA B.V. 300 mg

COMPR. FILM. 300 mg

TEVA PHARMA B.V.

OLANDA

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

P-RF/R 30 8,751666 10,684000 0,000000 368

W03924002

J05AF05

LAMIVUDINUM

EPIVIR 10mg/ml

SOL. ORALA 10mg/ml

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA

1 SERINGA DOZATOARE

1 ADAPTOR

P-RF/R 1 82,820000 104,720000 0,000000 369

W12820001

J05AF06

ABACAVIRUM

ZIAGEN 300 mg

COMPR. FILM. 300mg

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 60 COMPR. FILM.

P-RF/R 60 13,505833 15,357166 0,000000 370

W07524001

J05AF06

ABACAVIRUM

ZIAGEN 20 mg/ml

SOL. ORALA 20mg/ml

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA

SERINGA DOZATOARE PP X 10 ML

ADAPTOR PE

P-RF/R 1 217,800000 265,890000 0,000000 371

W60828015

J05AF07

TENOFOVIRUM DISOPROXIL FUMARATE

TENOFOVIR DISOPROXIL TEVA 245 mg

COMPR. FILM. 245mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PEÎD CU CAPAC CAPAC PREVAZUT CU SISTEM SECURIZAT PENTRU COPII DIN PP SI RECIPIENT CU DESICANT, A 30 COMPR. FILM.

PR 30 24,040000 27,475333 0,000000 372

W51800001

J05AF07

TENOFOVIRUM DISOPROXIL FUMARATE

VIREAD 245mg

COMPR. FILM. 245mg

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

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

P-RF/R 30 28,848000 32,970400 8,027266 373

W51482001

J05AF09

EMTRICITABINUM

EMTRIVA 200mg

CAPS. 200mg

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITANIE

CUTIE X 1 FLAC. DIN PEID X 30 CAPS.

P-RF/R 30 20,593333 23,718333 0,000000 374

W59595001

J05AG01

NEVIRAPINUM

NEVIRAPINA TEVA 200mg

COMPR. 200mg

TEVA PHARMA B.V.

OLANDA

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

P-RF/R 60 5,649333 6,793666 0,000000 375

W59667002

J05AG01

NEVIRAPINUM

NEVIRAPINA SANDOZ 200 mg

COMPR. 200mg

SANDOZ S.R.L.

ROMANIA

CUTIE CU BLIST. PVC/AL X 60 COMPR.

PR 60 5,649000 6,793166 0,000000 15

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 376

W57323001

J05AG01

NEVIRAPINUM

VIRAMUNE 400mg

COMPR. ELIB. PREL. 400mg

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

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

PR 30 16,663000 19,434333 0,000000 377

W13091001

J05AG01

NEVIRAPINUM

VIRAMUNE 50mg/5ml

SUSP. ORALA 50mg/5ml

BOEHRINGER INGELHEIM INTERNATIONAL GMBH

GERMANIA

CUTIE X 1 FLACON PEID X 240 ML

O SERINGA X 5 ML

UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON

PR 1 100,440000 122,620000 0,000000 378

W12025001

J05AG03

EFAVIRENZUM

STOCRIN 600 mg

COMPR. FILM. 600mg

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII

P-RF/R 30 2,332666 2,949333 0,000000 379

W53549001

J05AG04

ETRAVIRINUM

INTELENCE

COMPR. 100mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

CUTIE X 1 FLAC. PEID X 120 COMPR.

P-RF/R 120 12,478333 13,919333 0,000000 380

W56750001

J05AR01

COMBINATII (LAMIVUDINUM

ZIDOVUDINUM)**

LAMIVUDINA/ZIDOVUDINA TEVA

COMPR. FILM. 150 mg/300 mg

TEVA PHARMA B.V.

OLANDA

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

P-RF 60 5,436166 6,561333 0,000000 381

W02028001

J05AR01

COMBINATII (LAMIVUDINUM

ZIDOVUDINUM)**

COMBIVIR 150mg/300mg

COMPR. FILM. 150mg/30 0mg

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-RF/R 60 6,523399 7,873600 1,594733 382

W59832001

J05AR01

COMBINATII (LAMIVUDINUM

ZIDOVUDINUM)**

LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg

COMPR. FILM. 150mg/30 0mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR 60 5,436166 6,561333 0,000000 383

W42301001

J05AR02

ABACAVIRUM

LAMIVUDINUM**

KIVEXA 600mg/300mg

COMPR. FILM. 600mg/30 0mg

GLAXO GROUP LTD.

MAREA BRITANIE

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

P-RF/R 30 45,918333 51,322666 0,000000 384

W08336004

J05AR04

ABACAVIRUM

LAMIVUDINUM

ZIDOVUDIN UM**

TRIZIVIR 300mg/150mg/300mg

COMPR. FILM. 300mg/15 0mg/300 mg

GLAXO GROUP LTD.

MAREA BRITANIE

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

P-RF/R 60 27,912833 31,060833 0,000000 385

W08336001

J05AR04

ABACAVIRUM

LAMIVUDINUM

ZIDOVUDIN UM**

TRIZIVIR 300mg/150mg/300mg

COMPR. FILM. 300mg/15 0mg/300 mg

GLAXO GROUP LTD.

MAREA BRITANIE

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

P-RF/R 60 27,912833 31,060833 0,000000 386

W13961001

J05AX07

ENFUVIRTIDUM**

FUZEON 90mg/ml

PULB.

SOLV. PT. SOL. INJ. 90mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 60 FLAC. PULB. PT. SOL. INJ.

60 FLAC. SOLV.

60 SERINGI X 3 ML

60 SERINGI X 1 ML, 180 TAMPOANE CU ALCOOL

P-RF/R 60 101,513000 111,285166 0,000000 387

W52764001

J05AX08

RALTEGRAVIRUM

ISENTRESS 400mg

COMPR. FILM. 400 mg

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE

P-RF/R 60 40,691833 44,990000 0,000000 388

W61477003

J05AX09

MARAVIROCUM

CELSENTRI 150mg

COMPR. FILM. 150mg

VIIV HEALTHCARE UK LIMITED

MAREA BRITANIE

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

PR 60 43,135833 47,654000 0,000000 389

W61478003

J05AX09

MARAVIROCUM

CELSENTRI 300mg

COMPR. FILM. 300mg

VIIV HEALTHCARE UK LIMITED

MAREA BRITANIE

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

PR 60 43,135833 47,654000 0,000000 390

W60635001

J05AX12

DOLUTEGRAVIRUM**

TIVICAY 50mg

COMPR. FILM. 50mg

VIIV HEALTHCARE UK LIMITED

MAREA BRITANIE

FLACOANE PEID X 30 COMPRIMATE FILMATE,

INCHISE CU CAPAC CU FILET DIN POLIPROPILENA SI SIGILIU CU LINIE DE INDUCTIE CU O FATA DIN POLIETILENA

PR 30 81,414000 90,013000 0,000000 391

W54752001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF. 100 mg/ml

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

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

S 1 391,580000 464,970000 0,000000 392

W54752002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF. 100 mg/ml

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

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

S 1 870,210000 986,680000 0,000000 393

W54752003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF. 100 mg/ml

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

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

S 1 1.710,420000 1.902,510000 0,000000 394

W54752004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

OCTAGAM 10%

SOL. PERF. 100 mg/ml

OCTAPHARMA (IP) LIMITED

MAREA BRITANIE

CUTIE X 1 FLACON DIN STICLA,

CU CAPACITATE DE 250ML, A 200ML SOLUTIE PERFUZABILA

S 1 3.390,820000 3.734,150000 0,000000 395

W51530001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRIA

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

S 1 190,360000 232,390000 0,000000 396

W51530006

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRIA

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

S 1 5.766,650000 6.323,810000 0,000000 397

W51530003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRIA

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

S 1 912,190000 1.032,440000 0,000000 398

W51530004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRIA

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

S 1 1.847,580000 2.059,644000 78,286000 399

W51530005

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF. 100mg/ml

BAXTER AG

AUSTRIA

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

S 1 3.736,820000 4.111,290000 0,000000 400

W43965001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF. 10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF.

1 SET ADMINISTRARE

S 1 1.539,650000 1.716,370000 0,000000 401

W43962001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF. 1g/20ml

KEDRION SPA

ITALIA

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

1 SET ADMINISTRARE

S 1 204,810000 250,030000 0,000000 402

W43963001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF. 2,5g/50ml

KEDRION SPA

ITALIA

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

1 SET ADMINISTRARE

S 1 407,410000 482,230000 0,000000 403

W59114003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

INTRATECT 50 g/l

SOL. PERF. 50g/l

BIOTEST PHARMA GMBH

GERMANIA

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

PRF 1 894,400000 1.013,050000 0,000000 404

W59114001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

INTRATECT 50 g/l

SOL. PERF. 50g/l

BIOTEST PHARMA GMBH

GERMANIA

CUTIE CU 1 FLAC. DIN STICLA A 20 ML SOL. PERF.

PRF 1 190,170000 232,160000 0,000000 405

W59114004

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

INTRATECT 50 g/l

SOL. PERF. 50g/l

BIOTEST PHARMA GMBH

GERMANIA

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

PRF 1 1.758,800000 1.955,240000 0,000000 406

W59114002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

INTRATECT 50 g/l

SOL. PERF. 50g/l

BIOTEST PHARMA GMBH

GERMANIA

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

PRF 1 462,170000 541,920000 0,000000 407

W13462002

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

OCTAGAM

SOL. PERF. 50mg/ml

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 100 ML

S 1 894,000000 1.012,610000 0,000000 408

W13462003

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

OCTAGAM

SOL. PERF. 50mg/ml

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 200 ML

S 1 1.837,780000 2.041,330000 0,000000 16

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 409

W13462001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

OCTAGAM

SOL. PERF. 50mg/ml

OCTAPHARMA (IP) LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML

S 1 481,950000 563,480000 0,000000 410

W43964001

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF. 5g/100ml

KEDRION SPA

ITALIA

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

1 SET ADMINISTRARE

S 1 784,820000 893,600000 0,000000 411

W59944001

J06BB16

PALIVIZUMABUM**

SYNAGIS 50 mg

PULB.

