Anexă · Ministerul Sănătății Casa Națională de Asigurări de Sănătate

Anexa din 22 decembrie 2014

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

prezumat în vigoare

Data actului
22 decembrie 2014
Emitent
Ministerul Sănătății Casa Națională de Asigurări de Sănătate
Publicat în
Monitorul Oficial nr. 951 bis din 29 decembrie 2014
Citează
2 acte
Structură
3 articole, 1 anexă · 916.722 caractere
Sursă
legislatie.just.ro

ANEXA 1

MODUL DE CALCUL

al prețurilor de decontare a medicamentelor care se acordă bolnavilor cuprinși

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

Articolul 1

(1)

Pentru medicamentele din sublista C secțiunea C2 din anexa nr. 1 la Hotărârea Guvernului

nr.

720/2008

pentru

aprobarea

Listei

cuprinzând

denumirile

comune internaționale corespunzătoare medicamentelor de care beneficiază asigurații, cu sau fără contribuție personală, pe bază de prescripție medicală, în sistemul de asigurări sociale de sănătate, precum și denumirile comune internaționale corespunzătoare medicamentelor care se acordă în cadrul programelor naționale de sănătate, cu modificările și completările ulterioare, care se eliberează prin farmacii cu circuit deschis, prețul de decontare se stabilește prin aplicarea procentului de 120% la prețul cu amănuntul maximal cu TVA, cel mai mic pe unitate terapeutică pe fiecare denumire comună internațională (DCI), formă farmaceutică asimilabilă/cale de administrare și concentrație.

(2)

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

(3)

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

(4)

În cazul inițierii sau menținerii unui tratament cu medicamente de referință având denumirea comună internațională Imatinibum, pentru adulții cu leucemie granulocitară cronică cu cromozom Philadelphia pozitiv (LGC Ph +) recent diagnosticată, la care transplantul de măduvă osoasă nu este considerat un tratament de prima linie, pentru adulții cu leucemie granulocitară cronică cu cromozom Philadelphia pozitiv (LGC Ph +) în faza cronică, după eșecul tratamentului cu alfa-interferon sau în faza accelerată, care au obținut, în condițiile legii, aprobarea comisiilor de la nivelul Casei Naționale de Asigurări de Sănătate pentru medicamentul de referință, prețul cu amănuntul maximal cu TVA, calculat pe unitatea terapeutică, devine preț de decontare.

Articolul 2

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

Articolul 3

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

Anexa 2

4

SECȚIUNEA C2 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% din pret de decontare - conform denumirilor comune internaționale corespunzătoare medicamentelor de care beneficiaza asiguratii inclusi in programele nationale de sănătate cu scop curativ in tratamentul ambulatoriu si spitalicesc

DIN HG NR. 720/2008 CU MODIFICARILE SI COMPLETARILE ULTERIOARE SI ORDINUL MS/CNAS NR. 1605/875 VALABILĂ ÎNCEPÂND CU 01 ianuarie 2015

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

A)

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

1

W05444

A07AA11

RIFAXIMINUM

NORMIX 200 mg

COMPR. FILM.

200mg

ALFA WASSERMANN SPA

ITALIA

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

P- RF

36

72,18

2,005000

2,005000

91,26

2,535000

2,535000

2

W05444

A07AA11

RIFAXIMINUM

NORMIX 200 mg

COMPR. FILM.

200mg

ALFA WASSERMANN SPA

ITALIA

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

P- RF

12

24,49

2,040833

2,040833

33,10

2,758333

2,758333

3

W05445

A07AA11

RIFAXIMINUM

NORMIX 100mg/5ml

GRAN. PT. SUSP. ORALA

100mg/5 ml

ALFA WASSERMANN SPA

ITALIA

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

P- RF

1

14,14

14,140000

14,140000

19,11

19,110000

19,110000

4

W13742

D01AC02

MICONAZOLUM

MICONAZOL NITRAT 2%

CREMA

2%

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 TUB X 20 G

P-

RF

1

5,05

5,050000

5,050000

6,83

6,830000

6,830000

5

W00040

D06BB03

ACICLOVIRUM

ZOVIRAX

CREMA

5%

THE WELLCOME FOUNDATION LTD.

MAREA BRITAN IE

CUTIE X 1 TUB X 5G CREMA

P- RF

1

15,58

15,580000

4,416000

21,06

21,060000

5,976000

6

W55641

D06BB03

ACICLOVIRUM

ACICLOVIR 50mg/g

CREMA

5%

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 1 TUB X 5 G CREMA

P-

RF

1

3,68

3,680000

3,680000

4,98

4,980000

4,980000

7

W55641

D06BB03

ACICLOVIRUM

ACICLOVIR 50mg/g

CREMA

5%

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 1 TUB X 15 G CREMA

P-

RF

1

5,62

5,620000

4,176000

7,60

7,600000

5,640000

8

W53041

D06BB03

ACICLOVIRUM

ACICLOVIR TIS 50mg/g

CREMA

50mg/g

TIS FARMACEUTIC

SA

ROMAN

IA

CUTIE X 1 TUB DIN PEJD X 15 G CREMA

P-

RF

1

3,48

3,480000

3,480000

4,70

4,700000

4,700000

9

W55128

D06BB03

ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

CREMA

50mg/g

SLAVIA PHARM

S.R.L.

ROMAN

IA

CUTIE CU 1 TUB AL X 15 G CREMA

P-

RF

1

4,97

4,970000

4,176000

6,72

6,720000

5,640000

10

W52146

D06BB03

ACICLOVIRUM

ACICLOVIR HYPERION

CREMA

50mg/g

HYPERION S.A.

ROMAN

IA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-

RF

1

5,42

5,420000

4,176000

7,33

7,330000

5,640000

11

W60557

D06BB03

ACICLOVIRUM

ACICLOVIR-RICHTER

50mg/g

CREMA

50mg/g

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE CU 1 TUB AL X 5 G CREMA

PR

F

1

3,68

3,680000

3,680000

4,98

4,980000

4,980000

12

W60557

D06BB03

ACICLOVIRUM

ACICLOVIR-RICHTER

50mg/g

CREMA

50mg/g

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE CU 1 TUB AL X 15 G CREMA

PR

F

1

5,62

5,620000

4,176000

7,60

7,600000

5,640000

13

W55128

D06BB03

ACICLOVIRUM

ACICLOVIR SLAVIA 50 mg/g

CREMA

50mg/g

SLAVIA PHARM

S.R.L.

ROMAN

IA

CUTIE CU 1 TUB AL X 5 G CREMA

P-

RF

1

3,99

3,990000

3,990000

5,39

5,390000

5,390000

14

W58038

D06BB03

ACICLOVIRUM

ACICLOVIR TERAPIA 50

mg/g

CREMA

50mg/g

TERAPIA S.A.

ROMAN

IA

CUTIE CU 1 TUB DIN AL X 15 G CREMA

PR

F

1

4,97

4,970000

4,176000

6,72

6,720000

5,640000

15

W51339

G01AF04

MICONAZOLUM

GYNOZOL 200

CAPS.

VAG.

200mg

PHARCO IMPEX 93

S.R.L.

ROMAN

IA

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

P-

RF

6

4,41

0,735000

0,735000

5,96

0,993333

0,993333

16

W51340

G01AF04

MICONAZOLUM

GYNOZOL 400

CAPS.

VAG.

400mg

PHARCO IMPEX 93

S.R.L.

ROMAN

IA

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

P-

RF

3

4,23

1,410000

1,410000

5,72

1,906666

1,906666

17

W04675

J01CF04

OXACILLINUM

OXACILINA ARENA 250 mg

CAPS.

250mg

ARENA GROUP SA

ROMAN IA

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

P-

RF/ S

1.000

242,55

0,242550

0,242550

296,11

0,296110

0,296110

18

W11729

J01CF04

OXACILLINUM

OXACILINA 250 mg

CAPS.

250mg

ANTIBIOTICE SA

ROMAN

IA

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

P-

RF

20

5,59

0,279500

0,279500

7,55

0,377500

0,355332

19

W43090

J01CF04

OXACILLINUM

OXACILINA SANDOZ 250 mg

CAPS.

250mg

SANDOZ SRL

ROMAN

IA

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

P-

RF

20

5,70

0,285000

0,285000

7,70

0,385000

0,355332

20

W04675

J01CF04

OXACILLINUM

OXACILINA ARENA 250 mg

CAPS.

250mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

20

5,25

0,262500

0,262500

7,10

0,355000

0,355000

21

W07274

J01CF04

OXACILLINUM

OXACILINA 500 mg

CAPS.

500mg

ANTIBIOTICE SA

ROMAN

IA

CUTIE X 1 BLIST. X 10 CAPS.

P-

RF

10

5,55

0,555000

0,468216

7,50

0,750000

0,571608

22

W13743

J01CF04

OXACILLINUM

OXACILINA ARENA 500 mg

CAPS.

500mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

10

4,58

0,458000

0,458000

6,19

0,619000

0,571608

23

W12910

J01CF04

OXACILLINUM

OXACILINA FORTE 500 mg

CAPS.

500mg

FARMEX COMPANY SRL

ROMAN IA

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

P-

RF/ S

500

195,09

0,390180

0,390180

238,17

0,476340

0,476340

24

W43092

J01CF04

OXACILLINUM

OXACILINA SANDOZ 500 mg

CAPS.

500mg

SANDOZ SRL

ROMAN

IA

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

P-

RF

10

5,21

0,521000

0,468216

7,04

0,704000

0,571608

25

W12910

J01CF04

OXACILLINUM

OXACILINA FORTE 500 mg

CAPS.

500mg

FARMEX COMPANY

SRL

ROMAN

IA

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

P-

RF

20

8,26

0,413000

0,413000

11,17

0,558500

0,558500

26

W60469

J01CF04

OXACILLINUM

OXACILINA ATB 1000 mg

PULB. PT. SOL.

INJ./PERF.

1000mg

ANTIBIOTICE SA

ROMAN IA

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

PR F

1

3,94

3,940000

3,940000

5,33

5,330000

5,330000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

27

W60469

J01CF04

OXACILLINUM

OXACILINA ATB 1000 mg

PULB. PT.

SOL. INJ./PERF.

1000mg

ANTIBIOTICE SA

ROMAN IA

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

PR F

100

376,06

3,760600

3,760600

448,06

4,480600

4,480600

28

W60468

J01CF04

OXACILLINUM

OXACILINA ATB 500 mg

PULB. PT.

SOL. INJ./PERF.

500mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR F

1

3,64

3,640000

3,640000

4,92

4,920000

4,920000

29

W60468

J01CF04

OXACILLINUM

OXACILINA ATB 500 mg

PULB. PT.

SOL. INJ./PERF.

500mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR F

100

349,30

3,493000

3,493000

418,89

4,188900

4,188900

30

W04684

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE

500 mg

PULB. PT. SOL. INJ./PERF.

I.M./I.V.

500mg

ANTIBIOTICE SA

ROMAN IA

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

P-

RF/ S

100

349,30

3,493000

3,493000

418,89

4,188900

4,188900

31

W04684

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE

500 mg

PULB. PT. SOL. INJ./PERF.

I.M./I.V.

500mg

ANTIBIOTICE SA

ROMAN IA

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

P- RF

1

3,64

3,640000

3,640000

4,92

4,920000

4,920000

32

W04682

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 1 g

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

M./I.V.

1g

ANTIBIOTICE SA

ROMAN IA

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

P-

RF/ S

100

376,06

3,760600

3,760600

448,06

4,480600

4,480600

33

W04682

J01CF04

OXACILLINUM

OXACILINA ANTIBIOTICE 1 g

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

M./I.V.

1g

ANTIBIOTICE SA

ROMAN IA

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

P- RF

1

3,94

3,940000

3,940000

5,33

5,330000

5,330000

34

W58901

J01CR01

AMPICILLINUM + SULBACTAM

AMPIPLUS 1000 mg/500 mg

PULB. PT. SOL. INJ./PERF.

1000mg/5 00mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR

, PR F

50

633,77

12,675400

12,675400

728,96

14,579200

14,579200

35

W55354

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN SR 1000

mg/62,5 mg

COMPR. ELIB. PREL.

1000mg/6 2,5mg

BEECHAM GROUP PLC

MAREA BRITAN IE

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

P- RF

28

34,28

1,224285

1,224285

44,84

1,601428

1,601428

36

W00400

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2 x 1000 mg

COMPR. FILM.

1000mg

LEK PHARMACEUTICALS

D.D.

SLOVE NIA

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

P- RF

14

29,92

2,137142

1,086000

39,13

2,795000

1,467428

37

W57628

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

ENHANCIN 500 mg/125mg

COMPR. FILM.

500

mg/125 mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF

28

24,47

0,873928

0,630857

33,07

1,181071

0,852857

38

W54453

J01CR02

AMOXICILLINUM + ACIDUM

CLAVULANICUM

AMOXIPLUS 500/125 mg

COMPR.

FILM.

500/125m

g

ANTIBIOTICE S.A.

ROMAN

IA

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

COMPR. FILM.

P-

RF

14

8,01

0,572142

0,572142

10,83

0,773571

0,773571

39

W55163

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN 500 mg/125 mg

COMPR. FILM.

500mg/12 5mg

BEECHAM GROUP PLC

MAREA BRITAN IE

CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

P- RF

14

11,33

0,809285

0,630857

15,32

1,094285

0,852857

40

W54971

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO

500 mg/125 mg

COMPR. FILM.

500mg/12 5mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

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

P- RF

14

7,36

0,525714

0,525714

9,95

0,710714

0,710714

41

W00401

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2 x 625 mg

COMPR. FILM.

625mg

LEK PHARMACEUTICALS

D.D.

SLOVE NIA

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

P- RF

14

20,76

1,482857

0,630857

28,06

2,004285

0,852857

42

W54972

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO

875 mg/125 mg

COMPR. FILM.

875mg/12 5mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

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

P- RF

14

12,67

0,905000

0,905000

17,12

1,222857

1,222857

43

W55164

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN 875 mg/125 mg

COMPR. FILM.

875mg/12 5mg

BEECHAM GROUP PLC

MAREA BRITAN IE

CUTIE CU 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM., FIECARE BLISTER FIIND INTRODUS INTR-O PUNGA PROTECTO

P- RF

14

19,50

1,392857

1,086000

26,35

1,882142

1,467428

44

W55401

J01CR02

AMOXICILLINUM + ACIDUM

CLAVULANICUM

AMOXIPLUS 875 mg/125 mg

COMPR.

FILM.

875mg/12

5mg

ANTIBIOTICE S.A.

ROMAN

IA

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

COMPR. FILM.

P-

RF

14

14,04

1,002857

1,002857

18,97

1,355000

1,355000

45

W51992

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB

1000 mg

COMPR. PT. DISPERSIE ORALA/OR ODISPERS ABILE

1000mg

BIOMEDIAL PHARMA S.R.L.

ROMAN IA

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

P- RF

14

18,55

1,325000

1,086000

25,07

1,790714

1,467428

46

W51991

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV QUICKTAB

625 mg

COMPR. PT. DISPERSIE ORALA/OR ODISPERS ABILE

625mg

BIOMEDIAL PHARMA S.R.L.

ROMAN IA

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

P- RF

14

12,23

0,873571

0,630857

16,53

1,180714

0,852857

5

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

47

W59739

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXIPLUS 1000 mg/200

mg

PULB. PT.

SOL. INJ./PERF.

1000mg/2 00mg

ANTIBIOTICE SA

ROMAN IA

CUTIE CU 50 FLAC. DIN STICLA

INCOLORA CARE CONTINE PULB. PT. SOL. INJ. / PERF.

PR F

50

355,00

7,100000

7,100000

425,10

8,502000

8,502000

48

W10678

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV 156,25 mg/5 ml

PULB. PT.

SUSP. ORALA

125mg+3

1,25/5ml

MEDOCHEMIE LTD.

CIPRU

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

P- RF

1

11,02

11,020000

10,380000

14,90

14,900000

14,028000

49

W00399

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 156,25mg/5ml

PULB. PT. SUSP.

ORALA

156,25mg

/5ml

LEK PHARMACEUTICALS

D.D.

SLOVE NIA

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

P- RF

1

8,65

8,650000

8,650000

11,69

11,690000

11,690000

50

W10679

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

MEDOCLAV FORTE

312,5mg/5ml

PULB. PT.

SUSP. ORALA

250mg+6

2,5mg/5ml

MEDOCHEMIE LTD.

CIPRU

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

P- RF

1

16,36

16,360000

16,360000

22,11

22,110000

22,110000

51

W08783

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2x

PULB. PT. SUSP.

ORALA

400mg+5

7mg/5ml

LEK PHARMACEUTICALS

D.D.

SLOVE NIA

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

SERINGA DOZATOARE

P- RF

1

4,78

4,780000

4,780000

6,46

6,460000

6,460000

52

W08783

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 2x

PULB. PT. SUSP.

ORALA

400mg+5

7mg/5ml

LEK PHARMACEUTICALS

D.D.

SLOVE NIA

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

SERINGA DOZATOARE

P- RF

1

9,57

9,570000

9,570000

12,93

12,930000

12,930000

53

W55355

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57

mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57 mg/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

P- RF

1

14,72

14,720000

11,484000

19,89

19,890000

15,516000

54

W55355

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57

mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57 mg/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

P- RF

1

7,36

7,360000

5,736000

9,95

9,950000

7,752000

55

W55355

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN BIS 400 mg/57

mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57 mg/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

P- RF

1

7,36

7,360000

5,736000

9,95

9,950000

7,752000

56

W59180

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOXICILINA/ACID CLAVULANIC AUROBINDO

400 mg/57 mg/5 ml

PULB. PT. SUSP. ORALA

400mg/57 mg/5ml

AUROBINDO PHARMA (MALTA) LIMITED

MALTA

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

PR F

1

4,79

4,790000

4,790000

6,47

6,470000

6,470000

57

W55342

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AUGMENTIN (R) ES

PULB. PT. SUSP. ORALA

600

mg/42,9m g/5ml

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

P- RF

1

26,22

26,220000

26,220000

34,30

34,300000

34,300000

58

W00402

J01CR02

AMOXICILLINUM + ACIDUM CLAVULANICUM

AMOKSIKLAV 312,5mg/5ml

PULB.

PT.SUSP. ORALA

312,5mg/ 5ml

LEK

PHARMACEUTICALS D.D.

SLOVE NIA

CUTIE X 1 FLAC. DIN STICLA BRUNA CU

25 G PULB. PT. 100 ML SUSP. ORALA + LINGURITA DOZATOARE

P- RF

1

17,77

17,770000

17,770000

24,02

24,020000

24,020000

59

W54763

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

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

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANT A

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

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

60

W55423

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

61

W55369

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

62

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML

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

S

12

265,41

22,117500

22,117500

324,01

27,000833

27,000833

63

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

64

W54765

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

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

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANT A

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

S

1

40,94

40,940000

40,940000

53,55

53,550000

53,550000

65

W55370

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

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

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

66

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

67

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA

INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

68

W55424

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

69

W55117

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

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

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

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

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

6

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

70

W53595

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

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

PULB. PT. SOL. PERF.

2g/0,25g

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

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA

INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

386,57

38,657000

26,541000

459,51

45,951000

32,401000

71

W53596

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

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

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA

INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

389,01

38,901000

38,901000

462,17

46,217000

46,217000

72

W55618

J01DD04

CEFTRIAXONUM

OFRAMAX 1000 mg

PULB. PT.

SOL. INJ./PERF.

1000mg

TERAPIA SA

ROMAN IA

CUTIE CU 50 FLAC. DIN STICLA

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

S

50

456,00

9,120000

4,826400

535,19

10,703800

6,313200

73

W13949

J01DD04

CEFTRIAXONUM

CEFORT 1 g

PULB. PT. SOL.

INJ./PERF.

1g

ANTIBIOTICE SA

ROMAN IA

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

S/P RF

10

133,84

13,384000

4,826400

163,39

16,339000

6,313200

74

W59397

J01DD04

CEFTRIAXONUM

CEFTRIAXONA-MIP 1 g

PULB. PT. SOL. INJ./PERF.

1g

MIP PHARMA GMBH

GERMA NIA

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

PR

10

40,22

4,022000

4,022000

52,61

5,261000

5,261000

75

W53779

J01DD04

CEFTRIAXONUM

SEFTRION 1 g

PULB. PT.

SOL. INJ./PERF.

1g

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

ROMAN IA

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

S/P RF

1

10,31

10,310000

4,826400

13,94

13,940000

6,313200

76

W13948

J01DD04

CEFTRIAXONUM

CEFORT 250 mg

PULB. PT. SOL.

INJ./PERF.

250mg

ANTIBIOTICE SA

ROMAN IA

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

S/P RF

10

54,63

5,463000

5,463000

69,07

6,907000

6,907000

77

W55619

J01DD04

CEFTRIAXONUM

OFRAMAX 250 mg

PULB. PT.

SOL. INJ./PERF.

250mg

TERAPIA SA

ROMAN IA

CUTIE CU 50 FLAC. DIN STICLA

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

S

50

246,03

4,920600

4,920600

300,35

6,007000

6,007000

78

W42544

J01DD04

CEFTRIAXONUM

MEDAXONE 2 g

PULB. PT.

SOL. INJ./PERF.

2g

MEDOCHEMIE LTD.

CIPRU

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

S/P RF

10

210,87

21,087000

8,888400

257,43

25,743000

11,238000

79

W13891

J01DD04

CEFTRIAXONUM

CEFORT 2 g

PULB. PT. SOL.

INJ./PERF.

2g

ANTIBIOTICE SA

ROMAN IA

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

S/P RF

10

228,45

22,845000

8,888400

278,89

27,889000

11,238000

80

W59398

J01DD04

CEFTRIAXONUM

CEFTRIAXONA-MIP 2 g

PULB. PT. SOL. INJ./PERF.

2g

MIP PHARMA GMBH

GERMA NIA

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

PR

10

74,07

7,407000

7,407000

93,65

9,365000

9,365000

81

W53778

J01DD04

CEFTRIAXONUM

SEFTRION 500 mg

PULB. PT.

SOL. INJ./PERF.

500mg

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

ROMAN IA

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

S/P RF

1

7,74

7,740000

7,740000

10,46

10,460000

10,460000

82

W56096

J01DD04

CEFTRIAXONUM

SEFTRION 2 g

PULB. PT. SOL. PERF.

2g

EIPICO MED SRL

ROMAN IA

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

P- RF

1

12,94

12,940000

8,888400

17,49

17,490000

11,238000

83

W51335

J01DD04

CEFTRIAXONUM

ROCEPHIN (R)

PULB. PT. SOL. PERF.

2g

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPCITATEA DE 50ML CONTINAND

PULB. PT. SOL. PERFUZ.

S/P RF

1

44,01

44,010000

8,888400

57,56

57,560000

11,238000

84

W57455

J01DD08

CEFIXIMUM

EFICEF 100 mg

CAPS.

100mg

ANTIBIOTICE S.A.

ROMAN

IA

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

PR

F

10

15,95

1,595000

1,595000

21,56

2,156000

2,156000

85

W13701

J01DD08

CEFIXIMUM

EFICEF (R) 200 mg

CAPS.

200mg

ANTIBIOTICE SA

ROMAN

IA

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

P-

RF

10

26,58

2,658000

2,658000

34,77

3,477000

3,477000

86

W60256

J01DD08

CEFIXIMUM

XIFIA 400mg

COMPR.

FILM.

400mg

INN-FARM D.O.O.

SLOVE

NIA

CUTIE CU UN BLISTER PVC-PVDC/AL X 5

COMPRIMATE FILMATE

PR

F

5

42,81

8,562000

8,562000

55,99

11,198000

11,198000

87

W60256

J01DD08

CEFIXIMUM

XIFIA 400mg

COMPR.

FILM.

400mg

INN-FARM D.O.O.

SLOVE

NIA

CUTIE CU 2 BLISTERE PVC-PVDC/AL A

CATE 5 COMPRIMATE FILMATE

PR

F

10

80,08

8,008000

8,008000

101,25

10,125000

10,125000

88

W13676

J01DD12

CEFOPERAZONUM

MEDOCEF 1 g

PULB. PT. SOL. INJ.

1g

MEDOCHEMIE LTD.

CIPRU

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

S/P RF

10

154,50

15,450000

8,448000

188,61

18,861000

11,412000

89

W13677

J01DD12

CEFOPERAZONUM

MEDOCEF 2 g

PULB. PT. SOL. INJ.

2g

MEDOCHEMIE LTD.

CIPRU

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

S/P RF

10

187,44

18,744000

13,932000

228,83

22,883000

18,828000

90

W44045

J01DD12

CEFOPERAZONUM

CEFOZON 500 mg

PULB. PT. SOL. INJ.

500mg

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

ROMAN IA

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

S/P RF

1

3,88

3,880000

3,880000

5,24

5,240000

5,240000

91

W52795

J01DD12

CEFOPERAZONUM

CEFOZON 2 g

PULB. PT. SOL. INJ./PERF.

I.M./I.V.

2g

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

ROMAN IA

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

S/P RF

1

11,61

11,610000

11,610000

15,69

15,690000

15,690000

92

W44061

J01DD12

CEFOPERAZONUM

CEFOZON 1 g

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

M./I.V.

1g

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

ROMAN IA

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

S/P RF

1

7,04

7,040000

7,040000

9,51

9,510000

9,510000

93

W53787

J01DD62

COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT. SOL.

INJ./PERF.

1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMAN IA

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

S/P RF

1

18,67

18,670000

18,670000

25,24

25,240000

22,273440

94

W53787

J01DD62

COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT.

SOL. INJ./PERF.

1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA

INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

S/P RF

10

180,16

18,016000

18,016000

219,94

21,994000

21,994000

7

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

95

W53787

J01DD62

COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT.

SOL. INJ./PERF.

1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMAN IA

CUTIE CU 50 FLAC. DIN STICLA

INCOLORA CONTINAND PULB. PT. SOL. INJ./PERF.

S/P RF

50

848,93

16,978600

16,978600

963,48

19,269600

19,269600

96

W53787

J01DD62

COMBINATII (CEFOPERAZONUM+SULBACTAMUM)

SULCEF 1000 mg/1000 mg

PULB. PT. SOL.

INJ./PERF.

1000mg/1 000mg

MEDOCHEMIE S.R.L.

ROMAN IA

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

INJ./PERF.

S

100

1.667,86

16,678600

16,678600

1.856,12

18,561200

18,561200

97

W13605

J01DE02

CEFPIROMUM

CEFROM (R) 1 g

PULB. PT. SOL.

INJ./PERF.

1g

LAB. AVENTIS

FRANT A

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

S/P RF

1

59,93

59,930000

59,930000

75,78

75,780000

75,780000

98

W13606

J01DE02

CEFPIROMUM

CEFROM (R) 2 g

PULB. PT. SOL.

INJ./PERF.

2g

LAB. AVENTIS

FRANT A

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

S/P RF

1

104,25

104,250000

104,250000

127,27

127,270000

127,270000

99

W55475

J01DH02

MEROPENEMUM

MERONEM IV 1 g

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

1g

ASTRAZENECA UK LIMITED

MAREA BRITAN IE

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

S

10

1.030,68

103,068000

63,118800

1.161,59

116,159000

73,377600

100

W55465

J01DH02

MEROPENEMUM

MERONEM IV 500 mg

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

500mg

ASTRAZENECA UK LIMITED

MAREA BRITAN IE

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

S

10

539,60

53,960000

36,430800

626,31

62,631000

44,287200

101

W60705

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 1000

mg

PULB. PT. SOL. INJ. SAU PERF.

1000 mg

ZENTIVA, K.S.

REPUB LICA CEHA

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

PR

10

680,44

68,044000

63,118800

779,83

77,983000

73,377600

102

W60703

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 500

mg

PULB. PT. SOL. INJ. SAU PERF.

500 mg

ZENTIVA, K.S.

REPUB LICA CEHA

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

PR

10

361,24

36,124000

36,124000

431,90

43,190000

43,190000

103

W56827

J01DH02

MEROPENEMUM

LODITER 1000 mg

PULB. PT. SOL. INJ./PERF.

1000mg

TERAPIA S.A.

ROMAN IA

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

PR

1

72,84

72,840000

63,118800

92,10

92,100000

73,377600

104

W58974

J01DH02

MEROPENEMUM

MEROPENEM ATB 1000 mg

PULB. PT. SOL. INJ./PERF.

1000mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU

CAPSA

PR F

10

680,43

68,043000

63,118800

779,82

77,982000

73,377600

105

W61143

J01DH02

MEROPENEMUM

ARCHIFAR 1000 mg

PULB. PT. SOL. INJ./PERF.

1000mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

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

PR

10

525,99

52,599000

52,599000

611,48

61,148000

61,148000

106

W56331

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 1 g

PULB. PT. SOL. INJ./PERF.

1g

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

PR

10

540,86

54,086000

54,086000

627,69

62,769000

62,769000

107

W56125

J01DH02

MEROPENEMUM

MEROPENEM KABI 1 g

PULB. PT. SOL.

INJ./PERF.

1g

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

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

S

10

680,43

68,043000

63,118800

779,82

77,982000

73,377600

108

W58973

J01DH02

MEROPENEMUM

MEROPENEM ATB 500 mg

PULB. PT. SOL. INJ./PERF.

500mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU

CAPSA

PR F

10

361,24

36,124000

36,124000

431,90

43,190000

43,190000

109

W56826

J01DH02

MEROPENEMUM

LODITER 500 mg

PULB. PT. SOL. INJ./PERF.

500mg

TERAPIA S.A.

ROMAN IA

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

PR

1

37,77

37,770000

36,430800

49,40

49,400000

44,287200

110

W56124

J01DH02

MEROPENEMUM

MEROPENEM KABI 500 mg

PULB. PT.

SOL. INJ./PERF.

500mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA

INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

PR

10

361,25

36,125000

36,125000

431,91

43,191000

43,191000

111

W56330

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 500

mg

PULB. PT. SOL. INJ./PERF.

500mg

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

PR

10

303,59

30,359000

30,359000

369,06

36,906000

36,906000

112

W61142

J01DH02

MEROPENEMUM

ARCHIFAR 500 mg

PULB. PT. SOL. INJ./PERF.

500mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

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

PR

10

361,24

36,124000

36,124000

431,90

43,190000

43,190000

113

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

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

PERF.

S/P RF

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

114

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

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

PERF.

S/P RF

5

146,26

29,252000

29,252000

178,55

35,710000

35,710000

115

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

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

PERF.

S/P RF

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

8

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

116

W54532

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN KABI

500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S/P RF

10

296,98

29,698000

29,698000

362,55

36,255000

36,255000

117

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

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

PERF.

S/P RF

1

30,31

30,310000

30,310000

39,65

39,650000

39,650000

118

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

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

PERF.

S/P RF

5

146,26

29,252000

29,252000

178,55

35,710000

35,710000

119

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

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

PERF.

S/P RF

5

146,26

29,252000

29,252000

178,55

35,710000

35,710000

120

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

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

PERF.

S/P RF

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

121

W51274

J01DH51

IMIPENEMUM + CILASTATINUM

TIENAM I.V.

PULB. PT. SOL. PERF.

500mg/50 0mg

MERCK SHARP & DOHME

ROMAN IA

TAVA DIN PLASTIC X 10 FLAC. DIN

STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P RF

10

445,46

44,546000

35,102400

523,70

52,370000

42,852000

122

W61198

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN ATB

500 mg/500 mg

PULB. PT. SOL. PERF.

500mg/50 0mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL.

PERF.

PR

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

123

W53671

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

BITRIM 400mg/80mg

COMPR.

400mg/80

mg

ARENA GROUP S.A.

ROMAN

IA

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

P-

RF

20

5,71

0,285500

0,285500

7,72

0,386000

0,386000

124

W05741

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

TAGREMIN

COMPR.

400mg/80

mg

ZENTIVA S.A.

ROMAN

IA

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

P-

RF

20

5,71

0,285500

0,285500

7,72

0,386000

0,386000

125

W12479

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

CO - TRIM ELL

COMPR.

400mg/80

mg

BIO EEL SRL

ROMAN

IA

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

P-

RF

20

5,21

0,260500

0,260500

7,04

0,352000

0,352000

126

W05738

J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

SUMETROLIM

COMPR.

400mg/80 mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

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

P- RF

20

5,47

0,273500

0,273500

7,40

0,370000

0,370000

127

W44046

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

EPITRIM

SUSP.

ORALA

200mg/40

mg /5ml

E.I.P.I.CO. MED

S.R.L.

ROMAN

IA

CUTIE X 1 FLACON DIN STICLA BRUNA

CU MASURA DOZATOARE X 100 ML

P-

RF

1

3,52

3,520000

3,520000

4,76

4,760000

4,760000

128

W05739

J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

SUMETROLIM

SUSP. ORALA

25mg/5m g/ml

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

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

DOZATOARE

P- RF

1

7,75

7,750000

7,750000

10,48

10,480000

10,480000

129

W05561

J01FA02

SPIRAMYCINUM

ROVAMYCINE (R) 1,5 Mil. UI

COMPR.

FILM.

1,5 M ui

LAB. AVENTIS

FRANT

A

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

FILM.

P-

RF

16

7,29

0,455625

0,455625

9,85

0,615625

0,615625

130

W13604

J01FA02

SPIRAMYCINUM

ROVAMYCINE (R) 3 Mil. UI

COMPR.

FILM.

3M ui

LAB. AVENTIS

FRANT

A

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

FILM.

P-

RF

10

18,91

1,891000

1,891000

25,56

2,556000

2,556000

131

W58242

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR.

CU ELIB. PREL.

500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR F

7

23,71

3,387142

1,405714

32,05

4,578571

1,899428

132

W59000

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500

mg

COMPR. ELIB.

PREL.

500mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR F

6

21,73

3,621666

1,405714

29,37

4,895000

1,899428

133

W14043

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 250

COMPR.

FILM.

250mg

MEDOCHEMIE LTD.

CIPRU

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

COMPR. FILM.

P-

RF

14

12,35

0,882142

0,647142

16,69

1,192142

0,874285

134

W01326

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR.

FILM.

250mg

ABBOTT SPA

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-

RF

14

21,14

1,510000

0,647142

28,57

2,040714

0,874285

135

W58998

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250

mg

COMPR. FILM.

250mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR F

14

8,39

0,599285

0,599285

11,34

0,810000

0,810000

136

W08490

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR.

FILM.

250mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

14

12,35

0,882142

0,647142

16,69

1,192142

0,874285

137

W60253

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR.

FILM.

250mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 14

COMPR. FILM.

PR

F

14

8,40

0,600000

0,600000

11,36

0,811428

0,811428

138

W44093

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg

COMPR.

FILM.

250mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

14

10,85

0,775000

0,647142

14,67

1,047857

0,874285

139

W61223

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 250 mg

COMPR. FILM.

250mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

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

PR F

14

7,55

0,539285

0,539285

10,20

0,728571

0,728571

140

W54044

J01FA09

CLARITHROMYCINUM

ROCLARIN 500 mg

COMPR.

FILM.

500mg

ANTIBIOTICE S.A.

ROMAN

IA

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

FILM.

P-

RF

20

33,14

1,657000

1,405714

43,35

2,167500

1,899428

141

W60254

J01FA09

CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR.

FILM.

500mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 14

COMPR. FILM.

PR

F

14

24,13

1,723571

1,405714

32,62

2,330000

1,899428

142

W08491

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR.

FILM.

500mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

14

24,13

1,723571

1,405714

32,62

2,330000

1,899428

143

W58999

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500

mg

COMPR. FILM.

500mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR F

14

18,22

1,301428

1,301428

24,62

1,758571

1,758571

144

W44087

J01FA09

CLARITHROMYCINUM

KLABAX 500 mg

COMPR.

FILM.

500mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

14

23,73

1,695000

1,405714

32,08

2,291428

1,899428

145

W56269

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM.

500mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUB

LICA CEHA

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

P- RF

20

40,76

2,038000

1,405714

53,31

2,665500

1,899428

9

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

146

W14044

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 500

COMPR.

FILM.

500mg

MEDOCHEMIE LTD.

CIPRU

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

COMPR. FILM.

P-

RF

14

24,13

1,723571

1,405714

32,62

2,330000

1,899428

147

W61224

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 500 mg

COMPR. FILM.

500mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

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

PR F

14

16,40

1,171428

1,171428

22,16

1,582857

1,582857

148

W44088

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF.

500mg

TERAPIA SA

ROMAN IA

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

P- RF

7

25,34

3,620000

1,405714

33,15

4,735714

1,899428

149

W13607

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL.

500mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

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

P- RF

5

27,85

5,570000

1,405714

36,43

7,286000

1,899428

150

W41838

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL.

500mg

KRKA D.D.

SLOVE NIA

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

P- RF

7

20,78

2,968571

1,405714

28,09

4,012857

1,899428

151

W44092

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT.

SUSP. ORALA

125mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF

1

14,01

14,010000

14,010000

18,94

18,940000

18,940000

152

W42258

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

GRAN. PT.

SUSP. ORALA

125mg/5 ml

SANDOZ SRL

ROMAN IA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE

PT. 60 ML SUSP. ORALA + LINGURITA DOZATOARE PP

P- RF

1

19,39

19,390000

16,812000

26,21

26,210000

22,728000

153

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT SPA

ITALIA

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

DOZATOARE X 2,5 ML/5 ML

P- RF

1

29,92

29,920000

29,920000

39,14

39,140000

39,140000

154

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT SPA

ITALIA

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

DOZATOARE X 2,5 ML/5 ML

P- RF

1

18,11

18,110000

16,812000

24,48

24,480000

22,728000

155

W06981

J01FA09

CLARITHROMYCINUM

FROMILID (R) 125 mg/5 ml

GRAN. PT.

SUSP. ORALA

125mg/5 ml

KRKA D.D.

SLOVE NIA

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

P- RF

1

17,24

17,240000

16,812000

23,30

23,300000

22,728000

156

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT.

SUSP. ORALA

250mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF

1

39,06

39,060000

39,060000

51,09

51,090000

51,090000

157

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP.

ORALA

250mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF

1

23,44

23,440000

23,440000

31,68

31,680000

31,680000

158

W58393

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA

250mg/5 ml

SANDOZ S.R.L.

ROMAN IA

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

PR F

1

21,29

21,290000

21,290000

28,78

28,780000

28,780000

159

W01329

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF.

500mg

ABBOTT LABORATORIES

LTD.

FRANT A

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

S/P RF

1

41,12

41,120000

41,120000

53,78

53,780000

53,780000

160

W42271

J01FA10

AZITHROMYCINUM

AZATRIL 250 mg

CAPS.

250mg

BALKANPHARMA

RAZGRAD AD

BULGA

RIA

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

P-

RF

6

18,87

3,145000

3,145000

25,50

4,250000

4,250000

161

W00517

J01FA10

AZITHROMYCINUM

SUMAMED 250 mg

CAPS.

250mg

PLIVA LJUBLIJANA

D.O.O.

SLOVE

NIA

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

CAPS.

P-

RF

6

29,04

4,840000

3,774000

37,99

6,331666

5,100000

162

W00518

J01FA10

AZITHROMYCINUM

SUMAMED 125 mg

COMPR.

FILM.

125mg

PLIVA LJUBLJANA

D.O.O.

SLOVE

NIA

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

FILM.

P-

RF

6

18,76

3,126666

3,126666

25,36

4,226666

4,226666

163

W52838

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA

250 mg

COMPR.

FILM.

250mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

6

18,88

3,146666

3,146666

25,52

4,253333

4,253333

164

W42879

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 250 mg COMPRIMATE FILMATE

COMPR. FILM.

250mg

SANDOZ S.R.L.

ROMAN IA

CUTIE X 1 BLIST. X 6 COMPR. FILM.

P- RF

6

37,31

6,218333

3,774000

48,80

8,133333

5,100000

165

W52838

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA

250 mg

COMPR.

FILM.

250mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

6

18,88

3,146666

3,146666

25,52

4,253333

4,253333

166

W43486

J01FA10

AZITHROMYCINUM

AZIBIOT 500 mg

COMPR.

FILM.

500mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

FILM.

P-

RF

3

18,98

6,326666

6,292000

25,65

8,550000

8,503999

167

W60406

J01FA10

AZITHROMYCINUM

AZITROMICINA ARENA 500

mg

COMPR.

FILM.

500mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

PR

F

3

18,97

6,323333

6,292000

25,64

8,546666

8,503999

168

W42878

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 500 mg COMPRIMATE

FILMATE

COMPR. FILM.

500mg

SANDOZ S.R.L.

ROMAN IA

CUTIE X 1 BLIST. X 3 COMPR. FILM.

P- RF

3

37,31

12,436666

6,292000

48,80

16,266666

8,503999

169

W57032

J01FA10

AZITHROMYCINUM

AZITROX (R) 500

COMPR.

FILM.

500mg

ZENTIVA K.S.

CEHIA

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

FILM.

P-

RF

3

16,37

5,456666

5,456666

22,13

7,376666

7,376666

170

W55169

J01FA10

AZITHROMYCINUM

ZITROCIN 500 mg

COMPR.

FILM.

500mg

LABORMED

PHARMA S.A.

ROMAN

IA

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

FILM.

P-

RF

3

18,98

6,326666

6,292000

25,65

8,550000

8,503999

171

W52840

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA

500 mg

COMPR.

FILM.

500mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

3

18,97

6,323333

6,292000

25,64

8,546666

8,503999

172

W00519

J01FA10

AZITHROMYCINUM

SUMAMED 500 mg

COMPR.

FILM.

500mg

PLIVA LJUBLJANA

D.O.O.

SLOVE

NIA

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

FILM.

P-

RF

3

29,18

9,726666

6,292000

38,17

12,723333

8,503999

10

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

173

W60019

J01FA10

AZITHROMYCINUM

AZATRIL 500 mg

COMPR.

FILM.

500mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

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

COMPR. FILM.

PR

F

3

15,73

5,243333

5,243333

21,26

7,086666

7,086666

174

W52840

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA

500 mg

COMPR.

FILM.

500mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

3

18,97

6,323333

6,292000

25,64

8,546666

8,503999

175

W52841

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA

600 mg

COMPR.

FILM.

600mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

3

34,11

11,370000

11,370000

44,61

14,870000

14,870000

176

W52841

J01FA10

AZITHROMYCINUM

AZITROMICINA TERAPIA

600 mg

COMPR.

FILM.

600mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

3

34,11

11,370000

11,370000

44,61

14,870000

14,870000

177

W44152

J01FA10

AZITHROMYCINUM

SUMAMED (R)

LIOF. PT. SOL. PERF.

500mg

PLIVA LJUBLJANA D.O.O.

SLOVE NIA

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

S/P RF

5

132,49

26,498000

26,498000

161,75

32,350000

32,350000

178

W53281

J01FA10

AZITHROMYCINUM

AZITROX 200 mg/5 ml

PULB. + SOLV. SUSP.

ORALA

200mg/5 ml

ZENTIVA S.A.

ROMAN IA

CUTIE X 1 FLAC. DIN PE CU PULB. PT. 15 ML SUSP. ORALA RECONSTITUITA + FLAC. CU SOLV. X 7,5 ML SOLV.

P- RF

1

12,10

12,100000

12,100000

16,36

16,360000

16,360000

179

W42901

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 100

mg/5 ml

PULB. PT. SUSP.

ORALA

100mg/5 ml

SANDOZ SRL

ROMAN IA

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

SERINGA DOZATOARE DIN PE/PP

P- RF

1

16,61

16,610000

16,610000

22,45

22,450000

22,450000

180

W42877

J01FA10

AZITHROMYCINUM

AZITROMICINA SANDOZ 200

mg/5 ml

PULB. PT.

SUSP. ORALA

200 mg/5 ml

SANDOZ SRL

ROMAN IA

CCUTIE X 1 FLAC. DIN PEID CONTINAD

PULBERE PT. 20 ML SUSP. ORALA + SERINGA DOZATOARE DIN PE/PP

P- RF

1

26,27

26,270000

26,270000

34,36

34,360000

34,360000

181

W00520

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

PULB. PT. SUSP.

ORALA

200mg/5 ml

PLIVA LJUBLIJANA D.O.O.

SLOVE NIA

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

LINGURITA DOZATOARE

P- RF

1

46,15

46,150000

46,150000

60,36

60,360000

60,360000

182

W00520

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

PULB. PT.

SUSP. ORALA

200mg/5 ml

PLIVA LJUBLIJANA D.O.O.

SLOVE NIA

CUTIE X 1 FLAC. DIN PEID CU PULB.

PT.15 ML SUSP. ORALA + SERINGA SI LINGURITA DOZATOARE

P- RF

1

18,63

18,630000

13,644000

25,18

25,180000

17,844000

183

W00520

J01FA10

AZITHROMYCINUM

SUMAMED FORTE

PULB. PT. SUSP.

ORALA

200mg/5 ml

PLIVA LJUBLIJANA D.O.O.

SLOVE NIA

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

LINGURITA DOZATOARE

P- RF

1

37,14

37,140000

37,140000

48,58

48,580000

48,580000

184

W03308

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ.

40mg/ml

KRKA D.D. NOVO

MESTO

SLOVE

NIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA

X 1 ML SOL. INJ.

P-

RF

10

5,28

0,528000

0,528000

7,13

0,713000

0,713000

185

W03309

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ.

80mg/2ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

P-

RF/ S

50

31,71

0,634200

0,600000

41,48

0,829600

0,811200

186

W03309

J01GB03

GENTAMICINUM

GENTAMICIN KRKA

SOL. INJ.

80mg/2ml

KRKA D.D. NOVO

MESTO

SLOVE

NIA

CUTIE X 10 FIOLE DIN STICLA INCOLORA

X 2 ML SOL. INJ.

P-

RF

10

7,09

0,709000

0,600000

9,58

0,958000

0,811200

187

W08121

J01GB03

GENTAMICINUM

PAN - GENTAMICINE

SOL.INJ.

80mg/2ml

LAB. PANPHARMA

FRANT

A

CUTIE X 10 FIOLE DIN STICLA INCOLORA

X 2 ML SOL. INJ.

P-

RF

10

5,00

0,500000

0,500000

6,76

0,676000

0,676000

188

W53277

J01GB06

AMIKACINUM

AMIKOZIT (R) 500 mg/2 ml

SOL. INJ.

500mg/2

ml

ZENTIVA S.A.

ROMAN

IA

CUTIE X 1 FLACON DIN STICLA X 2 ML

P-

RF

1

5,15

5,150000

5,150000

6,96

6,960000

6,960000

189

W56957

J01MA01

OFLOXACINUM

OFLOXIN 200

COMPR.

FILM.

200mg

ZENTIVA K.S.

CEHIA

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

FILM.

P-

RF

10

14,81

1,481000

1,008000

20,02

2,002000

1,363200

190

W07914

J01MA01

OFLOXACINUM

ZANOCIN

COMPR. FILM.

200mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF

10

8,40

0,840000

0,840000

11,36

1,136000

1,136000

191

W54037

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

100 mg

COMPR.

FILM.

100mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

20

51,89

2,594500

2,594500

65,61

3,280500

3,280500

192

W54037

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

100 mg

COMPR.

FILM.

100mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

10

28,52

2,852000

2,852000

37,31

3,731000

3,731000

193

W44077

J01MA02

CIPROFLOXACINUM

CIPROCIN 250 mg

COMPR.

FILM.

250mg

E.I.P.I.CO. MED

S.R.L.

ROMAN

IA

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

COMPR. FILM.

P-

RF

10

5,05

0,505000

0,422400

6,83

0,683000

0,571200

194

W56145

J01MA02

CIPROFLOXACINUM

ALVEBAR 250 mg

COMPR.

FILM.

250mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

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

FILM.

P-

RF

10

3,52

0,352000

0,352000

4,76

0,476000

0,476000

195

W54038

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

250 mg

COMPR.

FILM.

250mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

10

4,85

0,485000

0,422400

6,56

0,656000

0,571200

196

W54038

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

250 mg

COMPR.

FILM.

250mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

20

9,10

0,455000

0,422400

12,30

0,615000

0,571200

197

W01271

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR.

FILM.

250mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

FILM.

P-

RF

20

9,10

0,455000

0,422400

12,30

0,615000

0,571200

198

W01273

J01MA02

CIPROFLOXACINUM

CIPRINOL 250 mg

COMPR.

FILM.

250mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

10

5,05

0,505000

0,422400

6,83

0,683000

0,571200

199

W07862

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM.

250mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF

10

5,13

0,513000

0,422400

6,93

0,693000

0,571200

200

W01288

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 250 mg

COMPR.

FILM.

250mg

AC HELCOR SRL

ROMAN

IA

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

FILM.

P-

RF

10

5,05

0,505000

0,422400

6,83

0,683000

0,571200

201

W01271

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR.

FILM.

250mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

FILM.

P-

RF

10

5,05

0,505000

0,422400

6,83

0,683000

0,571200

202

W12545

J01MA02

CIPROFLOXACINUM

CIPRO QUIN (R)

COMPR.

FILM.

500mg

ANTIBIOTICE SA

ROMAN

IA

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

FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

203

W01274

J01MA02

CIPROFLOXACINUM

CIPRINOL 500 mg

COMPR.

FILM.

500mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

204

W44076

J01MA02

CIPROFLOXACINUM

CIPROCIN 500 mg

COMPR.

FILM.

500mg

E.I.P.I.CO. MED

S.R.L.

ROMAN

IA

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

11

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

205

W56146

J01MA02

CIPROFLOXACINUM

ALVEBAR 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

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

FILM.

P-

RF

10

4,80

0,480000

0,480000

6,49

0,649000

0,649000

206

W54039

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

500 mg

COMPR.

FILM.

500mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

10

6,83

0,683000

0,576000

9,23

0,923000

0,778800

207

W54039

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

500 mg

COMPR.

FILM.

500mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

20

12,16

0,608000

0,576000

16,43

0,821500

0,778800

208

W01272

J01MA02

CIPROFLOXACINUM

CUMINOL 500 mg

COMPR.

FILM.

500mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

209

W01289

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 500 mg

COMPR.

FILM.

500mg

AC HELCOR SRL

ROMAN

IA

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

FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

210

W07863

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM.

500mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF

10

6,50

0,650000

0,576000

8,78

0,878000

0,778800

211

W42772

J01MA02

CIPROFLOXACINUM

CIPRINOL 750 mg

COMPR.

FILM.

750mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

10

29,43

2,943000

2,943000

38,50

3,850000

3,850000

212

W54040

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

750 mg

COMPR.

FILM.

750mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

10

28,52

2,852000

2,852000

37,31

3,731000

3,731000

213

W57948

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 1000 mg

COMPR. FILM. ELIB. PREL.

1000 mg

BAYER PHARMA AG

GERMA NIA

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

P- RF

7

66,99

9,570000

9,570000

84,70

12,100000

12,100000

214

W57949

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 500 mg

COMPR. FILM. ELIB. PREL.

500 mg

BAYER PHARMA AG

GERMA NIA

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

P- RF

3

20,44

6,813333

0,576000

27,63

9,210000

0,778800

215

W54378

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA 100

mg/10 ml

CONC. PT. SOL. PERF.

100mg/10 ml

ZENTIVA S.A.

ROMAN IA

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

ML

S/P RF

5

12,42

2,484000

2,484000

16,79

3,358000

3,277440

216

W01275

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF.

100mg/10 ml

KRKA D.D.

SLOVE NIA

CUTIE X 50 FIOLE X 10 ML

S

50

111,86

2,237200

2,237200

136,56

2,731200

2,731200

217

W01275

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF.

100mg/10 ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 10 ML

S/P RF

5

12,42

2,484000

2,484000

16,79

3,358000

3,277440

218

W60268

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ZENTIVA

10 mg/ml

CONC. PT. SOL. PERF.

100mg/10 ml

ZENTIVA S.A.

ROMAN IA

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

ML

S/P RF

5

12,42

2,484000

2,484000

16,79

3,358000

3,277440

219

W08223

J01MA02

CIPROFLOXACINUM

CIPRINOL

SOL. PERF.

100mg/50 ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

S/P RF

1

3,54

3,540000

2,684640

4,79

4,790000

3,277440

220

W08224

J01MA02

CIPROFLOXACINUM

CIPRINOL

SOL. PERF.

200mg/10 0ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

S/P RF

1

7,09

7,090000

7,090000

9,58

9,580000

9,580000

221

W53353

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA

INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS

SRL

ROMAN

IA

CUTIE X 10 PUNGI PVC PLASTIFIAT X

100ML

S

10

69,19

6,919000

6,919000

87,49

8,749000

8,749000

222

W53353

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA

INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS

SRL

ROMAN

IA

CUTIE X 10 PUNGI PVC PLASTIFIAT X

200ML

S

10

128,87

12,887000

12,887000

157,33

15,733000

15,733000

223

W42193

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

SOL. PERF.

400mg/20 0ml

KRKA D.D.

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA X 200 ML

S/P RF

1

14,29

14,290000

14,290000

19,31

19,310000

18,879600

224

W52445

J01MA03

PEFLOXACINUM

PEFLOXACIN LAROPHARM

COMPR.

FILM.

400mg

LAROPHARM S.R.L.

ROMAN

IA

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

FILM.

P-

RF

10

20,61

2,061000

2,061000

27,86

2,786000

2,786000

225

W58303

J01MA06

NORFLOXACINUM

NORFLOXACIN HELCOR

400 mg

COMPR.

FILM.

400mg

A.C. HELCOR

PHARMA S.R.L.

ROMAN

IA

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

COMPR. FILM.

P-

RF

20

13,02

0,651000

0,549600

17,60

0,880000

0,742800

226

W51610

J01MA06

NORFLOXACINUM

NORFLOX - 400

COMPR. FILM.

400mg

CIPLA (UK) LIMITED

MAREA BRITAN IE

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P- RF

10

4,58

0,458000

0,458000

6,19

0,619000

0,619000

227

W07984

J01MA06

NORFLOXACINUM

NOLICIN 400 mg

COMPR.

FILM.

400mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

20

13,02

0,651000

0,549600

17,60

0,880000

0,742800

228

W54101

J01MA06

NORFLOXACINUM

NOR QUIN 400 mg

COMPR. FILM.

400mg

ANTIBIOTICE S.A.

ROMAN IA

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

P-

RF/ S

20

13,02

0,651000

0,549600

17,60

0,880000

0,742800

229

W41800

J01MA06

NORFLOXACINUM

NORFLOXACINA LPH 400

mg

COMPR.

FILM.

400mg

LABORMED

PHARMA SA

ROMAN

IA

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

FILM.

P-

RF

20

11,64

0,582000

0,549600

15,73

0,786500

0,742800

230

W56938

J01MA12

LEVOFLOXACINUM

FLERADAY 250 mg

COMPR.

FILM.

250 mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC - AL X 7

COMPR. FILM.

PR

F

7

12,87

1,838571

1,838571

17,40

2,485714

2,485714

231

W59047

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA MACLEODS 250 mg

COMPR. FILM.

250mg

MACLEODS PHARMA UK LIMITED

MAREA BRITAN IE

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

PR F

10

17,49

1,749000

1,749000

23,64

2,364000

2,364000

232

W56992

J01MA12

LEVOFLOXACINUM

LEVOTOR 250 mg

COMPR.

FILM.

250mg

TORRENT PHARMA

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/AL X 7 COMPR.

FILM.

P-

RF

7

12,87

1,838571

1,838571

17,40

2,485714

2,485714

233

W52786

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS

250 mg

COMPR.

FILM.

250mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

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

FILM.

P-

RF

7

12,88

1,840000

1,840000

17,41

2,487142

2,487142

12

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

234

W55699

J01MA12

LEVOFLOXACINUM

TAVANIC 250 mg

COMPR.

FILM.

250mg

TERAPIA S.A.

ROMAN

IA

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

FILM.

P-

RF

7

19,81

2,830000

2,098800

26,78

3,825714

2,836800

235

W56939

J01MA12

LEVOFLOXACINUM

FLERADAY 500 mg

COMPR.

FILM.

500 mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC - AL X 7

COMPR. FILM.

PR

F

7

25,88

3,697142

3,697142

33,85

4,835714

4,835714

236

W59048

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA MACLEODS 500 mg

COMPR. FILM.

500mg

MACLEODS PHARMA UK LIMITED

MAREA BRITAN IE

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

PR F

10

32,06

3,206000

3,206000

41,93

4,193000

4,193000

237

W52787

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS

500 mg

COMPR.

FILM.

500mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

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

FILM.

P-

RF

7

25,89

3,698571

3,698571

33,86

4,837142

4,837142

238

W55700

J01MA12

LEVOFLOXACINUM

TAVANIC 500 mg

COMPR.

FILM.

500mg

TERAPIA S.A.

ROMAN

IA

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

FILM.

P-

RF

7

39,82

5,688571

3,847200

52,08

7,440000

5,031600

239

W56993

J01MA12

LEVOFLOXACINUM

LEVOTOR 500 mg

COMPR.

FILM.

500mg

TORRENT PHARMA

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/AL X 7 COMPR.

FILM.

P-

RF

7

25,73

3,675714

3,675714

33,65

4,807142

4,807142

240

W59048

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA MACLEODS 500 mg

COMPR. FILM.

500mg

MACLEODS PHARMA UK LIMITED

MAREA BRITAN IE

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

PR F

5

17,49

3,498000

3,498000

23,64

4,728000

4,728000

241

W55815

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS

5 mg/ml

SOL. PERF.

5mg/ml

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 FLAC. DIN STICLA X 100 ML

SOL. PERF.

S

1

74,10

74,100000

74,100000

93,69

93,690000

93,690000

242

W54108

J01MA12

LEVOFLOXACINUM

LEVOFLOXACIN KABI 5

mg/ml

SOL. PERF.

5mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

LEVOFLOXACINA)

S

1

74,25

74,250000

74,250000

93,88

93,880000

93,880000

243

W55456

J01MA12

LEVOFLOXACINUM

EVOLOX 5 mg/ml

SOL. PERF.

5mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

S

1

74,25

74,250000

74,250000

93,88

93,880000

93,880000

244

W55702

J01MA12

LEVOFLOXACINUM

TAVANIC I.V. 500 mg

SOL. PERF.

5mg/ml

TERAPIA S.A.

ROMAN IA

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

P-

RF/ S

1

112,19

112,190000

88,920000

136,96

136,960000

112,428000

245

W55456

J01MA12

LEVOFLOXACINUM

EVOLOX 5 mg/ml

SOL. PERF.

5mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

S

1

37,79

37,790000

37,790000

49,43

49,430000

49,430000

246

W55815

J01MA12

LEVOFLOXACINUM

LEVOFLOXACINA ACTAVIS

5 mg/ml

SOL. PERF.

5mg/ml

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 FLAC. DIN STICLA X 50 ML

SOL. PERF.

S

1

37,71

37,710000

37,710000

49,33

49,330000

49,330000

247

W60943

J01MA14

MOXIFLOXACINUM

MOFLAXA 400 mg

COMPR. FILM.

400mg

KRKA, D.D., NOVO MESTO

SLOVE NIA

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

PR F

5

38,76

7,752000

7,387200

50,70

10,140000

9,662400

248

W59332

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA AUROBINDO 400 mg

COMPR. FILM.

400mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

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

PR F

5

30,78

6,156000

6,156000

40,26

8,052000

8,052000

249

W60545

J01MA14

MOXIFLOXACINUM

MOFIL 400 mg

COMPR.

FILM.

400mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

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

COMPR. FILM.

PR

F

5

35,34

7,068000

7,068000

46,22

9,244000

9,244000

250

W60311

J01MA14

MOXIFLOXACINUM

MOFINACIN 400 mg

COMPR.

FILM.

400mg

ALVOGEN IPCO

S.A.R.L

LUXEM

BURG

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

COMPR. FILM

PR

F

5

42,18

8,436000

7,387200

55,17

11,034000

9,662400

251

W57939

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg

COMPR.

FILM.

400mg

BAYER PHARMA AG

GERMA

NIA

CUTIE X 1 BLIST. TRANSPARENT PP/AL X

5 COMPR. FILM.

P-

RF

5

58,59

11,718000

7,387200

74,08

14,816000

9,662400

252

W60727

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA KABI 400

mg/250 ml

SOL. PERF.

400mg/25 0ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPACK) A

250 ML SOL. PERF. (400 MG MOXIFLOXACINA)

PR

1

82,20

82,200000

82,200000

103,94

103,940000

103,940000

253

W57938

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg/250 ml

SOL. PERF.

400mg/25

0ml

BAYER PHARMA AG

GERMA

NIA

CUTIE X 5 FLACOANE DIN STICLA X 250

ML

S

5

594,69

118,938000

98,640000

686,36

137,272000

124,728000

254

W43348

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF.

1g

TEVA PHARM.

WORKS PRIVATE LTD. COMPANY

UNGAR IA

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

S/P RF

1

48,56

48,560000

48,560000

63,52

63,520000

63,520000

255

W43347

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF.

500mg

TEVA PHARM. WORKS PRIVATE

LTD. COMPANY

UNGAR IA

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

S/P RF

1

24,28

24,280000

24,280000

32,82

32,820000

32,820000

256

W56449

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 1000 mg

PULB. PT. SOL. PERF.

1000mg

PHARMASWISS CESKA REPUBLIKA

S.R.O.

REPUB LICA

CEHA

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

PR

10

456,00

45,600000

45,600000

535,19

53,519000

53,519000

257

W56448

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 500 mg

PULB. PT. SOL. PERF.

500mg

PHARMASWISS CESKA REPUBLIKA

S.R.O.

REPUB LICA

CEHA

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

PR

10

234,30

23,430000

23,430000

286,03

28,603000

28,603000

258

W57042

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 1000

mg

PULB. PT.CONC. PT.SOL.

PERF.

1000mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

PR

1

48,39

48,390000

48,390000

63,30

63,300000

63,300000

259

W57041

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 500 mg

PULB. PT.CONC. PT.SOL.

PERF.

500mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

PR

1

24,17

24,170000

24,170000

32,67

32,670000

32,670000

260

W06051

J01XA01

VANCOMYCINUM

EDICIN

PULB.LIOF.

PT.SOL.PE RF./INJ

1g

LEK

PHARMACEUTICALS D.D.

SLOVE NIA

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

S/P RF

1

56,90

56,900000

54,720000

71,94

71,940000

64,222800

13

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

261

W13105

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF. + SOLV. PT. SOL. INJ.

400mg

AVENTIS PHARMA LTD.

MAREA BRITAN IE

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

P- RF

1

109,84

109,840000

109,840000

134,09

134,090000

134,090000

262

W52501

J01XB01

COLISTINUM

COLISTINA ANTIBIOTICE 1000000 UI

PULB. PT. SOL.

INJ./PERF.

1000000u

i

ANTIBIOTICE SA

ROMAN IA

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

S

10

173,48

17,348000

17,348000

211,79

21,179000

21,179000

263

W53689

J01XD01

METRONIDAZOLUM

METRONIDAZOL ARENA

250 mg (J01XD01)

COMPR.

250mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

30

5,71

0,190333

0,190333

7,72

0,257333

0,257333

264

W08257

J01XD01

METRONIDAZOLUM

FLAGYL ( vezi J01XD01)

COMPR.

FILM.

250mg

LABORATOIRE

AVENTIS

FRANT

A

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

COMPR. FILM.

P-

RF

20

5,25

0,262500

0,228400

7,09

0,354500

0,308800

265

W42139

J01XD01

METRONIDAZOLUM

METRONIDAZOL A 5 g/l

SOL. PERF.

5g/l

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 12 FLACOANE X 200 ML

S/P RF

12

79,29

6,607500

6,607500

100,25

8,354166

8,354166

266

W42139

J01XD01

METRONIDAZOLUM

METRONIDAZOL A 5 g/l

SOL. PERF.

5g/l

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 1 FLACON X 200 ML

S/P RF

1

6,74

6,740000

6,740000

9,11

9,110000

9,110000

267

W42138

J01XD01

METRONIDAZOLUM

METRONIDAZOL B 5 g/l

SOL. PERF.

5g/l

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 12 FLACOANE X 200 ML

S/P RF

12

77,74

6,478333

6,478333

98,29

8,190833

8,190833

268

W42138

J01XD01

METRONIDAZOLUM

METRONIDAZOL B 5 g/l

SOL. PERF.

5g/l

INFOMED FLUIDS SRL

ROMAN IA

CUTIE X 1 FLACON X 200 ML

S/P RF

1

6,59

6,590000

6,590000

8,91

8,910000

8,910000

269

W08927

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN

5mg/ml

SOL. PERF.

5mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

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

S/P RF

20

228,10

11,405000

4,437600

278,47

13,923500

5,804400

270

W08927

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN

5mg/ml

SOL. PERF.

5mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

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

S/P RF

10

36,98

3,698000

3,698000

48,37

4,837000

4,837000

271

W08927

J01XD01

METRONIDAZOLUM

METRONIDAZOL BRAUN

5mg/ml

SOL. PERF.

5mg/ml

B. BRAUN MELSUNGEN AG

GERMA NIA

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

S/P RF

10

37,40

3,740000

3,740000

48,92

4,892000

4,892000

272

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM.

600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF

10

1.603,26

160,326000

160,326000

1.785,71

178,571000

178,571000

273

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA

100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF

1

879,36

879,360000

879,360000

996,65

996,650000

996,650000

274

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMAN IA

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

SOL. PERF.

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

275

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

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

300 ML SOL. PERF.

PR

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

276

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

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

SUPLIMENTAR

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

277

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR F

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

278

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S

10

1.603,26

160,326000

126,314400

1.785,71

178,571000

142,261200

279

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 4 CAPS.

P-

RF

4

18,95

4,737500

3,615428

25,61

6,402500

4,887428

280

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGA

RIA

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

P-

RF

16

65,37

4,085625

3,615428

82,66

5,166250

4,887428

281

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

100 mg

CAPS.

100mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

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

PR F

7

21,09

3,012857

3,012857

28,51

4,072857

4,072857

282

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- RF

2

6,98

3,490000

3,490000

9,43

4,715000

4,715000

283

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

P- RF

7

23,31

3,330000

3,330000

31,51

4,501428

4,501428

14

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

284

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM

150 mg

CAPS.

150mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

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

PR

F

1

9,57

9,570000

5,340000

12,94

12,940000

7,212000

285

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS.

150mg

LABORMED

PHARMA S.A.

ROMAN

IA

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

PR

F

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

286

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150

mg

CAPS.

150mg

ZENTIVA K.S.

REPUB

LICA CEHA

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

P- RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

287

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMAN

IA

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

P-

RF

1

7,16

7,160000

5,340000

9,68

9,680000

7,212000

288

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 FLAC. X 1 CAPS.

P-

RF

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

289

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150

mg

CAPS.

150mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

290

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 150 mg

CAPS.

150mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

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

P-

RF

1

6,07

6,070000

5,340000

8,20

8,200000

7,212000

291

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

150

CAPS.

150mg

SANDOZ SRL

GERMA

NIA

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

P-

RF

1

10,79

10,790000

5,340000

14,58

14,580000

7,212000

292

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150

mg

CAPS.

150mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

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

CAPS.

PR

F

1

7,44

7,440000

5,340000

10,06

10,060000

7,212000

293

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS.

150mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

P-

RF

4

48,24

12,060000

5,340000

63,10

15,775000

7,212000

294

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT

S.R.L.

ROMAN IA

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

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

295

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150

MG

CAPS.

150mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

1

6,68

6,680000

5,340000

9,03

9,030000

7,212000

296

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

P- RF

1

18,56

18,560000

5,340000

25,08

25,080000

7,212000

297

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS.

150mg

TERAPIA SA

ROMAN

IA

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

1 CAPS.

P-

RF

1

13,95

13,950000

5,340000

18,86

18,860000

7,212000

298

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

150 mg

CAPS.

150mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

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

PR F

1

4,45

4,450000

4,450000

6,01

6,010000

6,010000

299

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS.

150mg

ZENTIVA K.S.

CEHIA

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

P-

RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

300

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200

mg

CAPS.

200mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

P- RF

7

30,10

4,300000

4,300000

39,37

5,624285

5,624285

301

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS.

50mg

LABORATOARELE PROF.DR.MORAIT

S.R.L.

ROMAN IA

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

P- RF

7

11,66

1,665714

1,665714

15,76

2,251428

2,251428

302

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED

PHARMA S.A.

ROMAN

IA

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

PR

F

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

303

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50

MG

CAPS.

50mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

7

14,15

2,021428

1,777714

19,12

2,731428

2,403428

304

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS.

50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

P- RF

7

43,23

6,175714

1,777714

56,54

8,077142

2,403428

305

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50

mg

CAPS.

50mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

P- RF

7

12,35

1,764285

1,764285

16,69

2,384285

2,384285

306

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 7 CAPS.

P-

RF

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

307

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMAN

IA

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

P-

RF

7

14,49

2,070000

1,777714

19,58

2,797142

2,403428

308

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 50 mg

CAPS.

50mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

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

P-

RF

7

11,95

1,707142

1,707142

16,15

2,307142

2,307142

309

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS.

50mg

TERAPIA SA

ROMAN

IA

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

7 CAPS.

P-

RF

7

21,91

3,130000

1,777714

29,61

4,230000

2,403428

310

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

50

CAPS.

50mg

SANDOZ SRL

ROMAN

IA

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

P-

RF

7

32,06

4,580000

1,777714

41,93

5,990000

2,403428

311

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

50 mg

CAPS.

50mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

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

PR F

7

10,37

1,481428

1,481428

14,02

2,002857

2,002857

312

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O

PR F

1

23,46

23,460000

23,460000

31,71

31,710000

31,710000

313

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100

ML SOL. PERF.

S

1

34,28

34,280000

20,737200

44,84

44,840000

25,316400

314

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

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

MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

15

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

315

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200

ML SOL. PERF.

S

1

81,95

81,950000

81,950000

103,62

103,620000

103,620000

316

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA

INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

317

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

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

MG FLUCONAZOL

S

1

88,14

88,140000

88,140000

111,45

111,450000

103,986000

318

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 1 FLACON DIN STICLA

INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

319

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

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

200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

320

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA

2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMAN

IA

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

S

1

40,63

40,630000

20,737200

53,14

53,140000

25,316400

321

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL.

PERF.

PR

20

350,00

17,500000

17,500000

419,65

20,982500

20,982500

322

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL.

PERF.

PR

20

630,00

31,500000

20,737200

724,85

36,242500

25,316400

323

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50

ML SOL. PERF.

S

1

18,84

18,840000

18,840000

25,47

25,470000

25,179000

324

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL.

PERF.

S

10

770,66

77,066000

77,066000

878,17

87,817000

87,817000

325

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F

1

35,03

35,030000

20,737200

45,82

45,820000

25,316400

326

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL.

PERF.

S

10

454,59

45,459000

20,737200

533,65

53,365000

25,316400

327

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL.

PERF.

S

20

796,39

39,819500

20,737200

906,22

45,311000

25,316400

328

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL.

PERF.

PR

10

760,00

76,000000

76,000000

866,55

86,655000

86,655000

329

W43051

J02AC02

ITRACONAZOLUM

ITRACONAZOL 100 mg

CAPS.

100mg

SLAVIA PHARM SRL

ROMAN

IA

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

P-

RF

15

40,18

2,678666

2,678666

52,56

3,504000

3,504000

330

W53958

J02AC02

ITRACONAZOLUM

MICOGAL 100 mg

CAPS.

100mg

ROMPHARM

COMPANY SRL

ROMAN

IA

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

P-

RF

15

40,18

2,678666

2,678666

52,55

3,503333

3,503333

331

W59235

J02AC02

ITRACONAZOLUM

ITRACONAZOL ARENA 100

mg

CAPS.

100mg

ARENA GROUP S.A.

ROMAN

IA

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

P-

RF

15

40,18

2,678666

2,678666

52,56

3,504000

3,504000

332

W52343

J02AC02

ITRACONAZOLUM

OMICRAL 100 mg

CAPS.

100mg

MEDICO UNO PHARMACEUTICAL

SRL

ROMAN IA

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

P- RF

15

40,18

2,678666

2,678666

52,56

3,504000

3,504000

333

W03837

J02AC02

ITRACONAZOLUM

ORUNGAL

CAPS.

100mg

JANSSEN PHARMACEUTICA

N.V.

BELGIA

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

P- RF

15

60,84

4,056000

3,214399

76,92

5,128000

4,204000

334

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM.

200mg

PFIZER LIMITED

MAREA BRITAN IE

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

P- RF

28

3.559,23

127,115357

127,115357

3.917,72

139,918571

139,918571

335

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM.

50mg

PFIZER LIMITED

MAREA BRITAN IE

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

P- RF

28

912,09

32,574642

32,574642

1.032,33

36,868928

36,868928

336

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF

1

458,07

458,070000

458,070000

537,45

537,450000

537,450000

337

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P- RF

1

2.203,52

2.203,520000

2.203,520000

2.439,99

2.439,990000

2.439,990000

338

W60913

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS. GASTROR EZ.

100mg

MERCK SHARP & DOHME LTD.

MAREA BRITAN IE

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

PR

24

3.330,00

138,750000

138,750000

3.667,85

152,827083

152,827083

16

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

339

W58194

J02AC04

POSACONAZOLUM**

NOXAFIL SP 40mg/ml

SUSP. ORALA

40mg/ml

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-

RF/ R

1

2.488,19

2.488,190000

2.488,190000

2.750,28

2.750,280000

2.750,280000

340

W06665

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

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

50mg

MERCK SHARP & DOHME

MAREA BRITAN IE

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

S

1

1.202,39

1.202,390000

1.202,390000

1.348,76

1.348,760000

1.348,760000

341

W06670

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

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

70mg

MERCK SHARP & DOHME

MAREA BRITAN IE

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

S

1

1.560,14

1.560,140000

1.560,140000

1.738,70

1.738,700000

1.738,700000

342

W55841

J02AX06

ANIDULAFUNGINUM

ECALTA 100mg

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

100mg

PFIZER LIMITED

MAREA BRITAN IE

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

S

1

1.458,70

1.458,700000

1.458,700000

1.628,13

1.628,130000

1.628,130000

343

W58576

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 100 mg

COMPR.

100mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 150 BLIST. PVC/AL X 10

COMPR.

PR

1.500

159,50

0,106333

0,106333

194,72

0,129813

0,129813

344

W58577

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 300 mg

COMPR.

300mg

ANTIBIOTICE SA

ROMAN IA

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

S/P RF

1.500

395,00

0,263333

0,263333

468,70

0,312466

0,312466

345

W60582

J04AC01

ISONIAZIDUM

ISONIAZID

SIROP

100mg/5

ml

CN UNIFARM S.A.

ROMAN

IA

CUTIE X 1 FLAC. X 200 ML SIROP

PR

1

29,01

29,010000

29,010000

37,95

37,950000

37,950000

346

W60594

J04AC01

ISONIAZIDUM

BITUB

SOL INJ.

100mg/ml

CN UNIFARM S.A.

ROMAN

IA

CUTIE CU 10 FIOLE A 5ML

PR

10

14,16

1,416000

1,416000

19,14

1,914000

1,914000

347

W60213

J04AK01

PYRAZINAMIDUM

PIRAZINAMIDA ATB 500 mg

COMPR.

500mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 150 BLIST. PVC/AL X 10

COMPR.

PR

1.500

434,58

0,289720

0,289720

511,84

0,341226

0,341226

348

W53682

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 250

mg

CAPS.

250mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

20

3,54

0,177000

0,177000

4,79

0,239500

0,239500

349

W59648

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMAN

IA

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

PR

F

20

5,54

0,277000

0,277000

7,49

0,374500

0,374500

350

W59648

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

PR

F

50

13,72

0,274400

0,274400

18,54

0,370800

0,370800

351

W42943

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 250 mg

COMPR.

FILM.

250mg

ANTIBIOTICE SA

ROMAN

IA

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

FILM.

S

1.500

314,54

0,209693

0,209693

381,00

0,254000

0,254000

352

W42861

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 400 mg

COMPR.

FILM.

400mg

ANTIBIOTICE SA

ROMAN

IA

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

FILM.

S

1.500

485,00

0,323333

0,323333

566,80

0,377866

0,377866

353

W60583

J04AK02

ETHAMBUTOLUM

INBUTOL

SOL INJ.

100mg/ml

CN UNIFARM S.A.

ROMAN

IA

FLAC. X 10 ML SOL. INJ

PR

1

15,55

15,550000

15,550000

21,02

21,020000

21,020000

354

W14071

J04AM02

COMBINATII

(RIFAMPICINUM+IZONIAZIDUM)

SINERDOL ISO

CAPS.

300mg+1

50mg

ANTIBIOTICE SA

ROMAN

IA

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

S

1.000

580,00

0,580000

0,580000

670,35

0,670350

0,670350

355

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS.

200mg

FARMEX COMPANY

S.R.L.

ROMAN

IA

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

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

356

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN IA

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

P-

RF/ S

1.000

704,14

0,704140

0,613200

805,66

0,805660

0,805660

357

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMAN

IA

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

P-

RF

20

14,97

0,748500

0,613200

20,23

1,011500

0,828600

358

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

359

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMAN

IA

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

P-

RF

10

14,41

1,441000

1,441000

19,48

1,948000

1,948000

360

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200

mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

PR

F

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

361

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

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

P- RF

20

10,22

0,511000

0,511000

13,81

0,690500

0,690500

362

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM

200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMAN

IA

CUTIE X 2 BLIST. X 10 COMPR.

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

363

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

364

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200

mg

COMPR.

200mg

TERAPIA SA

ROMAN

IA

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

P-

RF

20

12,69

0,634500

0,613200

17,15

0,857500

0,828600

365

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR.

400mg

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

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

P- RF

10

20,11

2,011000

1,729200

27,18

2,718000

2,337600

366

W00058

J05AB01

ACICLOVIRUM

VIROLEX

PULB. PT. SOL.

INJ./PERF.

250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

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

S/P RF

5

231,79

46,358000

46,358000

282,97

56,594000

56,594000

367

W60057

J05AB04

RIBAVIRINUM

REBETOL 200 mg

CAPS.

200mg

MERCK SHARP & DOHME

MAREA BRITAN IE

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

P-

RF/ R

140

1.085,34

7,752428

7,752428

1.221,17

8,722642

8,722642

368

W53326

J05AB04

RIBAVIRINUM

COPEGUS 200mg

COMPR. FILM.

200mg

ROCHE ROMANIA SRL

ROMAN IA

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

P-

RF/ R

168

2.406,37

14,323630

9,302914

2.661,10

15,839880

10,467170

17

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

369

W51337

J05AB06

GANCICLOVIRUM

CYMEVENE

LIOF. PT.

SOL. INJ.

500mg

ROCHE ROMANIA

S.R.L.

ROMAN

IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA

CU LIOF. PT. SOL. INJ.

S

1

87,17

87,170000

87,170000

110,22

110,220000

110,220000

370

W61213

J05AB06

GANCICLOVIRUM

CYMEVENE 500 mg

PULB. PT. SOL. PERF.

500mg

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. MULTIDOZA DIN

STICLA INCOLORA CONTINAND 10 ML PULB. PT. SOL. PERF.

PR

1

87,17

87,170000

87,170000

110,22

110,220000

110,220000

371

W58707

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR. FILM.

500 mg

THE WELLCOME FOUNDATION LTD.

MAREA BRITAN IE

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

PR F

10

43,54

4,354000

3,396000

56,95

5,695000

4,441200

372

W60087

J05AB11

VALACYCLOVIRUM

VALACICLOVIR ARENA 500

mg

COMPR.

FILM.

500mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/PE/PVDC ALB

OPAC/AL X 10 COMPR. FILM.

PR

F

10

28,30

2,830000

2,830000

37,01

3,701000

3,701000

373

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA

450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR F

60

3.171,52

52,858666

52,858666

3.495,11

58,251833

58,251833

374

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA

SRL

ROMAN

IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-

RF

60

4.863,09

81,051500

63,430399

5.338,93

88,982166

69,902200

375

W12651

J05AB15

BRIVUDINUM

BRIVAL 125mg

COMPR.

125mg

BERLIN CHEMIE AG MENARINI GROUP

GERMA NIA

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

P- RF

7

272,43

38,918571

38,918571

332,58

47,511428

47,511428

376

W42514

J05AE01

SAQUINAVIRUM

INVIRASE 500 mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P-

RF/ R

120

1.013,90

8,449166

8,449166

1.143,30

9,527500

9,527500

377

W59955

J05AE03

RITONAVIRUM**

NORVIR 100 mg

COMPR. FILM.

100mg

ABBVIE LTD MAIDENHEAD

MAREA BRITAN IE

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

P-

RF/ R

30

93,39

3,113000

3,113000

118,08

3,936000

3,936000

378

W55487

J05AE03

RITONAVIRUM**

NORVIR 100 mg

COMPR. FILM.

100mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

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

P-

RF/ R

30

93,39

3,113000

3,113000

118,08

3,936000

3,936000

379

W43277

J05AE06

LOPINAVIRUM+RITONAVIRUM**

KALETRA 200mg/50mg

COMPR. FILM.

200mg/50 mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

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

P-

RF/ R

120

1.401,42

11,678500

11,678500

1.565,70

13,047500

13,047500

380

W59948

J05AE06

LOPINAVIRUM+RITONAVIRUM**

KALETRA 200mg/50mg

COMPR. FILM.

200mg/50 mg

ABBVIE LTD MAIDENHEAD

MAREA BRITAN IE

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

PR

120

1.401,42

11,678500

11,678500

1.565,70

13,047500

13,047500

381

W59947

J05AE06

LOPINAVIRUM+RITONAVIRUM**

KALETRA 80mg/ml+20mg/ml

SOL. ORALA

80mg/ml+ 20mg/ml

ABBVIE LTD MAIDENHEAD

MAREA BRITAN IE

CUTIE X 5 FLAC. MULTIDOZA DIN TPE X 60 ML + 5 SERINGI GRADATE A 5 ML

PR

5

1.177,17

235,434000

235,434000

1.321,27

264,254000

264,254000

382

W41772

J05AE07

FOSAMPRENAVIRUM**

TELZIR 700mg

COMPR. FILM.

700mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P-

RF/ R

60

1.219,58

20,326333

20,326333

1.367,49

22,791500

22,791500

383

W41773

J05AE07

FOSAMPRENAVIRUM**

TELZIR 50mg/ml

SUSP. ORALA

50mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P-

RF/ R

1

384,56

384,560000

384,560000

457,32

457,320000

457,320000

384

W14087

J05AE08

ATAZANAVIRUM

REYATAZ 150 mg

CAPS.

150mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P-

RF/ R

60

1.579,88

26,331333

26,331333

1.760,22

29,337000

29,337000

385

W53181

J05AE08

ATAZANAVIRUM

REYATAZ 300 mg

CAPS.

300mg

BRISTOL-MYERS SQUIBB PHARMA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID X 30 CAPS.

P-

RF/ R

30

1.691,40

56,380000

56,380000

1.881,78

62,726000

62,726000

386

W51426

J05AE09

TIPRANAVIRUM**

APTIVUS 250mg

CAPS. MOI

250mg

BOEHRINGER INGELHEIM INTERNATIONAL

GMBH

GERMA NIA

CUTIE X 1 FLAC. DIN PEID X 120 CAPS. MOI

P-

RF/ R

120

2.969,40

24,745000

24,745000

3.274,80

27,290000

27,290000

387

W53878

J05AE10

DARUNAVIRUM**

PREZISTA 400mg

COMPR. FILM.

400mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

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

P-

RF/ R

60

2.015,15

33,585833

33,585833

2.234,67

37,244500

37,244500

388

W53877

J05AE10

DARUNAVIRUM**

PREZISTA 600mg

COMPR. FILM.

600mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

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

P-

RF/ R

60

2.841,59

47,359833

47,359833

3.135,49

52,258166

52,258166

389

W06151

J05AF01

ZIDOVUDINUM

RETROVIR (R)

CAPS.

100mg

VIIV HEALTHCARE

UK LIMITED

UK

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

P-

RF

100

354,20

3,542000

3,542000

424,23

4,242300

4,242300

390

W57996

J05AF01

ZIDOVUDINUM

RETROVIR®

SOL. ORALA

1%

VIIV HEALTHCARE UK LIMITED

MAREA BRITAN IE

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

S/P RF

1

43,52

43,520000

43,520000

56,92

56,920000

56,920000

18

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

391

W10724

J05AF02

DIDANOSINUM

VIDEX EC 250 mg

CAPS.

GASTROR EZ.

250mg

BRISTOL MYERS SQUIBB KFT

UNGAR IA

CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

S/P RF

30

421,93

14,064333

14,064333

498,05

16,601666

16,601666

392

W10725

J05AF02

DIDANOSINUM

VIDEX EC 400 mg

CAPS. GASTROR

EZ.

400mg

BRISTOL MYERS SQUIBB KFT

UNGAR IA

CUTIE X 3 BLIST. X 10 CAPS. GASTROREZ.

S/P RF

30

657,08

21,902666

21,902666

754,37

25,145666

25,145666

393

W12057

J05AF04

STAVUDINUM

ZERIT 30 mg

CAPS.

30mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P-

RF/ R

56

487,42

8,703928

8,703928

569,44

10,168571

10,168571

394

W12056

J05AF04

STAVUDINUM

ZERIT 40 mg

CAPS.

40mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P-

RF/ R

56

502,69

8,976607

8,976607

586,08

10,465714

10,465714

395

W55473

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA

B.V. 150 mg

COMPR. FILM.

150 mg

TEVA PHARMA B.V.

OLAND A

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

P-

RF/ R

60

319,27

5,321166

5,321166

386,16

6,436000

6,436000

396

W59320

J05AF05

LAMIVUDINUM

LAMIVUDINA AUROBINDO

150 mg

COMPR. FILM.

150mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

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

PR

60

319,27

5,321166

5,321166

386,16

6,436000

6,436000

397

W03923

J05AF05

LAMIVUDINUM

EPIVIR 150mg

COMPR. FILM.

150mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P-

RF/ R

60

476,54

7,942333

6,385399

557,58

9,293000

7,723200

398

W55474

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA

B.V. 300 mg

COMPR. FILM.

300 mg

TEVA PHARMA B.V.

OLAND A

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

P-

RF/ R

30

319,27

10,642333

10,642333

386,16

12,872000

12,872000

399

W03924

J05AF05

LAMIVUDINUM

EPIVIR 10mg/ml

SOL. ORALA

10mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P-

RF/ R

1

131,82

131,820000

131,820000

160,92

160,920000

160,920000

400

W12820

J05AF06

ABACAVIRUM

ZIAGEN 300 mg

COMPR. FILM.

300mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 60 COMPR. FILM.

P-

RF/ R

60

787,53

13,125500

13,125500

896,56

14,942666

14,942666

401

W07524

J05AF06

ABACAVIRUM

ZIAGEN 20 mg/ml

SOL. ORALA

20mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON PEID X 240 ML SOL. ORALA + SERINGA DOZATOARE PP X 10 ML + ADAPTOR PE

P-

RF/ R

1

209,91

209,910000

209,910000

256,26

256,260000

256,260000

402

W51800

J05AF07

TENOFOVIRUM DISOPROXIL FUMARATE

VIREAD 245mg

COMPR. FILM.

245mg

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITAN IE

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

P-

RF/ R

30

1.097,01

36,567000

36,567000

1.233,89

41,129666

41,129666

403

W51482

J05AF09

EMTRICITABINUM

EMTRIVA 200mg

CAPS.

200mg

GILEAD SCIENCE INTERNATIONAL LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN PEID X 30 CAPS.

P-

RF/ R

30

656,22

21,874000

21,874000

753,43

25,114333

25,114333

404

W59667

J05AG01

NEVIRAPINUM

NEVIRAPINA SANDOZ 200

mg

COMPR.

200mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/AL X 60 COMPR.

PR

60

327,53

5,458833

5,458833

395,16

6,586000

6,586000

405

W59595

J05AG01

NEVIRAPINUM

NEVIRAPINA TEVA 200mg

COMPR.

200mg

TEVA PHARMA B.V.

OLAND A

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

P-

RF/ R

60

416,84

6,947333

6,550600

492,51

8,208500

7,903200

406

W04513

J05AG01

NEVIRAPINUM

VIRAMUNE 200mg

COMPR.

200mg

BOEHRINGER INGELHEIM INTERNATIONAL

GMBH

GERMA NIA

CUTIE X 6 BLIST. X 10 COMPR.

PR

60

625,14

10,419000

6,550600

719,55

11,992500

7,903200

407

W57322

J05AG01

NEVIRAPINUM

VIRAMUNE 100mg

COMPR. ELIB. PREL.

100mg

BOEHRINGER INGELHEIM INTERNATIONAL

GMBH

GERMA NIA

CUTIE CU UN FLACON DIN PEID X 90 COMPR. CU ELIB. PRELUNGITA

PR

90

731,60

8,128888

8,128888

835,60

9,284444

9,284444

408

W57323

J05AG01

NEVIRAPINUM

VIRAMUNE 400mg

COMPR. ELIB. PREL.

400mg

BOEHRINGER INGELHEIM INTERNATIONAL

GMBH

GERMA NIA

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

PR

30

966,78

32,226000

32,226000

1.091,94

36,398000

36,398000

409

W57321

J05AG01

NEVIRAPINUM

VIRAMUNE 50mg

COMPR. ELIB. PREL.

50mg

BOEHRINGER INGELHEIM INTERNATIONAL

GMBH

GERMA NIA

CUTIE CU UN FLACON DIN PEID X 180 COMPR. CU ELIB. PRELUNGITA

PR

180

731,60

4,064444

4,064444

835,60

4,642222

4,642222

410

W13091

J05AG01

NEVIRAPINUM

VIRAMUNE 50mg/5ml

SUSP. ORALA

50mg/5ml

BOEHRINGER INGELHEIM INTERNATIONAL

GMBH

GERMA NIA

CUTIE X 1 FLACON PEID X 240 ML + O SERINGA X 5 ML + UN DISPOZITIV DE ADAPTARE A SERINGII LA FLACON

PR

1

186,84

186,840000

186,840000

228,10

228,100000

228,100000

411

W12025

J05AG03

EFAVIRENZUM

STOCRIN 600 mg

COMPR. FILM.

600mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID X 30 COMPR. FILM. PREVAZUT CU UN SIST. DE INCHIDERE SECURIZAT PT. COPII

P-

RF/ R

30

67,45

2,248333

2,248333

85,28

2,842666

2,842666

19

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

412

W53549

J05AG04

ETRAVIRINUM

INTELENCE

COMPR.

100mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

CUTIE X 1 FLAC. PEID X 120 COMPR.

P-

RF/ R

120

1.947,00

16,225000

16,225000

2.160,38

18,003166

18,003166

413

W56750

J05AR01

COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)**

LAMIVUDINA/ZIDOVUDINA TEVA

COMPR. FILM.

150

mg/300 mg

TEVA PHARMA B.V.

OLAND A

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

P- RF

60

677,93

11,298833

9,408000

777,10

12,951666

11,017800

414

W02028

J05AR01

COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)**

COMBIVIR 150mg/300mg

COMPR. FILM.

150mg/30 0mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 6 BLIST. X 10 COMPR. FILM.

P-

RF/ R

60

1.026,84

17,114000

9,408000

1.157,41

19,290166

11,017800

415

W59832

J05AR01

COMBINATII (LAMIVUDINUM+ZIDOVUDINUM)**

LAMIVUDINA/ZIDOVUDINA AUROBINDO 150 mg/300 mg

COMPR. FILM.

150mg/30 0mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

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

PR

60

470,40

7,840000

7,840000

550,89

9,181500

9,181500

416

W42301

J05AR02

ABACAVIRUM+LAMIVUDINUM**

KIVEXA 600mg/300mg

COMPR. FILM.

600mg/30 0mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P-

RF/ R

30

1.328,77

44,292333

44,292333

1.486,51

49,550333

49,550333

417

W08336

J05AR04

ABACAVIRUM+LAMIVUDINUM+ZIDOVUDIN

UM**

TRIZIVIR

300mg/150mg/300mg

COMPR. FILM.

300mg/15

0mg/300 mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P-

RF/ R

60

1.675,67

27,927833

27,927833

1.864,63

31,077166

31,077166

418

W08336

J05AR04

ABACAVIRUM+LAMIVUDINUM+ZIDOVUDIN

UM**

TRIZIVIR

300mg/150mg/300mg

COMPR. FILM.

300mg/15

0mg/300 mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P-

RF/ R

60

1.675,67

27,927833

27,927833

1.864,63

31,077166

31,077166

419

W13961

J05AX07

ENFUVIRTIDUM**

FUZEON 90mg/ml

PULB. + SOLV. PT. SOL. INJ.

90mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 60 FLAC. PULB. PT. SOL. INJ. + 60 FLAC. SOLV. + 60 SERINGI X 3 ML + 60

SERINGI X 1 ML, 180 T

P-

RF/ R

60

6.090,78

101,513000

101,513000

6.677,11

111,285166

111,285166

420

W52764

J05AX08

RALTEGRAVIRUM

ISENTRESS 400mg

COMPR. FILM.

400 mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILMATE

P-

RF/ R

60

3.480,67

58,011166

58,011166

3.832,08

63,868000

63,868000

421

W52349

J05AX09

MARAVIROCUM

CELSENTRI 150mg

COMPR. FILM.

150mg

PFIZER LIMITED

MAREA BRITAN IE

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

P-

RF/ R

60

3.352,86

55,881000

55,881000

3.692,77

61,546166

61,546166

422

W52350

J05AX09

MARAVIROCUM

CELSENTRI 300mg

COMPR. FILM.

300mg

PFIZER LIMITED

MAREA BRITAN IE

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

P-

RF/ R

60

3.352,86

55,881000

55,881000

3.692,77

61,546166

61,546166

423

W60635

J05AX12

DOLUTEGRAVIRUM**

TIVICAY 50mg

COMPR. FILM.

50mg

VIIV HEALTHCARE UK LIMITED

MAREA BRITAN IE

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

POLIETILENA

PR

30

2.832,00

94,400000

94,400000

3.125,03

104,167666

104,167666

424

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 300ML SOL.

PERF.(30G/300ML)

S

1

5.558,99

5.558,990000

5.558,990000

6.097,46

6.097,460000

6.097,460000

425

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 200ML SOL.

PERF.(20G/200ML)

S

1

3.821,35

3.821,350000

3.821,350000

4.203,43

4.203,430000

4.203,430000

426

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 10ML SOL.

PERF.(1G/10ML)

S

1

202,26

202,260000

202,260000

246,92

246,920000

246,920000

427

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 50ML SOL.

PERF.(5G/50ML)

S

1

925,45

925,450000

909,000000

1.046,89

1.046,890000

1.036,596000

428

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 100ML SOL.

PERF.(10G/100ML)

S

1

1.857,75

1.857,750000

1.782,000000

2.063,10

2.063,100000

1.988,160000

429

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF.

10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

1.485,00

1.485,000000

1.485,000000

1.656,80

1.656,800000

1.656,800000

430

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF.

1g/20ml

KEDRION SPA

ITALIA

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

ADMINISTRARE

S

1

197,39

197,390000

197,390000

240,98

240,980000

240,980000

431

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF.

2,5g/50ml

KEDRION SPA

ITALIA

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

ADMINISTRARE

S

1

393,75

393,750000

393,750000

467,34

467,340000

467,340000

432

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF.

50mg/ml

INSTITUTO

GRIFOLS S.A.

SPANIA

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

S

1

102,55

102,550000

102,550000

125,19

125,190000

125,190000

433

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF.

5g/100ml

KEDRION SPA

ITALIA

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

ADMINISTRARE

S

1

757,50

757,500000

757,500000

863,83

863,830000

863,830000

434

W59944

J06BB16

PALIVIZUMABUM**

SYNAGIS 50 mg

PULB. + SOLV. PT. SOL. INJ.

50mg

ABBVIE LTD MAIDENHEAD

MAREA BRITAN IE

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

P- RF

1

1.853,66

1.853,660000

1.853,660000

2.058,64

2.058,640000

2.058,640000

435

W51424

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ.

30MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

267,05

267,050000

194,520000

326,02

326,020000

237,468000

20

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

436

W51423

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ.

48MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

436,57

436,570000

313,092000

514,01

514,010000

382,224000

437

W53892

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

162,10

162,100000

162,100000

197,89

197,890000

197,890000

438

W53893

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

260,91

260,910000

260,910000

318,52

318,520000

318,520000

439

W55756

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF.

120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF

5

418,45

83,690000

83,690000

494,26

98,852000

98,852000

440

W53520

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF.

300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

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

S/P RF/ R

1

214,16

214,160000

194,520000

261,45

261,450000

237,468000

441

W55757

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF.

300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

P- RF

5

1.001,12

200,224000

194,520000

1.129,37

225,874000

225,874000

442

W53523

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF.

480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

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

S/P RF/ R

1

355,90

355,900000

313,092000

426,08

426,080000

382,224000

443

W55758

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF.

480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

P- RF

5

1.656,30

331,260000

313,092000

1.843,52

368,704000

368,704000

444

W54015

P01BC02

MEFLOQUINUM 4)

ELOQUINE 250 mg

COMPR.

250mg

CN UNIFARM

ROMAN

IA

CUTIE X 10 BLIST. X 10 COMPR.

X

100

140,58

1,405800

1,405800

171,62

1,716200

1,716200

445

W12757

S01AA23

NETILMICINUM

NETTACIN (R)

PIC. OFT.,

SOL

0,3%

S.I.F.I. SPA

ITALIA

CUTIE X 1 FLACON X 5ML

P-

RF

1

10,49

10,490000

10,490000

14,18

14,180000

14,180000

446

W41510

S01AA23

NETILMICINUM

NETTACIN (R)

PICATURI OFT.-SOL.

0,3%

S.I.F.I. SPA

ITALIA

CUTIE X 3 FOLII TERMOSUDATE X 5 FLACOANE UNIDOZA DIN POLIETILENA X

0,3 ML

P- RF

15

21,41

1,427333

1,427333

28,94

1,929333

1,929333

447

W43512

S01AA23

NETILMICINUM

NETTAVISC 3mg/g

UNG. OFT.

3mg/g

S.I.F.I. SPA

ITALIA

CUTIE X 1 TUB DIN AL X 5 G UNGUENT

OFTALMIC, PREV. CU APLICATOR

P-

RF

1

24,05

24,050000

12,588000

32,50

32,500000

17,016000

448

W55950

S01BA01

DEXAMETHASONUM

OZURDEX

IMPLANT

700

microgram e

ALLERGAN PHARMACEUTICALS IRELAND

IRLAND A

CUTIE X 1 IMPLANT STERIL DE TIP FILAMENT CU ELIBERARE PRELUNGITA X 700MCG DEXAMETAZONA DISPUS IN ACUL (OTEL INOXIDABIL) UNUI APLICATOR DE UNICA FOLOSINTA

P- RF

1

4.694,69

4.694,690000

4.694,690000

5.155,37

5.155,370000

5.155,370000

449

W55648

S01BA01

DEXAMETHASONUM

DEXAMETAZONA

ROMPHARM 1mg/ml

PIC. OFT.

SUSP.

1mg/ml

ROMPHARM

COMPANY SRL

ROMAN

IA

CUTIE X 1 FLAC. DIN PEID X 10 ML PIC.

OFT., SUSPENSIE

P-

RF

1

7,49

7,490000

7,490000

10,12

10,120000

10,120000

450

W55648

S01BA01

DEXAMETHASONUM

DEXAMETAZONA

ROMPHARM 1mg/ml

PIC. OFT.

SUSP.

1mg/ml

ROMPHARM

COMPANY SRL

ROMAN

IA

CUTIE X 1 FLAC. DIN PEID X 5 ML PIC.

OFT., SUSPENSIE

P-

RF

1

4,11

4,110000

4,110000

5,55

5,550000

5,550000

451

W02427

S01BA01

DEXAMETHASONUM

MAXIDEX (R)

PICATURI OFT.-

SUSP.

0,1%

ALCON COUVREUR NV

BELGIA

CUTIE X 1 FLACON PICURATOR DIN PE X 5 ML

P- RF

1

6,33

6,330000

4,932000

8,55

8,550000

6,660000

452

W51513

S03AAN2

NORFLOXACINUM

NORFLOX

PICATURI OFT./AURI C.-SOL.

0,3%

CIPLA (UK) LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON PEJD X 5 ML

P- RF

1

3,52

3,520000

3,520000

4,76

4,760000

4,760000

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

21

B)

SUBPROGRAMUL DE TRATAMENT AL BOLNAVILOR CU TUBERCULOZA

1

W42822

A11HA02

PYRIDOXINUM

VITAMINA B6 250 mg

COMPR.

250 mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 FLACON DIN PE X 20 COMPR.

P-

6L

20

6,74

0,337000

0,337000

9,11

0,455500

0,455500

2

W56760

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 250

mg

COMPR.

250mg

ZENTIVA SA

ROMAN

IA

CUTIE X 1 FLAC. DIN PE X 20 COMPR.

P-

6L

20

6,74

0,337000

0,337000

9,11

0,455500

0,455500

3

W56758

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 250

mg/5 ml

SOL. INJ.

250mg/5 ml

ZENTIVA SA

ROMAN IA

CUTIE X 5 FIOLE DIN STICLA INCOLORA CU INEL DE RUPERE X 5 ML SOL. INJ.

P- RF

5

7,65

1,530000

1,530000

10,34

2,068000

2,068000

4

W56757

A11HA02

PYRIDOXINUM

VITAMINA B6 ZENTIVA 50

mg/2ml

SOL. INJ.

50mg/2ml

ZENTIVA SA

ROMAN IA

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

P- RF

5

5,16

1,032000

1,032000

6,98

1,396000

1,396000

5

W13686

H02AB07

PREDNISONUM

PREDNISON 5 mg

COMPR.

5mg

SINTOFARM SA

ROMAN

IA

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

P-

RF

30

2,74

0,091333

0,053316

3,71

0,123666

0,069744

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

6

W53341

H02AB07

PREDNISONUM

PREDNISON - RICHTER 5

mg

COMPR.

5mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

P-

RF

20

1,90

0,095000

0,053316

2,57

0,128500

0,069744

7

W12565

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR.

5mg

ARENA GROUP SA

ROMAN IA

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

P-

RF/ S

####

44,43

0,044430

0,044430

58,12

0,058120

0,058120

8

W12565

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR.

5mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

30

1,94

0,064666

0,053316

2,62

0,087333

0,069744

9

W05242

H02AB07

PREDNISONUM

PREDNISON MCC 5 mg

COMPR.

5mg

MAGISTRA C&C

S.R.L.

ROMAN

IA

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

P-

RF

20

1,96

0,098000

0,053316

2,65

0,132500

0,069744

10

W58242

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR. CU ELIB.

PREL.

500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR F

7

23,71

3,387142

1,405714

32,05

4,578571

1,899428

11

W59000

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500

mg

COMPR. ELIB.

PREL.

500mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR F

6

21,73

3,621666

1,405714

29,37

4,895000

1,899428

12

W14043

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 250

COMPR.

FILM.

250mg

MEDOCHEMIE LTD.

CIPRU

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

COMPR. FILM.

P-

RF

14

12,35

0,882142

0,647142

16,69

1,192142

0,874285

13

W01326

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR.

FILM.

250mg

ABBOTT SPA

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-

RF

14

21,14

1,510000

0,647142

28,57

2,040714

0,874285

14

W58998

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250

mg

COMPR. FILM.

250mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR F

14

8,39

0,599285

0,599285

11,34

0,810000

0,810000

15

W08490

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR.

FILM.

250mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

14

12,35

0,882142

0,647142

16,69

1,192142

0,874285

16

W60253

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR.

FILM.

250mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 14

COMPR. FILM.

PR

F

14

8,40

0,600000

0,600000

11,36

0,811428

0,811428

17

W44093

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg

COMPR.

FILM.

250mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

14

10,85

0,775000

0,647142

14,67

1,047857

0,874285

18

W61223

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 250 mg

COMPR. FILM.

250mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

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

PR F

14

7,55

0,539285

0,539285

10,20

0,728571

0,728571

19

W54044

J01FA09

CLARITHROMYCINUM

ROCLARIN 500 mg

COMPR.

FILM.

500mg

ANTIBIOTICE S.A.

ROMAN

IA

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

FILM.

P-

RF

20

33,14

1,657000

1,405714

43,35

2,167500

1,899428

20

W60254

J01FA09

CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR.

FILM.

500mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 14

COMPR. FILM.

PR

F

14

24,13

1,723571

1,405714

32,62

2,330000

1,899428

21

W08491

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR.

FILM.

500mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

14

24,13

1,723571

1,405714

32,62

2,330000

1,899428

22

W58999

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500

mg

COMPR. FILM.

500mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR F

14

18,22

1,301428

1,301428

24,62

1,758571

1,758571

23

W44087

J01FA09

CLARITHROMYCINUM

KLABAX 500 mg

COMPR.

FILM.

500mg

TERAPIA SA

ROMAN

IA

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

COMPR. FILM.

P-

RF

14

23,73

1,695000

1,405714

32,08

2,291428

1,899428

24

W56269

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM.

500mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUB LICA

CEHA

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

P- RF

20

40,76

2,038000

1,405714

53,31

2,665500

1,899428

25

W14044

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 500

COMPR.

FILM.

500mg

MEDOCHEMIE LTD.

CIPRU

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

COMPR. FILM.

P-

RF

14

24,13

1,723571

1,405714

32,62

2,330000

1,899428

26

W61224

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 500 mg

COMPR. FILM.

500mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

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

PR F

14

16,40

1,171428

1,171428

22,16

1,582857

1,582857

27

W44088

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF.

500mg

TERAPIA SA

ROMAN IA

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

P- RF

7

25,34

3,620000

1,405714

33,15

4,735714

1,899428

28

W13607

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL.

500mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

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

P- RF

5

27,85

5,570000

1,405714

36,43

7,286000

1,899428

29

W41838

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL.

500mg

KRKA D.D.

SLOVE NIA

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

P- RF

7

20,78

2,968571

1,405714

28,09

4,012857

1,899428

30

W44092

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF

1

14,01

14,010000

14,010000

18,94

18,940000

18,940000

31

W42258

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

SANDOZ SRL

ROMAN IA

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

DOZATOARE PP

P- RF

1

19,39

19,390000

16,812000

26,21

26,210000

22,728000

32

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT SPA

ITALIA

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

DOZATOARE X 2,5 ML/5 ML

P- RF

1

29,92

29,920000

29,920000

39,14

39,140000

39,140000

33

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT.

SUSP. ORALA

125mg/5 ml

ABBOTT SPA

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE

PT. 60 ML SUSP. ORALA + 1 LINGURITA DOZATOARE X 2,5 ML/5 ML

P- RF

1

18,11

18,110000

16,812000

24,48

24,480000

22,728000

34

W06981

J01FA09

CLARITHROMYCINUM

FROMILID (R) 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

KRKA D.D.

SLOVE NIA

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

P- RF

1

17,24

17,240000

16,812000

23,30

23,300000

22,728000

22

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

35

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT.

SUSP. ORALA

250mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF

1

39,06

39,060000

39,060000

51,09

51,090000

51,090000

36

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT.

SUSP. ORALA

250mg/5 ml

TERAPIA SA

ROMAN IA

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

P- RF

1

23,44

23,440000

23,440000

31,68

31,680000

31,680000

37

W58393

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA

250mg/5 ml

SANDOZ S.R.L.

ROMAN IA

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

PR F

1

21,29

21,290000

21,290000

28,78

28,780000

28,780000

38

W01329

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF.

500mg

ABBOTT

LABORATORIES LTD.

FRANT A

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

S/P RF

1

41,12

41,120000

41,120000

53,78

53,780000

53,780000

39

W57336

J01GA01

STREPTOMYCINUM

STREPTOMICINA SULFAT

BP

PULB. PT.

SOL. INJ.

1g

ANTIBIOTICE S.A.

ROMAN

IA

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

PR

F

50

139,72

2,794400

2,794400

170,57

3,411400

3,411400

40

W14119

J01GA01

STREPTOMYCINUM

STREVITAL 1 g

PULB. PT.

SOL. INJ.

1g

ANTIBIOTICE SA

ROMAN

IA

CUTIE X 50 FLAC. DIN STICLA

CONTINAND PULB. PT. SOL. INJ.

S

50

139,72

2,794400

2,794400

170,57

3,411400

3,411400

41

W14119

J01GA01

STREPTOMYCINUM

STREVITAL 1 g

PULB. PT.

SOL. INJ.

1g

ANTIBIOTICE SA

ROMAN

IA

CUTIE X 100 FLAC. DIN STICLA

CONTINAND PULB. PT. SOL. INJ.

S

100

277,91

2,779100

2,779100

339,27

3,392700

3,392700

42

W08827

J01GB04

KANAMYCINUM

PAN - KANAMYCINE

PULB. PT. SOL. INJ.

1g

LAB. PANPHARMA

FRANT A

CUTIE X 50 FLAC. X 1 G

P-

RF/ S

50

81,11

1,622200

1,622200

102,56

2,051200

2,051200

43

W53277

J01GB06

AMIKACINUM

AMIKOZIT (R) 500 mg/2 ml

SOL. INJ.

500mg/2

ml

ZENTIVA S.A.

ROMAN

IA

CUTIE X 1 FLACON DIN STICLA X 2 ML

P-

RF

1

5,15

5,150000

5,150000

6,96

6,960000

6,960000

44

W56957

J01MA01

OFLOXACINUM

OFLOXIN 200

COMPR.

FILM.

200mg

ZENTIVA K.S.

CEHIA

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

FILM.

P-

RF

10

14,81

1,481000

1,008000

20,02

2,002000

1,363200

45

W07914

J01MA01

OFLOXACINUM

ZANOCIN

COMPR. FILM.

200mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF

10

8,40

0,840000

0,840000

11,36

1,136000

1,136000

46

W54037

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

100 mg

COMPR.

FILM.

100mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

20

51,89

2,594500

2,594500

65,61

3,280500

3,280500

47

W54037

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

100 mg

COMPR.

FILM.

100mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

10

28,52

2,852000

2,852000

37,31

3,731000

3,731000

48

W44077

J01MA02

CIPROFLOXACINUM

CIPROCIN 250 mg

COMPR.

FILM.

250mg

E.I.P.I.CO. MED

S.R.L.

ROMAN

IA

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

COMPR. FILM.

P-

RF

10

5,05

0,505000

0,422400

6,83

0,683000

0,571200

49

W56145

J01MA02

CIPROFLOXACINUM

ALVEBAR 250 mg

COMPR.

FILM.

250mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

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

FILM.

P-

RF

10

3,52

0,352000

0,352000

4,76

0,476000

0,476000

50

W54038

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

250 mg

COMPR.

FILM.

250mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

10

4,85

0,485000

0,422400

6,56

0,656000

0,571200

51

W54038

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

250 mg

COMPR.

FILM.

250mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

20

9,10

0,455000

0,422400

12,30

0,615000

0,571200

52

W01271

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR.

FILM.

250mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

FILM.

P-

RF

20

9,10

0,455000

0,422400

12,30

0,615000

0,571200

53

W01273

J01MA02

CIPROFLOXACINUM

CIPRINOL 250 mg

COMPR.

FILM.

250mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

10

5,05

0,505000

0,422400

6,83

0,683000

0,571200

54

W07862

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM.

250mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF

10

5,13

0,513000

0,422400

6,93

0,693000

0,571200

55

W01288

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 250 mg

COMPR.

FILM.

250mg

AC HELCOR SRL

ROMAN

IA

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

FILM.

P-

RF

10

5,05

0,505000

0,422400

6,83

0,683000

0,571200

56

W01271

J01MA02

CIPROFLOXACINUM

CUMINOL 250 mg

COMPR.

FILM.

250mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

FILM.

P-

RF

10

5,05

0,505000

0,422400

6,83

0,683000

0,571200

57

W12545

J01MA02

CIPROFLOXACINUM

CIPRO QUIN (R)

COMPR.

FILM.

500mg

ANTIBIOTICE SA

ROMAN

IA

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

FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

58

W01274

J01MA02

CIPROFLOXACINUM

CIPRINOL 500 mg

COMPR.

FILM.

500mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

59

W44076

J01MA02

CIPROFLOXACINUM

CIPROCIN 500 mg

COMPR.

FILM.

500mg

E.I.P.I.CO. MED

S.R.L.

ROMAN

IA

CUTIE X 1 BLIST. X 10 COMPR. FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

60

W56146

J01MA02

CIPROFLOXACINUM

ALVEBAR 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

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

FILM.

P-

RF

10

4,80

0,480000

0,480000

6,49

0,649000

0,649000

61

W54039

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

500 mg

COMPR.

FILM.

500mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

10

6,83

0,683000

0,576000

9,23

0,923000

0,778800

62

W54039

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

500 mg

COMPR.

FILM.

500mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

20

12,16

0,608000

0,576000

16,43

0,821500

0,778800

63

W01272

J01MA02

CIPROFLOXACINUM

CUMINOL 500 mg

COMPR.

FILM.

500mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

64

W01289

J01MA02

CIPROFLOXACINUM

CIPROLEN (R) 500 mg

COMPR.

FILM.

500mg

AC HELCOR SRL

ROMAN

IA

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

FILM.

P-

RF

10

9,78

0,978000

0,576000

13,22

1,322000

0,778800

65

W07863

J01MA02

CIPROFLOXACINUM

CIFRAN

COMPR. FILM.

500mg

RANBAXY UK LIMITED

MAREA BRITAN IE

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

P- RF

10

6,50

0,650000

0,576000

8,78

0,878000

0,778800

23

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

66

W42772

J01MA02

CIPROFLOXACINUM

CIPRINOL 750 mg

COMPR.

FILM.

750mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

P-

RF

10

29,43

2,943000

2,943000

38,50

3,850000

3,850000

67

W54040

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ARENA

750 mg

COMPR.

FILM.

750mg

ARENA GROUP S.A.

ROMAN

IA

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

FILM.

P-

RF

10

28,52

2,852000

2,852000

37,31

3,731000

3,731000

68

W57948

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 1000 mg

COMPR. FILM. ELIB. PREL.

1000 mg

BAYER PHARMA AG

GERMA NIA

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

P- RF

7

66,99

9,570000

9,570000

84,70

12,100000

12,100000

69

W57949

J01MA02

CIPROFLOXACINUM

CIPROBAY XR 500 mg

COMPR. FILM. ELIB. PREL.

500 mg

BAYER PHARMA AG

GERMA NIA

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

P- RF

3

20,44

6,813333

0,576000

27,63

9,210000

0,778800

70

W54378

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA 100

mg/10 ml

CONC. PT. SOL. PERF.

100mg/10 ml

ZENTIVA S.A.

ROMAN IA

CUTIE X 5 FIOLE DIN STICLA INCOLORA

PREVAZUTE CU INEL DE RUPERE X 10 ML

S/P RF

5

12,42

2,484000

2,484000

16,79

3,358000

3,277440

71

W01275

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF.

100mg/10 ml

KRKA D.D.

SLOVE NIA

CUTIE X 50 FIOLE X 10 ML

S

50

111,86

2,237200

2,237200

136,56

2,731200

2,731200

72

W01275

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

CONC. PT. SOL. PERF.

100mg/10 ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 10 ML

S/P RF

5

12,42

2,484000

2,484000

16,79

3,358000

3,277440

73

W60268

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA ZENTIVA

10 mg/ml

CONC. PT. SOL. PERF.

100mg/10 ml

ZENTIVA S.A.

ROMAN IA

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

ML

S/P RF

5

12,42

2,484000

2,484000

16,79

3,358000

3,277440

74

W08223

J01MA02

CIPROFLOXACINUM

CIPRINOL

SOL. PERF.

100mg/50 ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

S/P RF

1

3,54

3,540000

2,684640

4,79

4,790000

3,277440

75

W08224

J01MA02

CIPROFLOXACINUM

CIPRINOL

SOL. PERF.

200mg/10 0ml

KRKA D.D. NOVO MESTO

SLOVE NIA

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

S/P RF

1

7,09

7,090000

7,090000

9,58

9,580000

9,580000

76

W53353

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA

INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS

SRL

ROMAN

IA

CUTIE X 10 PUNGI PVC PLASTIFIAT X

100ML

S

10

69,19

6,919000

6,919000

87,49

8,749000

8,749000

77

W53353

J01MA02

CIPROFLOXACINUM

CIPROFLOXACINA

INFOMED 2 mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS

SRL

ROMAN

IA

CUTIE X 10 PUNGI PVC PLASTIFIAT X

200ML

S

10

128,87

12,887000

12,887000

157,33

15,733000

15,733000

78

W42193

J01MA02

CIPROFLOXACINUM

CIPRINOL (R)

SOL. PERF.

400mg/20 0ml

KRKA D.D.

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA X 200 ML

S/P RF

1

14,29

14,290000

14,290000

19,31

19,310000

18,879600

79

W60943

J01MA14

MOXIFLOXACINUM

MOFLAXA 400 mg

COMPR. FILM.

400mg

KRKA, D.D., NOVO MESTO

SLOVE NIA

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

PR F

5

38,76

7,752000

7,387200

50,70

10,140000

9,662400

80

W59332

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA AUROBINDO 400 mg

COMPR. FILM.

400mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

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

PR F

5

30,78

6,156000

6,156000

40,26

8,052000

8,052000

81

W60545

J01MA14

MOXIFLOXACINUM

MOFIL 400 mg

COMPR.

FILM.

400mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

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

COMPR. FILM.

PR

F

5

35,34

7,068000

7,068000

46,22

9,244000

9,244000

82

W60311

J01MA14

MOXIFLOXACINUM

MOFINACIN 400 mg

COMPR.

FILM.

400mg

ALVOGEN IPCO

S.A.R.L

LUXEM

BURG

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

COMPR. FILM

PR

F

5

42,18

8,436000

7,387200

55,17

11,034000

9,662400

83

W57939

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg

COMPR.

FILM.

400mg

BAYER PHARMA AG

GERMA

NIA

CUTIE X 1 BLIST. TRANSPARENT PP/AL X

5 COMPR. FILM.

P-

RF

5

58,59

11,718000

7,387200

74,08

14,816000

9,662400

84

W60727

J01MA14

MOXIFLOXACINUM

MOXIFLOXACINA KABI 400

mg/250 ml

SOL. PERF.

400mg/25 0ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. PEJD (KABIPACK) A

250 ML SOL. PERF. (400 MG MOXIFLOXACINA)

PR

1

82,20

82,200000

82,200000

103,94

103,940000

103,940000

85

W57938

J01MA14

MOXIFLOXACINUM

AVELOX® 400 mg/250 ml

SOL. PERF.

400mg/25

0ml

BAYER PHARMA AG

GERMA

NIA

CUTIE X 5 FLACOANE DIN STICLA X 250

ML

S

5

594,69

118,938000

98,640000

686,36

137,272000

124,728000

86

W52079

J04AB01

CICLOSERINUM

CICLOSERINA ANTIBIOTICE

250 mg

CAPS.

250mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE X 10 FOLII TERMOSUDATE DIN

AL/AL X 10 CAPS.

P-

RF

100

425,06

4,250600

4,250600

501,47

5,014700

5,014700

87

W08238

J04AB01

CICLOSERINUM

HELPOCERIN

CAPS.

250mg

HELP PHARMACEUTICALS

LTD.

GRECIA

CUTIE X 5 BLIST. X 10 CAPS.

S/P RF

50

190,37

3,807400

3,807400

232,40

4,648000

4,648000

88

W41998

J04AB02

RIFAMPICINUM

SINERDOL 150 mg

CAPS.

150mg

ANTIBIOTICE SA

ROMAN

IA

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

S

1.000

163,52

0,163520

0,163520

199,62

0,199620

0,199620

89

W41999

J04AB02

RIFAMPICINUM

SINERDOL 300 mg

CAPS.

300mg

ANTIBIOTICE SA

ROMAN

IA

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

S

1.000

530,00

0,530000

0,530000

615,85

0,615850

0,615850

90

W58576

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 100 mg

COMPR.

100mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 150 BLIST. PVC/AL X 10

COMPR.

PR

1.500

159,50

0,106333

0,106333

194,72

0,129813

0,129813

91

W58577

J04AC01

ISONIAZIDUM

IZONIAZIDA ATB 300 mg

COMPR.

300mg

ANTIBIOTICE SA

ROMAN IA

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

S/P RF

1.500

395,00

0,263333

0,263333

468,70

0,312466

0,312466

92

W60582

J04AC01

ISONIAZIDUM

ISONIAZID

SIROP

100mg/5

ml

CN UNIFARM S.A.

ROMAN

IA

CUTIE X 1 FLAC. X 200 ML SIROP

PR

1

29,01

29,010000

29,010000

37,95

37,950000

37,950000

93

W60594

J04AC01

ISONIAZIDUM

BITUB

SOL INJ.

100mg/ml

CN UNIFARM S.A.

ROMAN

IA

CUTIE CU 10 FIOLE A 5ML

PR

10

14,16

1,416000

1,416000

19,14

1,914000

1,914000

94

W55916

J04AD01

PROTIONAMIDUM

PETEHA 250 mg

COMPR.

FILM.

250 mg

ANTIBIOTICE SA

ROMAN

IA

CUTIE X 10 BLISTERE X 10 COMPRIMATE

FILMATE

PR

100

98,56

0,985600

0,985600

124,62

1,246200

1,246200

95

W60213

J04AK01

PYRAZINAMIDUM

PIRAZINAMIDA ATB 500 mg

COMPR.

500mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 150 BLIST. PVC/AL X 10

COMPR.

PR

1.500

434,58

0,289720

0,289720

511,84

0,341226

0,341226

24

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

96

W53682

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 250

mg

CAPS.

250mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

20

3,54

0,177000

0,177000

4,79

0,239500

0,239500

97

W59648

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMAN

IA

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

PR

F

20

5,54

0,277000

0,277000

7,49

0,374500

0,374500

98

W59648

J04AK02

ETHAMBUTOLUM

ETAMBUTOL ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE CU 1 FLAC. DIN PE X 50 CAPS.

PR

F

50

13,72

0,274400

0,274400

18,54

0,370800

0,370800

99

W42943

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 250 mg

COMPR.

FILM.

250mg

ANTIBIOTICE SA

ROMAN

IA

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

FILM.

S

1.500

314,54

0,209693

0,209693

381,00

0,254000

0,254000

100

W42861

J04AK02

ETHAMBUTOLUM

ETAMBUTOL 400 mg

COMPR.

FILM.

400mg

ANTIBIOTICE SA

ROMAN

IA

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

FILM.

S

1.500

485,00

0,323333

0,323333

566,80

0,377866

0,377866

101

W60583

J04AK02

ETHAMBUTOLUM

INBUTOL

SOL INJ.

100mg/ml

CN UNIFARM S.A.

ROMAN

IA

FLAC. X 10 ML SOL. INJ

PR

1

15,55

15,550000

15,550000

21,02

21,020000

21,020000

102

W14071

J04AM02

COMBINATII

(RIFAMPICINUM+IZONIAZIDUM)

SINERDOL ISO

CAPS.

300mg+1

50mg

ANTIBIOTICE SA

ROMAN

IA

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

S

1.000

580,00

0,580000

0,580000

670,35

0,670350

0,670350

P1: PROGRAMUL NATIONAL DE BOLI TRANSMISIBILE

C)

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

1

W08867

J05AH01

ZANAMIVIRUM

RELENZA 5 mg

PULB. UNIDOZA DE

INHALAT

5mg

GLAXO GROUP LTD.

MAREA BRITAN IE

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

P- RF

5

59,59

11,918000

11,918000

75,34

15,068000

15,068000

2

W52316

J05AH02

OSELTAMIVIRUM

TAMIFLU 30mg

CAPS.

30mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P- RF

10

37,94

3,794000

3,794000

49,62

4,962000

4,962000

3

W13633

J05AH02

OSELTAMIVIRUM

TAMIFLU 75 mg

CAPS.

75mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P- RF

10

60,15

6,015000

6,015000

76,06

7,606000

7,606000

25

P3: PROGRAMUL NATIONAL DE ONCOLOGIE

1

W58800

G03HA01

CYPROTERONUM

ANDROCUR

COMPR.

50mg

BAYER PHARMA AG

GERMA

NIA

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

P-

RF

50

85,78

1,715600

1,715600

108,46

2,169200

2,169200

2

W12490

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ.

50mg

BAXTER

ONCOLOGY GMBH

GERMA

NIA

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

DRAJ.

P-

RF

50

19,33

0,386600

0,386600

26,13

0,522600

0,522600

3

W52215

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ.

I.V.

200mg

ACTAVIS S.R.L.

ROMAN IA

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

S

1

11,76

11,760000

11,760000

15,89

15,890000

15,890000

4

W58866

L01AA02

CHLORAMBUCILUM

LEUKERAN

COMPR.

FILM.

2mg

ASPEN PHARMA

TRADING LIMITED

IRLAND

A

CUTIE X 1 FLAC. X 25 COMPR. FILM.

P-

RF

25

238,56

9,542400

9,542400

291,24

11,649600

11,649600

5

W58865

L01AA03

MELPHALANUM

ALKERAN 2 mg

COMPR.

FILM.

2mg

ASPEN PHARMA

TRADING LIMITED

IRLAND

A

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25

COMPR. FILM.

P-

RF

25

288,54

11,541600

11,541600

352,25

14,090000

14,090000

6

W60631

L01AA03

MELPHALANUM

ALKERAN 50 mg

PULB+SOL

V. PT. SOL. INJ./PERF.

50mg

CN UNIFARM S.A.

ROMAN IA

CUTIE CU 1 FIOLA PULB.+ 1 FIOLA SOLVENT

PR

1

654,63

654,630000

654,630000

751,70

751,700000

751,700000

7

W12497

L01AA06

IFOSFAMIDUM

HOLOXAN 1 g

PULB. PT. SOL. PERF.

1g

BAXTER ONCOLOGY GMBH

GERMA NIA

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

S

1

92,66

92,660000

92,660000

117,16

117,160000

117,160000

8

W58856

L01AB01

BUSULFANUM

MYLERAN

COMPR.

FILM.

2mg

ASPEN PHARMA

TRADING LIMITED

IRLAND

A

CUTIE X 1 FLAC. DIN STICLA BRUNA X

100 COMPR. FILM.

P-

RF

100

1.028,76

10,287600

10,287600

1.159,50

11,595000

11,595000

9

W51454

L01AB01

BUSULFANUM

BUSILVEX 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

PIERRE FABRE MEDICAMENT

FRANT A

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

S

8

9.151,91

1.143,988750

1.143,988750

10.013,75

1.251,718750

1.251,718750

10

W59709

L01AD02

LOMUSTINUM 4)

CECENU

CAPS.

40mg

CN UNIFARM S.A.

ROMAN

IA

CUTIE X 1 FLACON X 20 CAPSULE

PR

20

1.858,81

92,940500

92,940500

2.064,26

103,213000

103,213000

11

W59705

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS.

100mg

ROMASTRU TRADING SRL

ROMAN IA

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

CAPS.

PR

5

393,55

78,710000

78,710000

467,12

93,424000

93,424000

12

W59451

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 100 mg

CAPS.

100mg

ALVOGEN IPCO

S.AR.L.

LUXEM

BURG

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR

F

5

472,26

94,452000

94,452000

552,91

110,582000

110,582000

13

W59506

L01AX03

TEMOZOLOMIDUM**

NOGRON 100 mg

CAPS.

100mg

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F

5

629,66

125,932000

94,452000

724,48

144,896000

112,108800

14

W59705

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS.

100mg

ROMASTRU

TRADING SRL

ROMAN

IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

393,55

78,710000

78,710000

467,12

93,424000

93,424000

15

W56780

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 100 mg

CAPS.

100mg

STADA HEMOFARM

SRL

ROMAN

IA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X

5 CAPS.

PR

5

495,60

99,120000

94,452000

578,35

115,670000

112,108800

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

16

W58092

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE SUN 100

mg

CAPS.

100mg

SUN PHARMACEUTICAL INDUSTRIES

EUROPE B.V.

OLAND A

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PR F

5

675,04

135,008000

94,452000

773,95

154,790000

112,108800

17

W55335

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 100

mg

CAPS.

100mg

TEVA PHARMA B.V.

OLAND A

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

P-

RF/ R

5

393,55

78,710000

78,710000

467,12

93,424000

93,424000

18

W59699

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 100 mg

CAPS.

100mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUB LICA

CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

479,26

95,852000

94,452000

560,54

112,108000

112,108000

19

W59614

L01AX03

TEMOZOLOMIDUM**

TEMODAL 100 mg

CAPS.

100mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-

RF/ R

5

589,30

117,860000

94,452000

680,49

136,098000

112,108800

20

W61245

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS.

100mg

NEOLA PHARMA

S.R.L.

ROMAN

IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

393,55

78,710000

78,710000

467,12

93,424000

93,424000

21

W61245

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 100 mg

CAPS.

100mg

NEOLA PHARMA S.R.L.

ROMAN IA

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

CAPS.

PR

5

393,55

78,710000

78,710000

467,12

93,424000

93,424000

22

W56781

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 140 mg

CAPS.

140mg

STADA HEMOFARM

SRL

ROMAN

IA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X

5 CAPS.

PR

5

709,00

141,800000

141,800000

810,96

162,192000

162,192000

23

W58093

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE SUN 140

mg

CAPS.

140mg

SUN PHARMACEUTICAL INDUSTRIES

EUROPE B.V.

OLAND A

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PR F

5

1.648,19

329,638000

170,160000

1.834,68

366,936000

194,630400

24

W59507

L01AX03

TEMOZOLOMIDUM**

NOGRON 140 mg

CAPS.

140mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F

5

929,60

185,920000

170,160000

1.051,42

210,284000

194,630400

25

W59706

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 140 mg

CAPS.

140mg

ROMASTRU

TRADING SRL

ROMAN

IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

857,79

171,558000

170,160000

973,14

194,628000

194,628000

26

W59706

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 140 mg

CAPS.

140mg

ROMASTRU TRADING SRL

ROMAN IA

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

CAPS.

PR

5

857,79

171,558000

170,160000

973,14

194,628000

194,628000

27

W59615

L01AX03

TEMOZOLOMIDUM**

TEMODAL 140mg

CAPS.

140mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-

RF/ R

5

825,68

165,136000

165,136000

938,14

187,628000

187,628000

28

W59616

L01AX03

TEMOZOLOMIDUM**

TEMODAL 180 mg

CAPS.

180mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-

RF/ R

5

1.019,21

203,842000

203,842000

1.149,09

229,818000

229,818000

29

W56782

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 180 mg

CAPS.

180mg

STADA HEMOFARM

SRL

ROMAN

IA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X

5 CAPS.

PR

5

903,00

180,600000

180,600000

1.022,42

204,484000

204,484000

30

W59508

L01AX03

TEMOZOLOMIDUM**

NOGRON 180 mg

CAPS.

180mg

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F

5

1.247,53

249,506000

216,720000

1.397,96

279,592000

245,380800

31

W59450

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 20 mg

CAPS.

20mg

ALVOGEN IPCO

S.AR.L.

LUXEM

BURG

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR

F

5

107,00

21,400000

21,400000

130,63

26,126000

26,126000

32

W59505

L01AX03

TEMOZOLOMIDUM**

NOGRON 20 mg

CAPS.

20mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR F

5

131,91

26,382000

22,298400

161,04

32,208000

28,195200

33

W56779

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 20 mg

CAPS.

20mg

STADA HEMOFARM

SRL

ROMAN

IA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X

5 CAPS.

PR

5

93,94

18,788000

18,788000

118,78

23,756000

23,756000

34

W59617

L01AX03

TEMOZOLOMIDUM**

TEMODAL 20 mg

CAPS.

20mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 5 CAPS. AMBALATE INDIVIDUAL IN PLICURI

P-

RF/ R

5

140,39

28,078000

22,298400

171,39

34,278000

28,195200

35

W59704

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS.

20mg

ROMASTRU

TRADING SRL

ROMAN

IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

92,91

18,582000

18,582000

117,48

23,496000

23,496000

36

W59704

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS.

20mg

ROMASTRU TRADING SRL

ROMAN IA

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

CAPS.

PR

5

92,91

18,582000

18,582000

117,48

23,496000

23,496000

37

W58091

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE SUN 20 mg

CAPS.

20mg

SUN PHARMACEUTICAL INDUSTRIES

EUROPE B.V.

OLAND A

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PR F

5

141,91

28,382000

22,298400

173,24

34,648000

28,195200

26

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

38

W59698

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 20 mg

CAPS.

20mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUB

LICA CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

115,47

23,094000

22,298400

140,96

28,192000

28,192000

39

W55334

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 20

mg

CAPS.

20mg

TEVA PHARMA B.V.

OLAND A

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

P-

RF/ R

5

92,91

18,582000

18,582000

117,48

23,496000

23,496000

40

W61244

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS.

20mg

NEOLA PHARMA

S.R.L.

ROMAN

IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

92,91

18,582000

18,582000

117,48

23,496000

23,496000

41

W61244

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 20 mg

CAPS.

20mg

NEOLA PHARMA S.R.L.

ROMAN IA

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

CAPS.

PR

5

92,91

18,582000

18,582000

117,48

23,496000

23,496000

42

W59702

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA GLENMARK 250 mg

CAPS.

250mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUB

LICA CEHA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

1.557,48

311,496000

310,096800

1.735,81

347,162000

347,162000

43

W60017

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS.

250mg

ROMASTRU

TRADING SRL

ROMAN

IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

1.557,47

311,494000

310,096800

1.735,80

347,160000

347,160000

44

W60017

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS.

250mg

ROMASTRU TRADING SRL

ROMAN IA

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

CAPS.

PR

5

1.557,47

311,494000

310,096800

1.735,80

347,160000

347,160000

45

W59454

L01AX03

TEMOZOLOMIDUM**

BLASTOMAT 250 mg

CAPS.

250mg

ALVOGEN IPCO

S.AR.L.

LUXEM

BURG

CUTIE CU 1 FLAC. PEID X 5 CAPS.

PR

F

5

1.550,35

310,070000

310,070000

1.728,03

345,606000

345,606000

46

W56783

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDA HF 250 mg

CAPS.

250mg

STADA HEMOFARM

SRL

ROMAN

IA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X

5 CAPS.

PR

5

1.292,07

258,414000

258,414000

1.446,51

289,302000

289,302000

47

W58097

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE SUN 250

mg

CAPS.

250mg

SUN PHARMACEUTICAL INDUSTRIES

EUROPE B.V.

OLAND A

CUTIE CU FLACON DIN STICLA BRUNA X 5 CAPSULE

PR F

5

2.539,46

507,892000

310,096800

2.806,17

561,234000

347,162400

48

W55336

L01AX03

TEMOZOLOMIDUM**

TEMOZOLOMIDE TEVA 250

mg

CAPS.

250mg

TEVA PHARMA B.V.

OLAND A

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

P-

RF/ R

5

1.557,48

311,496000

310,096800

1.735,81

347,162000

347,162000

49

W61248

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS.

250mg

NEOLA PHARMA

S.R.L.

ROMAN

IA

CUTIE CU 1 FLAC. DIN PEID X 5 CAPS.

PR

5

1.557,47

311,494000

310,096800

1.735,80

347,160000

347,160000

50

W61248

L01AX03

TEMOZOLOMIDUM**

BRASTORYN 250 mg

CAPS.

250mg

NEOLA PHARMA S.R.L.

ROMAN IA

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

CAPS.

PR

5

1.557,47

311,494000

310,096800

1.735,80

347,160000

347,160000

51

W59613

L01AX03

TEMOZOLOMIDUM**

TEMODAL 2,5mg/ml

PULB. PT. SOL. PERF.

2,5mg/ml

MERCK SHARP & DOHME

MAREA BRITAN IE

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

P-

RF/ R

1

582,04

582,040000

582,040000

672,57

672,570000

672,570000

52

W56549

L01AX04

DACARBAZINUM

DACARBAZINE MEDAC 500

mg

PULB. PT. SOL. INJ.

500mg

CN UNIFARM S.A.

ROMAN IA

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

PR

/P RF

1

66,94

66,940000

66,940000

84,64

84,640000

84,640000

53

W58779

L01AX04

DACARBAZINUM

DACARBAZINA LIPOMED

200 mg

PULB. PT. SOL. INJ./PERF.

200 mg

LIPOMED GMBH

GERMA NIA

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

PR

10

730,98

73,098000

73,098000

834,92

83,492000

83,492000

54

W59710

L01AX04

DACARBAZINUM

DACARBAZIN MEDAC

200mg

PULB. PT. SOL.

INJ./PERF.

200mg

CN UNIFARM S.A.

ROMAN IA

CUTIE X 10 FLACOANE

PR

10

795,44

79,544000

79,544000

905,18

90,518000

90,518000

55

W58569

L01BA01

METHOTREXATUM

METHOTREXATE PCH 10mg

COMPR.

10mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 10COMPR.

P6 L

10

21,32

2,132000

2,132000

28,81

2,881000

2,881000

56

W58568

L01BA01

METHOTREXATUM

METHOTREXATE PCH

2,5mg

COMPR.

2,5mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X30 COMPRIMATE

P6 L

30

16,00

0,533333

0,533333

21,62

0,720666

0,720666

57

W12733

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE"

1000 mg

CONC. PT. SOL.

INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S

1

70,91

70,910000

70,910000

89,66

89,660000

89,660000

58

W04185

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE"

500 mg

CONC. PT. SOL.

INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 5 FIOLE X 5 ML

S

5

197,47

39,494000

39,494000

241,07

48,214000

48,214000

59

W12735

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE"

5000 mg

CONC. PT.

SOL. INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 50 ML

S

1

332,72

332,720000

332,720000

400,81

400,810000

400,810000

27

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

60

W59856

L01BA01

METHOTREXATUM

BENDATREXAT

SOL INJ.

25mg/ml

CN UNIFARM S.A.

ROMAN

IA

CUTIE CU 1 FLAC. X 2 ML

PR

1

65,37

65,370000

65,370000

82,65

82,650000

82,650000

61

W04186

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 5

mg

SOL. INJ.

5mg/ml

EBEWE PHARMA

GMBH NFG. KG

AUSTRI

A

CUTIE X 10 FIOLE X 1 ML

S

10

17,62

1,762000

1,762000

23,82

2,382000

2,382000

62

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10

mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

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

AUSTRI A

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

PR

1

45,60

45,600000

45,600000

59,64

59,640000

59,640000

63

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10

mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

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

AUSTRI A

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

PR

1

100,34

100,340000

100,340000

122,50

122,500000

122,500000

64

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10

mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

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

AUSTRI A

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

PR

1

62,22

62,220000

62,220000

78,67

78,670000

78,670000

65

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10

mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

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

AUSTRI A

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

PR

1

87,07

87,070000

87,070000

110,09

110,090000

110,090000

66

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

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

P- RF

1

62,22

62,220000

62,220000

78,67

78,670000

78,670000

67

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF

1

59,16

59,160000

54,720000

74,80

74,800000

71,568000

68

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

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

P- RF

1

101,74

101,740000

101,740000

124,21

124,210000

124,210000

69

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

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

P- RF

1

86,63

86,630000

86,630000

109,54

109,540000

109,540000

70

W42003

L01BA04

PEMETREXEDUM****

ALIMTA 500mg

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

500mg

ELI LILLY NEDERLAND BV

OLAND A

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

S

1

4.944,17

4.944,170000

4.944,170000

5.537,28

5.537,280000

5.537,280000

71

W58868

L01BB02

MERCAPTOPURINUM

PURI - NETHOL

COMPR.

50mg

ASPEN PHARMA

TRADING LIMITED

IRLAND

A

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25

COMPR.

P-

RF

25

300,20

12,008000

12,008000

365,37

14,614800

14,614800

72

W58869

L01BB03

TIOGUANINUM

LANVIS

COMPR.

40mg

ASPEN PHARMA

TRADING LIMITED

IRLAND

A

CUTIE X 1 FLAC. X 25 COMPR.

P-

RF

25

638,68

25,547200

25,547200

734,31

29,372400

29,372400

73

W60721

L01BB03

TIOGUANINUM

THIOGUANIN ASPEN 40 mg

COMPR.

40mg

CN UNIFARM S.A.

ROMAN

IA

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU

25 COMPR.

PR

25

638,68

25,547200

25,547200

734,31

29,372400

29,372400

74

W44114

L01BB04

CLADRIBINUM

LITAK 2 mg/ml

SOL. INJ.

2mg/ml

LIPOMED GMBH

GERMA

NIA

CUTIE X 1 FLACON X 5 ML

S

1

1.435,80

1.435,800000

1.435,800000

1.603,17

1.603,170000

1.603,170000

75

W56210

L01BB05

FLUDARABINUM****

FLUDARA ORAL 10 mg

COMPR. FILM.

10mg

GENZYME EUROPE B.V.

OLAND A

CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

P-

RF/ S

20

1.094,66

54,733000

54,733000

1.231,33

61,566500

61,566500

76

W56211

L01BB05

FLUDARABINUM

FLUDARA

LIOF. PT. SOL.

INJ./PERF.

50mg

GENZYME EUROPE B.V.

OLAND A

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

S

5

513,08

102,616000

102,616000

597,41

119,482000

119,482000

77

W53700

L01BB05

FLUDARABINUM

FLUDARABINA ACTAVIS 25

mg/ml

PULB. PT. SOL. INJ./PERF.

25mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

340,13

340,130000

123,139200

408,89

408,890000

143,378400

78

W53291

L01BB06

CLOFARABINUM****

EVOLTRA 1mg/ml

CONC. PT. SOL. PERF.

1mg/ml

GENZYME EUROPE BV

OLAND A

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

PR

1

6.346,63

6.346,630000

6.346,630000

6.955,99

6.955,990000

6.955,990000

79

W52264

L01BB07

NELARABINUM****

ATRIANCE

SOL. PERF.

5mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 6 FLAC. X 50 ML

S

6

7.484,57

1.247,428333

1.247,428333

8.196,34

1.366,056666

1.366,056666

80

W13946

L01BC01

CYTARABINUM

ALEXAN 20mg/ml

SOL. INJ.

20mg/ml

EBEWE PHARMA

GMBH NFG. KG

AUSTRI

A

CUTIE X 10 FLACOANE DIN STICLA X 5

ML SOL. INJ.

S

10

97,56

9,756000

9,756000

123,36

12,336000

12,336000

81

W42933

L01BC01

CYTARABINUM

ALEXAN 50mg/ml

SOL. INJ.

50mg/ml

EBEWE PHARMA

GMBH NFG. KG

AUSTRI

A

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

S

1

45,22

45,220000

30,300000

59,15

59,150000

39,636000

28

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

82

W42933

L01BC01

CYTARABINUM

ALEXAN 50mg/ml

SOL. INJ.

50mg/ml

EBEWE PHARMA

GMBH NFG. KG

AUSTRI

A

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

S

1

76,34

76,340000

60,600000

96,52

96,520000

76,620000

83

W59016

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF.

100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ALBASTRA X 5 ML SOL. INJ. SAU PERF.

PR

1

25,25

25,250000

25,250000

33,03

33,030000

33,030000

84

W59016

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF.

100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE ROSIE X 10 ML SOL. INJ. SAU

PERF.

PR

1

50,50

50,500000

50,500000

63,85

63,850000

63,850000

85

W59016

L01BC01

CYTARABINUM

CITARABINA KABI 100 mg/ml

SOL. INJ. SAU PERF.

100mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC BROMBUTILIC CU CAPSA DETASABILA DIN AL DE CULOARE GALBENA X 20 ML SOL. INJ. SAU PERF.

PR

1

99,23

99,230000

99,230000

125,47

125,470000

125,470000

86

W53814

L01BC01

CYTARABINUM

DEPOCYTE 50mg

SUSP. INJ.

50mg

PACIRA LIMITED

MAREA BRITAN IE

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

S

1

6.970,59

6.970,590000

6.970,590000

7.636,10

7.636,100000

7.636,100000

87

W43451

L01BC02

FLUOROURACILUM

5 - FLUOROURACIL EBEWE

50mg/ml

CONC. PT. SOL.

INJ./PERF.

50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML CONCENTRAT PT. SOL.

INJ./PERF.

S

1

68,66

68,660000

68,660000

86,81

86,810000

86,810000

88

W43451

L01BC02

FLUOROURACILUM

5 - FLUOROURACIL EBEWE

50mg/ml

CONC. PT.

SOL. INJ./PERF.

50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA BRUNA X 5 ML CONCENTRAT PT. SOL. INJ./PERF.

S

1

6,32

6,320000

6,320000

8,54

8,540000

8,540000

89

W43451

L01BC02

FLUOROURACILUM

5 - FLUOROURACIL EBEWE

50mg/ml

CONC. PT. SOL.

INJ./PERF.

50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S

1

13,64

13,640000

13,640000

18,44

18,440000

18,440000

90

W43451

L01BC02

FLUOROURACILUM

5 - FLUOROURACIL EBEWE

50mg/ml

CONC. PT.

SOL. INJ./PERF.

50mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA BRUNA X 10 ML CONCENTRAT PT. SOL. INJ./PERF.

S

1

11,17

11,170000

11,170000

15,10

15,100000

15,100000

91

W60304

L01BC02

FLUOROURACILUM

FLUOROURACIL PCH 50

mg/ml

SOL INJ.

50 mg/ml

TEVA PHARMACEUTICAL

S.R.L.

ROMAN IA

FLACON X 10ML SOLUTIE INJECTABILA

PR

1

11,53

11,530000

11,530000

15,58

15,580000

15,580000

92

W60304

L01BC02

FLUOROURACILUM

FLUOROURACIL PCH 50

mg/ml

SOL INJ.

50 mg/ml

TEVA PHARMACEUTICAL

S.R.L.

ROMAN IA

FLACON X 100ML SOLUTIE INJECTABILA

PR

1

99,35

99,350000

82,392000

125,62

125,620000

104,172000

93

W59237

L01BC05

GEMCITABINUM**

GEMCITABINA EBEWE

PHARMA 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

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

AUSTRI A

CUTIE CU UN FLAC. DIN STICLA INCOLORA CU INVELIS PROTECTOR

,,ONCO-SAFE" A 100 ML CONC. PT. SOL.

PERF

S

1

185,77

185,770000

185,770000

226,79

226,790000

226,790000

94

W59237

L01BC05

GEMCITABINUM**

GEMCITABINA EBEWE

PHARMA 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

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

AUSTRI A

CUTIE CU UN FLAC. DIN STICLA INCOLORA CU INVELIS PROTECTOR

,,ONCO-SAFE" A 20 ML CONC. PT. SOL.

PERF.

S

1

41,54

41,540000

41,540000

54,34

54,340000

54,340000

95

W56583

L01BC05

GEMCITABINUM**

GEMSOL 40 mg/ml

CONC. PT. SOL. PERF.

40 mg/ml

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

AUSTRI A

CUTIE CU 1 FLACOANE STICLA

INCOLORA SIST. ,,ONCO-SAFE" A 25 ML CONC .SOL. PERF. X 1000 MG

PR

1

185,77

185,770000

185,770000

226,79

226,790000

226,790000

96

W56583

L01BC05

GEMCITABINUM**

GEMSOL 40 mg/ml

CONC. PT. SOL. PERF.

40 mg/ml

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

AUSTRI A

CUTIE CU 1 FLACON STICLA INCOLORA SIST. ,,ONCO-SAFE" A 50 ML CONC .SOL.

PERF. X 2000 MG

PR

1

367,76

367,760000

367,760000

439,01

439,010000

439,010000

97

W56583

L01BC05

GEMCITABINUM**

GEMSOL 40 mg/ml

CONC. PT. SOL. PERF.

