Anexa din 23 decembrie 2014
aferente denumirilor comune internaționale cuprinse în sublista C secțiunea C2, care se acordă în cadrul programelor naționale de sănătate, precum și prețul de decontare al acestora (Anexa nr. 2)
prezumat în vigoare
Ordinul ministrului sănătății și al președintelui Casei Naționale de Asigurări de Sănătate nr. 1.605/875/2014 , publicat în Monitorul Oficial, Partea I, nr. 951 din 29 decembrie 2014.
ANEXA 1
MODUL DE CALCUL
al prețurilor de decontare a medicamentelor care se acordă bolnavilor cuprinși
în cadrul programelor naționale de sănătate nominalizate prin hotărâre a Guvernului, în condițiile legii
Conținută de
Articolul 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.
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.
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.
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.