SOLV. PT. SOL. INJ. 50mg

ABBVIE LTD.

MAREA BRITANIE

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

FIOLA X 1 ML SOLV.

P-RF 1 1.837,910000 2.041,470000 0,000000 412

W53892001

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 60MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R 1 87,690000 110,870000 0,000000 413

W53893001

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ. /PERF. IN SERINGA PREUMPLU TA 96MU/ml

SANDOZ GMBH

AUSTRIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-RF/R 1 139,560000 170,380000 0,000000 414

W53520001

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF. 300mcg/0, 5ml

TEVA GENERICS GMBH

GERMANIA

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

S/P-RF/R 1 105,228000 127,437600 34,512400 415

W55757002

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF. 300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITANIE

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

P-RF 5 90,430000 106,198000 0,000000 416

W53523001

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF. 480mcg/0, 8ml

TEVA GENERICS GMBH

GERMANIA

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

S/P-RF/R 1 167,472000 195,360000 72,090000 417

W55758002

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF. 480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITANIE

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

P-RF 5 142,358000 162,800000 0,000000 418

W54015001

P01BC02

MEFLOQUINUM4)

ELOQUINE 250 mg

COMPR. 250mg

CN UNIFARM

ROMANIA

CUTIE X 10 BLIST. X 10 COMPR.

X 100 1,458600 1,780700 0,000000 419

W12757001

S01AA23

NETILMICINUM

NETTACIN (R)

PIC. OFT., SOL 0,3%

S.I.F.I. SPA

ITALIA

CUTIE X 1 FLACON X 5ML

P-RF 1 10,880000 14,710000 0,000000 420

W41510001

S01AA23

NETILMICINUM

NETTACIN (R)

PICATURI OFT.-SOL. 0,3%

S.I.F.I. SPA

ITALIA

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

P-RF 15 1,480666 2,001333 0,000000 421

W43512001

S01AA23

NETILMICINUM

NETTAVISC 3mg/g

UNG. OFT. 3mg/g

S.I.F.I. SPA

ITALIA

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

P-RF 1 13,056000 17,652000 16,058000 422

W55950001

S01BA01

DEXAMETHASONUM

OZURDEX

IMPLANT 700 microgram e

ALLERGAN PHARMACEUTICALS IRELAND

IRLANDA

CUTIE X 1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGITA X 700MCG DEXAMETAZONA DISPUS IN ACUL (OTEL INOXIDABIL) UNUI APLICATOR DE UNICA FOLOSINTA

P-RF 1 4.163,000000 4.575,830000 0,000000 423

W55648002

S01BA01

DEXAMETHASONUM

DEXAMETAZONA ROMPHARM 1mg/ml

PIC. OFT. SUSP. 1mg/ml

ROMPHARM COMPANY SRL

ROMANIA

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

SUSPENSIE

P-RF 1 7,490000 10,120000 0,000000 424

W55648001

S01BA01

DEXAMETHASONUM

DEXAMETAZONA ROMPHARM 1mg/ml

PIC. OFT. SUSP. 1mg/ml

ROMPHARM COMPANY SRL

ROMANIA

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC. OFT.,

SUSPENSIE

P-RF 1 4,060000 5,490000 0,000000 425

W02427001

S01BA01

DEXAMETHASONUM

MAXIDEX (R)

PICATURI OFT.- SUSP. 0,1%

ALCON COUVREUR NV

BELGIA

CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML

P-RF 1 4,872000 6,588000 1,852000 426

W51513001

S03AAN2

NORFLOXACINUM

NORFLOX

PICATURI OFT./AURI C.-SOL. 0,3%

CIPLA (UK) LIMITED

MAREA BRITANIE

CUTIE X 1 FLACON PEJD X 5 ML

P-RF 1 3,660000 4,950000 0,000000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE 17

B) SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA 1

W42822001

A11HA02

PYRIDOXINUM

VITAMINA B6 250 mg

COMPR. 250 mg

ARENA GROUP SA

ROMANIA

CUTIE X 1 FLACON DIN PE X 20 COMPR.

P-6L 20 0,349500 0,472500 0,000000 2

W56760001

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 250 mg

COMPR. 250mg

ZENTIVA SA

ROMANIA

CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P-6L 20 0,349500 0,472500 0,000000 3

W56758001

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 250 mg/5 ml

SOL. INJ. 250mg/5 ml

ZENTIVA SA

ROMANIA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.

P-RF 5 1,586000 2,144000 0,000000 4

W56757001

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 50 mg/2ml

SOL. INJ. 50mg/2ml

ZENTIVA SA

ROMANIA

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

P-RF 5 1,072000 1,448000 0,000000 5

W05242001

H02AB07

PREDNISONUM

PREDNISON MCC 5 mg

COMPR. 5mg

MAGISTRA C&C S.R.L.

ROMANIA

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

P-RF 20 0,055320 0,072360 0,064640 6

W53341001

H02AB07

PREDNISONUM

PREDNISON - RICHTER 5 mg

COMPR. 5mg

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-RF 20 0,055320 0,072360 0,061140 7

W13686002

H02AB07

PREDNISONUM

PREDNISON 5 mg

COMPR. 5mg

SINTOFARM SA

ROMANIA

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

P-RF 30 0,055320 0,072360 0,051306 8

W12565003

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR. 5mg

ARENA GROUP SA

ROMANIA

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

P-RF/S 1000 0,046100 0,060300 0,000000 9

W12565002

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR. 5mg

ARENA GROUP SA

ROMANIA

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

P-RF 30 0,055320 0,072360 0,017973 10

W58242002

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR. CU ELIB. PREL. 500mg

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PRF 7 1,458000 1,970570 0,463715 11

W59000002

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. ELIB. PREL. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PRF 6 1,458000 1,970570 0,464430

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 12

W44093001

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg

COMPR. FILM. 250mg

TERAPIA SA

ROMANIA

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

P-RF 14 0,672000 0,907714 0,179428 13

W08490001

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 14 0,672000 0,907714 0,328000 14

W14043001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 250

COMPR. FILM. 250mg

MEDOCHEMIE LTD.

CIPRU

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

P-RF 14 0,672000 0,907714 0,264428 15

W60253004

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR. FILM. 250mg

SANDOZ S.R.L.

ROMANIA

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

PRF 14 0,622857 0,842142 0,000000 16

W61223003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 250 mg

COMPR. FILM. 250mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF 14 0,560000 0,756428 0,000000 17

W01326002

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR. FILM. 250mg

ABBOTT S.R.L.

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-RF 14 0,672000 0,907714 1,039428 18

W58998015

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250 mg

COMPR. FILM. 250mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PRF 14 0,622142 0,840714 0,000000 19

W44087001

J01FA09

CLARITHROMYCINUM

KLABAX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMANIA

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

P-RF 14 1,458000 1,970570 0,068715 20

W54044001

J01FA09

CLARITHROMYCINUM

ROCLARIN 500 mg

COMPR. FILM. 500mg

ANTIBIOTICE S.A.

ROMANIA

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

P-RF 20 1,458000 1,970570 0,277930 21

W60254003

J01FA09

CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR. FILM. 500mg

SANDOZ S.R.L.

ROMANIA

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

PRF 14 1,414285 1,911428 0,000000 22

W56269001

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM. 500mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

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

P-RF 20 1,458000 1,970570 0,385430 23

W61224003

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 500 mg

COMPR. FILM. 500mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF 14 1,215000 1,642142 0,000000 24

W14044001

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 500

COMPR. FILM. 500mg

MEDOCHEMIE LTD.

CIPRU

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

P-RF 14 1,414285 1,911428 0,000000 25

W08491001

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 14 1,421428 1,921428 0,000000 26

W58999014

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500 mg

COMPR. FILM. 500mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PRF 14 1,350000 1,825000 0,000000 27

W44088001

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF. 500mg

TERAPIA SA

ROMANIA

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

P-RF 7 1,458000 1,970570 0,463715 28

W41838002

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL. 500mg

KRKA D.D.

SLOVENIA

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

P-RF 7 1,458000 1,970570 0,463715 29

W13607002

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL. 500mg

ABBOTT LABORATORIES LTD.

MAREA BRITANIE

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

P-RF 5 1,458000 1,970570 1,777430 30

W01327001

J01FA09

CLARITHROMYCINUM

KLACID (R)

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

ABBOTT S.R.L.

ITALIA

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

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF 1 22,180000 29,980000 0,000000 31

W01327002

J01FA09

CLARITHROMYCINUM

KLACID (R)

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

ABBOTT S.R.L.

ITALIA

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

1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P-RF 1 11,388000 15,384000 4,336000 32

W44092001

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

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

TERAPIA SA

ROMANIA

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

P-RF 1 9,490000 12,820000 0,000000 33

W42258001

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

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

SANDOZ SRL

ROMANIA

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

LINGURITA DOZATOARE PP

P-RF 1 9,490000 12,820000 0,000000 34

W44091001

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

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

TERAPIA SA

ROMANIA

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

P-RF 1 24,320000 32,870000 0,000000 35

W44091002

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

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

TERAPIA SA

ROMANIA

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

P-RF 1 40,530000 53,010000 0,000000 36

W58393002

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

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

SANDOZ S.R.L.

ROMANIA

CUTIE CU 1 FLAC. PEID

SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA

PRF 1 22,090000 29,860000 0,000000 37

W01329001

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF. 500mg

ABBOTT LABORATORIES LTD.

FRANTA

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

S/P-RF 1 30,230000 39,540000 0,000000 38

W57336001

J01GA01

STREPTOMYCINUM

STREPTOMICINA SULFAT BP

PULB. PT. SOL. INJ. 1g

ANTIBIOTICE S.A.