40 mg/ml

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

AUSTRI A

CUTIE CU 1 FLACON STICLA INCOLORA FARA SIST. ,,ONCO-SAFE" A 5 ML CONC

.SOL. PERF. X 200 MG

PR

1

41,54

41,540000

41,540000

54,34

54,340000

54,340000

98

W59510

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40

mg/ml

CONC. PT. SOL. PERF.

40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR

1

184,80

184,800000

184,800000

225,60

225,600000

225,600000

99

W59510

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40

mg/ml

CONC. PT. SOL. PERF.

40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VIOLET, CU DISC DIN PP, A 2000 MG/50 ML CONC. PT. SOL. PERF.

PR

1

367,00

367,000000

367,000000

438,18

438,180000

438,180000

100

W59316

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 40

mg/ml

CONC. PT. SOL. PERF.

40mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR

1

185,77

185,770000

185,770000

226,79

226,790000

226,790000

101

W59316

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 40

mg/ml

CONC. PT. SOL. PERF.

40mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR

1

367,76

367,760000

367,760000

439,01

439,010000

439,010000

29

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

102

W56425

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR

1

518,45

518,450000

440,400000

603,26

603,260000

525,816000

103

W59510

L01BC05

GEMCITABINUM**

GEMCITABINA KABI 40

mg/ml

CONC. PT. SOL. PERF.

40mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA TRANSPARENTA, PREVAZUT CU SIGILIU CU CAPSA DETASABILA DIN AL DE CULOARE VERDE, CU DISC DIN PP, A 200 MG/5 ML CONC. PT. SOL. PERF.

PR

1

41,04

41,040000

41,040000

53,68

53,680000

53,680000

104

W56425

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR

1

41,54

41,540000

41,540000

54,34

54,340000

54,340000

105

W56425

L01BC05

GEMCITABINUM**

GITRABIN 40 mg/ml

CONC. PT. SOL. PERF.

40mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR

1

185,77

185,770000

185,770000

226,79

226,790000

226,790000

106

W56246

L01BC05

GEMCITABINUM**

GEMZAR 1000 mg

PULB. PT. SOL. PERF.

1000 mg

LILLY FRANCE SAS

FRANT A

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

S

1

285,80

285,800000

217,632000

348,91

348,910000

265,680000

107

W56371

L01BC05

GEMCITABINUM**

GEMCITABINA ATB 1000 mg

PULB. PT. SOL. PERF.

1000mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR

1

185,77

185,770000

185,770000

226,79

226,790000

226,790000

108

W55552

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 1000

mg

PULB. PT. SOL. PERF.

1000mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

S

1

185,77

185,770000

185,770000

226,79

226,790000

226,790000

109

W56150

L01BC05

GEMCITABINUM**

DAPLAX 1 g

PULB. PT. SOL. PERF.

1g

DR. REDDY'S LABORATORIES

ROMAN IA

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

1000MG GEMCITABINA

S

1

185,76

185,760000

185,760000

226,77

226,770000

226,770000

110

W55553

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 2000

mg

PULB. PT. SOL. PERF.

2000mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

S

1

367,77

367,770000

367,770000

439,02

439,020000

439,020000

111

W55551

L01BC05

GEMCITABINUM**

GEMCITABINA TEVA 200 mg

PULB. PT. SOL. PERF.

200mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

S

1

41,54

41,540000

41,540000

54,34

54,340000

54,340000

112

W03290

L01BC05

GEMCITABINUM**

GEMZAR (R) 200 mg

PULB. PT. SOL. PERF.

200mg

LILLY FRANCE SAS

FRANT A

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

S

1

62,79

62,790000

49,248000

79,39

79,390000

64,416000

113

W56370

L01BC05

GEMCITABINUM**

GEMCITABINA ATB 200 mg

PULB. PT. SOL. PERF.

200mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR

1

41,54

41,540000

41,540000

54,34

54,340000

54,340000

114

W56149

L01BC05

GEMCITABINUM**

DAPLAX 200 mg

PULB. PT. SOL. PERF.

200mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

200MG GEMCITABINA

S

1

41,54

41,540000

41,540000

54,34

54,340000

54,340000

115

W54381

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S

1

368,80

368,800000

368,800000

440,14

440,140000

440,140000

116

W54270

L01BC05

GEMCITABINUM**

GEMCITABINE MYLAN 38

mg/ml

PULB. PT. SOL. PERF.

38mg/ml

MYLAN S.A.S.

FRANT A

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

S

1

62,79

62,790000

49,248000

79,39

79,390000

64,416000

117

W54381

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S

1

181,36

181,360000

181,360000

221,40

221,400000

221,400000

118

W54270

L01BC05

GEMCITABINUM**

GEMCITABINE MYLAN 38

mg/ml

PULB. PT. SOL. PERF.

38mg/ml

MYLAN S.A.S.

FRANT A

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

S

1

285,80

285,800000

217,632000

348,91

348,910000

265,680000

119

W54381

L01BC05

GEMCITABINUM**

GEMCIRENA 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S

1

41,54

41,540000

41,540000

54,34

54,340000

54,340000

120

W55531

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

1000MG GEMCITABINA

S

1

185,77

185,770000

185,770000

226,79

226,790000

226,790000

121

W55531

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE X 1 FLAC. STICLA INCOLORA CU

PULB. PT SOL. PERF. CARE CONTINE 2000MG GEMCITABINA

S

1

367,76

367,760000

367,760000

439,01

439,010000

439,010000

122

W55531

L01BC05

GEMCITABINUM**

GITRABIN 38 mg/ml

PULB. PT. SOL. PERF.

38mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

200MG GEMCITABINA

S

1

41,54

41,540000

41,540000

54,34

54,340000

54,340000

123

W59385

L01BC06

CAPECITABINUM

XALVOBIN 150 mg

COMPR.

FILM.

150mg

ALVOGEN IPCO

S.AR.L.

LUXEM

BURG

CUTIE CU BLIST. PVC-PVDC/AL X 60

COMPR. FILM.

PR

60

156,07

2,601166

1,635199

190,53

3,175500

2,067600

124

W59385

L01BC06

CAPECITABINUM

XALVOBIN 150 mg

COMPR.

FILM.

150mg

ALVOGEN IPCO

S.AR.L.

LUXEM

BURG

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

COMPR. FILM.

PR

60

156,07

2,601166

1,635199

190,53

3,175500

2,067600

125

W60217

L01BC06

CAPECITABINUM

ECANSYA 150mg

COMPR.

FILM.

150mg

KRKA D.D.

SLOVE

NIA

CUTIE CU BLIST. PVC/PVDC/AL X 60

COMPRIMATE FILMATE

PR

60

101,24

1,687333

1,635199

123,60

2,060000

2,060000

30

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

126

W59427

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA

150 mg

COMPR. FILM.

150mg

ZENTIVA, K.S.

REPUB

LICA CEHA

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

PR

60

101,61

1,693500

1,635199

124,05

2,067500

2,067500

127

W08338

L01BC06

CAPECITABINUM

XELODA 150 mg

COMPR. FILM.

150mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P-

RF/ R

60

206,50

3,441666

1,635199

252,09

4,201500

2,067600

128

W59873

L01BC06

CAPECITABINUM

CAPECITABINA SANDOZ

150 mg

COMPR.

FILM.

150mg

SANDOZ SRL

ROMANIA

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 60

COMPR. FILM.

PR

60

81,76

1,362666

1,362666

103,38

1,723000

1,723000

129

W58925

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK

150 mg

COMPR. FILM.

150mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUB LICA

CEHA

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

PR

60

101,61

1,693500

1,635199

124,04

2,067333

2,067333

130

W59366

L01BC06

CAPECITABINUM

CAPECITABINA ACTAVIS

150 mg

COMPR.

FILM.

150mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU BLIST. PVC-PVDC/AL X 60

COMPR. FILM.

PR

60

92,94

1,549000

1,549000

117,51

1,958500

1,958500

131

W59654

L01BC06

CAPECITABINUM

ARXEDA 150 mg

COMPR.

FILM.

150mg

ROMASTRU

TRADING SRL

ROMAN

IA

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

COMPR. FILM.

PR

F

60

101,61

1,693500

1,635199

124,04

2,067333

2,067333

132

W59427

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA

150 mg

COMPR. FILM.

150mg

ZENTIVA, K.S.

REPUB

LICA CEHA

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

PR

60

101,61

1,693500

1,635199

124,05

2,067500

2,067500

133

W59086

L01BC06

CAPECITABINUM

CAPECITABINA FRESENIUS KABI 150 mg

COMPR. FILM.

150mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR

60

91,84

1,530666

1,530666

116,12

1,935333

1,935333

134

W60217

L01BC06

CAPECITABINUM

ECANSYA 150mg

COMPR.

FILM.

150mg

KRKA D.D.

SLOVE

NIA

CUTIE CU BLIST. AL/AL X 60

COMPRIMATE FILMATE

PR

60

101,24

1,687333

1,635199

123,60

2,060000

2,060000

135

W59654

L01BC06

CAPECITABINUM

ARXEDA 150 mg

COMPR.

FILM.

150mg

ROMASTRU

TRADING SRL

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 60

COMPR. FILM.

PR

F

60

101,61

1,693500

1,635199

124,04

2,067333

2,067333

136

W60278

L01BC06

CAPECITABINUM

CAPECITABINE TEVA 150

mg

COMPR.

FILM.

150mg

TEVA PHARMA B.V.

OLAND

A

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

COMPR. FILM.

PR

60

81,76

1,362666

1,362666

103,38

1,723000

1,723000

137

W60218

L01BC06

CAPECITABINUM

ECANSYA 300mg

COMPR.

FILM.

300mg

KRKA D.D.

SLOVE

NIA

CUTIE CU BLIST. PVC/PVDC/AL X 60

COMPRIMATE FILMATE

PR

60

312,14

5,202333

5,202333

378,38

6,306333

6,306333

138

W60218

L01BC06

CAPECITABINUM

ECANSYA 300mg

COMPR.

FILM.

300mg

KRKA D.D.

SLOVE

NIA

CUTIE CU BLIST. AL/AL X 60

COMPRIMATE FILMATE

PR

60

312,14

5,202333

5,202333

378,38

6,306333

6,306333

139

W59386

L01BC06

CAPECITABINUM

XALVOBIN 500 mg

COMPR.

FILM.

500mg

ALVOGEN IPCO

S.AR.L.

LUXEM

BURG

CUTIE CU BLIST. PVC-PVDC/AL X 120

COMPR. FILM.

PR

120

624,09

5,200750

5,142400

718,41

5,986750

5,986699

140

W59428

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA

500 mg

COMPR. FILM.

500mg

ZENTIVA, K.S.

REPUB

LICA CEHA

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

PR

120

624,09

5,200750

5,142400

718,41

5,986750

5,986699

141

W59428

L01BC06

CAPECITABINUM

CAPECITABINA ZENTIVA

500 mg

COMPR. FILM.

500mg

ZENTIVA, K.S.

REPUB

LICA CEHA

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

PR

120

624,09

5,200750

5,142400

718,41

5,986750

5,986699

142

W59424

L01BC06

CAPECITABINUM

CEREX 500 mg

COMPR.

FILM.

500mg

TERAPIA SA

ROMAN

IA

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

(12X10) COMPR. FILM.

PR

120

971,30

8,094166

5,142400

1.096,87

9,140583

5,986699

143

W59059

L01BC06

CAPECITABINUM

COLOXET 500 mg

COMPR. FILM.

500mg

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

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

PR

120

624,00

5,200000

5,142400

718,31

5,985916

5,985916

144

W59087

L01BC06

CAPECITABINUM

CAPECITABINA FRESENIUS KABI 500 mg

COMPR. FILM.

500mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR

120

580,00

4,833333

4,833333

670,35

5,586250

5,586250

145

W08339

L01BC06

CAPECITABINUM

XELODA 500 mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P-

RF/ R

120

1.275,41

10,628416

5,142400

1.428,35

11,902916

5,986699

146

W59059

L01BC06

CAPECITABINUM

COLOXET 500 mg

COMPR. FILM.

500mg

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

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

PR

120

624,00

5,200000

5,142400

718,31

5,985916

5,985916

147

W59367

L01BC06

CAPECITABINUM

CAPECITABINA ACTAVIS

500 mg

COMPR.

FILM.

500mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU BLIST. PVC-PVDC/AL X 120

COMPR. FILM.

PR

120

580,39

4,836583

4,836583

670,78

5,589833

5,589833

148

W59655

L01BC06

CAPECITABINUM

ARXEDA 500 mg

COMPR.

FILM.

500mg

ROMASTRU

TRADING SRL

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 120

COMPR. FILM.

PR

F

120

624,00

5,200000

5,142400

718,31

5,985916

5,985916

149

W59655

L01BC06

CAPECITABINUM

ARXEDA 500 mg

COMPR.

FILM.

500mg

ROMASTRU

TRADING SRL

ROMAN

IA

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

COMPR. FILM.

PR

F

120

624,00

5,200000

5,142400

718,31

5,985916

5,985916

150

W59874

L01BC06

CAPECITABINUM

CAPECITABINA SANDOZ

500 mg

COMPR.

FILM.

500mg

SANDOZ SRL

ROMANIA

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 120

COMPR. FILM.

PR

120

514,24

4,285333

4,285333

598,67

4,988916

4,988916

151

W59424

L01BC06

CAPECITABINUM

CEREX 500 mg

COMPR.

FILM.

500mg

TERAPIA SA

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 120

(12X10) COMPR. FILM.

PR

120

971,30

8,094166

5,142400

1.096,87

9,140583

5,986699

152

W60219

L01BC06

CAPECITABINUM

ECANSYA 500mg

COMPR.

FILM.

500mg

KRKA D.D.

SLOVE

NIA

CUTIE CU BLIST. AL/AL X 120

COMPRIMATE FILMATE

PR

120

622,25

5,185416

5,142400

716,40

5,970000

5,970000

153

W59386

L01BC06

CAPECITABINUM

XALVOBIN 500 mg

COMPR.

FILM.

500mg

ALVOGEN IPCO

S.AR.L.

LUXEM

BURG

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

COMPR. FILM.

PR

120

624,09

5,200750

5,142400

718,41

5,986750

5,986699

154

W60219

L01BC06

CAPECITABINUM

ECANSYA 500mg

COMPR.

FILM.

500mg

KRKA D.D.

SLOVE

NIA

CUTIE CU BLIST. PVC/PVDC/AL X 120

COMPRIMATE FILMATE

PR

120

622,25

5,185416

5,142400

716,40

5,970000

5,970000

155

W60279

L01BC06

CAPECITABINUM

CAPECITABINE TEVA 500

mg

COMPR.

FILM.

500mg

TEVA PHARMA B.V.

OLAND

A

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

COMPR. FILM.

PR

120

514,24

4,285333

4,285333

598,67

4,988916

4,988916

31

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

156

W60255

L01BC06

CAPECITABINUM

CAPECITABINA DR. REDDY'S 500 mg

COMPR. FILM.

500mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU BLISTERE PVC-PE-PVDC/AL-

PET-HARTIE X 120 COMPRIMATE FILMATE

PR

120

971,30

8,094166

5,142400

1.096,87

9,140583

5,986699

157

W58926

L01BC06

CAPECITABINUM

CAPECITABINA GLENMARK

500 mg

COMPR. FILM.

500mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUB

LICA CEHA

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

PR

120

624,00

5,200000

5,142400

718,31

5,985916

5,985916

158

W59587

L01BC08

DECITABINUM****

DACOGEN

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

50mg

JANSSEN CILAG INTERNATIONALL NV

BELGIA

CUTIE CU 1 FL. DIN STICLA CE CONTINE 50MG DECITABINA

PR

1

5.755,43

5.755,430000

5.755,430000

6.311,58

6.311,580000

6.311,580000

159

W59211

L01CA01

VINBLASTINUM 4)

VINBLASTINA TEVA 1 mg/ml

SOL INJ.

1mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR

1

29,63

29,630000

29,630000

38,75

38,750000

38,750000

160

W52220

L01CA02

VINCRISTINUM

SINDOVIN 1 mg

LIOF. PT. SOL. INJ./PERF.

I.V.

1mg

ACTAVIS S.R.L.

ROMAN IA

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

S

1

25,54

25,540000

25,540000

33,40

33,400000

33,400000

161

W42512

L01CA04

VINORELBINUM

NAVELBINE 20 mg

CAPS. MOI

20mg

PIERRE FABRE

MEDICAMENT PRODUCTION

FRANT A

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

P- RF

1

195,08

195,080000

195,080000

238,15

238,150000

238,150000

162

W42513

L01CA04

VINORELBINUM

NAVELBINE 30 mg

CAPS. MOI

30mg

PIERRE FABRE

MEDICAMENT PRODUCTION

FRANT A

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

P- RF

1

292,59

292,590000

292,590000

357,19

357,190000

357,190000

163

W43735

L01CA04

VINORELBINUM

VINORELBIN EBEWE 10 mg/

ml

CONC. PT.

SOL. INJ./PERF.

10mg/ml

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

AUSTRI A

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

S

1

352,01

352,010000

352,010000

421,84

421,840000

421,840000

164

W43735

L01CA04

VINORELBINUM

VINORELBIN EBEWE 10 mg/

ml

CONC. PT.

SOL. INJ./PERF.

10mg/ml

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

AUSTRI A

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

S

1

72,14

72,140000

72,140000

91,21

91,210000

91,210000

165

W52194

L01CA04

VINORELBINUM

VINORELBIN ACTAVIS 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

72,15

72,150000

72,150000

91,23

91,230000

91,230000

166

W53906

L01CA04

VINORELBINUM

TELBINE 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA PHARMACEUTICAL

S.R.L.

ROMAN IA

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

S

1

72,14

72,140000

72,140000

91,21

91,210000

91,210000

167

W53906

L01CA04

VINORELBINUM

TELBINE 10 mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA

PHARMACEUTICAL S.R.L.

ROMAN IA

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

S

1

352,01

352,010000

352,010000

421,84

421,840000

421,840000

168

W52194

L01CA04

VINORELBINUM

VINORELBIN ACTAVIS 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

448,89

448,890000

422,412000

527,44

527,440000

506,208000

169

W08035

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI

100mg

BRISTOL MYERS

SQUIBB KFT

UNGAR

IA

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

CAPS.

P-

RF

10

311,36

31,136000

31,136000

377,53

37,753000

37,753000

170

W08036

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI

50mg

BRISTOL MYERS

SQUIBB KFT

UNGAR

IA

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

CAPS.

P-

RF

20

308,57

15,428500

15,428500

374,49

18,724500

18,724500

171

W52210

L01CB01

ETOPOSIDUM

SINTOPOZID 100 mg/5 ml

CONC. PT. SOL. PERF.

100mg/5 ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

32,83

32,830000

32,830000

42,94

42,940000

42,940000

172

W03065

L01CB01

ETOPOSIDUM

ETOPOSID "EBEWE" 100

mg/5 ml

CONC. PT. SOL. PERF.

100mg/5 ml

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

AUSTRI A

CUTIE X 1 FLACON X 5 ML

S

1

39,04

39,040000

38,352000

51,07

51,070000

50,172000

173

W60599

L01CB01

ETOPOSIDUM

ETOPOZIDA KABI 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PENTRU SOL. PERF.

PR

1

61,04

61,040000

61,040000

77,18

77,180000

77,180000

174

W52574

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF.

20mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

S

1

31,96

31,960000

31,960000

41,81

41,810000

41,810000

175

W52574

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF.

20mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

S

1

61,07

61,070000

61,070000

77,22

77,220000

77,220000

176

W54068

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S

1

448,50

448,500000

448,500000

527,02

527,020000

527,020000

177

W56078

L01CD01

PACLITAXELUM**

PACLITAXEL ACCORD 6

mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA A 5 ML CARE CONTINE 30 MG PACLITAXEL

S

1

114,66

114,660000

114,660000

139,98

139,980000

132,744000

178

W56078

L01CD01

PACLITAXELUM**

PACLITAXEL ACCORD 6

mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA A 16,7 ML CARE CONTINE 100 MG PACLITAXEL

S

1

356,77

356,770000

356,770000

427,03

427,030000

425,271000

32

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

179

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

909,41

909,410000

909,410000

1.029,41

1.029,410000

1.029,410000

180

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

114,95

114,950000

114,950000

140,33

140,330000

132,744000

181

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

356,99

356,990000

356,990000

427,27

427,270000

425,271000

182

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

1.100,68

1.100,680000

1.100,680000

1.237,89

1.237,890000

1.237,890000

183

W54068

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S

1

338,86

338,860000

338,860000

407,51

407,510000

407,510000

184

W52212

L01CD01

PACLITAXELUM**

SINDAXEL

CONC. PT. SOL. PERF.

6mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA

X 25 ML CONC. PT. SOL. PERF.

S

1

559,41

559,410000

538,200000

647,91

647,910000

632,424000

185

W52058

L01CD01

PACLITAXELUM**

PACLITAXEL 6 mg/ml

CONC. PT. SOL. PERF.

6mg/ml

PHARMEXPRESS S.R.L.

ROMAN IA

CUTIE X 4 FLAC. X 16,7 ML

S

4

1.265,52

316,380000

316,380000

1.417,57

354,392500

354,392500

186

W43372

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE

6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

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

AUSTRI A

CUTIE X 1 FLACON DIN STICLA

INCOLORA X 25 ML CONC. PT. SOL. PERF.

S

1

832,08

832,080000

538,200000

945,12

945,120000

632,424000

187

W54978

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE

SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ARCHIE SAMUEL S.R.O.

REPUB LICA

CEHA

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

S

1

356,96

356,960000

356,960000

427,24

427,240000

425,271000

188

W54978

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE

SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ARCHIE SAMUEL S.R.O.

REPUB LICA

CEHA

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

S

1

114,92

114,920000

114,920000

140,30

140,300000

132,744000

189

W54068

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S

1

106,15

106,150000

106,150000

129,59

129,590000

129,590000

190

W43372

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE

6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

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

AUSTRI A

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

PERF.

S

1

1.100,68

1.100,680000

1.100,680000

1.237,89

1.237,890000

1.237,890000

191

W43372

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE

6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

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

AUSTRI A

CUTIE X 1 FLACON DIN STICLA

INCOLORA X 16,6 ML CONC. PT. SOL. PERF.

S

1

356,99

356,990000

356,990000

427,27

427,270000

425,271000

192

W43372

L01CD01

PACLITAXELUM**

PACLITAXEL EBEWE

6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

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

AUSTRI A

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

S

1

114,95

114,950000

114,950000

140,33

140,330000

132,744000

193

W54978

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE

SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ARCHIE SAMUEL S.R.O.

REPUB LICA

CEHA

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

S

1

1.100,65

1.100,650000

1.100,650000

1.237,86

1.237,860000

1.237,860000

194

W54978

L01CD01

PACLITAXELUM**

PACLITAXEL ARCHIE

SAMUEL 6 mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ARCHIE SAMUEL S.R.O.

REPUB LICA

CEHA

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

S

1

559,30

559,300000

538,200000

647,79

647,790000

632,424000

195

W52058

L01CD01

PACLITAXELUM**

PACLITAXEL 6 mg/ml

CONC. PT. SOL. PERF.

6mg/ml

PHARMEXPRESS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 50 ML

S

1

1.010,91

1.010,910000

1.010,910000

1.140,04

1.140,040000

1.140,040000

196

W56078

L01CD01

PACLITAXELUM**

PACLITAXEL ACCORD 6

mg/ml

CONC. PT. SOL. PERF.

6mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA A 50 ML CARE CONTINE 300 MG PACLITAXEL

S

1

1.100,51

1.100,510000

1.100,510000

1.237,71

1.237,710000

1.237,710000

197

W52058

L01CD01

PACLITAXELUM**

PACLITAXEL 6 mg/ml

CONC. PT. SOL. PERF.

6mg/ml

PHARMEXPRESS S.R.L.

ROMAN IA

CUTIE X 10 FLAC. X 5 ML

S

10

979,86

97,986000

97,986000

1.106,20

110,620000

110,620000

198

W54068

L01CD01

PACLITAXELUM**

PACLITAXEL KABI 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

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

S

1

1.010,86

1.010,860000

1.010,860000

1.139,99

1.139,990000

1.139,990000

199

W12995

L01CD02

DOCETAXELUM**

TAXOTERE 20 mg

CONC. + SOLV. PT. SOL. PERF.

20mg

AVENTIS PHARMA SA

FRANT A

CUTIE X 1 FLACON X 0,5 ML CONC. SOL. PERF. + 1 FLACON X 1,5 ML SOLV.

S

1

227,82

227,820000

77,952000

278,12

278,120000

98,568000

200

W55406

L01CD02

DOCETAXELUM**

DOCETAXEL TEVA 20mg

CONC. + SOLV. PT. SOL. PERF.

20mg

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X1,5ML SOLV.

S

1

148,08

148,080000

77,952000

180,78

180,780000

98,568000

201

W55670

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20

mg/0,5 ml

CONC. + SOLV. PT. SOL. PERF.

20mg/0,5 ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 0,5 ML CONC. PT. SOL.

S

1

364,79

364,790000

77,952000

435,77

435,770000

98,568000

202

W12994

L01CD02

DOCETAXELUM**

TAXOTERE 80 mg

CONC. + SOLV. PT. SOL. PERF.

80mg

AVENTIS PHARMA SA

FRANT A

CUTIE X 1 FLACON X 2 ML CONC. SOL. PERF. + 1 FLACON X 6 ML SOLV.

S

1

1.043,54

1.043,540000

307,296000

1.175,61

1.175,610000

375,144000

33

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

203

W55407

L01CD02

DOCETAXELUM**

DOCETAXEL TEVA 80mg

CONC. + SOLV. PT. SOL. PERF.

80mg

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 2 ML CONCENTRAT PT. SOL.PERF.+1 FLAC.X 6ML SOLV.

S

1

787,79

787,790000

307,296000

896,84

896,840000

375,144000

204

W55671

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 80

mg/2 ml

CONC. + SOLV. PT. SOL. PERF.

80mg/2ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 BLIST. DIN POLISTIREN TERMOFORMAT CU 1 FLAC. DIN STICLA INCOLORA X 2 ML CONC. PT. SOL. PE

S

1

1.369,45

1.369,450000

307,296000

1.530,85

1.530,850000

375,144000

205

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

HOSPIRA UK LTD

MAREA BRITAN IE

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

S/P RF

1

256,08

256,080000

256,080000

312,62

312,620000

312,620000

206

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

HOSPIRA UK LTD

MAREA BRITAN IE

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

S/P RF

1

64,96

64,960000

64,960000

82,14

82,140000

82,140000

207

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA IN FOLIE PROTECTOARE ONCO-TAIN X 2 ML CONC. PT. SOL. PERF.

S/P RF

1

64,96

64,960000

64,960000

82,14

82,140000

82,140000

208

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA IN FOLIE PROTECTOARE ONCO-TAIN X 8 ML CONC. PT. SOL. PERF.

S/P RF

1

256,08

256,080000

256,080000

312,62

312,620000

312,620000

209

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA IN FOLIE PROTECTOARE ONCO-TAIN X 16 ML CONC. PT. SOL. PERF.

S/P RF

1

466,50

466,500000

466,500000

546,64

546,640000

546,640000

210

W55307

L01CD02

DOCETAXELUM**

DOCETAXEL HOSPIRA 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

HOSPIRA UK LTD

MAREA BRITAN IE

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

S/P RF

1

466,50

466,500000

466,500000

546,64

546,640000

546,640000

211

W57028

L01CD02

DOCETAXELUM**

DOCETAXEL EBEWE 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

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

AUSTRI A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC ONCO-SAFE X 16 ML CONC. PT. SO

P-

RF/ R

1

1.542,65

1.542,650000

559,800000

1.719,64

1.719,640000

655,968000

212

W57028

L01CD02

DOCETAXELUM**

DOCETAXEL EBEWE 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

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

AUSTRI A

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

P-

RF/ R

1

924,39

924,390000

307,296000

1.045,74

1.045,740000

375,144000

213

W57028

L01CD02

DOCETAXELUM**

DOCETAXEL EBEWE 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

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

AUSTRI A

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

P-

RF/ R

1

261,95

261,950000

77,952000

319,79

319,790000

98,568000

214

W59128

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

PR

1

1.577,91

1.577,910000

1.577,910000

1.758,07

1.758,070000

1.758,070000

215

W59128

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

PR

1

261,95

261,950000

77,952000

319,79

319,790000

98,568000

216

W59128

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

PR

1

2.411,40

2.411,400000

2.411,400000

2.666,58

2.666,580000

2.666,580000

217

W59128

L01CD02

DOCETAXELUM**

DOCETAXEL PFIZER 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

PR

1

924,39

924,390000

307,296000

1.045,74

1.045,740000

375,144000

218

W57271

L01CD02

DOCETAXELUM**

TAXOTERE 160 mg/8ml

CONC. PT. SOL. PERF.

160 mg/8 ml

AVENTIS PHARMA SA

FRANT A

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

PR

1

2.361,67

2.361,670000

559,800000

2.612,37

2.612,370000

655,968000

219

W59570

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 120 mg/6

ml

CONC. PT. SOL. PERF.

20 mg/1 ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR

1

1.359,59

1.359,590000

1.359,590000

1.520,11

1.520,110000

1.520,110000

220

W55044

L01CD02

DOCETAXELUM**

TAXOTERE 20 mg/1ml

CONC. PT. SOL. PERF.

20mg/1ml

AVENTIS PHARMA SA

FRANT A

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

PR

1

287,07

287,070000

77,952000

350,45

350,450000

98,568000

221

W59571

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 160 mg/8

ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FL DIN STICLA INCOLORA X 8 ML CONCENTRAT CE CONTINE 160 MG DOCETAXEL

PR

1

1.706,08

1.706,080000

559,800000

1.897,78

1.897,780000

655,968000

222

W59826

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR

1

256,30

256,300000

77,952000

312,89

312,890000

98,568000

34

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

223

W55902

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20

mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 1 ML CONC. PT. SOL. PERF. CARE CONTINE 20 MG DOCETAX

PR

1

261,95

261,950000

77,952000

319,79

319,790000

98,568000

224

W55902

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20

mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 4 ML CONC. PT. SOL. PERF. CARE CONTINE 80 MG DOCETAX

PR

1

924,39

924,390000

307,296000

1.045,74

1.045,740000

375,144000

225

W59877

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

KRKA, D.D., NOVO MESTO

SLOVE NIA

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

160 MG DOCETAXEL

PR

1

566,74

566,740000

559,800000

655,90

655,900000

655,900000

226

W59877

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

KRKA, D.D., NOVO MESTO

SLOVE NIA

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

DOCETAXEL

PR

1

309,04

309,040000

307,296000

375,00

375,000000

375,000000

227

W59877

L01CD02

DOCETAXELUM**

TOLNEXA 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

KRKA, D.D., NOVO MESTO

SLOVE NIA

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

20 MG DOCETAXEL

PR

1

77,91

77,910000

77,910000

98,51

98,510000

98,510000

228

W55902

L01CD02

DOCETAXELUM**

DOCETAXEL ACTAVIS 20

mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU 7 ML CONC. PT. SOL. PERF. CARE CONTINE 140 MG DOCETA

PR

1

2.373,51

2.373,510000

2.373,510000

2.625,28

2.625,280000

2.625,280000

229

W59572

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 180 mg/9

ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FL DIN STICLA INCOLORA X 9 ML CONCENTRAT CE CONTINE 180 MG DOCETAXEL

PR

1

2.024,40

2.024,400000

2.024,400000

2.244,75

2.244,750000

2.244,750000

230

W59573

L01CD02

DOCETAXELUM**

DOCETAXEL KABI 80 mg/4

ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR

1

916,40

916,400000

307,296000

1.037,03

1.037,030000

375,144000

231

W55045

L01CD02

DOCETAXELUM**

TAXOTERE 80 mg/4ml

CONC. PT. SOL. PERF.

80mg/4ml

AVENTIS PHARMA SA

FRANT A

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

PR

1

1.195,82

1.195,820000

307,296000

1.341,60

1.341,600000

375,144000

232

W57150

L01CD02

DOCETAXELUM**

TAXEGIS 20 mg

CONC. SI SOLV. PT. SOL. PERF.

20mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CU 0,5 ML CONC. PT. SOL. PERF.+1 FLAC UNIDOZA CU 1,5 ML SOLV. PT. SOL. PERF

PR

1

148,08

148,080000

77,952000

180,78

180,780000

98,568000

233

W57152

L01CD02

DOCETAXELUM**

TAXEGIS 80 mg

CONC. SI SOLV. PT. SOL. PERF.

80mg

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 BLIST. X 1 FLAC. UNIDOZA DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU 2 ML CONC. PT. SO

PR

1

787,78

787,780000

307,296000

896,83

896,830000

375,144000

234

W52365

L01CX01

TRABECTEDINUM****

YONDELIS 0,25mg

PULB. PT.CONC. PT.SOL.

PERF.

0,25mg

PHARMA MAR S.A.

SPANIA

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

S

1

2.068,12

2.068,120000

2.068,120000

2.292,40

2.292,400000

2.292,400000

235

W52366

L01CX01

TRABECTEDINUM****

YONDELIS 1mg

PULB. PT.CONC. PT.SOL.

PERF.

1mg

PHARMA MAR S.A.

SPANIA

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

S

1

7.697,96

7.697,960000

7.697,960000

8.428,94

8.428,940000

8.428,940000

236

W59712

L01DA01

DACTINOMICINUM 4)

COSMEGEN LYOVAC 0,5 mg

PULB. PT. SOL. INJ.

0,5mg

CN UNIFARM S.A.

ROMAN IA

CUTIE X 1 FLACON PULBERE LIOFILIZATA PENTRU SOLUTIE

PERFUZABILA

PR

1

128,87

128,870000

128,870000

157,32

157,320000

157,320000

237

W42736

L01DB01

DOXORUBICINUM

DOXORUBICIN "EBEWE"

2mg/ml

CONC. PT. SOL. PERF.

2mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S

1

28,22

28,220000

28,220000

36,91

36,910000

36,910000

238

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 FLAC. A 100 ML CONC. PT.

SOL. PERF. CARE CONTINE 200 MG DOXORUBICINA

PR

1

269,92

269,920000

269,920000

329,52

329,520000

329,520000

239

W56501

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ROMASTRU TRADING S.R.L.

ROMAN IA

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

PR

1

101,03

101,030000

101,030000

123,34

123,340000

123,340000

240

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

DOXORUBICINA

PR

1

62,33

62,330000

62,330000

78,81

78,810000

78,810000

241

W57533

L01DB01

DOXORUBICINUM

DOXORUBICINA TEVA 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. CONC. PT. SOL. PERF. X 20 MG CLORHIDRAT DE

DOXORUBICINA

PR

1

63,03

63,030000

63,030000

79,70

79,700000

79,700000

35

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

242

W57533

L01DB01

DOXORUBICINUM

DOXORUBICINA TEVA 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

X 50 MG CLORHIDRAT DE DOXORUBICINA

PR

1

89,23

89,230000

89,230000

112,82

112,820000

112,820000

243

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1 FLAC. A 5 ML CONC. PT.

SOL. PERF. CARE CONTINE 10 MG DOXORUBICINA

PR

1

27,18

27,180000

27,180000

35,55

35,550000

35,550000

244

W60643

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

NEOLA PHARMA S.R.L.

ROMAN IA

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

PR

1

27,42

27,420000

27,420000

35,86

35,860000

35,860000

245

W60643

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

NEOLA PHARMA S.R.L.

ROMAN IA

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

PR

1

66,23

66,230000

66,230000

83,74

83,740000

83,740000

246

W60643

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

NEOLA PHARMA S.R.L.

ROMAN IA

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

PR

1

101,03

101,030000

101,030000

123,34

123,340000

123,340000

247

W56397

L01DB01

DOXORUBICINUM

DOXORUBICINA ACCORD 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 5 ML CONC. PT. SOL. PERF. CONTINAND 10 MG DOXORUBICINA

PR

1

28,22

28,220000

28,220000

36,91

36,910000

36,910000

248

W56397

L01DB01

DOXORUBICINUM

DOXORUBICINA ACCORD 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML CONC. PT. SOL. PERF. CONTINAND 50 MG DOXORUBICINA

PR

1

89,23

89,230000

89,230000

112,82

112,820000

112,820000

249

W56397

L01DB01

DOXORUBICINUM

DOXORUBICINA ACCORD 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 100 ML CONC. PT. SOL. PERF. CONTINAND 200 MG DOXORUBICINA

PR

1

225,68

225,680000

225,680000

275,51

275,510000

275,510000

250

W42736

L01DB01

DOXORUBICINUM

DOXORUBICIN "EBEWE"

2mg/ml

CONC. PT. SOL. PERF.

2mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S

1

110,17

110,170000

107,076000

134,49

134,490000

134,490000

251

W56501

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ROMASTRU TRADING S.R.L.

ROMAN IA

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

PR

1

27,42

27,420000

27,420000

35,86

35,860000

35,860000

252

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

DOXORUBICINA

PR

1

105,66

105,660000

105,660000

128,99

128,990000

128,990000

253

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

DOXORUBICINA

PR

1

208,14

208,140000

208,140000

254,10

254,100000

254,100000

254

W58172

L01DB01

DOXORUBICINUM

DOXORUBICINA ACTAVIS 2

mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

DOXORUBICINA

PR

1

261,57

261,570000

261,570000

319,32

319,320000

319,320000

255

W56501

L01DB01

DOXORUBICINUM

DHARUXO 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

ROMASTRU TRADING S.R.L.

ROMAN IA

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

PR

1

66,23

66,230000

66,230000

83,74

83,740000

83,740000

256

W58281

L01DB01

DOXORUBICINUM

CAELYX 2 mg/ml

CONC. PT. SOL. PERF.

2mg/ml

JANSSEN CILAG

INTERNATIONALL NV

BELGIA

CUTIE X 1 FLACON DIN STICLA X 10 ML

S

1

1.445,08

1.445,080000

1.445,080000

1.613,29

1.613,290000

1.613,290000

257

W60636

L01DB01

DOXORUBICINUM

MYOCET 50mg

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

PERF

50mg

TEVA PHARMA B.V.

OLAND A

CUTIE X 2 SETURI X 3 FLAC. (1 FLAC

PULB. + 1 FLAC.LIPOZOMI +1 FLAC. SOL.TAMP.)

S

2

3.751,62

1.875,810000

1.875,810000

4.127,42

2.063,710000

2.063,710000

258

W52903

L01DB01

DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF.

2mg/ml

ACTAVIS S.R.L

ROMAN IA

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

S

1

105,66

105,660000

105,660000

128,99

128,990000

128,990000

259

W52903

L01DB01

DOXORUBICINUM

SINDROXOCIN 2mg/ml

PULB. PT. SOL. PERF.

2mg/ml

ACTAVIS S.R.L

ROMAN IA

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

S

1

27,18

27,180000

27,180000

35,55

35,550000

35,550000

260

W41876

L01DB03

EPIRUBICINUM

EPIRUBICIN "EBEWE" 2

mg/ml

CONC. PT. SOL. INJ.

2mg/ml

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

AUSTRI A

CUTIE X 1 FLACON X 5 ML

S

1

48,67

48,670000

45,636000

63,66

63,660000

59,688000

261

W41876

L01DB03

EPIRUBICINUM

EPIRUBICIN "EBEWE" 2

mg/ml

CONC. PT. SOL. INJ.

2mg/ml

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

AUSTRI A

CUTIE X 1 FLACON X 25 ML

S

1

231,77

231,770000

165,624000

282,94

282,940000

202,188000

262

W41876

L01DB03

EPIRUBICINUM

EPIRUBICIN "EBEWE" 2

mg/ml

CONC. PT. SOL. INJ.

2mg/ml

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

AUSTRI A

CUTIE X 1 FLACON X 50 ML

S

1

454,46

454,460000

260,400000

533,51

533,510000

317,892000

263

W52209

L01DB03

EPIRUBICINUM

EPISINDAN 10 mg

LIOF. PT.

SOL. INJ.

10mg

ACTAVIS S.R.L.

ROMAN

IA

CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.

S

1

42,74

42,740000

42,740000

55,90

55,900000

55,900000

264

W52208

L01DB03

EPIRUBICINUM

EPISINDAN 50 mg

LIOF. PT.

SOL. INJ.

50mg

ACTAVIS S.R.L.

ROMAN

IA

CUTIE X 1 FLAC. CU LIOF. PT. SOL. INJ.

S

1

233,65

233,650000

165,624000

285,24

285,240000

202,188000

36

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

265

W56698

L01DB03

EPIRUBICINUM

EPIRUBICINA KABI 2 mg/ml

SOL. INJ./PERF.

2 mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 25 ML SOL. INJ./PERF. X 50 MG

PR

1

138,02

138,020000

138,020000

168,49

168,490000

168,490000

266

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 25 ML SOL. INJ./PERF. X 50 MG

EPIRUBICINA

S

1

198,48

198,480000

165,624000

242,30

242,300000

202,188000

267

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA PHARMACEUTICAL

S.R.L.

ROMAN IA

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

S

1

588,06

588,060000

588,060000

679,14

679,140000

679,140000

268

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA

PHARMACEUTICAL S.R.L.

ROMAN IA

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

S

1

773,38

773,380000

476,772000

881,13

881,130000

565,464000

269

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU 25 ML SOL. INJ./PERF. X 50 MG EPIRUBICINA

S

1

198,48

198,480000

165,624000

242,30

242,300000

202,188000

270

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS

2mg/ml

SOL.

INJ./PERF.

2mg/ml

ACTAVIS S.R.L.

ROMAN

IA

CUTIE X 1 FLAC. A 25 ML SOL. INJ. X

50MG (50MG/25ML)

S

1

197,39

197,390000

165,624000

240,97

240,970000

202,188000

271

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS

2mg/ml

SOL.

INJ./PERF.

2mg/ml

ACTAVIS S.R.L.

ROMAN

IA

CUTIE X 1 FLAC. A 50 ML SOL. INJ. X

100MG (100MG/50ML)

S

1

217,00

217,000000

217,000000

264,91

264,910000

264,910000

272

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS

2mg/ml

SOL.

INJ./PERF.

2mg/ml

ACTAVIS S.R.L.

ROMAN

IA

CUTIE X 1 FLAC. A 100ML SOL. INJ. X

200MG (200MG/100ML)

S

1

397,31

397,310000

397,310000

471,22

471,220000

471,220000

273

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA PHARMACEUTICAL

S.R.L.

ROMAN IA

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

S

1

42,50

42,500000

42,500000

55,59

55,590000

55,590000

274

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA PHARMACEUTICAL

S.R.L.

ROMAN IA

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

S

1

83,38

83,380000

83,380000

105,42

105,420000

105,420000

275

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 5 ML SOL. INJ./PERF. X 10 MG

EPIRUBICINA

S

1

39,99

39,990000

39,990000

52,31

52,310000

52,310000

276

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA

S

1

80,83

80,830000

80,830000

102,20

102,200000

102,200000

277

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS

2mg/ml

SOL.

INJ./PERF.

2mg/ml

ACTAVIS S.R.L.

ROMAN

IA

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

20MG (20MG/10ML)

S

1

81,95

81,950000

81,950000

103,62

103,620000

103,620000

278

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU 5 ML SOL. INJ./PERF. X 10 MG EPIRUBICINA

S

1

39,99

39,990000

39,990000

52,31

52,310000

52,310000

279

W53860

L01DB03

EPIRUBICINUM

EPIRUBICINA TEVA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

TEVA PHARMACEUTICAL

S.R.L.

ROMAN IA

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

S

1

204,65

204,650000

165,624000

249,84

249,840000

202,188000

280

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 50 ML SOL. INJ./PERF. X 100 MG

EPIRUBICINA

S

1

450,99

450,990000

260,400000

529,73

529,730000

317,892000

281

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU 10 ML SOL. INJ./PERF. X 200 MG

EPIRUBICINA

S

1

771,75

771,750000

476,772000

879,36

879,360000

565,464000

282

W53325

L01DB03

EPIRUBICINUM

EPIRUBICINA ACTAVIS

2mg/ml

SOL.

INJ./PERF.

2mg/ml

ACTAVIS S.R.L.

ROMAN

IA

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

(10MG/5ML)

S

1

38,03

38,030000

38,030000

49,74

49,740000

49,740000

283

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU 50 ML SOL. INJ./PERF. X 100 MG EPIRUBICINA

S

1

450,99

450,990000

260,400000

529,73

529,730000

317,892000

284

W60072

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU 100 ML SOL. INJ./PERF. X 200 MG EPIRUBICINA

S

1

771,75

771,750000

476,772000

879,36

879,360000

565,464000

285

W55573

L01DB03

EPIRUBICINUM

ECCLEPIA 2 mg/ml

SOL. INJ./PERF.

2mg/ml

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU 10 ML SOL. INJ./PERF. X 20 MG EPIRUBICINA

S

1

80,83

80,830000

80,830000

102,20

102,200000

102,200000

286

W03575

L01DB06

IDARUBICINUM

ZAVEDOS

CAPS.

10mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 1 CAPS.

P- RF

1

203,33

203,330000

203,330000

248,22

248,220000

248,220000

287

W03581

L01DB06

IDARUBICINUM

ZAVEDOS 5 mg

PULB. PT. SOL. INJ.

5mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

S

1

143,35

143,350000

143,350000

175,00

175,000000

175,000000

288

W42735

L01DB07

MITOXANTRONUM**

ONKOTRONE

CONC. PT.

SOL. INJ.

2mg/ml

BAXTER

ONCOLOGY GMBH

GERMA

NIA

CUTIE X 1 FLACON X 10 ML CONC. PT.

SOL. INJ.

S

1

555,48

555,480000

555,480000

643,62

643,620000

643,620000

289

W58249

L01DC01

BLEOMYCINUM SULFAS

BLEOMYCIN MEDAC 15000 UI

PULB. PT. SOL. INJ.

15000UI

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

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

PR

1

105,44

105,440000

105,440000

128,72

128,720000

128,720000

290

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR

1

19,75

19,750000

19,750000

26,70

26,700000

26,700000

37

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

291

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR

1

35,38

35,380000

35,380000

46,28

46,280000

46,280000

292

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR

1

11,00

11,000000

11,000000

14,87

14,870000

14,868000

293

W56665

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF.

1 mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR

1

67,91

67,910000

67,910000

85,86

85,860000

85,860000

294

W56665

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF.

1 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR

1

35,38

35,380000

35,380000

46,28

46,280000

46,280000

295

W01315

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 10

mg/20 ml

CONC. PT. SOL. PERF.

10mg/20 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF.

S

1

9,17

9,170000

9,170000

12,39

12,390000

12,390000

296

W52187

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF.

1mg/1ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

48,45

48,450000

37,884000

63,37

63,370000

49,560000

297

W52187

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF.

1mg/1ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

18,81

18,810000

11,004000

25,42

25,420000

14,868000

298

W01316

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 25

mg/50 ml

CONC. PT. SOL. PERF.

25mg/50 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.

S

1

22,06

22,060000

22,060000

29,81

29,810000

29,810000

299

W01317

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 50

mg/100 ml

CONC. PT. SOL. PERF.

50mg/100 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

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

S

1

31,57

31,570000

31,570000

41,30

41,300000

41,300000

300

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

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

AUSTRI A

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

S

1

21,86

21,860000

21,624000

29,55

29,550000

29,220000

301

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

PERF.

S

1

133,04

133,040000

133,040000

162,41

162,410000

162,410000

302

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR

1

174,90

174,900000

174,900000

213,52

213,520000

213,520000

303

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

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

AUSTRI A

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

S

1

178,07

178,070000

158,400000

217,39

217,390000

193,380000

304

W52579

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

S

1

47,45

47,450000

47,450000

62,06

62,060000

62,060000

305

W52579

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

S

1

132,81

132,810000

132,810000

162,14

162,140000

162,140000

306

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

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

AUSTRI A

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

S

1

62,52

62,520000

56,904000

79,05

79,050000

74,436000

307

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

18,05

18,050000

18,050000

24,39

24,390000

24,390000

308

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA

PR

1

18,02

18,020000

18,020000

24,35

24,350000

24,350000

309

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR

1

47,42

47,420000

47,420000

62,03

62,030000

62,030000

310

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

PR

1

132,00

132,000000

132,000000

161,15

161,150000

161,150000

311

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA

INCOLORA X 15 ML CONC. PT. SOL. PERF.

S

1

50,00

50,000000

50,000000

63,22

63,220000

63,220000

38

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

312

W57278

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE

5mg/ml

CONC. PT. SOL. PERF.

5 mg/ml

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

AUSTRI A

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

PR

1

1.396,48

1.396,480000

143,700000

1.560,32

1.560,320000

175,428000

313

W57278

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE

5mg/ml

CONC. PT. SOL. PERF.

5 mg/ml

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

AUSTRI A

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

PR

1

264,15

264,150000

37,236000

322,48

322,480000

48,708000

314

W57278

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE

5mg/ml

CONC. PT. SOL. PERF.

5 mg/ml

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

AUSTRI A

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

PR

1

523,31

523,310000

73,152000

608,56

608,560000

92,496000

315

W57175

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR

1

1.396,51

1.396,510000

143,700000

1.560,35

1.560,350000

175,428000

316

W55804

L01XA03

OXALIPLATINUM

OXALIPLATIN ACCORD 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

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

S

1

615,78

615,780000

73,152000

709,35

709,350000

92,496000

317

W56696

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 10 ML CONC. PT. SOL. PERF. CONTINAND 50 MG OXALIPLATINA

PR

1

31,03

31,030000

31,030000

40,59

40,590000

40,590000

318

W56696

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 20 ML CONC. PT. SOL. PERF. CONTINAND 100 MG OXALIPLATINA

PR

1

60,96

60,960000

60,960000

77,08

77,080000

77,080000

319

W57175

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR

1

615,78

615,780000

73,152000

709,35

709,350000

92,496000

320

W54318

L01XA03

OXALIPLATINUM

OXALIPLATINA TEVA 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

PR

1

165,76

165,760000

37,236000

202,36

202,360000

48,708000

321

W54318

L01XA03

OXALIPLATINUM

OXALIPLATINA TEVA 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

PR

1

331,41

331,410000

73,152000

399,39

399,390000

92,496000

322

W42983

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF.

5mg/ml

SANOFI-AVENTIS FRANCE

FRANT A

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

S

1

957,36

957,360000

143,700000

1.081,67

1.081,670000

175,428000

323

W60404

L01XA03

OXALIPLATINUM

OXALIPLATIN HAEMATO 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

HAEMATO PHARM AG

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE DE 10 ML X 50 MG

OXALIPLATINA

PR

1

165,76

165,760000

37,236000

202,36

202,360000

48,708000

324

W60404

L01XA03

OXALIPLATINUM

OXALIPLATIN HAEMATO 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

HAEMATO PHARM AG

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE DE 20 ML X 100 MG

OXALIPLATINA

PR

1

331,41

331,410000

73,152000

399,39

399,390000

92,496000

325

W60404

L01XA03

OXALIPLATINUM

OXALIPLATIN HAEMATO 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

HAEMATO PHARM AG

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA DE CAPACITATE DE 40 ML X 200 MG

OXALIPLATINA

PR

1

632,78

632,780000

143,700000

727,88

727,880000

175,428000

326

W55804

L01XA03

OXALIPLATINUM

OXALIPLATIN ACCORD 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

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

S

1

322,25

322,250000

37,236000

389,40

389,400000

48,708000

327

W42983

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF.

5mg/ml

SANOFI-AVENTIS FRANCE

FRANT A

CUTIE X 1 FLACON X 100 MG/20 ML CONC. PT. SOL. PERF.

S

1

493,70

493,700000

73,152000

576,28

576,280000

92,496000

328

W42983

L01XA03

OXALIPLATINUM

ELOXATIN 5mg/ml

CONC. PT. SOL. PERF.

5mg/ml

SANOFI-AVENTIS FRANCE

FRANT A

CUTIE X 1 FLACON X 50 MG/10 ML CONC. PT. SOL. PERF.

S

1

255,01

255,010000

37,236000

311,32

311,320000

48,708000

329

W57175

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5

mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ACTAVIS GROUP PTC EHF.

ISLAND A

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

PR

1

322,26

322,260000

37,236000

389,41

389,410000

48,708000

330

W56696

L01XA03

OXALIPLATINUM

OXALIPLATIN KABI 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU FOLIE PROTECTOARE DIN PLASTIC A 40 ML CONC. PT. SOL. PERF. CONTINAND 200 MG OXALIPLATINA

PR

1

119,75

119,750000

119,750000

146,19

146,190000

146,190000

331

W52195

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5

mg/ml

LIOF. PT. SOL. PERF.

5mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

615,78

615,780000

73,152000

709,35

709,350000

92,496000

332

W52195

L01XA03

OXALIPLATINUM

OXALIPLATIN ACTAVIS 5

mg/ml

LIOF. PT. SOL. PERF.

5mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

322,26

322,260000

37,236000

389,41

389,410000

48,708000

39

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

333

W52977

L01XA03

OXALIPLATINUM

OXALIPLATIN STADA 5

mg/ml

PULB. PT. SOL. PERF.

5mg/ml

STADA ARZNEIMITTEL AG

GERMA NIA

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

PR

1

302,25

302,250000

73,152000

367,60

367,600000

92,496000

334

W54761

L01XA03

OXALIPLATINUM

REZIDOL 5 mg/ml

PULB. PT. SOL. PERF.

5mg/ml

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

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

S

1

165,75

165,750000

37,236000

202,35

202,350000

48,708000

335

W52468

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE

5mg/ml

PULB. PT. SOL. PERF.

5mg/ml

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

AUSTRI A

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

OXALIPLATI

PR

1

457,29

457,290000

37,236000

536,60

536,600000

48,708000

336

W52468

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE

5mg/ml

PULB. PT. SOL. PERF.

5mg/ml

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

AUSTRI A

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

OXALIPLAT

PR

1

871,57

871,570000

73,152000

988,16

988,160000

92,496000

337

W52468

L01XA03

OXALIPLATINUM

OXALIPLATIN EBEWE

5mg/ml

PULB. PT. SOL. PERF.

5mg/ml

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

AUSTRI A

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

OXALIPLAT

PR

1

1.609,04

1.609,040000

1.609,040000

1.792,01

1.792,010000

1.792,010000

338

W54761

L01XA03

OXALIPLATINUM

REZIDOL 5 mg/ml

PULB. PT. SOL. PERF.

5mg/ml

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

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

S

1

331,40

331,400000

73,152000

399,38

399,380000

92,496000

339

W52977

L01XA03

OXALIPLATINUM

OXALIPLATIN STADA 5

mg/ml

PULB. PT. SOL. PERF.

5mg/ml

STADA ARZNEIMITTEL AG

GERMA NIA

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

PR

1

144,33

144,330000

37,236000

176,20

176,200000

48,708000

340

W59766

L01XB01

PROCARBAZINUM 4)

NATULAN

CAPS.

50 mg

CN UNIFARM S.A.

ROMAN

IA

CUTIE X 50CAPSULE

PR

F

50

669,00

13,380000

13,380000

767,36

15,347200

15,347200

341

W07199

L01XC02

RITUXIMABUM****

MABTHERA 100 mg

CONC. PT. SOL. PERF.

10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 2 FLACOANE X 10 ML

S

2

2.221,55

1.110,775000

1.110,775000

2.459,64

1.229,820000

1.229,820000

342

W07200

L01XC02

RITUXIMABUM****

MABTHERA 500 mg

CONC. PT. SOL. PERF.

10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

S

1

5.509,03

5.509,030000

5.509,030000

6.043,00

6.043,000000

6.043,000000

343

W07881

L01XC03

TRASTUZUMABUM****

HERCEPTIN 150mg

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

150mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

PR

1

2.621,74

2.621,740000

2.621,740000

2.895,85

2.895,850000

2.895,850000

344

W60341

L01XC03

TRASTUZUMABUM****

HERCEPTIN 600mg/5ml

SOL. INJ.

600mg/5 ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE CU UN FLACON DE 6 ML DIN STICLA TRANSPARENTA CU DOP CONTINAND 5ML SOLUTIE (600 MG

TRASTUZUMAB)

S

1

8.534,12

8.534,120000

8.534,120000

9.340,35

9.340,350000

9.340,350000

345

W52549

L01XC06

CETUXIMABUM****

ERBITUX 5mg/ml

SOL. PERF.

5mg/ml

MERCK KGAA

GERMA

NIA

CUTIE X 1 FLAC. DIN STICLA X 20 ML

SOL. PERF.

S

1

871,19

871,190000

871,190000

987,75

987,750000

987,750000

346

W42165

L01XC07

BEVACIZUMABUM****

AVASTIN 25mg/ml

CONC. PT. SOL. PERF.

25mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

S

1

1.332,54

1.332,540000

1.332,540000

1.490,62

1.490,620000

1.490,620000

347

W42165

L01XC07

BEVACIZUMABUM****

AVASTIN 25mg/ml

CONC. PT. SOL. PERF.

25mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

S

1

5.246,58

5.246,580000

5.246,580000

5.756,93

5.756,930000

5.756,930000

348

W57375

L01XC10

OFATUMUMAB****

ARZERRA 1000mg

CONC. PT. SOL. PERF.

20mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

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

S

1

8.805,58

8.805,580000

8.805,580000

9.636,25

9.636,250000

9.636,250000

349

W06844

L01XE01

IMATINIBUM****

GLIVEC 100 mg

CAPS.

100mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 120 CAPS.

PR

120

8.091,78

67,431500

52,699900

8.858,20

73,818333

57,824500

350

W59881

L01XE01

IMATINIBUM****

EGITINID 100 mg

CAPS.

100mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

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

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

351

W59827

L01XE01

IMATINIBUM****

IMATINIB ACTAVIS 100 mg

CAPS.

100mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU BLISTER DIN AL/PVC/ACLAR X

120 CAPSULE

PR

120

5.269,99

43,916583

43,916583

5.782,45

48,187083

48,187083

352

W59679

L01XE01

IMATINIBUM****

NIBIX 100 mg

CAPS.

100mg

TERAPIA S.A.

ROMAN

IA

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

CAPS.

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

353

W59589

L01XE01

IMATINIBUM****

IMATINIB TEVA 100 mg

COMPR.

FILM.

100mg

TEVA PHARMA B.V.

OLAND

A

CUTIE CU BLIST. OPA/AL/PVC/AL A CATE

120 X 1 COMPRIMAT

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

354

W59937

L01XE01

IMATINIBUM****

NEOXELL 100 mg

COMPR.

FILM.

100mg

ROMASTRU

TRADING SRL

ROMAN

IA

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

COMPR. FILM.

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

355

W59541

L01XE01

IMATINIBUM****

IMATINIB GLENMARK 100

mg

COMPR. FILM.

100mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUB

LICA CEHA

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

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

356

W59500

L01XE01

IMATINIBUM****

IMATINIB ZENTIVA 100 mg

COMPR. FILM.

100mg

ZENTIVA, K.S.

REPUB

LICA CEHA

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

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

40

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

357

W59486

L01XE01

IMATINIBUM****

IMAKREBIN 100 mg

COMPR.

FILM.

100mg

ALVOGEN IPCO

S.AR.L.

LUXEM

BURG

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

COMPR. FILM.

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

358

W59852

L01XE01

IMATINIBUM****

MEAXIN 100 mg

COMPR.

FILM.

100mg

KRKA, D.D., NOVO

MESTO

SLOVE

NIA

CUTIE CU BLIST. PVC-PVDC/AL X 120

COMPR. FILM.

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

359

W59852

L01XE01

IMATINIBUM****

MEAXIN 100 mg

COMPR.

FILM.

100mg

KRKA, D.D., NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

360

W61215

L01XE01

IMATINIBUM****

NEOXELL 100 mg

COMPR.

FILM.

100mg

NEOLA PHARMA

SRL

ROMAN

IA

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

COMPR. FILM.

PR

120

5.270,15

43,917916

43,917916

5.782,62

48,188500

48,188500

361

W59590

L01XE01

IMATINIBUM****

IMATINIB TEVA 400 mg

COMPR.

FILM.

400 mg

TEVA PHARMA B.V.

OLAND

A

CUTIE CU BLIST. OPA/AL/PVC/AL A CATE

30 X 1 COMPRIMAT

PR

30

5.270,15

175,671666

175,671666

5.782,62

192,754000

192,754000

362

W59542

L01XE01

IMATINIBUM****

IMATINIB GLENMARK 400

mg

COMPR. FILM.

400mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUB

LICA CEHA

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

PR

30

5.270,15

175,671666

175,671666

5.782,62

192,754000

192,754000

363

W59487

L01XE01

IMATINIBUM****

IMAKREBIN 400 mg

COMPR.

FILM.

400mg

ALVOGEN IPCO

S.AR.L.

LUXEM

BURG

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

COMPR. FILM.

PR

30

5.270,15

175,671666

175,671666

5.782,62

192,754000

192,754000

364

W59936

L01XE01

IMATINIBUM****

NEOXELL 400 mg

COMPR.

FILM.

400mg

ROMASTRU

TRADING SRL

ROMAN

IA

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

COMPR. FILM.

PR

30

5.270,15

175,671666

175,671666

5.782,62

192,754000

192,754000

365

W59853

L01XE01

IMATINIBUM****

MEAXIN 400 mg

COMPR.

FILM.

400mg

KRKA, D.D., NOVO

MESTO

SLOVE

NIA

CUTIE CU BLIST. PVC-PVDC/AL X 30

COMPR. FILM.

PR

30

5.270,15

175,671666

175,671666

5.782,62

192,754000

192,754000

366

W59853

L01XE01

IMATINIBUM****

MEAXIN 400 mg

COMPR.

FILM.

400mg

KRKA, D.D., NOVO

MESTO

SLOVE

NIA

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

COMPR. FILM.

PR

30

5.270,15

175,671666

175,671666

5.782,62

192,754000

192,754000

367

W61216

L01XE01

IMATINIBUM****

NEOXELL 400 mg

COMPR.

FILM.

400mg

NEOLA PHARMA

SRL

ROMAN

IA

CUTIE X BLISTERE PVC-PE-PVDC/AL X

30 COMPRIMATE FILMATE

PR

30

5.270,15

175,671666

175,671666

5.782,62

192,754000

192,754000

368

W42501

L01XE03

ERLOTINIBUM****

TARCEVA 100 mg

COMPR. FILM.

100mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P-

RF/ R

30

6.304,73

210,157666

210,157666

6.910,31

230,343666

230,343666

369

W42502

L01XE03

ERLOTINIBUM****

TARCEVA 150 mg

COMPR. FILM.

150mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

P-

RF/ R

30

8.391,10

279,703333

279,703333

9.184,46

306,148666

306,148666

370

W43546

L01XE04

SUNITINIBUM****

SUTENT 12,5 mg

CAPS.

12,5mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P-

RF/ R

30

5.042,42

168,080666

168,080666

5.534,39

184,479666

184,479666

371

W43556

L01XE04

SUNITINIBUM****

SUTENT 25mg

CAPS.

25mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P-

RF/ R

30

10.054,84

335,161333

335,161333

10.997,94

366,598000

366,598000

372

W43557

L01XE04

SUNITINIBUM****

SUTENT 50 mg

CAPS.

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON DIN PEID X 30 CAPS.

P-

RF/ R

30

20.079,69

669,323000

669,323000

21.925,04

730,834666

730,834666

373

W54280

L01XE05

SORAFENIBUM****

NEXAVAR 200 mg

COMPR. FILM.

200mg

BAYER SCHERING PHARMA AG

GERMA NIA

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

P-

RF/ R

112

14.588,00

130,250000

130,250000

15.939,09

142,313303

142,313303

374

W54613

L01XE06

DASATINIBUM****

SPRYCEL 100mg

COMPR. FILM.

100 mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P-

RF/ R

30

16.311,93

543,731000

543,731000

17.818,18

593,939333

593,939333

375

W51768

L01XE06

DASATINIBUM****

SPRYCEL 20mg

COMPR. FILM.

20 mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P-

RF/ R

60

7.697,81

128,296833

128,296833

8.428,77

140,479500

140,479500

376

W51769

L01XE06

DASATINIBUM****

SPRYCEL 50mg

COMPR. FILM.

50 mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P-

RF/ R

60

15.365,65

256,094166

256,094166

16.786,73

279,778833

279,778833

377

W51770

L01XE06

DASATINIBUM****

SPRYCEL 70mg

COMPR. FILM.

70 mg

BRISTOL-MYERS SQUIBB

MAREA BRITAN IE

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

P-

RF/ R

60

15.365,65

256,094166

256,094166

16.786,73

279,778833

279,778833

378

W56489

L01XE08

NILOTINIBUM****

TASIGNA

CAPS.

150mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

P-

RF/ R

28

2.813,91

100,496785

100,496785

3.105,32

110,904285

110,904285

379

W56489

L01XE08

NILOTINIBUM****

TASIGNA

CAPS.

150mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

P-

RF/ R

112

11.165,63

99,693125

99,693125

12.208,70

109,006250

109,006250

380

W52708

L01XE08

NILOTINIBUM****

TASIGNA

CAPS.

200mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

PR

28

3.828,97

136,748928

136,748928

4.211,73

150,418928

150,418928

41

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

381

W52708

L01XE08

NILOTINIBUM****

TASIGNA

CAPS.

200mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

PR

112

15.225,88

135,945357

135,945357

16.634,38

148,521250

148,521250

382

W52721

L01XE09

TEMSIROLIMUSUM

TORISEL 25mg/ml

CONC. + SOLV. PT. SOL. PERF.

25mg/ml

WYETH EUROPA LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. X 1,2ML CONCENTRAT

+ 1 FLAC. X 1,8 SOLVENT

S

1

3.737,17

3.737,170000

3.737,170000

4.111,67

4.111,670000

4.111,670000

383

W59310

L01XE18

RUXOLITINIBUM****

JAKAVI

COMPR.

15 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

60

PR

60

17.353,45

289,224166

289,224166

18.953,43

315,890500

315,890500

384

W59311

L01XE18

RUXOLITINIBUM****

JAKAVI

COMPR.

20 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

60

PR

60

17.353,45

289,224166

289,224166

18.953,43

315,890500

315,890500

385

W59309

L01XE18

RUXOLITINIBUM****

JAKAVI

COMPR.

5 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

60

PR

60

8.622,14

143,702333

143,702333

9.436,29

157,271500

157,271500

386

W10506

L01XX02

ASPARAGINAZUM

ASPARAGINASE 10000 MEDAC

LIOF. PT. SOL. INJ./PERF.

10000ui

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 FLAC. DIN STICLA X 10 000 UI LIOF. PT. SOL. INJ./PERF.

S

1

314,90

314,900000

314,900000

381,39

381,390000

381,390000

387

W10508

L01XX02

ASPARAGINAZUM

ASPARAGINASE 5000 MEDAC

LIOF. PT. SOL. INJ./PERF.

5000ui

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 FLAC. DIN STICLA X 5000 UI LIOF. PT. SOL. INJ./PERF.

S

1

262,42

262,420000

262,420000

320,36

320,360000

320,360000

388

W03542

L01XX05

HYDROXYCARBAMIDUM

HYDREA

CAPS.

500mg

BRISTOL MYERS

SQUIBB KFT

UNGAR

IA

CUTIE X 1 FLAC. DIN STICLA BRUNA X

100 CAPS.

P-

RF

100

65,72

0,657200

0,657200

83,10

0,831000

0,831000

389

W54018

L01XX14

TRETINOINUM 4)

VESANOID 10 mg

CAPS. MOI

10mg

ROCHE ROMANIA

S.R.L.

ROMAN

IA

CUTIE X 100 CAPS. MOI

PR

F

100

625,29

6,252900

6,252900

719,72

7,197200

7,197200

390

W53177

L01XX17

TOPOTECAMUM

HYCAMTIN 1 mg

CAPS.

1mg

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

P- RF

10

1.582,86

158,286000

158,286000

1.763,47

176,347000

176,347000

391

W54750

L01XX17

TOPOTECAMUM

TOPOTECAN TEVA 1 mg/1ml

CONC. PT. SOL. PERF.

1mg/1ml

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 1ML

P-

RF/ R

1

170,26

170,260000

170,260000

207,85

207,850000

207,850000

392

W56261

L01XX17

TOPOTECAMUM

TOPOTECAN EBEWE 1

mg/ml

CONC. PT. SOL. PERF.

1mg/ml

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

AUSTRI A

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

PR

1

649,10

649,100000

649,100000

745,67

745,670000

745,670000

393

W54751

L01XX17

TOPOTECAMUM

TOPOTECAN TEVA 4 mg/4ml

CONC. PT. SOL. PERF.

4mg/4ml

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLACON DIN STICLA TRANSPARENTA A 4ML

P-

RF/ R

1

649,09

649,090000

649,090000

745,66

745,660000

745,660000

394

W57231

L01XX17

TOPOTECAMUM

TOPOTECAN ATB 1 mg

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

1mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR

1

170,26

170,260000

170,260000

207,85

207,850000

207,850000

395

W57232

L01XX17

TOPOTECAMUM

TOPOTECAN ATB 4 mg

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

4mg

ANTIBIOTICE S.A.

ROMAN IA

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

PR

1

649,09

649,090000

649,090000

745,66

745,660000

745,660000

396

W55110

L01XX17

TOPOTECAMUM

TOPOTECAN ACCORD 4 mg

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

4mg

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

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

S

1

647,70

647,700000

647,700000

744,14

744,140000

744,140000

397

W56744

L01XX17

TOPOTECAMUM

POTACTASOL 4mg

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

4mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 1FL DIN STICLA X 4 MG PULBERE PENTRU CONCENTRAT PENTRU SOLU_IE PERFUZABILA

PR

1

649,10

649,100000

649,100000

745,67

745,670000

745,670000

398

W05958

L01XX17

TOPOTECAMUM

HYCAMTIN 4 mg

PULB.CON C.SOL.PER F.

4mg

SMITHKLINE BEECHAM PLC

MAREA BRITAN IE

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

S

1

982,46

982,460000

777,240000

1.109,03

1.109,030000

892,968000

399

W55816

L01XX19

IRINOTECANUM

IRINOTECAN EBEWE 20

mg/ml

CONC. PT. SOL. PERF.

20mg/ml

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

AUSTRI A

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

TRIHIDRAT

S

1

1.345,75

1.345,750000

1.345,750000

1.505,02

1.505,020000

1.505,020000

42

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

400

W54336

L01XX19

IRINOTECANUM

IRINOTECAN MEDAC 20

mg/ml

CONC. PT. SOL. PERF.

20mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA BRUNA X 2 ML CONC. PR. SOL. PERF.

S

1

167,11

167,110000

167,110000

204,01

204,010000

204,010000

401

W52206

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

1.295,74

1.295,740000

1.295,740000

1.450,51

1.450,510000

1.450,510000

402

W57602

L01XX19

IRINOTECANUM

LUDIRADOL 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. DIN STICLA BRUNA CU CAPACITATEA DE 6 ML X 100 MG

IRINOTECAN

PR

1

355,85

355,850000

196,188000

426,03

426,030000

239,508000

403

W54336

L01XX19

IRINOTECANUM

IRINOTECAN MEDAC 20

mg/ml

CONC. PT. SOL. PERF.

20mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

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

S

1

1.394,57

1.394,570000

1.394,570000

1.558,23

1.558,230000

1.558,230000

404

W54336

L01XX19

IRINOTECANUM

IRINOTECAN MEDAC 20

mg/ml

CONC. PT. SOL. PERF.

20mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

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

S

1

426,18

426,180000

196,188000

502,69

502,690000

239,508000

405

W52802

L01XX19

IRINOTECANUM

CAMPTO

CONC. PT. SOL. PERF.

20mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

S

1

639,39

639,390000

196,188000

735,09

735,090000

239,508000

406

W52802

L01XX19

IRINOTECANUM

CAMPTO

CONC. PT. SOL. PERF.

20mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

S

1

2.129,33

2.129,330000

1.554,888000

2.359,12

2.359,120000

1.740,612000

407

W58369

L01XX19

IRINOTECANUM

IRINOTECAN ATB 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ANTIBIOTICE S.A.

ROMAN IA

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

PR

1

426,10

426,100000

196,188000

502,60

502,600000

239,508000

408

W52206

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

163,74

163,740000

163,740000

199,89

199,890000

199,890000

409

W53956

L01XX19

IRINOTECANUM

IRINOTECAN HOSPIRA

20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

S

1

374,64

374,640000

196,188000

446,51

446,510000

239,508000

410

W54854

L01XX19

IRINOTECANUM

IRINOTECAN STADA 20

mg/ml

CONC. PT. SOL. PERF.

20mg/ml

STADA ARZNEIMITTEL AG

GERMA NIA

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

S

1

163,49

163,490000

163,490000

199,59

199,590000

199,590000

411

W55816

L01XX19

IRINOTECANUM

IRINOTECAN EBEWE 20

mg/ml

CONC. PT. SOL. PERF.

20mg/ml

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

AUSTRI A

CUTIE X 1 FLACON DIN STICLA BRUNA, CU DOP DIN CAUCIUC FARA PLASTIC DE PROTECTIE TIP "ONCO-SAFE", A 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA CARE CONTINE 100MG CLORHIDRAT DE IRINOTECAN

TRIHIDRAT

S

1

416,85

416,850000

196,188000

492,52

492,520000

239,508000

412

W52206

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

2.010,90

2.010,900000

2.010,900000

2.230,03

2.230,030000

2.230,030000

413

W53956

L01XX19

IRINOTECANUM

IRINOTECAN HOSPIRA

20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

S

1

1.753,18

1.753,180000

1.753,180000

1.949,12

1.949,120000

1.949,120000

414

W53956

L01XX19

IRINOTECANUM

IRINOTECAN HOSPIRA

20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

S

1

152,48

152,480000

152,480000

186,15

186,150000

186,150000

415

W52206

L01XX19

IRINOTECANUM

IRINOTESIN 20mg/ml

CONC. PT. SOL. PERF.