ROMANIA

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

PRF 50 2,899400 3,539600 0,000000 39

W14119005

J01GA01

STREPTOMYCINUM

STREVITAL 1 g

PULB. PT. SOL. INJ. 1g

ANTIBIOTICE SA

ROMANIA

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

S 100 2,883400 3,520100 0,000000 18

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 40

W14119004

J01GA01

STREPTOMYCINUM

STREVITAL 1 g

PULB. PT. SOL. INJ. 1g

ANTIBIOTICE SA

ROMANIA

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

S 50 2,899400 3,539600 0,000000 41

W08827001

J01GB04

KANAMYCINUM

PAN - KANAMYCINE

PULB. PT. SOL. INJ. 1g

LAB. PANPHARMA

FRANTA

CUTIE X 50 FLAC. X 1 G

P-RF/S 50 1,683200 2,128200 0,000000 42

W53277001

J01GB06

AMIKACINUM

AMIKOZIT (R) 500 mg/2 ml

SOL. INJ. 500mg/2 ml

ZENTIVA S.A.

ROMANIA

CUTIE X 1 FLACON DIN STICLA X 2 ML

P-RF 1 5,350000 7,230000 0,000000 43

W07914001

J01MA01

OFLOXACINUM

ZANOCIN

COMPR. FILM. 200mg

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF 10 0,872000 1,179000 0,000000 44

W56957001

J01MA01

OFLOXACINUM

OFLOXIN 200

COMPR. FILM. 200mg

ZENTIVA K.S.

CEHIA

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

P-RF 10 1,046400 1,414800 0,662200 45

W54037002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR. FILM. 100mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 20 2,692000 3,404000 0,000000 46

W54037001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 100 mg

COMPR. FILM. 100mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 10 2,959000 3,871000 0,000000 47

W54038002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 250 mg

COMPR. FILM. 250mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 20 0,472000 0,638000 0,000000 48

W01288001

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 250 mg

COMPR. FILM. 250mg

AC HELCOR SRL

ROMANIA

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

P-RF 10 0,505000 0,683000 0,000000 49

W01271002

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR. FILM. 250mg

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-RF 10 0,525000 0,709000 0,000000 50

W07862001

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM. 250mg

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF 10 0,533000 0,720000 0,000000 51

W44077004

J01MA02

CIPROFLOXACINUM

CIPROCIN 250 mg

COMPR. FILM. 250mg

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

ROMANIA

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

P-RF 10 0,505000 0,683000 0,000000 52

W01273001

J01MA02

CIPROFLOXACINUM

CIPRINOL 250 mg

COMPR. FILM. 250mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 10 0,523000 0,707000 0,000000 53

W54038001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 250 mg

COMPR. FILM. 250mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 10 0,504000 0,681000 0,000000 54

W54039002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 20 0,630500 0,852000 0,000000 55

W01289001

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 500 mg

COMPR. FILM. 500mg

AC HELCOR SRL

ROMANIA

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

P-RF 10 0,756600 1,022400 0,299600 56

W07863001

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM. 500mg

RANBAXY UK LIMITED

MAREA BRITANIE

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

P-RF 10 0,674000 0,911000 0,000000 57

W12545001

J01MA02

CIPROFLOXACINUM

CIPRO QUIN (R)

COMPR. FILM. 500mg

ANTIBIOTICE SA

ROMANIA

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

P-RF 10 0,756600 1,022400 0,348600 58

W44076001

J01MA02

CIPROFLOXACINUM

CIPROCIN 500 mg

COMPR. FILM. 500mg

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

ROMANIA

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-RF 10 0,681000 0,920000 0,000000 59

W01272001

J01MA02

CIPROFLOXACINUM

CUMINOL 500 mg

COMPR. FILM. 500mg

GEDEON RICHTER ROMANIA SA

ROMANIA

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

P-RF 10 0,756600 1,022400 0,348600 60

W54039001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 500 mg

COMPR. FILM. 500mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 10 0,708000 0,957000 0,000000 61

W01274001

J01MA02

CIPROFLOXACINUM

CIPRINOL 500 mg

COMPR. FILM. 500mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 10 0,756600 1,022400 0,160600 62

W54040001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA 750 mg

COMPR. FILM. 750mg

ARENA GROUP S.A.

ROMANIA

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

P-RF 10 0,915600 1,237200 2,633800 63

W42772001

J01MA02

CIPROFLOXACINUM

CIPRINOL 750 mg

COMPR. FILM. 750mg

KRKA D.D. NOVO MESTO

SLOVENIA

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

P-RF 10 0,763000 1,031000 0,000000 64

W57948001

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 1000 mg

COMPR. FILM. ELIB. PREL. 1000 mg

BAYER PHARMA AG

GERMANIA

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

P-RF 7 9,928571 12,554285 0,000000 65

W57949001

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 500 mg

COMPR. FILM. ELIB. PREL. 500 mg

BAYER PHARMA AG

GERMANIA

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

P-RF 3 0,756600 1,022400 8,530933 66

W60268001

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ZENTIVA 10 mg/ml

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

ZENTIVA S.A.

ROMANIA

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

S/P-RF 5 2,580000 3,400560 0,085440 67

W01275001

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

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

KRKA D.D.

SLOVENIA

CUTIE X 5 FIOLE X 10 ML

S/P-RF 5 2,570000 3,400560 0,073440 68

W01275002

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

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

KRKA D.D.

SLOVENIA

CUTIE X 50 FIOLE X 10 ML

S 50 2,321200 2,833800 0,000000 69

W61489001

J01MA02

CIPROFLOXACINUM

CIPRO INF 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF.

PR 10 6,972000 8,815000 0,000000 70

W61489002

J01MA02

CIPROFLOXACINUM

CIPRO INF 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE CU 50 PUNGI DIN PVC PLASTICIZAT A CÂTE 100 ML SOL. PERF.

PR 50 6,617800 7,976400 0,000000 71

W61489003

J01MA02

CIPROFLOXACINUM

CIPRO INF 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE CU 10 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF.

PR 10 13,125000 16,023000 0,000000 72

W61489004

J01MA02

CIPROFLOXACINUM

CIPRO INF 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE CU 30 PUNGI DIN PVC PLASTICIZAT A CÂTE 200 ML SOL. PERF.

PR 30 12,828000 15,254333 0,000000 19

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 73

W53353002

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 100ML

S 10 6,972000 8,815000 0,000000 74

W53353003

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA INFOMED 2 mg/ml

SOL. PERF. 2mg/ml

INFOMED FLUIDS SRL

ROMANIA

CUTIE X 10 PUNGI PVC PLASTIFIAT X 200ML

S 10 13,125000 16,023000 0,000000 75

W57939001

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg

COMPR. FILM. 400mg

BAYER PHARMA AG

GERMANIA

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

P-RF 5 6,612000 8,647200 2,436800 76

W60311001

J01MA14

MOXIFLOXACINUM

MOFINACIN 400 mg

COMPR. FILM. 400mg

ALVOGEN IPCO S.A.R.L

LUXEMBUR G

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

PRF 5 5,510000 7,206000 0,000000 77

W60943001

J01MA14

MOXIFLOXACINUM

MOFLAXA 400 mg

COMPR. FILM. 400mg

KRKA, D.D.,

NOVO MESTO

SLOVENIA

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

PRF 5 5,510000 7,206000 0,000000 78

W60545001

J01MA14

MOXIFLOXACINUM

MOFIL 400 mg

COMPR. FILM. 400mg

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PRF 5 5,510000 7,206000 0,000000 79

W59332001

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA AUROBINDO 400 mg

COMPR. FILM. 400mg

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PRF 5 5,510000 7,206000 0,000000 80

W57938004

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg/250 ml

SOL. PERF. 400mg/25 0ml

BAYER PHARMA AG

GERMANIA

CUTIE X 5 FLACOANE DIN STICLA X 250 ML

S 5 69,648000 88,056000 13,026000 81

W60727001

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA KABI 400 mg/250 ml

SOL. PERF. 400mg/25 0ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

PR 1 58,040000 73,380000 0,000000 82

W52079002

J04AB01

CICLOSERINUM

CICLOSERINA ANTIBIOTICE 250 mg

CAPS. 250mg

ANTIBIOTICE S.A.

ROMANIA

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

P-RF 100 4,399000 5,176400 0,000000 83

W41998002

J04AB02

RIFAMPICINUM

SINERDOL 150 mg

CAPS. 150mg

ANTIBIOTICE SA

ROMANIA

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

S 1000 0,169650 0,207110 0,000000 84

W41999002

J04AB02

RIFAMPICINUM

SINERDOL 300 mg

CAPS. 300mg

ANTIBIOTICE SA

ROMANIA

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

S 1000 0,548780 0,636320 0,000000 85

W58576002

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 100 mg

COMPR. 100mg

ANTIBIOTICE S.A.

ROMANIA

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

PR 1500 0,110333 0,134693 0,000000 86

W58577002

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 300 mg

COMPR. 300mg

ANTIBIOTICE SA

ROMANIA

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

S/P-RF 1500 0,272473 0,322426 0,000000 87

W60582001

J04AC01

ISONIAZIDUM

ISONIAZID

SIROP 100mg/5 ml

CN UNIFARM S.A.

ROMANIA

CUTIE X 1 FLAC. X 200 ML SIROP

PR 1 30,110000 39,380000 0,000000 88

W60594001

J04AC01

ISONIAZIDUM

BITUB

SOL INJ. 100mg/ml

CN UNIFARM S.A.

ROMANIA

CUTIE CU 10 FIOLE A 5ML

PR 10 1,469000 1,986000 0,000000 89

W55916001

J04AD01

PROTIONAMIDUM

PETEHA 250 mg

COMPR. FILM. 250 mg

ANTIBIOTICE SA

ROMANIA

CUTIE X 10 BLISTERE X 10 COMPRIMATE FILMATE

PR 100 1,022700 1,248500 0,000000 90

W60213002

J04AK01

PYRAZINAMIDUM

PIRAZINAMIDA ATB 500 mg

COMPR. 500mg

ANTIBIOTICE S.A.

ROMANIA

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

PR 1500 0,299853 0,352273 0,000000 91

W53682002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 250 mg

CAPS. 250mg

ARENA GROUP SA

ROMANIA

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

P-RF 20 0,184000 0,249000 0,000000 92

W59648001

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMANIA

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

PRF 20 0,287500 0,388500 0,000000 93

W59648003

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS. 400mg

ARENA GROUP S.A.

ROMANIA

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

PRF 50 0,284600 0,384600 0,000000 94

W42943002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 250 mg

COMPR. FILM. 250mg

ANTIBIOTICE SA

ROMANIA

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

S 1500 0,217573 0,262586 0,000000 95

W42861002

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 400 mg

COMPR. FILM. 400mg

ANTIBIOTICE SA

ROMANIA

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

S 1500 0,334726 0,390286 0,000000 96

W60583001

J04AK02

ETHAMBUTOLUM

INBUTOL

SOL INJ. 100mg/ml

CN UNIFARM S.A.

ROMANIA

FLAC. X 10 ML SOL. INJ

PR 1 16,130000 21,800000 0,000000 97

W14071002

J04AM02

COMBINATII (RIFAMPICINUM

IZONIAZIDUM)

SINERDOL ISO

CAPS. 300mg

1 50mg

ANTIBIOTICE SA

ROMANIA

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

S 1000 0,600660 0,692870 0,000000 20

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

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

1

W08867001

J05AH01

ZANAMIVIRUM

RELENZA 5 mg

PULB. UNIDOZA DE INHALAT 5mg

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. X 5 BLIST. TIP ROTADISK X 4 DOZE

DISPOZITIV DE ADMINISTRARE DISKHALER

P-RF 5 10,228000 12,932000 0,000000 2

W52316001

J05AH02

OSELTAMIVIRUM

TAMIFLU 30mg

CAPS. 30mg

ROCHE REGISTRATION LTD.

MAREA BRITANIE

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

P-RF 10 3,328000 4,353000 0,000000 3

W13633001

J05AH02

OSELTAMIVIRUM

TAMIFLU 75 mg

CAPS. 75mg

ROCHE REGISTRATION LTD.

MAREA BRITANIE

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

P-RF 10 6,050000 7,649000 0,000000

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1

W58800001

G03HA01

CYPROTERONUM

ANDROCUR

COMPR. 50mg

BAYER PHARMA AG

GERMANIA

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

P-RF 50 1,780200 2,250800 0,000000 2

W12490001

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ. 50mg

BAXTER ONCOLOGY GMBH

GERMANIA

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

P-RF 50 0,401400 0,542400 0,000000 3

W52215001

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ. I.V. 200mg

ACTAVIS S.R.L.

ROMANIA

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

S 1 11,760000 15,890000 0,000000 4

W58866002

L01AA02

CHLORAMBUCILUM

LEUKERAN

COMPR. FILM. 2mg

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE X 1 FLAC. X 25 COMPR. FILM.

P-RF 25 9,680000 11,817200 0,000000 5

W58865001

L01AA03

MELPHALANUM

ALKERAN 2 mg

COMPR. FILM. 2mg

ASPEN PHARMA TRADING LIMITED

IRLANDA

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

P-RF 25 10,116400 12,350000 0,000000

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 6

W60631001

L01AA03

MELPHALANUM

ALKERAN 50 mg

PULB

SOL V. PT. SOL. INJ./PERF. 50mg

CN UNIFARM S.A.

ROMANIA

CUTIE CU 1 FIOLA PULB.

1 FIOLA SOLVENT

PR 1 630,000000 724,850000 0,000000 7

W12497001

L01AA06

IFOSFAMIDUM

HOLOXAN 1 g

PULB. PT. SOL. PERF. 1g

BAXTER ONCOLOGY GMBH

GERMANIA

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

S 1 95,760000 121,080000 0,000000 8

W51454001

L01AB01

BUSULFANUM

BUSILVEX 6mg/ml

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

PIERRE FABRE MEDICAMENT

FRANTA

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

S 8 1.007,503750 1.102,948750 0,000000 9

W59709001

L01AD02

LOMUSTINUM4)

CECENU

CAPS. 40mg

CN UNIFARM S.A.

ROMANIA

CUTIE X 1 FLACON X 20 CAPSULE

PR 20 96,375500 106,957000 0,000000 10

W55335001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 100 mg

CAPS. 100mg

TEVA PHARMA B.V.

OLANDA

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

P-RF/R 5 37,248000 45,472000 0,000000 11

W61245001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS. 100mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 37,248000 45,472000 0,000000 12

W61245002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS. 100mg

NEOLA PHARMA S.R.L.

ROMANIA

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

PR 5 37,248000 45,472000 0,000000 13

W59699001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 100 mg

CAPS. 100mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 37,248000 45,472000 0,000000 14

W59614003

L01AX03

TEMOZOLOMIDUM**

TEMODAL 100 mg

CAPS. 100mg

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R 5 44,697600 54,566400 15,389600 15

W59451001

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 100 mg

CAPS. 100mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR G

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF 5 37,248000 45,472000 0,000000 16

W59705002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS. 100mg

ROMASTRU TRADING SRL

ROMANIA

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

PR 5 37,248000 45,472000 0,000000 17

W56780001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 100 mg

CAPS. 100mg

STADA HEMOFARM SRL

ROMANIA

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

PR 5 37,248000 45,472000 0,000000 18

W59506001

L01AX03

TEMOZOLOMIDUM**

NOGRON 100 mg

CAPS. 100mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF 5 37,248000 45,472000 0,000000 19

W59705001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS. 100mg

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 37,248000 45,472000 0,000000 20

W59507001

L01AX03

TEMOZOLOMIDUM**

NOGRON 140 mg

CAPS. 140mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF 5 78,164000 92,828000 0,000000 21

W59706001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 140 mg

CAPS. 140mg

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 78,164000 92,828000 0,000000 22

W59706002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 140 mg

CAPS. 140mg

ROMASTRU TRADING SRL

ROMANIA

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

PR 5 78,164000 92,828000 0,000000 23

W59615003

L01AX03

TEMOZOLOMIDUM**

TEMODAL 140mg

CAPS. 140mg

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R 5 93,796800 111,393600 23,790400 24

W56781001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 140 mg

CAPS. 140mg

STADA HEMOFARM SRL

ROMANIA

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

PR 5 78,164000 92,828000 0,000000 25

W56782001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 180 mg

CAPS. 180mg

STADA HEMOFARM SRL

ROMANIA

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

PR 5 97,764000 114,192000 0,000000 26

W59508001

L01AX03

TEMOZOLOMIDUM**

NOGRON 180 mg

CAPS. 180mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF 5 97,764000 114,192000 0,000000 27

W59616003

L01AX03

TEMOZOLOMIDUM**

TEMODAL 180 mg

CAPS. 180mg

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R 5 117,316800 137,030400 31,019600 28

W61244001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS. 20mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 7,966000 10,420000 0,000000 29

W61244002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS. 20mg

NEOLA PHARMA S.R.L.

ROMANIA

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

PR 5 7,966000 10,420000 0,000000 30

W55334001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 20 mg

CAPS. 20mg

TEVA PHARMA B.V.

OLANDA

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

P-RF/R 5 7,966000 10,420000 0,000000 31

W59617003

L01AX03

TEMOZOLOMIDUM**

TEMODAL 20 mg

CAPS. 20mg

MERCK SHARP & DOHME

MAREA BRITANIE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-RF/R 5 9,559200 12,504000 2,720000 32

W59698001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 20 mg

CAPS. 20mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 7,966000 10,420000 0,000000 33

W59450001

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 20 mg

CAPS. 20mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR G

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF 5 7,966000 10,420000 0,000000

21

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 34

W59505001

L01AX03

TEMOZOLOMIDUM**

NOGRON 20 mg

CAPS. 20mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF 5 7,966000 10,420000 0,000000 35

W59704001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS. 20mg

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 7,966000 10,420000 0,000000 36

W59704002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS. 20mg

ROMASTRU TRADING SRL

ROMANIA

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

PR 5 7,966000 10,420000 0,000000 37

W56779001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 20 mg

CAPS. 20mg

STADA HEMOFARM SRL

ROMANIA

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

PR 5 7,966000 10,420000 0,000000 38

W59454001

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 250 mg

CAPS. 250mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR G

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PRF 5 233,776800 263,973600 13,432400 39

W59702001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 250 mg

CAPS. 250mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 233,776800 263,973600 13,432400 40

W60017001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS. 250mg

ROMASTRU TRADING SRL

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 233,776800 263,973600 95,694400 41

W61248001

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS. 250mg

NEOLA PHARMA S.R.L.

ROMANIA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR 5 233,776800 263,973600 95,694400 42

W61248002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS. 250mg

NEOLA PHARMA S.R.L.

ROMANIA

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

PR 5 233,776800 263,973600 95,694400 43

W56783001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 250 mg

CAPS. 250mg

STADA HEMOFARM SRL

ROMANIA

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

PR 5 233,776800 263,973600 35,660400 44

W55336001

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 250 mg

CAPS. 250mg

TEVA PHARMA B.V.

OLANDA

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

P-RF/R 5 194,814000 219,978000 0,000000 45

W60017002

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS. 250mg

ROMASTRU TRADING SRL

ROMANIA

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

PR 5 233,776800 263,973600 95,694400 46

W59613001

L01AX03

TEMOZOLOMIDUM**

TEMODAL 2,5mg/ml

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

MERCK SHARP & DOHME

MAREA BRITANIE

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

P-RF/R 1 602,770000 695,170000 0,000000 47

W56549001

L01AX04

DACARBAZINUM

DACARBAZINE MEDAC 500 mg

PULB. PT. SOL. INJ. 500mg

CN UNIFARM S.A.

ROMANIA

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

PR 1 69,450000 87,810000 0,000000 48

W58779001

L01AX04

DACARBAZINUM

DACARBAZINA LIPOMED 200 mg

PULB. PT. SOL. INJ./PERF. 200 mg

LIPOMED GMBH

GERMANIA

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

PR 10 75,731000 86,362000 0,000000 49

W59710001

L01AX04

DACARBAZINUM

DACARBAZIN MEDAC 200mg

PULB. PT. SOL. INJ./PERF. 200mg

CN UNIFARM S.A.

ROMANIA

CUTIE X 10 FLACOANE

PR 10 82,419000 93,652000 0,000000 50

W58569001

L01BA01

METHOTREXATUM

METHOTREXATE PCH 10mg

COMPR. 10mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X 10COMPR.