20mg/ml

ACTAVIS S.R.L.

ROMAN IA

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

S

1

402,16

402,160000

196,188000

476,50

476,500000

239,508000

416

W51535

L01XX23

MITOTANUM

LYSODREN 500mg

COMPR.

500mg

LABORATOIRE HRA PHARMA

FRANT A

CUTIE X 1 FLAC. DIN PEID X 100 COMPR.

P-

RF/ R

100

2.567,46

25,674600

25,674600

2.836,68

28,366800

28,366800

417

W42249

L01XX32

BORTEZOMIBUM****

VELCADE 3,5 mg

PULB. PT. SOL. INJ.

3,5mg

JANSSEN-CILAG INTERNATIONAL NV

BELGIA

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

BLISTER TRANSPARENT

P-

RF/ R

1

4.587,17

4.587,170000

4.587,170000

5.038,17

5.038,170000

5.038,170000

418

W52184

L02AB01

MEGESTROLUM

MEGESIN 160 mg

COMPR.

160mg

ACTAVIS S.R.L.

ROMAN

IA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 30

COMPR.

P-

RF

30

97,75

3,258333

3,258333

123,59

4,119666

4,119666

419

W07196

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 11,25mg

LIOF.+ SOLV. PT. SUSP. INJ. ELIB.

PREL.

11,25mg

ABBOTT LABORATORIES LTD.

SPANIA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA + 2 ACE SI TA

S/P RF

1

525,01

525,010000

525,010000

610,41

610,410000

610,410000

43

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

420

W07197

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 3,75mg

LIOF.+ SOLV. PT. SUSP. INJ. ELIB.

PREL.

3,75mg

ABBOTT LABORATORIES LTD.

SPANIA

CUTIE X 1 KIT X 1 FLAC. CU LIOFILIZAT (MICROSFERE) + 1 FIOLA X 2 ML SOLV. + 1 SERINGA SI TAMPON IMB

S/P RF

1

194,95

194,950000

194,950000

237,99

237,990000

237,990000

421

W43179

L02AE02

LEUPRORELINUM**

ELIGARD 22,5 mg

PULB+SOL V.PT.SOL.I NJ

22,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN TAVI TERMOFORMATE

S

1

736,20

736,200000

736,200000

840,61

840,610000

840,610000

422

W52321

L02AE02

LEUPRORELINUM**

ELIGARD 45 mg

PULB+SOL V.PT.SOL.I NJ

45mg

ASTELLAS PHARMA EUROPE BV

OLAND A

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

SERINGA B)

S

1

2.030,80

2.030,800000

2.030,800000

2.251,73

2.251,730000

2.251,730000

423

W43178

L02AE02

LEUPRORELINUM**

ELIGARD 7,5 mg

PULB+SOL V.PT.SOL.I NJ

7,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 SET X 2 SERINGI DIN PP PREUMPLUTE (O SERINGA A SI O SERINGA B), IN TAVI TERMOFORMATE

S

1

257,84

257,840000

257,840000

314,77

314,770000

314,770000

424

W60959

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 11,25mg

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

11,25mg

ABBVIE FARMACEUTICA S.L.U.

SPANIA

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

IZOPROPILIC 70%.

PR

/P RF

1

525,01

525,010000

525,010000

610,41

610,410000

610,410000

425

W60960

L02AE02

LEUPRORELINUM**

LUCRIN DEPOT 3,75mg

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

3,75mg

ABBVIE FARMACEUTICA S.L.U.

SPANIA

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

IZOPROPILIC 70%.

PR

/P RF

1

194,95

194,950000

194,950000

237,99

237,990000

237,990000

426

W10731

L02AE03

GOSERELINUM**

ZOLADEX LA 10,8 mg

IMPLANT

10,8 mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

CUTIE X 1 PLIC DIN PET-AL-PE X 1 SERINGA PREUMPLUTA CU 10,8 MG IMPLANT+AC DIN INOX CU SIST. DE

PROT

S

1

1.040,75

1.040,750000

1.040,750000

1.172,57

1.172,570000

1.172,570000

427

W10173

L02AE03

GOSERELINUM**

ZOLADEX (R)

IMPLANT

3,6mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

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

S/P RF

1

365,48

365,480000

365,480000

436,52

436,520000

436,520000

428

W55725

L02AE04

TRIPTORELINUM**

DIPHERELINE 0,1 mg

LIOF. + SOLV. PT.

SOL. INJ.

0,1mg

IPSEN PHARMA

FRANT A

CUTIE X 7 FLAC. CU LIOF. PT. SOL. INJ. + 7 FIOLE X 1 ML SOLV.

S/P RF

7

110,27

15,752857

15,752857

134,62

19,231428

19,231428

429

W55726

L02AE04

TRIPTORELINUM**

DIPHERELINE PR 11,25 mg

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

PREL.

11,25mg

IPSEN PHARMA

FRANT A

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

STERILE

S/P RF

1

1.051,98

1.051,980000

1.051,980000

1.184,81

1.184,810000

1.184,810000

430

W55727

L02AE04

TRIPTORELINUM**

DIPHERELINE 3,75 mg

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

PREL.

3,75mg

IPSEN PHARMA

FRANT A

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

STERILE

S/P RF

1

369,20

369,200000

369,200000

440,58

440,580000

440,580000

431

W58059

L02AE04

TRIPTORELINUM**

GONAPEPTYL ZILNIC 0,1

mg/ml

SOL. INJ.

0,1mg/ml

FERRING GMBH

GERMA NIA

CUTIE X 28 SERINGI PREUMPLUTE DIN STICLA INCOLORA X 1 ML SOL. INJ

S/P RF

28

543,42

19,407857

18,903428

630,48

22,517142

22,517142

432

W53654

L02BA01

TAMOXIFENUM

TAMOXIFEN SANDOZ 10 mg

COMPR. FILM.

10mg

HEXAL AG

GERMA NIA

CUTIE X 10 BLIST. X 10 COMPR. FILM.

P-

RF/ S

100

39,78

0,397800

0,397800

52,03

0,520300

0,520300

433

W51514

L02BA03

FULVESTRANTUM**

FASLODEX 250mg

SOL. INJ.

250mg/5 ml

ASTRAZENECA UK LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 5 ML + 1 AC

P- RF

1

1.551,89

1.551,890000

1.551,890000

1.729,71

1.729,710000

1.729,710000

434

W52204

L02BB01

FLUTAMIDUM

FLUTASIN 250 mg

COMPR.

250mg

ACTAVIS S.R.L.

ROMAN

IA

CUTIE X 1 FLAC. STICLA BRUNA X 30

COMPR.

P-

RF

30

30,83

1,027666

1,027666

40,32

1,344000

1,344000

435

W03217

L02BB01

FLUTAMIDUM

FLUTAN

COMPR.

250mg

MEDOCHEMIE LTD.

CIPRU

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

P-

RF

100

113,97

1,139700

1,139700

139,14

1,391400

1,391400

436

W55157

L02BB03

BICALUTAMIDUM

YONISTIB 150 mg

COMPR.

FILM.

150mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

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

COMPR. FILM.

P-

6L

28

394,41

14,086071

14,086071

468,06

16,716428

16,716428

437

W54719

L02BB03

BICALUTAMIDUM

BICALUTAMIDA SANDOZ

150 mg

COMPR.

FILM.

150mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLISTERE PVC-ACLAR/AL X 30

COMPR. FILM.

P-

6L

30

415,88

13,862666

13,862666

491,46

16,382000

16,382000

438

W58040

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ALVOGEN

150 mg

COMPR.

FILM.

150mg

ALVOGEN ROMANIA

S.R.L.

ROMAN

IA

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

COMPR. FILM

P6

L

28

381,97

13,641785

13,641785

454,50

16,232142

16,232142

44

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

439

W12048

L02BB03

BICALUTAMIDUM

CASODEX 150 mg

COMPR. FILM.

150mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

CUTIE X 2 BLIST. X 14 COMPR. FILM.

P- 6L

28

590,67

21,095357

15,249428

681,98

24,356428

18,256714

440

W58166

L02BB03

BICALUTAMIDUM

BICALUTAMIDA KABI 150 mg

COMPR. FILM.

150mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

P6 L

28

355,82

12,707857

12,707857

425,99

15,213928

15,213928

441

W53572

L02BB03

BICALUTAMIDUM

BICALUTAMID TERAPIA 150

mg

COMPR.

FILM.

150mg

TERAPIA SA

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 28

COMPR. FILM.

P-

6L

28

356,54

12,733571

12,733571

426,78

15,242142

15,242142

442

W61109

L02BB03

BICALUTAMIDUM

YONISTIB 150 mg

COMPR.

FILM.

150mg

NEOLA PHARMA

S.R.L.

ROMAN

IA

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

COMPR. FILM.

P-

6L

28

394,41

14,086071

14,086071

468,06

16,716428

16,716428

443

W56707

L02BB03

BICALUTAMIDUM

BICALUTAMIDA KABI 50 mg

COMPR. FILM.

50 mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

P6 L

28

140,25

5,008928

5,008928

171,22

6,115000

6,115000

444

W58725

L02BB03

BICALUTAMIDUM

BICALUTAMIDA RANBAXY

50 mg

COMPR. FILM.

50 mg

RANBAXY (U.K.) LIMITED

MAREA BRITAN IE

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

P6 L

28

168,59

6,021071

5,983999

205,82

7,350714

7,305199

445

W58725

L02BB03

BICALUTAMIDUM

BICALUTAMIDA RANBAXY

50 mg

COMPR. FILM.

50 mg

RANBAXY (U.K.) LIMITED

MAREA BRITAN IE

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

P6 L

28

168,59

6,021071

5,983999

205,82

7,350714

7,305199

446

W58039

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ALVOGEN

50 mg

COMPR.

FILM.

50mg

ALVOGEN ROMANIA

S.R.L.

ROMAN

IA

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

COMPR. FILM

P6

L

28

152,77

5,456071

5,456071

186,50

6,660714

6,660714

447

W53339

L02BB03

BICALUTAMIDUM

BICALUTAMIDA SANDOZ 50

mg

COMPR.

FILM.

50mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 30

COMPR. FILM.

P-

6L

30

149,60

4,986666

4,986666

182,63

6,087666

6,087666

448

W54851

L02BB03

BICALUTAMIDUM

CALUMID

COMPR.

FILM.

50mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

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

COMPR. FILM.

P-

6L

30

200,69

6,689666

5,983999

245,00

8,166666

7,305199

449

W55156

L02BB03

BICALUTAMIDUM

YONISTIB 50 mg

COMPR.

FILM.

50mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

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

COMPR. FILM.

P-

6L

28

167,54

5,983571

5,983571

204,53

7,304642

7,304642

450

W10174

L02BB03

BICALUTAMIDUM

CASODEX 50 mg

COMPR. FILM.

50mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

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

P- 6L

28

288,09

10,288928

5,983999

351,70

12,560714

7,305199

451

W56520

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ATB 50 mg

COMPR.

FILM.

50mg

ANTIBIOTICE S.A.

ROMAN

IA

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

FILM.

PR

30

179,30

5,976666

5,976666

218,89

7,296333

7,296333

452

W56123

L02BB03

BICALUTAMIDUM

BICALUTAMIDA ACCORD 50

mg

COMPR. FILM.

50mg

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

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

P- 6L

28

141,19

5,042500

5,042500

172,37

6,156071

6,156071

453

W61108

L02BB03

BICALUTAMIDUM

YONISTIB 50 mg

COMPR.

FILM.

50mg

NEOLA PHARMA

S.R.L.

ROMAN

IA

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

COMPR. FILM.

P-

6L

28

167,54

5,983571

5,983571

204,53

7,304642

7,304642

454

W58828

L02BG03

ANASTROZOLUM

ELOZA 1 mg

COMPR. FILM.

1mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUB LICA

CEHA

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

PR

30

91,40

3,046666

3,046666

115,56

3,852000

3,852000

455

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1

mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMAN

IA

CUTIE X BLIST. PVC/AL X 84 COMPR.

FILM.

PR

84

285,45

3,398214

3,398214

348,48

4,148571

4,148571

456

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1

mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMAN

IA

CUTIE X BLIST. PVC/AL X 98 COMPR.

FILM.

PR

98

332,75

3,395408

3,395408

400,85

4,090306

4,090306

457

W53266

L02BG03

ANASTROZOLUM

EGISTROZOL 1 mg

COMPR. FILM.

1mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

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

PR

90

338,63

3,762555

3,461142

407,26

4,525111

4,324200

458

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1

mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMAN

IA

CUTIE X BLIST. PVC/AL X 20 COMPR.

FILM.

PR

20

69,20

3,460000

3,460000

87,50

4,375000

4,324200

459

W53266

L02BG03

ANASTROZOLUM

EGISTROZOL 1 mg

COMPR. FILM.

1mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

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

PR

30

113,17

3,772333

3,461142

138,16

4,605333

4,324200

460

W54874

L02BG03

ANASTROZOLUM

ANASTRAZE 1 mg

COMPR.

FILM.

1mg

SANDOZ SRL

ROMAN

IA

CUTIE CU BLIST. PVC/AL X 28 COMPR.

FILM.

P-

6L

28

94,64

3,380000

3,380000

119,66

4,273571

4,273571

461

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1

mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMAN

IA

CUTIE X BLIST. PVC/AL X 300 COMPR.

FILM.

PR

300

956,79

3,189300

3,189300

1.081,05

3,603500

3,603500

462

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1

mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMAN

IA

CUTIE X BLIST. PVC/AL X 28 COMPR.

FILM.

PR

28

96,88

3,460000

3,460000

122,50

4,375000

4,324200

463

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1

mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMAN

IA

CUTIE X BLIST. PVC/AL X 30 COMPR.

FILM.

PR

30

103,80

3,460000

3,460000

126,72

4,224000

4,224000

464

W57886

L02BG03

ANASTROZOLUM

ANASTROZOL KABI 1 mg

COMPR. FILM.

1mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

P6 L

14

40,38

2,884285

2,884285

52,82

3,772857

3,772857

465

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1

mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMAN

IA

CUTIE X BLIST. PVC/AL X 50 COMPR.

FILM.

PR

50

169,90

3,398000

3,398000

207,42

4,148400

4,148400

466

W56262

L02BG03

ANASTROZOLUM

OZOLAN 1 mg

COMPR.

FILM.

1mg

ALVOGEN IPCO

S.A.R.L

LUXEM

BURG

CUTIE X BLIST. PVC/AL X 28 COMPR.

FILM.

P-

6L

28

95,20

3,400000

3,400000

120,37

4,298928

4,298928

45

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

467

W53245

L02BG03

ANASTROZOLUM

ENZAMIDEX 1mg

COMPR. FILM.

1mg

LANNACHER

HEILMITTEL GES.M.B.H.

AUSTRI A

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

PR

30

91,46

3,048666

3,048666

115,64

3,854666

3,854666

468

W56267

L02BG03

ANASTROZOLUM

ANASTROZOL TEVA 1 mg

COMPR. FILM.

1mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- 6L

30

91,46

3,048666

3,048666

115,64

3,854666

3,854666

469

W53147

L02BG03

ANASTROZOLUM

ANASTROZOL TERAPIA 1

mg

COMPR.

FILM.

1mg

TERAPIA SA

ROMAN

IA

CUTIE X BLIST. PVC/AL X 100 COMPR.

FILM.

PR

100

338,93

3,389300

3,389300

407,58

4,075800

4,075800

470

W55859

L02BG03

ANASTROZOLUM

KYARESTA 1 mg

COMPR.

FILM.

1mg

ROMASTRU

TRADING SRL

ROMAN

IA

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

FILM.

P-

6L

28

95,19

3,399642

3,399642

120,36

4,298571

4,298571

471

W00468

L02BG03

ANASTROZOLUM

ARIMIDEX 1 mg

COMPR. FILM.

1mg

ASTRAZENECA UK LTD.

MAREA BRITAN IE

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

P- 6L

28

128,99

4,606785

3,461142

157,47

5,623928

4,324200

472

W56083

L02BG03

ANASTROZOLUM

ANASTROZOL ATB 1 mg

COMPR.

FILM.

1mg

ANTIBIOTICE S.A.

ROMAN

IA

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

FILM.

P -

6L

30

91,40

3,046666

3,046666

115,56

3,852000

3,852000

473

W61107

L02BG03

ANASTROZOLUM

KYARESTA 1 mg

COMPR.

FILM.

1mg

NEOLA PHARMA

S.R.L.

ROMAN

IA

CUTIE CU 2 BLIST. PVC/AL A CATE 14

COMPR. FILM.

P-

6L

28

95,19

3,399642

3,399642

120,36

4,298571

4,298571

474

W56632

L02BG04

LETROZOLUM

LETROZOL TERAPIA 2,5 mg

COMPR.

FILM.

2,5 mg

TERAPIA S.A.

ROMAN

IA

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

COMPR. FILM.

P6

L

30

198,16

6,605333

2,607199

241,92

8,064000

3,296800

475

W58927

L02BG04

LETROZOLUM

LETROZOL POLIPHARMA

2,5 mg

COMPR.

FILM.

2,5mg

POLIPHARMA

INDUSTRIES S.R.L.

ROMAN

IA

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

FILM.

P6

L

30

164,45

5,481666

2,607199

200,76

6,692000

3,296800

476

W55449

L02BG04

LETROZOLUM

LEZRA 2,5 mg

COMPR.

FILM.

2,5mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU BLIST. PVC/AL X 30 COMPR.

FILM.

P-

6L

30

77,28

2,576000

2,576000

97,71

3,257000

3,257000

477

W53124

L02BG04

LETROZOLUM

LETROZOL TEVA 2,5 mg

COMPR. FILM.

2,5mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

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

P- 6L

30

228,64

7,621333

2,607199

279,12

9,304000

3,296800

478

W56502

L02BG04

LETROZOLUM

LETROZOL STADA 2,5 mg

COMPR.

FILM.

2,5mg

STADA

ARZNEIMITTEL AG

GERMA

NIA

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

COMPR. FILM.

P6

L

100

280,55

2,805500

2,607199

342,50

3,425000

3,296800

479

W53743

L02BG04

LETROZOLUM

ETRUZIL 2,5 mg

COMPR. FILM.

2,5mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

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

P- 6L

30

77,84

2,594666

2,594666

98,42

3,280666

3,280666

480

W55367

L02BG04

LETROZOLUM

ZEQUIPRA 2,5 mg

COMPR.

FILM.

2,5mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU BLIST. AL-PVC/PVC-PE-PVDC

X 30 COMPR. FILM.

P-

6L

30

78,22

2,607333

2,607199

98,90

3,296666

3,296666

481

W51409

L02BG04

LETROZOLUM

FEMARA 2,5 mg

COMPR.

FILM.

2,5mg

NOVARTIS PHARMA

GMBH

GERMA

NIA

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

COMPR.

P-

6L

30

473,58

15,786000

2,607199

554,35

18,478333

3,296800

482

W56911

L02BG04

LETROZOLUM

LETROZOL ATB 2,5 mg

COMPR.

FILM.

2,5mg

ANTIBIOTICE S.A.

ROMAN

IA

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

COMPR. FILM.

P6

L

30

74,74

2,491333

2,491333

94,50

3,150000

3,150000

483

W55646

L02BG04

LETROZOLUM

LETROZOL ALVOGEN 2,5

mg

COMPR.

FILM.

2,5mg

ALVOGEN IPCO

S.A.R.L

LUXEM

BURG

CUTIE CU BLIST. PVC/AL X 30 COMPR.

FILM.

P-

6L

30

78,21

2,607000

2,607000

98,89

3,296333

3,296333

484

W53742

L02BG04

LETROZOLUM

ZOTROL 2,5 mg

COMPR.

FILM.

2,5mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. DIN PVC/AL X 30

COMPR. FILM.

P-

6L

30

164,45

5,481666

2,607199

200,76

6,692000

3,296800

485

W59547

L02BG04

LETROZOLUM

LORTANDA 2,5 mg

COMPR.

FILM.

2,5mg

KRKA, D.D., NOVO

MESTO

SLOVE

NIA

CUTIE CU BLIST. PVC-PVDC/AL X 30

COMPR. FILM.

P6

L

30

65,18

2,172666

2,172666

82,42

2,747333

2,747333

486

W58106

L02BG04

LETROZOLUM

TROZEL 2,5 mg

COMPR. FILM.

2,5mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUB LICA

CEHA

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

P- 6L

30

73,81

2,460333

2,460333

93,32

3,110666

3,110666

487

W57606

L02BG04

LETROZOLUM

LETROZOL KABI 2,5 mg

COMPR. FILM.

2,5mg

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

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

P6 L

10

72,53

7,253000

2,607199

91,71

9,171000

3,296800

488

W55787

L02BG04

LETROZOLUM

ELOZORA 2,5 mg

COMPR. FILM.

2,5mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

P- 6L

30

96,38

3,212666

2,607199

121,86

4,062000

3,296800

489

W55679

L02BG04

LETROZOLUM

LETROZOL SANOFI-

AVENTIS 2,5 mg

COMPR.

FILM.

2,5mg

SANOFI - AVENTIS

ROMANIA S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/AL X 30 COMPR.

FILM.

P-

6L

30

165,05

5,501666

2,607199

201,49

6,716333

3,296800

490

W57212

L02BG06

EXEMESTANUM

AROSTANIL 25 mg

COMPR.

FILM.

25 mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 30

COMPR. FILM.

PR

F

30

154,58

5,152666

2,705200

188,71

6,290333

3,420400

491

W55888

L02BG06

EXEMESTANUM

EXEMESTAN ACCORD 25

mg

COMPR. FILM.

25mg

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

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

P- RF

30

201,38

6,712666

2,705200

245,85

8,195000

3,420400

492

W55664

L02BG06

EXEMESTANUM

EXEMESTAN TEVA 25 mg

COMPR. FILM.

25mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

P- RF

30

81,15

2,705000

2,705000

102,61

3,420333

3,420333

493

W57021

L02BG06

EXEMESTANUM

EXEMESTAN TERAPIA 25

mg

COMPR.

FILM.

25mg

TERAPIA S.A.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 30

COMPR. FILM.

PR

F

30

185,48

6,182666

2,705200

226,44

7,548000

3,420400

494

W57409

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR.

FILM.

25mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

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

COMPR. FILM

PR

F

30

81,15

2,705000

2,705000

102,61

3,420333

3,420333

495

W57409

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR.

FILM.

25mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

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

COMPR. FILM

PR

F

30

81,15

2,705000

2,705000

102,61

3,420333

3,420333

496

W59268

L02BG06

EXEMESTANUM

ESCEPRAN 25 mg

COMPR.

FILM.

25mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

CUTIE CU BLIST. PVC-PVDC/AL X 30

COMPR. FILM.

P-

RF

30

67,63

2,254333

2,254333

85,51

2,850333

2,850333

497

W59431

L02BG06

EXEMESTANUM

EXEMESTAN POLIPHARMA

25 mg

COMPR.

FILM.

25mg

POLIPHARMA

INDUSTRIES S.R.L.

ROMAN

IA

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

COMPR. FILM.

PR

F

30

154,58

5,152666

2,705200

188,71

6,290333

3,420400

498

W57688

L02BG06

EXEMESTANUM

EXEMESTAN MEDISON

PHARMA 25 mg

COMPR.

FILM.

25mg

MEDISON PHARMA

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 30

COMPR. FILM.

PR

F

30

201,50

6,716666

2,705200

245,99

8,199666

3,420400

46

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

499

W55874

L02BG06

EXEMESTANUM

EXEMESTAN GLENMARK

25mg

COMPR. FILM.

25mg

GLENMARK

PHARMACEUTICALS S.R.O.

REPUB

LICA CEHA

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

P- RF

30

81,15

2,705000

2,705000

102,61

3,420333

3,420333

500

W57687

L02BG06

EXEMESTANUM

INPLAVIA 25 mg

COMPR.

FILM.

25mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. UNIDOZA PVC-PVDC/AL

X 30 (30X1) COMPR. FILM.

PR

F

30

176,84

5,894666

2,705200

215,89

7,196333

3,420400

501

W56479

L02BG06

EXEMESTANUM

EXEMESTAN ALVOGEN 25

mg

COMPR.

FILM.

25mg

ALVOGEN IPCO

S.A.R.L

LUXEM

BURG

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

COMPR. FILM.

P-

RF

30

81,15

2,705000

2,705000

102,61

3,420333

3,420333

502

W55665

L02BG06

EXEMESTANUM

EXESTRALAN 25 mg

COMPR.

FILM.

25mg

ICN POLFA

RZESZOW S.A.

POLONI

A

CUTIE CU BLIST. PVC-PVDC/AL X 30

COMPR. FILM.

P-

RF

30

185,49

6,183000

2,705200

226,45

7,548333

3,420400

503

W56510

L02BG06

EXEMESTANUM

EXEMESTAN ACTAVIS 25

mg

COMPR.

FILM.

25mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU BLIST. AL/PVC X 30 COMPR.

FILM.

PR

F

30

183,66

6,122000

2,705200

224,21

7,473666

3,420400

504

W61219

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR.

FILM.

25mg

NEOLA PHARMA

S.R.L.

ROMAN

IA

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

COMPR. FILM

PR

F

30

81,15

2,705000

2,705000

102,61

3,420333

3,420333

505

W61219

L02BG06

EXEMESTANUM

XANEPRA 25 mg

COMPR.

FILM.

25mg

NEOLA PHARMA

S.R.L.

ROMAN

IA

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

COMPR. FILM

PR

F

30

81,15

2,705000

2,705000

102,61

3,420333

3,420333

506

W08074

L02BG06

EXEMESTANUM

AROMASIN 25 mg

DRAJ.

25mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 2 BLIST. PVC-PVDC/PVC-AL X 15 DRAJ.

P- RF

30

310,19

10,339666

2,705200

376,26

12,542000

3,420400

507

W51424

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ.

30MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

267,05

267,050000

194,520000

326,02

326,020000

237,468000

508

W51423

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ.

48MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

436,57

436,570000

313,092000

514,01

514,010000

382,224000

509

W53892

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

162,10

162,100000

162,100000

197,89

197,890000

197,890000

510

W53893

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

260,91

260,910000

260,910000

318,52

318,520000

318,520000

511

W55756

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF.

120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF

5

418,45

83,690000

83,690000

494,26

98,852000

98,852000

512

W53520

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF.

300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

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

S/P RF/ R

1

214,16

214,160000

194,520000

261,45

261,450000

237,468000

513

W55757

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF.

300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

P- RF

5

1.001,12

200,224000

194,520000

1.129,37

225,874000

225,874000

514

W53523

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF.

480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

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

S/P RF/ R

1

355,90

355,900000

313,092000

426,08

426,080000

382,224000

515

W55758

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF.

480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

P- RF

5

1.656,30

331,260000

313,092000

1.843,52

368,704000

368,704000

516

W51563

L03AA13

PEGFILGRASTIMUM***

NEULASTA 6mg

SOL. INJ.

6 mg

AMGEN EUROPE B.V.

OLAND A

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

PROTECTIE A ACULUI

PR

1

3.307,67

3.307,670000

3.307,670000

3.643,51

3.643,510000

3.643,510000

517

W51563

L03AA13

PEGFILGRASTIMUM***

NEULASTA 6mg

SOL. INJ.

6mg

AMGEN EUROPE

B.V.

OLAND

A

CUTIE X BLISTER X 1 SERINGA

PREUMPLUTA X 0,6ML SOL. INJ.

PR

1

3.307,67

3.307,670000

3.307,670000

3.643,51

3.643,510000

3.643,510000

518

W51327

L03AB04

INTERFERONUM ALFA 2A***

ROFERON A

SOL. INJ.

3Mui/0,5m

l

ROCHE ROMANIA

S.R.L.

ROMAN

IA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5

ML + AC STERIL

PR

1

69,15

69,150000

69,150000

87,43

87,430000

87,430000

519

W51329

L03AB04

INTERFERONUM ALFA 2A***

ROFERON A

SOL. INJ.

9Mui/0,5m

l

ROCHE ROMANIA

S.R.L.

ROMAN

IA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5

ML SOL. INJ. + AC STERIL

PR

1

140,84

140,840000

140,840000

171,94

171,940000

171,940000

520

W59599

L03AB05

INTERFERONUM ALFA 2B***

INTRON A 18 milioane U.I.

SOL. INJ. PEN MULTIDOZ

A

18

milioane U.I.

MERCK SHARP & DOHME

MAREA BRITAN IE

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

P-

RF/ R

1

363,48

363,480000

363,480000

434,34

434,340000

434,340000

521

W59600

L03AB05

INTERFERONUM ALFA 2B***

INTRON A 30 milioane U.I.

SOL. INJ. PEN MULTIDOZ

A

30

milioane U.I.

MERCK SHARP & DOHME

MAREA BRITAN IE

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

P-

RF/ R

1

621,78

621,780000

621,780000

715,89

715,890000

715,890000

522

W57665

M05BA02

ACIDUM CLODRONICUM**

BONEFOS® 800 mg

COMPR.

FILM.

800mg

BAYER OY

FINLAN

DA

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

FILM.

P-

6L

60

586,00

9,766666

9,766666

676,89

11,281500

11,281500

523

W52199

M05BA02

ACIDUM CLODRONICUM**

SINDRONAT (R) 300 mg/5 ml

CONC. PT. SOL. PERF.

300mg/5 ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA X 5 ML

S

1

20,75

20,750000

20,750000

28,04

28,040000

28,040000

47

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

524

W58123

M05BA03

ACIDUM PAMIDRONICUM**

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 2 ML

S/P RF

1

158,95

158,950000

158,950000

194,05

194,050000

194,050000

525

W58123

M05BA03

ACIDUM PAMIDRONICUM**

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 4 ML

S/P RF

1

361,86

361,860000

285,384000

432,58

432,580000

348,396000

526

W58123

M05BA03

ACIDUM PAMIDRONICUM**

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 1 ML

S/P RF

1

102,98

102,980000

102,980000

125,72

125,720000

125,720000

527

W07918

M05BA03

ACIDUM PAMIDRONICUM**

AREDIA (R) 15 mg

LIOF.+ SOLV. PT. SOL. PERF.

15mg

NOVARTIS PHARMA GMBH

GERMA NIA

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

S/P RF

4

595,85

148,962500

123,576000

687,63

171,907500

150,864000

528

W57926

M05BA03

ACIDUM PAMIDRONICUM**

PAMIRED 30mg pulbere pentru solutie perfuzabila

PULB. PT. SOL. PERF.

30mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

PR

1

152,87

152,870000

152,870000

186,63

186,630000

186,630000

529

W57925

M05BA03

ACIDUM PAMIDRONICUM**

PAMIRED 60mg pulbere pentru solutie perfuzabila

PULB. PT. SOL.PERF.

60mg

DR. REDDY'S LABORATORIES

ROMAN IA

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

PR

1

237,82

237,820000

237,820000

290,33

290,330000

290,330000

530

W60664

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC AUROBINDO 150 mg

COMPR. FILM.

150mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

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

P6 L

1

29,66

29,660000

29,660000

38,80

38,800000

38,800000

531

W57730

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC SANDOZ

50 mg

COMPR. FILM.

50 mg

SANDOZ PHARMACEUTICALS

GMBH

GERMA NIA

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

PR

28

519,62

18,557857

18,557857

604,54

21,590714

21,590714

532

W56748

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 50

mg

COMPR.

FILM.

50 mg

TEVA PHARMA B.V.

OLAND

A

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL

X 28 COMPRIMATE FILMATE

PR

28

637,14

22,755000

22,269428

732,63

26,165357

25,908857

533

W56932

M05BA06

ACIDUM IBANDRONICUM**

IASIBON 50 mg

COMPR.

FILM.

50mg

PHARMATHEN S.A.

GRECIA

CUTIE CU BLIST. PA/ALL/PVC/ALU X 28

COMPR. FILM

PR

28

629,47

22,481071

22,269428

724,27

25,866785

25,866785

534

W59829

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC GLENMARK 50 mg

COMPR. FILM.

50mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUB LICA

CEHA

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

PR

28

562,00

20,071428

20,071428

650,73

23,240357

23,240357

535

W41499

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 50mg

COMPR. FILM.

50mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

S

28

964,08

34,431428

22,269428

1.089,00

38,892857

25,908857

536

W57712

M05BA06

ACIDUM IBANDRONICUM**

HOLMEVIS 50 mg

COMPR. FILM.

50mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

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

PR

28

637,16

22,755714

22,269428

732,65

26,166071

25,908857

537

W58937

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 6

mg

CONC. PT. SOL. PERF.

6mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC SI CAPSA DE CULOARE TURCOAZ (ALBASTRU VERZUI) X 6 ML CONC. PT. SOL. PERF.

PR

1

596,39

596,390000

596,390000

688,22

688,220000

688,220000

538

W56933

M05BA06

ACIDUM IBANDRONICUM**

IASIBON 6mg/6ml

CONC. PT. SOL. PERF.

6mg/6ml

PHARMATHEN S.A.

GRECIA

CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.

PR

1

596,39

596,390000

596,390000

688,22

688,220000

688,220000

539

W41498

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 6mg/6ml

CONC. PT. SOL. PERF.

6mg/6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

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

S

1

901,37

901,370000

715,668000

1.020,64

1.020,640000

825,864000

540

W59742

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC TEVA 4

mg/5 ml

CONC. PT. SOL. PERF.

4 mg/5 ml

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLACON DIN STICLA CU 5ML CONCENTRAT PENTRU SOLUTIE

PERFUZABILA

PR

1

377,14

377,140000

356,400000

449,23

449,230000

435,096000

541

W59137

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

SANDOZ 4 mg/100 ml

CONC. PT. SOL. PERF.

4mg/100 ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP- OFF" X 100 ML CONC. PT. SOL. PERF.

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

542

W59191

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

TERAPIA 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

TERAPIA SA

ROMAN IA

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

PR

1

724,49

724,490000

356,400000

827,84

827,840000

435,096000

543

W59167

M05BA08

ACIDUM ZOLEDRONICUM**

OSPORIL 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

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

PR

1

676,71

676,710000

356,400000

775,76

775,760000

435,096000

544

W59476

M05BA08

ACIDUM ZOLEDRONICUM**

ZOLACITOR 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE CU 4 FLAC., DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL.

PERF.

PR

4

2.807,00

701,750000

356,400000

3.097,78

774,445000

435,096000

48

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

545

W59588

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

ACTAVIS 4mg/5ml

CONC. PT. SOL. PERF.

4mg/5ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE X 1 FLACON PLASTIC TRANSPARENT, INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE

CONC. PT. SOL. PER

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

546

W59914

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC PFIZER

4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

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

PR

1

724,49

724,490000

356,400000

827,84

827,840000

435,096000

547

W59476

M05BA08

ACIDUM ZOLEDRONICUM**

ZOLACITOR 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE CU 1 FLAC., DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL.

PERF.

PR

1

724,40

724,400000

356,400000

827,75

827,750000

435,096000

548

W59840

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

HOSPIRA 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

PR

1

364,11

364,110000

356,400000

435,03

435,030000

435,030000

549

W58621

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DIN CAUCIUC

BROMOB

PR

1

459,66

459,660000

356,400000

539,18

539,180000

435,096000

550

W59044

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

RICHTER 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 1 FLACON TRANSPARENT, INCOLOR DIN POLIMER CICLO-OLEFENIC INCHIS CU DOP GRI INCHIS DIN CAUCIUC CU STRAT FLUOROPOLIMERIC, CAPSA DIN AL SI SISTEM "FLIP-OFF" DIN PLASTIC ROSU X 5ML CONC. PT. SOL.

PERF.

PR

1

724,49

724,490000

356,400000

827,84

827,840000

435,096000

551

W60989

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIP-OFF DIN PP CARE CONTINE 4 MG/5 ML CONC. PT. SOL.

PERF.

PR

1

459,66

459,660000

356,400000

539,18

539,180000

435,096000

552

W59889

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 4 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF.

PR

4

1.418,88

354,720000

354,720000

1.584,73

396,182500

396,182500

553

W59136

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

SANDOZ 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP- OFF" X 5 ML CONC. PT. SOL. PERF.

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

554

W60216

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC MEDAC

4mg/5ml

CONC. PT. SOL. PERF.

4mg/5ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 FLACON DIN PLASTIC CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

555

W59090

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL.

PERF.

PR

4

1.417,59

354,397500

354,397500

1.583,33

395,832500

395,832500

556

W59520

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR.

REDDY'S 4mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA CU

CAPACITATEA DE 5 ML CU CONC. PT. SOL. PERF.

PR

1

297,00

297,000000

297,000000

362,58

362,580000

362,580000

557

W59889

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF.

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

558

W58886

M05BA08

ACIDUM ZOLEDRONICUM**

DESINOBON 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

ALVOGEN IPCO S.A.R.L

LUXEM BOURG

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

PT. SOL. PERF.

PR

1

452,56

452,560000

356,400000

531,44

531,440000

435,096000

559

W58735

M05BA08

ACIDUM ZOLEDRONICUM**

FAYTON 4 mg/ 5 ml

CONC. PT. SOL. PERF.

4mg/5ml

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN COPOLIMER CICLOOLEFINIC SI CAPAC PP CU CAPACITATEA DE 5 ML CARE CONTINE

CONC. P

PR

1

676,00

676,000000

356,400000

774,99

774,990000

435,096000

560

W08426

M05BA08

ACIDUM ZOLEDRONICUM**

ZOMETA 4 mg

PULB. + SOLV. SOL. PERF.

4mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

PR

1

1.098,45

1.098,450000

356,400000

1.235,46

1.235,460000

435,096000

49

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

561

W60382

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

HOSPIRA 4 mg/100 ml

SOL. PERF.

4 mg/100 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

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

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

562

W60543

M05BA08

ACIDUM ZOLEDRONICUM**

ZERLINDA 4 mg/100 ml

SOL. PERF.

4mg/100

ml

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 PUNGA A 100 ML SOL. PERF.

PR

1

724,00

724,000000

356,400000

827,31

827,310000

435,096000

563

W60980

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR.

REDDY'S 4mg/100 ml

SOL. PERF.

4mg/100 ml

DR. REDDY'S LABORATORIES

ROMAN IA

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

ML SOL. PERF.

PR

1

297,00

297,000000

297,000000

362,58

362,580000

362,580000

564

W60215

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC MEDAC

4mg/100ml

SOL. PERF.

4mg/100 ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 FLACON DIN PLASTIC CU 100 ML SOLUTIE PERFUZABILA

PR

1

522,14

522,140000

356,400000

607,28

607,280000

435,096000

565

W59355

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

ZENTIVA 4 mg/5 ml

SOL. PERF.

4mg/5ml

ZENTIVA, K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE CONC. PT. SOL. PERF.

PR

1

676,71

676,710000

356,400000

775,76

775,760000

435,096000

566

W04133

V03AF01

MESNUM

UROMITEXAN (R) 400 mg

SOL. INJ.

400mg/4 ml

BAXTER ONCOLOGY GMBH

GERMA NIA

CUTIE X 3 SUPORTURI TERMOFORMATE DIN PLASTIC X 5 FIOLE DE STICLA

INCOLORA X 4 ML

S

15

44,87

2,991333

2,991333

58,69

3,912666

3,912666

567

W00734

V03AF03

CALCII FOLINAS

CALCIUM FOLINAT "EBEWE" 15 mg

CAPS.

15mg

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

AUSTRI A

CUTIE X1 FLAC. X 20 CAPS.

P- 6L

20

29,11

1,455500

1,455500

38,08

1,904000

1,904000

568

W52217

V03AF03

CALCII FOLINAS

FOLCASIN (R) 100 mg/10 ml

SOL. INJ.

10mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON X 10 ML

S/P RF

1

29,47

29,470000

29,470000

38,55

38,550000

38,550000

569

W54980

V03AF03

CALCII FOLINAS

FOLINAT DE CALCIU TEVA

10 mg/ml

SOL. INJ.

10mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

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

P-

RF/ S

1

29,50

29,500000

29,500000

38,59

38,590000

38,590000

570

W00735

V03AF03

CALCII FOLINAS

CALCIUMFOLINAT "EBEWE"

10 mg/ml

SOL.

INJ./PERF.

10mg/ml

EBEWE PHARMA

GMBH NFG. KG

AUSTRI

A

CUTIE X 5 FIOLE X 3 ML

P-

RF

5

50,23

10,046000

10,046000

63,51

12,702000

12,702000

571

W00735

V03AF03

CALCII FOLINAS

CALCIUMFOLINAT "EBEWE"

10 mg/ml

SOL.

INJ./PERF.

10mg/ml

EBEWE PHARMA

GMBH NFG. KG

AUSTRI

A

CUTIE X 5 FIOLE X 10 ML

P-

RF

5

142,16

28,432000

28,432000

173,55

34,710000

34,710000

572

W52219

V03AF03

CALCII FOLINAS

FOLCASIN (R) 3 mg/ml

SOL. INJ./PERF.

3mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON X 10 ML

S/P RF

1

13,53

13,530000

12,055200

18,29

18,290000

15,242400

50

P4: PROGRAMUL NATIONAL DE BOLI NEUROLOGICE

Subprogramul de tratament al sclerozei multiple

1

W42705

L03AB07

INTERFERONUM BETA 1A****

AVONEX 30 mcg BIO-SET

PULB. + SOLV. PT. SOL. INJ.

30mcg (6 mil. UI)

BIOGEN IDEC LIMITED

MAREA BRITAN IE

CUTIE X (1 FLAC. DIN STICLA X 30 MCG PULBERE + 1 SERINGA PRE-UMPLUTA + 1 ML SOLV. + 4 FIOLE PREVAZUT

P-

RF/ R

4

3.085,23

771,307500

771,307500

3.401,05

850,262500

850,262500

2

W08473

L03AB07

INTERFERONUM BETA 1A****

REBIF 44 micrograme

SOL. INJ.

44mcg

SERONO EUROPE LTD.

MAREA BRITAN IE

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

P-

RF/ R

12

4.183,50

348,625000

348,625000

4.598,17

383,180833

383,180833

3

W53186

L03AB08

INTERFERONUM BETA 1-B****

EXTAVIA 250 mcg/ ml

PULB+SOL V.PT.SOL.I NJ

250mcg/m l

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

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

P-

RF/ R

15

3.506,14

233,742666

233,742666

3.859,85

257,323333

257,323333

4

W52752

L03AB08

INTERFERONUM BETA 1-B****

BETAFERON 250mcg/ml

PULB. + SOLV. PT. SOL. INJ.

250mcg/m l

BAYER SCHERING AG

GERMA NIA

CUTIE X 15 AMBALAJE MULTIPLE CE CONTIN FIECARE CATE 1 FLAC. CU PULB., O SERINGA PREUMPLUTA CU

SOLV.

P-

RF/ P

15

3.301,14

220,076000

220,076000

3.636,40

242,426666

242,426666

5

W44044

L03AX13

GLATIRAMER ACETAT****

COPAXONE

SOL. INJ.

20mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 28 BLIST. PVC X 1 SERINGA

PREUMPLUTA X 1 ML PREVAZUTA CU AC FIX

S/P RF

28

3.083,08

110,110000

110,110000

3.398,71

121,382500

121,382500

6

W51764

L04AA23

NATALIZUMABUM****

TYSABRI 300mg

CONC. PT. SOL. PERF.

20mg/ml

ELAN PHARMA INTERNATIONAL

LTD

IRLAND A

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

S

1

6.951,95

6.951,950000

6.951,950000

7.615,78

7.615,780000

7.615,780000

7

W56928

L04AX01

AZATHIOPRINUM*

IMURAN®

COMPR. FILM.

50mg

ASPEN EUROPE GMBH

GERMA NIA

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

S/P RF

100

55,53

0,555300

0,555300

70,21

0,702100

0,702100

8

W56508

L04AX01

AZATHIOPRINUM*

IMMUNOPRIN 75 mg

COMPR. FILM.

75mg

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

AUSTRI A

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

PR

100

62,39

0,623900

0,623900

78,89

0,788900

0,788900

P5: PROGRAMUL NATIONAL DE DIABET ZAHARAT

Tratamentul medicamentos al bolnavilor cu diabet zaharat

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

1

W52999

A10AB01

INSULINE UMANE

HUMULIN R

SOL. INJ.

100UI/ml

LILLY FRANCE SAS

FRANT

A

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P-

RF

5

90,98

18,196000

18,196000

115,03

23,006000

23,006000

2

W52999

A10AB01

INSULINE UMANE

HUMULIN R

SOL. INJ.

100UI/ml

LILLY FRANCE SAS

FRANT

A

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

P-

RF

1

43,32

43,320000

43,320000

56,66

56,660000

56,660000

3

W08452

A10AB01

INSULINE UMANE

INSUMAN RAPID 100UI/ml

SOL. INJ. IN CARTUS

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND

GMBH

GERMA NIA

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

P- RF

5

81,26

16,252000

16,252000

102,75

20,550000

20,550000

4

W08451

A10AB01

INSULINE UMANE

INSUMAN RAPID 100UI/ml

SOL. INJ. IN FLACON

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND

GMBH

GERMA NIA

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

P- RF

5

105,39

21,078000

21,078000

128,66

25,732000

25,732000

5

W53811

A10AB01

INSULINE UMANE

INSUMAN RAPID 100 UI/ml

SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SOL. INJ.

P- RF

5

81,26

16,252000

16,252000

102,75

20,550000

20,550000

6

W53873

A10AB04

INSULINUM LISPRO**

HUMALOG

KWIKPEN100U/ml

SOL. INJ.

100U/ml

ELI LILLY

NEDERLAND BV

OLAND

A

CUTIE X 5 STILOURI INJECTOARE (PEN-

URI) PRE-UMPLUTE X 3 ML SOL. INJ.

P-

RF

5

156,50

31,300000

30,950400

191,06

38,212000

37,785600

7

W52601

A10AB04

INSULINUM LISPRO**

HUMALOG 100 U/ml

SOL. INJ.

100U/ml

ELI LILLY

NEDERLAND BV

OLAND

A

CUTIE X 5 CARTUSE X 3 ML SOL.INJ.

P-

RF

5

128,96

25,792000

25,792000

157,44

31,488000

31,488000

8

W07268

A10AB05

INSULINUM ASPART**

NOVORAPID PENFILL 100

U/ml

SOL. INJ. IN CARTUS

100Uml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P- RF

5

130,56

26,112000

26,112000

159,39

31,878000

31,878000

9

W41740

A10AB06

INSULINUM GLULIZINA**

APIDRA 100U/ml

SOL. INJ. IN CARTUS

100U/ml

SANOFI - AVENTIS

DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 CARTUSE X 3 ML SOL. INJ.

P- RF

5

108,80

21,760000

21,760000

132,82

26,564000

26,564000

10

W52538

A10AB06

INSULINUM GLULIZINA**

APIDRA 100U/ml

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

100U/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

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

P- RF

5

108,80

21,760000

21,760000

132,82

26,564000

26,564000

11

W52986

A10AC01

INSULINE UMANE

HUMULIN N

SUSP. INJ.

100UI/ml

LILLY FRANCE SAS

FRANT

A

CUTIE X 1 FLAC. DIN STICLA INCOLORA

X 10 ML SUSP. INJ.

P-

RF

1

43,32

43,320000

43,320000

56,66

56,660000

56,660000

12

W52986

A10AC01

INSULINE UMANE

HUMULIN N

SUSP. INJ.

100UI/ml

LILLY FRANCE SAS

FRANT

A

CUTIE X 5 CARTUSE DIN STICLA

INCOLORA X 3 ML SUSP. INJ.

P-

RF

5

90,98

18,196000

18,196000

115,03

23,006000

23,006000

13

W08444

A10AC01

INSULINE UMANE

INSUMAN BASAL 100UI/ml

SUSP. INJ. IN CARTUS

100UI/ml

SANOFI - AVENTIS

DEUTSCHLAND GMBH

GERMA NIA

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

P- RF

5

81,26

16,252000

16,252000

102,75

20,550000

20,550000

14

W08381

A10AC01

INSULINE UMANE

INSUMAN BASAL 100UI/ml

SUSP. INJ. IN FLACON

100UI/ml

SANOFI - AVENTIS

DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

P- RF

5

111,21

22,242000

22,242000

135,77

27,154000

27,154000

15

W53808

A10AC01

INSULINE UMANE

INSUMAN BASAL 100UI/ml

SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLU

T

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P- RF

5

81,26

16,252000

16,252000

102,75

20,550000

20,550000

16

W53876

A10AC04

INSULINUM LISPRO**

HUMALOG BASAL KWIKPEN

100U/ml

SUSP. INJ.

100U/ml

ELI LILLY

NEDERLAND BV

OLAND

A

CUTIE X 5 STILOURI INJECTOARE (PEN-

URI) X 3 ML SUSP. INJ.

P-

RF

5

156,50

31,300000

31,300000

191,06

38,212000

38,212000

17

W53106

A10AD01

INSULINE UMANE

HUMULIN M3

SUSP. INJ.

100ui/ml

LILLY FRANCE S.A.S

FRANT

A

CUTIE X 1 FLACON DIN STICLA

INCOLORA X 10 ML SUSP. INJ.

P-

RF

1

43,32

43,320000

43,320000

56,66

56,660000

56,660000

18

W53106

A10AD01

INSULINE UMANE

HUMULIN M3

SUSP. INJ.

100ui/ml

LILLY FRANCE S.A.S

FRANT

A

CUTIE X 5 CARTUSE DIN STICLA

INCOLORA X 3 ML SUSP. INJ.

P-

RF

5

90,98

18,196000

18,196000

115,03

23,006000

23,006000

19

W03703

A10AD01

INSULINE UMANE

MIXTARD 30 PENFILL 100

UI/ml

SUSP. INJ. IN CARTUS

100UI/ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P- RF

5

105,07

21,014000

19,502400

128,27

25,654000

24,660000

20

W08446

A10AD01

INSULINE UMANE

INSUMAN COMB 25 100UI/ml

SUSP. INJ. IN CARTUS

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND

GMBH

GERMA NIA

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

P- RF

5

81,26

16,252000

16,252000

102,75

20,550000

20,550000

21

W08449

A10AD01

INSULINE UMANE

INSUMAN COMB 50 100UI/ml

SUSP. INJ. IN CARTUS

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND

GMBH

GERMA NIA

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

P- RF

5

81,26

16,252000

16,252000

102,75

20,550000

20,550000

22

W08445

A10AD01

INSULINE UMANE

INSUMAN COMB 25 100UI/ml

SUSP. INJ. IN FLACON

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND

GMBH

GERMA NIA

CUTIE X 5 FLACOANE DIN STICLA INCOLORA X 5 ML SUSP. INJ.

P- RF

5

137,51

27,502000

27,502000

167,87

33,574000

33,574000

23

W53810

A10AD01

INSULINE UMANE

INSUMAN COMB 25 100UI/ml

SoloStar

SUSP. INJ. IN STILOU INJECTOR PREUMPLU

T

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

CUTIE X 5 STILOURI INJECTOARE X 1 CARTUS DIN STICLA INCOLORA X 3 ML SUSP. INJ.

P- RF

5

81,26

16,252000

16,252000

102,75

20,550000

20,550000

24

W53874

A10AD04

INSULINUM LISPRO**

HUMALOG MIX25 KWIKPEN

100U/ml

SUSP. INJ.

100U/ml

ELI LILLY

NEDERLAND BV

OLAND

A

CUTIE X 5 STILOURI INJECTOARE (PEN-

URI) PREUMPLUTE X 3 ML SUSP. INJ.

P-

RF

5

156,50

31,300000

31,300000

191,06

38,212000

38,212000

25

W53875

A10AD04

INSULINUM LISPRO**

HUMALOG MIX50 KWIKPEN

100U/ml

SUSP. INJ.

100U/ml

ELI LILLY

NEDERLAND BV

OLAND

A

CUTIE X 5 STILOURI INJECTOARE (PEN-

URI) PREUMPLUTE X 3 ML SUSP. INJ.

P-

RF

5

156,50

31,300000

31,300000

191,06

38,212000

38,212000

26

W03665

A10AD04

INSULINUM LISPRO**

HUMALOG MIX50

SUSP. INJ.

100U/ml

ELI LILLY

NEDERLAND BV

OLAND

A

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P-

RF

5

134,73

26,946000

26,946000

164,48

32,896000

32,896000

27

W52602

A10AD04

INSULINUM LISPRO**

HUMALOG MIX25

SUSP. INJ.

100U/ml

ELI LILLY

NEDERLAND BV

OLAND

A

CUTIE X 5 CARTUSE X 3 ML SUSP.INJ.

P-

RF

5

136,03

27,206000

27,206000

166,07

33,214000

33,214000

51

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

28

W08254

A10AD05

INSULINUM ASPART**

NOVOMIX 30 PENFILL 100

U/ml

SUSP. INJ. IN CARTUS

100U/ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 5 CARTUSE X 3 ML SUSP. INJ.

P- RF

5

140,58

28,116000

28,116000

171,62

34,324000

34,324000

29

W08054

A10AE04

INSULINUM GLARGINE**

LANTUS 100UI/ml

SOL. INJ. IN CARTUS

100UI/ml

SANOFI - AVENTIS

DEUTSCHLAND GMBH

GERMA NIA

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

P- RF

5

203,05

40,610000

40,610000

247,88

49,576000

49,576000

30

W10010

A10AE04

INSULINUM GLARGINE**

LANTUS 100UI/ml

SOL. INJ. IN FLACON

100UI/ml

SANOFI - AVENTIS

DEUTSCHLAND GMBH

GERMA NIA

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

P- RF

1

146,86

146,860000

146,860000

179,29

179,290000

179,290000

31

W52628

A10AE04

INSULINUM GLARGINE**

LANTUS SoloStar

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

100UI/ml

SANOFI - AVENTIS DEUTSCHLAND GMBH

GERMA NIA

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

P- RF

5

200,05

40,010000

40,010000

244,22

48,844000

48,844000

32

W41732

A10AE05

INSULINUM DETEMIR**

LEVEMIR PENFILL 100 U/ml

SOL. INJ. IN CARTUS

100U/ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 5 CARTUSE X 3 ML

P- RF

5

245,54

49,108000

49,108000

299,76

59,952000

59,952000

33

W53953

A10BA02

METFORMINUM

METFORMIN ARENA 1000

MG

COMPR.

1000mg

ARENA GROUP S.A.

ROMAN

IA

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

P-

RF

50

6,30

0,126000

0,126000

8,52

0,170400

0,170400

34

W53953

A10BA02

METFORMINUM

METFORMIN ARENA 1000 MG

COMPR.

1000mg

ARENA GROUP S.A.

ROMAN IA

FLACON DIN PE X 200 COMPR.

P-

RF/ S

200

25,16

0,125800

0,125800

32,91

0,164550

0,164550

35

W53951

A10BA02

METFORMINUM

METFORMIN ARENA 500 MG

COMPR.

500mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 FLAC. DIN PE X 60 COMPR.

P-

RF

60

3,58

0,059666

0,059666

4,84

0,080666

0,080666

36

W53952

A10BA02

METFORMINUM

METFORMIN ARENA 850 MG

COMPR.

850mg

ARENA GROUP SA

ROMAN

IA

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

P-

RF

15

1,69

0,112666

0,112666

2,28

0,152000

0,152000

37

W43318

A10BA02

METFORMINUM

GLUCOPHAGE XR

COMPR.

ELIB. PREL.

500mg

MERCK SANTE S.A.S.

FRANT A

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

P- RF

30

11,34

0,378000

0,071599

15,33

0,511000

0,096799

38

W43318

A10BA02

METFORMINUM

GLUCOPHAGE XR

COMPR. ELIB.

PREL.

500mg

MERCK SANTE S.A.S.

FRANT A

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

P- RF

30

11,34

0,378000

0,071599

15,33

0,511000

0,096799

39

W56835

A10BA02

METFORMINUM

SERDENIS 1000 mg

COMPR.

FILM.

1000mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

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

COMPR. FILM.

P6

L

30

4,38

0,146000

0,146000

5,92

0,197333

0,197333

40

W13583

A10BA02

METFORMINUM

GLUCOPHAGE 1000 mg

COMPR.

FILM.

1000mg

MERCK SANTE

FRANT

A

CUTIE CU BLIST. PVC/AL X 60 COMPR.

FILM.

P-

6L

60

20,74

0,345666

0,150960

28,03

0,467166

0,197460

41

W59641

A10BA02

METFORMINUM

METFORMIN AUROBINDO

1000 mg

COMPR. FILM.

1000mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

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

P6 L

30

4,34

0,144666

0,144666

5,86

0,195333

0,195333

42

W43828

A10BA02

METFORMINUM

METFOGAMMA 1000mg

COMPR. FILM.

1000mg

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 8 BLIST. AL/PVC X 15 COMPR. FILM

P6 L

120

15,93

0,132750

0,132750

21,53

0,179416

0,179416

43

W42349

A10BA02

METFORMINUM

SIOFOR 1000

COMPR. FILM.

1000mg

BERLIN CHEMIE AG MENARINI GROUP

GERMA NIA

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

P- RF

60

13,42

0,223666

0,150960

18,14

0,302333

0,197460

44

W56835

A10BA02

METFORMINUM

SERDENIS 1000 mg

COMPR.

FILM.

1000mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10

COMPR. FILM.

P6

L

90

13,13

0,145888

0,145888

17,75

0,197222

0,197222

45

W56835

A10BA02

METFORMINUM

SERDENIS 1000 mg

COMPR.

FILM.

1000mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10

COMPR. FILM.

P6

L

60

8,75

0,145833

0,145833

11,83

0,197166

0,197166

46

W13955

A10BA02

METFORMINUM

MEGUAN (R) 500 mg

COMPR.

FILM.

500mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10

COMPR. FILM.

P6

L

20

3,24

0,162000

0,071599

4,38

0,219000

0,096799

47

W59639

A10BA02

METFORMINUM

METFORMIN AUROBINDO

500 mg

COMPR. FILM.

500mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P6 L

30

2,55

0,085000

0,071599

3,45

0,115000

0,096799

48

W59639

A10BA02

METFORMINUM

METFORMIN AUROBINDO

500 mg

COMPR. FILM.

500mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P6 L

60

5,10

0,085000

0,071599

6,89

0,114833

0,096799

49

W42688

A10BA02

METFORMINUM

DIPIMET 500 mg

COMPR.

FILM.

500mg

ANTIBIOTICE SA

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

FILM.

P-

RF

30

2,85

0,095000

0,071599

3,85

0,128333

0,096799

50

W56834

A10BA02

METFORMINUM

SERDENIS 850 mg

COMPR.

FILM.

850mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10

COMPR. FILM.

P6

L

30

3,64

0,121333

0,121333

4,92

0,164000

0,164000

51

W59640

A10BA02

METFORMINUM

METFORMIN AUROBINDO

850 mg

COMPR. FILM.

850mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM.

P6 L

30

3,60

0,120000

0,120000

4,87

0,162333

0,162333

52

W13873

A10BA02

METFORMINUM

GLUCOPHAGE 850 mg

COMPR.

FILM.

850mg

MERCK SANTE

FRANT

A

CUTIE X 10 BLIST. AL/PVC X 10 COMPR.

FILM.

P6

L

100

18,70

0,187000

0,135199

25,27

0,252700

0,182400

53

W56197

A10BA02

METFORMINUM

SIOFOR 850 mg

COMPR. FILM.

850mg

BERLIN-CHEMIE AG (MENARINI GROUP)

GERMA NIA

CUTIE CU 4 BLIST. AL/PVC X 15 COMPR. FILM.

P- 6L

60

13,45

0,224166

0,135199

18,18

0,303000

0,182400

54

W08499

A10BA02

METFORMINUM

METFOGAMMA 850 mg

COMPR. FILM.

850mg

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 12 BLIST. AL/PVC X 10 COMPR. FILM.

P6 L

120

13,54

0,112833

0,112833

18,30

0,152500

0,152500

52

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

55

W56834

A10BA02

METFORMINUM

SERDENIS 850 mg

COMPR.

FILM.

850mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 9 BLIST. PVC-PVDC/AL X 10

COMPR. FILM.

P6

L

90

10,90

0,121111

0,121111

14,73

0,163666

0,163666

56

W14102

A10BA02

METFORMINUM

MEGUAN (R) 850 mg

COMPR.

FILM.

850mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 10

COMPR. FILM.

P6

L

20

5,65

0,282500

0,135199

7,64

0,382000

0,182400

57

W56834

A10BA02

METFORMINUM

SERDENIS 850 mg

COMPR.

FILM.

850mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 6 BLIST. PVC-PVDC/AL X 10

COMPR. FILM.

P6

L

60

7,27

0,121166

0,121166

9,82

0,163666

0,163666

58

W59640

A10BA02

METFORMINUM

METFORMIN AUROBINDO

850 mg

COMPR. FILM.

850mg

AUROBINDO PHARMA LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 60 COMPR. FILM.

P6 L

60

7,18

0,119666

0,119666

9,71

0,161833

0,161833

59

W53919

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ATB 1,75

MG

COMPR.

1,75 mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

1,41

0,047000

0,047000

1,91

0,063666

0,063666

60

W41858

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 1,75

mg

COMPR.

1,75mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

1,52

0,050666

0,050666

2,05

0,068333

0,068333

61

W41858

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 1,75

mg

COMPR.

1,75mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 FLAC. PEID X 100 COMPR.

P-

RF/ S

100

8,60

0,086000

0,056400

11,62

0,116200

0,076399

62

W41858

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 1,75

mg

COMPR.

1,75mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

P-

RF/ S

####

55,56

0,055560

0,055560

70,25

0,070250

0,070250

63

W07202

A10BB01

GLIBENCLAMIDUM

MANINIL 1,75 mg

COMPR.

1,75mg

BERLIN CHEMIE AG MENARINI GROUP

GERMA NIA

CUTIE X 1 FLAC. X 120 COMPR.

P-

RF/ S

120

8,75

0,072916

0,056400

11,82

0,098500

0,076399

64

W41859

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 3,5

mg

COMPR.

3,5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 1 FLAC. PEID X 100 COMPR.

P-

RF/ S

100

10,64

0,106400

0,040399

14,38

0,143800

0,054799

65

W41859

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 3,5

mg

COMPR.

3,5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

P-

RF/ S

####

76,44

0,076440

0,040399

96,65

0,096650

0,054799

66

W53920

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ATB 3,5 MG

COMPR.

3,5mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

1,01

0,033666

0,033666

1,37

0,045666

0,045666

67

W41859

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 3,5

mg

COMPR.

3,5mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

4,15

0,138333

0,040399

5,61

0,187000

0,054799

68

W07206

A10BB01

GLIBENCLAMIDUM

MANINIL 3,5 mg

COMPR.

3,5mg

BERLIN CHEMIE AG MENARINI GROUP

GERMA NIA

CUTIE X 1 FLAC. X 120 COMPR.

P-

RF/ S

120

6,34

0,052833

0,040399

8,57

0,071416

0,054799

69

W53679

A10BB01

GLIBENCLAMIDUM

GLIBENCLAMID ARENA 5

mg

COMPR.

5mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

4,24

0,141333

0,141333

5,73

0,191000

0,191000

70

W54934

A10BB07

GLIPIZIDUM

GLIPIZIDA ATB 5mg

COMPR.

5mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P-

6L

30

11,49

0,383000

0,383000

15,53

0,517666

0,517666

71

W03348

A10BB07

GLIPIZIDUM

GLUCOTROL XL 10 mg

COMPR. FILM. ELIB. MODIF.

10mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN PEID, PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU E

P- RF

30

35,35

1,178333

1,178333

46,24

1,541333

1,541333

72

W03349

A10BB07

GLIPIZIDUM

GLUCOTROL XL 5mg

COMPR. FILM. ELIB. MODIF.

5mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN PEID PREVAZUT CU SISTEM DE INCHIDERE SECURIZAT PT. COPII X 30 COMPR. FILM. CU EL

P- RF

30

17,67

0,589000

0,459600

23,88

0,796000

0,621199

73

W03352

A10BB08

GLIQUIDONUM

GLURENORM

COMPR.

30mg

BOEHRINGER INGELHEIM INTERNATIONAL

GMBH

GERMA NIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P- RF

60

20,38

0,339666

0,339666

27,55

0,459166

0,459166

74

W42334

A10BB09

GLICLAZIDUM

ESQUEL (R) 80 mg

COMPR.

80mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 2 BLIST. X 15 COMPR.

P6

L

30

9,71

0,323666

0,323666

13,13

0,437666

0,437666

75

W59674

A10BB09

GLICLAZIDUM

GLYCLADA 60 mg

COMPR. CU ELIB.

MODIF.

60mg

KRKA, D.D., NOVO MESTO

SLOVE NIA

CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. CU ELIB. MODIF.

PR F

60

21,90

0,365000

0,365000

29,60

0,493333

0,493333

76

W08547

A10BB09

GLICLAZIDUM

DIAPREL MR

COMPR. ELIB.

MODIF.

30mg

LES LABORATOIRES

SERVIER

FRANT A

CUTIE X 2 BLIST. X 30 COMPR. ELIB. MODIF.

P- RF

60

18,67

0,311166

0,240799

25,24

0,420666

0,325600

77

W55137

A10BB09

GLICLAZIDUM

DIAPREL MR 60 mg

COMPR. ELIB.

MODIF.

60mg

LES LABORATOIRES

SERVIER

FRANT A

CUTIE CU BLIST. PVC/AL X 60 COMPR. CU ELIB. MODIF.

P- RF

60

34,89

0,581500

0,438000

45,64

0,760666

0,592000

78

W61093

A10BB09

GLICLAZIDUM

GLICLAZIDA ZENTIVA 60 mg

COMPR. ELIB.

MODIF.

60mg

ZENTIVA, K.S.

REPUB LICA

CEHA

CUTIE CU BLIST. PVC-PVDC/AL X 90 COMPR. ELIB. MODIF.

PR F

90

34,02

0,378000

0,378000

44,50

0,494444

0,494444

79

W54001

A10BB09

GLICLAZIDUM

GLYCLADA 30 mg

COMPR. ELIB.

PREL.

30mg

KRKA

SLOVE NIA

CUTIE X 4 BLIST. PVC/AL X 15 COMPR. CU ELIB. PREL.

P- 6L

60

12,10

0,201666

0,201666

16,36

0,272666

0,272666

80

W57919

A10BB09

GLICLAZIDUM

GLICLAZIDA ATB 30 mg

COMPR. ELIB.

PREL.

30mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.

P- RF

30

6,02

0,200666

0,200666

8,14

0,271333

0,271333

81

W54001

A10BB09

GLICLAZIDUM

GLYCLADA 30 mg

COMPR.

ELIB. PREL.

30mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 6 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

P- 6L

60

12,10

0,201666

0,201666

16,36

0,272666

0,272666

82

W55760

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ATB 1 mg

COMPR.

1mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P-

RF

30

3,08

0,102666

0,102666

4,16

0,138666

0,138666

53

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

83

W43299

A10BB12

GLIMEPIRIDUM

MEGLIMID 1 mg

COMPR.

1mg

KRKA D.D.

SLOVE

NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

6,73

0,224333

0,123199

9,09

0,303000

0,166399

84

W57489

A10BB12

GLIMEPIRIDUM

AMARYL 1mg

COMPR.

1mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMAN

IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-

RF

30

3,64

0,121333

0,121333

4,92

0,164000

0,164000

85

W44007

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDE 2 mg

COMPR.

2mg

ACTAVIS GROUP

HF.

ISLAND

A

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-

RF

30

3,97

0,132333

0,132333

5,36

0,178666

0,178666

86

W55761

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ATB 2 mg

COMPR.

2mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P-

RF

30

5,08

0,169333

0,158800

6,87

0,229000

0,214399

87

W57490

A10BB12

GLIMEPIRIDUM

AMARYL 2 mg

COMPR.

2mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMAN

IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-

RF

30

6,10

0,203333

0,158800

8,24

0,274666

0,214399

88

W43300

A10BB12

GLIMEPIRIDUM

MEGLIMID 2 mg

COMPR.

2mg

KRKA D.D.

SLOVE

NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

13,35

0,445000

0,158800

18,04

0,601333

0,214399

89

W44010

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDE 3 mg

COMPR.

3mg

ACTAVIS GROUP

HF.

ISLAND

A

CUTIE X 2 BLIST. AL/PVC X 15 COMPR.

P-

RF

30

7,35

0,245000

0,245000

9,94

0,331333

0,331333

90

W43301

A10BB12

GLIMEPIRIDUM

MEGLIMID 3 mg

COMPR.

3mg

KRKA D.D.

SLOVE

NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

18,49

0,616333

0,294000

24,99

0,833000

0,397600

91

W57492

A10BB12

GLIMEPIRIDUM

AMARYL 3 mg

COMPR.

3mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMAN

IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-

RF

30

11,31

0,377000

0,294000

15,28

0,509333

0,397600

92

W55762

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ATB 3 mg

COMPR.

3mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P-

RF

30

9,43

0,314333

0,294000

12,74

0,424666

0,397600

93

W57494

A10BB12

GLIMEPIRIDUM

AMARYL 4 mg

COMPR.

4mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMAN

IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-

RF

30

11,61

0,387000

0,387000

15,69

0,523000

0,523000

94

W55763

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ATB 4 mg

COMPR.

4mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR.

P-

RF

30

10,62

0,354000

0,354000

14,36

0,478666

0,478666

95

W53365

A10BB12

GLIMEPIRIDUM

GLIMEPIRIDA ACCORD 4mg

COMPR.

4mg

ACCORD HEALTHCARE LIMITED

MAREA BRITAN IE

CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR.

P- 6L

30

10,64

0,354666

0,354666

14,38

0,479333

0,479333

96

W57495

A10BB12

GLIMEPIRIDUM

AMARYL 6 mg

COMPR.

6mg

SANOFI-AVENTIS

ROMANIA S.R.L.

ROMAN

IA

CUTIE CU BLIST. AL/PVC X 30 COMPR.

P-

RF

30

19,08

0,636000

0,636000

25,79

0,859666

0,859666

97

W42117

A10BD02

COMBINATII (METFORMINUM+GLIBENCLAMIDUM)

BIDIAB 400 mg/2,5 mg

CAPS.

400mg+2,

5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 5 CAPS.

P-

RF/ S

500

178,17

0,356340

0,356340

217,51

0,435020

0,435020

98

W42117

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

BIDIAB 400 mg/2,5 mg

CAPS.

400mg+2,

5mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 4 BLIST. AL/PVC X 5 CAPS.

P-

RF

20

7,63

0,381500

0,381199

10,31

0,515500

0,515200

99

W10546

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

GLIBOMET (R)

COMPR.

FILM.

400mg/2,

5mg

LAB. GUIDOTTI SPA

ITALIA

CUTIE X 3 BLIST. X 20 COMPR. FILM.

P-

RF

60

19,06

0,317666

0,317666

25,76

0,429333

0,429333

100

W13594

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

GLUCOVANCE (R) 500

mg/2,5 mg

COMPR.

FILM.

500mg/2,

5mg

MERCK SANTE

FRANT

A

CUTIE X 4 BLIST. X 15 COMPR. FILM.

P-

RF

60

20,35

0,339166

0,339166

27,50

0,458333

0,458333

101

W13594

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

GLUCOVANCE® 500 mg/2,5

mg

COMPR.

FILM.

500mg/2,

5mg

MERCK SANTE

FRANT

A

CUTIE X 3 BLIST. PVC/AL X 20 COMPR.

FILM.

P-

RF

60

20,35

0,339166

0,339166

27,50

0,458333

0,458333

102

W13595

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

GLUCOVANCE® 500 mg/5

mg

COMPR.

FILM.

500mg/5

mg

MERCK SANTE

FRANT

A

CUTIE X 3 BLIST. PVC/AL X 20 COMPR.

FILM.

P-

RF

60

20,35

0,339166

0,339166

27,50

0,458333

0,458333

103

W13595

A10BD02

COMBINATII

(METFORMINUM+GLIBENCLAMIDUM)

GLUCOVANCE (R) 500 mg/5

mg

COMPR.

FILM.

500mg/5

mg

MERCK SANTE

FRANT

A

CUTIE X 4 BLIST. X 15 COMPR. FILM.

P-

RF

60

20,35

0,339166

0,339166

27,50

0,458333

0,458333

104

W52765

A10BD05

COMBINATII ( PIOGLITAZONUM + METFORMINUM)***

COMPETACT

COMPR. FILM.

15mg/850 mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT

CENTRE LTD

MAREA BRITAN IE

CUTIE X 56 COMPR. FILM. ( BLIST. AL/AL

)

P- RF

56

159,72

2,852142

2,852142

194,99

3,481964

3,481964

105

W53295

A10BD07

COMBINATII ( SITAGLIPTINUM+METFORMINUM)***

JANUMET 50 mg/1000 mg

COMPR. FILM.

50mg/100 0mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X BLIST. PVC/PE/PVDC/AL X 28 COMPR. FILM.

P- RF

28

77,39

2,763928

2,763928

97,85

3,494642

3,494642

106

W58716

A10BD10

COMBINATII ( SAXAGLIPTINUM + METFORMINUM)***

KOMBOGLYZE 2,5/1000mg

COMPR. FILM.

2,5mg+10

00mg

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE CU BLIST. AL/AL NEPERFORATE CU 60 COMPR.FILM.

P- RF

60

168,58

2,809666

2,809666

205,80

3,430000

3,430000

107

W57947

A10BF01

ACARBOSUM

GLUCOBAY® 100

COMPR.

100mg

BAYER PHARMA AG

GERMA

NIA

CUTIE X 8 BLIST. AL/PP X 15 COMPR.

P-

RF

120

51,89

0,432416

0,432416

65,61

0,546750

0,546750

108

W57946

A10BF01

ACARBOSUM

GLUCOBAY® 50

COMPR.

50mg

BAYER PHARMA AG

GERMA

NIA

CUTIE X 8 BLIST. AL/PP X 15 COMPR.