P6L 10 2,211000 2,989000 0,000000 51

W58568001

L01BA01

METHOTREXATUM

METHOTREXATE PCH 2,5mg

COMPR. 2,5mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

CUTIE X30 COMPRIMATE

P6L 30 0,553333 0,747666 0,000000 52

W12733003

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 1000 mg

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

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

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

S 1 65,640000 82,990000 0,000000 53

W12735001

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 5000 mg

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

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

CUTIE X 1 FLACON X 50 ML

S 1 308,200000 374,090000 0,000000 54

W58316010

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

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

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJE

PR 1 93,336000 118,008000 9,082000 55

W58316004

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

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

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJE

PR 1 35,730000 46,730000 0,000000 56

W58316007

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

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

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJE

PR 1 63,030000 79,700000 0,000000

22

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 57

W58316001

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10 mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 10mg/ml

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

AUSTRIA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ.

AC DE UNICA FOLOSINTA PT. INJ

PR 1 47,310000 61,880000 0,000000 58

W53758021

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

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

P-RF 1 87,540000 110,680000 0,000000 59

W53758016

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

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

P-RF 1 77,780000 98,340000 0,000000 60

W53758006

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA 50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

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

P-RF 1 42,876000 56,076000 13,944000 61

W42003001

L01BA04

PEMETREXEDUM

ALIMTA 500mg

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

ELI LILLY NEDERLAND BV

OLANDA

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

S 1 3.745,950000 4.121,240000 0,000000 62

W58868001

L01BB02

MERCAPTOPURINUM

PURI - NETHOL

COMPR. 50mg

ASPEN PHARMA TRADING LIMITED

IRLANDA

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

P-RF 25 10,648800 13,000000 0,000000 63

W58869001

L01BB03

TIOGUANINUM

LANVIS

COMPR. 40mg

ASPEN PHARMA TRADING LIMITED

IRLANDA

CUTIE X 1 FLAC. X 25 COMPR.

P-RF 25 25,200000 28,994000 0,000000 64

W60721001

L01BB03

TIOGUANINUM

THIOGUANIN ASPEN 40 mg

COMPR. 40mg

CN UNIFARM S.A.

ROMANIA

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

PR 25 23,650000 27,304400 0,000000 65

W44114001

L01BB04

CLADRIBINUM

LITAK 2 mg/ml

SOL. INJ. 2mg/ml

LIPOMED GMBH

GERMANIA

CUTIE X 1 FLACON X 5 ML

S 1 1.309,390000 1.465,390000 0,000000 66

W56210002

L01BB05

FLUDARABINUM

FLUDARA ORAL 10 mg

COMPR. FILM. 10mg

GENZYME EUROPE B.V.

OLANDA

CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

P-RF/S 20 53,287000 59,990500 0,000000 67

W56211001

L01BB05

FLUDARABINUM

FLUDARA

LIOF. PT. SOL. INJ./PERF. 50mg

GENZYME EUROPE B.V.

OLANDA

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

S 5 81,444000 102,984000 12,802000 68

W53700001

L01BB05

FLUDARABINUM

FLUDARABINA ACTAVIS 25 mg/ml

PULB. PT. SOL. INJ./PERF. 25mg/ml

ACTAVIS S.R.L.

ROMANIA

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

S 1 67,870000 85,820000 0,000000 69

W53291005

L01BB06

CLOFARABINUM

EVOLTRA 1mg/ml

CONC. PT. SOL. PERF. 1mg/ml

GENZYME EUROPE BV

OLANDA

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

PR 1 6.027,070000 6.607,660000 0,000000 70

W52264001

L01BB07

NELARABINUM

ATRIANCE

SOL. PERF. 5mg/ml

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE X 6 FLAC. X 50 ML

S 6 1.193,418333 1.307,186666 0,000000 71

W13946007

L01BC01

CYTARABINUM

ALEXAN 20mg/ml

SOL. INJ. 20mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

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

S 10 9,173000 11,598000 0,000000 72

W42933004

L01BC01

CYTARABINUM

ALEXAN 50mg/ml

SOL. INJ. 50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

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

S 1 49,464000 64,704000 31,816000 73

W59016003

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF. 100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE X 10 ML SOL. INJ. SAU PERF.

PR 1 41,220000 53,920000 0,000000 74

W59016004

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF. 100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA X 20 ML SOL. INJ. SAU PERF.

PR 1 98,560000 124,620000 0,000000 75

W53814001

L01BC01

CYTARABINUM

DEPOCYTE 50mg

SUSP. INJ. 50mg

PACIRA LIMITED

MAREA BRITANIE

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

S 1 6.172,500000 6.766,180000 0,000000 76

W43451005

L01BC02

FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF. 50mg/ml

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

AUSTRIA

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

S 1 12,550000 16,960000 0,000000 77

W43451001

L01BC02

FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF. 50mg/ml

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

AUSTRIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF.

S 1 2,970000 4,020000 0,000000 78

W43451003

L01BC02

FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF. 50mg/ml

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

AUSTRIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF.

S 1 5,960000 8,060000 0,000000 79

W43451006

L01BC02

FLUOROURACILUM 5 - FLUOROURACIL EBEWE 50mg/ml

CONC. PT. SOL. INJ./PERF. 50mg/ml

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

AUSTRIA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL. INJ./PERF.

S 1 56,540000 71,490000 0,000000 80

W59510002

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA,

PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA,

CU DISC DIN PP, A 1000 MG/25 ML CONC. PT. SOL. PERF.

PR 1 97,536000 123,324000 103,466000

23

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 81

W56425001

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 21,540000 29,120000 0,000000 82

W56425002

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 97,536000 123,324000 5,886000 83

W59510001

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA,

PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VERDE,

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

PR 1 25,848000 34,944000 19,396000 84

W59510003

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA,

PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VIOLET,

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

PR 1 187,104000 228,420000 223,340000 85

W56425003

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 187,104000 228,420000 25,380000 86

W59316002

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 97,536000 123,324000 110,526000 87

W59316003

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 40 mg/ml

CONC. PT. SOL. PERF. 40mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 187,104000 228,420000 222,080000 88

W56246001

L01BC05

GEMCITABINUM**

GEMZAR 1000 mg

PULB. PT. SOL. PERF. 1000 mg

LILLY FRANCE SAS

FRANTA

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

S 1 97,536000 123,324000 225,586000 89

W55552001

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 1000 mg

PULB. PT. SOL. PERF. 1000mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

S 1 97,536000 123,324000 87,966000 90

W56371001

L01BC05

GEMCITABINUM**

GEMCITABINA ATB 1000 mg

PULB. PT. SOL. PERF. 1000mg

ANTIBIOTICE S.A.

ROMANIA

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

PR 1 97,536000 123,324000 103,466000 91

W56150001

L01BC05

GEMCITABINUM**

DAPLAX 1 g

PULB. PT. SOL. PERF. 1g

DR. REDDY'S LABORATORIES

ROMANIA

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

S 1 97,536000 123,324000 103,466000 92

W55553001

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 2000 mg

PULB. PT. SOL. PERF. 2000mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

S 1 187,104000 228,420000 141,810000 93

W03290001

L01BC05

GEMCITABINUM**

GEMZAR (R) 200 mg

PULB. PT. SOL. PERF. 200mg

LILLY FRANCE SAS

FRANTA

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

S 1 25,848000 34,944000 44,446000 94

W56149001

L01BC05

GEMCITABINUM**

DAPLAX 200 mg

PULB. PT. SOL. PERF. 200mg

DR. REDDY'S LABORATORIES

ROMANIA

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

S 1 25,848000 34,944000 19,396000 95

W56370001

L01BC05

GEMCITABINUM**

GEMCITABINA ATB 200 mg

PULB. PT. SOL. PERF. 200mg

ANTIBIOTICE S.A.

ROMANIA

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

PR 1 25,848000 34,944000 19,396000 96

W55551001

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 200 mg

PULB. PT. SOL. PERF. 200mg

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

S 1 25,848000 34,944000 18,516000 97

W55531003

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

S 1 97,536000 123,324000 43,336000 98

W55531004

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

S 1 187,104000 228,420000 199,610000 99

W54381001

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 23,270000 31,450000 0,000000 100

W55531002

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

S 1 25,800000 33,740000 0,000000 101

W54381002

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 81,280000 102,770000 0,000000 102

W54381004

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF. 38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 155,920000 190,350000 0,000000 103

W58925005

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK 150 mg

COMPR. FILM. 150mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

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

PR 60 0,905500 1,145000 0,000000 104

W08338001

L01BC06

CAPECITABINUM

XELODA 150 mg

COMPR. FILM. 150mg

ROCHE REGISTRATION LTD.

MAREA BRITANIE

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

P-RF/R 60 1,086600 1,374000 2,827500 105

W60217002

L01BC06

CAPECITABINUM

ECANSYA 150mg

COMPR. FILM. 150mg

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE

PR 60 0,905500 1,145000 0,000000

24

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 106

W59654001

L01BC06

CAPECITABINUM

ARXEDA 150 mg

COMPR. FILM. 150mg

ROMASTRU TRADING SRL

ROMANIA

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

PRF 60 0,905500 1,145000 0,000000 107

W59086001

L01BC06

CAPECITABINUM

CAPECITABINA FRESENIUS KABI 150 mg

COMPR. FILM. 150mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

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

PR 60 0,905500 1,145000 0,000000 108

W60278001

L01BC06

CAPECITABINUM

CAPECITABINE TEVA 150 mg

COMPR. FILM. 150mg

TEVA PHARMA B.V.

OLANDA

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

PR 60 0,905500 1,145000 0,000000 109

W59654002

L01BC06

CAPECITABINUM

ARXEDA 150 mg

COMPR. FILM. 150mg

ROMASTRU TRADING SRL

ROMANIA

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

PRF 60 0,905500 1,145000 0,000000 110

W59427002

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 150 mg

COMPR. FILM. 150mg

ZENTIVA, K.S.

REPUBLIC A CEHA

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

PR 60 0,905500 1,145000 0,000000 111

W60217005

L01BC06

CAPECITABINUM

ECANSYA 150mg

COMPR. FILM. 150mg

KRKA D.D.