P-

RF

120

39,95

0,332916

0,332916

52,25

0,435416

0,435416

109

W58660

A10BG03

PIOGLITAZONUM***

ZIPION 15 mg

COMPR.

15 mg

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.

PR F

30

56,24

1,874666

1,465600

71,11

2,370333

1,916800

110

W58030

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA TORRENT

15 mg

COMPR.

15mg

TORRENT PHARMA

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PE-PVDC-AL X 30

COMPR.

PR

F

30

43,89

1,463000

1,463000

57,41

1,913666

1,913666

111

W58503

A10BG03

PIOGLITAZONUM***

GLIDIPION 15 mg

COMPR.

15mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU BLIST. AL/AL X 28 COMPR.

(BLIST. TIP CALENDAR)

PR

F

28

34,20

1,221428

1,221428

44,73

1,597500

1,597500

112

W58446

A10BG03

PIOGLITAZONUM***

LISPECIP 15 mg

COMPR.

15mg

ALVOGEN IPCO

S.A.R.L

LUXEM

BURG

CUTIE CU BLIST. PA-AL-PVC/AL X 30

COMPR.

PR

F

30

40,47

1,349000

1,349000

52,93

1,764333

1,764333

113

W58686

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA AUROBINDO 15 mg

COMPR.

15mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

PR F

30

64,41

2,147000

1,465600

81,44

2,714666

1,916800

114

W08069

A10BG03

PIOGLITAZONUM***

ACTOS 15mg

COMPR.

15mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT

CENTRE LTD

MAREA BRITAN IE

CUTIE X 28 COMPR. (BLIST. AL/AL)

P- RF

28

100,29

3,581785

1,465600

122,43

4,372500

1,916800

54

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

115

W60060

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA

POLIPHARMA 15 mg

COMPR.

15mg

POLIPHARMA

INDUSTRIES S.R.L.

ROMAN

IA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10

COMPR.

P6

L

30

36,64

1,221333

1,221333

47,92

1,597333

1,597333

116

W58661

A10BG03

PIOGLITAZONUM***

ZIPION 30 mg

COMPR.

30 mg

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.

PR F

30

84,33

2,811000

2,811000

106,63

3,554333

3,554333

117

W58504

A10BG03

PIOGLITAZONUM***

GLIDIPION 30 mg

COMPR.

30mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU BLIST. AL/AL X 28 COMPR.

(BLIST. TIP CALENDAR)

PR

F

28

67,20

2,400000

2,400000

84,97

3,034642

3,034642

118

W58687

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA AUROBINDO 30 mg

COMPR.

30mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

PR F

30

98,49

3,283000

2,880000

124,53

4,151000

3,641570

119

W58447

A10BG03

PIOGLITAZONUM***

LISPECIP 30 mg

COMPR.

30mg

ALVOGEN IPCO

S.A.R.L

LUXEM

BURG

CUTIE CU BLIST. PA-AL-PVC/AL X 30

COMPR.

PR

F

30

82,84

2,761333

2,761333

104,74

3,491333

3,491333

120

W08070

A10BG03

PIOGLITAZONUM***

ACTOS 30mg

COMPR.

30mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT

CENTRE LTD

MAREA BRITAN IE

CUTIE X 28 COMPR.(BLIST. AL/AL)

P- RF

28

150,92

5,390000

2,880000

184,24

6,580000

3,641570

121

W60061

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA

POLIPHARMA 30 mg

COMPR.

30mg

POLIPHARMA

INDUSTRIES S.R.L.

ROMAN

IA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10

COMPR.

P6

L

30

72,00

2,400000

2,400000

91,04

3,034666

3,034666

122

W58031

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA TORRENT

30 mg

COMPR.

30mg

TORRENT PHARMA

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PE-PVDC-AL X 30

COMPR.

PR

F

30

86,35

2,878333

2,878333

109,18

3,639333

3,639333

123

W58662

A10BG03

PIOGLITAZONUM***

ZIPION 45 mg

COMPR.

45 mg

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 30 COMPR.

PR F

30

143,75

4,791666

3,840000

175,49

5,849666

4,855200

124

W58448

A10BG03

PIOGLITAZONUM***

LISPECIP 45 mg

COMPR.

45mg

ALVOGEN IPCO

S.A.R.L

LUXEM

BURG

CUTIE CU BLIST. PA-AL-PVC/AL X 30

COMPR.

PR

F

30

116,90

3,896666

3,840000

142,71

4,757000

4,757000

125

W08071

A10BG03

PIOGLITAZONUM***

ACTOS 45mg

COMPR.

45mg

TAKEDA GLOBAL RESEARCH AND DEVELOPMENT

CENTRE LTD

MAREA BRITAN IE

CUTIE X 28 COMPR.(BLIST. AL/AL)

P- RF

28

206,41

7,371785

3,840000

251,99

8,999642

4,855200

126

W58505

A10BG03

PIOGLITAZONUM***

GLIDIPION 45 mg

COMPR.

45mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU BLIST. AL/AL X 28 COMPR.

(BLIST. TIP CALENDAR)

PR

F

28

89,60

3,200000

3,200000

113,29

4,046071

4,046071

127

W58032

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA TORRENT

45 mg

COMPR.

45mg

TORRENT PHARMA

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PE-PVDC-AL X 30

COMPR.

PR

F

30

118,80

3,960000

3,840000

145,03

4,834333

4,834333

128

W60062

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA

POLIPHARMA 45 mg

COMPR.

45mg

POLIPHARMA

INDUSTRIES S.R.L.

ROMAN

IA

CUTIE CU 3 BLIST. PA-AL-PVC/AL X 10

COMPR.

P6

L

30

96,00

3,200000

3,200000

121,38

4,046000

4,046000

129

W58688

A10BG03

PIOGLITAZONUM***

PIOGLITAZONA AUROBINDO 45 mg

COMPR.

45mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. DIN POLIAMIDA/AL/PVC X 30 COMPR.

PR F

30

130,18

4,339333

3,840000

158,92

5,297333

4,855200

130

W51928

A10BH01

SITAGLIPTINUM***

JANUVIA 100mg

COMPR. FILM.

100mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST. PVC/PE/PVDC/AL)

P- RF

28

160,75

5,741071

5,741071

196,24

7,008571

7,008571

131

W54993

A10BH03

SAXAGLIPTIN***

ONGLYZA

COMPR. FILM.

5 mg

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE CU BLISTER AL/AL PERFORAT 30 X1 COMPR.FILM.

P- RF

30

161,70

5,390000

5,390000

197,40

6,580000

6,580000

132

W56718

A10BX02

REPAGLINIDUM

RENEOS 0,5 mg

COMPR.

0,5 mg

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR.

PR F

90

20,20

0,224444

0,224444

27,30

0,303333

0,303333

133

W54877

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 0,5

mg

COMPR.

0,5mg

FARMAL INTERNATIONAL

S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 270 COMPR. FILM.

P- RF

270

131,98

0,488814

0,269333

161,12

0,596740

0,364000

134

W54877

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 0,5

mg

COMPR.

0,5mg

FARMAL INTERNATIONAL

S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.

P- RF

90

45,59

0,506555

0,269333

59,63

0,662555

0,364000

135

W54877

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 0,5

mg

COMPR.

0,5mg

FARMAL INTERNATIONAL

S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 120 COMPR. FILM.

P- RF

120

59,73

0,497750

0,269333

75,52

0,629333

0,364000

136

W54877

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 0,5

mg

COMPR.

0,5mg

FARMAL

INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P- RF

30

15,20

0,506666

0,269333

20,54

0,684666

0,364000

137

W56719

A10BX02

REPAGLINIDUM

RENEOS 1 mg

COMPR.

1 mg

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU BLIST. OPA-AL-PVC/AL X 90 COMPR.

PR F

90

20,20

0,224444

0,224444

27,30

0,303333

0,303333

138

W54878

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 1 mg

COMPR.

1mg

FARMAL INTERNATIONAL

S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P- RF

30

20,15

0,671666

0,269333

27,24

0,908000

0,364000

139

W54878

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 1 mg

COMPR.

1mg

FARMAL

INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 270 COMPR. FILM.

P- RF

270

175,06

0,648370

0,269333

213,71

0,791518

0,364000

140

W54878

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 1 mg

COMPR.

1mg

FARMAL

INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.

P- RF

90

59,40

0,660000

0,269333

75,11

0,834555

0,364000

141

W54878

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 1 mg

COMPR.

1mg

FARMAL INTERNATIONAL

S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 120 COMPR. FILM.

P- RF

120

79,22

0,660166

0,269333

100,16

0,834666

0,364000

55

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

142

W56720

A10BX02

REPAGLINIDUM

RENEOS 2 mg

COMPR.

2 mg

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 90 COMPR.

PR F

90

20,20

0,224444

0,224444

27,30

0,303333

0,303333

143

W54879

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 2 mg

COMPR.

2mg

FARMAL

INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 270 COMPR. FILM.

P- RF

270

213,89

0,792185

0,269333

261,12

0,967111

0,364000

144

W54879

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 2 mg

COMPR.

2mg

FARMAL

INTERNATIONAL S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 30 COMPR. FILM.

P- RF

30

24,64

0,821333

0,269333

33,30

1,110000

0,364000

145

W54879

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 2 mg

COMPR.

2mg

FARMAL INTERNATIONAL

S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 90 COMPR. FILM.

P- RF

90

72,61

0,806777

0,269333

91,81

1,020111

0,364000

146

W54879

A10BX02

REPAGLINIDUM

REPAGLINIDA FARMAL 2 mg

COMPR.

2mg

FARMAL INTERNATIONAL

S.R.L.

ROMAN IA

CUTIE CU BLIST. AL/AL X 120 COMPR. FILM.

P- RF

120

96,81

0,806750

0,269333

122,41

1,020083

0,364000

147

W60301

A10BX04

EXENATIDUM***

BYDUREON 2 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB.

PREL.

2 mg

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN

PR F

4

380,67

95,167500

95,167500

453,08

113,270000

113,270000

148

W57092

A10BX04

EXENATIDUM***

BYDUREON 2 mg

PULB. + SOLV. PT. SUSP. INJ. CU ELIB.

PREL.

2 mg

ELI LILLY NEDERLAND BV

OLAND A

AMBALAJ CU 4 X 1 DISPOZITIV DE ADMINISTRAREA UNICA (1FL X2MG PULB.+1SERINGA PREUMPLUTAX0,65ML SOLVEN

PR F

4

380,67

95,167500

95,167500

453,08

113,270000

113,270000

149

W52269

A10BX04

EXENATIDUM***

BYETTA 10mcg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

10mcg/do za

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P- RF

1

314,81

314,810000

314,810000

381,29

381,290000

381,290000

150

W60353

A10BX04

EXENATIDUM***

BYETTA 10μg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

10μg/doz a

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P- RF

1

314,81

314,810000

314,810000

381,29

381,290000

381,290000

151

W52268

A10BX04

EXENATIDUM***

BYETTA 5mcg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

5mcg/doz a

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P- RF

1

303,47

303,470000

303,470000

368,93

368,930000

368,930000

152

W60352

A10BX04

EXENATIDUM***

BYETTA 5μg/doza

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

5μg/doza

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT (60 DOZE)

P- RF

1

303,47

303,470000

303,470000

368,93

368,930000

368,930000

153

W59381

A10BX09

DAPAGLIFOZINUM***

FORXIGA 10 mg

COMPR. FILM.

10mg

BRISTOL-MYERS SQUIBB/ASTRAZEN ECA EEIG

MAREA BRITAN IE

CUTIE CU BLIST. DIN ALU/ALU X 30X1 COMPR. FILM. (UNITATE DOZATA)

PR F

30

162,69

5,423000

5,423000

198,61

6,620333

6,620333

154

W61097

A11DA03

BENFOTIAMINUM

BENFOTIAMINA BIOMEDIAL

300 mg

COMPR.

FILM.

300mg

BIOMEDIAL

PHARMA S.R.L.

ROMAN

IA

CUTIE CU 3 BLIST. PVC-PVDC/AL X 10

COMPR. FILM.

P6

L

30

106,68

3,556000

3,556000

130,23

4,341000

4,341000

155

W41932

A11DA03

BENFOTIAMINUM

BENFOGAMMA

DRAJ.

50mg

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ.

P- 6L

50

21,25

0,425000

0,425000

28,72

0,574400

0,574400

156

W01610

A11DBN1

COMBINATII**

MILGAMMA (R) N

CAPS. MOI

FARA CONCEN

TRATIE

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 BLIST. PVC/PVDC X 10 CAPS. MOI

P- 6L

50

35,84

0,716800

0,716800

46,88

0,937600

0,937600

157

W42092

A11DBN1

COMBINATII**

MILGAMMA (R) 100+100mg

DRAJ.

100mg+1

00mg

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 4 BLIST. PVC-PVDC/AL X 15 DRAJ.

P- 6L

60

71,14

1,185666

1,185666

89,95

1,499166

1,499166

158

W01731

A11DBN1

COMBINATII**

MILGAMMA (R) (vezi B03BA51)

DRAJ.

FARA

CONCEN TRATIE

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 BLIST. PVC/PVDC X 10 DRAJ.

P- 6L

50

35,84

0,716800

0,716800

46,88

0,937600

0,937600

159

W01611

A11DBN1

COMBINATII**

MILGAMMA (R) N

SOL. INJ.

FARA

CONCEN TRATIE

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 FIOLE DIN STICLA BRUNA

PREVAZUTE CU PUNCT DE RUPERE X 2 ML

P- RF

5

13,70

2,740000

2,740000

18,52

3,704000

3,704000

160

W41647

A11DBN1

COMBINATII**

MILGAMMA (R) NA

SOL. INJ.

FARA CONCEN

TRATIE

WORWAG PHARMA GMBH & CO. KG

GERMA NIA

CUTIE X 5 FIOLE DIN STICLA BRUNA PREVAZUTE CU PUNCT DE RUPERE X 1

ML

P- RF

5

13,70

2,740000

2,740000

18,52

3,704000

3,704000

56

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.1: HEMOFILIE SI TALASEMIE

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

1

W13336

B02BD02

FACTOR VIII DE COAGULARE**

EMOCLOT 500 UI

PULB.+SOL

V. SOL. PERF.

500 UI

KEDRION SPA

ITALIA

CUTIE X 1 FLACON DIN STICLA NEUTRA TIP I DIN ELASTOMER TIP I CONTINAND PULBERE, 1 FLACON DIN STICLA NEUTRA TIP I CU DOP DIN ELASTOMER TIP I CONTINAND SOLVENT, 1 SET PENTRU RECONST. SI ADM.

S

1

456,00

456,000000

456,000000

535,19

535,190000

535,190000

2

W61061

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 1000UI

PULB. + SOL. PT. SOL. INJ.

1000 UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON

PR

1

2.226,90

2.226,900000

2.226,900000

2.465,47

2.465,470000

2.465,470000

3

W61062

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 2000UI

PULB. + SOL. PT. SOL. INJ.

2000 UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON

PR

1

4.853,36

4.853,360000

4.853,360000

5.328,32

5.328,320000

5.328,320000

4

W61059

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 250UI

PULB. + SOL. PT. SOL. INJ.

250 UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON

PR

1

599,90

599,900000

599,900000

692,04

692,040000

692,040000

5

W61060

B02BD02

MOROCTOCOG ALFA**

REFACTO AF 500UI

PULB. + SOL. PT. SOL. INJ.

500 UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC.CU PULB. + 1 SERINGA PREUMPL. X 4 ML SOLV + 1 ADAPTOR + 2 TAMP.CU ALCOOL + 1 SET STERIL DE PERF. + 1 PLASTURE + 1 TIFON

PR

1

1.162,85

1.162,850000

547,200000

1.305,66

1.305,660000

642,228000

6

W54970

B02BD02

OCTOCOG ALFA**

RECOMBINATE 1000 UI

PULB+SOL

V. PT. SOL. INJ.

1000UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. (BAXJECT II) +1 SERINGA +1 SET MINI-

PERF.+ 2 TAMP. ALCOOL+2 PLAST.

S/P RF

1

2.393,60

2.393,600000

2.393,600000

2.647,18

2.647,180000

2.647,180000

7

W59904

B02BD02

OCTOCOG ALFA**

RECOMBINATE 1000 UI/5 ml

PULB+SOL

V. PT. SOL. INJ.

1000UI/5

ml

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ., 1 FLAC CU 5 ML SOLV., 1 SERINGA DIN PLASTIC DE UNICA FOLOSINTA, 1 DISPOZITIV PT. RECONSTITUIRE (BAXJECT II), UN SET DE MINI-PERFUZARE STERIL, 2 TAMPOANE CU ALCOOL MEDICINAL SI 2

PLASTURI

PR F

1

2.393,60

2.393,600000

2.393,600000

2.647,18

2.647,180000

2.647,180000

8

W54968

B02BD02

OCTOCOG ALFA**

RECOMBINATE 250 UI

PULB+SOL

V. PT. SOL. INJ.

250UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. (BAXJECT II) +1 SERINGA +1 SET MINI-

PERF.+ 2 TAMP. ALCOOL+2 PLAST.

S/P RF

1

620,90

620,900000

620,900000

714,93

714,930000

714,930000

9

W59902

B02BD02

OCTOCOG ALFA**

RECOMBINATE 250 UI/5 ml

PULB+SOL

V. PT. SOL. INJ.

250UI/5ml

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. DIN STICLA CU PULB. PT. SOL. INJ., 1 FLAC CU 5 ML SOLV., 1 SERINGA DIN PLASTIC DE UNICA FOLOSINTA, 1 DISPOZITIV PT. RECONSTITUIRE (BAXJECT II), UN SET DE MINI-PERFUZARE STERIL, 2 TAMPOANE CU ALCOOL MEDICINAL SI 2

PLASTURI

PR F

1

620,90

620,900000

620,900000

714,93

714,930000

714,930000

10

W54969

B02BD02

OCTOCOG ALFA**

RECOMBINATE 500 UI

PULB+SOL

V. PT. SOL. INJ.

500UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. PULB.+1 FLAC. SOLV.+DISPOZITIV PT. RECONST. (BAXJECT II) +1 SERINGA +1 SET MINI-

PERF.+ 2 TAMP. ALCOOL+2 PLAST.

S/P RF

1

1.211,80

1.211,800000

547,200000

1.359,01

1.359,010000

642,228000

11

W51449

B02BD02

OCTOCOG ALFA**

ADVATE 1000UI

PULB+SOL V.PT.SOL.I

NJ

1000UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV

BAXJECT II

P-

RF/ R

1

2.482,35

2.482,350000

2.482,350000

2.743,92

2.743,920000

2.743,920000

12

W61172

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 1000UI

PULB+SOL V.PT.SOL.I NJ

1000UI

BAYER PHARMA AG

GERMA NIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

+ 1 SERINGA PREUMPLUTA X 2,5ML SOL.

+ AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM.

PR

1

2.486,60

2.486,600000

2.486,600000

2.748,55

2.748,550000

2.748,550000

13

W61175

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 2000UI

PULB+SOL V.PT.SOL.I NJ

2000UI

BAYER PHARMA AG

GERMA NIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

+ 1 SERINGA PREUMPLUTA X 5,0ML SOL.

+ AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM.

P-

RF/ R

1

4.943,22

4.943,220000

4.943,220000

5.426,27

5.426,270000

5.426,270000

14

W61168

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 250UI

PULB+SOL V.PT.SOL.I NJ

250UI

BAYER PHARMA AG

GERMA NIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

+ 1 SERINGA PREUMPLUTA X 2,5ML SOL.

+ AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM.

P-

RF/ R

1

654,52

654,520000

654,520000

751,58

751,580000

751,580000

15

W51448

B02BD02

OCTOCOG ALFA**

ADVATE 500UI

PULB+SOL V.PT.SOL.I

NJ

500 UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC. CU PULB. + 1 FLAC. X 5 ML APA PT. SOL. INJ. + 1 DISPOZITIV

BAXJECT II

P-

RF/ R

1

1.280,02

1.280,020000

547,200000

1.433,37

1.433,370000

642,228000

16

W61170

B02BD02

OCTOCOG ALFA**

KOGENATE BAYER 500UI

PULB+SOL V.PT.SOL.I NJ

500UI

BAYER PHARMA AG

GERMA NIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

+ 1 SERINGA PREUMPLUTA X 2,5ML SOL.

+ AMBALAJ SUPL. CE CONTINE O TRUSA DE ADM.

P-

RF/ R

1

1.269,02

1.269,020000

547,200000

1.421,38

1.421,380000

642,228000

57

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

17

W53183

B02BD02

OCTOCOG ALFA**

ADVATE 2000UI

PULB+SOL

V.PT.SOL.I NJ.

2000 UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II

P-

RF/ R

1

5.318,10

5.318,100000

5.318,100000

5.834,89

5.834,890000

5.834,890000

18

W51447

B02BD02

OCTOCOG ALFA**

ADVATE 250UI

PULB+SOL

V.PT.SOL.I NJ.

250 UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5

ML APA PT. SOL. INJ. + 1 DISPOZITIV BAXJECT II

P-

RF/ R

1

691,02

691,020000

691,020000

791,36

791,360000

791,360000

19

W53185

B02BD02

OCTOCOG ALFA**

ADVATE 3000UI

PULB+SOL

V.PT.SOL.I NJ.

3000 UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC CU PULB. + 1 FLAC. X 5 ML SOLVENT + 1 DISPOZITIV BAXJECT II

P-

RF/ R

1

7.962,15

7.962,150000

7.962,150000

8.716,90

8.716,900000

8.716,900000

20

W52173

B02BD03

COMPLEX DE ANTIINHIBITORI AI COAGULARII**

FEIBA NF 1000 U FEIBA

PULB.+SOL

V. PT. SOL. INJ.

1000 U

BAXTER A.G.

AUSTRI A

CUTIE X 1 FLACON FEIBA NF 1000U FEIBA PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. +1 DISP. BAXJECT II HI-FLOW1- FARA ACE PT. TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR-O SER. DE UNICA FOLOS. +1AC DE UNICA FOLOS+1AC FLUTURE CU OPRITOR (SET. PT. INJ.)

PR

1

2.849,24

2.849,240000

2.849,240000

3.143,83

3.143,830000

3.143,830000

21

W52172

B02BD03

COMPLEX DE ANTIINHIBITORI AI COAGULARII**

FEIBA NF 500 U FEIBA

PULB.+SOL

V. PT. SOL. INJ.

500 U

BAXTER A.G.

AUSTRI A

CUTIE X 1 FLACON FEIBA NF 500U FEIBA PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV.

+1 DISP. BAXJECT II HI-FLOW1- FARA ACE PT. TRANSF. SI AMEST. MED. DIN 2 FLAC. INTR-O SER. DE UNICA FOLOS.

+1AC DE UNICA FOLOS+1AC FLUTURE

CU OPRITOR (SET. PT. INJ.)

PR

1

1.421,28

1.421,280000

1.421,280000

1.587,35

1.587,350000

1.587,350000

22

W58659

B02BD04

FACTOR IX DE COAGULARE**

BETAFACT 50 UI/ml

PULB+SOL

V. PT. SOL. INJ.

50 UI/ml

LFB - BIOMEDICAMENTS

FRANT A

CUTIE CU 1 FLAC. DIN STICLA CU PULB. (250 UI/5 ML) + 1 FLAC. STICLA X 5 ML SOLV. PT. SOL. INJ. + SISTEM DE

TRANSFER SI 1 AC CU FILTRU

PR

1

487,95

487,950000

487,950000

570,02

570,020000

570,020000

23

W58659

B02BD04

FACTOR IX DE COAGULARE**

BETAFACT 50 UI/ml

PULB+SOL

V. PT. SOL. INJ.

50 UI/ml

LFB - BIOMEDICAMENTS

FRANT A

CUTIE CU 1 FLAC. DIN STICLA CU PULB. (500 UI/10 ML) + 1 FLAC. STICLA X 10 ML SOLV. PT. SOL. INJ. + SISTEM DE

TRANSFER SI 1 AC CU FILTRU

PR

1

945,90

945,900000

945,900000

1.069,18

1.069,180000

1.069,180000

24

W43970

B02BD04

FACTOR IX DE COAGULARE**

IMMUNINE 1200 UI

PULB.+SOL

V. PT. SOL. INJ./PERF.

1200UI

BAXTER AG

AUSTRI A

CUTIE X 1 FLAC. PULB. PT. SOL. INJ./ PERF. + 1 FLAC. X 10 ML SOLV. + 1 SET DE RECONSTITUIRE SI ADMI

S

1

1.685,69

1.685,690000

1.685,690000

1.875,55

1.875,550000

1.875,550000

25

W60173

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 1000UI

PULB+SOL V.PT.SOL.I NJ

1000UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

+ 1 SERINGA UMPLUTA. X 5ML SOL. INJ.

+ 1 SET STERIL DE PERF.

PR

1

2.519,23

2.519,230000

2.519,230000

2.784,11

2.784,110000

2.784,110000

26

W60172

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 2000UI

PULB+SOL V.PT.SOL.I NJ

2000UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

+ 1 SERINGA UMPLUTA. X 5ML SOL. INJ.

+ 1 SET STERIL DE PERF.

PR

1

5.008,50

5.008,500000

5.008,500000

5.497,42

5.497,420000

5.497,420000

27

W60175

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 250UI

PULB+SOL V.PT.SOL.I NJ

250UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

+ 1 SERINGA UMPLUTA. X 5ML SOL. INJ.

+ 1 SET STERIL DE PERF.

PR

1

712,99

712,990000

585,540000

815,31

815,310000

684,024000

28

W60174

B02BD04

NONACOG ALPHA (FACTOR IX DE COAGULARE)**

BENEFIX 500UI

PULB+SOL V.PT.SOL.I NJ

500UI

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. CU PULB. PT. SOL. INJ.

+ 1 SERINGA UMPLUTA. X 5ML SOL. INJ.

+ 1 SET STERIL DE PERF.

PR

1

1.262,20

1.262,200000

1.135,080000

1.413,95

1.413,950000

1.283,016000

29

W58455

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

WILATE 1000 1000 UI FVIII/1000 UI FVW

PULB+SOL

V. PT. SOL. INJ

1000 UI FVIII/1000 UI FVW

OCTAPHARMA (IP) LTD.

MAREA BRITAN IE

CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL)

PR

1

1.734,00

1.734,000000

1.734,000000

1.928,21

1.928,210000

1.928,210000

30

W58454

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

WILATE 500 500 UI FVIII/500 UI FVW

PULB+SOL

V. PT. SOL. INJ

500 UI FVIII/500 UI FVW

OCTAPHARMA (IP) LTD.

MAREA BRITAN IE

CUTIE CU 1 FLAC. CU PULB. PT. SOL. INJ. + 1 FLAC. CU SOLV. PT. SOL. INJ. + 1 SET DE ADMINISTRARE (1 SERINGA DE UNICA FOLOSINTA, 1 SET TRANSFER (MIX2VIAL), 1 SET DE PERFUZARE SI 2 TAMPOANE CU ALCOOL MEDICINAL)

PR

1

882,00

882,000000

882,000000

999,53

999,530000

999,530000

31

W58406

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 1000 UI

PULB.+SOL

V. PT. SOL. INJ.

1000UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (10ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE

PR

1

1.234,15

1.234,150000

1.234,150000

1.383,38

1.383,380000

1.383,380000

58

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

32

W58404

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 250 UI

PULB.+SOL

V. PT. SOL. INJ.

250UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE

PR

1

302,86

302,860000

302,860000

368,27

368,270000

368,270000

33

W58405

B02BD06

FACTOR VIII DE COAGULARE SI FACTOR VON WILLEBRAND**

IMMUNATE 500 UI

PULB.+SOL

V. PT. SOL. INJ.

500UI

BAXTER AG

AUSTRI A

CUTIE CU 1 FLAC. MONODOZA CU PULB. PT. SOL. INJ. + 1 FLAC. MONODOZA CU SOLV. + 1 SET DE TRANSFER/FILTRU + 1 SERINGA DE UNICA FOLOSINTA (5ML) + 1 AC DE UNICA FOLOSINTA + 1 SET DE PERFUZIE

PR

1

580,68

580,680000

580,680000

671,09

671,090000

671,090000

34

W02408

V03AC01

DEFEROXAMINUM** 3)

DESFERAL

LIOF. PT.

SOL. INJ./PERF.

500mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 FLAC. DIN STICLA X 500 MG LIOF. PT. SOL. INJ./PERF.

S/P RF

10

110,64

11,064000

11,064000

135,07

13,507000

13,507000

35

W51484

V03AC03

DEFERASIROXUM****

EXJADE 125mg

COMPR. DISP.

125mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

PR

28

687,54

24,555000

24,555000

787,57

28,127500

28,127500

36

W51485

V03AC03

DEFERASIROXUM****

EXJADE 250mg

COMPR. DISP.

250mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR

28

1.461,36

52,191428

52,191428

1.631,03

58,251071

58,251071

37

W51486

V03AC03

DEFERASIROXUM****

EXJADE 500mg

COMPR. DISP.

500mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR

28

2.660,12

95,004285

95,004285

2.937,68

104,917142

104,917142

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

59

P6.2: EPIDERMOLIZA BULOASA

1

W53799

D05BB02

ACITRETINUM

NEOTIGASON 10 mg

CAPS.

10mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE X 3 BLIST. AL/PVC-PVDC X 10

CAPS.

P-

RF

30

59,11

1,970333

1,970333

74,74

2,491333

2,491333

2

W54946

D06AA04

TETRACYCLINUM

TETRACICLINA ATB 30 mg/g

UNGUENT

30mg/g

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 1 TUB AL X 12 G UNGUENT

P-

RF

1

5,70

5,700000

5,700000

7,70

7,700000

7,700000

3

W59985

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

CREMA

20mg/g

LEO PHARMA A/S

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF

1

8,83

8,830000

8,830000

11,94

11,940000

11,940000

4

W10102

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

CREMA

20mg/g

LEO

PHARMACEUTICAL PRODUCTS

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF

1

8,83

8,830000

8,830000

11,94

11,940000

11,940000

5

W59986

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

UNGUENT

20mg/g

LEO PHARMA A/S

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P- RF

1

9,09

9,090000

9,090000

12,28

12,280000

12,280000

6

W08442

D06AX01

ACIDUM FUSIDICUM

FUCIDIN 20 mg/g

UNGUENT

20mg/g

LEO PHARMACEUTICAL

PRODUCTS

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P- RF

1

9,09

9,090000

9,090000

12,28

12,280000

12,280000

7

W54309

D06BA01

SULFADIAZINUM

FLAMMAZINE

CREMA

1%

CN UNIFARM

ROMAN

IA

BORCAN X 500 G CREMA

PR

F

1

76,53

76,530000

76,530000

96,76

96,760000

96,760000

8

W12411

D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

FUCIDIN H

CREMA

FARA CONCEN

TRATIE

LEO PHARMACEUTICAL

PRODUCTS

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF

1

15,00

15,000000

15,000000

20,28

20,280000

20,280000

9

W60525

D07CA01

COMBINATII (ACIDUM FUSIDICUM+HYDROCORTISONUM)

FUCIDIN H

CREMA

FARA CONCEN

TRATIE

LEO PHARMA A/S

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF

1

15,00

15,000000

15,000000

20,28

20,280000

20,280000

10

W59725

D07CC01

BETAMETHASONUM+GENTAMICINUM+CL OTRIMAZOLUM

TRESYL

CREMA

FARA CONCEN

TRATIE

FITERMAN PHARMA S.R.L.

ROMAN IA

CUTIE CU 1 TUB DIN AL FILMAT LA INTERIOR CU LAC EPOXIFENOLIC X 15 G

CREMA

P6 L

1

7,33

7,330000

7,330000

9,91

9,910000

9,910000

11

W57219

D07CC01

COMBINATII

TRIDERM®

CREMA

0,5mg+10

mg+1mg/ g

MERCK SHARP & DOHME

ROMAN IA

CUTIE X 1 TUB AL X 15 G

P- RF

1

11,28

11,280000

11,280000

15,24

15,240000

15,240000

12

W57648

D07CC01

COMBINATII

DIPROGENTA 0,5 mg/1 mg

pe gram

CREMA

0,5mg/1m

g/g

MERCK SHARP &

DOHME

ROMAN

IA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P-

RF

1

9,26

9,260000

9,260000

12,51

12,510000

12,510000

13

W57224

D07CC01

COMBINATII

TRIDERM

UNGUENT

0,5mg+10

mg+1mg/ g

MERCK SHARP & DOHME

ROMAN IA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P- RF

1

11,28

11,280000

11,280000

15,24

15,240000

15,240000

14

W57649

D07CC01

COMBINATII

DIPROGENTA 0,5 mg/1 mg

pe gram

UNGUENT

0,5mg/1m

g/g

MERCK SHARP &

DOHME

ROMAN

IA

CUTIE X 1 TUB DIN AL X 15 G UNGUENT

P-

RF

1

9,26

9,260000

9,260000

12,51

12,510000

12,510000

15

W59984

D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

FUCICORT 20 mg/1mg pe gram

CREMA

20mg/1m g pe gram

LEO PHARMA A/S

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF

1

15,88

15,880000

15,880000

21,46

21,460000

21,460000

16

W10463

D07CC01

COMBINATII (ACIDUM FUSIDICUM+ BETAMETHASONUM)

FUCICORT 20 mg/1mg pe gram

CREMA

20mg/1m g pe gram

LEO

PHARMACEUTICAL PRODUCTS

DANEM ARCA

CUTIE X 1 TUB DIN AL X 15 G CREMA

P- RF

1

15,88

15,880000

15,880000

21,46

21,460000

21,460000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

17

W12701

J01AA07

TETRACYCLINUM

TETRACICLINA ARENA 250

mg

CAPS.

250mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

2,21

0,110500

0,110500

2,99

0,149500

0,149500

18

W56910

J01AA07

TETRACYCLINUM

TETRACICLINA ATB 250 mg

CAPS.

250mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

PR

F

20

4,79

0,239500

0,125304

6,47

0,323500

0,158448

19

W12701

J01AA07

TETRACYCLINUM

TETRACICLINA ARENA 250

mg

CAPS.

250mg

ARENA GROUP SA

ROMAN IA

CUTIE X 50 BLIST. AL/PVC X 10 CAPS.

P-

RF/ S

500

52,21

0,104420

0,104420

66,02

0,132040

0,132040

20

W12143

N03AB02

PHENYTOINUM

FENITOINA RICHTER 100

mg

COMPR.

100mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 2 BLIST. X 10 COMPR.

P-

6L

20

2,05

0,102500

0,102500

2,77

0,138500

0,138500

21

W55235

N03AB02

PHENYTOINUM

PHENHYDAN 250 mg/5 ml

SOL. INJ.

250mg/5 ml

DESITIN ARZNEIMITTEL

GMBH

GERMA NIA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 5 ML SOL. INJ.

P- RF

5

53,57

10,714000

10,714000

67,73

13,546000

13,546000

60

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.3: HIPERTENSIUNE PULMONARA

1

W43049

C02KX01

BOSENTANUM**

TRACLEER 125 mg

COMPR. FILM.

125mg

ACTELION REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-

RF/ R

56

9.529,79

170,174821

170,174821

10.425,63

186,171964

186,171964

2

W43048

C02KX01

BOSENTANUM**

TRACLEER 62,5 mg

COMPR. FILM.

62,5mg

ACTELION REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-

RF/ R

56

9.200,67

164,297678

164,297678

10.066,89

179,765892

179,765892

3

W52981

C02KX02

AMBRISENTANUM**

VOLIBRIS 10mg

COMPR. FILM.

10mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 30 COMP. FILM (BLIST. PVC/PVDC/AL)

P-

RF/ R

30

8.848,19

294,939666

294,939666

9.682,69

322,756333

322,756333

4

W52980

C02KX02

AMBRISENTANUM**

VOLIBRIS 5mg

COMPR. FILM.

5mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 30 COMP. FILM (BLIST. PVC/PVDC/AL)

P-

RF/ R

30

8.848,19

294,939666

294,939666

9.682,69

322,756333

322,756333

5

W42831

G04BE03

SILDENAFILUM**

REVATIO 20 mg

COMPR. FILM.

20mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 6 BLIST. AL/PVC X 15 COMPR. FILM.

PR

90

1.873,53

20,817000

20,817000

2.080,30

23,114444

23,114444

6

W60083

G04BE03

SILDENAFILUM**

REVATIO 10mg/ml

SUSP. ORALA

10mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE CU UN FLACON DIN STICLA BRUNA CE CONTINE 32,27 G DE PULBERE PENTRU SUSP. ORALA

PR

1

1.033,53

1.033,530000

1.033,530000

1.164,70

1.164,700000

1.164,700000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.4: MUCOVISCIDOZA

1

W56031

A09AA02

PANCREATINUM**

KREON 40000

CAPS. GASTROR

EZ.

400mg

ABBOTT PRODUCTS GMBH

GERMA NIA

CUTIE X UN FLACON DIN PEID CU 50 CAPS. GASTROREZ.

P- 6L

50

111,16

2,223200

2,223200

135,70

2,714000

2,714000

2

W58242

J01FA09

CLARITHROMYCINUM

CLAXIRIT 500 mg

COMPR. CU ELIB.

PREL.

500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC/PVDC//AL X 7 COMPR. CU ELIB. PREL.

PR F

7

23,71

3,387142

1,405714

32,05

4,578571

1,899428

3

W59000

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500

mg

COMPR. ELIB.

PREL.

500mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 6 COMPR. ELIB. PREL.

PR F

6

21,73

3,621666

1,405714

29,37

4,895000

1,899428

4

W14043

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 250

COMPR.

FILM.

250mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 2 BLIST. AL/PVC-PVDC X 7

COMPR. FILM.

P-

RF

14

12,35

0,882142

0,647142

16,69

1,192142

0,874285

5

W01326

J01FA09

CLARITHROMYCINUM

KLACID (R)

COMPR.

FILM.

250mg

ABBOTT SPA

ITALIA

CUTIE X 1 BLIST. X 14 COMPR. FILM.

P-

RF

14

21,14

1,510000

0,647142

28,57

2,040714

0,874285

6

W58998

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 250

mg

COMPR. FILM.

250mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PR F

14

8,39

0,599285

0,599285

11,34

0,810000

0,810000

7

W08490

J01FA09

CLARITHROMYCINUM

FROMILID 250

COMPR.

FILM.

250mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7

COMPR. FILM.

P-

RF

14

12,35

0,882142

0,647142

16,69

1,192142

0,874285

8

W60253

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg

COMPR.

FILM.

250mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 14

COMPR. FILM.

PR

F

14

8,40

0,600000

0,600000

11,36

0,811428

0,811428

9

W44093

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg

COMPR.

FILM.

250mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC-PVDC X 14

COMPR. FILM.

P-

RF

14

10,85

0,775000

0,647142

14,67

1,047857

0,874285

10

W61223

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 250 mg

COMPR. FILM.

250mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PR F

14

7,55

0,539285

0,539285

10,20

0,728571

0,728571

11

W54044

J01FA09

CLARITHROMYCINUM

ROCLARIN 500 mg

COMPR.

FILM.

500mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

FILM.

P-

RF

20

33,14

1,657000

1,405714

43,35

2,167500

1,899428

12

W60254

J01FA09

CLARITHROMYCINUM

LEKOKLAR 500 mg

COMPR.

FILM.

500mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 14

COMPR. FILM.

PR

F

14

24,13

1,723571

1,405714

32,62

2,330000

1,899428

13

W08491

J01FA09

CLARITHROMYCINUM

FROMILID 500

COMPR.

FILM.

500mg

KRKA D.D. NOVO

MESTO

SLOVE

NIA

CUTIE X 2 BLIST. PVC-PVDC/AL X 7

COMPR. FILM.

P-

RF

14

24,13

1,723571

1,405714

32,62

2,330000

1,899428

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

14

W58999

J01FA09

CLARITHROMYCINUM

CLARITROMICINA TEVA 500

mg

COMPR. FILM.

500mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PVDC/AL X 14 COMPR. FILM. (AMBALAJ TIP CALENDAR)

PR F

14

18,22

1,301428

1,301428

24,62

1,758571

1,758571

15

W44087

J01FA09

CLARITHROMYCINUM

KLABAX 500 mg

COMPR.

FILM.

500mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC-PVDC X 14

COMPR. FILM.

P-

RF

14

23,73

1,695000

1,405714

32,08

2,291428

1,899428

16

W56269

J01FA09

CLARITHROMYCINUM

CLAR 500

COMPR. FILM.

500mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUB LICA

CEHA

CUTIE X 5 BLIST. AL/PVC X 4 COMPR. FILM.

P- RF

20

40,76

2,038000

1,405714

53,31

2,665500

1,899428

17

W14044

J01FA09

CLARITHROMYCINUM

KLERIMED (R) 500

COMPR.

FILM.

500mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 2 BLIST. AL/PVC-PVDC X 7

COMPR. FILM.

P-

RF

14

24,13

1,723571

1,405714

32,62

2,330000

1,899428

18

W61224

J01FA09

CLARITHROMYCINUM

CLARITROMICINA AUROBINDO 500 mg

COMPR. FILM.

500mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLSIT. PVC-PVDC/AL X 14 COMPR. FILM.

PR F

14

16,40

1,171428

1,171428

22,16

1,582857

1,582857

19

W44088

J01FA09

CLARITHROMYCINUM

KLABAX MR 500 mg

COMPR. FILM. ELIB. MODIF.

500mg

TERAPIA SA

ROMAN IA

CUTIE X 1 BLIST. PVC/PVDC-AL X 7 COMPR. FILM. ELIB. PREL.

P- RF

7

25,34

3,620000

1,405714

33,15

4,735714

1,899428

20

W13607

J01FA09

CLARITHROMYCINUM

KLACID SR

COMPR. FILM. ELIB. PREL.

500mg

ABBOTT LABORATORIES LTD.

MAREA BRITAN IE

CUTIE X 1 BLIST. PVC-PVDC/AL X 5 COMPR. FILM. ELIB. PREL.

P- RF

5

27,85

5,570000

1,405714

36,43

7,286000

1,899428

21

W41838

J01FA09

CLARITHROMYCINUM

FROMILID (R) UNO

COMPR. FILM. ELIB. PREL.

500mg

KRKA D.D.

SLOVE NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL.

P- RF

7

20,78

2,968571

1,405714

28,09

4,012857

1,899428

22

W44092

J01FA09

CLARITHROMYCINUM

KLABAX 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. DIN PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P- RF

1

14,01

14,010000

14,010000

18,94

18,940000

18,940000

23

W42258

J01FA09

CLARITHROMYCINUM

LEKOKLAR 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

SANDOZ SRL

ROMAN IA

CUTIE X 1 FLAC. PEID CU 41 G GRANULE PT. 60 ML SUSP. ORALA + LINGURITA

DOZATOARE PP

P- RF

1

19,39

19,390000

16,812000

26,21

26,210000

22,728000

24

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT SPA

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 100 ML SUSP. ORALA + 1 LINGURITA

DOZATOARE X 2,5 ML/5 ML

P- RF

1

29,92

29,920000

29,920000

39,14

39,140000

39,140000

25

W01327

J01FA09

CLARITHROMYCINUM

KLACID (R)

GRAN. PT. SUSP.

ORALA

125mg/5 ml

ABBOTT SPA

ITALIA

CUTIE X 1 FLACON PEID CU GRANULE PT. 60 ML SUSP. ORALA + 1 LINGURITA

DOZATOARE X 2,5 ML/5 ML

P- RF

1

18,11

18,110000

16,812000

24,48

24,480000

22,728000

26

W06981

J01FA09

CLARITHROMYCINUM

FROMILID (R) 125 mg/5 ml

GRAN. PT. SUSP.

ORALA

125mg/5 ml

KRKA D.D.

SLOVE NIA

CUTIE X 1 FLAC. PULB. PT. 60 ML SUSP.

P- RF

1

17,24

17,240000

16,812000

23,30

23,300000

22,728000

27

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP.

ORALA

250mg/5 ml

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. PEID X 70 G GRAN. PT. 100 ML SUSP . ORALA

P- RF

1

39,06

39,060000

39,060000

51,09

51,090000

51,090000

28

W44091

J01FA09

CLARITHROMYCINUM

KLABAX 250 mg/5 ml

GRAN. PT. SUSP.

ORALA

250mg/5 ml

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. PEID X 42 G GRAN. PT. 60 ML SUSP . ORALA

P- RF

1

23,44

23,440000

23,440000

31,68

31,680000

31,680000

29

W58393

J01FA09

CLARITHROMYCINUM

LEKOKLAR 250 mg/5 ml

GRAN. PT. SUSP. ORALA

250mg/5 ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. PEID + SERINGA DE MASURAT DIN PE/PP CU MARCAJE LA 2,5, 3,75 ML SI 5,0 ML SI 1 LINGURITA DOZATOARE DIN PE/PP CU MARCAJE LA 1,25 ML, 2,5 ML SI 5,0 ML CU 41,0 GRANULE PT 60 ML SUSP. ORALA

PR F

1

21,29

21,290000

21,290000

28,78

28,780000

28,780000

30

W01329

J01FA09

CLARITHROMYCINUM

KLACID I.V.

LIOF. PT. SOL. PERF.

500mg

ABBOTT LABORATORIES

LTD.

FRANT A

CUTIE X 1 FLAC. LIOF. PT. SOL. PERF.

S/P RF

1

41,12

41,120000

41,120000

53,78

53,780000

53,780000

31

W52060

J01GB01

TOBRAMYCINUM**

TOBI (R)

SOL. INHAL.

300mg/5 ml

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 4 PLICURI DIN AL; FIECARE PLIC CONTINE 7 FIOLE GEMENE DIN PEJD X 5

ML SOL. DE INHALAT PRIN N

P- RF

56

8.112,06

144,858214

144,858214

8.880,31

158,576964

158,576964

32

W61214

R05CB13

DORNAZA ALFA**

PULMOZYME 2500 U/2,5 ml

SOL. DE INHALAT PRIN NEBULIZAT

OR

2500U/2,5

ml

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL

PR

6

416,77

69,461666

69,461666

492,43

82,071666

82,071666

33

W51323

R05CB13

DORNAZA ALFA**

PULMOZYME

SOL. INHAL.

1mg/ml

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML

SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE IN PUNGA AL

S/P RF

6

416,77

69,461666

69,461666

492,43

82,071666

82,071666

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

61

P6.5.1: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE INFLAMATOR-IMUNE

1

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 300ML SOL.

PERF.(30G/300ML)

S

1

5.558,99

5.558,990000

5.558,990000

6.097,46

6.097,460000

6.097,460000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

2

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 200ML SOL.

PERF.(20G/200ML)

S

1

3.821,35

3.821,350000

3.821,350000

4.203,43

4.203,430000

4.203,430000

3

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 10ML SOL.

PERF.(1G/10ML)

S

1

202,26

202,260000

202,260000

246,92

246,920000

246,920000

4

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 50ML SOL.

PERF.(5G/50ML)

S

1

925,45

925,450000

909,000000

1.046,89

1.046,890000

1.036,596000

5

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 100ML SOL.

PERF.(10G/100ML)

S

1

1.857,75

1.857,750000

1.782,000000

2.063,10

2.063,100000

1.988,160000

6

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF.

10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA

X 200 ML SOL. PERF. + 1 SET ADMINISTRARE

S

1

1.485,00

1.485,000000

1.485,000000

1.656,80

1.656,800000

1.656,800000

7

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF.

1g/20ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

197,39

197,390000

197,390000

240,98

240,980000

240,980000

8

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF.

2,5g/50ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA

X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

S

1

393,75

393,750000

393,750000

467,34

467,340000

467,340000

9

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF.

50mg/ml

INSTITUTO

GRIFOLS S.A.

SPANIA

CUTIE X 1 FLAC. X 10 ML SOL. PERF.

S

1

102,55

102,550000

102,550000

125,19

125,190000

125,190000

10

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF.

5g/100ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

757,50

757,500000

757,500000

863,83

863,830000

863,830000

62

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.2: TRATAMENTUL MEDICAMENTOS AL BOLNAVILOR CU BOLI NEUROLOGICE DEGENERATIVE-SCLEROZA LATERALA AMIOTROFICA

1

W12590

N07XX02

RILUZOLUM**

RILUTEK 50 mg

COMPR.

FILM.

50mg

AVENTIS PHARMA

SA

FRANT

A

CUTIE X 4 BLIST. X 14 COMPR.

PR

56

535,66

9,565357

9,565357

622,02

11,107500

11,107500

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.5: BOLI NEUROLOGICE DEGENERATIVE/INFLAMATOR-IMUNE

P6.5.3: Tratamentul medicamentos al bolnavilor cu polineuropatie familială amiloidă cu transtiretină

1

W59336

N07XX08

TAFAMIDIS**

VYNDAQEL

CAPS. MOI

20mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE CU 2 BLIST. PVC/AL A CATE 15 CAPSULE MOI

PR

30

53.258,63

1.775,287666

1.775,287666

58.090,13

1.936,337666

1.936,337666

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.6: OSTEOGENEZA IMPERFECTA

1

W58123

M05BA03

ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 2 ML

S/P RF

1

158,95

158,950000

158,950000

194,05

194,050000

194,050000

2

W58123

M05BA03

ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 4 ML

S/P RF

1

361,86

361,860000

285,384000

432,58

432,580000

348,396000

3

W58123

M05BA03

ACIDUM PAMIDRONICUM

PAMIDRONAT TORREX

CONC. PT. SOL. PERF.

15mg/ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE X 1 FIOLA PE X 1 ML

S/P RF

1

102,98

102,980000

102,980000

125,72

125,720000

125,720000

4

W07918

M05BA03

ACIDUM PAMIDRONICUM

AREDIA (R) 15 mg

LIOF.+ SOLV. PT. SOL. PERF.

15mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 4 FLAC. DIN STICLA X 15 MG LIOF. PT. SOL. PERF. + 4 FIOLE DIN STICLA X 5 ML SOLV.

S/P RF

4

595,85

148,962500

123,576000

687,63

171,907500

150,864000

5

W57926

M05BA03

ACIDUM PAMIDRONICUM

PAMIRED 30mg pulbere pentru solutie perfuzabila

PULB. PT. SOL. PERF.

30mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 30 MG LIOF. PT. SOL. PERF. I.V.

PR

1

152,87

152,870000

152,870000

186,63

186,630000

186,630000

6

W57925

M05BA03

ACIDUM PAMIDRONICUM

PAMIRED 60mg pulbere pentru solutie perfuzabila

PULB. PT. SOL.PERF.

60mg

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 60 MG LIOF. PT. SOL. PERF. I.V.

PR

1

237,82

237,820000

237,820000

290,33

290,330000

290,330000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.7: SINDROM PRADER WILLI

1

W07530

H01AC01

SOMATROPINUM**

ZOMACTON

PULB. + SOLV. PT.

SOL. INJ.

4mg (12ui)

FERING GMBH

GERMA NIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FIOLA X 3,5 ML SOLV.

P- RF

1

363,94

363,940000

363,940000

434,84

434,840000

434,840000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

2

W05539

H01AC01

SOMATROPINUM**

GENOTROPIN (R) 16 ui (5,3

mg)

PULB. + SOLV. PT. SOL. INJ.

5,3mg/ml (16ui)

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 CARTUS BICAMERAL MULTIDOZA CU PULB. SI SOLV. PT. SOL. INJ.

P- RF

1

474,75

474,750000

474,750000

555,63

555,630000

555,630000

3

W59825

H01AC01

SOMATROPINUM**

OMNITROPE 15mg/1,5ml

SOL INJ.

15mg/1,5 ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 CARTUS X 1,5 ML SOL.INJ.

PR

/P RF

1

1.482,36

1.482,360000

1.482,360000

1.653,92

1.653,920000

1.653,920000

4

W52345

H01AC01

SOMATROPINUM**

OMNITROPE 3,3mg/ml

SOL. INJ.

3,3mg/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1CARTUS X 1,5 ML SOL.INJ.

P-

RF/ R

1

409,15

409,150000

409,150000

484,12

484,120000

484,120000

5

W52346

H01AC01

SOMATROPINUM**

OMNITROPE 6,7mg/ml

SOL. INJ.

6,7mg/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1CARTUS X 1,5 ML SOL.INJ.

P-

RF/ R

1

667,50

667,500000

667,500000

765,73

765,730000

765,730000

6

W54046

H01AC01

SOMATROPINUM**

NORDITROPIN SIMPLEXx 10

mg/1,5ml

SOL. INJ. IN CARTUS

10mg/1,5 ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE X 1 CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ.

P- RF

1

1.176,67

1.176,670000

801,000000

1.320,72

1.320,720000

918,876000

7

W55238

H01AC01

SOMATROPINUM**

NORDITROPIN FLEXPRO 10

mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLU

T

10mg/1,5 ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P- RF

1

1.549,07

1.549,070000

801,000000

1.726,64

1.726,640000

918,876000

8

W55237

H01AC01

SOMATROPINUM**

NORDITROPIN FLEXPRO 5

mg/1,5 ml

SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLU

T

5mg/1,5 ml

NOVO NORDISK A/S

DANEM ARCA

CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT MULTI-DOZA ( CARTUS DIN STICLA INCOLORA X 1,5 ML SOL. INJ

P- RF

1

789,53

789,530000

490,980000

898,74

898,740000

580,944000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.8: BOALA FABRY

1

W08961

A16AB04

AGALSIDASUM BETA**

FABRAZYME 35 mg

PULB. PT. CONC. PT. SOL. PERF.

35mg

GENZYME EUROPE BV

OLAND A

CUTIE X 1 FLAC. CU PULB. PT. CONC. PT. SOL. PERF.

PR

1

13.797,28

13.797,280000

13.797,280000

15.077,20

15.077,200000

15.077,200000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.9: BOALA POMPE

1

W51536

A16AB07

ALGLUCOSIDASUM ALPHA**

MYOZYME 50mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

GENZYME EUROPE B.V.

OLAND A

CUTIE X 1 FLAC. CU 50MG PULB. PT. CONC. PT. SOL. PERF.

PR

1

2.264,71

2.264,710000

2.264,710000

2.506,69

2.506,690000

2.506,690000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.10: TIROZINEMIE

1

W51629

A16AX04

NITISINONUM

ORFADIN 10mg

CAPS.

10mg

SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-

RF/ R

60

12.802,92

213,382000

213,382000

13.993,35

233,222500

233,222500

2

W51622

A16AX04

NITISINONUM

ORFADIN 2mg

CAPS.

2mg

SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-

RF/ R

60

3.522,06

58,701000

58,701000

3.877,20

64,620000

64,620000

3

W51627

A16AX04

NITISINONUM

ORFADIN 5mg

CAPS.

5mg

SWEDISH ORPHAN INTERNATIONAL AB

SUEDIA

CUTIE X 1 FLAC. DIN PEID X 60 CAPS.

P-

RF/ R

60

7.014,11

116,901833

116,901833

7.683,54

128,059000

128,059000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.12: MUCOPOLIZAHARIDOZĂ TIP II (SINDROM HUNTER)

1

W51481

A16AB09

IDURSULFASUM**

ELAPRASE 2mg/ml

CONC. PT. SOL. PERF.

2mg/ml

SHIRE HUMAN GENETIC

THERAPIES AB

SUEDIA

CUTIE X 4 FLAC. X 3 ML CONC. PT. SOL. PERF.

S

4

49.871,94

12.467,985000

12.467,985000

54.398,63

13.599,657500

13.599,657500

63

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.13: MUCOPOLIZAHARIDOZĂ TIP I (SINDROM HURLER)

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

1

W42203

A16AB05

LARONIDAZUM**

ALDURAZYME 100UI/ml

CONC. PT. SOL. PERF.

100UI/ml

GENZYME EUROPE BV

OLAND A

CUTIE X 1 FLAC. X 5 ML

S

1

2.802,88

2.802,880000

2.802,880000

3.093,29

3.093,290000

3.093,290000

64

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.15: Sindrom de imunodeficiență primară

1

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 300ML SOL.

PERF.(30G/300ML)

S

1

5.558,99

5.558,990000

5.558,990000

6.097,46

6.097,460000

6.097,460000

2

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 200ML SOL.

PERF.(20G/200ML)

S

1

3.821,35

3.821,350000

3.821,350000

4.203,43

4.203,430000

4.203,430000

3

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 10ML SOL.

PERF.(1G/10ML)

S

1

202,26

202,260000

202,260000

246,92

246,920000

246,920000

4

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 50ML SOL.

PERF.(5G/50ML)

S

1

925,45

925,450000

909,000000

1.046,89

1.046,890000

1.036,596000

5

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 100ML SOL.

PERF.(10G/100ML)

S

1

1.857,75

1.857,750000

1.782,000000

2.063,10

2.063,100000

1.988,160000

6

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF.

10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

1.485,00

1.485,000000

1.485,000000

1.656,80

1.656,800000

1.656,800000

7

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF.

1g/20ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

197,39

197,390000

197,390000

240,98

240,980000

240,980000

8

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF.

2,5g/50ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA

X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

S

1

393,75

393,750000

393,750000

467,34

467,340000

467,340000

9

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF.

50mg/ml

INSTITUTO

GRIFOLS S.A.

SPANIA

CUTIE X 1 FLAC. X 10 ML SOL. PERF.

S

1

102,55

102,550000

102,550000

125,19

125,190000

125,190000

10

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF.

5g/100ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

757,50

757,500000

757,500000

863,83

863,830000

863,830000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.16: Scleroza sistemică și ulcere digitale evolutive

1

W43049

C02KX01

BOSENTANUM**

TRACLEER 125 mg

COMPR. FILM.

125mg

ACTELION REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-

RF/ R

56

9.529,79

170,174821

170,174821

10.425,63

186,171964

186,171964

2

W43048

C02KX01

BOSENTANUM**

TRACLEER 62,5 mg

COMPR. FILM.

62,5mg

ACTELION REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 4 BLIST. PVC/PE/PVDC/AL X 14 COMPR. FILM.

P-

RF/ R

56

9.200,67

164,297678

164,297678

10.066,89

179,765892

179,765892

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.17: Purpura trombocitopenică imună cronică la adulții splenectomizați și nesplenectomizați

1

W53894

B02BX04

ROMIPLOSTIMUM****

NPLATE 250mcg

PULB. PT.

SOL. INJ.

250mcg

AMGEN EUROPE

B.V.

OLAND

A

CUTIE X 1 FLAC X 250MCG PULB. PT.

SOL. INJ.

S

1

2.905,50

2.905,500000

2.905,500000

3.205,15

3.205,150000

3.205,150000

2

W53895

B02BX04

ROMIPLOSTIMUM****

NPLATE 500mcg

PULB. PT.

SOL. INJ.

500mcg

AMGEN EUROPE

B.V.

OLAND

A

CUTIE X 1 FLAC X 500MCG PULB. PT.

SOL. INJ.

S

1

5.780,98

5.780,980000

5.780,980000

6.339,43

6.339,430000

6.339,430000

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.18: Pacienți adulți și copii cu hiperfenilalaninemie diagnosticați cu fenilcetonurie sau deficit de tetrahidrobiopterină (BH4)

1

W57418

A16AX07

SAPROPTERINUM****

KUVAN

COMPR. SOLUBILE

100 mg

MERCK SERONO EUROPE LIMITED

MAREA BRITAN IE

CUTIE X FLAC. PEID X 120 COMPR. SOLUBILE

PR

120

10.927,33

91,061083

91,061083

11.948,96

99,574666

99,574666

2

W57418

A16AX07

SAPROPTERINUM****

KUVAN

COMPR. SOLUBILE

100 mg

MERCK SERONO EUROPE LIMITED

MAREA BRITAN IE

CUTIE X FLAC. PEID X 30 COMPR. SOLUBILE

PR

30

2.755,69

91,856333

91,856333

3.041,86

101,395333

101,395333

P6: PROGRAMUL NATIONAL DE DIAGNOSTIC SI TRATAMENT PENTRU BOLI RARE SI SEPSIS SEVER

P6.19: Scleroză tuberoasă

1

W57284

L01XE10

EVEROLIMUS****

VOTUBIA

COMPR.

2,5 mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.

PR

30

5.656,21

188,540333

188,540333

6.203,43

206,781000

206,781000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

2

W57285

L01XE10

EVEROLIMUS****

VOTUBIA

COMPR.

5mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE CU BLIST. PA/AL/PVC X 30 COMPR.

PR

30

11.282,41

376,080333

376,080333

12.335,99

411,199666

411,199666

P7: PROGRAM NATIONAL DE BOLI ENDOCRINE

65

Tratamentul medicamentos al bolnavilor cu osteoporoza, gusa datorata carentei de iod si proliferarii maligne

1

W00231

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,25 mcg

CAPS. MOI

0,25mcg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

P- RF

50

25,70

0,514000

0,514000

33,62

0,672400

0,672400

2

W58167

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ

0,25 mcg

CAPS. MOI

0,25μg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 30

CAPS. MOI

PR

F

30

16,99

0,566333

0,566333

22,97

0,765666

0,765666

3

W44042

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,50 mcg

CAPS. MOI

0,50mcg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 30 CAPS. MOI

P- RF

30

23,23

0,774333

0,774333

31,40

1,046666

1,046666

4

W58168

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ

0,5 mcg

CAPS. MOI

0,5μg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 30

CAPS. MOI

PR

F

30

26,00

0,866666

0,866666

34,01

1,133666

1,133666

5

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S

10

203,78

20,378000

20,378000

248,78

24,878000

24,878000

6

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

S

10

108,79

10,879000

10,879000

132,81

13,281000

13,281000

7

W51334

A11CC04

CALCITRIOLUM

ROCALTROL

CAPS. MOI

0,25mcg

ROCHE ROMANIA

S.R.L.

ROMAN

IA

CUTIE CU 5 BLIST. AL/PVC X 20 CAPS.

MOI.

P-

RF

100

53,88

0,538800

0,538800

68,12

0,681200

0,681200

8

W03025

G03CA03

ESTRADIOLUM

ESTREVA (R)

GEL

0,1%

LAB. THERAMEX

MONAC

O

CUTIE X 1 FLACON PE, INCHIS CU

POMPA DOZATOARE X 50 G

P-

6L

1

21,75

21,750000

21,750000

29,40

29,400000

29,400000

9

W55402

G03CA03

ESTRADIOLUM

OESTROGEL 0,6 mg/g

GEL

0,6mg/g

LABORATOIRES BESINS

INTERNATIONAL

FRANT A

CUTIE CU 1 TUB AL X 80 G GEL + DISPOZITIV DE DOZARE DIN POLISTIREN

P- 6L

1

12,29

12,290000

12,290000

16,61

16,610000

16,610000

10

W58804

G03CA03

ESTRADIOLUM

CLIMARA

PLASTURE TRANSDER M.

50μg/24or e

BAYER PHARMA AG

GERMA NIA

CUTIE X 4 PLICURI X 1 PLASTURE TRANSDERM.

P- 6L

4

22,11

5,527500

5,527500

29,89

7,472500

7,472500

11

W12902

G03CX01

TIBOLONUM

LIVIAL (R) 2,5 mg

COMPR.

2,5mg

ORGANON NV

OLAND

A

CUTIE X 1 BLIST. X 28 COMPR.

P-

RF

28

57,59

2,056785

2,056785

72,82

2,600714

2,600714

12

W53455

G03XC01

RALOXIFENUM

EVISTA 60mg

COMPR.

FILM.

60mg

DAIICHI SANKYO

EUROPE GMBH

GERMA

NIA

CUTIE X 28 COMPR. FILM. (BLIST.

ACLAR)

P-

RF

28

98,84

3,530000

3,530000

124,97

4,463214

4,463214

13

W42160

H01AB01

TIREOTROPINUM ALFA

THYROGEN 0,9 mg

PULB. PT.

SOL. INJ.

0,9mg

GENZYME EUROPE

BV

OLAND

A

CUTIE X 2 FLACOANE

S

2

3.064,97

1.532,485000

1.532,485000

3.378,97

1.689,485000

1.689,485000

14

W04224

H02AB04

METHYLPREDNISOLONUM

MEDROL A 16

COMPR.

16mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

P- RF

50

24,13

0,482600

0,482600

32,62

0,652400

0,652400

15

W04222

H02AB04

METHYLPREDNISOLONUM

MEDROL 32

COMPR.

32mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.

P- RF

20

21,94

1,097000

1,097000

29,65

1,482500

1,482500

16

W08307

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 125 mg

LIOF. PT. SOL. INJ.

125mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P RF

1

6,52

6,520000

6,520000

8,81

8,810000

8,810000

17

W08310

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 500 mg

LIOF. PT. SOL. INJ.

500mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P RF

1

22,95

22,950000

22,950000

31,02

31,020000

31,020000

18

W04237

H02AB04

METHYLPREDNISOLONUM

SOLU - MEDROL ACT-O- VIAL

LIOF. SI SOLV.PT.S OL.INJ

250mg/4 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR)

4ML SOLV

P- RF

1

15,15

15,150000

15,150000

20,48

20,480000

20,480000

19

W57399

H03AA01

LEVOTHYROXINUM

EUTHYROX 100mcg

COMPR.

100mcg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-

6L

100

8,65

0,086500

0,067440

11,69

0,116900

0,091200

20

W59436

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 100

micrograme

COMPR.

100microg rame

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L

100

5,62

0,056200

0,056200

7,60

0,076000

0,076000

21

W57399

H03AA01

LEVOTHYROXINUM

EUTHYROX 100μg

COMPR.

100μg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P-

6L

100

8,65

0,086500

0,067440

11,69

0,116900

0,091200

22

W59437

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 125

micrograme

COMPR.

125microg rame

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L

100

7,02

0,070200

0,070200

9,49

0,094900

0,094900

23

W59438

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 150

micrograme

COMPR.

150microg rame

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L

100

8,43

0,084300

0,084300

11,40

0,114000

0,114000

24

W59439

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 175

micrograme

COMPR.

175microg rame

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L

100

9,84

0,098400

0,098400

13,30

0,133000

0,133000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

25

W57395

H03AA01

LEVOTHYROXINUM

EUTHYROX 200mcg

COMPR.

200mcg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.

P-

6L

100

17,86

0,178600

0,139440

24,14

0,241400

0,188400

26

W59440

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 200

micrograme

COMPR.

200microg rame

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L

100

11,62

0,116200

0,116200

15,70

0,157000

0,157000

27

W57395

H03AA01

LEVOTHYROXINUM

EUTHYROX 200μg

COMPR.

200μg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR.

P-

6L

100

17,86

0,178600

0,139440

24,14

0,241400

0,188400

28

W57396

H03AA01

LEVOTHYROXINUM

EUTHYROX 25mcg

COMPR.

25mcg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-

6L

100

7,04

0,070400

0,054840

9,51

0,095100

0,074160

29

W59433

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 25

micrograme

COMPR.

25microgr ame

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L

100

4,57

0,045700

0,045700

6,18

0,061800

0,061800

30

W57396

H03AA01

LEVOTHYROXINUM

EUTHYROX 25μg

COMPR.

25μg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P-

6L

100

7,04

0,070400

0,054840

9,51

0,095100

0,074160

31

W57398

H03AA01

LEVOTHYROXINUM

EUTHYROX 50mcg

COMPR.

50mcg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-

6L

100

6,12

0,061200

0,047760

8,27

0,082700

0,064560

32

W59434

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 50

micrograme

COMPR.

50microgr ame

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L

100

3,98

0,039800

0,039800

5,38

0,053800

0,053800

33

W57398

H03AA01

LEVOTHYROXINUM

EUTHYROX 50μg

COMPR.

50μg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P-

6L

100

6,12

0,061200

0,047760

8,27

0,082700

0,064560

34

W59435

H03AA01

LEVOTHYROXINUM

LEVOTIROXINA TEVA 75

micrograme

COMPR.

75microgr ame

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR.

P6 L

100

5,97

0,059700

0,059700

8,07

0,080700

0,080700

35

W54546

H03BB02

THIAMAZOLUM

THYROZOL 10 mg

COMPR.

FILM.

10mg

MERCK KGAA

GERMA

NIA

CUTIE CU BLIST. PVC/AL X 50 COMPR.

FILM.

P-

6L

50

15,54

0,310800

0,310800

21,00

0,420000

0,420000

36

W54545

H03BB02

THIAMAZOLUM

THYROZOL 20mg

COMPR.

FILM.

20mg

MERCK KGAA

GERMA

NIA

CUTIE CU BLIST. PVC/AL X 50 COMPR.

FILM.

P-

6L

50

18,88

0,377600

0,377600

25,52

0,510400

0,510400

37

W54547

H03BB02

THIAMAZOLUM

THYROZOL 5 mg

COMPR.

FILM.

5mg

MERCK KGAA

GERMA

NIA

CUTIE CU BLIST. PVC/AL X 100 COMPR.

FILM.

P6

L

100

22,83

0,228300

0,228300

30,86

0,308600

0,308600

38

W03843

H03CA01

KALII IODIDUM

JODID 100

COMPR.

100mcg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR.

P-

RF

100

9,12

0,091200

0,091200

12,33

0,123300

0,123300

39

W03843

H03CA01

KALII IODIDUM

JODID 100

COMPR.

100mcg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. AL/PP X 25 COMPR.

P-

RF

100

9,12

0,091200

0,091200

12,33

0,123300

0,123300

40

W03844

H03CA01

KALII IODIDUM

JODID 200

COMPR.

200mcg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. PP/AL X 25 COMPR.

P-

RF

100

14,23

0,142300

0,142300

19,23

0,192300

0,192300

41

W03844

H03CA01

KALII IODIDUM

JODID 200

COMPR.

200mcg

MERCK KGAA

GERMA

NIA

CUTIE X 4 BLIST. PVC/AL X 25 COMPR.

P-

RF

100

14,23

0,142300

0,142300

19,23

0,192300

0,192300

42

W55488

H05AA02

TERIPARATIDUM**

FORSTEO 20μg/80μl

SOL. INJ.

20μg/80μl

ELI LILLY NEDERLAND BV

OLAND A

CUTIE X 1 STILOU INJECTOR (PEN) PREUMPLUT X 2,4 ML (28 DOZE X 20

MCG/80MCL)

P- RF

1

1.473,60

1.473,600000

1.473,600000

1.644,38

1.644,380000

1.644,380000

43

W08119

H05BA01

CALCITONINUM (SOMON)

NYLEX (R)

SOL. INJ.

100UI/ml

PROEL E.P.

CORONIS SA

GRECIA

CUTIE X 5 FIOLE X 1ML

P-

RF

5

23,94

4,788000

4,788000

32,36

6,472000

6,472000

44

W00756

H05BA01

CALCITONINUM (SOMON)

MIACALCIC (R)

SOL. INJ.

50ui/ml

NOVARTIS PHARMA

GMBH

GERMA

NIA

CUTIE X 5 FIOLE X 1 ML

P-

RF

5

26,35

5,270000

5,270000

34,46

6,892000

6,892000

45

W54297

M05BA04

ACIDUM ALENDRONICUM**

TEVANAT 70 mg

COMPR.

70 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.

P- 6L

4

36,90

9,225000

5,337000

48,27

12,067500

7,212000

46

W53741

M05BA04

ACIDUM ALENDRONICUM**

RANOS 70 mg

COMPR.

70mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4

COMPR.

P-

6L

4

36,44

9,110000

5,337000

47,66

11,915000

7,212000

47

W60296

M05BA04

ACIDUM ALENDRONICUM**

FOSAMAX 70 mg

COMPR.

70mg

MERCK SHARP &

DOHME

ROMAN

IA

CUTIE CU 1 BLIST. AL/AL X 2 COMPR.

P6

L

2

28,39

14,195000

5,337000

37,13

18,565000

7,212000

48

W58352

M05BA04

ACIDUM ALENDRONICUM**

ACID ALENDRONIC AUROBINDO 70 mg

COMPR.

70mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLIST. TRANSPARENTE PVC- ACLAR/AL X 4 COMPR.

P6 L

4

17,79

4,447500

4,447500

24,04

6,010000

6,010000

49

W56763

M05BA04

ACIDUM ALENDRONICUM**

ADRONIK 70 mg

COMPR.

FILM.

70mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 4

COMPR. FILM.

P-

6L

4

36,67

9,167500

5,337000

47,97

11,992500

7,212000

50

W56763

M05BA04

ACIDUM ALENDRONICUM**

ADRONIK 70 mg

COMPR.

FILM.

70mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 12

COMPR. FILM.

P-

6L

12

108,06

9,005000

5,337000

131,92

10,993333

7,212000

51

W52948

M05BA04

ACIDUM ALENDRONICUM**

ALENDRONAT SANDOZ 70

mg

COMPR.

FILM.

70mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2

COMPR. FILM

P-

6L

2

9,49

4,745000

4,745000

12,82

6,410000

6,410000

52

W56763

M05BA04

ACIDUM ALENDRONICUM**

ADRONIK 70 mg

COMPR.

FILM.

70mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2

COMPR. FILM.

P-

6L

2

18,33

9,165000

5,337000

24,78

12,390000

7,212000

53

W56749

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA

150 mg

COMPR.

FILM.

150 mg

TEVA PHARMA B.V.

OLAND

A

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL

X 1 COMPRIMAT FILMAT

P6

L

1

46,96

46,960000

35,592000

61,42

61,420000

46,560000

54

W57485

M05BA06

ACIDUM IBANDRONICUM**

OSAGRAND 150 mg

COMPR. FILM.

150mg

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM.

P6 L

1

29,66

29,660000

29,660000

38,80

38,800000

38,800000

55

W60664

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC AUROBINDO 150 mg

COMPR. FILM.

150mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM.

P6 L

1

29,66

29,660000

29,660000

38,80

38,800000

38,800000

56

W55441

M05BA06

ACIDUM IBANDRONICUM**

OSSICA 150 mg

COMPR.

FILM.

150mg

GEDEON RICHTER

PLC.

UNGAR

IA

CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1

COMPR. FILM.

P-

6L

1

36,32

36,320000

35,592000

47,51

47,510000

46,560000

57

W42716

M05BA06

ACIDUM IBANDRONICUM**

BONVIVA 150mg

COMPR. FILM.

150mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 COMPR. FILM.( BLIST. AL/AL)

P- 6L

1

70,97

70,970000

35,592000

89,74

89,740000

46,560000

66

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

58

W58574

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC SANDOZ

150 mg

COMPR.

FILM.

150mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1

COMPR. FILM.

P6

L

1

40,44

40,440000

35,592000

52,90

52,900000

46,560000

59

W56947

M05BA06

ACIDUM IBANDRONICUM**

QUODIXOR 150 mg

COMPR.

FILM.

150mg

ALVOGEN IPCO

S.AR.L

LUXEM

BURG

CUTIE CU BLIST. PA-AL-PVC/AL X 1

COMPR. FILM.

P-

6L

1

56,52

56,520000

35,592000

71,46

71,460000

46,560000

60

W57730

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC SANDOZ

50 mg

COMPR. FILM.

50 mg

SANDOZ

PHARMACEUTICALS GMBH

GERMA NIA

CUTIE CU BLIST. DIN PA/AL/PVC/AL CU 28 COMPRIMATE FILMATE

PR

28

519,62

18,557857

18,557857

604,54

21,590714

21,590714

61

W56748

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 50

mg

COMPR.

FILM.

50 mg

TEVA PHARMA B.V.

OLAND

A

CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL

X 28 COMPRIMATE FILMATE

PR

28

637,14

22,755000

22,269428

732,63

26,165357

25,908857

62

W56932

M05BA06

ACIDUM IBANDRONICUM**

IASIBON 50 mg

COMPR.

FILM.

50mg

PHARMATHEN S.A.

GRECIA

CUTIE CU BLIST. PA/ALL/PVC/ALU X 28

COMPR. FILM

PR

28

629,47

22,481071

22,269428

724,27

25,866785

25,866785

63

W59829

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC GLENMARK 50 mg

COMPR. FILM.

50mg

GLENMARK PHARMACEUTICALS

S.R.O.

REPUB LICA

CEHA

CUTIE CU BLIST. PVC/PVDC-AL X 28 COMPR. FILM.

PR

28

562,00

20,071428

20,071428

650,73

23,240357

23,240357

64

W41499

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 50mg

COMPR. FILM.

50mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X BLIST. AL/PVC X 28 COMPR. FILM.

S

28

964,08

34,431428

22,269428

1.089,00

38,892857

25,908857

65

W57712

M05BA06

ACIDUM IBANDRONICUM**

HOLMEVIS 50 mg

COMPR. FILM.

50mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE CU BLIST. PA/AL/PVC-AL X 28 COMPR. FILM.

PR

28

637,16

22,755714

22,269428

732,65

26,166071

25,908857

66

W58937

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 6

mg

CONC. PT. SOL. PERF.

6mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC SI CAPSA DE CULOARE TURCOAZ (ALBASTRU VERZUI) X 6 ML CONC. PT. SOL. PERF.

PR

1

596,39

596,390000

596,390000

688,22

688,220000

688,220000

67

W56933

M05BA06

ACIDUM IBANDRONICUM**

IASIBON 6mg/6ml

CONC. PT. SOL. PERF.

6mg/6ml

PHARMATHEN S.A.

GRECIA

CUTIE CU 1 FLAC. DIN STICLA X 6ML CONC. PT. SOL. PERF.

PR

1

596,39

596,390000

596,390000

688,22

688,220000

688,220000

68

W41498

M05BA06

ACIDUM IBANDRONICUM**

BONDRONAT 6mg/6ml

CONC. PT. SOL. PERF.

6mg/6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON X 6 ML CONC. PT. SOL. PERF.

S

1

901,37

901,370000

715,668000

1.020,64

1.020,640000

825,864000

69

W58935

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC TEVA 3

mg

SOL INJ. IN SERINGA PREUMPLU TA

3mg

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. SI UN AC DE INJECTARE

P6 L

1

232,02

232,020000

179,712000

283,25

283,250000

219,396000

70

W57932

M05BA06

ACIDUM IBANDRONICUM**

OSSICA 3 mg

SOL INJ. IN SERINGA PREUMPLU TA

3mg

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE

P6 L

1

196,40

196,400000

179,712000

239,77

239,770000

219,396000

71

W57484

M05BA06

ACIDUM IBANDRONICUM**

OSAGRAND 3 mg/3 ml

SOL. INJ.

3mg/3ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FIOLA DIN STICLA INCOLORA X 3 ML SOL. INJ.

P6 L

1

222,35

222,350000

179,712000

271,45

271,450000

219,396000

72

W43328

M05BA06

ACIDUM IBANDRONICUM**

BONVIVA 3mg/3ml

SOL. INJ. IN SERINGA PREUMPLU TA

1mg/1ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA DIN STICLA X 3 ML SOL. INJ. + 1 AC

P- 6L

1

354,51

354,510000

179,712000

424,57

424,570000

219,396000

73

W58778

M05BA06

ACIDUM IBANDRONICUM**

ACID IBANDRONIC ALVOGEN 3 mg

SOL.INJ. IN SERINGA PREUMPLU TA

3 mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA SI 1 AC PT. INJECTARE X 3 ML SOL.INJ.

PR

/P RF

1

149,76

149,760000

149,760000

182,83

182,830000

182,830000

74

W56414

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT SODIC

SANDOZ 35 mg

COMPR.

FILM.

35mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/AL X 4 COMPR.

FILM.

P6

L

4

21,00

5,250000

3,177000

28,38

7,095000

4,293000

75

W60074

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT SODIC ZENTIVA 35mg

COMPR. FILM.

35mg

ZENTIVA KS

REPUB LICA

CEHA

CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE

P- 6L

4

10,59

2,647500

2,647500

14,31

3,577500

3,577500

76

W52144

M05BA07

ACIDUM RISEDRONICUM**

RISENDROS 35 mg

COMPR. FILM.

35mg

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 4 COMPR. FILM.

P- 6L

4

10,59

2,647500

2,647500

14,31

3,577500

3,577500

77

W56198

M05BA07

ACIDUM RISEDRONICUM**

ACTONEL SAPTAMANAL 35

mg

COMPR.

FILM.

35mg

SANOFI - AVENTIS

ROMANIA S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 4 COMPR.

FILM.

P-

6L

4

52,06

13,015000

3,177000

65,83

16,457500

4,293000

78

W53578

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT TEVA 35 mg

COMPR. FILM.

35mg

TEVA PHARMACEUTICALS

SRL

ROMAN IA

CUTIE X BLIST. PVC-PVDC/AL X 4 COMPR. FILM.

P- 6L

4

34,61

8,652500

3,177000

45,27

11,317500

4,293000

79

W54377

M05BA07

ACIDUM RISEDRONICUM**

LORINE 35mg

COMPR.

FILM.

35mg

ANTIBIOTICE S.A.

ROMAN

IA

CUTIE X 1BLIST. PVC- PVDC/AL X 4

COMPR. FILM.

P-

6L

4

27,91

6,977500

3,177000

36,50

9,125000

4,293000

80

W55565

M05BA07

ACIDUM RISEDRONICUM**

OSODENS 35 mg

COMPR.

FILM.

35mg

TERAPIA SA

ROMAN

IA

CUTIE CU BLIST. OPA-AL-PVC/AL X 4

COMPR. FILM.

P-

6L

4

34,61

8,652500

3,177000

45,27

11,317500

4,293000

81

W59460

M05BA07

ACIDUM RISEDRONICUM**

RISEDRONAT AUROBINDO

35 mg

COMPR. FILM.

35mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM.

P6 L

4

10,59

2,647500

2,647500

14,31

3,577500

3,577500

67

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

82

W61163

M05BA07

ACIDUM RISEDRONICUM**

ACTONEL SAPTAMANAL 35

mg

COMPR.

FILM.

35mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 BLIST. PVC/AL X 4 COMPR.

FILM.

P-

6L

4

32,87

8,217500

3,177000

43,00

10,750000

4,293000

83

W54976

M05BA07

ACIDUM RISEDRONICUM**

ACTONEL 75 mg

COMPR.

FILM.

75mg

SANOFI - AVENTIS

ROMANIA S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 2 COMPR.

FILM.

P-

6L

2

52,51

26,255000

26,255000

66,39

33,195000

33,195000

84

W61164

M05BA07

ACIDUM RISEDRONICUM**

ACTONEL 75 mg

COMPR.

FILM.

75mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 BLIST. PVC/AL X 2 COMPR.

FILM.

P6

L

2

52,51

26,255000

26,255000

66,39

33,195000

33,195000

85

W59742

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC TEVA 4

mg/5 ml

CONC. PT. SOL. PERF.

4 mg/5 ml

TEVA PHARMA B.V.

OLAND A

CUTIE X 1 FLACON DIN STICLA CU 5ML CONCENTRAT PENTRU SOLUTIE

PERFUZABILA

PR

1

377,14

377,140000

356,400000

449,23

449,230000

435,096000

86

W59137

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

SANDOZ 4 mg/100 ml

CONC. PT. SOL. PERF.

4mg/100 ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP- OFF" X 100 ML CONC. PT. SOL. PERF.

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

87

W59191

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

TERAPIA 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. TRANSPARENT DIN STICLA CU CAPACITATEA DE 6 ML INCHIS CU DOP DIN CAUCIUC DE CULOARE GRI SI SIGILAT CU CAPAC DIN AL, TIP "FLIP OFF" DE CULOARE GRI CARE CONTINE CONC. PT. SOL. PERF.

PR

1

724,49

724,490000

356,400000

827,84

827,840000

435,096000

88

W59167

M05BA08

ACIDUM ZOLEDRONICUM**

OSPORIL 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

EGIS PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 5 ML CARE CONTINE CONC. PT. SOL. PERF.

PR

1

676,71

676,710000

356,400000

775,76

775,760000

435,096000

89

W59476

M05BA08

ACIDUM ZOLEDRONICUM**

ZOLACITOR 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE CU 4 FLAC., DE CAPACITATE DE 5 ML CARE CONTINE CONC. PT. SOL.

PERF.

PR

4

2.807,00

701,750000

356,400000

3.097,78

774,445000

435,096000

90

W59588

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

ACTAVIS 4mg/5ml

CONC. PT. SOL. PERF.

4mg/5ml

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE X 1 FLACON PLASTIC TRANSPARENT, INCOLOR CU CAPACITATEA DE 5 ML CARE CONTINE

CONC. PT. SOL. PER

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

91

W59914

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC PFIZER

4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN PP PREVAZUT CU CAPSA FLIP-OFF DIN AL CU CONC. PT. SOL. PERF.

PR

1

724,49

724,490000

356,400000

827,84

827,840000

435,096000

92

W59476

M05BA08

ACIDUM ZOLEDRONICUM**

ZOLACITOR 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

CHIESI

PHARMACEUTICALS GMBH

AUSTRI A

CUTIE CU 1 FLAC., DE CAPACITATE DE 5

ML CARE CONTINE CONC. PT. SOL. PERF.

PR

1

724,40

724,400000

356,400000

827,75

827,750000

435,096000

93

W59840

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

HOSPIRA 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 FLACON CU CAPACITATE DE 5ML DIN PLASTIC CU DOP BROMOBUTIL, ACOPERIT CU UN STRAT DE FLUOROPOLIMER SI CAPAC DIN AL CU COMPONENTA "FLIP-OFF"

PR

1

364,11

364,110000

356,400000

435,03

435,030000

435,030000

94

W58621

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

ROMASTRU TRADING S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DIN CAUCIUC

BROMOB

PR

1

459,66

459,660000

356,400000

539,18

539,180000

435,096000

95

W59044

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

RICHTER 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

GEDEON RICHTER ROMANIA SA

ROMAN IA

CUTIE X 1 FLACON TRANSPARENT, INCOLOR DIN POLIMER CICLO-OLEFENIC INCHIS CU DOP GRI INCHIS DIN CAUCIUC CU STRAT FLUOROPOLIMERIC, CAPSA DIN AL SI SISTEM "FLIP-OFF" DIN PLASTIC ROSU X 5ML CONC. PT. SOL.

PERF.

PR

1

724,49

724,490000

356,400000

827,84

827,840000

435,096000

96

W60989

M05BA08

ACIDUM ZOLEDRONICUM**

ZYOLIX 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

NEOLA PHARMA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN COPOLIMER COCLOOLEFINIC, TRANSPARENT, INCOLOR, INCHIS CU DOP DIN CAUCIUC BROMOBUTILIC, SIGILAT CU CAPSA DIN AL SI CAPAC TIP FLIP-OFF DIN PP CARE CONTINE 4 MG/5 ML CONC. PT. SOL.

PERF.

PR

1

459,66

459,660000

356,400000

539,18

539,180000

435,096000

97

W59889

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 4 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF.

PR

4

1.418,88

354,720000

354,720000

1.584,73

396,182500

396,182500

98

W59136

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

SANDOZ 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR, DIN COPOLIMER CICLOOLEFINIC PREVAZUT CUC CAPAC DIN AL CU CAPSA TIP "FLIP- OFF" X 5 ML CONC. PT. SOL. PERF.

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

68

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

99

W60216

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC MEDAC

4mg/5ml

CONC. PT. SOL. PERF.

4mg/5ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 FLACON DIN PLASTIC CU 5ML CONCENTRAT PENTRU SOLUTIE PERFUZABILA

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

100

W59090

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC FRESENIUS KABI 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 4 FLAC. DIN PP INCOLORA, INCHIS X 4 MG/5 ML CONC. PT. SOL.

PERF.

PR

4

1.417,59

354,397500

354,397500

1.583,33

395,832500

395,832500

101

W59520

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR.

REDDY'S 4mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA CU CAPACITATEA DE 5 ML CU CONC. PT.

SOL. PERF.

PR

1

297,00

297,000000

297,000000

362,58

362,580000

362,580000

102

W59889

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC POLIPHARMA 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA SI TRANSPARENTA, CAPACITATE 8,4 ML, A 5 ML CONC. PT. SOL. PERF.

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

103

W58886

M05BA08

ACIDUM ZOLEDRONICUM**

DESINOBON 4 mg/5 ml

CONC. PT. SOL. PERF.

4mg/5ml

ALVOGEN IPCO S.A.R.L

LUXEM BOURG

CUTIE CU 1 FLAC. DIN PLASTIC TRANSPARENT, INCOLOR DE 5 ML DIN COPOLIMER CICLOOLEFINIC CU DOP DE CAUCIUC SI CAPAC DIN AL CU CAPSA TIP "FLIP-OFF" CARE CONTINE CONC.

PT. SOL. PERF.

PR

1

452,56

452,560000

356,400000

531,44

531,440000

435,096000

104

W58735

M05BA08

ACIDUM ZOLEDRONICUM**

FAYTON 4 mg/ 5 ml

CONC. PT. SOL. PERF.

4mg/5ml

GLENMARK PHARMACEUTICALS S.R.O.

REPUB LICA CEHA

CUTIE CU 1 FLAC. DIN COPOLIMER CICLOOLEFINIC SI CAPAC PP CU CAPACITATEA DE 5 ML CARE CONTINE

CONC. P

PR

1

676,00

676,000000

356,400000

774,99

774,990000

435,096000

105

W08426

M05BA08

ACIDUM ZOLEDRONICUM**

ZOMETA 4 mg

PULB. + SOLV. SOL. PERF.

4mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. 4MG PULB. PT. SOL. PERF. + 1 FIOLA X 5 ML SOLV.

PR

1

1.098,45

1.098,450000

356,400000

1.235,46

1.235,460000

435,096000

106

W60382

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

HOSPIRA 4 mg/100 ml

SOL. PERF.

4 mg/100 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 PUNGA DIN POLIPROPILENA DE 100ML CU UN PORT "TWIST-OFF" DIN POLIPROPILENA CU CAPAC SI CU UN INVELIS DIN POLIESTER/POLIPROPILENA

PR

1

377,22

377,220000

356,400000

449,32

449,320000

435,096000

107

W60543

M05BA08

ACIDUM ZOLEDRONICUM**

ZERLINDA 4 mg/100 ml

SOL. PERF.

4mg/100

ml

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 PUNGA A 100 ML SOL. PERF.

PR

1

724,00

724,000000

356,400000

827,31

827,310000

435,096000

108

W60980

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC DR.

REDDY'S 4mg/100 ml

SOL. PERF.

4mg/100 ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA CU DOP DIN CAUCIUC CLOROBUTILIC, SIGILAT CU CAPSA DIN AL TIP "FLIP-OFF"A 100

ML SOL. PERF.

PR

1

297,00

297,000000

297,000000

362,58

362,580000

362,580000

109

W60215

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC MEDAC

4mg/100ml

SOL. PERF.

4mg/100 ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 FLACON DIN PLASTIC CU 100 ML SOLUTIE PERFUZABILA

PR

1

522,14

522,140000

356,400000

607,28

607,280000

435,096000

110

W59355

M05BA08

ACIDUM ZOLEDRONICUM**

ACID ZOLEDRONIC

ZENTIVA 4 mg/5 ml

SOL. PERF.

4mg/5ml

ZENTIVA, K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CARE CONTINE CONC. PT. SOL. PERF.

PR

1

676,71

676,710000

356,400000

775,76

775,760000

435,096000

111

W42407

M05BA08

ACIDUM ZOLEDRONICUM**

ACLASTA 5mg/100ml

SOL. PERF.

5mg/100 ml

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. X 100 ML + 1 CAPAC AL/PP CU COMPONENTA FLIP.

PR

1

1.399,70

1.399,700000

1.399,700000

1.563,83

1.563,830000

1.563,830000

112

W42702

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

FOSAVANCE 70mg/2800UI

COMPR.

70mg/280

0UI

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P- 6L

4

71,05

17,762500

17,762500

89,84

22,460000

22,460000

113

W42702

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

FOSAVANCE 70mg/2800UI

COMPR.

70mg/280

0UI

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P- 6L

2

36,16

18,080000

18,080000

47,30

23,650000

23,650000

114

W52559

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

FOSAVANCE 70mg/5600UI

COMPR.

70mg/560

0UI

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 4 COMPR. (1 PLIANT CU BLIST. AL/AL X 4 COMPR.)

P- 6L

4

71,05

17,762500

17,762500

89,84

22,460000

22,460000

115

W52559

M05BB03

COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM)**

FOSAVANCE 70mg/5600UI

COMPR.

70mg/560

0UI

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 2 COMPR. (1 PLIANT CU BLIST. AL/AL X 2 COMPR.)

P- 6L

2

36,16

18,080000

18,080000

47,30

23,650000

23,650000

116

W42094

M05BX03

STRONTIUM RANELATUM

OSSEOR 2 g

GRAN. PT. SUSP.

ORALA

2g

LES LAB. SERVIER

FRANT A

CUTIE X 14 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P- RF

14

82,84

5,917142

5,917142

104,74

7,481428

7,481428

117

W42094

M05BX03

STRONTIUM RANELATUM

OSSEOR 2 g

GRAN. PT. SUSP.

ORALA

2g

LES LAB. SERVIER

FRANT A

CUTIE X 28 PLICURI HARTI-PE-AL/PE GRAN. PT. SUSP. ORALA

P- RF

28

143,02

5,107857

5,107857

174,60

6,235714

6,235714

69

V09FX03 NATRII IODIDUM (131I) V10XA01 NATRII IODIDUM (131I)

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

70

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.1: TRANSPLANT MEDULAR

1

W56153

A04AA01

ONDANSETRONUM**

OSETRON 4 mg

COMPR.

FILM.

4mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC

X 10 COMPR. FILM.

P-

RF

10

14,09

1,409000

1,409000

19,04

1,904000

1,904000

2

W56154

A04AA01

ONDANSETRONUM**

OSETRON 8 mg

COMPR.

FILM.

8mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE X 1 BLIST. HARTIE/AL, PVDC/PVC

X 10 COMPR. FILM.

P-

RF

10

24,64

2,464000

2,464000

33,31

3,331000

3,331000

3

W57423

A04AA01

ONDANSETRONUM**

OSETRON 4 mg SOLUTIE INJECTABILA

SOL. INJ.

2mg/ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE 1 BLIST. AL/PVC X 5 FIOLE X 2 ML SOL. INJ.

S/P RF

5

17,60

3,520000

3,520000

23,79

4,758000

4,758000

4

W57424

A04AA01

ONDANSETRONUM**

OSETRON 8 mg SOLUTIE INJECTABILA

SOL. INJ.

2mg/ml

DR. REDDY'S LABORATORIES

ROMAN IA

CUTIE X 1 BLIST. AL/PVC X 5 FIOLE X 4 ML SOL. INJ.

S/P RF

5

33,45

6,690000

6,690000

43,75

8,750000

8,750000

5

W51505

A04AA01

ONDANSETRONUM**

EMESET 8 mg/4 ml

SOL. INJ./PERF.

2mg/ml

CIPLA (UK) LIMITED

MAREA BRITAN IE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 4ML SOL. INJ. / PERF.

S/P RF

5

33,43

6,686000

6,686000

43,73

8,746000

8,746000

6

W51504

A04AA01

ONDANSETRONUM**

EMESET 4 mg/2 ml

SOL. INJ./PERF.

2mg/ml

CIPLA (UK) LIMITED

MAREA BRITAN IE

CUTIE X 5 FIOLE STICLA + INEL RUPERE X 2ML SOL. INJ/ PERF.

S/P RF

5

17,60

3,520000

3,520000

23,79

4,758000

4,758000

7

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6

L

100

98,29

0,982900

0,848200

124,28

1,242800

1,109400

8

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-

6L

50

56,54

1,130800

0,848200

71,49

1,429800

1,109400

9

W59934

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS.

250mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6

L

60

42,41

0,706833

0,706833

55,47

0,924500

0,924500

10

W00188

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS.

250mg

PRO. MED. CS

PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-

6L

50

54,39

1,087800

0,848200

68,77

1,375400

1,109400

11

W53024

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 150 mg

COMPR.

150mg

ZAMBON S.P.A.

ITALIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P-

6L

60

41,43

0,690500

0,690500

54,19

0,903166

0,903166

12

W53025

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 300 mg

COMPR.

300mg

ZAMBON S.P.A.

ITALIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

6L

20

27,43

1,371500

1,371500

35,88

1,794000

1,794000

13

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR.

FILM.

500mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 25

COMPR.FILM.

P6

L

50

111,83

2,236600

2,236600

136,52

2,730400

2,730400

14

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR.

FILM.

500mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25

COMPR.FILM.

P6

L

100

219,67

2,196700

2,196700

268,17

2,681700

2,681700

15

W58363

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP. ORALA

250mg/5 ml

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA

DOZATOARE DIN PP

P6 L

1

77,10

77,100000

77,100000

97,49

97,490000

97,490000

16

W54011

B02AA02

ACIDUM TRANEXAMICUM 4)

EXACYL

SOL. INJ.

500mg/5

ml

CN UNIFARM

ROMAN

IA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X

5

9,47

1,894000

1,894000

12,80

2,560000

2,560000

17

W05892

J01CR03

TICARCILLINUM + ACIDUM CLAVULANICUM

TIMENTIN 3,2 g

PULB. PT. SOL. INJ./PERF.

3,2g

BEECHAM GROUP PLC

MAREA BRITAN IE

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S/P RF

10

212,62

21,262000

21,262000

259,57

25,957000

25,957000

18

W54763

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

19

W55423

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

20

W55369

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

21

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML

CU PULB. PT. SOL. INJ./PERF.

S

12

265,41

22,117500

22,117500

324,01

27,000833

27,000833

22

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

23

W54765

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

40,94

40,940000

40,940000

53,55

53,550000

53,550000

24

W55370

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

25

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

26

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA

INCOLORA CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

27

W55424

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 48 ML CU PULB. PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

28

W55117

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

29

W53595

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA

INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

386,57

38,657000

26,541000

459,51

45,951000

32,401000

30

W53596

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL.

PERF.

S

10

389,01

38,901000

38,901000

462,17

46,217000

46,217000

31

W55475

J01DH02

MEROPENEMUM

MERONEM IV 1 g

PULB. PT. SOL. INJ. I.V./PERF.

1g

ASTRAZENECA UK LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ. I.V./PERF.

S

10

1.030,68

103,068000

63,118800

1.161,59

116,159000

73,377600

32

W55465

J01DH02

MEROPENEMUM

MERONEM IV 500 mg

PULB. PT. SOL. INJ. I.V./PERF.

500mg

ASTRAZENECA UK LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA CU CAPACITATEA DE 20 ML PULB. PT. SOL. INJ. I.V./PERF.

S

10

539,60

53,960000

36,430800

626,31

62,631000

44,287200

33

W60705

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 1000

mg

PULB. PT. SOL. INJ. SAU PERF.

1000 mg

ZENTIVA, K.S.

REPUB LICA CEHA

CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML

PR

10

680,44

68,044000

63,118800

779,83

77,983000

73,377600

34

W60703

J01DH02

MEROPENEMUM

MEROPENEM ZENTIVA 500

mg

PULB. PT. SOL. INJ. SAU PERF.

500 mg

ZENTIVA, K.S.

REPUB LICA CEHA

CUTIE CU 10 FLAC. DIN STICLA TRANSPARENTA CU CAPACITATEA DE 20 ML

PR

10

361,24

36,124000

36,124000

431,90

43,190000

43,190000

35

W56827

J01DH02

MEROPENEMUM

LODITER 1000 mg

PULB. PT. SOL. INJ./PERF.

1000mg

TERAPIA S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 40 ML CONTINAND PULB. PT. SOL. INJ./PERF.

PR

1

72,84

72,840000

63,118800

92,10

92,100000

73,377600

36

W58974

J01DH02

MEROPENEMUM

MEROPENEM ATB 1000 mg

PULB. PT. SOL. INJ./PERF.

1000mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU

CAPSA

PR F

10

680,43

68,043000

63,118800

779,82

77,982000

73,377600

37

W61143

J01DH02

MEROPENEMUM

ARCHIFAR 1000 mg

PULB. PT. SOL. INJ./PERF.

1000mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 30 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF.

PR

10

525,99

52,599000

52,599000

611,48

61,148000

61,148000

38

W56331

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 1 g

PULB. PT. SOL. INJ./PERF.

1g

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PR

10

540,86

54,086000

54,086000

627,69

62,769000

62,769000

39

W56125

J01DH02

MEROPENEMUM

MEROPENEM KABI 1 g

PULB. PT.

SOL. INJ./PERF.

1g

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA

INCOLORA CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

10

680,43

68,043000

63,118800

779,82

77,982000

73,377600

40

W58973

J01DH02

MEROPENEMUM

MEROPENEM ATB 500 mg

PULB. PT. SOL. INJ./PERF.

500mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, CU CAPACITATEA DE 20 ML CU DOP DIN CAUCIUC, SIGILAT CU

CAPSA

PR F

10

361,24

36,124000

36,124000

431,90

43,190000

43,190000

41

W56826

J01DH02

MEROPENEMUM

LODITER 500 mg

PULB. PT. SOL. INJ./PERF.

500mg

TERAPIA S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CONTINAND PULB. PT. SOL. INJ./PERF.

PR

1

37,77

37,770000

36,430800

49,40

49,400000

44,287200

42

W56124

J01DH02

MEROPENEMUM

MEROPENEM KABI 500 mg

PULB. PT. SOL.

INJ./PERF.

500mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML

CU PULB. PT. SOL. INJ./PERF.

PR

10

361,25

36,125000

36,125000

431,91

43,191000

43,191000

43

W56330

J01DH02

MEROPENEMUM

MEROPENEM HOSPIRA 500

mg

PULB. PT. SOL. INJ./PERF.

500mg

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

PR

10

303,59

30,359000

30,359000

369,06

36,906000

36,906000

44

W61142

J01DH02

MEROPENEMUM

ARCHIFAR 500 mg

PULB. PT. SOL. INJ./PERF.

500mg

MEDOCHEMIE ROMANIA SRL

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA, CAPACITATEA 20 ML, DOP DIN CAUCIUC BROMOBUTILIC SIGILAT CU CAPSA AL CU PULB.PT.SOL.INJ./PERF.

PR

10

361,24

36,124000

36,124000

431,90

43,190000

43,190000

45

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA

CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P RF

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

46

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL.

PERF.

S/P RF

5

146,26

29,252000

29,252000

178,55

35,710000

35,710000

47

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL.

PERF.

S/P RF

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

71

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

48

W54532

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN KABI

500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P RF

10

296,98

29,698000

29,698000

362,55

36,255000

36,255000

49

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL.

PERF.

S/P RF

1

30,31

30,310000

30,310000

39,65

39,650000

39,650000

50

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL.

PERF.

S/P RF

5

146,26

29,252000

29,252000

178,55

35,710000

35,710000

51

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL.

PERF.

S/P RF

5

146,26

29,252000

29,252000

178,55

35,710000

35,710000

52

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 22 ML PULB. PT. SOL.

PERF.

S/P RF

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

53

W51274

J01DH51

IMIPENEMUM + CILASTATINUM

TIENAM I.V.

PULB. PT. SOL. PERF.

500mg/50 0mg

MERCK SHARP & DOHME

ROMAN IA

TAVA DIN PLASTIC X 10 FLAC. DIN

STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P RF

10

445,46

44,546000

35,102400

523,70

52,370000

42,852000

54

W61198

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN ATB

500 mg/500 mg

PULB. PT. SOL. PERF.

500mg/50 0mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL.

PERF.

PR

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

55

W43348

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF.

1g

TEVA PHARM.

WORKS PRIVATE LTD. COMPANY

UNGAR IA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P RF

1

48,56

48,560000

48,560000

63,52

63,520000

63,520000

56

W43347

J01XA01

VANCOMYCINUM

VANCOMYCIN TEVA

LIOF. PT. SOL. PERF.

500mg

TEVA PHARM. WORKS PRIVATE

LTD. COMPANY

UNGAR IA

CUTIE X 1 FLAC. DIN STICLA CU LIOF. PT. SOL. PERF.

S/P RF

1

24,28

24,280000

24,280000

32,82

32,820000

32,820000

57

W56449

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 1000 mg

PULB. PT. SOL. PERF.

1000mg

PHARMASWISS CESKA REPUBLIKA

S.R.O.

REPUB LICA

CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR

10

456,00

45,600000

45,600000

535,19

53,519000

53,519000

58

W56448

J01XA01

VANCOMYCINUM

VANCOMICINA PHARMASWISS 500 mg

PULB. PT. SOL. PERF.

500mg

PHARMASWISS CESKA REPUBLIKA

S.R.O.

REPUB LICA

CEHA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

PR

10

234,30

23,430000

23,430000

286,03

28,603000

28,603000

59

W57042

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 1000

mg

PULB. PT.CONC. PT.SOL.

PERF.

1000mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR

1

48,39

48,390000

48,390000

63,30

63,300000

63,300000

60

W57041

J01XA01

VANCOMYCINUM

VANCOMICINA KABI 500 mg

PULB. PT.CONC. PT.SOL.

PERF.

500mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 10 ML CARE CONTINE PULB. PT. CONC. PT. SOL. P

PR

1

24,17

24,170000

24,170000

32,67

32,670000

32,670000

61

W06051

J01XA01

VANCOMYCINUM

EDICIN

PULB.LIOF. PT.SOL.PE

RF./INJ

1g

LEK PHARMACEUTICALS

D.D.

SLOVE NIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU PULB. LIOF. PT. SOL. PERF./INJ.

S/P RF

1

56,90

56,900000

54,720000

71,94

71,940000

64,222800

62

W13105

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF. + SOLV. PT. SOL. INJ.

400mg

AVENTIS PHARMA LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P- RF

1

109,84

109,840000

109,840000

134,09

134,090000

134,090000

63

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM.

600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF

10

1.603,26

160,326000

160,326000

1.785,71

178,571000

178,571000

64

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA

100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF

1

879,36

879,360000

879,360000

996,65

996,650000

996,650000

65

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE

SOL. PERF.

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

66

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE

300 ML SOL. PERF.

PR

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

67

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS

SUPLIMENTAR

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

68

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PR F

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

72

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

69

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S

10

1.603,26

160,326000

126,314400

1.785,71

178,571000

142,261200

70

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 4 CAPS.

P-

RF

4

18,95

4,737500

3,615428

25,61

6,402500

4,887428

71

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGA

RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-

RF

16

65,37

4,085625

3,615428

82,66

5,166250

4,887428

72

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

100 mg

CAPS.

100mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

21,09

3,012857

3,012857

28,51

4,072857

4,072857

73

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF

2

6,98

3,490000

3,490000

9,43

4,715000

4,715000

74

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

23,31

3,330000

3,330000

31,51

4,501428

4,501428

75

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM

150 mg

CAPS.

150mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

9,57

9,570000

5,340000

12,94

12,940000

7,212000

76

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS.

150mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

77

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150

mg

CAPS.

150mg

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

78

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

7,16

7,160000

5,340000

9,68

9,680000

7,212000

79

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 FLAC. X 1 CAPS.

P-

RF

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

80

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150

mg

CAPS.

150mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

81

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 150 mg

CAPS.

150mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,07

6,070000

5,340000

8,20

8,200000

7,212000

82

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

150

CAPS.

150mg

SANDOZ SRL

GERMA

NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

10,79

10,790000

5,340000

14,58

14,580000

7,212000

83

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150

mg

CAPS.

150mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1

CAPS.

PR

F

1

7,44

7,440000

5,340000

10,06

10,060000

7,212000

84

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS.

150mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P-

RF

4

48,24

12,060000

5,340000

63,10

15,775000

7,212000

85

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS.

150mg

LABORATOARELE

PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

86

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150

MG

CAPS.

150mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,68

6,680000

5,340000

9,03

9,030000

7,212000

87

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

18,56

18,560000

5,340000

25,08

25,080000

7,212000

88

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS.

150mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

1 CAPS.

P-

RF

1

13,95

13,950000

5,340000

18,86

18,860000

7,212000

89

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

150 mg

CAPS.

150mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F

1

4,45

4,450000

4,450000

6,01

6,010000

6,010000

90

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS.

150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

91

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200

mg

CAPS.

200mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

30,10

4,300000

4,300000

39,37

5,624285

5,624285

92

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS.

50mg

LABORATOARELE PROF.DR.MORAIT

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

11,66

1,665714

1,665714

15,76

2,251428

2,251428

93

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR

F

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

94

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50

MG

CAPS.

50mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,15

2,021428

1,777714

19,12

2,731428

2,403428

95

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS.

50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF

7

43,23

6,175714

1,777714

56,54

8,077142

2,403428

96

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50

mg

CAPS.

50mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

12,35

1,764285

1,764285

16,69

2,384285

2,384285

97

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 7 CAPS.

P-

RF

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

98

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,49

2,070000

1,777714

19,58

2,797142

2,403428

73

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

99

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 50 mg

CAPS.

50mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

11,95

1,707142

1,707142

16,15

2,307142

2,307142

100

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS.

50mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

7 CAPS.

P-

RF

7

21,91

3,130000

1,777714

29,61

4,230000

2,403428

101

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

50

CAPS.

50mg

SANDOZ SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

32,06

4,580000

1,777714

41,93

5,990000

2,403428

102

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

50 mg

CAPS.

50mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

10,37

1,481428

1,481428

14,02

2,002857

2,002857

103

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O

PR F

1

23,46

23,460000

23,460000

31,71

31,710000

31,710000

104

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100

ML SOL. PERF.

S

1

34,28

34,280000

20,737200

44,84

44,840000

25,316400

105

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200

MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

106

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200

ML SOL. PERF.

S

1

81,95

81,950000

81,950000

103,62

103,620000

103,620000

107

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X

200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

108

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 1 FLACON DIN STICLA

INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

S

1

88,14

88,140000

88,140000

111,45

111,450000

103,986000

109

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200

MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

110

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA

INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

111

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA

2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

40,63

40,630000

20,737200

53,14

53,140000

25,316400

112

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL.

PERF.

PR

20

350,00

17,500000

17,500000

419,65

20,982500

20,982500

113

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL.

PERF.

PR

20

630,00

31,500000

20,737200

724,85

36,242500

25,316400

114

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50

ML SOL. PERF.

S

1

18,84

18,840000

18,840000

25,47

25,470000

25,179000

115

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL.

PERF.

S

10

770,66

77,066000

77,066000

878,17

87,817000

87,817000

116

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F

1

35,03

35,030000

20,737200

45,82

45,820000

25,316400

117

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL.

PERF.

S

10

454,59

45,459000

20,737200

533,65

53,365000

25,316400

118

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL.

PERF.

S

20

796,39

39,819500

20,737200

906,22

45,311000

25,316400

119

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL.

PERF.

PR

10

760,00

76,000000

76,000000

866,55

86,655000

86,655000

120

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF

28

3.559,23

127,115357

127,115357

3.917,72

139,918571

139,918571

121

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM.

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF

28

912,09

32,574642

32,574642

1.032,33

36,868928

36,868928

122

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF

1

458,07

458,070000

458,070000

537,45

537,450000

537,450000

123

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P- RF

1

2.203,52

2.203,520000

2.203,520000

2.439,99

2.439,990000

2.439,990000

74

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

124

W60913

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS. GASTROR EZ.

100mg

MERCK SHARP & DOHME LTD.

MAREA BRITAN IE

CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE

PR

24

3.330,00

138,750000

138,750000

3.667,85

152,827083

152,827083

125

W58194

J02AC04

POSACONAZOLUM**

NOXAFIL SP 40mg/ml

SUSP. ORALA

40mg/ml

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-

RF/ R

1

2.488,19

2.488,190000

2.488,190000

2.750,28

2.750,280000

2.750,280000

126

W06665

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.202,39

1.202,390000

1.202,390000

1.348,76

1.348,760000

1.348,760000

127

W06670

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF.

70mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.560,14

1.560,140000

1.560,140000

1.738,70

1.738,700000

1.738,700000

128

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS.

200mg

FARMEX COMPANY

S.R.L.

ROMAN

IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

129

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-

RF/ S

1.000

704,14

0,704140

0,613200

805,66

0,805660

0,805660

130

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

14,97

0,748500

0,613200

20,23

1,011500

0,828600

131

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

132

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-

RF

10

14,41

1,441000

1,441000

19,48

1,948000

1,948000

133

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200

mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

PR

F

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

134

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF

20

10,22

0,511000

0,511000

13,81

0,690500

0,690500

135

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM

200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMAN

IA

CUTIE X 2 BLIST. X 10 COMPR.

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

136

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

137

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200

mg

COMPR.

200mg

TERAPIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

12,69

0,634500

0,613200

17,15

0,857500

0,828600

138

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR.

400mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF

10

20,11

2,011000

1,729200

27,18

2,718000

2,337600

139

W00058

J05AB01

ACICLOVIRUM

VIROLEX

PULB. PT.

SOL. INJ./PERF.

250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P RF

5

231,79

46,358000

46,358000

282,97

56,594000

56,594000

140

W58707

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR. FILM.

500 mg

THE WELLCOME FOUNDATION LTD.

MAREA BRITAN IE

CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.

PR F

10

43,54

4,354000

3,396000

56,95

5,695000

4,441200

141

W60087

J05AB11

VALACYCLOVIRUM

VALACICLOVIR ARENA 500

mg

COMPR.

FILM.

500mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/PE/PVDC ALB

OPAC/AL X 10 COMPR. FILM.

PR

F

10

28,30

2,830000

2,830000

37,01

3,701000

3,701000

142

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA

450 mg

COMPR. FILM.

450mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F

60

3.171,52

52,858666

52,858666

3.495,11

58,251833

58,251833

143

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA

SRL

ROMAN

IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-

RF

60

4.863,09

81,051500

63,430399

5.338,93

88,982166

69,902200

144

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 300ML SOL.

PERF.(30G/300ML)

S

1

5.558,99

5.558,990000

5.558,990000

6.097,46

6.097,460000

6.097,460000

145

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 200ML SOL.

PERF.(20G/200ML)

S

1

3.821,35

3.821,350000

3.821,350000

4.203,43

4.203,430000

4.203,430000

146

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 10ML SOL.

PERF.(1G/10ML)

S

1

202,26

202,260000

202,260000

246,92

246,920000

246,920000

147

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 50ML SOL.

PERF.(5G/50ML)

S

1

925,45

925,450000

909,000000

1.046,89

1.046,890000

1.036,596000

148

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 100ML SOL.

PERF.(10G/100ML)

S

1

1.857,75

1.857,750000

1.782,000000

2.063,10

2.063,100000

1.988,160000

149

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF.

10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

1.485,00

1.485,000000

1.485,000000

1.656,80

1.656,800000

1.656,800000

150

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF.

1g/20ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA

X 20 ML SOL. PERF. + 1 SET ADMINISTRARE

S

1

197,39

197,390000

197,390000

240,98

240,980000

240,980000

151

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF.

2,5g/50ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA

X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

S

1

393,75

393,750000

393,750000

467,34

467,340000

467,340000

152

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF.

50mg/ml

INSTITUTO

GRIFOLS S.A.

SPANIA

CUTIE X 1 FLAC. X 10 ML SOL. PERF.

S

1

102,55

102,550000

102,550000

125,19

125,190000

125,190000

75

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

153

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF.

5g/100ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA

X 100 ML SOL. PERF. + 1 SET ADMINISTRARE

S

1

757,50

757,500000

757,500000

863,83

863,830000

863,830000

154

W12490

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ.

50mg

BAXTER

ONCOLOGY GMBH

GERMA

NIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10

DRAJ.

P-

RF

50

19,33

0,386600

0,386600

26,13

0,522600

0,522600

155

W52215

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ.

I.V.

200mg

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

S

1

11,76

11,760000

11,760000

15,89

15,890000

15,890000

156

W58865

L01AA03

MELPHALANUM

ALKERAN 2 mg

COMPR.

FILM.

2mg

ASPEN PHARMA

TRADING LIMITED

IRLAND

A

CUTIE X 1 FLAC. DIN STICLA BRUNA X 25

COMPR. FILM.

P-

RF

25

288,54

11,541600

11,541600

352,25

14,090000

14,090000

157

W60631

L01AA03

MELPHALANUM

ALKERAN 50 mg

PULB+SOL

V. PT. SOL. INJ./PERF.

50mg

CN UNIFARM S.A.

ROMAN IA

CUTIE CU 1 FIOLA PULB.+ 1 FIOLA SOLVENT

PR

1

654,63

654,630000

654,630000

751,70

751,700000

751,700000

158

W12497

L01AA06

IFOSFAMIDUM

HOLOXAN 1 g

PULB. PT. SOL. PERF.

1g

BAXTER ONCOLOGY GMBH

GERMA NIA

CUTIE X 1 FLAC. CU PULB. PT. SOL. PERF.

S

1

92,66

92,660000

92,660000

117,16

117,160000

117,160000

159

W58856

L01AB01

BUSULFANUM

MYLERAN

COMPR.

FILM.

2mg

ASPEN PHARMA

TRADING LIMITED

IRLAND

A

CUTIE X 1 FLAC. DIN STICLA BRUNA X

100 COMPR. FILM.

P-

RF

100

1.028,76

10,287600

10,287600

1.159,50

11,595000

11,595000

160

W51454

L01AB01

BUSULFANUM

BUSILVEX 6mg/ml

CONC. PT. SOL. PERF.

6mg/ml

PIERRE FABRE MEDICAMENT

FRANT A

CUTIE X 8 FLAC. X 10 ML CONC. PT. SOL. INJ.

S

8

9.151,91

1.143,988750

1.143,988750

10.013,75

1.251,718750

1.251,718750

161

W58569

L01BA01

METHOTREXATUM

METHOTREXATE PCH 10mg

COMPR.

10mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 10COMPR.

P6 L

10

21,32

2,132000

2,132000

28,81

2,881000

2,881000

162

W58568

L01BA01

METHOTREXATUM

METHOTREXATE PCH

2,5mg

COMPR.

2,5mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X30 COMPRIMATE

P6 L

30

16,00

0,533333

0,533333

21,62

0,720666

0,720666

163

W12733

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE"

1000 mg

CONC. PT.

SOL. INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 TUB DIN MATERIAL PLASTIC X 1 FIOLA X 10 ML

S

1

70,91

70,910000

70,910000

89,66

89,660000

89,660000

164

W04185

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE"

500 mg

CONC. PT.

SOL. INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 5 FIOLE X 5 ML

S

5

197,47

39,494000

39,494000

241,07

48,214000

48,214000

165

W12735

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE"

5000 mg

CONC. PT.

SOL. INJ./PERF.

100mg/ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 50 ML

S

1

332,72

332,720000

332,720000

400,81

400,810000

400,810000

166

W59856

L01BA01

METHOTREXATUM

BENDATREXAT

SOL INJ.

25mg/ml

CN UNIFARM S.A.

ROMAN

IA

CUTIE CU 1 FLAC. X 2 ML

PR

1

65,37

65,370000

65,370000

82,65

82,650000

82,650000

167

W04186

L01BA01

METHOTREXATUM

METHOTREXAT "EBEWE" 5

mg

SOL. INJ.

5mg/ml

EBEWE PHARMA

GMBH NFG. KG

AUSTRI

A

CUTIE X 10 FIOLE X 1 ML

S

10

17,62

1,762000

1,762000

23,82

2,382000

2,382000

168

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10

mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 0,75 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJ

PR

1

45,60

45,600000

45,600000

59,64

59,640000

59,640000

169

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10

mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 2,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

100,34

100,340000

100,340000

122,50

122,500000

122,500000

170

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10

mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,0 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

62,22

62,220000

62,220000

78,67

78,670000

78,670000

171

W58316

L01BA01

METHOTREXATUM

METOTREXAT EBEWE 10

mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA X 1,5 ML SOL INJ. + AC DE UNICA FOLOSINTA PT. INJE

PR

1

87,07

87,070000

87,070000

110,09

110,090000

110,090000

172

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,20ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF

1

62,22

62,220000

62,220000

78,67

78,670000

78,670000

173

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,15ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF

1

59,16

59,160000

54,720000

74,80

74,800000

71,568000

174

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,50ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF

1

101,74

101,740000

101,740000

124,21

124,210000

124,210000

76

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

175

W53758

L01BA01

METHOTREXATUM

METOJECT 50mg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mg/ml

MEDAC GESELLSCAFT FUR KLINISCHE SPEZIALPRÄPARAT

E

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,40ML SOL. INJ. PREVAZUTA CU AC SI TAMPOANE CU ALCOOL

P- RF

1

86,63

86,630000

86,630000

109,54

109,540000

109,540000

176

W56210

L01BB05

FLUDARABINUM

FLUDARA ORAL 10 mg

COMPR. FILM.

10mg

GENZYME EUROPE B.V.

OLAND A

CUTIE X 1 FLAC. DIN PE X 4 BLIST. AL/AL X 5 COMPR. FILM.

P-

RF/ S

20

1.094,66

54,733000

54,733000

1.231,33

61,566500

61,566500

177

W56211

L01BB05

FLUDARABINUM

FLUDARA

LIOF. PT. SOL.

INJ./PERF.

50mg

GENZYME EUROPE B.V.

OLAND A

CUTIE X 5 FLAC. CU LIOF. PT. SOL. INJ./PERF.

S

5

513,08

102,616000

102,616000

597,41

119,482000

119,482000

178

W53700

L01BB05

FLUDARABINUM

FLUDARABINA ACTAVIS 25

mg/ml

PULB. PT. SOL. INJ./PERF.

25mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA (CAPACITATE 5ML) CU PULB. PT. SOL. INJ/PERF CONTINAND 50MG FLUDA

S

1

340,13

340,130000

123,139200

408,89

408,890000

143,378400

179

W08035

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI

100mg

BRISTOL MYERS

SQUIBB KFT

UNGAR

IA

CUTIE X 1 BLIST. PVC/A0-PVC-PVDC X 10

CAPS.

P-

RF

10

311,36

31,136000

31,136000

377,53

37,753000

37,753000

180

W08036

L01CB01

ETOPOSIDUM

VEPESID

CAPS. MOI

50mg

BRISTOL MYERS

SQUIBB KFT

UNGAR

IA

CUTIE X 2 BLIST. PVC/AL-PVC-PVDC X 10

CAPS.

P-

RF

20

308,57

15,428500

15,428500

374,49

18,724500

18,724500

181

W52210

L01CB01

ETOPOSIDUM

SINTOPOZID 100 mg/5 ml

CONC. PT. SOL. PERF.

100mg/5 ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S

1

32,83

32,830000

32,830000

42,94

42,940000

42,940000

182

W03065

L01CB01

ETOPOSIDUM

ETOPOSID "EBEWE" 100

mg/5 ml

CONC. PT. SOL. PERF.

100mg/5 ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE X 1 FLACON X 5 ML

S

1

39,04

39,040000

38,352000

51,07

51,070000

50,172000

183

W60599

L01CB01

ETOPOSIDUM

ETOPOZIDA KABI 20 mg/ml

CONC. PT. SOL. PERF.

20mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU UN FLAC. DIN STICLA INCOLORA TIP I, CU CAPACITATEA DE 10 ML ÎNCHIS CU DOP DIN CAUCIUC BROMOBUTIL SI SIGILAT CU CAPSE DETASABILE DIN AL DE CULOARE ALBASTRA CONTINÂND 10 ML CONC.

PENTRU SOL. PERF.

PR

1

61,04

61,040000

61,040000

77,18

77,180000

77,180000

184

W52574

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF.

20mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 5 ML CONC. PT. SOL. PERF.

S

1

31,96

31,960000

31,960000

41,81

41,810000

41,810000

185

W52574

L01CB01

ETOPOSIDUM

ETOPOSIDE - TEVA

CONC. PT. SOL. PERF.

20mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 10 ML CONC. PT. SOL. PERF.

S

1

61,07

61,070000

61,070000

77,22

77,220000

77,220000

186

W03575

L01DB06

IDARUBICINUM

ZAVEDOS

CAPS.

10mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 1 CAPS.

P- RF

1

203,33

203,330000

203,330000

248,22

248,220000

248,220000

187

W03581

L01DB06

IDARUBICINUM

ZAVEDOS 5 mg

PULB. PT. SOL. INJ.

5mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU LIOF. PT. SOL. INJ.

S

1

143,35

143,350000

143,350000

175,00

175,000000

175,000000

188

W42735

L01DB07

MITOXANTRONUM**

ONKOTRONE

CONC. PT.

SOL. INJ.

2mg/ml

BAXTER

ONCOLOGY GMBH

GERMA

NIA

CUTIE X 1 FLACON X 10 ML CONC. PT.

SOL. INJ.

S

1

555,48

555,480000

555,480000

643,62

643,620000

643,620000

189

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF.

PR

1

19,75

19,750000

19,750000

26,70

26,700000

26,700000

190

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF.

PR

1

35,38

35,380000

35,380000

46,28

46,280000

46,280000

191

W56664

L01XA01

CISPLATINUM

PLATOSIN 0,5 mg/ml

CONC. PT. SOL. PERF.

0,5 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 20 ML CONC. PT. SOL. PERF.

PR

1

11,00

11,000000

11,000000

14,87

14,870000

14,868000

192

W56665

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF.

1 mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 100 ML CONC. PT. SOL. PERF.

PR

1

67,91

67,910000

67,910000

85,86

85,860000

85,860000

193

W56665

L01XA01

CISPLATINUM

PLATOSIN 1 mg/ml

CONC. PT. SOL. PERF.

1 mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 1 FLACON DIN STICLA BRUNA X 50 ML CONC. PT. SOL. PERF.

PR

1

35,38

35,380000

35,380000

46,28

46,280000

46,280000

194

W01315

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 10

mg/20 ml

CONC. PT. SOL. PERF.

10mg/20 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 20 ML CONC. PT. SOL. PERF.

S

1

9,17

9,170000

9,170000

12,39

12,390000

12,390000

195

W52187

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF.

1mg/1ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 50 ML X 50 MG CONC. SOL. PERF.

S

1

48,45

48,450000

37,884000

63,37

63,370000

49,560000

196

W52187

L01XA01

CISPLATINUM

SINPLATIN 1 mg/1 ml

CONC. PT. SOL. PERF.

1mg/1ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 10 ML X 10 MG CONC. SOL. PERF.

S

1

18,81

18,810000

11,004000

25,42

25,420000

14,868000

197

W01316

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 25

mg/50 ml

CONC. PT. SOL. PERF.

25mg/50 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 50 ML COND. PT. SOL. PERF.

S

1

22,06

22,060000

22,060000

29,81

29,810000

29,810000

77

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

198

W01317

L01XA01

CISPLATINUM

CISPLATIN "EBEWE" 50

mg/100 ml

CONC. PT. SOL. PERF.

50mg/100 ml

EBEWE PHARMA GMBH NFG. KG

AUSTRI A

CUTIE X 1 FLACON X 100 ML CONC. PT. SOL. PERF.

S

1

31,57

31,570000

31,570000

41,30

41,300000

41,300000

199

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA X 5 ML CONC. PT. SOL. PERF.

S

1

21,86

21,860000

21,624000

29,55

29,550000

29,220000

200

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA

INCOLORA X 45 ML CONC. PT. SOL. PERF.

S

1

133,04

133,040000

133,040000

162,41

162,410000

162,410000

201

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE GALBENA X 60 ML CONC. PT. SOL. PERF. X 600 MG CARBOPLATINA

PR

1

174,90

174,900000

174,900000

213,52

213,520000

213,520000

202

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA X 45 ML CONC. PT. SOL. PERF.

S

1

178,07

178,070000

158,400000

217,39

217,390000

193,380000

203

W52579

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 15 ML CONC. PT. SOL. PERF.

S

1

47,45

47,450000

47,450000

62,06

62,060000

62,060000

204

W52579

L01XA02

CARBOPLATINUM

CARBOPLATIN TEVA

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA BRUNA X 45 ML CONC. PT. SOL. PERF.

S

1

132,81

132,810000

132,810000

162,14

162,140000

162,140000

205

W13052

L01XA02

CARBOPLATINUM

CARBOPLATIN "EBEWE" 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE X 1 FLACON DIN STICLA X 15 ML CONC. PT. SOL. PERF.

S

1

62,52

62,520000

56,904000

79,05

79,050000

74,436000

206

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 5 ML CONC. PT. SOL. PERF.

S

1

18,05

18,050000

18,050000

24,39

24,390000

24,390000

207

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE VERDE X 5 ML CON. PT. SOL. PERF. X 50 MG CARBOPLATINA

PR

1

18,02

18,020000

18,020000

24,35

24,350000

24,350000

208

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ALBASTRA X 15 ML CONC. PT. SOL. PERF. X 150 MG CARBOPLATINA

PR

1

47,42

47,420000

47,420000

62,03

62,030000

62,030000

209

W58740

L01XA02

CARBOPLATINUM

CARBOPLATIN KABI 10

mg/ml

CONC. PT. SOL. PERF.

10mg/ml

FRESENIUS KABI ONCOLOGY PLC

MAREA BRITAN IE

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU DOP DIN CAUCIUC FLUROTEC, SIGILAT CU CAPSA DIN AL DE CULOARE ROSIE X 45 ML CON. PT. SOL. PERF. X 450 MG CARBOPLATINA

PR

1

132,00

132,000000

132,000000

161,15

161,150000

161,150000

210

W53000

L01XA02

CARBOPLATINUM

CARBOPLATIN ACTAVIS

10mg/ml

CONC. PT. SOL. PERF.

10mg/ml

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 15 ML CONC. PT. SOL.

PERF.

S

1

50,00

50,000000

50,000000

63,22

63,220000

63,220000

211

W07199

L01XC02

RITUXIMABUM**

MABTHERA 100 mg

CONC. PT. SOL. PERF.

10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 2 FLACOANE X 10 ML

S

2

2.221,55

1.110,775000

1.110,775000

2.459,64

1.229,820000

1.229,820000

212

W07200

L01XC02

RITUXIMABUM**

MABTHERA 500 mg

CONC. PT. SOL. PERF.

10mg/ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON X 50 ML(500MG RITUXIMAB IN 50ML- 10MG/ML)

S

1

5.509,03

5.509,030000

5.509,030000

6.043,00

6.043,000000

6.043,000000

213

W51424

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ.

30MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

267,05

267,050000

194,520000

326,02

326,020000

237,468000

214

W51423

L03AA02

FILGRASTIMUM (G-CSF)**

NEUPOGEN (R)

SOL. INJ.

48MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

436,57

436,570000

313,092000

514,01

514,010000

382,224000

215

W53892

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

162,10

162,100000

162,100000

197,89

197,890000

197,890000

216

W53893

L03AA02

FILGRASTIMUM (G-CSF)**

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

260,91

260,910000

260,910000

318,52

318,520000

318,520000

78

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

217

W55756

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF.

120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF

5

418,45

83,690000

83,690000

494,26

98,852000

98,852000

218

W53520

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF.

300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P RF/ R

1

214,16

214,160000

194,520000

261,45

261,450000

237,468000

219

W55757

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF.

300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF

5

1.001,12

200,224000

194,520000

1.129,37

225,874000

225,874000

220

W53523

L03AA02

FILGRASTIMUM (G-CSF)**

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF.

480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P RF/ R

1

355,90

355,900000

313,092000

426,08

426,080000

382,224000

221

W55758

L03AA02

FILGRASTIMUM (G-CSF)**

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF.

480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF

5

1.656,30

331,260000

313,092000

1.843,52

368,704000

368,704000

222

W54580

L03AX16

PLERIXAFOR**

MOZOBIL 20mg/ml

SOL. INJ.

20 mg/ml

GENZYME EUROPE

B.V.

OLAND

A

FLACON CU 1,2 ML SOL. X 20 MG/ML

S

1

20.861,97

20.861,970000

20.861,970000

22.777,73

22.777,730000

22.777,730000

223

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P-

RF/ R

100

452,86

4,528600

4,528600

531,77

5,317700

5,317700

224

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-

RF/ R

50

452,86

9,057200

9,057200

531,77

10,635400

10,635400

225

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

557,65

4,647083

4,647083

645,99

5,383250

5,383250

226

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

1.041,93

8,682750

8,682750

1.173,85

9,782083

9,782083

227

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

228

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

100

291,62

2,916200

2,916200

356,01

3,560100

3,560100

229

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU 1 FLACON PEID CU CAPAC PP

X 100 CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

230

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-

RF/ R

100

302,31

3,023100

3,023100

367,67

3,676700

3,676700

231

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

SANDOZ 500 mg

COMPR.

500mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

227,17

4,543400

4,543400

277,33

5,546600

5,546600

232

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

100

133,10

1,331000

1,331000

162,49

1,624900

1,624900

233

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

PR

F

50

160,05

3,201000

3,201000

195,39

3,907800

3,907800

234

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

235

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM.

500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

302,31

6,046200

6,046200

367,67

7,353400

7,353400

236

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

237

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

50

133,10

2,662000

2,662000

162,49

3,249800

3,249800

238

W10576

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ.

1mg

WYETH EUROPA LTD.

MAREA BRITAN IE

CUTIE X 30 DRAJ. (BLIST. PVC/PE

/ACLAR)

P-

RF/ R

30

489,29

16,309666

16,309666

571,48

19,049333

19,049333

239

W58975

L04AB01

ETANERCEPTUM**

ENBREL 10mg de uz pediatric

PULB+SOL

V. PT. SOL. INJ.

10mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE CU 4 FLACOANE CU PULBERE + 4 SERINGI PRE-UMPLUTE X 1ML APA + 4 ACE CU INJECTOARE DIN OTEL INOXIDABIL + 4 ADAPTOARE PENTRU FLACON + 8 TAMPOANE CU ALCOOL

MEDICNAL

PR

4

722,92

180,730000

180,730000

826,13

206,532500

206,532500

240

W61297

L04AB01

ETANERCEPTUM**

ENBREL 25mg

PULB. + SOLV. PT. SOL. INJ.

25mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 4 FLACOANE + 4 SERINGI PREUMPLUTE + 4 ACE + 4 ADAPTOARE PENTRU FLACOANE + 6 TAMPOANE CU

ALCOOL (3 ANI)

P-

RF/ R

4

1.748,78

437,195000

437,195000

1.944,32

486,080000

486,080000

79

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

241

W61299

L04AB01

ETANERCEPTUM**

ENBREL 25mg

SOL. INJ. (INSERING A PREUMPLU

TA)

25mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL (2 ANI)

P-

RF/ R

4

1.722,63

430,657500

430,657500

1.915,82

478,955000

478,955000

242

W61300

L04AB01

ETANERCEPTUM**

ENBREL 50mg

SOL. INJ. (INSERING A PREUMPLU

TA)

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 4 SERINGI PREUMPLUTE X 8 TAMPOANE CU ALCOOL (2 ANI)

P-

RF/ R

4

3.432,11

858,027500

858,027500

3.779,16

944,790000

944,790000

243

W61303

L04AB01

ETANERCEPTUM**

ENBREL 50mg

SOL. INJ. IN STILOU INJECTOR PREUMPLU

T

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 4 STILOURI INJECTOARE PREUMPLUTE (PEN) X 8 TAMPOANE CU ALCOOL (3 ANI)

P-

RF/ R

4

3.432,11

858,027500

858,027500

3.779,16

944,790000

944,790000

244

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

251,97

5,039400

5,039400

307,60

6,152000

6,152000

245

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

112,48

2,249600

2,249600

137,32

2,746400

2,746400

246

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

59,45

1,189000

1,189000

75,17

1,503400

1,503400

247

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

120,89

2,417800

2,417800

147,58

2,951600

2,951600

248

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

239,32

4,786400

4,786400

292,16

5,843200

5,843200

249

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

250

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS.

0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU

DESICANT

PR F

50

91,62

1,832400

1,832400

115,84

2,316800

2,316800

251

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5

mg

CAPS.

0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN

PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

252

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS

X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P RF

50

205,39

4,107800

4,107800

250,74

5,014800

5,014800

253

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

254

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50

CAPS.

S/P RF

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

255

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

363,74

7,274800

7,274800

434,63

8,692600

8,692600

256

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS.

1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU

DESICANT

PR F

50

179,98

3,599600

3,599600

219,72

4,394400

4,394400

257

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

1.715,18

34,303600

34,303600

1.907,70

38,154000

38,154000

258

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS. ELIB.

PREL.

0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

204,92

4,098400

4,098400

250,17

5,003400

5,003400

259

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS. ELIB.

PREL.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

402,53

8,050600

8,050600

476,91

9,538200

9,538200

260

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS.

ELIB. PREL.

5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

1.865,58

37,311600

37,311600

2.071,63

41,432600

41,432600

261

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S

10

1.545,19

154,519000

154,519000

1.722,41

172,241000

172,241000

262

W42813

N02AX02

TRAMADOLUM

TRALGIT 50

CAPS.

50mg

ZENTIVA A.S.

SLOVA

CIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

4,15

0,207500

0,207500

5,61

0,280500

0,280500

263

W41593

N02AX02

TRAMADOLUM

K-ALMA (R)

CAPS.

50mg

ANTIBIOTICE SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

5,67

0,283500

0,249000

7,67

0,383500

0,336600

264

W13570

N02AX02

TRAMADOLUM

TRAMADOL LPH 50 mg

CAPS.

50mg

LABORMED

PHARMA SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

5,67

0,283500

0,249000

7,67

0,383500

0,336600

265

W12691

N02AX02

TRAMADOLUM

TRAMADOL

CAPS.

50mg

KRKA D.D.

SLOVE

NIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

4,31

0,215500

0,215500

5,82

0,291000

0,291000

80

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

266

W60291

N02AX02

TRAMADOLUM

TRAMACALM

CAPS.

50mg

A.C. HELCOR

PHARMA S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.

P-

RF

10

2,85

0,285000

0,249000

3,85

0,385000

0,336600

267

W60238

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

CAPS.

50mg

ZENTIVA A.S.

SLOVA

CIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

4,15

0,207500

0,207500

5,61

0,280500

0,280500

268

W05960

N02AX02

TRAMADOLUM

MABRON 50 mg

CAPS.

50mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-

RF

10

2,85

0,285000

0,249000

3,85

0,385000

0,336600

269

W52049

N02AX02

TRAMADOLUM

TRAMADOL ARENA

CAPS.

50mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

6,66

0,333000

0,249000

9,00

0,450000

0,336600

270

W42957

N02AX02

TRAMADOLUM

TRAMADOL EEL

COMPR.

50mg

BIO EEL SRL

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

5,67

0,283500

0,249000

7,67

0,383500

0,336600

271

W42440

N02AX02

TRAMADOLUM

TRAMAG 50

COMPR.

50mg

MAGISTRA C & C

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

5,67

0,283500

0,249000

7,67

0,383500

0,336600

272

W13507

N02AX02

TRAMADOLUM

TRAMADOLOR (R) 100 ID

COMPR. ELIB.

MODIF.

100mg

HEXAL AG

GERMA NIA

CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.

P- RF

10

4,66

0,466000

0,466000

6,30

0,630000

0,630000

273

W58072

N02AX02

TRAMADOLUM

TRAMADOL RETARD 100 mg

COMPR. ELIB.

PREL.

100mg

KRKA, D.D., NOVO MESTO

SLOVE NIA

CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.

PR F

30

13,99

0,466333

0,466333

18,91

0,630333

0,630333

274

W60236

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA

100 mg

COMPR.

ELIB. PREL.

100mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF

30

13,98

0,466000

0,466000

18,89

0,629666

0,629666

275

W41922

N02AX02

TRAMADOLUM

TRALGIT SR 100

COMPR. ELIB.

PREL.

100mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF

30

13,98

0,466000

0,466000

18,89

0,629666

0,629666

276

W60237

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA

150 mg

COMPR. ELIB.

PREL.

150mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF

30

20,38

0,679333

0,679333

27,55

0,918333

0,918333

277

W58893

N02AX02

TRAMADOLUM

TRADOLAN RETARD 150 mg

COMPR. ELIB.

PREL.

150mg

LANNACHER HEILMITTEL

GES.M.B.H.

AUSTRI A

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PR F

30

24,72

0,824000

0,815200

33,41

1,113666

1,102000

278

W41923

N02AX02

TRAMADOLUM

TRALGIT SR 150

COMPR. ELIB.

PREL.

150mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF

30

20,38

0,679333

0,679333

27,55

0,918333

0,918333

279

W58894

N02AX02

TRAMADOLUM

TRADOLAN RETARD 200 mg

COMPR. ELIB.

PREL.

200mg

LANNACHER HEILMITTEL

GES.M.B.H.

AUSTRI A

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PR F

30

26,22

0,874000

0,874000

34,30

1,143333

1,143333

280

W07784

N02AX02

TRAMADOLUM

TRADOLAN 50 mg

COMPR. FILM.

50mg

LANNACHER HEILMITTEL

GES.M.B.H.

AUSTRI A

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

P- RF

30

7,88

0,262666

0,249000

10,65

0,355000

0,336600

281

W07473

N02AX02

TRAMADOLUM

TRAMAL RETARD 100 mg

COMPR. FILM. ELIB. PREL.

100mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P- RF

10

7,17

0,717000

0,559200

9,69

0,969000

0,755599

282

W43360

N02AX02

TRAMADOLUM

TRAMADOL RETARD 150 mg

COMPR. FILM. ELIB. PREL.

150mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P- RF

30

31,78

1,059333

0,815200

41,57

1,385666

1,102000

283

W05978

N02AX02

TRAMADOLUM

TRAMAL RETARD 150 mg

COMPR. FILM. ELIB. PREL.

150mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P- RF

10

16,30

1,630000

0,815200

22,03

2,203000

1,102000

284

W05979

N02AX02

TRAMADOLUM

TRAMAL RETARD 200 mg

COMPR. FILM. ELIB. PREL.

200mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P- RF

10

20,85

2,085000

1,048800

28,18

2,818000

1,372000

285

W43361

N02AX02

TRAMADOLUM

TRAMADOL RETARD 200 mg

COMPR. FILM. ELIB. PREL.

200mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P- RF

30

40,67

1,355666

1,048800

53,20

1,773333

1,372000

286

W60239

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE RSABILE

50mg

ZENTIVA, A.S.

REPUB LICA SLOVA

CA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PR F

10

2,84

0,284000

0,249000

3,84

0,384000

0,336600

287

W59163

N02AX02

TRAMADOLUM

TRALGIT 50 mg

COMPR. ORODISPE RSABILE

50mg

ZENTIVA, A.S.

REPUB LICA SLOVA

CA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PR F

10

2,84

0,284000

0,249000

3,84

0,384000

0,336600

288

W60239

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE RSABILE

50mg

ZENTIVA, A.S.

REPUB LICA SLOVA

CA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE

PR F

10

2,84

0,284000

0,249000

3,84

0,384000

0,336600

289

W05961

N02AX02

TRAMADOLUM

MABRON

SOL. INJ.

100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P RF

5

7,27

1,454000

1,322640

9,83

1,966000

1,614720

290

W05961

N02AX02

TRAMADOLUM

MABRON

SOL. INJ.

100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P RF

100

110,22

1,102200

1,102200

134,56

1,345600

1,345600

81

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

291

W05967

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ.

50mg/ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 2 ML

S/P RF

5

9,69

1,938000

1,322640

13,10

2,620000

1,614720

292

W05966

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ.

50mg/ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 1 ML

S/P RF

5

3,65

0,730000

0,730000

4,93

0,986000

0,986000

293

W05969

N02AX02

TRAMADOLUM

TRAMADOL

SUPOZ.

100mg

KRKA D.D.

SLOVE

NIA

CUTIE X 1 BLIST. X 5 SUPOZ.

P-

RF

5

4,13

0,826000

0,826000

5,58

1,116000

1,116000

294

W61214

R05CB13

DORNAZA ALFA**

PULMOZYME 2500 U/2,5 ml

SOL. DE INHALAT PRIN NEBULIZAT

OR

2500U/2,5

ml

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE CU 6 FIOLE UNIDOZA, MONOBLOC, DIN PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR, INTRODUSE INTR-O PUNGA DIN AL

PR

6

416,77

69,461666

69,461666

492,43

82,071666

82,071666

295

W51323

R05CB13

DORNAZA ALFA**

PULMOZYME

SOL. INHAL.

1mg/ml

ROCHE ROMANIA S.R.L.

ROMAN IA

CUTIE X 6 FIOLE UNIDOZA PE X 2,5 ML SOL. INHAL. PRIN NEBULIZATOR,

INTRODUSE IN PUNGA AL

S/P RF

6

416,77

69,461666

69,461666

492,43

82,071666

82,071666

296

W51484

V03AC03

DEFERASIROXUM**

EXJADE 125mg

COMPR. DISP.

125mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP.(BLIST. PVC/PE/PVDC/AL)

PR

28

687,54

24,555000

24,555000

787,57

28,127500

28,127500

297

W51485

V03AC03

DEFERASIROXUM**

EXJADE 250mg

COMPR. DISP.

250mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR

28

1.461,36

52,191428

52,191428

1.631,03

58,251071

58,251071

298

W51486

V03AC03

DEFERASIROXUM**

EXJADE 500mg

COMPR. DISP.

500mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. DISP. ( PVC/PE/PVDC/AL)

PR

28

2.660,12

95,004285

95,004285

2.937,68

104,917142

104,917142

299

W04133

V03AF01

MESNUM

UROMITEXAN (R) 400 mg

SOL. INJ.

400mg/4 ml

BAXTER ONCOLOGY GMBH

GERMA NIA

CUTIE X 3 SUPORTURI TERMOFORMATE

DIN PLASTIC X 5 FIOLE DE STICLA INCOLORA X 4 ML

S

15

44,87

2,991333

2,991333

58,69

3,912666

3,912666

82

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.2: TRANSPLANT DE CORD

1

W02947

C01CA24

EPINEPHRINUM

ADRENALINA 1 mg

SOL. INJ.

1mg/ml

TERAPIA SA

ROMAN

IA

CUTIE X 100 FIOLE X 1 ML

S

100

151,25

1,512500

1,512500

184,65

1,846500

1,846500

2

W60389

C01CA24

EPINEPHRINUM

EPIPEN 150 micrograme

SOL. INJ. IN STILOU PREUMPLU

T

150mcg

MEDA PHARMA GMBH & CO KG

GERMA NIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR

1

147,80

147,800000

147,800000

180,43

180,430000

180,430000

3

W60390

C01CA24

EPINEPHRINUM

EPIPEN 300 micrograme

SOL. INJ. IN STILOU PREUMPLU

T

300mcg

MEDA PHARMA GMBH & CO KG

GERMA NIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR

1

147,80

147,800000

147,800000

180,43

180,430000

180,430000

4

W54763

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

5

W55423

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

6

W55369

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

7

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML

CU PULB. PT. SOL. INJ./PERF.

S

12

265,41

22,117500

22,117500

324,01

27,000833

27,000833

8

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

9

W54765

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

40,94

40,940000

40,940000

53,55

53,550000

53,550000

10

W55370

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

11

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

12

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML

CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

13

W55424

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

14

W55117

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

15

W53595

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA

INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

386,57

38,657000

26,541000

459,51

45,951000

32,401000

16

W53596

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA

INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

389,01

38,901000

38,901000

462,17

46,217000

46,217000

17

W13676

J01DD12

CEFOPERAZONUM

MEDOCEF 1 g

PULB. PT. SOL. INJ.

1g

MEDOCHEMIE LTD.

CIPRU

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

S/P RF

10

154,50

15,450000

8,448000

188,61

18,861000

11,412000

18

W13677

J01DD12

CEFOPERAZONUM

MEDOCEF 2 g

PULB. PT. SOL. INJ.

2g

MEDOCHEMIE LTD.

CIPRU

CUTIE X 10 FLAC. PULB. PT. SOL. INJ.

S/P RF

10

187,44

18,744000

13,932000

228,83

22,883000

18,828000

19

W44045

J01DD12

CEFOPERAZONUM

CEFOZON 500 mg

PULB. PT. SOL. INJ.

500mg

E.I.P.I.CO. MED S.R.L.

ROMAN IA

CUTIE X 1 FLAC. PULB. PT. SOL. INJ.