SLOVENIA

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

PR 60 0,905500 1,145000 0,000000 112

W59385001

L01BC06

CAPECITABINUM

XALVOBIN 150 mg

COMPR. FILM. 150mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR G

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

PR 60 0,905500 1,145000 0,000000 113

W59427001

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 150 mg

COMPR. FILM. 150mg

ZENTIVA, K.S.

REPUBLIC A CEHA

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

PR 60 0,905500 1,145000 0,000000 114

W58925002

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK 150 mg

COMPR. FILM. 150mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

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

PR 60 0,905500 1,145000 0,000000 115

W59385002

L01BC06

CAPECITABINUM

XALVOBIN 150 mg

COMPR. FILM. 150mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR G

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

PR 60 0,905500 1,145000 0,000000 116

W60218005

L01BC06

CAPECITABINUM

ECANSYA 300mg

COMPR. FILM. 300mg

KRKA D.D.

SLOVENIA

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

PR 60 5,327000 6,442333 0,000000 117

W60218002

L01BC06

CAPECITABINUM

ECANSYA 300mg

COMPR. FILM. 300mg

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. AL/AL X 60 COMPRIMATE FILMATE

PR 60 5,327000 6,442333 0,000000 118

W59428001

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 500 mg

COMPR. FILM. 500mg

ZENTIVA, K.S.

REPUBLIC A CEHA

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

PR 120 1,844100 2,251300 0,000033 119

W59428002

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA 500 mg

COMPR. FILM. 500mg

ZENTIVA, K.S.

REPUBLIC A CEHA

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

PR 120 1,844100 2,251300 0,000033 120

W08339001

L01BC06

CAPECITABINUM

XELODA 500 mg

COMPR. FILM. 500mg

ROCHE REGISTRATION LTD.

MAREA BRITANIE

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

P-RF/R 120 1,844100 2,251300 9,651616 121

W60219006

L01BC06

CAPECITABINUM

ECANSYA 500mg

COMPR. FILM. 500mg

KRKA D.D.

SLOVENIA

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

PR 120 1,844100 2,251300 0,000033 122

W59386002

L01BC06

CAPECITABINUM

XALVOBIN 500 mg

COMPR. FILM. 500mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR G

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

PR 120 1,844100 2,251300 1,225366 123

W60219003

L01BC06

CAPECITABINUM

ECANSYA 500mg

COMPR. FILM. 500mg

KRKA D.D.

SLOVENIA

CUTIE CU BLIST. AL/AL X 120 COMPRIMATE FILMATE

PR 120 1,844100 2,251300 0,000033 124

W60255001

L01BC06

CAPECITABINUM

CAPECITABINA DR. REDDY'S 500 mg

COMPR. FILM. 500mg

DR. REDDY'S LABORATORIES

ROMANIA

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

PR 120 1,844100 2,251300 0,000033 125

W58926003

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK 500 mg

COMPR. FILM. 500mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

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

PR 120 1,844100 2,251300 1,225366 126

W59655002

L01BC06

CAPECITABINUM

ARXEDA 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING SRL

ROMANIA

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

PRF 120 1,844100 2,251300 1,225366 127

W59424001

L01BC06

CAPECITABINUM

CEREX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMANIA

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

PR 120 1,844100 2,251300 1,225366 128

W59655001

L01BC06

CAPECITABINUM

ARXEDA 500 mg

COMPR. FILM. 500mg

ROMASTRU TRADING SRL

ROMANIA

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

PRF 120 1,844100 2,251300 1,225366 129

W59059003

L01BC06

CAPECITABINUM

COLOXET 500 mg

COMPR. FILM. 500mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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

PR 120 1,844100 2,251300 1,225366 130

W59087001

L01BC06

CAPECITABINUM

CAPECITABINA FRESENIUS KABI 500 mg

COMPR. FILM. 500mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

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

PR 120 1,844100 2,251300 1,225366 131

W60279001

L01BC06

CAPECITABINUM

CAPECITABINE TEVA 500 mg

COMPR. FILM. 500mg

TEVA PHARMA B.V.

OLANDA

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

PR 120 1,844100 2,251300 1,225366 132

W59424002

L01BC06

CAPECITABINUM

CEREX 500 mg

COMPR. FILM. 500mg

TERAPIA SA

ROMANIA

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

PR 120 1,844100 2,251300 1,225366 133

W59059006

L01BC06

CAPECITABINUM

COLOXET 500 mg

COMPR. FILM. 500mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

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

PR 120 1,844100 2,251300 1,225366 134

W59367001

L01BC06

CAPECITABINUM

CAPECITABINA ACTAVIS 500 mg

COMPR. FILM. 500mg

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 120 1,536750 1,876083 0,000000 135

W59386001

L01BC06

CAPECITABINUM

XALVOBIN 500 mg

COMPR. FILM. 500mg

ALVOGEN IPCO S.AR.L.

LUXEMBUR G

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

PR 120 1,844100 2,251300 1,225366 136

W59587001

L01BC08

DECITABINUM

DACOGEN

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

JANSSEN CILAG INTERNATIONALL NV

BELGIA

CUTIE CU 1 FL. DIN STICLA CE CONTINE 50MG DECITABINA

PR 1 4.936,540000 5.418,990000 0,000000 137

W59211001

L01CA01

VINBLASTINUM4)

VINBLASTINA TEVA 1 mg/ml

SOL INJ. 1mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 30,750000 40,220000 0,000000 138

W52220001

L01CA02

VINCRISTINUM

SINDOVIN 1 mg

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 26,490000 34,650000 0,000000

25

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 139

W42512002

L01CA04

VINORELBINUM

NAVELBINE 20 mg

CAPS. MOI 20mg

PIERRE FABRE MEDICAMENT PRODUCTION

FRANTA

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

P-RF 1 186,710000 227,940000 0,000000 140

W42513002

L01CA04

VINORELBINUM

NAVELBINE 30 mg

CAPS. MOI 30mg

PIERRE FABRE MEDICAMENT PRODUCTION

FRANTA

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

P-RF 1 280,060000 341,900000 0,000000 141

W43735002

L01CA04

VINORELBINUM

VINORELBIN EBEWE 10 mg/ ml

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

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

AUSTRIA

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

S 1 136,180000 166,250000 0,000000 142

W43735001

L01CA04

VINORELBINUM

VINORELBIN EBEWE 10 mg/ ml

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

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

AUSTRIA

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

S 1 31,740000 41,510000 0,000000 143

W52194002

L01CA04

VINORELBINUM

VINORELBIN ACTAVIS 10 mg/ml

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 124,280000 151,720000 0,000000 144

W52194001

L01CA04

VINORELBINUM

VINORELBIN ACTAVIS 10 mg/ml

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 36,880000 48,240000 0,000000 145

W08035001

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI 100mg

BRISTOL MYERS SQUIBB KFT

UNGARIA

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

P-RF 10 21,796000 26,609000 0,000000 146

W08036001

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI 50mg

BRISTOL MYERS SQUIBB KFT

UNGARIA

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

P-RF 20 10,952500 13,371000 0,000000 147

W52210001

L01CB01

ETOPOSIDUM

SINTOPOZID 100 mg/5 ml

CONC. PT. SOL. PERF. 100mg/5 ml

ACTAVIS S.R.L.

ROMANIA

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

S 1 17,960000 24,270000 0,000000 148

W03065001

L01CB01

ETOPOSIDUM

ETOPOSID "EBEWE" 100 mg/5 ml

CONC. PT. SOL. PERF. 100mg/5 ml

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

AUSTRIA

CUTIE X 1 FLACON X 5 ML

S 1 21,552000 29,124000 3,236000 149

W52574002

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

S 1 54,800000 69,290000 0,000000 150

W52574001

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

S 1 21,552000 29,124000 3,846000 151

W60599002

L01CB01

ETOPOSIDUM

ETOPOZIDA KABI 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I,

CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC. PENTRU SOL. PERF.

PR 1 63,290000 80,030000 0,000000 152

W54068003

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 57,620000 72,860000 0,000000 153

W54068007

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 82,320000 104,090000 0,000000 154

W43372004

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

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

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

AUSTRIA

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

S 1 194,040000 236,880000 221,080000 155

W43372002

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

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

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

AUSTRIA

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

S 1 69,144000 87,432000 60,418000 156

W43372001

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

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

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

AUSTRIA

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

S 1 32,550000 42,570000 0,000000 157

W54068005

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 161,700000 197,400000 0,000000 158

W54978004

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

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

ARCHIE SAMUEL S.R.O.

REPUBLIC A CEHA

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

S 1 194,040000 236,880000 1.044,810000 159

W54978003

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

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

ARCHIE SAMUEL S.R.O.

REPUBLIC A CEHA

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

S 1 98,784000 124,908000 544,552000 160

W52212001

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 32,550000 42,570000 0,000000 161

W52212005

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 850,040000 964,700000 0,000000 162

W54978001

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

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

ARCHIE SAMUEL S.R.O.

REPUBLIC A CEHA

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

S 1 39,060000 51,084000 94,486000

26

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 163

W54068001

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

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

FRESENIUS KABI ROMANIA SRL

ROMANIA

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

S 1 32,550000 42,570000 0,000000 164

W52212002

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 69,144000 87,432000 45,228000 165

W52212004

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 194,040000 236,880000 144,960000 166

W52212003

L01CD01

PACLITAXELUM**

SINDAXEL

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 98,784000 124,908000 544,672000 167

W54978002

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE SAMUEL 6 mg/ml

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

ARCHIE SAMUEL S.R.O.

REPUBLIC A CEHA

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

S 1 69,144000 87,432000 353,188000 168

W43372003

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE 6mg/ml

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

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

AUSTRIA

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

S 1 98,784000 124,908000 157,092000 169

W55670001

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20 mg/0,5 ml

CONC.

SOLV. PT. SOL. PERF. 20mg/0,5 ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

1 FLACON DIN STICLA INCOLORA X 1,5ML SOLVENT PT. CONCENTRAT PT. SOL. PERFUZABILA

S 1 58,116000 76,008000 373,462000 170

W55671001

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 80 mg/2 ml

CONC.