S/P RF

1

3,88

3,880000

3,880000

5,24

5,240000

5,240000

20

W52795

J01DD12

CEFOPERAZONUM

CEFOZON 2 g

PULB. PT. SOL. INJ./PERF.

I.M./I.V.

2g

E.I.P.I.CO. MED S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA A 20 ML CU PULB. PT. SOL. INJ./PERF. I.M./I.V.

S/P RF

1

11,61

11,610000

11,610000

15,69

15,690000

15,690000

21

W44061

J01DD12

CEFOPERAZONUM

CEFOZON 1 g

PULB. PT. SOL. INJ./PERF.I.

M./I.V.

1g

E.I.P.I.CO. MED S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 15 ML CU PULB. PT. SOL. INJ. I.M./PERF. I.V.

S/P RF

1

7,04

7,040000

7,040000

9,51

9,510000

9,510000

22

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA

CU CAPACIT. DE 30 ML PULB. PT. SOL. PERF.

S/P RF

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

23

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL.

PERF.

S/P RF

5

146,26

29,252000

29,252000

178,55

35,710000

35,710000

24

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 100 ML PULB. PT. SOL.

PERF.

S/P RF

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

25

W54532

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN KABI

500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. PERF.

S/P RF

10

296,98

29,698000

29,698000

362,55

36,255000

36,255000

26

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 1 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL.

PERF.

S/P RF

1

30,31

30,310000

30,310000

39,65

39,650000

39,650000

27

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA CU CAPACIT. DE 30 ML PULB. PT. SOL.

PERF.

S/P RF

5

146,26

29,252000

29,252000

178,55

35,710000

35,710000

28

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 5 FLAC. DIN STICLA INCOLORA

CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P RF

5

146,26

29,252000

29,252000

178,55

35,710000

35,710000

29

W54471

J01DH51

IMIPENEMUM + CILASTATINUM

CILOPEN 500mg/500mg

PULB. PT. SOL. PERF.

500mg/50 0mg

TERAPIA SA

ROMAN IA

CUTIE X 10 FLAC. DIN STICLA INCOLORA

CU CAPACIT. DE 22 ML PULB. PT. SOL. PERF.

S/P RF

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

30

W51274

J01DH51

IMIPENEMUM + CILASTATINUM

TIENAM I.V.

PULB. PT. SOL. PERF.

500mg/50 0mg

MERCK SHARP & DOHME

ROMAN IA

TAVA DIN PLASTIC X 10 FLAC. DIN

STICLA INCOLORA CU PULB.PT. SOL. PERF.

S/P RF

10

445,46

44,546000

35,102400

523,70

52,370000

42,852000

31

W61198

J01DH51

IMIPENEMUM + CILASTATINUM

IMIPENEM/CILASTATIN ATB

500 mg/500 mg

PULB. PT. SOL. PERF.

500mg/50 0mg

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA TIP III, CU CAPACITATEA DE 20 ML, CONTINANAD PULB. PT. SOL.

PERF.

PR

10

292,52

29,252000

29,252000

357,11

35,711000

35,711000

32

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM.

600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF

10

1.603,26

160,326000

160,326000

1.785,71

178,571000

178,571000

33

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA

100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF

1

879,36

879,360000

879,360000

996,65

996,650000

996,650000

34

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE

SOL. PERF.

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

35

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE

300 ML SOL. PERF.

PR

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

83

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

36

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS

SUPLIMENTAR

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

37

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PR F

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

38

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S

10

1.603,26

160,326000

126,314400

1.785,71

178,571000

142,261200

39

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 4 CAPS.

P-

RF

4

18,95

4,737500

3,615428

25,61

6,402500

4,887428

40

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGA

RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-

RF

16

65,37

4,085625

3,615428

82,66

5,166250

4,887428

41

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

100 mg

CAPS.

100mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

21,09

3,012857

3,012857

28,51

4,072857

4,072857

42

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF

2

6,98

3,490000

3,490000

9,43

4,715000

4,715000

43

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

23,31

3,330000

3,330000

31,51

4,501428

4,501428

44

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM

150 mg

CAPS.

150mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

9,57

9,570000

5,340000

12,94

12,940000

7,212000

45

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS.

150mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

46

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150

mg

CAPS.

150mg

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

47

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

7,16

7,160000

5,340000

9,68

9,680000

7,212000

48

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 FLAC. X 1 CAPS.

P-

RF

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

49

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150

mg

CAPS.

150mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

50

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 150 mg

CAPS.

150mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,07

6,070000

5,340000

8,20

8,200000

7,212000

51

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

150

CAPS.

150mg

SANDOZ SRL

GERMA

NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

10,79

10,790000

5,340000

14,58

14,580000

7,212000

52

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150

mg

CAPS.

150mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1

CAPS.

PR

F

1

7,44

7,440000

5,340000

10,06

10,060000

7,212000

53

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS.

150mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P-

RF

4

48,24

12,060000

5,340000

63,10

15,775000

7,212000

54

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

55

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150

MG

CAPS.

150mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,68

6,680000

5,340000

9,03

9,030000

7,212000

56

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

18,56

18,560000

5,340000

25,08

25,080000

7,212000

57

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS.

150mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

1 CAPS.

P-

RF

1

13,95

13,950000

5,340000

18,86

18,860000

7,212000

58

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

150 mg

CAPS.

150mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F

1

4,45

4,450000

4,450000

6,01

6,010000

6,010000

59

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS.

150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

60

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200

mg

CAPS.

200mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

30,10

4,300000

4,300000

39,37

5,624285

5,624285

61

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS.

50mg

LABORATOARELE

PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

11,66

1,665714

1,665714

15,76

2,251428

2,251428

62

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR

F

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

63

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50

MG

CAPS.

50mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,15

2,021428

1,777714

19,12

2,731428

2,403428

64

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS.

50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF

7

43,23

6,175714

1,777714

56,54

8,077142

2,403428

84

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

65

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50

mg

CAPS.

50mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

12,35

1,764285

1,764285

16,69

2,384285

2,384285

66

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 7 CAPS.

P-

RF

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

67

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,49

2,070000

1,777714

19,58

2,797142

2,403428

68

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 50 mg

CAPS.

50mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

11,95

1,707142

1,707142

16,15

2,307142

2,307142

69

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS.

50mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

7 CAPS.

P-

RF

7

21,91

3,130000

1,777714

29,61

4,230000

2,403428

70

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

50

CAPS.

50mg

SANDOZ SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

32,06

4,580000

1,777714

41,93

5,990000

2,403428

71

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

50 mg

CAPS.

50mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

10,37

1,481428

1,481428

14,02

2,002857

2,002857

72

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O

PR F

1

23,46

23,460000

23,460000

31,71

31,710000

31,710000

73

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100

ML SOL. PERF.

S

1

34,28

34,280000

20,737200

44,84

44,840000

25,316400

74

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 1 FLACON DIN STICLA

INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

75

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200

ML SOL. PERF.

S

1

81,95

81,950000

81,950000

103,62

103,620000

103,620000

76

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA

INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

77

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400

MG FLUCONAZOL

S

1

88,14

88,140000

88,140000

111,45

111,450000

103,986000

78

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200

MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

79

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X

200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

80

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA

2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

40,63

40,630000

20,737200

53,14

53,140000

25,316400

81

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL.

PERF.

PR

20

350,00

17,500000

17,500000

419,65

20,982500

20,982500

82

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL.

PERF.

PR

20

630,00

31,500000

20,737200

724,85

36,242500

25,316400

83

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50

ML SOL. PERF.

S

1

18,84

18,840000

18,840000

25,47

25,470000

25,179000

84

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL.

PERF.

S

10

770,66

77,066000

77,066000

878,17

87,817000

87,817000

85

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F

1

35,03

35,030000

20,737200

45,82

45,820000

25,316400

86

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL.

PERF.

S

10

454,59

45,459000

20,737200

533,65

53,365000

25,316400

87

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL.

PERF.

S

20

796,39

39,819500

20,737200

906,22

45,311000

25,316400

88

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL.

PERF.

PR

10

760,00

76,000000

76,000000

866,55

86,655000

86,655000

89

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF

28

3.559,23

127,115357

127,115357

3.917,72

139,918571

139,918571

90

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM.

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF

28

912,09

32,574642

32,574642

1.032,33

36,868928

36,868928

85

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

91

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF

1

458,07

458,070000

458,070000

537,45

537,450000

537,450000

92

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P- RF

1

2.203,52

2.203,520000

2.203,520000

2.439,99

2.439,990000

2.439,990000

93

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA

450 mg

COMPR. FILM.

450mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F

60

3.171,52

52,858666

52,858666

3.495,11

58,251833

58,251833

94

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA

SRL

ROMAN

IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-

RF

60

4.863,09

81,051500

63,430399

5.338,93

88,982166

69,902200

95

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P-

RF/ R

100

452,86

4,528600

4,528600

531,77

5,317700

5,317700

96

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-

RF/ R

50

452,86

9,057200

9,057200

531,77

10,635400

10,635400

97

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

557,65

4,647083

4,647083

645,99

5,383250

5,383250

98

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

1.041,93

8,682750

8,682750

1.173,85

9,782083

9,782083

99

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

100

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

100

291,62

2,916200

2,916200

356,01

3,560100

3,560100

101

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU 1 FLACON PEID CU CAPAC PP

X 100 CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

102

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-

RF/ R

100

302,31

3,023100

3,023100

367,67

3,676700

3,676700

103

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

SANDOZ 500 mg

COMPR.

500mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

227,17

4,543400

4,543400

277,33

5,546600

5,546600

104

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

100

133,10

1,331000

1,331000

162,49

1,624900

1,624900

105

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

PR

F

50

160,05

3,201000

3,201000

195,39

3,907800

3,907800

106

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

107

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM.

500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

302,31

6,046200

6,046200

367,67

7,353400

7,353400

108

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

109

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

50

133,10

2,662000

2,662000

162,49

3,249800

3,249800

110

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

251,97

5,039400

5,039400

307,60

6,152000

6,152000

111

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

112,48

2,249600

2,249600

137,32

2,746400

2,746400

112

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

59,45

1,189000

1,189000

75,17

1,503400

1,503400

113

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

120,89

2,417800

2,417800

147,58

2,951600

2,951600

114

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

239,32

4,786400

4,786400

292,16

5,843200

5,843200

115

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

116

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS.

0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10

CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F

50

91,62

1,832400

1,832400

115,84

2,316800

2,316800

86

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

117

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5

mg

CAPS.

0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN

PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

118

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

205,39

4,107800

4,107800

250,74

5,014800

5,014800

119

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

120

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50

CAPS.

S/P RF

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

121

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

363,74

7,274800

7,274800

434,63

8,692600

8,692600

122

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS.

1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10

CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F

50

179,98

3,599600

3,599600

219,72

4,394400

4,394400

123

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS

X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P RF

50

1.715,18

34,303600

34,303600

1.907,70

38,154000

38,154000

124

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS. ELIB.

PREL.

0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

204,92

4,098400

4,098400

250,17

5,003400

5,003400

125

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS. ELIB.

PREL.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

402,53

8,050600

8,050600

476,91

9,538200

9,538200

126

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS.

ELIB. PREL.

5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

1.865,58

37,311600

37,311600

2.071,63

41,432600

41,432600

127

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S

10

1.545,19

154,519000

154,519000

1.722,41

172,241000

172,241000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

87

P9.3: TRANSPLANT HEPATIC

1

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6

L

100

98,29

0,982900

0,848200

124,28

1,242800

1,109400

2

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-

6L

50

56,54

1,130800

0,848200

71,49

1,429800

1,109400

3

W59934

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS.

250mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6

L

60

42,41

0,706833

0,706833

55,47

0,924500

0,924500

4

W00188

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS.

250mg

PRO. MED. CS

PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-

6L

50

54,39

1,087800

0,848200

68,77

1,375400

1,109400

5

W53024

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 150 mg

COMPR.

150mg

ZAMBON S.P.A.

ITALIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P-

6L

60

41,43

0,690500

0,690500

54,19

0,903166

0,903166

6

W53025

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 300 mg

COMPR.

300mg

ZAMBON S.P.A.

ITALIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

6L

20

27,43

1,371500

1,371500

35,88

1,794000

1,794000

7

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR.

FILM.

500mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 25

COMPR.FILM.

P6

L

50

111,83

2,236600

2,236600

136,52

2,730400

2,730400

8

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR.

FILM.

500mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25

COMPR.FILM.

P6

L

100

219,67

2,196700

2,196700

268,17

2,681700

2,681700

9

W58363

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP. ORALA

250mg/5 ml

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA

DOZATOARE DIN PP

P6 L

1

77,10

77,100000

77,100000

97,49

97,490000

97,490000

10

W13613

B01AB05

ENOXAPARINUM

CLEXANE 2000ui anti- Xa/0,2ml

SOL. INJ.

2000ui anti-

Xa/0,2ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR

/P RF

10

49,00

4,900000

4,900000

64,09

6,409000

6,409000

11

W13612

B01AB05

ENOXAPARINUM

CLEXANE 4000ui anti- Xa/0,4ml

SOL. INJ.

4000ui

anti- Xa/0,4ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR

/P RF

10

93,99

9,399000

9,399000

118,84

11,884000

11,884000

12

W13611

B01AB05

ENOXAPARINUM

CLEXANE 6000ui anti- Xa/0,6ml

SOL. INJ.

6000ui

anti- Xa/0,6ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR

/P RF

10

118,32

11,832000

11,832000

144,45

14,445000

14,445000

13

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ.

8000ui

anti- Xa/0,8ml

LAB. AVENTIS

FRANT A

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

PR

/P RF

2

30,69

15,345000

15,345000

40,14

20,070000

20,070000

14

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ.

8000UI

anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANT A

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A

PR

/P RF

6

104,35

17,391666

17,391666

127,39

21,231666

21,231666

15

W58879

B01AC11

ILOPROSTUM**

ILOMEDIN 20

CONC. PT. SOL. PERF.

20μg/ml

BAYER PHARMA AG

GERMA NIA

CUTIE X 5 FIOLE STICLA INCOLORA X 1 ML CONC. PT. SOL. PERF.

S/P RF

5

650,50

130,100000

130,100000

747,20

149,440000

149,440000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

16

W51786

B01AC11

ILOPROSTUM**

VENTAVIS 10mcg/ml

SOL. DE INHALAT PRIN

NEBULIZ.

10mcg/ml

BAYER SCHERING PHARMA AG

GERMA NIA

CUTIE X 30 FIOLE X 1 ML SOL. DE INHALAT PRIN NEBULIZ.

S

30

1.947,00

64,900000

64,900000

2.160,38

72,012666

72,012666

17

W00257

B01AD02

ALTEPLASUM**

ACTILYSE

PULB+SOL

V. PT. SOL. INJ

50mg

BOEHRINGER INGELHEIM INTERNATIONAL

GMBH

GERMA NIA

CUTIE X 1 FLAC. LIOF. PT. SOL. INJ. + 1 FLACON SOLV. + CANULA DE TRANSFER

S

1

1.490,89

1.490,890000

1.490,890000

1.663,22

1.663,220000

1.663,220000

18

W54011

B02AA02

ACIDUM TRANEXAMICUM 4)

EXACYL

SOL. INJ.

500mg/5

ml

CN UNIFARM

ROMAN

IA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X

5

9,47

1,894000

1,894000

12,80

2,560000

2,560000

19

W58726

C03EB01

COMBINATII

(SPIRONOLACTONUM+FUROSEMIDUM)

DIUROCARD 50 mg/20 mg

CAPS.

50mg/20

mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.

P6

L

30

23,29

0,776333

0,776333

31,48

1,049333

1,049333

20

W60585

C03EB01

COMBINATII

(SPIRONOLACTONUM+FUROSEMIDUM)

DIOCOR 50 mg/20 mg

CAPS.

50mg/20

mg

SANIENCE S.R.L.

ROMAN

IA

CUTIE CU 3 BLIST. PVC/AL X 10 CAPS.

P6

L

30

23,29

0,776333

0,776333

31,48

1,049333

1,049333

21

W60585

C03EB01

COMBINATII

(SPIRONOLACTONUM+FUROSEMIDUM)

DIOCOR 50 mg/20 mg

CAPS.

50mg/20

mg

SANIENCE S.R.L.

ROMAN

IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P6

L

20

17,25

0,862500

0,862500

23,31

1,165500

1,165500

22

W07005

C03EB01

COMBINATII

(SPIRONOLACTONUM+FUROSEMIDUM)

DIUREX 50

CAPS.

50mg/20

mg

TERAPIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

6L

20

17,25

0,862500

0,862500

23,31

1,165500

1,165500

23

W53989

H01BA02

DESMOPRESSINUM

MINIRIN 0,2 mg

COMPR.

0,2mg

FERRING GMBH

GERMA

NIA

CUTIE X 1 FLAC. DIN PEID X 30 COMPR.

P-

RF

30

95,42

3,180666

3,180666

120,65

4,021666

4,021666

24

W53832

H01BA02

DESMOPRESSINUM

DESMOPRESINA TEVA

0,2mg

COMPR.

0,2mg

TEVA

PHARMACEUTICAL S.R.L.

ROMAN IA

CUTIE CU BLIST. OPA-AL- PVC/AL X 30 COMPR.

P- RF

30

105,26

3,508666

3,508666

128,50

4,283333

4,283333

25

W53992

H01BA02

DESMOPRESSINUM

MINIRIN MELT 120 mcg

LIOF. ORAL

120mcg

FERRING GMBH

GERMA

NIA

CUTIE X 3 BLIST. AL/AL X 10 UNITATI

DOZATE LIOF. ORAL

P-

RF

30

149,92

4,997333

4,997333

183,02

6,100666

6,100666

26

W53991

H01BA02

DESMOPRESSINUM

MINIRIN MELT 60 mcg

LIOF. ORAL

60mcg

FERRING GMBH

GERMA

NIA

CUTIE X 1 BLIST AL/AL X 10 UNITATI

DOZATE LIOF. ORAL

P-

RF

10

26,04

2,604000

2,604000

34,06

3,406000

3,406000

27

W53991

H01BA02

DESMOPRESSINUM

MINIRIN MELT 60 mcg

LIOF. ORAL

60mcg

FERRING GMBH

GERMA

NIA

CUTIE X 3 BLIST AL/AL X 10 UNITATI

DOZATE LIOF. ORAL

P-

RF

30

76,73

2,557666

2,557666

97,02

3,234000

3,234000

28

W54763

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

29

W55423

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

30

W55369

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

31

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA

INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

12

265,41

22,117500

22,117500

324,01

27,000833

27,000833

32

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

33

W54765

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

40,94

40,940000

40,940000

53,55

53,550000

53,550000

34

W55370

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

35

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

36

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML

CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

37

W55424

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

38

W55117

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

39

W53595

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL.

PERF.

S

10

386,57

38,657000

26,541000

459,51

45,951000

32,401000

40

W53596

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL.

PERF.

S

10

389,01

38,901000

38,901000

462,17

46,217000

46,217000

41

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM.

600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF

10

1.603,26

160,326000

160,326000

1.785,71

178,571000

178,571000

42

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA

100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF

1

879,36

879,360000

879,360000

996,65

996,650000

996,650000

88

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

43

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE

SOL. PERF.

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

44

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE

300 ML SOL. PERF.

PR

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

45

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS

SUPLIMENTAR

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

46

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PR F

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

47

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S

10

1.603,26

160,326000

126,314400

1.785,71

178,571000

142,261200

48

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF

28

3.559,23

127,115357

127,115357

3.917,72

139,918571

139,918571

49

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM.

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF

28

912,09

32,574642

32,574642

1.032,33

36,868928

36,868928

50

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF

1

458,07

458,070000

458,070000

537,45

537,450000

537,450000

51

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P- RF

1

2.203,52

2.203,520000

2.203,520000

2.439,99

2.439,990000

2.439,990000

52

W06665

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.202,39

1.202,390000

1.202,390000

1.348,76

1.348,760000

1.348,760000

53

W06670

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF.

70mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.560,14

1.560,140000

1.560,140000

1.738,70

1.738,700000

1.738,700000

54

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA

450 mg

COMPR. FILM.

450mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F

60

3.171,52

52,858666

52,858666

3.495,11

58,251833

58,251833

55

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA

SRL

ROMAN

IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-

RF

60

4.863,09

81,051500

63,430399

5.338,93

88,982166

69,902200

56

W51424

L03AA02

FILGRASTIMUM (G-CSF)

NEUPOGEN (R)

SOL. INJ.

30MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

267,05

267,050000

194,520000

326,02

326,020000

237,468000

57

W51423

L03AA02

FILGRASTIMUM (G-CSF)

NEUPOGEN (R)

SOL. INJ.

48MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

436,57

436,570000

313,092000

514,01

514,010000

382,224000

58

W53892

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

162,10

162,100000

162,100000

197,89

197,890000

197,890000

59

W53893

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

260,91

260,910000

260,910000

318,52

318,520000

318,520000

60

W55756

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF.

120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF

5

418,45

83,690000

83,690000

494,26

98,852000

98,852000

61

W53520

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF.

300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P RF/ R

1

214,16

214,160000

194,520000

261,45

261,450000

237,468000

89

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

62

W55757

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF.

300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF

5

1.001,12

200,224000

194,520000

1.129,37

225,874000

225,874000

63

W53523

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF.

480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P RF/ R

1

355,90

355,900000

313,092000

426,08

426,080000

382,224000

64

W55758

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF.

480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF

5

1.656,30

331,260000

313,092000

1.843,52

368,704000

368,704000

65

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P-

RF/ R

100

452,86

4,528600

4,528600

531,77

5,317700

5,317700

66

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-

RF/ R

50

452,86

9,057200

9,057200

531,77

10,635400

10,635400

67

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

557,65

4,647083

4,647083

645,99

5,383250

5,383250

68

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

1.041,93

8,682750

8,682750

1.173,85

9,782083

9,782083

69

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

70

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

100

291,62

2,916200

2,916200

356,01

3,560100

3,560100

71

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU 1 FLACON PEID CU CAPAC PP

X 100 CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

72

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-

RF/ R

100

302,31

3,023100

3,023100

367,67

3,676700

3,676700

73

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

SANDOZ 500 mg

COMPR.

500mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

227,17

4,543400

4,543400

277,33

5,546600

5,546600

74

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

100

133,10

1,331000

1,331000

162,49

1,624900

1,624900

75

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

PR

F

50

160,05

3,201000

3,201000

195,39

3,907800

3,907800

76

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

77

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM.

500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

302,31

6,046200

6,046200

367,67

7,353400

7,353400

78

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

79

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

50

133,10

2,662000

2,662000

162,49

3,249800

3,249800

80

W10576

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ.

1mg

WYETH EUROPA LTD.

MAREA BRITAN IE

CUTIE X 30 DRAJ. (BLIST. PVC/PE

/ACLAR)

P-

RF/ R

30

489,29

16,309666

16,309666

571,48

19,049333

19,049333

81

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

251,97

5,039400

5,039400

307,60

6,152000

6,152000

82

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

112,48

2,249600

2,249600

137,32

2,746400

2,746400

83

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

59,45

1,189000

1,189000

75,17

1,503400

1,503400

84

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

120,89

2,417800

2,417800

147,58

2,951600

2,951600

85

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

239,32

4,786400

4,786400

292,16

5,843200

5,843200

86

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

90

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

87

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS.

0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10

CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F

50

91,62

1,832400

1,832400

115,84

2,316800

2,316800

88

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5

mg

CAPS.

0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN

PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

89

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

205,39

4,107800

4,107800

250,74

5,014800

5,014800

90

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

91

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN

PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

92

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS

X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P RF

50

363,74

7,274800

7,274800

434,63

8,692600

8,692600

93

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS.

1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU

DESICANT

PR F

50

179,98

3,599600

3,599600

219,72

4,394400

4,394400

94

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

1.715,18

34,303600

34,303600

1.907,70

38,154000

38,154000

95

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS.

ELIB. PREL.

0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

204,92

4,098400

4,098400

250,17

5,003400

5,003400

96

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS.

ELIB. PREL.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

402,53

8,050600

8,050600

476,91

9,538200

9,538200

97

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS.

ELIB. PREL.

5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

1.865,58

37,311600

37,311600

2.071,63

41,432600

41,432600

98

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S

10

1.545,19

154,519000

154,519000

1.722,41

172,241000

172,241000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

91

P9.4: TRANSPLANT RENAL combinat RINICHI si PANCREAS

1

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6

L

100

98,29

0,982900

0,848200

124,28

1,242800

1,109400

2

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-

6L

50

56,54

1,130800

0,848200

71,49

1,429800

1,109400

3

W59934

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS.

250mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6

L

60

42,41

0,706833

0,706833

55,47

0,924500

0,924500

4

W00188

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS.

250mg

PRO. MED. CS

PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-

6L

50

54,39

1,087800

0,848200

68,77

1,375400

1,109400

5

W53024

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 150 mg

COMPR.

150mg

ZAMBON S.P.A.

ITALIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P-

6L

60

41,43

0,690500

0,690500

54,19

0,903166

0,903166

6

W53025

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 300 mg

COMPR.

300mg

ZAMBON S.P.A.

ITALIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

6L

20

27,43

1,371500

1,371500

35,88

1,794000

1,794000

7

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR.

FILM.

500mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 25

COMPR.FILM.

P6

L

50

111,83

2,236600

2,236600

136,52

2,730400

2,730400

8

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR.

FILM.

500mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25

COMPR.FILM.

P6

L

100

219,67

2,196700

2,196700

268,17

2,681700

2,681700

9

W58363

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP. ORALA

250mg/5 ml

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA

DOZATOARE DIN PP

P6 L

1

77,10

77,100000

77,100000

97,49

97,490000

97,490000

10

W00231

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,25 mcg

CAPS. MOI

0,25mcg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

P- RF

50

25,70

0,514000

0,514000

33,62

0,672400

0,672400

11

W58167

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ

0,25 mcg

CAPS. MOI

0,25μg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 30

CAPS. MOI

PR

F

30

16,99

0,566333

0,566333

22,97

0,765666

0,765666

12

W44042

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,50 mcg

CAPS. MOI

0,50mcg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 30 CAPS. MOI

P- RF

30

23,23

0,774333

0,774333

31,40

1,046666

1,046666

13

W58168

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ

0,5 mcg

CAPS. MOI

0,5μg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 30

CAPS. MOI

PR

F

30

26,00

0,866666

0,866666

34,01

1,133666

1,133666

14

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S

10

203,78

20,378000

20,378000

248,78

24,878000

24,878000

15

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

S

10

108,79

10,879000

10,879000

132,81

13,281000

13,281000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

16

W43774

B01AB04

DALTEPARINUM

FRAGMIN 10000 UI/0,4 ml

SOL. INJ.

10000UI/0

,4ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. X 1 SERINGA X 0,4 ML SOL. INJ.

S/P RF

5

103,19

20,638000

20,638000

125,97

25,194000

25,194000

17

W43775

B01AB04

DALTEPARINUM

FRAGMIN 12500 UI/0,5 ml

SOL. INJ.

12500

UI/0,5ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. X 1 SERINGA X 0,5 ML SOL. INJ.

S/P RF

5

139,97

27,994000

27,994000

170,87

34,174000

34,174000

18

W52805

B01AB04

DALTEPARINUM

FRAGMIN15000 UI/0,6 ml

SOL. INJ.

15000ui/0

,6ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,6 ML SOL. INJ.

S/P RF

5

169,45

33,890000

33,890000

206,87

41,374000

41,374000

19

W43776

B01AB04

DALTEPARINUM

FRAGMIN 18000 UI/0,72 ml

SOL. INJ.

18000

UI/0,72ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. X 1 SERINGA X 0,72 ML SOL. INJ.

S/P RF

5

192,72

38,544000

38,544000

235,27

47,054000

47,054000

20

W52809

B01AB04

DALTEPARINUM

FRAGMIN 2500 UI/0,2 ml

SOL. INJ.

2500ui/0, 2ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P RF

10

61,36

6,136000

6,136000

77,59

7,759000

7,759000

21

W52808

B01AB04

DALTEPARINUM

FRAGMIN 5000 UI/0,2 ml

SOL. INJ.

5000ui/0, 2ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,2 ML

S/P RF

10

116,45

11,645000

11,645000

142,16

14,216000

14,216000

22

W52807

B01AB04

DALTEPARINUM

FRAGMIN 7500 UI/0,3 ml

SOL. INJ.

7500ui/0, 3ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 BLIST. INDIVIDUALE CONTINAND FIECARE 1 SERINGA PREUMPLUTA X 0,3 ML

S/P RF

10

166,28

16,628000

16,628000

202,99

20,299000

20,299000

23

W13613

B01AB05

ENOXAPARINUM

CLEXANE 2000ui anti- Xa/0,2ml

SOL. INJ.

2000ui anti-

Xa/0,2ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR

/P RF

10

49,00

4,900000

4,900000

64,09

6,409000

6,409000

24

W13612

B01AB05

ENOXAPARINUM

CLEXANE 4000ui anti- Xa/0,4ml

SOL. INJ.

4000ui anti-

Xa/0,4ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR

/P RF

10

93,99

9,399000

9,399000

118,84

11,884000

11,884000

25

W13611

B01AB05

ENOXAPARINUM

CLEXANE 6000ui anti- Xa/0,6ml

SOL. INJ.

6000ui anti-

Xa/0,6ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR

/P RF

10

118,32

11,832000

11,832000

144,45

14,445000

14,445000

26

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ.

8000ui

anti- Xa/0,8ml

LAB. AVENTIS

FRANT A

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

PR

/P RF

2

30,69

15,345000

15,345000

40,14

20,070000

20,070000

27

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ.

8000UI

anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANT A

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A

PR

/P RF

6

104,35

17,391666

17,391666

127,39

21,231666

21,231666

28

W42955

H01CB02

OCTREOTIDUM**

SANDOSTATIN LAR 20 mg

PULB. + SOLV. PT. SUSP. INJ. (I.M.) CU ELIB.

PRELU

20mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P RF

1

3.478,41

3.478,410000

3.478,410000

3.829,62

3.829,620000

3.829,620000

29

W42954

H01CB02

OCTREOTIDUM**

SANDOSTATIN LAR 10 mg

PULB.+SOL V.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

10mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 1 FLAC. PULBERE + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P RF

1

2.167,33

2.167,330000

2.167,330000

2.400,54

2.400,540000

2.400,540000

30

W42956

H01CB02

OCTREOTIDUM**

SANDOSTATIN LAR 30 mg

PULB.+SOL V.PT.SUSP. INJ. (I.M.) CU ELIB. PRELUNG.

30mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 1 FLAC. PULB. + 1 SERINGA PREUMPLUTA X 2,5 ML SOLVENT + 2 ACE

S/P RF

1

4.817,21

4.817,210000

4.817,210000

5.288,92

5.288,920000

5.288,920000

31

W59668

H01CB02

OCTREOTIDUM**

OCTREOTID KABI 0,1 mg/ml

SOL INJ.

0,1mg/ml

FRESENIUS KABI ROMANIA SRL

ROMAN IA

CUTIE CU 5 FLAC. DIN SICLA INCOLORA, CU CAPACITATEA DE 2 ML X 1 ML SOL.

INJ.

PR F

5

75,49

15,098000

15,098000

95,45

19,090000

19,090000

32

W54763

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

33

W55423

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

34

W55369

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 20 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

35

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML

CU PULB. PT. SOL. INJ./PERF.

S

12

265,41

22,117500

22,117500

324,01

27,000833

27,000833

92

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

36

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

37

W54765

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

40,94

40,940000

40,940000

53,55

53,550000

53,550000

38

W55370

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

39

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

40

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML

CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

41

W55424

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

42

W55117

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

43

W53595

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL.

PERF.

S

10

386,57

38,657000

26,541000

459,51

45,951000

32,401000

44

W53596

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL.

PERF.

S

10

389,01

38,901000

38,901000

462,17

46,217000

46,217000

45

W13105

J01XA02

TEICOPLANINUM

TARGOCID (R) 400 mg

LIOF. + SOLV. PT. SOL. INJ.

400mg

AVENTIS PHARMA LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. LIOF. + O FIOLA SOLV.

P- RF

1

109,84

109,840000

109,840000

134,09

134,090000

134,090000

46

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM.

600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF

10

1.603,26

160,326000

160,326000

1.785,71

178,571000

178,571000

47

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA

100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF

1

879,36

879,360000

879,360000

996,65

996,650000

996,650000

48

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE

SOL. PERF.

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

49

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE

300 ML SOL. PERF.

PR

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

50

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS

SUPLIMENTAR

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

51

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PR F

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

52

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S

10

1.603,26

160,326000

126,314400

1.785,71

178,571000

142,261200

53

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 4 CAPS.

P-

RF

4

18,95

4,737500

3,615428

25,61

6,402500

4,887428

54

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGA

RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-

RF

16

65,37

4,085625

3,615428

82,66

5,166250

4,887428

55

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

100 mg

CAPS.

100mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

21,09

3,012857

3,012857

28,51

4,072857

4,072857

56

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF

2

6,98

3,490000

3,490000

9,43

4,715000

4,715000

57

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

23,31

3,330000

3,330000

31,51

4,501428

4,501428

58

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM

150 mg

CAPS.

150mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

9,57

9,570000

5,340000

12,94

12,940000

7,212000

93

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

59

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS.

150mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

60

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150

mg

CAPS.

150mg

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

61

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

7,16

7,160000

5,340000

9,68

9,680000

7,212000

62

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 FLAC. X 1 CAPS.

P-

RF

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

63

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150

mg

CAPS.

150mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

64

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 150 mg

CAPS.

150mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,07

6,070000

5,340000

8,20

8,200000

7,212000

65

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

150

CAPS.

150mg

SANDOZ SRL

GERMA

NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

10,79

10,790000

5,340000

14,58

14,580000

7,212000

66

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150

mg

CAPS.

150mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1

CAPS.

PR

F

1

7,44

7,440000

5,340000

10,06

10,060000

7,212000

67

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS.

150mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P-

RF

4

48,24

12,060000

5,340000

63,10

15,775000

7,212000

68

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

69

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150

MG

CAPS.

150mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,68

6,680000

5,340000

9,03

9,030000

7,212000

70

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

18,56

18,560000

5,340000

25,08

25,080000

7,212000

71

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS.

150mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

1 CAPS.

P-

RF

1

13,95

13,950000

5,340000

18,86

18,860000

7,212000

72

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

150 mg

CAPS.

150mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F

1

4,45

4,450000

4,450000

6,01

6,010000

6,010000

73

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS.

150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

74

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200

mg

CAPS.

200mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

30,10

4,300000

4,300000

39,37

5,624285

5,624285

75

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS.

50mg

LABORATOARELE PROF.DR.MORAIT

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

11,66

1,665714

1,665714

15,76

2,251428

2,251428

76

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR

F

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

77

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50

MG

CAPS.

50mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,15

2,021428

1,777714

19,12

2,731428

2,403428

78

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS.

50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF

7

43,23

6,175714

1,777714

56,54

8,077142

2,403428

79

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50

mg

CAPS.

50mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

12,35

1,764285

1,764285

16,69

2,384285

2,384285

80

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 7 CAPS.

P-

RF

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

81

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,49

2,070000

1,777714

19,58

2,797142

2,403428

82

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 50 mg

CAPS.

50mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

11,95

1,707142

1,707142

16,15

2,307142

2,307142

83

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS.

50mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

7 CAPS.

P-

RF

7

21,91

3,130000

1,777714

29,61

4,230000

2,403428

84

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

50

CAPS.

50mg

SANDOZ SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

32,06

4,580000

1,777714

41,93

5,990000

2,403428

85

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

50 mg

CAPS.

50mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

10,37

1,481428

1,481428

14,02

2,002857

2,002857

86

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O

PR F

1

23,46

23,460000

23,460000

31,71

31,710000

31,710000

87

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100

ML SOL. PERF.

S

1

34,28

34,280000

20,737200

44,84

44,840000

25,316400

88

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200

MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

89

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200

ML SOL. PERF.

S

1

81,95

81,950000

81,950000

103,62

103,620000

103,620000

94

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

90

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA

INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

91

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 1 FLACON DIN STICLA

INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

S

1

88,14

88,140000

88,140000

111,45

111,450000

103,986000

92

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 1 FLACON DIN STICLA

INCOLORA A 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

93

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X

200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

94

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA

2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

40,63

40,630000

20,737200

53,14

53,140000

25,316400

95

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL.

PERF.

PR

20

350,00

17,500000

17,500000

419,65

20,982500

20,982500

96

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL.

PERF.

PR

20

630,00

31,500000

20,737200

724,85

36,242500

25,316400

97

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50

ML SOL. PERF.

S

1

18,84

18,840000

18,840000

25,47

25,470000

25,179000

98

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL.

PERF.

S

10

770,66

77,066000

77,066000

878,17

87,817000

87,817000

99

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F

1

35,03

35,030000

20,737200

45,82

45,820000

25,316400

100

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL.

PERF.

S

10

454,59

45,459000

20,737200

533,65

53,365000

25,316400

101

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL.

PERF.

S

20

796,39

39,819500

20,737200

906,22

45,311000

25,316400

102

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL.

PERF.

PR

10

760,00

76,000000

76,000000

866,55

86,655000

86,655000

103

W43051

J02AC02

ITRACONAZOLUM

ITRACONAZOL 100 mg

CAPS.

100mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

P-

RF

15

40,18

2,678666

2,678666

52,56

3,504000

3,504000

104

W53958

J02AC02

ITRACONAZOLUM

MICOGAL 100 mg

CAPS.

100mg

ROMPHARM

COMPANY SRL

ROMAN

IA

CUTIE X 3 BLIST. PVC/AL X 5 CAPS.

P-

RF

15

40,18

2,678666

2,678666

52,55

3,503333

3,503333

105

W59235

J02AC02

ITRACONAZOLUM

ITRACONAZOL ARENA 100

mg

CAPS.

100mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 5 CAPS.

P-

RF

15

40,18

2,678666

2,678666

52,56

3,504000

3,504000

106

W52343

J02AC02

ITRACONAZOLUM

OMICRAL 100 mg

CAPS.

100mg

MEDICO UNO PHARMACEUTICAL

SRL

ROMAN IA

CUTIE X 3 BLIST. AL/AL X 5 CAPS.

P- RF

15

40,18

2,678666

2,678666

52,56

3,504000

3,504000

107

W03837

J02AC02

ITRACONAZOLUM

ORUNGAL

CAPS.

100mg

JANSSEN PHARMACEUTICA

N.V.

BELGIA

CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS.

P- RF

15

60,84

4,056000

3,214399

76,92

5,128000

4,204000

108

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF

28

3.559,23

127,115357

127,115357

3.917,72

139,918571

139,918571

109

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM.

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF

28

912,09

32,574642

32,574642

1.032,33

36,868928

36,868928

110

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF

1

458,07

458,070000

458,070000

537,45

537,450000

537,450000

111

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P- RF

1

2.203,52

2.203,520000

2.203,520000

2.439,99

2.439,990000

2.439,990000

112

W06665

J02AX04

CASPOFUNGINUM**

CANCIDAS 50 mg

PULB. PT. CONC. PT. SOL. PERF.

50mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.202,39

1.202,390000

1.202,390000

1.348,76

1.348,760000

1.348,760000

113

W06670

J02AX04

CASPOFUNGINUM**

CANCIDAS 70 mg

PULB. PT. CONC. PT. SOL. PERF.

70mg

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. PULB. PTR. CONC. PTR. SOL. PERF.

S

1

1.560,14

1.560,140000

1.560,140000

1.738,70

1.738,700000

1.738,700000

95

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

114

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS.

200mg

FARMEX COMPANY

S.R.L.

ROMAN

IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

115

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-

RF/ S

####

704,14

0,704140

0,613200

805,66

0,805660

0,805660

116

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

14,97

0,748500

0,613200

20,23

1,011500

0,828600

117

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

118

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-

RF

10

14,41

1,441000

1,441000

19,48

1,948000

1,948000

119

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200

mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

PR

F

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

120

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF

20

10,22

0,511000

0,511000

13,81

0,690500

0,690500

121

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM

200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMAN

IA

CUTIE X 2 BLIST. X 10 COMPR.

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

122

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

123

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200

mg

COMPR.

200mg

TERAPIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

12,69

0,634500

0,613200

17,15

0,857500

0,828600

124

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR.

400mg

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF

10

20,11

2,011000

1,729200

27,18

2,718000

2,337600

125

W00058

J05AB01

ACICLOVIRUM

VIROLEX

PULB. PT.

SOL. INJ./PERF.

250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P RF

5

231,79

46,358000

46,358000

282,97

56,594000

56,594000

126

W58707

J05AB11

VALACYCLOVIRUM

VALTREX 500 mg

COMPR. FILM.

500 mg

THE WELLCOME FOUNDATION LTD.

MAREA BRITAN IE

CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM.

PR F

10

43,54

4,354000

3,396000

56,95

5,695000

4,441200

127

W60087

J05AB11

VALACYCLOVIRUM

VALACICLOVIR ARENA 500

mg

COMPR.

FILM.

500mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/PE/PVDC ALB

OPAC/AL X 10 COMPR. FILM.

PR

F

10

28,30

2,830000

2,830000

37,01

3,701000

3,701000

128

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA

450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F

60

3.171,52

52,858666

52,858666

3.495,11

58,251833

58,251833

129

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA

SRL

ROMAN

IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-

RF

60

4.863,09

81,051500

63,430399

5.338,93

88,982166

69,902200

130

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 300ML SOL.

PERF.(30G/300ML)

S

1

5.558,99

5.558,990000

5.558,990000

6.097,46

6.097,460000

6.097,460000

131

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 200ML SOL.

PERF.(20G/200ML)

S

1

3.821,35

3.821,350000

3.821,350000

4.203,43

4.203,430000

4.203,430000

132

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 10ML SOL.

PERF.(1G/10ML)

S

1

202,26

202,260000

202,260000

246,92

246,920000

246,920000

133

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 50ML SOL.

PERF.(5G/50ML)

S

1

925,45

925,450000

909,000000

1.046,89

1.046,890000

1.036,596000

134

W51530

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

KIOVIG 100mg/ml

SOL. PERF.

100mg/ml

BAXTER AG

AUSTRI

A

CUTIE X 1 FLAC X 100ML SOL.

PERF.(10G/100ML)

S

1

1.857,75

1.857,750000

1.782,000000

2.063,10

2.063,100000

1.988,160000

135

W43965

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 10g/200ml

SOL. PERF.

10g/200ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 200 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

1.485,00

1.485,000000

1.485,000000

1.656,80

1.656,800000

1.656,800000

136

W43962

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 1g/20ml

SOL. PERF.

1g/20ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 20 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

197,39

197,390000

197,390000

240,98

240,980000

240,980000

137

W43963

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 2,5g/50ml

SOL. PERF.

2,5g/50ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA

X 50 ML SOL. PERF. + 1 SET ADMINISTRARE

S

1

393,75

393,750000

393,750000

467,34

467,340000

467,340000

138

W52560

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM.

INTRAVASCULARA**

FLEBOGAMMADIF 50mg/ml

SOL. PERF.

50mg/ml

INSTITUTO

GRIFOLS S.A.

SPANIA

CUTIE X 1 FLAC. X 10 ML SOL. PERF.

S

1

102,55

102,550000

102,550000

125,19

125,190000

125,190000

139

W43964

J06BA02

IMUNOGLOBULINA NORMALA PT. ADM. INTRAVASCULARA**

IG VENA 5g/100ml

SOL. PERF.

5g/100ml

KEDRION SPA

ITALIA

CUTIE X 1 FLAC. DIN STICLA INCOLORA X 100 ML SOL. PERF. + 1 SET

ADMINISTRARE

S

1

757,50

757,500000

757,500000

863,83

863,830000

863,830000

140

W12490

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN (R) 50 mg

DRAJ.

50mg

BAXTER

ONCOLOGY GMBH

GERMA

NIA

CUTIE X 5 BLIST. PVC-PVDC/AL X 10

DRAJ.

P-

RF

50

19,33

0,386600

0,386600

26,13

0,522600

0,522600

141

W52215

L01AA01

CYCLOPHOSPHAMIDUM

ENDOXAN 200 mg

PULB. PT. SOL. PERF./INJ.

I.V.

200mg

ACTAVIS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. PULB. PT. SOL. PERF./INJ

S

1

11,76

11,760000

11,760000

15,89

15,890000

15,890000

142

W51424

L03AA02

FILGRASTIMUM (G-CSF)

NEUPOGEN (R)

SOL. INJ.

30MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

267,05

267,050000

194,520000

326,02

326,020000

237,468000

143

W51423

L03AA02

FILGRASTIMUM (G-CSF)

NEUPOGEN (R)

SOL. INJ.

48MU/0,5

ml

AMGEN EUROPE B.V.

OLAND A

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,5 ML

S/P RF

1

436,57

436,570000

313,092000

514,01

514,010000

382,224000

96

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

144

W53892

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 30MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

60MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

162,10

162,100000

162,100000

197,89

197,890000

197,890000

145

W53893

L03AA02

FILGRASTIMUM (G-CSF)

ZARZIO 48MU/0,5ml

SOL. INJ.

/PERF. IN SERINGA PREUMPLU TA

96MU/ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL

P-

RF/ R

1

260,91

260,910000

260,910000

318,52

318,520000

318,520000

146

W55756

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 12 MU/0,2ml

SOL. INJ./PERF.

120μg/0,2 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,2ML SOL. INJ. SAU PERF.

P- RF

5

418,45

83,690000

83,690000

494,26

98,852000

98,852000

147

W53520

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 30MUI/0,5ml

SOL. INJ./PERF.

300mcg/0, 5ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0,5 ML SOL. INJ. SAU PERF.

S/P RF/ R

1

214,16

214,160000

194,520000

261,45

261,450000

237,468000

148

W55757

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 30 MU/0,5 ml

SOL. INJ./PERF.

300μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF

5

1.001,12

200,224000

194,520000

1.129,37

225,874000

225,874000

149

W53523

L03AA02

FILGRASTIMUM (G-CSF)

TEVAGRASTIM 48MUI/0,8ml

SOL. INJ./PERF.

480mcg/0, 8ml

TEVA GENERICS GMBH

GERMA NIA

CUTIE X 1 SERINGA PREUMPLUTA X 0.8 ML SOL. INJ. SAU PERF.

S/P RF/ R

1

355,90

355,900000

313,092000

426,08

426,080000

382,224000

150

W55758

L03AA02

FILGRASTIMUM (G-CSF)

NIVESTIM 48 MU/0,5 ml

SOL. INJ./PERF.

480μg/0,5 ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 5 SERINGI PREUMPLUTE (STICLA) X 0,5 ML SOL. INJ. SAU PERF.

P- RF

5

1.656,30

331,260000

313,092000

1.843,52

368,704000

368,704000

151

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P-

RF/ R

100

452,86

4,528600

4,528600

531,77

5,317700

5,317700

152

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-

RF/ R

50

452,86

9,057200

9,057200

531,77

10,635400

10,635400

153

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

557,65

4,647083

4,647083

645,99

5,383250

5,383250

154

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

1.041,93

8,682750

8,682750

1.173,85

9,782083

9,782083

155

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

156

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

100

291,62

2,916200

2,916200

356,01

3,560100

3,560100

157

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU 1 FLACON PEID CU CAPAC PP

X 100 CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

158

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-

RF/ R

100

302,31

3,023100

3,023100

367,67

3,676700

3,676700

159

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

SANDOZ 500 mg

COMPR.

500mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

227,17

4,543400

4,543400

277,33

5,546600

5,546600

160

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

100

133,10

1,331000

1,331000

162,49

1,624900

1,624900

161

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

PR

F

50

160,05

3,201000

3,201000

195,39

3,907800

3,907800

162

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

163

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM.

500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

302,31

6,046200

6,046200

367,67

7,353400

7,353400

164

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

165

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

50

133,10

2,662000

2,662000

162,49

3,249800

3,249800

166

W10576

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ.

1mg

WYETH EUROPA LTD.

MAREA BRITAN IE

CUTIE X 30 DRAJ. (BLIST. PVC/PE

/ACLAR)

P-

RF/ R

30

489,29

16,309666

16,309666

571,48

19,049333

19,049333

97

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

167

W13098

L04AC02

BASILIXIMABUM**

SIMULECT 20 mg

LIOF. + SOLV. PT. SOL.

INJ./PERF.

20mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

S

1

4.267,46

4.267,460000

4.267,460000

4.689,69

4.689,690000

4.689,690000

168

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

251,97

5,039400

5,039400

307,60

6,152000

6,152000

169

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

112,48

2,249600

2,249600

137,32

2,746400

2,746400

170

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

59,45

1,189000

1,189000

75,17

1,503400

1,503400

171

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

120,89

2,417800

2,417800

147,58

2,951600

2,951600

172

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

239,32

4,786400

4,786400

292,16

5,843200

5,843200

173

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

174

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS.

0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU

DESICANT

PR F

50

91,62

1,832400

1,832400

115,84

2,316800

2,316800

175

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5

mg

CAPS.

0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50

CAPS.

S/P RF

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

176

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

205,39

4,107800

4,107800

250,74

5,014800

5,014800

177

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

178

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN

PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

179

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

363,74

7,274800

7,274800

434,63

8,692600

8,692600

180

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS.

1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10 CAPS. IN PUNGI DIN AL PREVAZUTE CU

DESICANT

PR F

50

179,98

3,599600

3,599600

219,72

4,394400

4,394400

181

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

1.715,18

34,303600

34,303600

1.907,70

38,154000

38,154000

182

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS. ELIB.

PREL.

0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

204,92

4,098400

4,098400

250,17

5,003400

5,003400

183

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS. ELIB.

PREL.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

402,53

8,050600

8,050600

476,91

9,538200

9,538200

184

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS. ELIB.

PREL.

5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

1.865,58

37,311600

37,311600

2.071,63

41,432600

41,432600

185

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S

10

1.545,19

154,519000

154,519000

1.722,41

172,241000

172,241000

186

W56928

L04AX01

AZATHIOPRINUM

IMURAN®

COMPR. FILM.

50mg

ASPEN EUROPE GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P RF

100

55,53

0,555300

0,555300

70,21

0,702100

0,702100

187

W56508

L04AX01

AZATHIOPRINUM

IMMUNOPRIN 75 mg

COMPR. FILM.

75mg

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

100

62,39

0,623900

0,623900

78,89

0,788900

0,788900

188

W54297

M05BA04

ACIDUM ALENDRONICUM

TEVANAT 70 mg

COMPR.

70 mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR.

P- 6L

4

36,90

9,225000

5,337000

48,27

12,067500

7,212000

189

W53741

M05BA04

ACIDUM ALENDRONICUM

RANOS 70 mg

COMPR.

70mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. DIN PAO-PVC-AL/AL X 4

COMPR.

P-

6L

4

36,44

9,110000

5,337000

47,66

11,915000

7,212000

190

W60296

M05BA04

ACIDUM ALENDRONICUM

FOSAMAX 70 mg

COMPR.

70mg

MERCK SHARP &

DOHME

ROMAN

IA

CUTIE CU 1 BLIST. AL/AL X 2 COMPR.

P6

L

2

28,39

14,195000

5,337000

37,13

18,565000

7,212000

191

W58352

M05BA04

ACIDUM ALENDRONICUM

ACID ALENDRONIC AUROBINDO 70 mg

COMPR.

70mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLIST. TRANSPARENTE PVC- ACLAR/AL X 4 COMPR.

P6 L

4

17,79

4,447500

4,447500

24,04

6,010000

6,010000

192

W56763

M05BA04

ACIDUM ALENDRONICUM

ADRONIK 70 mg

COMPR.

FILM.

70mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 4

COMPR. FILM.

P-

6L

4

36,67

9,167500

5,337000

47,97

11,992500

7,212000

98

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

193

W56763

M05BA04

ACIDUM ALENDRONICUM

ADRONIK 70 mg

COMPR.

FILM.

70mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 12

COMPR. FILM.

P-

6L

12

108,06

9,005000

5,337000

131,92

10,993333

7,212000

194

W52948

M05BA04

ACIDUM ALENDRONICUM

ALENDRONAT SANDOZ 70

mg

COMPR.

FILM.

70mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2

COMPR. FILM

P-

6L

2

9,49

4,745000

4,745000

12,82

6,410000

6,410000

195

W56763

M05BA04

ACIDUM ALENDRONICUM

ADRONIK 70 mg

COMPR.

FILM.

70mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2

COMPR. FILM.

P-

6L

2

18,33

9,165000

5,337000

24,78

12,390000

7,212000

196

W42905

N02AB02

PETHIDINUM

MIALGIN (R) 100 mg/2 ml

SOL. INJ.

50mg/ml

ZENTIVA SA

ROMAN

IA

CUTIE X 5 FIOLE DIN STICLA X 2 ML

P-

TS

5

6,92

1,384000

1,384000

9,35

1,870000

1,870000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

P9.5: TRANSPLANT CELULE PANCREATICE

1

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM.

600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF

10

1.603,26

160,326000

160,326000

1.785,71

178,571000

178,571000

2

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA

100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF

1

879,36

879,360000

879,360000

996,65

996,650000

996,650000

3

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE

SOL. PERF.

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

4

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE

300 ML SOL. PERF.

PR

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

5

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS

SUPLIMENTAR

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

6

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PR F

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

7

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S

10

1.603,26

160,326000

126,314400

1.785,71

178,571000

142,261200

8

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF

28

3.559,23

127,115357

127,115357

3.917,72

139,918571

139,918571

9

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM.

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF

28

912,09

32,574642

32,574642

1.032,33

36,868928

36,868928

10

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF

1

458,07

458,070000

458,070000

537,45

537,450000

537,450000

11

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P- RF

1

2.203,52

2.203,520000

2.203,520000

2.439,99

2.439,990000

2.439,990000

12

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA

450 mg

COMPR. FILM.

450mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F

60

3.171,52

52,858666

52,858666

3.495,11

58,251833

58,251833

13

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA

SRL

ROMAN

IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-

RF

60

4.863,09

81,051500

63,430399

5.338,93

88,982166

69,902200

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

99

P9.6: TRANSPLANT PULMONAR

1

W13613

B01AB05

ENOXAPARINUM

CLEXANE 2000ui anti- Xa/0,2ml

SOL. INJ.

2000ui

anti- Xa/0,2ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR

/P RF

10

49,00

4,900000

4,900000

64,09

6,409000

6,409000

2

W13612

B01AB05

ENOXAPARINUM

CLEXANE 4000ui anti- Xa/0,4ml

SOL. INJ.

4000ui anti-

Xa/0,4ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR

/P RF

10

93,99

9,399000

9,399000

118,84

11,884000

11,884000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

3

W13611

B01AB05

ENOXAPARINUM

CLEXANE 6000ui anti- Xa/0,6ml

SOL. INJ.

6000ui

anti- Xa/0,6ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR

/P RF

10

118,32

11,832000

11,832000

144,45

14,445000

14,445000

4

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ.

8000ui

anti- Xa/0,8ml

LAB. AVENTIS

FRANT A

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

PR

/P RF

2

30,69

15,345000

15,345000

40,14

20,070000

20,070000

5

W13610

B01AB05

ENOXAPARINUM

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ.

8000UI

anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANT A

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A

PR

/P RF

6

104,35

17,391666

17,391666

127,39

21,231666

21,231666

6

W54011

B02AA02

ACIDUM TRANEXAMICUM 4)

EXACYL

SOL. INJ.

500mg/5

ml

CN UNIFARM

ROMAN

IA

CUTIE X 5 FIOLE X 5ML SOL. INJ.

X

5

9,47

1,894000

1,894000

12,80

2,560000

2,560000

7

W02947

C01CA24

EPINEPHRINUM

ADRENALINA 1 mg

SOL. INJ.

1mg/ml

TERAPIA SA

ROMAN

IA

CUTIE X 100 FIOLE X 1 ML

S

100

151,25

1,512500

1,512500

184,65

1,846500

1,846500

8

W60389

C01CA24

EPINEPHRINUM

EPIPEN 150 micrograme

SOL. INJ. IN STILOU PREUMPLU

T

150mcg

MEDA PHARMA GMBH & CO KG

GERMA NIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR

1

147,80

147,800000

147,800000

180,43

180,430000

180,430000

9

W60390

C01CA24

EPINEPHRINUM

EPIPEN 300 micrograme

SOL. INJ. IN STILOU PREUMPLU

T

300mcg

MEDA PHARMA GMBH & CO KG

GERMA NIA

CUTIE CU 1 STILOU AUTOINJECTOR PREUMPLUT CU 2ML PENTRU O DOZA UNICA DE 0,3ML

PR

1

147,80

147,800000

147,800000

180,43

180,430000

180,430000

10

W54763

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 2g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 10 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

11

W55423

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 2g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA

CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

12

W55369

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 20 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

13

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT.

SOL. INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA

INCOLORA CU CAPACITATEA DE 30 ML CU PULB. PT. SOL. INJ./PERF.

S

12

265,41

22,117500

22,117500

324,01

27,000833

27,000833

14

W55629

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 2 g/0,25 g

PULB. PT. SOL.

INJ./PERF.

2g/0,25g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 30 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

22,93

22,930000

22,930000

30,99

30,990000

30,990000

15

W54765

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA M MYLAN 4g/0,5 g

PULB. PT.

SOL. INJ./PERF.

4g/0,5g

MYLAN S.A.S.

FRANT A

CUTIE CU 1 FLAC. DIN STICLA INCOLORA A 50 ML CU PULB. PT. SOL. INJ./PERF.

S

1

40,94

40,940000

40,940000

53,55

53,550000

53,550000

16

W55370

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

BACTACIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

TERAPIA SA

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 50 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

17

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

18

W55630

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

ZOPECILIN 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ROMASTRU TRADING SRL

ROMAN IA

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML

CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

19

W55424

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PERASIN 4g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ANTIBIOTICE S.A.

ROMAN IA

CUTIE CU 1 FLAC. DIN STICLA INCOLORA CU CAPACITATEA DE 48 ML CU PULB.

PT. SOL. INJ./PERF.

S

1

40,93

40,930000

40,930000

53,53

53,530000

53,530000

20

W55117

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILINA/TAZOBACTA N ACTAVIS 4 g/0,5 g

PULB. PT. SOL.

INJ./PERF.

4g/0,5g

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU 12 FLAC. DIN STICLA INCOLORA CU PULB. PT. SOL. INJ./PERF.

S

12

460,81

38,400833

38,400833

540,43

45,035833

45,035833

21

W53595

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 2g/0,25 g

PULB. PT. SOL. PERF.

2g/0,25g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC. DIN STICLA

INCOLORA X 50 ML CU PULB. PT. SOL. PERF.

S

10

386,57

38,657000

26,541000

459,51

45,951000

32,401000

22

W53596

J01CR05

PIPERACILLINUM + TAZOBACTAMUM

PIPERACILLIN/TAZOBACTA M KABI 4g/0.5g

PULB. PT. SOL. PERF.

4g/0,5g

S.C. FRESENIUS KABI S.R.L.

ROMAN IA

CUTIE CU 10 FLAC DIN STICLA INCOLORA X 50 ML CU PULB. PT. SOL.

PERF.

S

10

389,01

38,901000

38,901000

462,17

46,217000

46,217000

23

W52799

J01XX08

LINEZOLIDUM

ZYVOXID (R)

COMPR. FILM.

600mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. X 10 COMPR. FILM.

P- RF

10

1.603,26

160,326000

160,326000

1.785,71

178,571000

178,571000

24

W52800

J01XX08

LINEZOLIDUM

ZYVOXID (R)

GRAN. PT. SUSP. ORALA

100mg/5 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLACON X 66 G GRAN. PTR. 150 ML SUSP. + 1 LINGURITA DOZATOARE DUBLA X 2,5 ML/5 ML

P- RF

1

879,36

879,360000

879,360000

996,65

996,650000

996,650000

25

W60734

J01XX08

LINEZOLIDUM

LINEZOLID SANDOZ 2 mg/ml

SOL. PERF.

2mg/ml

SANDOZ S.R.L.

ROMAN IA

CUTIE CU 1 PUNGA DIN PP INCOLORA PÂNA LA GALBUIE, CU 1 SAU 2 PERFUZOARE SI ÎNVELIS SUPLIMENTAR DIN FOLIE LAMINATA CARE CONTINE

SOL. PERF.

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

100

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

26

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 10 PUNGI DIN PP TRANSPARENTA PANA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI INVELIS SUPLIMENTAR DIN FOLIE LAMINATA TRANSPARENTA CONTINAND FIECARE

300 ML SOL. PERF.

PR

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

27

W60604

J01XX08

LINEZOLIDUM

PNEUMOLID 2 mg/ml

SOL. PERF.

2mg/ml

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU O PUNGA DIN PP TRANSPARENTA PÂNA LA GALBUIE CU 1 SAU 2 PERFUZOARE SI ÎNVELIS

SUPLIMENTAR

PR

1

112,48

112,480000

112,480000

137,32

137,320000

137,320000

28

W57578

J01XX08

LINEZOLIDUM

LINEZOLID TEVA 2 mg/ml

SOL. PERF.

2mg/ml

TEVA PHARMACEUTICALS S.R.L.

ROMAN IA

10 PUNGI PT. PERFUZIE (DIN POLIMER MULTISTRAT) CU 1 PERFUZOR SAU 2 PERFUZOARE CU 300 ML SOL., ECHIPA

PR F

10

1.052,62

105,262000

105,262000

1.185,51

118,551000

118,551000

29

W52801

J01XX08

LINEZOLIDUM

ZYVOXID (R)

SOL. PERF.

2mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 10 PUNGI X 300 ML

S

10

1.603,26

160,326000

126,314400

1.785,71

178,571000

142,261200

30

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 4 CAPS.

P-

RF

4

18,95

4,737500

3,615428

25,61

6,402500

4,887428

31

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGA

RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-

RF

16

65,37

4,085625

3,615428

82,66

5,166250

4,887428

32

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

100 mg

CAPS.

100mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

21,09

3,012857

3,012857

28,51

4,072857

4,072857

33

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF

2

6,98

3,490000

3,490000

9,43

4,715000

4,715000

34

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

23,31

3,330000

3,330000

31,51

4,501428

4,501428

35

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM

150 mg

CAPS.

150mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

9,57

9,570000

5,340000

12,94

12,940000

7,212000

36

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS.

150mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

37

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150

mg

CAPS.

150mg

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

38

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

7,16

7,160000

5,340000

9,68

9,680000

7,212000

39

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 FLAC. X 1 CAPS.

P-

RF

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

40

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150

mg

CAPS.

150mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

41

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 150 mg

CAPS.

150mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,07

6,070000

5,340000

8,20

8,200000

7,212000

42

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

150

CAPS.

150mg

SANDOZ SRL

GERMA

NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

10,79

10,790000

5,340000

14,58

14,580000

7,212000

43

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150

mg

CAPS.

150mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1

CAPS.

PR

F

1

7,44

7,440000

5,340000

10,06

10,060000

7,212000

44

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS.

150mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P-

RF

4

48,24

12,060000

5,340000

63,10

15,775000

7,212000

45

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS.

150mg

LABORATOARELE PROF.DR.MORAIT

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

46

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150

MG

CAPS.

150mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,68

6,680000

5,340000

9,03

9,030000

7,212000

47

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

18,56

18,560000

5,340000

25,08

25,080000

7,212000

48

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS.

150mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

1 CAPS.

P-

RF

1

13,95

13,950000

5,340000

18,86

18,860000

7,212000

49

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

150 mg

CAPS.

150mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F

1

4,45

4,450000

4,450000

6,01

6,010000

6,010000

50

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS.

150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

51

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200

mg

CAPS.

200mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

30,10

4,300000

4,300000

39,37

5,624285

5,624285

52

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS.

50mg

LABORATOARELE PROF.DR.MORAIT

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

11,66

1,665714

1,665714

15,76

2,251428

2,251428

53

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR

F

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

101

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

54

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50

MG

CAPS.

50mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,15

2,021428

1,777714

19,12

2,731428

2,403428

55

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS.

50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF

7

43,23

6,175714

1,777714

56,54

8,077142

2,403428

56

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50

mg

CAPS.

50mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

12,35

1,764285

1,764285

16,69

2,384285

2,384285

57

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 7 CAPS.

P-

RF

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

58

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,49

2,070000

1,777714

19,58

2,797142

2,403428

59

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 50 mg

CAPS.

50mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

11,95

1,707142

1,707142

16,15

2,307142

2,307142

60

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS.

50mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

7 CAPS.

P-

RF

7

21,91

3,130000

1,777714

29,61

4,230000

2,403428

61

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

50

CAPS.

50mg

SANDOZ SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

32,06

4,580000

1,777714

41,93

5,990000

2,403428

62

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

50 mg

CAPS.

50mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

10,37

1,481428

1,481428

14,02

2,002857

2,002857

63

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O

PR F

1

23,46

23,460000

23,460000

31,71

31,710000

31,710000

64

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100

ML SOL. PERF.

S

1

34,28

34,280000

20,737200

44,84

44,840000

25,316400

65

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200

MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

66

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200

ML SOL. PERF.

S

1

81,95

81,950000

81,950000

103,62

103,620000

103,620000

67

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 10 FLACOANE DIN STICLA

INCOLORA A CATE 100 ML SOL. PERF. X 200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

68

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE CU 1 FLACON DIN STICLA

INCOLORA A 200 ML SOL. PERF. X 400 MG FLUCONAZOL

S

1

88,14

88,140000

88,140000

111,45

111,450000

103,986000

69

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200

MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

70

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X

200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

71

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA

2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

40,63

40,630000

20,737200

53,14

53,140000

25,316400

72

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL.

PERF.

PR

20

350,00

17,500000

17,500000

419,65

20,982500

20,982500

73

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL.

PERF.

PR

20

630,00

31,500000

20,737200

724,85

36,242500

25,316400

74

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50

ML SOL. PERF.

S

1

18,84

18,840000

18,840000

25,47

25,470000

25,179000

75

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL.

PERF.

S

10

770,66

77,066000

77,066000

878,17

87,817000

87,817000

76

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F

1

35,03

35,030000

20,737200

45,82

45,820000

25,316400

77

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL.

PERF.

S

10

454,59

45,459000

20,737200

533,65

53,365000

25,316400

78

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL.

PERF.

S

20

796,39

39,819500

20,737200

906,22

45,311000

25,316400

79

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL.

PERF.

PR

10

760,00

76,000000

76,000000

866,55

86,655000

86,655000

80

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF

28

3.559,23

127,115357

127,115357

3.917,72

139,918571

139,918571

102

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

81

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM.

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF

28

912,09

32,574642

32,574642

1.032,33

36,868928

36,868928

82

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF

1

458,07

458,070000

458,070000

537,45

537,450000

537,450000

83

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P- RF

1

2.203,52

2.203,520000

2.203,520000

2.439,99

2.439,990000

2.439,990000

84

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS.

200mg

FARMEX COMPANY

S.R.L.

ROMAN

IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

85

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-

RF/ S

1.000

704,14

0,704140

0,613200

805,66

0,805660

0,805660

86

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

14,97

0,748500

0,613200

20,23

1,011500

0,828600

87

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

88

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-

RF

10

14,41

1,441000

1,441000

19,48

1,948000

1,948000

89

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200

mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

PR

F

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

90

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF

20

10,22

0,511000

0,511000

13,81

0,690500

0,690500

91

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM

200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMAN

IA

CUTIE X 2 BLIST. X 10 COMPR.

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

92

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

93

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200

mg

COMPR.

200mg

TERAPIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

12,69

0,634500

0,613200

17,15

0,857500

0,828600

94

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR.

400mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF

10

20,11

2,011000

1,729200

27,18

2,718000

2,337600

95

W00058

J05AB01

ACICLOVIRUM

VIROLEX

PULB. PT. SOL.

INJ./PERF.

250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P RF

5

231,79

46,358000

46,358000

282,97

56,594000

56,594000

96

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA

450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F

60

3.171,52

52,858666

52,858666

3.495,11

58,251833

58,251833

97

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA

SRL

ROMAN

IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-

RF

60

4.863,09

81,051500

63,430399

5.338,93

88,982166

69,902200

98

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P-

RF/ R

100

452,86

4,528600

4,528600

531,77

5,317700

5,317700

99

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-

RF/ R

50

452,86

9,057200

9,057200

531,77

10,635400

10,635400

100

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

557,65

4,647083

4,647083

645,99

5,383250

5,383250

101

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

1.041,93

8,682750

8,682750

1.173,85

9,782083

9,782083

102

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

103

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

100

291,62

2,916200

2,916200

356,01

3,560100

3,560100

104

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU 1 FLACON PEID CU CAPAC PP

X 100 CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

105

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-

RF/ R

100

302,31

3,023100

3,023100

367,67

3,676700

3,676700

106

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

SANDOZ 500 mg

COMPR.

500mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

227,17

4,543400

4,543400

277,33

5,546600

5,546600

107

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

100

133,10

1,331000

1,331000

162,49

1,624900

1,624900

108

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

PR

F

50

160,05

3,201000

3,201000

195,39

3,907800

3,907800

103

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

109

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

110

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM.

500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

302,31

6,046200

6,046200

367,67

7,353400

7,353400

111

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

112

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

50

133,10

2,662000

2,662000

162,49

3,249800

3,249800

113

W13098

L04AC02

BASILIXIMABUM**

SIMULECT 20 mg

LIOF. + SOLV. PT. SOL.

INJ./PERF.

20mg

NOVARTIS EUROPHARM LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. CU LIOF.+ 1 FIOLA SOLV. APA PT. PREP. INJ.

S

1

4.267,46

4.267,460000

4.267,460000

4.689,69

4.689,690000

4.689,690000

114

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

251,97

5,039400

5,039400

307,60

6,152000

6,152000

115

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

112,48

2,249600

2,249600

137,32

2,746400

2,746400

116

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

59,45

1,189000

1,189000

75,17

1,503400

1,503400

117

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

120,89

2,417800

2,417800

147,58

2,951600

2,951600

118

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

239,32

4,786400

4,786400

292,16

5,843200

5,843200

119

W56928

L04AX01

AZATHIOPRINUM

IMURAN®

COMPR. FILM.

50mg

ASPEN EUROPE GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P RF

100

55,53

0,555300

0,555300

70,21

0,702100

0,702100

120

W56508

L04AX01

AZATHIOPRINUM

IMMUNOPRIN 75 mg

COMPR. FILM.

75mg

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

100

62,39

0,623900

0,623900

78,89

0,788900

0,788900

121

W42813

N02AX02

TRAMADOLUM

TRALGIT 50

CAPS.

50mg

ZENTIVA A.S.

SLOVA

CIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

4,15

0,207500

0,207500

5,61

0,280500

0,280500

122

W41593

N02AX02

TRAMADOLUM

K-ALMA (R)

CAPS.

50mg

ANTIBIOTICE SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

5,67

0,283500

0,249000

7,67

0,383500

0,336600

123

W13570

N02AX02

TRAMADOLUM

TRAMADOL LPH 50 mg

CAPS.

50mg

LABORMED

PHARMA SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

5,67

0,283500

0,249000

7,67

0,383500

0,336600

124

W12691

N02AX02

TRAMADOLUM

TRAMADOL

CAPS.

50mg

KRKA D.D.

SLOVE

NIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

4,31

0,215500

0,215500

5,82

0,291000

0,291000

125

W60291

N02AX02

TRAMADOLUM

TRAMACALM

CAPS.

50mg

A.C. HELCOR

PHARMA S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 10 CAPS.

P-

RF

10

2,85

0,285000

0,249000

3,85

0,385000

0,336600

126

W60238

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

CAPS.

50mg

ZENTIVA A.S.

SLOVA

CIA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

4,15

0,207500

0,207500

5,61

0,280500

0,280500

127

W05960

N02AX02

TRAMADOLUM

MABRON 50 mg

CAPS.

50mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-

RF

10

2,85

0,285000

0,249000

3,85

0,385000

0,336600

128

W52049

N02AX02

TRAMADOLUM

TRAMADOL ARENA

CAPS.

50mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

6,66

0,333000

0,249000

9,00

0,450000

0,336600

129

W42957

N02AX02

TRAMADOLUM

TRAMADOL EEL

COMPR.

50mg

BIO EEL SRL

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

5,67

0,283500

0,249000

7,67

0,383500

0,336600

130

W42440

N02AX02

TRAMADOLUM

TRAMAG 50

COMPR.

50mg

MAGISTRA C & C

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

5,67

0,283500

0,249000

7,67

0,383500

0,336600

131

W13507

N02AX02

TRAMADOLUM

TRAMADOLOR (R) 100 ID

COMPR. ELIB.

MODIF.

100mg

HEXAL AG

GERMA NIA

CUTIE X 1 BLIST. X 10 COMPR. ELIB. MODIF.

P- RF

10

4,66

0,466000

0,466000

6,30

0,630000

0,630000

132

W58072

N02AX02

TRAMADOLUM

TRAMADOL RETARD 100 mg

COMPR. ELIB.

PREL.

100mg

KRKA, D.D., NOVO MESTO

SLOVE NIA

CUTIE CU 3 BLIST. AL/PVC X 10 COMPR. ELIB. PREL.

PR F

30

13,99

0,466333

0,466333

18,91

0,630333

0,630333

133

W60236

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA

100 mg

COMPR. ELIB.

PREL.

100mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF

30

13,98

0,466000

0,466000

18,89

0,629666

0,629666

134

W41922

N02AX02

TRAMADOLUM

TRALGIT SR 100

COMPR. ELIB.

PREL.

100mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF

30

13,98

0,466000

0,466000

18,89

0,629666

0,629666

135

W60237

N02AX02

TRAMADOLUM

TRAMADOL SR ZENTIVA

150 mg

COMPR. ELIB.

PREL.

150mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF

30

20,38

0,679333

0,679333

27,55

0,918333

0,918333

136

W58893

N02AX02

TRAMADOLUM

TRADOLAN RETARD 150 mg

COMPR. ELIB.

PREL.

150mg

LANNACHER HEILMITTEL

GES.M.B.H.

AUSTRI A

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PR F

30

24,72

0,824000

0,815200

33,41

1,113666

1,102000

137

W41923

N02AX02

TRAMADOLUM

TRALGIT SR 150

COMPR. ELIB.

PREL.

150mg

ZENTIVA AS

SLOVA CIA

CUTIE X 3 BLIST. PVC/AL X 10 COMPR. ELIB. PREL.

P- RF

30

20,38

0,679333

0,679333

27,55

0,918333

0,918333

104

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

138

W58894

N02AX02

TRAMADOLUM

TRADOLAN RETARD 200 mg

COMPR.

ELIB. PREL.

200mg

LANNACHER

HEILMITTEL GES.M.B.H.

AUSTRI A

CUTIE CU 3 BLIST. PVC/AL X 10 COMPR. CU ELIB. PREL.

PR F

30

26,22

0,874000

0,874000

34,30

1,143333

1,143333

139

W07784

N02AX02

TRAMADOLUM

TRADOLAN 50 mg

COMPR. FILM.

50mg

LANNACHER

HEILMITTEL GES.M.B.H.

AUSTRI A

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.FILM.

P- RF

30

7,88

0,262666

0,249000

10,65

0,355000

0,336600

140

W07473

N02AX02

TRAMADOLUM

TRAMAL RETARD 100 mg

COMPR. FILM. ELIB. PREL.

100mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. AL/PVDC X 10 COMPR. FILM. CU ELIB. PREL.

P- RF

10

7,17

0,717000

0,559200

9,69

0,969000

0,755599

141

W43360

N02AX02

TRAMADOLUM

TRAMADOL RETARD 150 mg

COMPR. FILM. ELIB. PREL.

150mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P- RF

30

31,78

1,059333

0,815200

41,57

1,385666

1,102000

142

W05978

N02AX02

TRAMADOLUM

TRAMAL RETARD 150 mg

COMPR. FILM. ELIB. PREL.

150mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. CU ELIB. PREL.

P- RF

10

16,30

1,630000

0,815200

22,03

2,203000

1,102000

143

W05979

N02AX02

TRAMADOLUM

TRAMAL RETARD 200 mg

COMPR. FILM. ELIB. PREL.

200mg

GRUNENTHAL GMBH

GERMA NIA

CUTIE X 1 BLIST. PVC-PVDC/AL X 10 COMPR.FILM. ELIB. PREL.

P- RF

10

20,85

2,085000

1,048800

28,18

2,818000

1,372000

144

W43361

N02AX02

TRAMADOLUM

TRAMADOL RETARD 200 mg

COMPR. FILM. ELIB. PREL.

200mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. ELIB. PREL.

P- RF

30

40,67

1,355666

1,048800

53,20

1,773333

1,372000

145

W60239

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE RSABILE

50mg

ZENTIVA, A.S.

REPUB LICA SLOVA

CA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PR F

10

2,84

0,284000

0,249000

3,84

0,384000

0,336600

146

W59163

N02AX02

TRAMADOLUM

TRALGIT 50 mg

COMPR. ORODISPE RSABILE

50mg

ZENTIVA, A.S.

REPUB LICA SLOVA

CA

CUTIE CU 1 BLIST. OPA-AL-PVC/AL X 10 COMPR. ORODISPERSABILE

PR F

10

2,84

0,284000

0,249000

3,84

0,384000

0,336600

147

W60239

N02AX02

TRAMADOLUM

TRAMADOL ZENTIVA 50 mg

COMPR. ORODISPE RSABILE

50mg

ZENTIVA, A.S.

REPUB LICA SLOVA

CA

CUTIE CU 1 BLIST. PVC-PVDC/AL X 10 COMPR. ORODISPERSABILE

PR F

10

2,84

0,284000

0,249000

3,84

0,384000

0,336600

148

W05961

N02AX02

TRAMADOLUM

MABRON

SOL. INJ.

100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 5 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P RF

5

7,27

1,454000

1,322640

9,83

1,966000

1,614720

149

W05961

N02AX02

TRAMADOLUM

MABRON

SOL. INJ.

100mg

MEDOCHEMIE LTD.

CIPRU

CUTIE X 100 FIOLE DIN STICLA BRUNA X 2 ML SOL. INJ.

S/P RF

100

110,22

1,102200

1,102200

134,56

1,345600

1,345600

150

W05967

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ.

50mg/ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 2 ML

S/P RF

5

9,69

1,938000

1,322640

13,10

2,620000

1,614720

151

W05966

N02AX02

TRAMADOLUM

TRAMADOL

SOL. INJ.

50mg/ml

KRKA D.D.

SLOVE NIA

CUTIE X 5 FIOLE X 1 ML

S/P RF

5

3,65

0,730000

0,730000

4,93

0,986000

0,986000

152

W05969

N02AX02

TRAMADOLUM

TRAMADOL

SUPOZ.

100mg

KRKA D.D.

SLOVE

NIA

CUTIE X 1 BLIST. X 5 SUPOZ.

P-

RF

5

4,13

0,826000

0,826000

5,58

1,116000

1,116000

P9: PROGRAM NATIONAL DE TRANSPLANT DE ORGANE, TESUTURI SI CELULE DE ORIGINE UMANA

105

P9.7: TRATAMENTUL STARII POSTTRANSPLANT IN AMBULATORIU A PACIENTILOR TRANSPLANTATI

1

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE X 4 BLIST. AL/PVC X 25 CAPS.

P6

L

100

98,29

0,982900

0,848200

124,28

1,242800

1,109400

2

W00187

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK (R)

CAPS.

250mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE X 2 BLIST. AL/PVC X 25 CAPS.

P-

6L

50

56,54

1,130800

0,848200

71,49

1,429800

1,109400

3

W59934

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOROM 250 mg

CAPS.

250mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

CUTIE CU 4 BLIST. PVC/AL X 15 CAPS.

P6

L

60

42,41

0,706833

0,706833

55,47

0,924500

0,924500

4

W00188

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOSAN

CAPS.

250mg

PRO. MED. CS

PRAHA AS

CEHIA

CUTIE X 5 BLIST. AL/PVC X 10 CAPS.

P-

6L

50

54,39

1,087800

0,848200

68,77

1,375400

1,109400

5

W53024

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 150 mg

COMPR.

150mg

ZAMBON S.P.A.

ITALIA

CUTIE X 6 BLIST. AL/PVC X 10 COMPR.

P-

6L

60

41,43

0,690500

0,690500

54,19

0,903166

0,903166

6

W53025

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOCHOL 300 mg

COMPR.

300mg

ZAMBON S.P.A.

ITALIA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

6L

20

27,43

1,371500

1,371500

35,88

1,794000

1,794000

7

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR.

FILM.

500mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE CU 2 BLIST. PVC-PVDC/AL X 25

COMPR.FILM.

P6

L

50

111,83

2,236600

2,236600

136,52

2,730400

2,730400

8

W58710

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 500 mg

COMPR.

FILM.

500mg

DR. FALK PHARMA

GMBH

GERMA

NIA

CUTIE CU 4 BLIST. PVC-PVDC/AL X 25

COMPR.FILM.

P6

L

100

219,67

2,196700

2,196700

268,17

2,681700

2,681700

9

W58363

A05AA02

ACIDUM URSODEOXYCHOLICUM

URSOFALK 250 mg/5 ml

SUSP. ORALA

250mg/5 ml

DR. FALK PHARMA GMBH

GERMA NIA

CUTIE CU 1 FLAC. DIN STICLA BRUNA X 250 ML SUSP. ORALA+1LINGURITA

DOZATOARE DIN PP

P6 L

1

77,10

77,100000

77,100000

97,49

97,490000

97,490000

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

10

W04224

H02AB04

METHYLPREDNISOLONUM

MEDROL A 16

COMPR.

16mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 5 BLIST. A-PVC/PVC X 10 COMPR.

P- RF

50

24,13

0,482600

0,482600

32,62

0,652400

0,652400

11

W04222

H02AB04

METHYLPREDNISOLONUM

MEDROL 32

COMPR.

32mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 2 BLIST. AL-PVC/PVC X 10 COMPR.

P- RF

20

21,94

1,097000

1,097000

29,65

1,482500

1,482500

12

W08307

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 125 mg

LIOF. PT. SOL. INJ.

125mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 2 ML

S/P RF

1

6,52

6,520000

6,520000

8,81

8,810000

8,810000

13

W08310

H02AB04

METHYLPREDNISOLONUM

LEMOD SOLU 500 mg

LIOF. PT. SOL. INJ.

500mg

STADA HEMOFARM S.R.L.

ROMAN IA

CUTIE X 1 FLAC. LIOF. + 1 FIOLA SOLV. X 7,8 ML

S/P RF

1

22,95

22,950000

22,950000

31,02

31,020000

31,020000

14

W04237

H02AB04

METHYLPREDNISOLONUM

SOLU - MEDROL ACT-O- VIAL

LIOF. SI SOLV.PT.S OL.INJ

250mg/4 ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 FLAC. BICOMPARTIMENTAT (COMPARTIMENT INFERIOR) LIOF. PT. SOL. INJ. + (COMPARTIMENT SUPERIOR)

4ML SOLV

P- RF

1

15,15

15,150000

15,150000

20,48

20,480000

20,480000

15

W13686

H02AB07

PREDNISONUM

PREDNISON 5 mg

COMPR.

5mg

SINTOFARM SA

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

2,74

0,091333

0,053316

3,71

0,123666

0,069744

16

W53341

H02AB07

PREDNISONUM

PREDNISON - RICHTER 5

mg

COMPR.

5mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-

RF

20

1,90

0,095000

0,053316

2,57

0,128500

0,069744

17

W12565

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR.

5mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 COMPR.

P-

RF/ S

1.000

44,43

0,044430

0,044430

58,12

0,058120

0,058120

18

W12565

H02AB07

PREDNISONUM

PREDNISON ARENA 5 mg

COMPR.

5mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 3 BLIST. AL/PVC X 10 COMPR.

P-

RF

30

1,94

0,064666

0,053316

2,62

0,087333

0,069744

19

W05242

H02AB07

PREDNISONUM

PREDNISON MCC 5 mg

COMPR.

5mg

MAGISTRA C&C

S.R.L.

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

1,96

0,098000

0,053316

2,65

0,132500

0,069744

20

W53671

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

BITRIM 400mg/80mg

COMPR.

400mg/80

mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

5,71

0,285500

0,285500

7,72

0,386000

0,386000

21

W05741

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

TAGREMIN

COMPR.

400mg/80

mg

ZENTIVA S.A.

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

5,71

0,285500

0,285500

7,72

0,386000

0,386000

22

W12479

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

CO - TRIM ELL

COMPR.

400mg/80

mg

BIO EEL SRL

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

5,21

0,260500

0,260500

7,04

0,352000

0,352000

23

W05738

J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

SUMETROLIM

COMPR.

400mg/80 mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P- RF

20

5,47

0,273500

0,273500

7,40

0,370000

0,370000

24

W44046

J01EE01

SULFAMETHOXAZOLUM +

TRIMETHOPRIMUM

EPITRIM

SUSP.

ORALA

200mg/40

mg /5ml

E.I.P.I.CO. MED

S.R.L.

ROMAN

IA

CUTIE X 1 FLACON DIN STICLA BRUNA

CU MASURA DOZATOARE X 100 ML

P-

RF

1

3,52

3,520000

3,520000

4,76

4,760000

4,760000

25

W05739

J01EE01

SULFAMETHOXAZOLUM + TRIMETHOPRIMUM

SUMETROLIM

SUSP. ORALA

25mg/5m g/ml

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE X 1 FLACON DIN STICLA BRUNA X 100 ML SUSP. ORALA + MASURA

DOZATOARE

P- RF

1

7,75

7,750000

7,750000

10,48

10,480000

10,480000

26

W08372

J02AC01

FLUCONAZOLUM

FLUCOVIM 100

CAPS.

100mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 4 CAPS.

P-

RF

4

18,95

4,737500

3,615428

25,61

6,402500

4,887428

27

W42371

J02AC01

FLUCONAZOLUM

FUNGOLON 100 mg

CAPS.

100mg

BALKANPHARMA

RAZGRAD AD

BULGA

RIA

CUTIE X 2 BLIST. PVC/AL X 8 CAPS.

P-

RF

16

65,37

4,085625

3,615428

82,66

5,166250

4,887428

28

W58225

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

100 mg

CAPS.

100mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

21,09

3,012857

3,012857

28,51

4,072857

4,072857

29

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 2 CAPS.

P- RF

2

6,98

3,490000

3,490000

9,43

4,715000

4,715000

30

W43597

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 100

mg

CAPS.

100mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

23,31

3,330000

3,330000

31,51

4,501428

4,501428

31

W57430

J02AC01

FLUCONAZOLUM

FLUCONAZOL ROMPHARM

150 mg

CAPS.

150mg

ROMPHARM

COMPANY S.R.L.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

9,57

9,570000

5,340000

12,94

12,940000

7,212000

32

W57239

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 150 mg

CAPS.

150mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 1 CAPS.

PR

F

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

33

W60221

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 150

mg

CAPS.

150mg

ZENTIVA K.S.

REPUB

LICA CEHA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

34

W42693

J02AC01

FLUCONAZOLUM

FLUCONAZOL 150 mg

CAPS.

150mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

7,16

7,160000

5,340000

9,68

9,680000

7,212000

35

W08373

J02AC01

FLUCONAZOLUM

FLUCOVIM 150

CAPS.

150mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 FLAC. X 1 CAPS.

P-

RF

1

7,35

7,350000

5,340000

9,94

9,940000

7,212000

36

W43598

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 150

mg

CAPS.

150mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

37

W51994

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 150 mg

CAPS.

150mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,07

6,070000

5,340000

8,20

8,200000

7,212000

38

W43288

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

150

CAPS.

150mg

SANDOZ SRL

GERMA

NIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

10,79

10,790000

5,340000

14,58

14,580000

7,212000

39

W56446

J02AC01

FLUCONAZOLUM

FLUCONAZOL ACTAVIS 150

mg

CAPS.

150mg

ACTAVIS GROUP

PTC EHF.

ISLAND

A

CUTIE CU 1 BLIST. PVC-PVDC/AL X 1

CAPS.

PR

F

1

7,44

7,440000

5,340000

10,06

10,060000

7,212000

106

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

40

W54835

J02AC01

FLUCONAZOLUM

MYCOSYST 150 mg

CAPS.

150mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 4 BLIST. AL/PVC X 1 CAPS.

P-

RF

4

48,24

12,060000

5,340000

63,10

15,775000

7,212000

41

W52224

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 150 mg

CAPS.

150mg

LABORATOARELE

PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 1 CAPS.

P- RF

1

4,88

4,880000

4,880000

6,59

6,590000

6,590000

42

W53943

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 150

MG

CAPS.

150mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

6,68

6,680000

5,340000

9,03

9,030000

7,212000

43

W03156

J02AC01

FLUCONAZOLUM

DIFLUCAN 150 mg

CAPS.

150mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P- RF

1

18,56

18,560000

5,340000

25,08

25,080000

7,212000

44

W44089

J02AC01

FLUCONAZOLUM

FLUCORIC 150 mg

CAPS.

150mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

1 CAPS.

P-

RF

1

13,95

13,950000

5,340000

18,86

18,860000

7,212000

45

W58226

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

150 mg

CAPS.

150mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU 1 BLIST. PVC TRANSPARENT/PVDC-AL X 1 CAPS.

PR F

1

4,45

4,450000

4,450000

6,01

6,010000

6,010000

46

W56964

J02AC01

FLUCONAZOLUM

MYCOMAX 150

CAPS.

150mg

ZENTIVA K.S.

CEHIA

CUTIE X 1 BLIST. AL/PVC X 1 CAPS.

P-

RF

1

8,90

8,900000

5,340000

12,03

12,030000

7,212000

47

W43599

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 200

mg

CAPS.

200mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

30,10

4,300000

4,300000

39,37

5,624285

5,624285

48

W52225

J02AC01

FLUCONAZOLUM

FLUCONAZOL BIOGALENICA 50 mg

CAPS.

50mg

LABORATOARELE

PROF.DR.MORAIT S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

11,66

1,665714

1,665714

15,76

2,251428

2,251428

49

W57238

J02AC01

FLUCONAZOLUM

FLUCONAZOL LPH 50 mg

CAPS.

50mg

LABORMED

PHARMA S.A.

ROMAN

IA

CUTIE CU 1 BLIST. PVC/AL X 7 CAPS.

PR

F

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

50

W53942

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA 50

MG

CAPS.

50mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,15

2,021428

1,777714

19,12

2,731428

2,403428

51

W03157

J02AC01

FLUCONAZOLUM

DIFLUCAN 50 mg

CAPS.

50mg

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P- RF

7

43,23

6,175714

1,777714

56,54

8,077142

2,403428

52

W43596

J02AC01

FLUCONAZOLUM

FLUCONAZOLE TEVA 50

mg

CAPS.

50mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 BLIST. PVC-PVDC/AL X 7 CAPS.

P- RF

7

12,35

1,764285

1,764285

16,69

2,384285

2,384285

53

W08374

J02AC01

FLUCONAZOLUM

FLUCOVIM 50

CAPS.

50mg

VIM SPECTRUM SRL

ROMAN

IA

CUTIE X 1 BLIST. X 7 CAPS.

P-

RF

7

16,69

2,384285

1,777714

22,56

3,222857

2,403428

54

W42321

J02AC01

FLUCONAZOLUM

FLUCONAZOL 50 mg

CAPS.

50mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

14,49

2,070000

1,777714

19,58

2,797142

2,403428

55

W51993

J02AC01

FLUCONAZOLUM

FLUCONAZOL

MEDOCHEMIE 50 mg

CAPS.

50mg

MEDOCHEMIE

ROMANIA SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

11,95

1,707142

1,707142

16,15

2,307142

2,307142

56

W44098

J02AC01

FLUCONAZOLUM

FLUCORIC 50 mg

CAPS.

50mg

TERAPIA SA

ROMAN

IA

CUTIE X 1 BLIST. FOLIE PVC-PVDC/AL X

7 CAPS.

P-

RF

7

21,91

3,130000

1,777714

29,61

4,230000

2,403428

57

W43287

J02AC01

FLUCONAZOLUM

FLUCONAZOL SANDOZ (R)

50

CAPS.

50mg

SANDOZ SRL

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 7 CAPS.

P-

RF

7

32,06

4,580000

1,777714

41,93

5,990000

2,403428

58

W58224

J02AC01

FLUCONAZOLUM

FLUCONAZOL AUROBINDO

50 mg

CAPS.

50mg

AUROBINDO

PHARMA (MALTA) LIMITED

MALTA

CUTIE CU BLIST. PVC TRANSPARENT/PVDC-AL X 7 CAPS.

PR F

7

10,37

1,481428

1,481428

14,02

2,002857

2,002857

59

W58322

J02AC01

FLUCONAZOLUM

DIFLUCAN 10 mg/ml

PULB. PT. SUSP. ORALA

10mg/ml

PFIZER EUROPE MA EEIG

MAREA BRITAN IE

CUTIE CU 1 FLAC. PEID, DE CAPACITATE 60 ML + 1 LINGURITA DOZATOARE A 5 ML, CU PULB. PT. 35 ML SUSP.O

PR F

1

23,46

23,460000

23,460000

31,71

31,710000

31,710000

60

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 100

ML SOL. PERF.

S

1

34,28

34,280000

20,737200

44,84

44,840000

25,316400

61

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200

MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

62

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 200

ML SOL. PERF.

S

1

81,95

81,950000

81,950000

103,62

103,620000

103,620000

63

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X

200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

64

W56963

J02AC01

FLUCONAZOLUM

MYCOMAX INF 2mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 200 ML SOL. PERF. X 400

MG FLUCONAZOL

S

1

88,14

88,140000

88,140000

111,45

111,450000

103,986000

65

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 1 FLACON DIN STICLA INCOLORA A 100 ML SOL. PERF. X 200

MG FLUCONAZOL

S

1

17,91

17,910000

17,910000

24,21

24,210000

24,210000

66

W60056

J02AC01

FLUCONAZOLUM

FLUCONAZOL ZENTIVA 2

mg/ml

SOL. PERF.

2mg/ml

ZENTIVA K.S.

REPUB LICA

CEHA

CUTIE CU 10 FLACOANE DIN STICLA INCOLORA A CATE 100 ML SOL. PERF. X

200 MG FLUCONAZOL

S

10

172,81

17,281000

17,281000

210,97

21,097000

21,097000

67

W57368

J02AC01

FLUCONAZOLUM

FLUCONAZOL ARENA

2mg/ml

SOL. PERF.

2mg/ml

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 FLAC. X 100 ML SOL. PERF.

S

1

40,63

40,630000

20,737200

53,14

53,140000

25,316400

107

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbalaj

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

68

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 50 ML SOL.

PERF.

PR

20

350,00

17,500000

17,500000

419,65

20,982500

20,982500

69

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 20 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 100 ML SOL.

PERF.

PR

20

630,00

31,500000

20,737200

724,85

36,242500

25,316400

70

W55502

J02AC01

FLUCONAZOLUM

FLUCONAZOL KABI 2 mg/ml

SOL. PERF.

2mg/ml

FRESENIUS KABI

ROMANIA SRL

ROMAN

IA

CUTIE CU 1 FLAC. PEJD (KABIPAC) X 50

ML SOL. PERF.

S

1

18,84

18,840000

18,840000

25,47

25,470000

25,179000

71

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 200 ML SOL.

PERF.

S

10

770,66

77,066000

77,066000

878,17

87,817000

87,817000

72

W12072

J02AC01

FLUCONAZOLUM

DIFLAZON 2mg/ml

SOL. PERF.

2mg/ml

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 1 FLACON DIN STICLA INCOLORA X 100 ML

S/P R-F

1

35,03

35,030000

20,737200

45,82

45,820000

25,316400

73

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 10 FLAC. PEJD X 100 ML SOL.

PERF.

S

10

454,59

45,459000

20,737200

533,65

53,365000

25,316400

74

W53987

J02AC01

FLUCONAZOLUM

FLUCONAZOL B. BRAUN

2mg/ml

SOL. PERF.

2mg/ml

B. BRAUN

MELSUNGEN AG

GERMA

NIA

CUTIE X 20 FLAC. PEJD X 100 ML SOL.

PERF.

S

20

796,39

39,819500

20,737200

906,22

45,311000

25,316400

75

W58456

J02AC01

FLUCONAZOLUM

FLUCONAZOL INFOMED 2

mg/ml

SOL. PERF.

2mg/ml

INFOMED FLUIDS S.R.L.

ROMAN IA

CUTIE CU 10 PUNGI DIN PVC (PREVAZUTE CU 2 TUBURI CONECTOARE, DOP AMBALATE INTR-UN FILM DIN PET/AL/PET/PP X 200 ML SOL.

PERF.

PR

10

760,00

76,000000

76,000000

866,55

86,655000

86,655000

76

W08947

J02AC03

VORICONAZOLUM**

VFEND 200mg

COMPR. FILM.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST.PVC/AL)

P- RF

28

3.559,23

127,115357

127,115357

3.917,72

139,918571

139,918571

77

W08946

J02AC03

VORICONAZOLUM**

VFEND 50mg

COMPR. FILM.

50mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 28COMPR. FILM. ( BLIST. PVC/AL)

P- RF

28

912,09

32,574642

32,574642

1.032,33

36,868928

36,868928

78

W10489

J02AC03

VORICONAZOLUM**

VFEND 200mg

PULB. PT. SOL. PERF.

200mg

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. UNIDOZA X 30ML

P- RF

1

458,07

458,070000

458,070000

537,45

537,450000

537,450000

79

W41889

J02AC03

VORICONAZOLUM**

VFEND 40 mg/ml

PULB. PT. SUSP. ORALA

40mg/ml

PFIZER LIMITED

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID DE 100ML X 45 G PULB. PT. SUSP. ORALA + 1 MASURA DOZATOARE (23 ML) + 1 SERINGA

P- RF

1

2.203,52

2.203,520000

2.203,520000

2.439,99

2.439,990000

2.439,990000

80

W60913

J02AC04

POSACONAZOLUM**

NOXAFIL 100mg

CAPS. GASTROR EZ.

100mg

MERCK SHARP & DOHME LTD.

MAREA BRITAN IE

CUTIE CU BLIST. PVC/PCTF/AL X 24 COMPRIMATE GASTROREZISTENTE

PR

24

3.330,00

138,750000

138,750000

3.667,85

152,827083

152,827083

81

W58194

J02AC04

POSACONAZOLUM**

NOXAFIL SP 40mg/ml

SUSP. ORALA

40mg/ml

MERCK SHARP & DOHME

MAREA BRITAN IE

CUTIE X 1 FLAC. X 105ML SUSP. ORALA

P-

RF/ R

1

2.488,19

2.488,190000

2.488,190000

2.750,28

2.750,280000

2.750,280000

82

W56038

J05AB01

ACICLOVIRUM

ACICLOVIR FARMEX 200 mg

CAPS.

200mg

FARMEX COMPANY

S.R.L.

ROMAN

IA

CUTIE CU 2 BLIST. PVC/AL X 10 CAPS.

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

83

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN IA

CUTIE X 100 BLIST. AL/PVC X 10 CAPS.

P-

RF/ S

1.000

704,14

0,704140

0,613200

805,66

0,805660

0,805660

84

W42857

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

CAPS.

200mg

SLAVIA PHARM SRL

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

14,97

0,748500

0,613200

20,23

1,011500

0,828600

85

W53675

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 200 mg

CAPS.

200mg

ARENA GROUP SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 CAPS.

P-

RF

20

15,85

0,792500

0,613200

21,42

1,071000

0,828600

86

W53676

J05AB01

ACICLOVIRUM

ACICLOVIR ARENA 400 mg

CAPS.

400mg

ARENA GROUP S.A.

ROMAN

IA

CUTIE X 1 BLIST. AL/PVC X 10 CAPS.

P-

RF

10

14,41

1,441000

1,441000

19,48

1,948000

1,948000

87

W60558

J05AB01

ACICLOVIRUM

ACICLOVIR-RICHTER 200

mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE CU 2 BLIST. AL/PVC X 10 COMPR.

PR

F

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

88

W06667

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

EGIS

PHARMACEUTICALS P.L.C.

UNGAR IA

CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF

20

10,22

0,511000

0,511000

13,81

0,690500

0,690500

89

W53225

J05AB01

ACICLOVIRUM

ACICLOVIR LAROPHARM

200 mg

COMPR.

200mg

LAROPHARM S.R.L.

ROMAN

IA

CUTIE X 2 BLIST. X 10 COMPR.

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

90

W13972

J05AB01

ACICLOVIRUM

ACICLOVIR 200 mg

COMPR.

200mg

GEDEON RICHTER

ROMANIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL./PVC X 10 COMPR.

P-

RF

20

12,75

0,637500

0,613200

17,23

0,861500

0,828600

91

W00044

J05AB01

ACICLOVIRUM

ACICLOVIR TERAPIA 200

mg

COMPR.

200mg

TERAPIA SA

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 10 COMPR.

P-

RF

20

12,69

0,634500

0,613200

17,15

0,857500

0,828600

92

W06668

J05AB01

ACICLOVIRUM

ACICLOVIR 400 mg

COMPR.

400mg

EGIS PHARMACEUTICALS

P.L.C.

UNGAR IA

CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR.

P- RF

10

20,11

2,011000

1,729200

27,18

2,718000

2,337600

108

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

93

W00058

J05AB01

ACICLOVIRUM

VIROLEX

PULB. PT.

SOL. INJ./PERF.

250mg

KRKA D.D. NOVO MESTO

SLOVE NIA

CUTIE X 5 FLAC. X 250 MG PULB. PT. SOL. INJ./PERF.

S/P RF

5

231,79

46,358000

46,358000

282,97

56,594000

56,594000

94

W60756

J05AB14

VALGANCICLOVIRUM**

VALGANCICLOVIR TEVA

450 mg

COMPR. FILM.

450mg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 60 COMPR. FILM.

PR F

60

3.171,52

52,858666

52,858666

3.495,11

58,251833

58,251833

95

W51832

J05AB14

VALGANCICLOVIRUM**

VALCYTE (R) 450 mg

COMPR.

FILM.

450mg

ROCHE ROMANIA

SRL

ROMAN

IA

CUTIE X 1 FLAC. X 60 COMPR. FILM.

P-

RF

60

4.863,09

81,051500

63,430399

5.338,93

88,982166

69,902200

96

W55472

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA 100 mg

COMPR. FILM.

100 mg

TEVA PHARMA B.V.

OLAND A

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-

RF/ R

30

159,00

5,300000

5,300000

194,11

6,470333

6,470333

97

W07518

J05AF05

LAMIVUDINUM

ZEFFIX 100 mg

COMPR. FILM.

100mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 28 COMPR. FILM. (BLIST. PVC- AL/PVC-AL)

P-

RF/ R

28

228,32

8,154285

6,360000

278,73

9,954642

7,764400

98

W55473

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA

B.V. 150 mg

COMPR. FILM.

150 mg

TEVA PHARMA B.V.

OLAND A

CUTIE CU BLIST. PVC/PVDC/AL X 60 COMPR. FILM.

P-

RF/ R

60

319,27

5,321166

5,321166

386,16

6,436000

6,436000

99

W59320

J05AF05

LAMIVUDINUM

LAMIVUDINA AUROBINDO

150 mg

COMPR. FILM.

150mg

AUROBINDO PHARMA (MALTA)

LIMITED

MALTA

CUTIE CU 1 FLAC. PVC-ACLAR/AL X 60 COMPR. FILM.

PR

60

319,27

5,321166

5,321166

386,16

6,436000

6,436000

100

W03923

J05AF05

LAMIVUDINUM

EPIVIR 150mg

COMPR. FILM.

150mg

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLAC. PEID X 60 COMPR. FILM.

P-

RF/ R

60

476,54

7,942333

6,385399

557,58

9,293000

7,723200

101

W55474

J05AF05

LAMIVUDINUM

LAMIVUDINE TEVA PHARMA

B.V. 300 mg

COMPR. FILM.

300 mg

TEVA PHARMA B.V.

OLAND A

CUTIE CU BLIST. PVC/PVDC/AL X 30 COMPR. FILM.

P-

RF/ R

30

319,27

10,642333

10,642333

386,16

12,872000

12,872000

102

W03924

J05AF05

LAMIVUDINUM

EPIVIR 10mg/ml

SOL. ORALA

10mg/ml

GLAXO GROUP LTD.

MAREA BRITAN IE

CUTIE X 1 FLACON PEID X 240ML SOL. ORALA + 1 SERINGA DOZATOARE + 1 ADAPTOR

P-

RF/ R

1

131,82

131,820000

131,820000

160,92

160,920000

160,920000

103

W04406

L04AA06

MYCOPHENOLATUM**

CELLCEPT 250mg

CAPS.

250mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 10 BLIST. X 10 CAPS.

P-

RF/ R

100

452,86

4,528600

4,528600

531,77

5,317700

5,317700

104

W04407

L04AA06

MYCOPHENOLATUM**

CELLCEPT 500mg

COMPR. FILM.

500mg

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 5 BLIST. X 10 COMPR. FILM.

P-

RF/ R

50

452,86

9,057200

9,057200

531,77

10,635400

10,635400

105

W42264

L04AA06

MYCOPHENOLATUM**

MYFORTIC 180 mg

COMPR. FILM. GASTROR

EZ.

180mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

557,65

4,647083

4,647083

645,99

5,383250

5,383250

106

W42265

L04AA06

MYCOPHENOLATUM**

MYFORTIC 360 mg

COMPR. FILM. GASTROR

EZ.

360mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE PLIANTA X 12 BLIST. PA-AL- PVC/AL X 10 COMPR. FILM. GASTROREZ.

S/P RF

120

1.041,93

8,682750

8,682750

1.173,85

9,782083

9,782083

107

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

108

W56657

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 250 mg

CAPS.

250 mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 100

CAPS.

PR

100

291,62

2,916200

2,916200

356,01

3,560100

3,560100

109

W56643

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 250 mg

CAPS.

250 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU 1 FLACON PEID CU CAPAC PP

X 100 CAPS.

PR

F

100

162,65

1,626500

1,626500

198,56

1,985600

1,985600

110

W52877

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 250mg

CAPS.

250mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 100 CAPS.

P-

RF/ R

100

302,31

3,023100

3,023100

367,67

3,676700

3,676700

111

W56003

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

SANDOZ 500 mg

COMPR.

500mg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PE-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

227,17

4,543400

4,543400

277,33

5,546600

5,546600

112

W58520

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 250 mg

COMPR.

FILM.

250mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 10 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

100

133,10

1,331000

1,331000

162,49

1,624900

1,624900

113

W56644

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

STADA 500 mg

COMPR.

FILM.

500 mg

STADA HEMOFARM

S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

PR

F

50

160,05

3,201000

3,201000

195,39

3,907800

3,907800

114

W55987

L04AA06

MYCOPHENOLATUM MOFETILUM**

MICOFENOLAT MOFETIL

DR. REDDY'S 500 mg

COMPR.

FILM.

500mg

DR. REDDY'S

LABORATORIES

ROMAN

IA

CUTIE CU BLIST. PVC-PVDC/AL X 50

COMPR. FILM.

P-

RF

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

115

W52876

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYFENAX 500mg

COMPR. FILM.

500mg

TEVA PHARMA BV

OLAND A

CUTIE X BLIST. PVC/PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

302,31

6,046200

6,046200

367,67

7,353400

7,353400

116

W54225

L04AA06

MYCOPHENOLATUM MOFETILUM**

MYCOFENOLAT MOFETIL ACTAVIS 500 mg

COMPR. FILM.

500mg

ACTAVIS GROUP PTC EHF.

ISLAND A

CUTIE CU BLIST. PVC-PVDC/AL X 50 COMPR. FILM.

P-

RF/ R

50

272,59

5,451800

5,451800

332,78

6,655600

6,655600

117

W58523

L04AA06

MYCOPHENOLATUM MOFETILUM**

SUPREPHEN 500 mg

COMPR.

FILM.

500mg

ROMASTRU

TRADING S.R.L.

ROMAN

IA

CUTIE CU 5 BLIST. PVC-PCTFE-PE/AL X

10 COMPR. FILM.

PR

F

50

133,10

2,662000

2,662000

162,49

3,249800

3,249800

118

W10576

L04AA10

SIROLIMUS**

RAPAMUNE 1mg

DRAJ.

1mg

WYETH EUROPA LTD.

MAREA BRITAN IE

CUTIE X 30 DRAJ. (BLIST. PVC/PE

/ACLAR)

P-

RF/ R

30

489,29

16,309666

16,309666

571,48

19,049333

19,049333

109

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

119

W58368

L04AD01

CICLOSPORINUM

EQUORAL® 100 mg

CAPS. MOI

100mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

251,97

5,039400

5,039400

307,60

6,152000

6,152000

120

W51399

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

25mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

112,48

2,249600

2,249600

137,32

2,746400

2,746400

121

W58149

L04AD01

CICLOSPORINUM

EQUORAL® 25 mg

CAPS. MOI

25mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

59,45

1,189000

1,189000

75,17

1,503400

1,503400

122

W58367

L04AD01

CICLOSPORINUM

EQUORAL® 50 mg

CAPS. MOI

50mg

TEVA CZECH INDUSTRIES S.R.O.

CEHIA

CUTIE X 5 BLIST. X 10 CAPS. MOI

S/P RF

50

120,89

2,417800

2,417800

147,58

2,951600

2,951600

123

W51398

L04AD01

CICLOSPORINUM

SANDIMMUN NEORAL (R)

CAPS. MOI

50mg

NOVARTIS PHARMA GMBH

GERMA NIA

CUTIE X 10 BLIST. X 5 CAPS. MOI

S/P RF

50

239,32

4,786400

4,786400

292,16

5,843200

5,843200

124

W56579

L04AD02

TACROLIMUSUM**

TACNI 0,5 mg

CAPS.

0,5 mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI DE AL A CATE 10 CAPSULE

PR

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

125

W59092

L04AD02

TACROLIMUSUM**

TRACSUS 0,5 mg

CAPS.

0,5mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10

CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F

50

91,62

1,832400

1,832400

115,84

2,316800

2,316800

126

W55262

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 0,5

mg

CAPS.

0,5mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN

PUNGI DE AL TRIPLU LAMINAT X 50 CAPS.

S/P RF

50

133,49

2,669800

2,669800

162,97

3,259400

3,259400

127

W53729

L04AD02

TACROLIMUSUM**

PROGRAF (R) 0,5 mg

CAPS.

0,5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS

X 5 BLIST. X 10 CAPS. + 1 PLIC CU DESICANT

S/P RF

50

205,39

4,107800

4,107800

250,74

5,014800

5,014800

128

W56580

L04AD02

TACROLIMUSUM**

TACNI 1 mg

CAPS.

1 mg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE CU 5 BLIST. PVC/PVDC/AL IN PUNGI AL A CATE 10 CAPSULE

PR

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

129

W55263

L04AD02

TACROLIMUSUM**

TACROLIMUS SANDOZ 1 mg

CAPS.

1mg

SANDOZ S.R.L.

ROMAN IA

CUTIE CU BLIST. PVC-PE-PVDC/AL IN PUNGI DE AL TRIPLU LAMINAT X 50

CAPS.

S/P RF

50

238,62

4,772400

4,772400

291,31

5,826200

5,826200

130

W53730

L04AD02

TACROLIMUSUM**

PROGRAF (R) 1 mg

CAPS.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

363,74

7,274800

7,274800

434,63

8,692600

8,692600

131

W59093

L04AD02

TACROLIMUSUM**

TRACSUS 1 mg

CAPS.

1mg

ALVOGEN IPCO S.AR.L

LUXEM BURG

CUTIE CU 5 BLIST. PVC/PVDC-AL X 10

CAPS. IN PUNGI DIN AL PREVAZUTE CU DESICANT

PR F

50

179,98

3,599600

3,599600

219,72

4,394400

4,394400

132

W53731

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg

CAPS.

5mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 1 PUNGA DE AL INCHISA ETANS X 5 BLIST. X 10 CAPS. + 1 PLIC CU

DESICANT

S/P RF

50

1.715,18

34,303600

34,303600

1.907,70

38,154000

38,154000

133

W51974

L04AD02

TACROLIMUSUM**

ADVAGRAF 0,5mg

CAPS. ELIB.

PREL.

0,5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

204,92

4,098400

4,098400

250,17

5,003400

5,003400

134

W57352

L04AD02

TACROLIMUSUM**

ADVAGRAF 1mg

CAPS. ELIB.

PREL.

1mg

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

402,53

8,050600

8,050600

476,91

9,538200

9,538200

135

W51976

L04AD02

TACROLIMUSUM**

ADVAGRAF 5mg

CAPS. ELIB.

PREL.

5mg

ASTELLAS PHARMA EUROPE B.V.

OLAND A

CUTIE X 50 CAPS. ELIB. PREL. ( BLIST. PVC-PVDC/AL)

P-

RF/ R

50

1.865,58

37,311600

37,311600

2.071,63

41,432600

41,432600

136

W53732

L04AD02

TACROLIMUSUM**

PROGRAF (R) 5 mg/ml

CONC. PT. SOL. PERF.

5mg/ml

ASTELLAS PHARMA EUROPE BV

OLAND A

CUTIE X 10 FIOLE X 1 ML

S

10

1.545,19

154,519000

154,519000

1.722,41

172,241000

172,241000

137

W56928

L04AX01

AZATHIOPRINUM*

IMURAN®

COMPR. FILM.

50mg

ASPEN EUROPE GMBH

GERMA NIA

CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM.

S/P RF

100

55,53

0,555300

0,555300

70,21

0,702100

0,702100

138

W56508

L04AX01

AZATHIOPRINUM*

IMMUNOPRIN 75 mg

COMPR. FILM.

75mg

EBEWE PHARMA GES.M.B.H. NFG KG

AUSTRI A

CUTIE CU 1 FLAC. PEID X 100 COMPR. FILM.

PR

100

62,39

0,623900

0,623900

78,89

0,788900

0,788900

110

ru urm

P10: PROGRAM NATIONAL DE SUPLEERE A FUNCTIEI RENALE LA BOLNAVII CU INSUFICIENTA RENALA CRONICA

1

W00231

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,25 mcg

CAPS. MOI

0,25mcg

TEVA PHARMACEUTICALS

S.R.L.

ROMAN IA

CUTIE X 1 FLAC. DIN PPID X 50 CAPS. MOI

P- RF

50

25,70

0,514000

0,514000

33,62

0,672400

0,672400

2

W58167

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ

0,25 mcg

CAPS. MOI

0,25μg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 30

CAPS. MOI

PR

F

30

16,99

0,566333

0,566333

22,97

0,765666

0,765666

3

W44042

A11CC03

ALFACALCIDOLUM

ALPHA D3 0,50 mcg

CAPS. MOI

0,50mcg

TEVA

PHARMACEUTICALS S.R.L.

ROMAN IA

CUTIE X 1 FLAC. X 30 CAPS. MOI

P- RF

30

23,23

0,774333

0,774333

31,40

1,046666

1,046666

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

4

W58168

A11CC03

ALFACALCIDOLUM

ALFACALCIDOL SANDOZ

0,5 mcg

CAPS. MOI

0,5μg

SANDOZ S.R.L.

ROMAN

IA

CUTIE CU BLIST. PVC/PVDC-AL X 30

CAPS. MOI

PR

F

30

26,00

0,866666

0,866666

34,01

1,133666

1,133666

5

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 1 ML SOL. INJ.

S

10

203,78

20,378000

20,378000

248,78

24,878000

24,878000

6

W55847

A11CC03

ALFACALCIDOLUM

ONE-ALPHA 2 micrograme/ml

SOL. INJ.

2microgra me/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FIOLE DIN STICLA BRUNA X 0,5 ML SOL. INJ.

S

10

108,79

10,879000

10,879000

132,81

13,281000

13,281000

7

W51334

A11CC04

CALCITRIOLUM**

ROCALTROL

CAPS. MOI

0,25mcg

ROCHE ROMANIA

S.R.L.

ROMAN

IA

CUTIE CU 5 BLIST. AL/PVC X 20 CAPS.

MOI.

P-

RF

100

53,88

0,538800

0,538800

68,12

0,681200

0,681200

8

W59619

B01AB01

HEPARINUM**

HEPARIN NATRIUM 25000 RATIOPHARM

SOL INJ.

25000UI/5

ml

TEVA PHARMACEUTICAL

S.R.L.

ROMAN IA

CUTIE CU 5 FIOLE A 5 ML X 25000 UI

PR F

5

68,32

13,664000

12,595200

86,38

17,276000

15,376800

9

W58017

B01AB01

HEPARINUM**

HEPARIN NATRIUM 25000 RATIOPHARM

SOL. INJ.

5000

UI/ml

HK&ZY BEST PHARMA

DISTRIBUTION

ROMAN IA

CUTIE CU 5 FLACOANE X 25000 UI

P- RF

5

72,53

14,506000

12,595200

91,71

18,342000

15,376800

10

W59962

B01AB01

HEPARINUM**

HEPARINA POLIPHARMA

SOL. INJ.

5000UI/ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 5 FIOLE DIN STICLA INCOLORA X 1 ML SOLUTIE INJECTABILA

PR

5

64,90

12,980000

12,980000

82,06

16,412000

16,412000

11

W03447

B01AB01

HEPARINUM**

HEPARINE SODIQUE

PANPHARMA

SOL. INJ.

5000ui/ml

LAB. PANPHARMA

FRANT

A

CUTIE X 10 FLACOANE DIN STICLA

INCOLORA X 5 ML SOL. INJ.

S

10

104,96

10,496000

10,496000

128,14

12,814000

12,814000

12

W59962

B01AB01

HEPARINUM**

HEPARINA POLIPHARMA

SOL. INJ.

5000UI/ml

POLIPHARMA INDUSTRIES S.R.L.

ROMAN IA

CUTIE CU 10 FIOLE DIN STICLA INCOLORA X 5 ML SOLUTIE INJECTABILA

PR

10

142,47

14,247000

12,595200

173,93

17,393000

15,376800

13

W13613

B01AB05

ENOXAPARINUM**

CLEXANE 2000ui anti- Xa/0,2ml

SOL. INJ.

2000ui anti-

Xa/0,2ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,2 ML SOL. INJ.

PR

/P RF

10

49,00

4,900000

4,900000

64,09

6,409000

6,409000

14

W13612

B01AB05

ENOXAPARINUM**

CLEXANE 4000ui anti- Xa/0,4ml

SOL. INJ.

4000ui

anti- Xa/0,4ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0.4 ML SOL. INJ.

PR

/P RF

10

93,99

9,399000

9,399000

118,84

11,884000

11,884000

15

W13611

B01AB05

ENOXAPARINUM**

CLEXANE 6000ui anti- Xa/0,6ml

SOL. INJ.

6000ui anti-

Xa/0,6ml

LAB. AVENTIS

FRANT A

CUTIE X 10 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ.

PR

/P RF

10

118,32

11,832000

11,832000

144,45

14,445000

14,445000

16

W13610

B01AB05

ENOXAPARINUM**

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ.

8000ui anti-

Xa/0,8ml

LAB. AVENTIS

FRANT A

CUTIE X 2 SERINGI PREUMPLUTE X 0,8 ML SOL. INJ.

PR

/P RF

2

30,69

15,345000

15,345000

40,14

20,070000

20,070000

17

W13610

B01AB05

ENOXAPARINUM**

CLEXANE 8000ui anti- Xa/0,8ml

SOL. INJ.

8000UI

anti- Xa/0,8ml

LABORATOIRE AVENTIS

FRANT A

CUTIE CU 6 SERINGI PREUMPLUTE (DIN STICLA INCOLORA DE TIP I, CU O CAPACITATE DE 1 ML, PREVAZUTA CU A

PR

/P RF

6

104,35

17,391666

17,391666

127,39

21,231666

21,231666

18

W55557

B01AB06

NADROPARINUM**

FRAXIPARINE 2850 UI anti-

factor Xa/0,3 ml

SOL. INJ.

2850 ui AFXa/0,3

ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITAN IE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P RF

10

49,12

4,912000

4,912000

64,25

6,425000

6,425000

19

W61290

B01AB06

NADROPARINUM**

FRAXIPARINE 2850 UI anti-

factor Xa/0,3 ml

SOL. INJ.

2850 ui AFXa/0,3

ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,3 ML SOL. INJ.

S/P RF

10

49,12

4,912000

4,912000

64,25

6,425000

6,425000

20

W55558

B01AB06

NADROPARINUM**

FRAXIPARINE 3800 UI anti-

factor Xa/0,4 ml

SOL. INJ.

3800 ui AFXa/0,4

ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITAN IE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P RF

10

64,77

6,477000

6,477000

81,89

8,189000

8,189000

21

W61293

B01AB06

NADROPARINUM**

FRAXIPARINE 3800 UI anti-

factor Xa/0,4 ml

SOL. INJ.

3800 ui AFXa/0,4

ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,4 ML SOL. INJ.

S/P RF

10

64,77

6,477000

6,477000

81,89

8,189000

8,189000

22

W55559

B01AB06

NADROPARINUM**

FRAXIPARINE 5700 UI anti-

factor Xa/0,6 ml

SOL. INJ.

5700 ui AFXa/0,6

ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITAN IE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P RF

10

104,10

10,410000

10,410000

127,08

12,708000

12,708000

23

W61291

B01AB06

NADROPARINUM**

FRAXIPARINE 5700 UI anti-

factor Xa/0,6 ml

SOL. INJ.

5700 ui AFXa/0,6

ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,6 ML SOL. INJ.

S/P RF

10

104,10

10,410000

10,410000

127,08

12,708000

12,708000

24

W55560

B01AB06

NADROPARINUM**

FRAXIPARINE 7600 UI anti-

factor Xa/0,8 ml

SOL. INJ.

7600 ui AFXa/0,8

ml

GLAXO GROUP LIMITED/GLAXO WELLCOME HOUSE

MAREA BRITAN IE

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P RF

10

126,46

12,646000

12,646000

154,38

15,438000

15,438000

25

W61292

B01AB06

NADROPARINUM**

FRAXIPARINE 7600 UI anti-

factor Xa/0,8 ml

SOL. INJ.

7600 ui AFXa/0,8

ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 SERINGI PREUMPLUTE DIN STICLA X 0,8 ML SOL. INJ.

S/P RF

10

126,46

12,646000

12,646000

154,38

15,438000

15,438000

26

W55414

B01AB06

NADROPARINUM**

FRAXIPARINE 9500 UI anti-

factor Xa/1 ml multidoza

SOL. INJ.

9500 UI

AFXa/1 ml

GLAXO GROUP LIMITED

MAREA BRITAN IE

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.

S

10

759,56

75,956000

75,956000

866,07

86,607000

86,607000

27

W61289

B01AB06

NADROPARINUM**

FRAXIPARINE 9500 UI anti-

factor Xa/1 ml multidoza

SOL. INJ.

9500 UI

AFXa/1 ml

ASPEN PHARMA TRADING LIMITED

IRLAND A

CUTIE CU 10 FLAC. DIN STICLA INCOLORA, MULTIDOZA X 5 ML SOL. INJ.

S

10

759,56

75,956000

75,956000

866,07

86,607000

86,607000

111

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

28

W59473

B01AB10

TINZAPARINUM**

INNOHEP 10000 UI ANTI-

XA/ml

SOL. INJ. IN FLACOANE

10000UI

anti-XA/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (20000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE

CULO

PR

/P RF

10

439,68

43,968000

43,968000

517,40

51,740000

51,740000

29

W59475

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI-

Xa/ml

SOL. INJ. IN FLACOANE

20000 UI

anti-Xa/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 FLAC. DIN STICLA INCOLORA X 2 ML (40000 UI ANTI-XA) SOL. INJ., CU DOP DE CAUCIUC DE

CULO

PR

/P RF

10

965,50

96,550000

96,550000

1.090,55

109,055000

109,055000

30

W59472

B01AB10

TINZAPARINUM**

INNOHEP 10000 UI ANTI-

XA/ml

SOL. INJ. IN SERINGI PREUMPLU TE

10000UI

anti-XA/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 SERINGI PREUMPLUTE X

0.35 ML (3500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT. AC, INTRODUSE INTR-UN SUPORT DIN PLASTIC CU CAPAC VERDE

PR

/P RF

10

97,33

9,733000

9,733000

123,06

12,306000

12,306000

31

W59472

B01AB10

TINZAPARINUM**

INNOHEP 10000 UI ANTI-

XA/ml

SOL. INJ. IN SERINGI PREUMPLU TE

10000UI

anti-XA/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 10 SERINGI PREUMPLUTE X

0.45 ML (4500 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

PR

/P RF

10

127,04

12,704000

12,704000

155,09

15,509000

15,509000

32

W59474

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI-

Xa/ml

SOL. INJ. IN SERINGI PREUMPLU TE

20000UI

anti-Xa/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,70 ML (14000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

PR

/P RF

2

77,76

38,880000

38,880000

98,32

49,160000

49,160000

33

W59474

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI-

Xa/ml

SOL. INJ. IN SERINGI PREUMPLU TE

20000UI

anti-Xa/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,90 ML (18000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

PR

/P RF

2

95,03

47,515000

47,515000

120,16

60,080000

60,080000

34

W59474

B01AB10

TINZAPARINUM**

INNOHEP 20000 UI ANTI-

Xa/ml

SOL. INJ. IN SERINGI PREUMPLU TE

20000UI

anti-Xa/ml

LEO PHARMA A/S

DANEM ARCA

CUTIE CU 2 SERINGI PREUMPLUTE X 0,50 ML (10000 UI ANTI-XA) SOL. INJ., CU DISPOZITIV DE SIGURANTA PT.

PR

/P RF

2

58,25

29,125000

29,125000

73,65

36,825000

36,825000

35

W51230

B03AC02

COMPLEX DE HIDROXID DE FER (III) SUCROZA

VENOFER (R)

SOL. INJ./PERF.

20mg/ml

VIFOR FRANCE S.A.

FRANT A

CUTIE X 5 FIOLE X 5 ML

S/P RF

5

122,68

24,536000

24,536000

149,77

29,954000

29,954000

36

W52289

B03XA01

EPOETINUM ALFA**

BINOCRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA

10000UI/1

,0ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P RF/ R

6

1.550,81

258,468333

258,468333

1.728,54

288,090000

288,090000

37

W52282

B03XA01

EPOETINUM ALFA**

BINOCRIT 1000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

1000UI/0,

5ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P RF/ R

6

178,92

29,820000

29,820000

218,42

36,403333

36,403333

38

W52283

B03XA01

EPOETINUM ALFA**

BINOCRIT 2000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA

2000UI/1,

0ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P RF/ R

6

355,67

59,278333

59,278333

425,83

70,971666

70,971666

39

W55046

B03XA01

EPOETINUM ALFA**

BINOCRIT 30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLU TA

30000UI/0

,75ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

P-

RF/ R

1

688,15

688,150000

688,150000

788,23

788,230000

788,230000

40

W52284

B03XA01

EPOETINUM ALFA**

BINOCRIT 3000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

3000UI/0,

3ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P RF/ R

6

518,88

86,480000

86,480000

603,73

100,621666

100,621666

41

W57497

B03XA01

EPOETINUM ALFA**

EPREX 40000 UI/ml

SOL. INJ. IN SERINGA PREUMPLU TA

40

000UI/ml

JOHNSON & JOHNSON D.O.O.

SLOVE NIA

CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ.

S/P RF

1

1.206,71

1.206,710000

1.052,784000

1.353,47

1.353,470000

1.193,316000

42

W55048

B03XA01

EPOETINUM ALFA**

BINOCRIT 40000 UI/1 ml

SOL. INJ. IN SERINGA PREUMPLU TA

40000

UI/1 ml

SANDOZ GMBH

AUSTRI A

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

P-

RF/ R

1

877,32

877,320000

877,320000

994,43

994,430000

994,430000

43

W52285

B03XA01

EPOETINUM ALFA**

BINOCRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

4000UI/0,

4ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P RF/ R

6

682,04

113,673333

113,673333

781,57

130,261666

130,261666

112

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

44

W52286

B03XA01

EPOETINUM ALFA**

BINOCRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

5000UI/0,

5ml

SANDOZ GMBH

AUSTRI A

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P RF/ R

6

845,15

140,858333

140,858333

959,37

159,895000

159,895000

45

W07740

B03XA01

EPOETINUM BETA**

NEORECORMON 10000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

10000UI/0

,6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 6 SERINGI PREUMPLUTE X 0,6 ML SOL. INJ. + 6 ACE

S/P RF/ R

6

2.117,84

352,973333

352,973333

2.346,60

391,100000

391,100000

46

W07741

B03XA01

EPOETINUM BETA**

NEORECORMON 2000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

2000UI/0,

3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. X 6 ACE

S/P RF/ R

6

447,82

74,636666

74,636666

526,27

87,711666

87,711666

47

W42097

B03XA01

EPOETINUM BETA**

NEORECORMON 30000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

30000

UI/0,6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PRE-UMPLUTA X 0,6 ML + 1 AC

S/P RF/ R

1

1.042,55

1.042,550000

1.042,550000

1.174,53

1.174,530000

1.174,530000

48

W07742

B03XA01

EPOETINUM BETA**

NEORECORMON 4000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

4000UI/0,

3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P RF/ R

6

865,04

144,173333

144,173333

981,05

163,508333

163,508333

49

W07744

B03XA01

EPOETINUM BETA**

NEORECORMON 5000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

5000UI/0,

3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 6 SERINGI PREUMPLUTE X 0,3 ML SOL. INJ. + 6 ACE

S/P RF/ R

6

1.073,53

178,921666

178,921666

1.208,30

201,383333

201,383333

50

W60969

B03XA01

EPOETINUM ZETA**

RETACRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA

10000UI/1

,0ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

PR

1

180,07

180,070000

180,070000

219,83

219,830000

219,830000

51

W52733

B03XA01

EPOETINUM ZETA**

RETACRIT 10000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA

10000UI/1

,0ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P RF/ R

6

1.012,10

168,683333

168,683333

1.141,34

190,223333

190,223333

52

W60963

B03XA01

EPOETINUM ZETA**

RETACRIT 1000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

1000UI/0,

3ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3ML SOL. INJ.

PR

1

8,03

8,030000

8,030000

10,85

10,850000

10,850000

53

W52728

B03XA01

EPOETINUM ZETA**

RETACRIT 1000UI/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

1000UI/0,

3ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,3ML SOL. INJ.

S/P RF/ R

6

48,15

8,025000

8,025000

62,98

10,496666

10,496666

54

W52732

B03XA01

EPOETINUM ZETA**

RETACRIT 20000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

20000UI/0

,5ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P RF/ R

6

2.074,80

345,800000

345,800000

2.299,68

383,280000

383,280000

55

W52732

B03XA01

EPOETINUM ZETA**

RETACRIT 20000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

20000UI/0

,5ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ.

S/P RF/ R

1

370,80

370,800000

370,800000

442,32

442,320000

442,320000

56

W52727

B03XA01

EPOETINUM ZETA**

RETACRIT 2000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

2000UI/0,

6ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ.

S/P RF/ R

6

224,93

37,488333

37,488333

274,59

45,765000

45,765000

57

W60964

B03XA01

EPOETINUM ZETA**

RETACRIT 2000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

2000UI/0,

6ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

PR

1

38,85

38,850000

38,850000

50,82

50,820000

50,820000

58

W52731

B03XA01

EPOETINUM ZETA**

RETACRIT 30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLU TA

30000UI/0

,75ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,75ML SOL. INJ.

S/P RF/ R

6

3.097,20

516,200000

516,200000

3.414,10

569,016666

569,016666

113

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

59

W52731

B03XA01

EPOETINUM ZETA**

RETACRIT 30000UI/0,75ml

SOL. INJ. IN SERINGA PREUMPLU TA

30000UI/0

,75ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA X 0,75ML SOL. INJ.

S/P RF/ R

1

541,20

541,200000

541,200000

628,06

628,060000

628,060000

60

W52729

B03XA01

EPOETINUM ZETA**

RETACRIT 3000UI/0,9ml

SOL. INJ. IN SERINGA PREUMPLU TA

3000UI/0,

9ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,9ML SOL. INJ.

S/P RF/ R

6

336,72

56,120000

56,120000

405,17

67,528333

67,528333

61

W60965

B03XA01

EPOETINUM ZETA**

RETACRIT 3000UI/0,9ml

SOL. INJ. IN SERINGA PREUMPLU TA

3000UI/0,

9ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,9ML SOL. INJ.

PR

1

57,25

57,250000

57,250000

72,39

72,390000

72,390000

62

W52730

B03XA01

EPOETINUM ZETA**

RETACRIT 40000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA

40000UI/1

,0ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 1ML SOL. INJ.

S/P RF/ R

6

4.119,59

686,598333

686,598333

4.528,51

754,751666

754,751666

63

W52730

B03XA01

EPOETINUM ZETA**

RETACRIT 40000UI/1,0ml

SOL. INJ. IN SERINGA PREUMPLU TA

40000UI/1

,0ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA X 1ML SOL. INJ.

S/P RF/ R

1

711,60

711,600000

711,600000

813,79

813,790000

813,790000

64

W52737

B03XA01

EPOETINUM ZETA**

RETACRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

4000UI/0,

4ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,4ML SOL. INJ.

S/P RF/ R

6

438,96

73,160000

73,160000

516,62

86,103333

86,103333

65

W60973

B03XA01

EPOETINUM ZETA**

RETACRIT 4000UI/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

4000UI/0,

4ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,4ML SOL. INJ.

PR

1

76,34

76,340000

76,340000

96,52

96,520000

96,520000

66

W52736

B03XA01

EPOETINUM ZETA**

RETACRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

5000UI/0,

5ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,5ML SOL. INJ.

S/P RF/ R

6

541,20

90,200000

90,200000

628,06

104,676666

104,676666

67

W60972

B03XA01

EPOETINUM ZETA**

RETACRIT 5000UI/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

5000UI/0,

5ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,5ML SOL. INJ.

PR

1

95,42

95,420000

95,420000

120,65

120,650000

120,650000

68

W52735

B03XA01

EPOETINUM ZETA**

RETACRIT 6000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

6000UI/0,

6ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,6ML SOL. INJ.

S/P RF/ R

6

643,44

107,240000

107,240000

739,50

123,250000

123,250000

69

W60971

B03XA01

EPOETINUM ZETA**

RETACRIT 6000UI/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

6000UI/0,

6ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

PR

1

112,47

112,470000

112,470000

137,30

137,300000

137,300000

70

W60970

B03XA01

EPOETINUM ZETA**

RETACRIT 8000UI/0,8ml

SOL. INJ. IN SERINGA PREUMPLU TA

8000UI/0,

8ml

HOSPIRA UK LIMITED

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,8ML SOL. INJ.

PR

1

154,75

154,750000

154,750000

188,92

188,920000

188,920000

71

W52734

B03XA01

EPOETINUM ZETA**

RETACRIT 8000UI/0,8ml

SOL. INJ. IN SERINGA PREUMPLU TA

8000UI/0,

8ml

HOSPIRA ENTERPRISES B.V.

OLAND A

CUTIE X 6 SERINGI PREUMPLUTE X 0,8ML SOL. INJ.

S/P RF/ R

6

847,92

141,320000

141,320000

962,38

160,396666

160,396666

72

W41530

B03XA02

DARBEPOETINUM ALFA**

ARANESP 100mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

100mcg/0, 5ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-

RF/ R

4

2.876,01

719,002500

719,002500

3.173,01

793,252500

793,252500

73

W41522

B03XA02

DARBEPOETINUM ALFA**

ARANESP 10mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

10mcg/0,4 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-

RF/ R

4

324,23

81,057500

81,057500

391,56

97,890000

97,890000

114

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

74

W41531

B03XA02

DARBEPOETINUM ALFA**

ARANESP 150mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

150mcg/0, 3ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-

RF/ R

4

4.284,58

1.071,145000

1.071,145000

4.708,35

1.177,087500

1.177,087500

75

W41524

B03XA02

DARBEPOETINUM ALFA**

ARANESP 20mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

20mcg/0,5 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-

RF/ R

4

609,62

152,405000

152,405000

702,64

175,660000

175,660000

76

W41532

B03XA02

DARBEPOETINUM ALFA**

ARANESP 300mcg/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

300mcg/0, 6ml

AMGEN EUROPE BV

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 0,6 ML

P-

RF/ R

1

1.991,25

1.991,250000

1.991,250000

2.208,61

2.208,610000

2.208,610000

77

W41525

B03XA02

DARBEPOETINUM ALFA**

ARANESP 30mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

30mcg/0,3 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-

RF/ R

4

891,12

222,780000

222,780000

1.009,47

252,367500

252,367500

78

W41526

B03XA02

DARBEPOETINUM ALFA**

ARANESP 40mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

40mcg/0,4 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-

RF/ R

4

1.175,04

293,760000

293,760000

1.318,95

329,737500

329,737500

79

W41533

B03XA02

DARBEPOETINUM ALFA**

ARANESP 500mcg/ml

SOL. INJ. IN SERINGA PREUMPLU TA

500mcg/m l

AMGEN EUROPE BV

OLAND A

CUTIE X 1 SERINGA PREUMPLUTA A 1 ML X 1 ML

P-

RF/ R

1

3.298,77

3.298,770000

3.298,770000

3.633,81

3.633,810000

3.633,810000

80

W41527

B03XA02

DARBEPOETINUM ALFA**

ARANESP 50mcg/0,5ml

SOL. INJ. IN SERINGA PREUMPLU TA

50mcg/0,5 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,5 ML

P-

RF/ R

4

1.457,44

364,360000

364,360000

1.626,76

406,690000

406,690000

81

W41528

B03XA02

DARBEPOETINUM ALFA**

ARANESP 60mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

60mcg/0,3 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,3 ML

P-

RF/ R

4

1.742,22

435,555000

435,555000

1.937,17

484,292500

484,292500

82

W41529

B03XA02

DARBEPOETINUM ALFA**

ARANESP 80mcg/0,4ml

SOL. INJ. IN SERINGA PREUMPLU TA

80mcg/0,4 ml

AMGEN EUROPE BV

OLAND A

CUTIE X 4 SERINGI PREUMPLUTE A 1 ML X 0,4 ML

P-

RF/ R

4

2.309,91

577,477500

577,477500

2.555,95

638,987500

638,987500

83

W52309

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 100mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

100mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R

1

991,26

991,260000

991,260000

1.118,62

1.118,620000

1.118,620000

84

W53532

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 120mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

120mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R

1

1.145,31

1.145,310000

1.145,310000

1.286,54

1.286,540000

1.286,540000

85

W52310

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 150mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

150mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R

1

1.471,92

1.471,920000

1.471,920000

1.642,54

1.642,540000

1.642,540000

86

W52311

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 200mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

200mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R

1

1.952,55

1.952,550000

1.952,550000

2.166,43

2.166,430000

2.166,430000

87

W52312

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 250mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

250mcg/0, 3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R

1

2.399,00

2.399,000000

2.399,000000

2.653,06

2.653,060000

2.653,060000

88

W53529

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 30mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

30mcg/0,3 ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R

1

317,25

317,250000

317,250000

383,95

383,950000

383,950000

115

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

89

W53533

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 360mcg/0,6ml

SOL. INJ. IN SERINGA PREUMPLU TA

360mcg/0, 6ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,6ML SOL. INJ.

S/P RF/ R

1

3.070,88

3.070,880000

3.070,880000

3.385,41

3.385,410000

3.385,410000

90

W52307

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 50 mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

50

mcg/0,3ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R

1

510,66

510,660000

510,660000

594,77

594,770000

594,770000

91

W52308

B03XA03

METOXI-POLIETILENGLICOL EPOETINA

BETA**

MIRCERA 75mcg/0,3ml

SOL. INJ. IN SERINGA PREUMPLU TA

75mcg/0,3 ml

ROCHE REGISTRATION LTD.

MAREA BRITAN IE

CUTIE X 1 SERINGA PREUMPLUTA X 0,3 ML SOL. INJ.

S/P RF/ R

1

750,96

750,960000

750,960000

856,70

856,700000

856,700000

92

W43185

H05BX01

CINACALCETUM****

MIMPARA 30 mg

COMPR.

FILM.

30mg

AMGEN EUROPE

B.V.

OLAND

A

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X

14 COMPR. FILM.

P-

RF

28

754,12

26,932857

26,932857

860,14

30,719285

30,719285

93

W43186

H05BX01

CINACALCETUM****

MIMPARA 60 mg

COMPR.

FILM.

60mg

AMGEN EUROPE

B.V.

OLAND

A

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X

14 COMPR. FILM.

P-

RF

28

1.383,17

49,398928

49,398928

1.545,81

55,207500

55,207500

94

W43187

H05BX01

CINACALCETUM****

MIMPARA 90 mg

COMPR.

FILM.

90mg

AMGEN EUROPE

B.V.

OLAND

A

CUTIE X 2 BLIST. ACLAR-PVC-PVAC/AL X

14 COMPR. FILM.

P-

RF

28

1.967,81

70,278928

70,278928

2.183,07

77,966785

77,966785

95

W52424

H05BX02

PARICALCITOLUM**

ZEMPLAR 1mcg

CAPS. MOI

1mcg

ABBOTT LABORATORIES

S.A.

SPANIA

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI

P- RF

28

206,14

7,362142

7,362142

251,66

8,987857

8,987857

96

W60920

H05BX02

PARICALCITOLUM**

ZEMPLAR 1μg

CAPS. MOI

1μg

ABBVIE FARMACEUTICA

S.L.U.

SPANIA

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS. MOI

P- RF

28

206,14

7,362142

7,362142

251,66

8,987857

8,987857

97

W52425

H05BX02

PARICALCITOLUM**

ZEMPLAR 2mcg

CAPS. MOI

2mcg

ABBOTT LABORATORIES

S.A.

SPANIA

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.

P- RF

28

395,68

14,131428

14,131428

469,44

16,765714

16,765714

98

W60921

H05BX02

PARICALCITOLUM**

ZEMPLAR 2μg

CAPS. MOI

2μg

ABBVIE

FARMACEUTICA S.L.U.

SPANIA

CUTIE X 4 BLIST. PVC/FLUOROPOLIMER/AL X 7 CAPS.

P- RF

28

395,68

14,131428

14,131428

469,44

16,765714

16,765714

99

W42936

H05BX02

PARICALCITOLUM**

ZEMPLAR

SOL. INJ.

5 mcg/ml

ABBOTT

LABORATORIES S.A.

SPANIA

CUTIE X 5 FIOLE X 1 ML SOL. INJ.

S

5

188,23

37,646000

37,646000

229,79

45,958000

45,958000

100

W60961

H05BX02

PARICALCITOLUM**

ZEMPLAR

SOL. INJ.

5 μg/ml

ABBVIE FARMACEUTICA

S.L.U.

SPANIA

CUTIE X 5 FIOLE X 1 ML SOL. INJ.

S

5

188,23

37,646000

37,646000

229,79

45,958000

45,958000

101

W08985

V03AE02

SEVELAMER**

RENAGEL 800mg

COMPR.

FILM.

800mg

GENZYME EUROPE

BV

OLAND

A

CUTIE X 1 FLAC.PEID. X 180 COMPR.

FILM.

P-

RF

180

625,88

3,477111

3,477111

720,36

4,002000

4,002000

116

P11: PROGRAM NATIONAL DE SANATATE MINTALA

SUBPROGRAMUL TRATAMENTUL TOXICODEPENDENTELOR

1

W60453

N07BB04

NALTREXONUM

NALTREXONA TORREX 50

mg

COMPR. FILM.

50mg

CHIESI PHARMACEUTICALS

GMBH

AUSTRI A

CUTIE CU 4 BLIST. PVC-PVDC/AL X 7 COMPR. FILM.

PR F

28

215,60

7,700000

7,700000

263,20

9,400000

9,400000

2

W51921

N07BC02

METHADONUM

SINTALGON 2,5 mg

COMPR.

2,5mg

ZENTIVA S.A.

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC X 25 COMPR.

P-

TS

50

18,06

0,361200

0,361200

24,41

0,488200

0,488200

3

W55532

N07BC02

METHADONUM

METADON BIOEEL 20 mg

COMPR.

20mg

BIO EEL SRL

ROMAN

IA

CUTIE X 5 BLIST. AL/PVC-PVDC X 10

COMPR.

P-

TS

50

46,54

0,930800

0,930800

60,88

1,217600

1,217600

4

W55532

N07BC02

METHADONUM

METADON BIOEEL 20 mg

COMPR.

20mg

BIO EEL SRL

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC-PVDC X 10

COMPR.

P-

TS

20

18,61

0,930500

0,930500

25,16

1,258000

1,258000

5

W55533

N07BC02

METHADONUM

METADON BIOEEL 5 mg

COMPR.

5mg

BIO EEL SRL

ROMAN

IA

CUTIE X 2 BLIST. AL/PVC-PVDC X 10

COMPR.

P-

TS

20

4,65

0,232500

0,232500

6,29

0,314500

0,314500

6

W55533

N07BC02

METHADONUM

METADON BIOEEL 5 mg

COMPR.

5mg

BIO EEL SRL

ROMAN

IA

CUTIE X 5 BLIST. AL/PVC-PVDC X 10

COMPR.

P-

TS

50

11,63

0,232600

0,232600

15,72

0,314400

0,314400

7

W58160

N07BC51

COMBINATII ( BUPRENORPHINUM + NALAXONE)

SUBOXONE 2mg/0,5mg

COMPR. SUBLING.

2mg/0,5m g

RECKITT BENCKISER HEALTHCARE INTERNATIONAL

LTD.

MAREA BRITAN IE

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P-

TS; S

7

18,31

2,615714

2,615714

24,75

3,535714

3,535714

8

W58161

N07BC51

COMBINATII ( BUPRENORPHINUM + NALAXONE)

SUBOXONE 8mg/2mg

COMPR. SUBLING.

8mg/2mg

RECKITT BENCKISER HEALTHCARE INTERNATIONAL

LTD.

MAREA BRITAN IE

CUTIE X 7 COMPR. SUBLING. ( BLIST.NYLON/AL/PVC)

P-

TS; S

7

55,36

7,908571

7,908571

70,00

10,000000

10,000000

NOTA:

-

Tratamentul cu medicamentele corespunzătoare DCI-urilor notate cu (*)

se inițiaza de medicul de specialitate in limita competenței și poate fi prescris în continuare de medicul de familie pe baza scrisorii medicale emise de medicul de specialitate;

-

Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (**) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS;

Nr.cr t

Cod CIM

Grupa terapeut ica

Denumire generica

Denumire comerciala

Forma farmaceutic a

Concentr atie / U.T.

Firma

Tara

Ambalaj

Prescriptie

cant/a mbala j

Pret cu ridicata maximal / ambalaj

Pret cu ridicata maximal / U.T.

Pret cu ridicata maximal de decontare / U.T.

Pret cu amanuntul maximal / ambalaj

Pret cu amanuntul maximal / U.T.

Pret de decontare / U.T.

-

Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (***) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Caselor Judetene de Asigurari de Sanatate;

-

Tratamentul cu medicamentele corespunzatoare DCI-urilor notate cu (****) se efectueaza pe baza protocoalelor terapeutice elaborate de comisiile de specialitate ale MS si cu aprobarea comisiilor de la nivelul Casei Nationale de Asigurari de Sanatate;

Medicamentul corespunzator DCI-ului notat cu ( 3 ) se livreaza impreuna cu solvent;

Medicamentele corespunzatoare DCI-urilor notate cu

4 () se importa cu avizul Ministerului Sanatatii;

117

Medicamentele din această sublistă se eliberează atât prin farmacii cu circuit închis câtși prin farmacii cu circuit deschis pe bază de prescripție medicală cu reținere în farmacie (P-RF).

Textul este prelucrat automat din sursa indicată; numerotarea și legăturile pot conține erori. Referințele subliniate duc la actele citate, așa cum au fost identificate de noi.