SOLV. PT. SOL. PERF. 80mg/2ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

1 FLACON DIN STICLA INCOLORA X 6ML SOLVENT PT. CONCENTRAT PT. SOLUTIE PERFUZABILA

S 1 185,136000 226,008000 1.359,682000 171

W55307003

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

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

HOSPIRA UK LTD

MAREA BRITANIE

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

S/P-RF 1 154,280000 188,340000 0,000000 172

W57028001

L01CD02

DOCETAXELUM**

DOCETAXEL EBEWE 10 mg/ml

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

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

AUSTRIA

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

P-RF/R 1 58,116000 76,008000 46,802000 173

W59128003

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

PR 1 1.636,040000 1.821,440000 0,000000 174

W59128001

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

PR 1 58,116000 76,008000 255,792000 175

W59128004

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

PR 1 2.500,840000 2.764,070000 0,000000 176

W59128002

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10 mg/ml

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

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

PR 1 185,136000 226,008000 856,342000 177

W55307005

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

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

HOSPIRA UK LTD

MAREA BRITANIE

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

S/P-RF 1 466,500000 546,640000 0,000000 178

W55307001

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10 mg/ml

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

HOSPIRA UK LTD

MAREA BRITANIE

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

S/P-RF 1 48,430000 63,340000 0,000000 179

W57028007

L01CD02

DOCETAXELUM**

DOCETAXEL EBEWE 10 mg/ml

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

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

AUSTRIA

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

P-RF/R 1 185,136000 226,008000 262,112000 180

W57028016

L01CD02

DOCETAXELUM**

DOCETAXEL EBEWE 10 mg/ml

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

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

AUSTRIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO

P-RF/R 1 559,800000 655,968000 525,052000 181

W57271001

L01CD02

DOCETAXELUM**

TAXOTERE 160 mg/8ml

CONC. PT. SOL. PERF. 160 mg/8 ml

AVENTIS PHARMA SA

FRANTA

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

PR 1 559,800000 655,968000 1.109,592000 182

W59570001

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 120 mg/6 ml

CONC. PT. SOL. PERF. 20 mg/1 ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

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

PR 1 892,210000 1.010,660000 0,000000 183

W55044001

L01CD02

DOCETAXELUM**

TAXOTERE 20 mg/1ml

CONC. PT. SOL. PERF. 20mg/1ml

AVENTIS PHARMA SA

FRANTA

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

PR 1 58,116000 76,008000 146,752000 184

W61077003

L01CD02

DOCETAXELUM**

DOCETAXEL TEVA 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

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

PR 1 914,280000 1.034,720000 0,000000 185

W59826001

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 20mg/ml

CONC. PT. SOL. PERF. 20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

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

PR 1 58,116000 76,008000 48,742000 186

W55902001

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX

PR 1 58,116000 76,008000 19,812000

27

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 187

W59877002

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

KRKA, D.D.,

NOVO MESTO

SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA,

DE CAPACITATE 5 ML,

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

PR 1 185,136000 226,008000 58,602000 188

W59573001

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 80 mg/4 ml

CONC. PT. SOL. PERF. 20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

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

PR 1 185,136000 226,008000 258,202000 189

W59877001

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

KRKA, D.D.,

NOVO MESTO

SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA,

DE CAPACITATE 5 ML,

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

PR 1 52,400000 66,260000 0,000000 190

W55902003

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA

PR 1 1.084,200000 1.219,930000 0,000000 191

W55902002

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX

PR 1 154,630000 188,770000 0,000000 192

W59877003

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF. 20mg/ml

KRKA, D.D.,

NOVO MESTO

SLOVENIA

CUTIE CU 1 FLAC. DIN STICLA,

DE CAPACITATE 5 ML,

PREVAZUT CU SIGILIU DIN AL CU CAPSA TIP FLIP-OFF DE CULOARE PORTOCALIE, A 8 ML CONC. PT. SOL. PERF. CARE CONTINE 160 MG DOCETAXEL

PR 1 559,800000 655,968000 2,252000 193

W55045001

L01CD02

DOCETAXELUM**

TAXOTERE 80 mg/4ml

CONC. PT. SOL. PERF. 80mg/4ml

AVENTIS PHARMA SA

FRANTA

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

PR 1 185,136000 226,008000 569,692000 194

W52365001

L01CX01

TRABECTEDINUM

YONDELIS 0,25mg

PULB. PT.CONC. PT.SOL. PERF. 0,25mg

PHARMA MAR S.A.

SPANIA

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

S 1 1.893,750000 2.102,340000 0,000000 195

W52366001

L01CX01

TRABECTEDINUM

YONDELIS 1mg

PULB. PT.CONC. PT.SOL. PERF. 1mg

PHARMA MAR S.A.

SPANIA

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

S 1 7.298,630000 7.993,670000 0,000000 196

W58172008

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 265,470000 324,090000 0,000000 197

W58172003

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 43,536000 56,940000 24,830000 198

W42736002

L01DB01

DOXORUBICINUM

DOXORUBICIN "EBEWE" 2mg/ml

CONC. PT. SOL. PERF. 2mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

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

S 1 47,880000 62,630000 0,000000 199

W58172005

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 57,456000 75,156000 10,294000 200

W58172006

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 132,740000 162,050000 0,000000 201

W58172007

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 271,400000 331,320000 0,000000 202

W58281001

L01DB01

DOXORUBICINUM

CAELYX 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

JANSSEN CILAG INTERNATIONALL NV

BELGIA

CUTIE X 1 FLACON DIN STICLA X 10 ML

S 1 1.424,810000 1.591,200000 0,000000 203

W42736001

L01DB01

DOXORUBICINUM

DOXORUBICIN "EBEWE" 2mg/ml

CONC. PT. SOL. PERF. 2mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

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

S 1 9,570000 12,940000 0,000000 204

W58172001

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 11,484000 15,528000 3,052000 205

W57533002

L01DB01

DOXORUBICINUM

DOXORUBICINA TEVA 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 36,280000 47,450000 0,000000 206

W57533003

L01DB01

DOXORUBICINUM

DOXORUBICINA TEVA 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 57,456000 75,156000 41,904000 207

W60643001

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

NEOLA PHARMA S.R.L.

ROMANIA

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

PR 1 11,484000 15,528000 21,672000 208

W60643002

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

NEOLA PHARMA S.R.L.

ROMANIA

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

PR 1 43,536000 56,940000 29,940000 209

W60643003

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF. 2mg/ml

NEOLA PHARMA S.R.L.

ROMANIA

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

PR 1 57,456000 75,156000 52,824000

28

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 210

W60636001

L01DB01

DOXORUBICINUM

MYOCET 50mg

PULB.

AMESTC. PT. CONC. PT.DISP.LI POZOM.PT. PERF 50mg

TEVA PHARMA B.V.

OLANDA

CUTIE X 2 SETURI X 3 FLAC. (1 FLAC PULB.

1 FLAC.LIPOZOMI

1 FLAC. SOL.TAMP.)

S 2 1.945,425000 2.139,590000 0,000000 211

W52903001

L01DB01

DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF. 2mg/ml

ACTAVIS S.R.L

ROMANIA

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

S 1 11,484000 15,528000 21,362000 212

W52903002

L01DB01

DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF. 2mg/ml

ACTAVIS S.R.L

ROMANIA

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

S 1 57,456000 75,156000 58,674000 213

W52209001

L01DB03

EPIRUBICINUM

EPISINDAN 10 mg

PULB. PT. SOL. INJ. 10mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON STICLA INCOLORA TIPI,

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

S 1 23,940000 32,352000 25,648000 214

W52208001

L01DB03

EPIRUBICINUM

EPISINDAN 50 mg

PULB. PT. SOL. INJ. 50mg

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLACON STICLA INCOLORA TIPI,

CAPACITATE DE UMPLERE 50ML CU PULBERE PENTRU SOLUTIE PERFUZABILA INTRAVENOASA X 50MG CLORHIDRAT DE EPIRUBICINA

S 1 105,456000 133,344000 3,176000 215

W60072004

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF. X 100 MG EPIRUBICINA

S 1 255,576000 312,012000 11,478000 216

W53325002

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. A 10 ML SOL. INJ. X 20MG (20MG/10ML)

S 1 45,450000 59,450000 0,000000 217

W53325003

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. A 25 ML SOL. INJ. X 50MG (50MG/25ML)

S 1 87,880000 111,120000 0,000000 218

W53325004

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. A 50 ML SOL. INJ. X 100MG (100MG/50ML)

S 1 212,980000 260,010000 0,000000 219

W53325005

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMANIA

CUTIE X 1 FLAC. A 100ML SOL. INJ. X 200MG (200MG/100ML)

S 1 390,530000 463,830000 0,000000 220

W60072001

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA

S 1 21,320000 28,810000 0,000000 221

W53325001

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS 2mg/ml

SOL. INJ./PERF. 2mg/ml

ACTAVIS S.R.L.

ROMANIA

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

S 1 19,950000 26,960000 0,000000 222

W60072005

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 100 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA

S 1 468,636000 556,596000 353,124000 223

W60072002

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA

S 1 54,540000 71,340000 34,700000 224

W53860003

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

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

S 1 105,456000 133,344000 0,156000 225

W53860004

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

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

S 1 328,920000 396,670000 0,000000 226

W53860005

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

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

S 1 441,160000 519,010000 0,000000 227

W53860002

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

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

S 1 45,450000 59,450000 0,000000 228

W60072003

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

NEOLA PHARMA SRL

ROMANIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF. X 50 MG EPIRUBICINA

S 1 105,456000 133,344000 31,216000 229

W53860001

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF. 2mg/ml

TEVA PHARMACEUTICAL S.R.L.

ROMANIA

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

S 1 23,940000 32,352000 9,358000 230

W03575001

L01DB06

IDARUBICINUM

ZAVEDOS

CAPS. 10mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

CUTIE X 1 FLAC. X 1 CAPS.

P-RF 1 188,210000 229,770000 0,000000 231

W03581001

L01DB06

IDARUBICINUM

ZAVEDOS 5 mg

PULB. PT. SOL. INJ. 5mg

PFIZER EUROPE MA EEIG

MAREA BRITANIE

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

S 1 109,250000 133,370000 0,000000 232

W42735002

L01DB07

MITOXANTRONUM**

ONKOTRONE

CONC. PT. SOL. INJ. 2mg/ml

BAXTER ONCOLOGY GMBH

GERMANIA

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

S 1 474,870000 555,760000 0,000000 233

W58249002

L01DC01

BLEOMYCINUM SULFAS

BLEOMYCIN MEDAC 15000 UI

PULB. PT. SOL. INJ. 15000UI

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARATE

GERMANIA

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

PR 1 99,230000 125,470000 0,000000 234

W56664001

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF. 0,5 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 10,350000 13,990000 0,000000 235

W56664003

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF. 0,5 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 24,048000 32,508000 15,522000 236

W56664002

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF. 0,5 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 20,490000 27,700000 0,000000

29

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 237

W56665002

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF. 1 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 20,040000 27,090000 0,000000 238

W56665003

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF. 1 mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 70,460000 89,090000 0,000000 239

W52187002

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L.

ROMANIA

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

S 1 23,940000 32,360000 0,000000 240

W52187001

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF. 1mg/1ml

ACTAVIS S.R.L.

ROMANIA

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

S 1 9,940000 13,440000 0,000000 241

W01317001

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 50 mg/100 ml

CONC. PT. SOL. PERF. 50mg/100 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRIA

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

S 1 24,048000 32,508000 8,792000 242

W53000002

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 45,350000 59,320000 0,000000 243

W53000003

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 134,430000 164,110000 0,000000 244

W53000001

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS 10mg/ml

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

ACTAVIS S.R.L.

ROMANIA

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

S 1 15,480000 20,920000 0,000000 245

W58740001

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

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

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC,

SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA

PR 1 18,576000 25,104000 0,136000 246

W58740002

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

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

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC,

SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA

PR 1 49,170000 64,310000 0,000000 247

W58740003

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

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

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC,

SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA

PR 1 136,890000 167,110000 0,000000 248

W52579003

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

S 1 137,790000 168,220000 0,000000 249

W52579002

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA 10mg/ml

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

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

S 1 49,230000 64,390000 0,000000 250

W58740004

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10 mg/ml

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

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC,

SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA

PR 1 181,360000 221,410000 0,000000 251

W57278002

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF. 5 mg/ml

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

AUSTRIA

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

PR 1 38,604000 50,496000 85,684000 252

W57278008

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF. 5 mg/ml

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

AUSTRIA

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

PR 1 74,064000 93,648000 185,992000 253

W57278010

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

CONC. PT. SOL. PERF. 5 mg/ml

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

AUSTRIA

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

PR 1 148,992000 181,896000 358,384000 254

W54318002

L01XA03

OXALIPLATINUM

OXALIPLATINA TEVA 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 38,604000 50,496000 4,304000 255

W54318003

L01XA03

OXALIPLATINUM

OXALIPLATINA TEVA 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMANIA

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

PR 1 74,064000 93,648000 3,002000 256

W42983002

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF. 5mg/ml

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA 20 ML,

CU SUPORT DIN PE,

CONTINAND OXALIPLATINA 100 MG/20 ML CONC. PT. SOL. PERF.

S 1 74,064000 93,648000 325,002000 257

W56696005

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA

PR 1 124,160000 151,580000 0,000000 258

W42983003

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF. 5mg/ml

SANOFI-AVENTIS FRANCE

FRANTA

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

S 1 148,992000 181,896000 584,504000 259

W57175002

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 74,064000 93,648000 184,862000

30

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 260

W57175001

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 38,604000 50,496000 88,744000 261

W42983001

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF. 5mg/ml

SANOFI-AVENTIS FRANCE

FRANTA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA,

CU CAPACITATEA 15 ML,

CU SUPORT DIN PE,

CONTINAND OXALIPLATINA 50 MG/10 ML CONC. PT. SOL. PERF.

S 1 38,604000 50,496000 163,724000 262

W57175003

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

ACTAVIS GROUP PTC EHF.

ISLANDA

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

PR 1 148,992000 181,896000 341,064000 263

W56696001

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. CONTINAND 50 MG OXALIPLATINA

PR 1 32,170000 42,080000 0,000000 264

W56696002

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF. 5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITANIE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. CONTINAND 100 MG OXALIPLATINA

PR 1 61,720000 78,040000 0,000000 265

W52195002

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

LIOF. PT. SOL. PERF. 5mg/ml

ACTAVIS S.R.L.

ROMANIA

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

S 1 74,064000 93,648000 192,092000 266

W52195001

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5 mg/ml

LIOF. PT. SOL. PERF. 5mg/ml

ACTAVIS S.R.L.

ROMANIA

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

S 1 38,604000 50,496000 84,424000 267

W52468001

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF. 5mg/ml

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

AUSTRIA

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

PR 1 38,604000 50,496000 418,414000 268

W52977002

L01XA03

OXALIPLATINUM

OXALIPLATIN STADA 5 mg/ml

PULB. PT. SOL. PERF. 5mg/ml

STADA ARZNEIMITTEL AG

GERMANIA

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

PR 1 74,064000 93,648000 196,712000 269

W52468002

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF. 5mg/ml

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

AUSTRIA

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

PR 1 74,064000 93,648000 773,312000 270

W52977001

L01XA03

OXALIPLATINUM

OXALIPLATIN STADA 5 mg/ml

PULB. PT. SOL. PERF. 5mg/ml

STADA ARZNEIMITTEL AG

GERMANIA

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

PR 1 38,604000 50,496000 86,434000 271

W52468003

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE 5mg/ml

PULB. PT. SOL. PERF. 5mg/ml

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

AUSTRIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU SUPORT TRANSPARENT DIN PLASTIC (ONKO-SAFE) X 150 MG OXALIPLAT

PR 1 1.668,360000 1.856,660000 0,000000 272

W59766001

L01XB01

PROCARBAZINUM4)

NATULAN

CAPS. 50 mg

CN UNIFARM S.A.

ROMANIA

CUTIE X 50CAPSULE

PRF 50 13,860000 15,870400 0,000000 273

W07199001

L01XC02

RITUXIMABUM

MABTHERA 100 mg

CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 2 FLACOANE X 10 ML

S 2 929,765000 1.032,520000 0,000000 274

W07200001

L01XC02

RITUXIMABUM

MABTHERA 500 mg

CONC. PT. SOL. PERF. 10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

S 1 4.632,930000 5.088,050000 0,000000 275

W07881001

L01XC03

TRASTUZUMABUM

HERCEPTIN 150mg

PULB. PT. CONC. PT. SOL. PERF. 150mg

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. PULB. PT. CONC. PT. SOL. PERF.

PR 1 2.138,340000 2.368,940000 0,000000 276

W60341001

L01XC03

TRASTUZUMABUM

HERCEPTIN 600mg/5ml

SOL. INJ. 600mg/5 ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG TRASTUZUMAB)

S 1 6.199,870000 6.796,020000 0,000000 277

W52549002

L01XC06

CETUXIMABUM

ERBITUX 5mg/ml

SOL. PERF. 5mg/ml

MERCK KGAA

GERMANIA

CUTIE X 1 FLAC. DIN STICLA X 20 ML SOL. PERF.

S 1 730,430000 834,320000 0,000000 278

W42165001

L01XC07

BEVACIZUMABUM

AVASTIN 25mg/ml

CONC. PT. SOL. PERF. 25mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 4 ML CONC. PT. SOL. PERF.

S 1 1.130,890000 1.270,820000 0,000000 279

W42165002

L01XC07

BEVACIZUMABUM

AVASTIN 25mg/ml

CONC. PT. SOL. PERF. 25mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITANIE

CUTIE X 1 FLAC. DIN STICLA X 16 ML CONC. PT. SOL. PERF.

S 1 4.372,950000 4.804,670000 0,000000 280

W57375001

L01XC10

OFATUMUMAB

ARZERRA 1000mg

CONC. PT. SOL. PERF. 20mg/ml

GLAXO GROUP LTD.

MAREA BRITANIE

CUTIE CU 1 FLACON DIN STICLA X 50 ML CONCENTRAT PT. SOL. PERF. (1000MG OFATUMUMAB)

2 SETURI DE EXTEN

S 1 9.006,440000 9.855,180000 0,000000 281

W06844004

L01XE01

IMATINIBUM

GLIVEC 100 mg

CAPS. 100mg

NOVARTIS EUROPHARM LTD.

MAREA BRITANIE

CUTIE X 120 CAPS.

PR 120 30,750000 33,898999 42,447751 282

W59827004

L01XE01

IMATINIBUM

IMATINIB ACTAVIS 100 mg

CAPS. 100mg

ACTAVIS GROUP PTC EHF.

ISLANDA

CUTIE CU BLISTER DIN AL/PVC/ACLAR X 120 CAPSULE

PR 120 25,625000 28,249166 0,000000 283

W59679004

L01XE01

IMATINIBUM

NIBIX 100 mg

CAPS. 100mg

TERAPIA S.A.

ROMANIA

CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS.

PR 120 30,750000 33,898999 15,933084 284

W59881004

L01XE01

IMATINIBUM

EGITINID 100 mg

CAPS. 100mg

EGIS PHARMACEUTICALS P.L.C.

UNGARIA

CUTIE CU BLIST. PA-AL-PVC/AL X 120 CAPS.

PR 120 30,750000 33,898999 15,933084 285

W59541007

L01XE01

IMATINIBUM

IMATINIB GLENMARK 100 mg

COMPR. FILM. 100mg

GLENMARK PHARMACEUTICALS S.R.O.

REPUBLIC A CEHA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 120 COMPR. FILM.

PR 120 30,750000 33,898999 15,933084

31

Nr. crt

Cod CIM

Grupa terapeutica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant /am balaj

Pret cu ridicata maximal de decontare / U.T.

Pret de decontare / U.T.

contribuție maximă asigurat / U.T. - farmacii comunitare 286